Kemri-Wellcome Trust Research Programme: How can Universal Health Coverage benefit the poor? Examining the equity and pro-poorness of health financing reforms in Kenya.
The Wellcome Trust awarded a grant of GBP 246,214 to Kemri-Wellcome Trust Research Programme for work in Kenya, dated 17 June 2015.
Overview
There is growing commitment by developing countries to achieve Universal Health Coverage (UHC). The goal of UHC is to ensure that everyone can use the health services they need without risk of financial ruin. There is however evidence that, if not well designed, these efforts tend to benefit the well- off while excluding the poor in society, resulting in highly inequitable health systems. Using multiple methods (cross-sectional survey, in-depth interviews, focused group discussions, document revi ew), the this research will explore how best UHC efforts in Kenya can be designed to offer financial risk protection for all while ensuring equity in access to needed services and the inclusion of the poor. Key questions that will be answered by the study include; what are the determinants of inequity in use of health services? How can the poor be identified and how can healthcare services be extended to reach them? How can the institutional design and organizational capacities of health fi nancing systems ensure equity and pro-poorness? What are the perceptions and experiences of the poor and the barriers they face in benefiting from HF mechanisms? Results will inform national and international UHC policy debates and the design of health policy reform.
Programme: International Training Fellowship
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