Abstract:
:Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data are drawn from Kenyan budget estimates, reproductive health accounts, and the Resource Flows Project database and compare budgets and spending in 2005-06 with 2009-10. Despite policies and programmes in place since 1994, services for family planning, maternity care and infant and child health face serious challenges. As regards health financing, the government spends less than the average in sub-Saharan Africa, while donor assistance and out-of-pocket expenditure for health are high. Donor assistance to Kenya has increased over the years, but the percentage of funds devoted to reproductive health is lower than it was in 2005. We recommend an increase in the budget and spending for reproductive health in order to achieve MDG targets on maternal mortality and universal access to reproductive health in Kenya. Safety nets for the poor are also needed to reduce the burden of spending by households. Lastly, we recommend the generation of more comprehensive reproductive health accounts on a regular basis.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Sidze EM,Pradhan J,Beekink E,Maina TM,Maina BWdoi
10.1016/S0968-8080(13)42738-6subject
Has Abstractpub_date
2013-11-01 00:00:00pages
139-50issue
42eissn
0968-8080issn
1460-9576pii
S0968-8080(13)42738-6journal_volume
21pub_type
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