Prof. Njeru Enos H. Nthia Publications | ||||
1 | 2008 | HIV/AIDS Financing And Spending In Eastern And Southern Africa Click to View Abstract Substantial financial and human resources from donors, governments, civil society organisations and the private sector have been committed to fighting HIV/AIDS since it was first discovered in Africa. As more resources are allocated, there is a growing need for countries to properly account for these funds. This book measures the financial response to the pandemic in Ethiopia, Kenya, Tanzania Malawi and Zambia. This publication emerges out of an extensive multi-country resource tracking project conducted by Idasa’s Governance and AIDS Programme that analysed the national budgets of these countries from an HIV/AIDS perspective; investigated and evaluated how HIV/AIDS resources are disbursed, for what activities and for whose benefit; and made recommendations on effective and efficient HIV/AIDS financing and spending. | ||
2 | 2006 | Understanding Female Circumcision From The Circumcisers' Perspective Click to View Abstract The resistance of circumcisers can be a substantial obstacle to the eradication of female genital mutilation (FGM). As part of a broader study on FGM conducted in Kenya's Machakos, Nyeri, and Embu districts, in-depth interviews were conducted with 19 circumcisers. 18 were female. FGM is not a full-time activity, so circumcisers were also engaged in farming and small-scale businesses; 5 were traditional birth attendants (TBAs). With the exception of the TBAs, respondents had no formal clinic- or hospital-based training to prepare them for their practice. Although circumcisers identified excessive bleeding and infection as potential sequelae of FGM, they attributed these complications to curses, bad omens, or broken taboos. The main advantage of FGM cited by respondents was the reduction of sexual desire, which is believed to reduce prostitution and promote moral standards. Uncircumcised girls were viewed with contempt. Most circumcisions are performed when girls are 3-11 years of age, contradicting the claim that the practice is performed to prepare young women for marriage. Although fees varied widely, all respondents viewed FGM as an important income source. They felt their work conferred high status within their communities and an opportunity to promote moral standards. Although many circumcisers are unlikely to stop their practice because of the social prestige it confers and their belief they are destined to perform this function, others could be persuaded to take up alternate means of generating an income if provided with start-up capital. Also important would be involvement of circumcisers in the development of alternative coming-of-age rituals. | ||
3 | 2005 | Primary Education In Kenya: Access And Policy Implications, 1989 – 2002 Click to View Abstract The study provides a critical analysis of primary education in Kenya between 1989 and 2002, focusing on participation, internal efficiency and equity. Key findings indicated that the major challenges facing primary school education in Kenya include unsatisfactory levels of access and participation, regional disparities, declining quality and relevance, rising educational costs, poverty incidence, and declining government financing (prior to FPE), internal inefficiencies and school wastage. Over-age enrollments, increasing dropout rates, high repetition rates, low completion rates, declining transition rates from primary education level to higher education levels, and declining survival rates denote internal inefficiencies and primary school wastage that characterized trends in access to primary education between 1989 and 2002. Most of the resources are spent on recurrent expenditure items dominated by teachers remuneration, while development allocation constitutes less 5 per cent (in 2001 the proportion was 2 per cent). Other challenges include lack of clear policy guidelines on cost sharing, inadequate mechanisms in the identification of needy students within the school system, inefficiencies in resource mobilization, utilization and accountability, poor management of some learning institutions, over reliance of donor funding in development projects/programmes, unsustainability of programmes/projects, child labour, and increasing numbers of destitute/street children. FPE initiative aims at addressing the challenges relating to access. However, close monitoring and evaluation are important in ensuring programme sustainability. | ||
