An analysis of the user-free policy for health care in Kenya : is the effort worth it?

 

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dc.contributor.advisor Thomas, Stephen en_ZA
dc.contributor.author Mwangi, PK en_ZA
dc.date.accessioned 2015-10-25T16:51:17Z
dc.date.available 2015-10-25T16:51:17Z
dc.date.issued 1999 en_ZA
dc.identifier.citation Mwangi, P. 1999. An analysis of the user-free policy for health care in Kenya : is the effort worth it?. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14262
dc.description Bibliography : leaves 69-73. en_ZA
dc.description.abstract This study analyses the user fee policy for health care in Kenya that was introduced to try and recoup some of the costs incurred in providing care as well as rationalise the use of resources. The study aims to generate policy-related findings that are crucial to MOH policy makers in their attempt to provide quality and affordable care. In particular, factors associated with proper function or malfunction of the user fee policy are discussed. The study focussed on four hospitals located in Central province of Kenya. This province was purposefully chosen for its convenience and its high potential for cost recovery. Equity in health care consumption, efficiency, sustainability and perceived quality of care are reviewed. Both primary and secondary data were used. Quantitative and qualitative data were solicited by way of administering questionnaires. Respondents were divided into two categories: providers (staff) and consumers (patients) of health care. The latter were subdivided into inpatients and outpatients. Each of these categories had a specific questionnaire. Further, an attempt is made to estimate net revenue generated in the year 1997/98 by the facilities under study. Costs associated with fee collection were estimated on monthly basis and then projected for the whole year. There are important findings from the study; though patients are charged higher fees at hospitals than at primary levels in order to bolster the referral system, many patients are bypassing the nearby primary care facilities. This study recommends that bypassing patients should be charged higher fees than referred ones. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Economics en_ZA
dc.subject.other Kenya en_ZA
dc.subject.other Health Care en_ZA
dc.title An analysis of the user-free policy for health care in Kenya : is the effort worth it? en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Health Economics Unit en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MSocSc en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Mwangi, P. (1999). <i>An analysis of the user-free policy for health care in Kenya : is the effort worth it?</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/14262 en_ZA
dc.identifier.chicagocitation Mwangi, PK. <i>"An analysis of the user-free policy for health care in Kenya : is the effort worth it?."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 1999. http://hdl.handle.net/11427/14262 en_ZA
dc.identifier.vancouvercitation Mwangi P. An analysis of the user-free policy for health care in Kenya : is the effort worth it?. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 1999 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/14262 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Mwangi, PK AB - This study analyses the user fee policy for health care in Kenya that was introduced to try and recoup some of the costs incurred in providing care as well as rationalise the use of resources. The study aims to generate policy-related findings that are crucial to MOH policy makers in their attempt to provide quality and affordable care. In particular, factors associated with proper function or malfunction of the user fee policy are discussed. The study focussed on four hospitals located in Central province of Kenya. This province was purposefully chosen for its convenience and its high potential for cost recovery. Equity in health care consumption, efficiency, sustainability and perceived quality of care are reviewed. Both primary and secondary data were used. Quantitative and qualitative data were solicited by way of administering questionnaires. Respondents were divided into two categories: providers (staff) and consumers (patients) of health care. The latter were subdivided into inpatients and outpatients. Each of these categories had a specific questionnaire. Further, an attempt is made to estimate net revenue generated in the year 1997/98 by the facilities under study. Costs associated with fee collection were estimated on monthly basis and then projected for the whole year. There are important findings from the study; though patients are charged higher fees at hospitals than at primary levels in order to bolster the referral system, many patients are bypassing the nearby primary care facilities. This study recommends that bypassing patients should be charged higher fees than referred ones. DA - 1999 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1999 T1 - An analysis of the user-free policy for health care in Kenya : is the effort worth it? TI - An analysis of the user-free policy for health care in Kenya : is the effort worth it? UR - http://hdl.handle.net/11427/14262 ER - en_ZA


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