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Improving Universal Primary Health Care by Kenya : A Case Study of the Health Sector Services Fund

access to services accountability mechanisms Adolescents Adult mortality Adult mortality rate aged birth attendants breastfeeding budget allocation capacity building child health child health services citizen citizens Clinical Quality clinics Communicable diseases Community Health community participation cost sharing counseling Counselling decision making delivery of health services developing countries disadvantaged groups Dispensaries Early childhood economic growth Elderly Employment equitable distribution of resources essential drugs essential health services essential medicines expenditures Family planning Family planning services financial constraints Financial Management financial resources financial risks General Health System health care coverage health care expenditure health care facilities health care financing Health care providers health care services health care system Health Centers health clinics Health Coverage health data Health Expenditure Health Expenditure per capita health expenditures Health Extension Health Facilities Health Financing Health information Health information systems health maintenance health maintenance organizations Health Management health needs health outcomes Health Policy health professionals health programs Health Results Health Sector health service health service delivery health service providers Health Services health spending health status Health System health systems health systems strengthening Health Workers healthcare services Healthy lifestyles HIV HIV/AIDS Hospital Hospital beds hospitals human resources human resources management Hygiene ill health Immigration Immunization income income countries inequities Infant mortality Infant mortality rate Information System inpatient care Insurance insurance companies integrated management of childhood illnesses integration iron isolation Life expectancy Life expectancy at birth local communities local community Low Income Malaria management of health medical examinations Medical Research Medical Services Medical Supplies medicines ministries of health Ministry of Health morbidity mortality Mother National Health National Health Insurance National Health Insurance Fund national level national levels national priority newborn nongovernmental organizations number of people nurses nutrition participation of communities Physician Physicians pilot projects Policy framework policy response Poor Health population density Postnatal care Pregnancy pregnant women prenatal care preventive health services Preventive Treatment primary care Primary Health Care primary health care facilities primary health facilities primary health services primary school Private health insurance private insurance Private Pharmacies private sector Progress providers of health services provision of care Public Expenditure Public Health Public Health Services public health system Public Hospitals public sector Public Service public services quality care quality of care quality of health quality of services quality services recreation rehabilitation Reproductive Health reproductive health programs research institutions resource allocation resource allocations rural areas Sanitation school health screening service delivery points service provider service provision services for children sexually transmitted infections skilled attendants skilled birth attendants Spillover Substance abuse supply of health care Tetanus traditional healers Tuberculosis universal access use of resources user fees vaccination Vaccines violence work environment Workers

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World Bank, Washington DC
Africa | Kenya
2013-05-02T20:45:25Z | 2013-05-02T20:45:25Z | 2013-01

This case study describes the Government of Kenya's initiative to expand the supply of health care and strengthen primary health care through implementation of the Health Sector Services Fund (HSSF), which provides direct cash transfers to primary health facilities. This initiative, launched in 2010, is a direct response to challenges identified by the Public Expenditure Tracking Surveys in making funds for operation and maintenance available to the health facilities, and builds on lessons from initiatives supported by the Danish International Development Agency (DANIDA) in the Coastal Region.


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