4 | 2005 | Quantitative And Qualitative Methods For Poverty Analysis Click to View Abstract
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5 | 2005 | POLICY-BASED APPROACHES TO POVERTY REDUCTION IN KENYA: STRATEGIES AND CIVil SOCIETY ENGAGEMENT Click to View Abstract The critical challenge facing Kenya is to raise the rate of economic growth to levels | ||
6 | 2005 | La Mancanza Di Coordinamento E Armonizzazione Negli Interventi Dei Donatori Per La Risposta All'HIV E AIDS In Kenya: Descrizione Del Problema Click to View Abstract Premessa | ||
7 | 2004 | Social Health Insurance Scheme For All Kenyans: Opportunities And Sustainability Potential. Enos Njeru, Robert Arasa & Mary N. Nguli. 49p. ISBN 9966-948-18-x. (ttp://www.ipar.or.ke/dp60dp.pdf). Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
8 | 2004 | Policy Brief: Social Health Insurance Scheme For All Kenyans: Opportunities And Sustainability Potential. Enos Njeru Robert Arasa & Mary Nguli. ISBN 9966-948-18-x. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
9 | 2004 | Combating HIV/AIDS In Kenya: Priority Setting And Resource Allocation. Christopher Onyango & Enos Njeru. 64p. ISBN 9966-948-06-6. Click to View Abstract The HIV/AIDS pandemic has emerged as one of the leading challenges to global public health and development. Sub-Saharan Africa, in particular, has become the epicenter of the pandemic, with over 29.4 million people currently living with the virus and more than 2.4 million people having succumbed to the In Kenya, the Sessional Paper No.4 of 1997 on AIDS lays down the contemporary long-term framework for response to the pandemic. After declaring AIDS a national disaster in 1999, the government established the National AIDS Control Council (NACC) to guide implementation of the National HIVIAIDS Strategic The study entailed the use of both qualitative and quantitative analysis. HIV related demographic, behavioral and financial data, gathered by the National AIDS Control Council during the year 2002 was heavily used. In particular, we used the GOALS simulation model to assess the consequences and trade-offs The study established that the costing of the multi-sectoral HIVIAIDS strategic plan lies outside the center of the national budget allocation decisions and the Mid Term Expenditure Framework (MTEF), despite the existence of a strong institutional framework and enabling policy environment. Further, our analysis showed that given available resources, there is great potential to improve the national response to HIV/AIDS by increasing expenditures on preventive measures and treatment and care services as opposed to policy development and management in the coming years. The study therefore strongly recommends, | ||
10 | 2004 | Policy Brief: Volume 10, Issue 13, 2004. Combating HIV/AIDS In Kenya: Priority Setting And Resource Allocation. Christopher Onyango And Enos Njeru. ISBN 9966-948-06-6. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
11 | 2004 | Policy Brief: Volume 10, Issue 9, 2004. The Impact Of HIV/AIDS On Primary Education In Kenya. Enos Njeru & Urbanus Kioko. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
12 | 2004 | Policy Brief: Volume 10, Issue 12, 2004. Gender Aspects In HIV/AIDS Infection And Control In Kenya. Enos Njeru, Peter Mwangi And Mary Nguli. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
13 | 2004 | Funding The Fight. Budgeting For HIV/AIDS In Developing Countries. Edited By Teresa Guthrie And Alison Hickey. BOOK CHAPTER Pp 13-52, By Urbanus Kioko & Enos H.N. Njeru. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
14 | 2004 | Policy Brief: Volume 10, Issue 8, 2004, The Sociology Of Private Tuition. Indeje Wanyama And Enos H.N. Njeru. Click to View Abstract This paper discusses the issue of private tuition mainly at primary educational | ||
15 | 2004 | Gender Aspects In HIV/AIDS Infection And Control In Kenya. Enos H.N. Njeru, Peter Mwangi & Mary N. Nguli. 42p. Click to View Abstract Men are expected to be physically strong, robust, and daring, the world over. | ||
16 | 2004 | Policy Brief: Volume 10, Issue 7, 2004. Funding The Fight Against HIV/AIDS: Budgetary Analysis Of Kenya Click to View Abstract The Abuja Declaration, adopted at the Africa Union special summit on AIDS in 2001, called upon African governments to allocate 15% of their national budgets to health spending, with more emphasis on HIV/AIDS programmes. This commitment echoes the United Nations General Assembly Special Session on HIV/AIDS | ||
