Funding Strategies on Performance of Health Insurance in Kenya: A Case of National Hospital Insurance Fund in Garissa Township
DOI:
https://doi.org/10.47941/jbsm.1976Keywords:
Funding Strategies, Members’ Contributions, Out-of-Pocket Contributions, Government Contributions and National Hospital Insurance FundAbstract
Purpose: The purpose of this study is to evaluate the impact of funding strategies on performance of Kenya's health insurance, in Garissa Township. This study is guided by three objectives: to find out the relationship between members' contributions on performance of National Hospital Insurance Fund in Garissa Township, Kenya; to determine the relationship between out-of-pocket contributions on performance of National Hospital Insurance Fund in Garissa Township, Kenya and to examine the relationship between government contributions on the performance National Hospital Insurance Fund in Garissa Township, Kenya. The scholars, decision-makers and private future researchers will all benefit from the research's conclusions.
Methodology: The study is framed on quantitative research approach. It is anchored on resource-based theory, financial health theory as well as the performance theory. The study used a descriptive research design to seek the opinion of respondents on the funding strategies on the performance of NHIF. The total target population is 242 respondents while 151 respondents formed the sample of the study. Primary data was collected by use of structured questionnaires and interviews. Validity was carried out through content validity. Reliability of the research instruments was done using testing and pretesting questionnaires to the same group within duration of one week interval.
Findings: Data analysis constituted both descriptive and inferential statistics. A regression model was used to determine the relationship between independent and dependent variables. The hypothesis was tested at a confidence level of 0.05 using convenient inferential statistics. Analyzed data was presented using suitable tables and figures based on APA format.
Unique contribution to theory, policy and practice: The study concludes that deficiencies include issues like inadequate management of capital structure, ineffective handling of cash flows, and suboptimal strategies for cost recovery. Further, the government should prioritize investment in health infrastructure and human resources to improve the accessibility and quality of healthcare services across the country.
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References
Abraham, A. (2018) Financial Sustainability and Accountability: A model for non-profit organizations. A paper presented at the proceedings of the AFAANZ 2003 Conference, Brisbane, Australia.
Allen, F.& Santomero, A.M. (1998). The Theory of Financial Intermediation. Journal of Banking&Finance, 21, 1461-1485.
Arhinful, D. K. (2018). The solidarity of self-interest: Social and cultural feasibility of rural health insurance in Ghana. African Studies Centre Research Report 71.
Barasa, E., Rogo, K., Mwaura, N., & Chuma, J. (2018). Kenya National Hospital Insurance Fund Reforms: implications and lessons for universal health coverage. Health Systems & Reform, 4(4), 346-361.
Barnett-Page E, Thomas J. (2019) Methods for the synthesis of qualitative research: a critical review.
Chuma J, Okungu V, Molyneux C, (2019). Barriers to prompt and effective malaria treatment among the poorest population in Kenya. Malaria Journal.
Jain, B. A., & Kini, O. (2022). Venture capitalist participation and the post-issue operating performance of IPO firms. In Venture Capital (pp. 397-410). Routledge.
Kairu, A, Orangi, S.,Mbuthia, B., Ondera, J., Nirmara,R., Barasa,E.(2021). Examining Health Facility Financing in Kenya in the Context of Devolution
KBS, (2022), The Role of Health Care Affordability and Equity in Makueni County, Kenya.
Kiragu, Z.W., Laing, R. (2020), Probability and amount of medicines expenditure according to health insurance status in Kenya: A household survey in eight counties
Maudsley, G., Taylor, D., Allam, O., Garner, J., Calinici, T., & Linkman, K. (2019). A Best Evidence Medical Education (BEME) systematic review of: What works best for health professions students using mobile (hand-held) devices for educational support on clinical placements? BEME Guide No. 52. Medical Teacher, 41(2), 125-140.
Okungu, V., Chuma, J., & McIntyre, D. (2017). The cost of free health care for all Kenyans: assessing the financial sustainability of contributory and non-contributory financing mechanisms. International Journal for Equity in Health, 16(1), 1-13.
Revised NHIF strategic plan 2018-2022
Salari, P., Giorgio,L.D., Llinca, S., Chuma, J. (2018).The catastrophic and impoverishing effects of out-of-pocket healthcare payments in Kenya,
Schechner, R. (2003). Performance theory. Routledge
Universal Health Coverage (2021). Our Policies, Egypt
World Bank. (2019). Healthy China: deepening health reform in China: building high-quality and value-based service delivery. The World Bank.
Yip, W., Fu, H., Chen, A. T., Zhai, T., Jian, W., Xu, R., & Chen, W. (2019). 10 years of health-care reform in China: progress and gaps in Universal Health Coverage. The Lancet, 394(10204), 1192-1204.
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Copyright (c) 2024 Omar Nasteh Noor, Dr. Joel Ayora, Dr. Tom Ongesa
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