Universal health coverage and equity are the primary goals of any health-care system in the world. As a result, Kenya's government has made improving reproductive, maternal, child, and adolescent health (RMCAH) outcomes a top priority. The government of Kenya's 'Linda Mama' project intends to increase access, equity, and coverage of RMCAH services utilising tax revenues that go directly from the NHIF to the bank accounts of individual healthcare facilities. Antenatal care, delivery services, postnatal care, emergency referrals, conditions and difficulties throughout pregnancy, and infant care are all included in the initiative's benefit packages, which follow national norms. In actuality, several of these services are not provided by health care facilities. Furthermore, the implementation has encountered a number of difficulties that have harmed the country's capacity to achieve the planned goals. High catastrophic health expenses, limited geographic access, bureaucracy in getting money by public facilities, unpredictability, and delays in disbursement of funds are only a few examples. Other issues include low payment rates, a complex claim process caused by a lack of training, and poorly developed hardware for filing claims in the public sector. In order to adequately address important social determinants of RMCAH such as education, sociocultural factors, nutrition and food security, housing, communication, transportation, access to safe water, sanitation, and hygiene, achieving UHC in this area requires a multi-sectoral strategy.
Author(S) Details
C. T. Okech
Chandaria School of Business, United States International University (USIU), Kenya.
B. O. Awuonda
Department of Paediatrics & Child Health, School of Medicine, Maseno University, Kenya.
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