Universal health care coverage: healthcare financing and access to health care services in Kenya

Mwaambi, Phidiliah Rose

doi:10.15761/ccrr.1000378

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…This study design applied thematic analysis to explore the barriers to the access and utilization of mental health services. This qualitative method consists of scientific inquiry applied to collect and work with no numerical data and seek to interpret meaning from the perspectives of the study participants, helping to understand their social life or phenomena through them (Mwaambi, 2017 ).…”

Section: Methodsmentioning

confidence: 99%

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Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Muhorakeye

Biracyaza

2021

Front. Psychol.

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Barriers to mental health interventions globally remain a health concern; however, these are more prominent in low- and middle-income countries (LMICs). The barriers to accessibility include stigmatization, financial strain, acceptability, poor awareness, and sociocultural and religious influences. Exploring the barriers to the utilization of mental health services might contribute to mitigating them. Hence, this research aims to investigate these barriers to mental health service utilization in depth at the Kabutare District Hospital of the Southern Province of Rwanda. The qualitative approach was adopted with a cross-sectional study design. The participants were patients with mental illnesses seeking mental health services at the hospital. Ten interviews were conducted in the local language, recorded, and transcribed verbatim and translated by the researchers. Thematic analysis was applied to analyze the data collected. The results revealed that the most common barriers are fear of stigmatization, lack of awareness of mental health services, sociocultural scarcity, scarcity of financial support, and lack of geographical accessibility, which limit the patients to utilize mental health services. Furthermore, it was revealed that rural gossip networks and social visibility within the communities compounded the stigma and social exclusion for patients with mental health conditions. Stigmatization should be reduced among the community members for increasing their empathy. Then, the awareness of mental disorders needs to be improved. Further research in Rwanda on the factors associated with low compliance to mental health services with greater focus on the community level is recommended.

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Section: Methodsmentioning

confidence: 99%

“…The patients who voluntarily agreed to participate in the study were interviewed. So, they willingly partook due to their availability (Mwaambi, 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Muhorakeye

Biracyaza

2021

Front. Psychol.

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“…In extreme cases, some such patients would prefer death to life in debt, and even appreciate hospital detention, since there is at least some food provided, instead of being released to go home where nothing is available. The second way is by individuals simply paying from their pocket, which works well for outpatient services and short admissions ( Mwaambi, 2017 ). The third way is through leveraging social networks which include relatives, workplace colleagues, and friends.…”

Section: A Review Of Health Care Financing In Kenyamentioning

confidence: 99%

Medical debt during epidemics: A case for resolving the situation in low- and middle-income countries such as Kenya

Obengo¹

2023

Wellcome Open Res

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This paper evaluates the problem of medical debt in Kenya during the COVID-19 pandemic. The medical debt problem is compounded during pandemics such as COVID-19 when patients seek treatment and end up in insurmountable debt because illnesses related to the pandemic are not covered by the Kenyan National Health Insurance Fund (NHIF), the public health coverage body under government control. As a result, discharged patients may be detained in hospitals and dead bodies are locked away in mortuaries, until relatives and friends fundraise and clear the bills. Apart from causing vulnerability, fear, and emotional stress among the poor, this practice leads to a growing lack of trust in the healthcare system, with patients deliberately avoiding hospitals whenever they suspect they have COVID-19. The resulting vicious cycle makes healthcare more inaccessible by limiting the choices that people may have. User fees, which were introduced in all public health facilities by the Kenyan government as part of a World Bank prescription for cost-sharing, normally affect more women than men. Although Kenya has implemented a general waiver system in public hospitals for those who cannot pay their medical bills, the process of obtaining this waiver can be burdensome, demeaning, and dangerous for the health of the patients. This undermines the government’s commitment to the provision of equitable and affordable health care for the citizens. In this article, the problem of medical debt in Kenya is addressed as a multi-faceted problem drawing on issues of justice and fairness, human dignity, good governance, the interplay between global and local policies, as well as politics and law. It argues that it is in the best interest of Kenya and other African countries to ensure that public health coverage covers pandemics so that the majority poor can afford and access healthcare.

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“…Mukabana et al (2018) investigated on improving long acting and reversible contraceptives uptake using quality improvement strategy at a sub-county hospital Kenya. Mwaambi (2017) studied healthcare financing and access to health care services in Kenya and recommended the need to improve finance access procedures. McGivern et al (2017) focused on pastoral practices for quality improvement in a Kenyan clinical network while Fredriksson et al 2017 had concerns on use of data from national quality registries for quality improvement in Swedish hospitals.…”

Section: Statement Of the Problemmentioning

confidence: 99%

Quality improvement practices and creative governance success in public hospitals in Kenya

Kaluyu

Wachana

Kalunda

2023

TUJ

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This study assessed the influence of quality improvement practices on creative governance success in Tier four public hospitals in Kenya. The study adopted a descriptive correlation research design. The target population was 200 composed of Administrative officers and Mid-level employees from each hospital. A census survey of 200 respondents was used. A Questionnaire yielding an acceptable reliability coefficient 0.7 and response rate of 157 respondents was attained during data collection. The background information was analyzed using descriptive statistics such as frequencies and percentages. The hypothesis testing was done using linear regression analysis. Quality Improvement (QI) practices assessed entailed: Establishment of dedicated quality improvement teams, holding of regular quality improvement meetings, establishing QI procedures/models, evidence of QI data collection and analysis and, monitoring to measure change. Overall, there is implementation of QI practices to some extent in the Tier four hospitals in Kenya. Correlation analysis between QI practices and creative governance indicated a strong positive significant relationship (r= 0.672 p= 0.00,). Creative governance was measured by innovative ideas/products, creative designs of processes, learning new skills, attainment of organization goals, motivated staff and satisfied clients. On testing the study hypothesis, results showed that quality improvement practices influenced creative governance (β= 0.55; p=0.000) but to mere 55% in the case of these selected public hospitals. The study results therefore inform hospital managers on the need to pay more attention to quality improvement practices so that the hospitals may reap the benefits of creative governance which then leads to superior delivery of services.

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Universal health care coverage: healthcare financing and access to health care services in Kenya

Cited by 3 publications

References 3 publications

Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Exploring Barriers to Mental Health Services Utilization at Kabutare District Hospital of Rwanda: Perspectives From Patients

Medical debt during epidemics: A case for resolving the situation in low- and middle-income countries such as Kenya

Quality improvement practices and creative governance success in public hospitals in Kenya

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