The German Technical Cooperation Health Sector Programme (GTZ HSP) is playing a crucial role in health systems and health financing reforms with a view to contribute to the realisation of pro-poor health systems and health financing mechanisms. In order to effectively advise on the best options available for Kenya, GTZ HSP has been assessing trends in health spending and health financing in Kenya. As part of these efforts, GTZ HSP recently developed a discussion paper and a policy brief to the theme “Social Spending, Gender Inequality and Kenya’s Poor” with a view to describe the beneficiaries and the welfare impact on different groups of people of government spending and draw conclusions for policy consideration. These were based on a benefit incidence analysis that was conducted on the health and education sectors by L. Demery and I. Gaddis
The findings indicate that there are imbalances in health spending in Kenya in which rich people benefit more from public health spending than the poor. Poor people rather rely on primary health care and benefit least from governmentâ€™s subsidised hospital care. The poor benefit most from increased spending in primary health because that is what they most access. This thus calls for the need to improve the quality of primary healthcare to target the poor.
There are also gender and other inequalities when it comes to health spending which have persisted over time. However, overall, women benefit more from health spending than men, but poorer women are disadvantaged relative to men.
The Kenyan Government, development partners and civil society organisations are currently prioritising measures that would enhance access by the poor to quality and affordable health care. These findings provide valuable information on priority areas that stakeholders in the health sector should focus on in realising this goal.2009-07-29
October 11, 2018
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