Health financing and family planning in the context of universal health care: Connecting the discourse in Kenya

Appleford, Gabrielle; RamaRao, Saumya

doi:10.31899/rh6.1022

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…PMA2020 examined that more than 70% of women paid for FP services, even though 60% of women receive their service from a public facility, where FP is supposed to be free. It suggested that OOP expenditure of FP services is ubiquitous 20 . This situation should be a challenge to advocate for the local government to increase the fund allocation for FP and scale-up insurance coverage based on the community level 17,19 .…”

Section: Table2 Structural Model and Odds Ratio Of Factors Related To Out-of-pocket Expenditures For Contraception Services In Sleman Regmentioning

confidence: 99%

Who Experience Out-of-Pocket Expenditures for Modern Contraceptive Use in Indonesian Universal Health Coverage System?

Sulistiawan,

Lazuardi,

Fanda

et al. 2021

MLU

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Integration of family planning programs into the universal health coverage system is expected to improve access toreproductive health services. All people should have access to sufficient and qualified family planning services they need without financial hardship. This study aimed to examine out-of-pocket expenditures of contraceptive services and the associated factors among fertile age couples that influence their access to modern contraceptive services.It was quantitative research with a cross-sectional design. Data obtained from the Health and Demographic Surveillance System 2016 of Sleman Regency, Indonesia, were analyzed using multiple logistic regression to determine factors associated with out-of-pocket expenditures for contraceptive services. This study revealed that more than 70% of people should pay for contraceptive services even though they had registered as health insurance members. Public non-subsidized and private health insurance members were more likely to experience OOP expenditures than public-subsidized participants (AOR=3.12; 95%CI=2.25-4.30 and AOR=3.47; 95%CI=1.60-7.52, respectively). Short-term contraception users were more likely to experience out-of-pocket expenditures thanlong-term users(AOR=6.38; 95%CI=4.79-8.50).Nearly three-quarters of health insurance participants experience out-of-pocket expenditures for contraceptive services. Out-of-pocket expenditures of contraceptive services significantly associate with the type of health insurance owned and the types of contraceptive methods used.

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Section: Table2 Structural Model and Odds Ratio Of Factors Related To Out-of-pocket Expenditures For Contraception Services In Sleman Regmentioning

confidence: 99%

Who Experience Out-of-Pocket Expenditures for Modern Contraceptive Use in Indonesian Universal Health Coverage System?

Sulistiawan,

Lazuardi,

Fanda

et al. 2021

MLU

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“…The government of Kenya spends approximately 6.7% of GDP on public healthcare sector (Obadha et al, 2019). Also, the decline in funding over the years has led to increased out-of-pocket spending by the population, which accounts for 36.7% of the health sector revenue (Appleford and Ramarao, 2019). However, a majority of Kenyans are from low-income settings.…”

Section: Current State Of the Kenyan Health Care Systemmentioning

confidence: 99%

Integration of Smart Wearable Devices and Cloud Computing in the Kenyan Public Health Care System

2021

IKM

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The utilization of smart wearable devices and cloud computing in the Kenyan public health care system will facilitate real-time patient monitoring and management. The shortage of certified healthcare professionals and the limited access to quality specialized care for individuals in remote settings has prompted the adoption of wearable devices and cloud computing strategies in Kenya. However, there lacks a clear framework design of integrating the technologies in the public health sector. This article evaluates the current status of healthcare systems in Kenya. It also investigates the existing mobile health and cloud computing services in the country while evaluating the main legal concerns inherent to the utilization of the technologies. The document further outlines a framework design for a mobile application named GB Health. The application incorporates cloud computing and smart wearable devices in the Kenyan public health care system. The design will enhance workflow and patient outcomes in the sector.

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“When it comes to time of removal, nothing is straightforward”: A qualitative study of experiences with barriers to removal of long-acting reversible contraception in Western Kenya

et al. 2021

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Objective Barriers to removal of long-acting reversible contraception (LARC) threaten reproductive self-determination, but their influence on contraceptive behaviors is not well understood. We describe perspectives of women in Western Kenya concerning LARC removal barriers. Study design We used a qualitative descriptive approach with conventional content analysis to analyze transcripts for content and themes from eight focus group discussions ( n = 55 participants) and one client journey mapping workshop ( n = 9 participants) with women ages 18–49 in Western Kenya who were currently using or had formerly used contraceptives. Findings Our primary themes concerned women's experience of LARC removal barriers and the impact on their behaviors and attitudes towards contraception. Women described providers being unwilling to remove LARC, regardless of rationale (including expiration, seeking pregnancy, or experiencing intolerable side effects) or demanding unaffordable fees. Women were reluctant to try LARC for fear of having to use the method for its entire lifespan even if they did not like it. Women saw LARC removal barriers as increasing their risk of unintended pregnancy through non-replacement of expired devices and fostering distrust in the health system. Conclusion Barriers to LARC removal may discourage utilization of LARC and contraceptive services generally, which can undermine women's efforts to achieve reproductive self-determination. Implications Our findings affirm the importance of timely LARC removal to ensure that family planning programs uphold women's reproductive autonomy.

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Health financing and family planning in the context of universal health care: Connecting the discourse in Kenya

Cited by 5 publications

References 4 publications

Who Experience Out-of-Pocket Expenditures for Modern Contraceptive Use in Indonesian Universal Health Coverage System?

Who Experience Out-of-Pocket Expenditures for Modern Contraceptive Use in Indonesian Universal Health Coverage System?

Integration of Smart Wearable Devices and Cloud Computing in the Kenyan Public Health Care System

“When it comes to time of removal, nothing is straightforward”: A qualitative study of experiences with barriers to removal of long-acting reversible contraception in Western Kenya

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