17 | 2004 | Funding The Fight. Budgeting For HIV/AIDS In Developing Countries Edited By Teresa Guthrie And Alison Hickey. KENYA CHAPTER: Pp 13-52. Co-authored By Urbanus Kioko & Enos H.N. Njeru. Cape Town: AIDS Budget Unit, IDASA. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
18 | 2004 | The Impact Of HIV/AIDS On Primary Education In Kenya. Enos H.N. Njeru & Urbanus Kioko, 32p. ISBN 9966-948-16-3. Click to View Abstract Since the first case was reported in Kenya in 1984, HIV/AIDS has been rising | ||
19 | 2004 | The Sociology Of Private Tuition. Indeje Wanyama & Enos H.N. Njeru, 41p. ISBN 9966-948-87-2. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
20 | 2004 | Policy Brief: Social Health Insurance Scheme For All Kenyans: Opportunities And Sustainability Potential Click to View Abstract The health sector reforms that have hitherto taken place (including introduction of National Health Insurance Fund, free health services, cost-sharing, exemptions and waivers, etc) have all aimed largely at addressing affordability and access to health care services. Spending to promote access to health care is crucial, given also that Kenya is a signatory to the WHO Abuja Declaration. The latter requires member countries to spend at least 15 per cent of their national incomes (GDP) on health (Kenya spends 9 per cent). Many Kenyans therefore continue to have no access to or cannot afford to pay for their health care needs. It is due to the failures of the past programs, that the National Social Health Insurance Fund (NSHIF) was conceptualized for implementation, with a view to enabling more effective provision of health cover to all Kenyans, at both in- and out-patient service levels. In contrast to the private/commercial health insurance plans where premiums are actuary based (higher risk individuals pay more for their medical cover), a social health plan s contributions are based on members ability to pay but access to services depends on individuals health care needs, hence a socialized concept, with emphasis on community spirit of solidarity. | ||
21 | 2004 | Discussion Paper No. DP060/2004 : Social Health Insurance Scheme For All Kenyans: Opportunities And Sustainability Potential. Click to View Abstract Health is a basic need for all, regardless of race, nationality, social class, age, | ||
22 | 2004 | Discussion Paper 047, IPAR - Funding The- Fight Against HIV/AIDS: Budgetary Analysis Of Kenya's HIV/AIDS Activity Prioritization And Financing Click to View Abstract The Abuja Declaration, adopted at the Africa Union special summit on AIDS in | ||
23 | 2004 | Bridging The Qualitative-quantitative Methods Of Poverty Analysis Click to View Abstract
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24 | 2004 | Water Supply And Sanitation In Soroti Catholic Diocese, Uganda: Water Supply And Sanitation Project Click to View Abstract
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25 | 2003 | Guest Editor For Africa, Regional Development Dialogue (RDD), Vol. 24, No. 2, Autumn 2003. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
26 | 2003 | Poverty And Human Security In Kenya Click to View Abstract This issue of Regional Development Dialogue (RDD) focuses on the theme: "Reflecting | ||
27 | 2003 | Policy Brief: Volume Volume 9, Issue 5, 2003. The Role Of Higher Education Loans Board In Pro-poor Management Approaches To Enhancing Access To University Education In Kenya. By Njeru And Odundo. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
28 | 2003 | Access And Participation In Secondary School Education: Emerging Issues And Policy Implications. Enos H.N. Njeru & John Orodho. 55p. ISBN 9966-948-27-9 Click to View Abstract On attainment of political independence in 1963, the Government of Kenya (GoK), households and the private sector collectively endeavoured to enhance the development of education in the country. The rapid development of education and training in Kenya was an aftermath of the Sessional Paper No. 10 of 1965 on African Socialism and its Application to Planning in Kenya, which emphasized combating ignorance, disease and poverty. It was based on two long-standing concerns that: (i) every Kenyan child, irrespective of gender, religion and ethnicity, has the inalienable right to access basic welfare provision, including education; and (ii) the GoK has an obligation to provide opportunity to all citizens to fully participate in socio-economic and political development of the country and also to empower the people to improve their welfare. Development of education since independence has been marked by various changes and challenges. For nearly four decades therefore, the sector has undergone several reviews by special commissions and working parties appointed by the government, with the aim of improving efficiency and effectiveness of the education provision. | ||
