Probability and amount of medicines expenditure according to health insurance status in Kenya: A household survey in eight counties.
Int J Health Plann Manage
; 37(2): 725-733, 2022 Mar.
Article
en En
| MEDLINE
| ID: mdl-34674309
ABSTRACT
BACKGROUND:
National and county governments in Kenya have introduced various health insurance schemes to protect households against financial hardship as a result of large health expenditure. This study examines the relationship between health insurance and medicine expenditure in eight counties in Kenya.METHODS:
A cross-sectional study of collected primary data via household survey in eight counties was performed. Three measures of medicine expenditure were analysed the probability of any out-of-pocket expenditure (OOPE) on medicines in the last 4 weeks; amount of OOPE on medicines; and OOPE on medicines as a proportion of total OOPE on health.RESULTS:
Out of the 452 individuals, those with health insurance (n = 225) were significantly different from individuals without health insurance (n = 227) overall, they were older, had a higher level of educational attainment and possessed more assets. Adjusting for covariates, individuals with health insurance had a reduced probability of OOPE on medicines (0.40, CI95% 0.197-0.827) and spent proportionally less on medicines out of total health expenditure (0.50, CI95% 0.301-0.926).CONCLUSIONS:
Kenya has made great strides to scale up Universal Health Coverage including access to medicines. Prioritising enrollment of low-income individuals with non-communicable diseases can accelerate access to medicines and financial protection.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Gastos en Salud
/
Seguro de Salud
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Africa
Idioma:
En
Revista:
Int J Health Plann Manage
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos