Policy levers and priority-setting in universal health coverage: a qualitative analysis of healthcare financing agenda setting in Kenya

BMC Health Services Research
Tessa Oraro-Lawrence, Kaspar Wyss

Abstract

Competing priorities in health systems necessitate difficult choices on which health actions and investments to fund: decisions that are complex, value-based, and highly political. In light of the centrality of universal health coverage (UHC) in driving current health policy, we sought to examine the value interests that influence agenda setting in the country's health financing space. Given the plurality of Kenya's health policy levers, we aimed to examine how the perspectives of stakeholders involved in policy decision-making and implementation shape discussions on health financing within the UHC framework. A series of in-depth key informant interviews were conducted at national and county level (n = 13) between April and May 2018. Final thematic analysis using the Framework Method was conducted to identify similarities and differences amongst stakeholders on the challenges hindering Kenya's achievement of UHC in terms of its the optimisation of health service coverage; expansion of the population that benefits from essential healthcare services; and the minimisation of out-of-pocket costs associated with health-seeking behaviour. Our findings indicate that the perceived lack of strategic leadership from Kenya's national gove...Continue Reading

References

Jul 19, 2008·Health Economics, Policy, and Law·Maria GoddardPeter C Smith
Nov 19, 2010·Lancet·Davidson R Gwatkin, Alex Ergo
May 27, 2011·International Journal for Equity in Health·Jane Chuma, Vincent Okungu
Nov 23, 2012·BMC Health Services Research·Jane Chuma, Thomas Maina
Aug 21, 2013·Lancet·Thomas O'ConnellMickey Chopra
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Dec 7, 2013·Lancet·Dean T JamisonGavin Yamey
Dec 18, 2015·International Journal of Health Policy and Management·Ole Frithjof Norheim
Jun 9, 2016·Bulletin of the World Health Organization·Kalipso ChalkidouAnthony J Culyer
Nov 2, 2016·International Journal of Health Policy and Management·Rob BaltussenGert Jan Van der Wilt
Feb 9, 2017·International Journal for Equity in Health·Edwine W BarasaNirmala Ravishankar
Sep 16, 2017·International Journal for Equity in Health·Mary M NyikuriSassy Molyneux
Jul 13, 2018·International Journal of Health Policy and Management·Eric TamaEdwine Barasa

❮ Previous
Next ❯

Citations

Oct 29, 2020·Journal of Global Health·Polet Njeri OumaIsrael Nyaburi Nyadera
Apr 2, 2021·The Journal of the Egyptian Public Health Association·Sohyla ReshadatMehdi Khezeli
Jun 26, 2021·BMJ Global Health·Mark W MosesLaura Di Giorgio

❮ Previous
Next ❯

Software Mentioned

MaxQDA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.