29 | 2003 | The Role Of Higher Education Loans Board In Pro-poor Management Approaches To Enhancing Access To University Education In Kenya. Enos H.N. Njeru & Paul Odundo. 46p. Click to View Abstract The Republic of Kenya, through the Ministry of Education, Science and Technology | ||
30 | 2003 | Education Financing In Kenya: Secondary School Bursary Scheme Implementation And Challenges. Enos H.N. Njeru & John Orodho. 59p. ISBN 9966-948-98-8. Click to View Abstract Having accepted the rationality of cost-sharing, the Ministry of Education, Science | ||
31 | 2003 | Policy Brief: Volume 9, Issue 6, 2003. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
32 | 2003 | THE STATUS, INTERPRETATION AND OPPORTUNITIES FOR GENDER EQUITY IN THE KENYAN EDUCATIONAL SYSTEM Click to View Abstract Education is fundamental to development of human resource capacities for sustainable | ||
33 | 2003 | Poverty And Human Security In Kenya Click to View Abstract Kenya attained its independence in 1963 after six decades of British colonial rule. The | ||
34 | 2002 | The Embu People. Encyclopedia Of World Cultures Supplement. Pp 107-111. New York: Click to View Abstract Identification and Location. The Embu people occupy the | ||
35 | 2002 | Women, Culture And Education Click to View Abstract In this preparatory phase of the establishment and regularization process regarding the | ||
36 | 2002 | Affective Neutrality As A Missing Factor In African Kinship And Gender Dynamics Click to View Abstract This paper is an anthropological presentation of the social structure, inequalities, kinship and gender dynamics incorporating the contextualisation of the five pattern variables as envisaged by Talcott Parsons. The background focuses generally on the African social exchange and property ownership relations. Attempts are made to establish a gendered relationship in which women are constantly on the receiving end, hence their predominance at the bottom of social ladder positions. In all cases, the application of the rules on the ground is seen to be dominated by cultural ethnocentrism. Particularistic considerations, or affectiveness, are lacking in the more universalistic, merit oriented and objective determinants, while the affective-neutrality criteria are essentially lacking in the mainstream African kinship ethos. | ||
37 | 2001 | Research Findings On City/Street Crimes In Nairobi: Some Lessons For UN Volunteers Click to View Abstract Development planners in both the public and private sectors, especially those | ||
38 | 2001 | "women Entrepreneurs In Nairobi:the Social Cultural Factors Influencing Their Investement Patterns Click to View Abstract
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39 | 2000 | Street Children In Kenya: Voices Of Children In Search Of A Childhood. With Kilbride, P. & Suda, Collette. Westport: Bergin & Garvey. Click to View Abstract Street Children in Kenya provides an in-depth examination of the experiences of street children in Nairobi, Kenya. Drawing from participant observations, individual and focus group interviews, the authors, Kilbride, Suda, and Njeru allow readers to confront the harsh realities, suffering, and survival skills of nearly 400 of the over 40,000 homeless children in Nairobi. These children are part of the over 110,000 children described by UNICEF as "in need of special protection" (GOK/UNICEF, 1998). Reflecting the anthropological and sociological backgrounds of the scholars, the book's initial chapters introduce the methodology and background for the study, including a description of the study's setting, Nairobi, and relevant information on the communities studied. The text also provides information on social and cultural issues affecting families (e.g., the weakening of family structures due to poverty, the impact of AIDS, and government sanctioned ethnic conflicts), which have contributed to the rapid rise