03.02.03.01. Is there any data on the proportion of the population incurring in out-of-pocket expenditure when purchasing long-term care services? | Kenya

03.02.03.01. Is there any data on the proportion of the population incurring in out-of-pocket expenditure when purchasing long-term care services? | Kenya

31 Mar 2022

There is no data on the population that incurs out-of-pocket expenditure when purchasing long-term care services. Although the cost of residential homes is not included on the websites, only a few people can afford to pay for the high costs as indicated by the 2016 NGEC audit (National Gender and Equality Commission, 2016).

Studies on OOP spending in both public and private sector for the general population in 2005/2006, reveal that more than 50% of individuals spend their own resources in the public health sector (Barnes et al., 2010). While the percentage of households incurring OOP has been decreasing since 2003, 7.1% of households were still experiencing catastrophic health expenditures in 2018 (Salari et al., 2019). Measures such as Universal Health Coverage starting with four pilot counties may enhance access to care in the coming years.

References:

Barnes, J., O’Hanlon, B., Feeley, F., McKeon, K., Gitonga, N., & Decker, C. (2010). Private Health Sector Assessment in Kenya. 193(1). Washington, D.C. https://openknowledge.worldbank.org/bitstream/handle/10986/5932/552020PUB0Heal10Box349442B01PUBLIC1.pdf?sequence=1&isAllowed=y

National Gender and Equality Commission. (2016). Audit of Residential Institutions of Older Members of Society in Selected Counties of Kenya. Nairobi, Kenya. https://www.ngeckenya.org/Downloads/Audit%20of%20Residential%20Homes%20for%20Older%20Persons%20in%20Kenya.pdf

Salari, P., Di Giorgio, L., Ilinca, S., & Chuma, J. (2019). The catastrophic and impoverishing effects of out-of-pocket healthcare payments in Kenya, 2018. BMJ Global Health, 4(6). https://doi.org/10.1136/bmjgh-2019-001809