ArticleThe International journal of health planning and management2018
Describing and evaluating healthcare priority setting practices at the county level in Kenya.
Article in The International journal of health planning and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 32 citations in OpenAlex.
- Financing immunisation in Kenya: examining bottlenecks in health sector planning and budgeting at the decentralised level.Cost effectiveness and resource allocation : C/E · 2024Article
- How does Public Financial Management (PFM) influence health system efficiency: A scoping review.Wellcome open research · 2024Article
- Criteria for the procedural fairness of health financing decisions: a scoping review.Health policy and planning · 2023Article
- Budgeting in Healthcare Systems and Organizations: A Systematic Review.Iranian journal of public health · 2023Review
- Examining the influence of budget execution processes on the efficiency of county health systems in Kenya.Health policy and planning · 2023Review
- A qualitative evaluation of priority-setting by the Health Benefits Package Advisory Panel in Kenya.Health policy and planning · 2023Article
- Political economy analysis of sub-national health sector planning and budgeting: A case study of three counties in Kenya.PLOS global public health · 2023Article
- County Health Leadership Practices and Readiness for Noncommunicable Disease Services in Kenya.Annals of global health · 2022Article
- Examining health sector application and utility of program-based budgeting: County level experiences in Kenya.The International journal of health planning and management · 2021Review
- Article
- Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya.PLOS global public health · 2021Article
- Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution: a county-level case study in Kenya.International journal for equity in health · 2020Article
- Responding to maternal, neonatal and child health equipment needs in Kenya: a model for an innovation ecosystem leveraging on collaborations and partnerships.BMJ innovations · 2020Article
- Purchasing reforms and tracking health resources, Kenya.Bulletin of the World Health Organization · 2020Article
- Healthcare equity analysis: applying the Tanahashi model of health service coverage to community health systems following devolution in Kenya.International journal for equity in health · 2019Article
- Describing and evaluating healthcare priority setting practices at the county level in Kenya.The International journal of health planning and management · 2018Article
- Addressing healthcare professionals' fatigue for effective climate action engagement.The journal of climate change and healthArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundHealthcare priority setting research has focused at the macro (national) and micro (patient level), while there is a dearth of literature on meso-level (subnational/regional) priority setting practices. In this study, we aimed to describe and evaluate healthcare priority setting practices at the county level in Kenya.
methodsWe used a qualitative case study approach to examine the planning and budgeting processes in 2 counties in Kenya. We collected the data through in-depth interviews of senior managers, middle-level managers, frontline managers, and health partners (n = 23) and document reviews. We analyzed the data using a framework approach.
findingsThe planning and budgeting processes in both counties were characterized by misalignment and the dominance of informal considerations in decision making. When evaluated against consequential conditions, efficiency and equity considerations were not incorporated in the planning and budgeting processes. Stakeholders were more satisfied and understood the planning process compared with the budgeting process. There was a lack of shifting of priorities and unsatisfactory implementation of decisions. Against procedural conditions, the planning process was more inclusive and transparent and stakeholders were more empowered compared with the budgeting process. There was ineffective use of data, lack of provisions for appeal and revisions, and limited mechanisms for incorporating community values in the planning and budgeting.
conclusionCounty governments can improve the planning and budgeting processes by aligning them, implementing a systematic priority setting process with explicit resource allocation criteria, and adhering to both consequential and procedural aspects of an ideal priority setting process.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.