in the number of children living and working on the street. Even though only one chapter is solely devoted to the narratives of the children, most chapters are infused with humanizing accounts and perspectives on the children's lives. A unique contribution of the study is its methodology, which involved giving older street children cameras to document their daily life, thus greatly personalizing the book, since the children were allowed to tell their own stories. A more traditional scholarly analysis is presented in the final chapter, which addresses policy implications, particularly with regards to long-term, culturally framed solutions to this complex and growing problem. | ||
40 | 2000 | Occasional Paper Number 66 - INFORMATION-BASED BUSINESS DEVELOPMENT SE'RVICES IN KENYA Click to View Abstract This document is a benchmark survey report ofthe DFID-BASE funded project~ | ||
41 | 2000 | Street Children In Kenya - Voices OfChildren In Search Ofa Childhood Click to View Abstract This book results from a cross-national and interdisciplinary research effort. | ||
42 | 1999 | Impact Assessment Of Micro-Enterprise Projects. IDS Discussion Paper No. 298. Click to View Abstract The Department for International Development (DFID) and | ||
43 | 1999 | Street Children And Employment Opportunities Click to View Abstract Although there is a general realization that there are "people" in the streets, we often take the phenomenon for granted probably because we wake up and go home only to come to the streets the following morning and still find the people. This situation is, however, changing with the emergence of the "birth" and increase of street children as we begin to take into consideration the category of people to be routinely found on the. streets. The phrases "street children" refer to the children below the statutory adult age living on or found on the streets. These children derive their livelihood from the streets. We often distinguish between children on streets and children a/the streets. While the children on the streets may have a "home" to go to, the latter are an integral part of the street having nowhere to retire to at the | ||
44 | 1998 | "Analysis And Evaluation Of Poverty In Kenya." CH. 1 Pp. 1-36. Co-authored With Bahemuka Et Al. In Bahemuka J. Et Al. Poverty Revisited: Analysis And Strategies Towards Poverty Eradication In Kenya. Nairobi: Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
45 | 1998 | "Urbanization, Urban Violence And Its Implications For Urban Planning". Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
46 | 1998 | "City Slum Single Motherhood And Its Socio-economic Implications For Child Welfare". Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
47 | 1998 | Women, Decision Making And Poverty Click to View Abstract Poverty among women has been linked to r various social, cultural, economic, religious and political factors. This paper presents a sociocultural analysis of structural and psychological forces within social fabric that characterize the manifestation of male chauvinism against any affIrmative action to safeguard the interests of women. The focus is on the relationship between poverty and male violence as directed to women, in the process of which the women are treated and become junior partners in decision-making with regard to resource use, distribution, conservation and consolidation, within and outside the family. | ||
48 | 1998 | Cost-effective Delivery Of Non-financial Services To Small Scale Enterprises In Kenya: Final Report Written For KMAP (Kenya Management Assistance Programme) Click to View Abstract n/a | ||
49 | 1997 | Women And Violence In Nairobi And Kajiado Districts Of Kenya: IFCP Book Project Click to View Abstract n/a | ||
50 | 1997 | Single Motherhood And Its Implications For Child Health: IFCP Book Project Click to View Abstract n/a | ||
51 | 1997 | Culture And Child Health: IFCP Book Project Click to View Abstract n/a | ||
52 | 1997 | The Social Ecology Of Street Children: Interfaculty Collaboration Programme (IFCP) Book Project Click to View Abstract n/a | ||
53 | 1997 | The History And Consequences Of The African Woman's Oppressive Social And Cultural Environments: In "Social Focus" Click to View Abstract n/a | ||
54 | 1997 | United Nations Common Country Assessment For Kenya: Under The Auspices Of And In Collaboration With Deloitte & Touche. Click to View Abstract n/a | ||
