Fellows Track: Health Economics
In Kenya, National Hospital Insurance Fund (NHIF) has been striving
to reach and register members from both the formal and informal sectors.
Given the high poverty rates of 46 percent, majority of Kenyans would
not be in a position to pay the monthly contributions. Since the year
2003 there has been need for NHIF to identify the poor because it wants
to increase its insurance coverage. There have been further calls for
transforming NHIF to NSHIF where identification of the poor would be
vital. NHIF through the newly created Sponsored Programmes division has
managed to develop and pilot a tool to identify indigents. However, one
of the key reccommendations from the pilot was that the tool needs to
be modified. The goal of this project was to increase NHIF’s insurance
level of coverage. The project's methodology and approach included: review of other
tools for identifying the poor; review of methods of identification that
captured poverty dynamics and vulnerability; testing the tool; sensitizing stakeholders on the importance and use of the tool and
disseminating the report.
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