Indicators for Universal Health Coverage: can Kenya comply with the proposed post-2015 monitoring recommendations?

International Journal for Equity in Health

Peter S Hill¹  Claire E Brolan¹  Valerie Obare¹ 

[1] School of Population Health, The University of Queensland, Public Health Building, Herston Rd, Herston, Brisbane 4006, QLD, Australia

关键词: Kenya;    Chronic conditions and injuries;    MDGs;    Indicators;    Monitoring;    WHO/World Bank framework;    Universal health coverage;   

Others  :  1139407
DOI  :  10.1186/s12939-014-0123-1

 received in 2014-06-19, accepted in 2014-12-02,  发布年份 2014

【 摘 要 】

Introduction

Universal Health Coverage (UHC), referring to access to healthcare without financial burden, has received renewed attention in global health spheres. UHC is a potential goal in the post-2015 development agenda. Monitoring of progress towards achieving UHC is thus critical at both country and global level, and a monitoring framework for UHC was proposed by a joint WHO/World Bank discussion paper in December 2013. The aim of this study was to determine the feasibility of the framework proposed by WHO/World Bank for global UHC monitoring framework in Kenya.

Methods

The study utilised three documents—the joint WHO/World Bank UHC monitoring framework and its update, and the Bellagio meeting report sponsored by WHO and the Rockefeller Foundation—to conduct the research. These documents informed the list of potential indicators that were used to determine the feasibility of the framework. A purposive literature search was undertaken to identify key government policy documents and relevant scholarly articles. A desk review of the literature was undertaken to answer the research objectives of this study.

Results

Kenya has yet to establish an official policy on UHC that provides a clear mandate on the goals, targets and monitoring and evaluation of performance. However, a significant majority of Kenyans continue to have limited access to health services as well as limited financial risk protection. The country has the capacity to reasonably report on five out of the seven proposed UHC indicators. However, there was very limited capacity to report on the two service coverage indicators for the chronic condition and injuries (CCIs) interventions. Out of the potential tracer indicators (n = 27) for aggregate CCI-related measures, four tracer indicators were available. Moreover the country experiences some wider challenges that may impact on the implementation and feasibility of the WHO/World Bank framework.

Conclusion

The proposed global framework for monitoring UHC will only be feasible in Kenya if systemic challenges are addressed. While the infrastructure for reporting the MDG related indicators is in place, Kenya will require continued international investment to extend its capacity to meet the data requirements of the proposed UHC monitoring framework, particularly for the CCI-related indicators.

【 授权许可】

   
2014 Obare et al.; licensee BioMed Central.

【 图 表 】

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