55 | 1997 | Planning Workshop And Draft Proposal Report: Prepared Under The Auspices Of NHRDC For DFID Click to View Abstract n/a | ||
56 | 1997 | Evaluation Of Kisumu Municipality BAMAKO Initiative Community Pharmacies, Activities And Associated Infrastructure: Report Written Under The Auspices Of National Health Research And Development Centre (NHRDC) For British Overseas Department For Internatio Click to View Abstract n/a | ||
57 | 1997 | Women, Culture And Education: Paper Written For The UNITWIN/UNESCO CHAIR "Strategic Planning Workshop On Women, Communiy Health And Sustainable Development". Held At The University Of Nairobi. Sponsored By UNESCO Click to View Abstract n/a | ||
58 | 1997 | Ndigenous Knowledge And Development." Paper Wwitten For PINEP As Progress Report On The Study: The Role Of Indigenous Knowledge In Development: A Case Study Of The Pastoral Kitui In Eastern Kenya. Click to View Abstract n/a | ||
59 | 1997 | Management Options For The NGO Water And Sanitation Programme For The Kenya - Sweden Water Supply And Sanitation Programme Click to View Abstract n/a | ||
60 | 1997 | Analysis And Evaluation Of Knowledge On Poverty: Member Of The Multi-displinary Team On Preparation Of The UNESCO Sponsored Document." Department Of Sociology, University Of Nairobi Click to View Abstract n/a | ||
61 | 1997 | African Housing Fund(AHF) Rural Water And Sanitation Programme In Kitui, Isiolo And Taita - Taveta Districts Of Kenya: Evaluation Report. Written For SIDA, Nairobi Click to View Abstract n/a | ||
62 | 1997 | Taita-Taveta ASAL Program-TTAP: Evaluation Report On Three Water Supply Projects-Chala, Rong'e Nyika, And Josa Modambogho: Written For DANIDA, WUNDANYI Click to View Abstract n/a | ||
63 | 1996 | "Quest For Gender Equality" In Social Focus. Nairobi: Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
64 | 1996 | "Women-Headed Households: A Critical Factor In Urban Development." Co-authored With J.M. Mbula Bahemuka. In Obudho And Aldershot (Eds.) Nairobi And Its Environs: Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
65 | 1996 | "Understanding Female Circumcision From The Circumcisers' Perspective Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
66 | 1996 | Urban Planning And Urban Violence In Kenya: Paper Presented At A Seminar On "Delinquency, Mob Justice And Urban Violence In Kenya." Held At Thomson's Falls Lodge, Nyahururu. Sponsored By Egerton University. Click to View Abstract n/a | ||
67 | 1996 | Drug Use And Abuse Among The Urban Youth As A Function Of Modernity: Paper Presented At The Health And Behaviour Workshop. Interfaculty Collaboration Programme, University Of Nairobi, Annual Conference Click to View Abstract n/a | ||
68 | 1996 | Community Participation And Group Works Organization And Participation: Proceedings Of The Workshop On "Support To Self - Help Water Projects" MLRRWD, Kenya - Sweden Rural Water Supply And Sanitation Programme. Held At The Garden Hotel, Machakos Click to View Abstract n/a | ||
69 | 1996 | Female Circumcision In Machakos, Nyeri And Embu Districts. Case Study And Reli Gious Institutional Views Click to View Abstract n/a | ||
70 | 1996 | Female Circumcision In Nyeri, Embu And Machakos Districts Of Kenya: In Collaboration With PATH (Kenya) Click to View Abstract n/a | ||
71 | 1995 | "The Application Of Indigenous Knowledge In Pastoral Production Systems". Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
72 | 1995 | Is Gender Analysis Another Name For Women's Issues?: Paper Presented At A Workshop On "Gender Analysis As A Conceptual Framework On Women In Small Scale Enterprise" At SIRIKWA HOTEL, ELDORET, KENYA. Sponsored By CDR (Centre For Development Research) Click to View Abstract n/a | ||
73 | 1995 | Enhancement Of Food Security Along The Kenyan Coast: An Examination Of Social And Cultural Patterns". Presented At The Above Workshop Click to View Abstract n/a | ||
74 | 1995 | A Community Based Approach To The Understanding And Use Of The Coastal And Marine Resources: Presented At The "Regional Workshop On Social And Cultural Aspects Of Integrated Coastal Zone Management At BWAWANI PLAZA INTERNATIONAL HOTEL, ZANZIBAR. Sponsored Click to View Abstract n/a | ||
75 | 1995 | Innovation And Performance: Progress Report On The Impact Of A New Strategy For The MLRRWD/SIDA Tharaka Water And Sanitation Project". Written For The Ministry Of Land Reclamation, Regional And Water Development And SIDA Click to View Abstract n/a | ||
