Effect of National Hospital Insurance Fund Outpatient Scheme On Financial Sustainability of Public Hospitals in Kenya a Case of Sub-County Hospitals in Nakuru County, Kenya
Journal Title: IOSR journal of Business and Management - Year 2018, Vol 20, Issue 5
Abstract
The study examined the effect of utilization levels of National Hospital Insurance Fund outpatient services on financial sustainability of Sub-County health facilities in Nakuru County, Kenya. The financial intermediation theory and the financial health model guided the study. A descriptive survey design was adopted. The management employees working in the public health sector in Kenya were targeted. The accessible population constituted the 183 management staff working with the 6 Sub-County hospitals in Nakuru County. Stratified random sampling technique was adopted to obtain 81 respondents from the study population. The study used a structured questionnaire to collect data and a secondary data collection sheet. The questionnaire was pilot tested to determine both its validity and reliability. The collected data were subjected to necessary analysis with the facilitation of the Statistical Package for Social Sciences Version 24 programme. Data analysis encapsulated both descriptive and inferential statistics. The results of the analysis were presented in form of tables.It was found that increasing the utilization levels of the NHIF had little likelihood to increase financial sustainability of Sub-County hospitals. It was found that the NHIF outpatient scheme, particularly the scheme’s utilization levels could explain 25.0% of the variation of financial sustainability of the aforementioned hospitals. It was concluded that utilization levels of NHIF outpatient scheme have little effect on financial sustainability of the surveyed health facilities. The study recommended that the hospitals should ensure that the utilization levels of the scheme is proportional to the capitated amount. It is also recommendable to both national and devolved governments for increased budgetary allocation to all the public health facilities in Kenya.
Authors and Affiliations
Mumenya Juddy Wahu, Wagoki Juma
Keywords
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- EP ID EP411198
- DOI 10.9790/487X-2005046476.
- Views 102
- Downloads 0
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