Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya

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dc.contributor.advisorOlivier, Jillen_ZA
dc.contributor.advisorFoster, Nicolaen_ZA
dc.contributor.authorKingangi, Lucyen_ZA
dc.date.accessioned2018-05-07T09:13:39Z
dc.date.available2018-05-07T09:13:39Z
dc.date.issued2018en_ZA
dc.description.abstractIn strengthening health systems, the World Health Report 2000 indicates that health system improvement strategies must also cover private (for-profit and non-profit) health care provision and financing if progress towards Universal Health Coverage is to be achieved. Yet very little is known about the financing of non-profit providers in Africa - especially not faith-based health providers, who have often historically remained elusive in terms of financial transparency. This thesis reports on a multiple case study conducted with two non-profit faith-based health providers in Kenya, namely the Africa Inland Church Kijabe Hospital; and Nyumbani-Children of God Relief Institute in Nairobi (Nyumbani) - and situates these within the broader context of health systems financing and public-private partnership in Kenya. Data was collected from multiples sources including: secondary literature; secondary analysis of existing data (such as the Kenya Health Information System); financial data on projects and annual reports; routine facility and service data; previous research on both organizations; archival data; and supplemented by 6 in-depth interviews with key stakeholders. The study reveals a highly complex funding environment for non-profit (and faith-based) health providers in Kenya, which is a result of historic health system configurations, and current funding policy and focus (such as the influx of HIV-related funding). The HIV program in AIC Kijabe Hospital is solely funded by USAID; while Nyumbani is also funded by USAID (70%), but has other private sources. In both cases, funding from various sources is structured differently with varied financial flows and requirements. Faith-based health providers in Kenya are highly dependent on complex donor-funding arrangements, and lack financial resilience as a result. Donors need to better understand the nuance of engagement with such providers.en_ZA
dc.identifier.apacitationKingangi, L. (2018). <i>Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division. Retrieved from http://hdl.handle.net/11427/27941en_ZA
dc.identifier.chicagocitationKingangi, Lucy. <i>"Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division, 2018. http://hdl.handle.net/11427/27941en_ZA
dc.identifier.citationKingangi, L. 2018. Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kingangi, Lucy AB - In strengthening health systems, the World Health Report 2000 indicates that health system improvement strategies must also cover private (for-profit and non-profit) health care provision and financing if progress towards Universal Health Coverage is to be achieved. Yet very little is known about the financing of non-profit providers in Africa - especially not faith-based health providers, who have often historically remained elusive in terms of financial transparency. This thesis reports on a multiple case study conducted with two non-profit faith-based health providers in Kenya, namely the Africa Inland Church Kijabe Hospital; and Nyumbani-Children of God Relief Institute in Nairobi (Nyumbani) - and situates these within the broader context of health systems financing and public-private partnership in Kenya. Data was collected from multiples sources including: secondary literature; secondary analysis of existing data (such as the Kenya Health Information System); financial data on projects and annual reports; routine facility and service data; previous research on both organizations; archival data; and supplemented by 6 in-depth interviews with key stakeholders. The study reveals a highly complex funding environment for non-profit (and faith-based) health providers in Kenya, which is a result of historic health system configurations, and current funding policy and focus (such as the influx of HIV-related funding). The HIV program in AIC Kijabe Hospital is solely funded by USAID; while Nyumbani is also funded by USAID (70%), but has other private sources. In both cases, funding from various sources is structured differently with varied financial flows and requirements. Faith-based health providers in Kenya are highly dependent on complex donor-funding arrangements, and lack financial resilience as a result. Donors need to better understand the nuance of engagement with such providers. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya TI - Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya UR - http://hdl.handle.net/11427/27941 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/27941
dc.identifier.vancouvercitationKingangi L. Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Policy and Systems Division, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27941en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Policy and Systems Divisionen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Policyen_ZA
dc.subject.otherHealth Systemsen_ZA
dc.subject.otherHealth Economicsen_ZA
dc.titleMapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenyaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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