ReviewThe International journal of health planning and management2021
Examining health sector application and utility of program-based budgeting: County level experiences in Kenya.
Review in The International journal of health planning and management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Countdown to 2030: overview of current and planned health financing reforms for universal health coverage in the WHO African Region.Journal of global health · 2025Article
- Article
- Gendered gaps to tuberculosis prevention and care in Kenya: a political economy analysis study.BMJ open · 2024Article
- Health managers' perspectives of community health committees' participation in the annual health sector planning and budgeting process in a devolved unit in Kenya: a cross-sectional study.The Pan African medical journal · 2024Article
- Budgeting in Healthcare Systems and Organizations: A Systematic Review.Iranian journal of public health · 2023Review
- Integrating an algorithmic and health systems thinking approach to improve the uptake of government antenatal nutrition services in Vidisha, Madhya Pradesh (India), 2018 to 2021.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
- The autonomy of public health facilities in decentralised contexts: insights from applying a complexity lens in Kenya.BMJ global health · 2022Review
- Examining health sector application and utility of program-based budgeting: County level experiences in Kenya.The International journal of health planning and management · 2021Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionIn 2012, Kenya enacted a new Public Finance Management Act to guide the public-sector planning and budgeting process. This new law replaced the previous line item budgeting, with a new program-based budgeting (PBB) process. This study examined the experience of health sector PBB implementation at the county level in Kenya.
methodsWe carried out a review of the literature documenting the health sector application and utility of PBB in low- and middle-income countries. We then collected empirical data to examine the experience of health sector application of PBB at County Level in Kenya.
resultsIn the financial year 2017/18, counties utilised the PBB approach for health sector planning. The PBB approach was perceived by key stakeholders; to have improved the alignment of technical priorities with budgetary allocation, and to have increased transparency, accountability and openness of the process. Its challenges included lack of clear tools and guidelines to support implementation, low capacity at county level, political interference and the organisation of the public sector electronic financial management system around line item budgeting system.
conclusionPBB is potentially a useful tool for aligning health sector planning and budgeting and ensuring the Annual Work Plan is more result oriented. However, realisation of this goal would be enhanced by the developing clear tools and guidelines to support its implementation, building capacity for county health sector managers to better understand the PBB application, and reforming the public-sector budgetary management system to align it with the PBB approach.
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