ArticleHealth systems and reform2018
Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage.
Article in Health systems and reform, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.
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Who cites it
78 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health financing for universal health coverage in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
- Leaving no one behind? Social inclusion of health insurance in low- and middle-income countries: a systematic review.International journal for equity in health · 2019Pooled it
- Can a private sector engagement intervention that prioritizes pro-poor strategies improve healthcare access and quality? A randomized field experiment in Kenya.Health policy and planning · 2023Trial
- Fortifying essential medicines supply chains in Sub-Saharan Africa - the curious cases of Kenya and Uganda.Global health action · 2026Review
- Betwixt playing the waiting game and waiting in vain: Temporal governance and the thin alignment of care under universal health coverage in Kenya.Medical anthropology quarterly · 2026Article
- A qualitative study of stakeholders' perceptions towards the implementation of the National Health Insurance Scheme in Zambia: equity and financial sustainability in question.Health policy and planning · 2026Article
- Article
- Levels and Determinants of Health Insurance Coverage in Kenya: Cross-Sectional Evidence from KDHS 2022.Healthcare (Basel, Switzerland) · 2026Article
- Severity and management of postabortion complications in Kenya: results from a nationally representative cross-sectional survey.BMJ global health · 2026Article
- Financial determinants of effective hypertension and diabetes care in rural primary health facilities in Kisumu, Kenya: a mixed-methods study.BMC public health · 2026Article
- Examining Tertiary Healthcare Quality Under Asset Leasing, Performance-Based Financing, and Social Impact Bonds: The Role of Government Stewardship in a Cross-Sectional Quantitative Study in Kenya.Health science reports · 2026Article
- Enrollment or dropout: dynamics of social health insurance participation among Chinese children and their impact on health service utilization and medical expenses.Health policy and planning · 2026Article
- The feasibility of social impact bonds in financing tertiary health care quality: qualitative stakeholders' perspectives in Kenya.Health economics review · 2026Article
- Accreditation and Patient Safety Culture in Africa: Catalyst for Change or Compliance Burden?Global journal on quality and safety in healthcare · 2026Article
- "Poverty is a social issue, not a mathematical problem": examining the lessons for beneficiary identification from implementation of the UHC indigent program in Kenya.International journal for equity in health · 2026Article
- Assessing the integration of social protection into infectious disease policies: a multi-country analysis of TB, HIV, and malaria strategies in Sub-Saharan Africa.Frontiers in public health · 2026Article
- Article
- Institutional design features of health insurance subsidy programmes in Africa: a narrative review.International journal for equity in health · 2025Review
- Challenges of healthcare quality in Kenya's tertiary hospitals: assessing the contribution and constraints of asset leasing financing mechanism.BMC health services research · 2025Article
- Do free healthcare policies play a role in expanding national health insurance enrollment among informal sector workers? The case of the Afya Care pilot program in Kenya.BMC public health · 2025Article
18 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
This article identifies and describes the reforms undertaken by the National Hospital Insurance Fund (NHIF) and examines their implications for Kenya's quest to achieve universal health coverage (UHC). We undertook a review of published and grey literature to identify key reforms that had been implemented by the NHIF since 2010. We examined the reforms undertaken by the NHIF using a health financing evaluation framework that considers the feasibility, equity, efficiency, and sustainability of health financing mechanisms. We found the following NHIF reforms: (1) the introduction of the Civil Servants Scheme (CSS), (2) the introduction of a stepwise quality improvement system, (3) the health insurance subsidy for the poor (HISP), (4) revision of monthly contribution rates and expansion of the benefit package, and (5) the upward revision of provider reimbursement rates. Though there are improvements in several areas, these reforms raise equity, efficiency, feasibility, and sustainability concerns. The article concludes that though NHIF reforms in Kenya are well intentioned and there has been improvement in several areas, design attributes could compromise the extent to which they achieve their intended goal of providing universal financing risk protection to the Kenyan population.
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Registered trials
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