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

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dc.contributor.advisorThomas, Stephenen_ZA
dc.contributor.authorMwangi, PKen_ZA
dc.date.accessioned2015-10-25T16:51:17Z
dc.date.available2015-10-25T16:51:17Z
dc.date.issued1999en_ZA
dc.descriptionBibliography : leaves 69-73.en_ZA
dc.description.abstractThis 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.identifier.apacitationMwangi, 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/11427/14262en_ZA
dc.identifier.chicagocitationMwangi, 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/11427/14262en_ZA
dc.identifier.citationMwangi, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/14262
dc.identifier.vancouvercitationMwangi 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/11427/14262en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Economicsen_ZA
dc.subject.otherKenyaen_ZA
dc.subject.otherHealth Careen_ZA
dc.titleAn analysis of the user-free policy for health care in Kenya : is the effort worth it?en_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMSocScen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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