76 | 1995 | An Anthropological Perspective On Social Understanding Of Sreet Children In Nairobi: PAA Publications Click to View Abstract n/a | ||
77 | 1994 | "Socio-Cultural Analysis Of Childhood Malnutrition In Embu District". In Social Behaviour And Health Monograph No. 2, March,1996. Co-authored With Dr. W.M. Macharia. . Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
78 | 1994 | "Socio-economic Implications Of Climate Change And Sea Level Rise For The Tourist And Hotel Industry." Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
79 | 1994 | "Socio-economic Implications Of Climate Change And Sea Level Rise For The Tourist And Hotel Industry." Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
80 | 1994 | Nairobi Street Children Study: Socio-Economic Area Profiles Click to View Abstract n/a | ||
81 | 1994 | Evaluative Analysis Of World Vision's Projects In Samburu District: Lorroki And Wamba: A Report Written For World Vision, Kenya Click to View Abstract n/a | ||
82 | 1994 | A Baseline/Feasibility Study Of Wamba Division, Samburu District: For World Vision, Kenya Click to View Abstract n/a | ||
83 | 1994 | A Baseline/Feasibility Study Of Lorroki Division Samburu District: For World Vision, Kenya Click to View Abstract n/a | ||
84 | 1994 | A Social Summary Of Aspects Related To Rainwater Harvesting: Paper Written For The "Participatory Rainwater Harvesting Workshop At Nakuru. Sponsored By Bread For The World Click to View Abstract n/a | ||
85 | 1994 | Water Supply And Sanitation In Soroti Catholic Diocese, Uganda: Water Supply And Sanitation Project: Evaluative Report For CEBEMO - Catholic Organization For Development Co-Operation, The NETHERLANDS Click to View Abstract n/a | ||
86 | 1994 | Institutional Aspects Analysis: Kwale Water And Sanitation Project: Evaluation Report On Kwale Water And Sanitation Project. For SIDA D Evelopment Cooperation Office Click to View Abstract n/a | ||
87 | 1994 | Community Involvement, Hygiene And Sanitation: In "Final Audit Report, Tharaka Water And Sanitation Project." Coopers & Lybrand: Evaluation Of The SIDA-Tharaka Water Supply And Sanitation Project In Meru District Click to View Abstract n/a | ||
88 | 1993 | Notes On Aspects Of Community Development: Paper Written For The Africa Alliance Of Young Men's Christian Associations (YMCAs). Presented At The "Development Training Workshop" At The METHODIST GUEST HOUSE, NAIROBI. Click to View Abstract n/a | ||
89 | 1993 | The Street Children Of Kenya: Consequences Of Modernization And Changing Family Structures: Research Paper Submitted To National Science Foundation. U.S.A. Co-authored With Louis Aptekar-San Jose State University, U.S.A.; Phil Kilbride-Bryn Mawr College, Click to View Abstract n/a | ||
90 | 1993 | Understanding And Analysis Of Use And Management Of Coastal And Marine Resources Along The Kenyan Coast: A Community Based Approach; Proposal Written For KWS (Kenya Wilde Life Society) Click to View Abstract n/a | ||
91 | 1993 | Drug And Substance Use And Abuse: Socio-cultural Considerations: Paper Prepared For The Kenya Parents Resources Institute On Drug Education (Kenya - Pride). Presented At The "NATIONAL SEMINAR ON SUBSTANCE ABUSE IN KENYA," At WAB HOTEL, NAIROBI Click to View Abstract n/a | ||
92 | 1993 | Female Headed Households: Consequences For Child Survival And Development: Research Paper For National Capacity Building For Child Survival And Development (NCB/CSD) Project. Co-authored With Susan N. Gikonyo. Department Of Sociology, University Of Nairob Click to View Abstract n/a | ||
93 | 1993 | Adaptive Exchange Relations: Settlement And Marriage Among The Turkana Pastoralists Of North-Western Kenya: Paper Written On Ecological Anthropology/Human Ecology: Adapting To Change; For The Pithecanthropus Centennial 1893 - 1993 International Scientific Click to View Abstract n/a | ||
94 | 1992 | "The Psychosocial Aspects Of Epilepsy". In Medicus: Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
95 | 1992 | Ndigenous Knowledge In Pastoral Resource Management Kenya Click to View Abstract n/a | ||
96 | 1992 | Culture And Child Health: A Community Oriented Approach To Social Determinants Of Immunization Acceptability And Use In Rural Kenya". Written In Partial Fulfillment Of Fellowship Requirements: Research Fellowship In Social Medicine, Harvard Medical School Click to View Abstract n/a | ||
