Last updated: 14/6/2024

Basic Information

Country
Geographic area
Population group
Children, Poor households

Programme Details

Programme objectives

The main objective of the project is to increase prepaid health insurance coverage especially for the poor populations of the country. The project would ensure that the state covered the full insurance premiums for beneficiaries and the beneficiaries would then be entitled to full benefits of the health insurance cover. 

References
. Ministry of Health, 2018. Health Sector Working Group Report: Medium Term Expenditure Framework (MTEF) for the period 2019/2021/22,p.45. Available at: https://www.treasury.go.ke/wp-content/uploads/2021/05/HEALTH-REPORT-SWG-16.11.18-FINAL.pdf Accessed: 03/12 2023
Start date
2014
References
Barasa E, Rogo K, Mwaura N, Chuma J. 2018. Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage. Health Syst Reform. 2018;4(4):346-361. doi: 10.1080/23288604.2018.1513267. PMID: 30398396; PMCID: PMC7116659. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7116659/ accessed 3/12/2023
Coverage
A total of 1810,700 indigent households (2017/2018)
References
Ministry of Health. 2018. Health Sector Working Group Report: Medium Term Expenditure Framework (MTEF) for the period 2019/2021/22,p.45. Available at: https://www.treasury.go.ke/wp-content/uploads/2021/05/HEALTH-REPORT-SWG-16.11.18-FINAL.pdf Accessed: 04/12/2023
Programme expenditure
A total of KSh. 368,775,878 was paid out as benefits for beneficiaries of the program as at 30th June 2022
References
Ministry of Health 2023. Health Sector Working Group Report: Medium Term Expenditure Framework (MTEF) for the period 2023/24-2025/26. Available at: https://www.treasury.go.ke/wp-content/uploads/2021/05/HEALTH-REPORT-SWG-16.11.18-FINAL.pdf Accessed: 04/12/2023

Targeting and eligiblity

Targeting methods
Proxy Means Test
Community-Based Targeting
References
Edwine Barasa, Khama Rogo, Njeri Mwaura & Jane Chuma (2018) Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage, Health Systems & Reform, 4:4, 346-361, DOI: 10.1080/23288604.2018.1513267 available at: https://www.tandfonline.com/doi/full/10.1080/23288604.2018.1513267 Accessed 03/12/2023
Targeted areas
Nationwide
References
World Bank. 2013. Project Paper on a Proposed Additional Credit in the Amount of SDR 26.7 Million (USD41 Million Equivalent) and Proposed Additional Grant in the Amount of USD20 Million from the MultiDonor Trust Fund for Health Results Innovation and Restructuring to the Republic of Kenya for a Health Sector Support Project. Washington, DC: World Bank. Accessed 11 November 2015.
Target groups
Poor populations of the country
References
Ministry of Health, 2018. Health Sector Working Group Report: Medium Term Expenditure Framework (MTEF) for the period 2019/2021/22,p.45. Available at: https://www.treasury.go.ke/wp-content/uploads/2021/05/HEALTH-REPORT-SWG-16.11.18-FINAL.pdf Accessed: 03/12 2023
Eligibility criteria
The proxy for poverty were households that were already taking care of orphans and vulnerable children in the society, and were already identified as very poor through community-based poverty identification mechanisms.
References
Ministry of Health, 2018. Health Sector Working Group Report: Medium Term Expenditure Framework (MTEF) for the period 2019/2021/22,p.45. Available at: https://www.treasury.go.ke/wp-content/uploads/2021/05/HEALTH-REPORT-SWG-16.11.18-FINAL.pdf Accessed: 03/12 2023

Coverage and other information

Type of benefits
Subsidised health care
References
Edwine Barasa, Khama Rogo, Njeri Mwaura & Jane Chuma (2018) Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage, Health Systems & Reform, 4:4, 346-361, DOI: 10.1080/23288604.2018.1513267. available at: https://www.tandfonline.com/doi/full/10.1080/23288604.2018.1513267 accessed 4/12/2023
Benefit recipients
Beneficiaries