Adjagba, A.O., Oguta, J.O. orcid.org/0000-0002-2401-9895, Wambiya, E.O. orcid.org/0000-0002-4149-3417 et al. (1 more author) (2024) Strengthening health financing at sub-national level in Kenya: a stakeholder and needs mapping through a mixed methods approach. The Pan African Medical Journal, 48. 186. ISSN 1937-8688
Abstract
Introduction: health financing aims to ensure that the overall goal of the health system is attained. Countries with decentralised healthcare systems such as Kenya, face further challenges due to limited public financial management capacity within sub-national governments. While partner support has proved impactful in addressing these challenges, there is a paucity of evidence on the nature and distribution of the support in Kenya. This study sought to examine the current technical support and health financing support offered by partners across the 47 counties in Kenya.
Methods: the study used a descriptive cross-sectional design with a mixed methods approach. Quantitative data were collected from organisation representatives using semi-structured questionnaires and analysed using Microsoft Excel. Qualitative data were collected through key informants and in-depth interviews involving county Department of Health officials in 15 counties in Kenya. Interview recordings were transcribed and thematically analysed using NVIVO version 14.
Results: twenty (20) organisations reportedly provided health financing support to counties with planning, budgeting and health financing advocacy being the most supported work streams by partners. While each county had more than one partner supporting health financing activities, the western counties had more partners compared to other regions of Kenya. Whereas partner support was well acknowledged at the county level, there was a lack of coordination and alignment of partner activities with county priorities.
Conclusion: these findings highlight the essential need for national governments to ensure effective coordination of the technical assistance provided by partners to subnational levels and to ensure equitable distribution of support and alignment with county health priorities and needs.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Alex Olateju Adjagba et al. Pan African Medical Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Keywords: | Kenya; Public financial management; county; health financing; partner mapping; stakeholder analysis; technical assistance; technical support; Kenya; Humans; Cross-Sectional Studies; Healthcare Financing; Delivery of Health Care; Surveys and Questionnaires; Interviews as Topic; Budgets; Financing, Government |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 05 Feb 2025 11:49 |
Last Modified: | 05 Feb 2025 11:49 |
Status: | Published |
Publisher: | Pan African Medical Journal |
Refereed: | Yes |
Identification Number: | 10.11604/pamj.2024.48.186.44484 |
Related URLs: | |
Sustainable Development Goals: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:222425 |