97 | 1992 | The Social Consequences Of Politicization Of Change In Africa: Examples From Kenya: Spring International Speaker Series Presentation, Syracuse University. Co-sponsored By OIS (Office Of International Services), African Students Union, Arab Students Union, Click to View Abstract n/a | ||
98 | 1992 | The Socio-economic Characteristics Of The Communities Surrounding Retail Pharmacy Stores In Urban Kenya: A Report Submitted To The World Health Organization (WHO) - Control Of Diarrhoeal And Respiratory Diseases Programmes. Pharmacies And Other Drug Selle Click to View Abstract n/a | ||
99 | 1992 | Changing Contexts For Vaccination Programmes: Acceptability Of Immunization Services In Rural Kenya: Paper Presented At The Workshop On Social Change And Health In Africa At Harvard Medical School. Sponsored By The Department Of Social Medicine, Harvard M Click to View Abstract n/a | ||
100 | 1991 | Land Reform And The Land Question: The Socio-economic And Political Dimensions In The Management Of Land In Kenya".Paper Written For The National Conference On Land Reform And The Land Question At WINDHOEK, Namibia. Sponsored By The Office Of The Prime Mi Click to View Abstract n/a | ||
101 | 1990 | "Approaches To Family Planning In East Africa". Co-authored With J. Mbula Bahemuka And Speciosa Kabwegyere. ROMA: FEDEREZIONI ORGANISMI CRISTIANI SERVIZIO INTERNAZIONALE VOLONTARIO (FOCSIV) CENTRO STUDIE RESERCHE AFRICA. Collana CONTRIBUTI 15. NOVEMBRE 19 Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
102 | 1989 | "The Perceived Role Of Anthropological Research And Teaching In Social Change In Kenya". Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
103 | 1988 | A Survey Of Social, Demographic And Economic Aspects Of Mathare Valley: Report Prepared For The National Council Of Churches Of Kenya (N.C.C.K.), Nairobi Click to View Abstract n/a | ||
104 | 1986 | Education And Development In Eastern Province". Paper Presented At The Eastern Province Cultural Festival Symposium, Embu. Sponsored By The Institute Of African Studies, University Of Nairobi Click to View Abstract n/a | ||
105 | 1981 | "Land Adjudication And Its Implications For The Social Organization Of The Mbeere". Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
106 | 1981 | The Farming Herders: Irrigation, Reciprocity And Marriage Among The Turkana Pastoralists Of North - Western Kenya: Ph.D. Dissertation, Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
107 | 1981 | Pastoral Production Systems In East Africa: AnExamination Of The Social And Economic Aspects Of Livestock Management: Research Paper, Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
108 | 1981 | Pastoralism And Development: The Case Of The Turkana Of North - Western Kenya: Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
109 | 1981 | Capitalist Production And Underdevelopment Of Indigenous Economies In Kenya And Rhodesia (now Zimbabwe)". Discussion Paper, Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
110 | 1981 | Book Review Of Napoleon Shagnon's Click to View Abstract n/a | ||
111 | 1981 | The Nuer Social Structure:. Discussion Paper, Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
112 | 1981 | The Theory Of Reciprocity: Its Application To A Pastoral Economy In East Africa And Implications For Planned Change: Discussion Paper, Dept. Of Anthropology, University Of California, Santa Barbara Click to View Abstract n/a | ||
113 | 1981 | Development Perspectives On Pastoralism: Policy Formulation And Implications For Pastoral Productive Systems In East Africa: Discussion Paper, Dept. Of Anthropology University Of California, Santa Barbara Click to View Abstract n/a | ||
114 | 1981 | Awareness And Communication: An Anthropological Study Of A Student Organization, SHAG". Paper Presented At The South - Western Anthropological Association Annual Meetings, At Miramar Hotel Santa Barbara, California. March 18 - 21, 1981 Click to View Abstract n/a | ||
115 | 1979 | Social Structure And Environment: Two Case Studies From Eastern Kenya,M.A. Thesis, Dept. Of Sociology, University Of Nairobi Click to View Abstract n/a | ||
116 | 1978 | "Land Adjudication And Its Implications For The Social Organization Of The Mbeere." Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. | ||
117 | 1977 | "Some Consequences Of Land Adjudication In Mbeere Division, Embu". Co-authored With David Brokensha. Click to View Abstract This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme. |
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