Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya
In strengthening health systems, the World Health Report 2000 indicates that health system improvement strategies must also cover private (for-profit and non-profit) health care provision and financing if progress towards Universal Health Coverage is to be achieved. Yet very little is known about th...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Policy and Systems Division
2018
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867614345759817728 |
|---|---|
| access_status_str | Open Access |
| author | Kingangi, Lucy |
| author2 | Olivier, Jill |
| author_browse | Kingangi, Lucy Olivier, Jill |
| author_facet | Olivier, Jill Kingangi, Lucy |
| author_sort | Kingangi, Lucy |
| collection | Thesis |
| description | In strengthening health systems, the World Health Report 2000 indicates that health system improvement strategies must also cover private (for-profit and non-profit) health care provision and financing if progress towards Universal Health Coverage is to be achieved. Yet very little is known about the financing of non-profit providers in Africa - especially not faith-based health providers, who have often historically remained elusive in terms of financial transparency. This thesis reports on a multiple case study conducted with two non-profit faith-based health providers in Kenya, namely the Africa Inland Church Kijabe Hospital; and Nyumbani-Children of God Relief Institute in Nairobi (Nyumbani) - and situates these within the broader context of health systems financing and public-private partnership in Kenya. Data was collected from multiples sources including: secondary literature; secondary analysis of existing data (such as the Kenya Health Information System); financial data on projects and annual reports; routine facility and service data; previous research on both organizations; archival data; and supplemented by 6 in-depth interviews with key stakeholders. The study reveals a highly complex funding environment for non-profit (and faith-based) health providers in Kenya, which is a result of historic health system configurations, and current funding policy and focus (such as the influx of HIV-related funding). The HIV program in AIC Kijabe Hospital is solely funded by USAID; while Nyumbani is also funded by USAID (70%), but has other private sources. In both cases, funding from various sources is structured differently with varied financial flows and requirements. Faith-based health providers in Kenya are highly dependent on complex donor-funding arrangements, and lack financial resilience as a result. Donors need to better understand the nuance of engagement with such providers. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/27941 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:50:34.502Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | Health Policy and Systems Division |
| publisherStr | Health Policy and Systems Division |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/27941 Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya Kingangi, Lucy Olivier, Jill Foster, Nicola Public Policy Health Systems Health Economics In strengthening health systems, the World Health Report 2000 indicates that health system improvement strategies must also cover private (for-profit and non-profit) health care provision and financing if progress towards Universal Health Coverage is to be achieved. Yet very little is known about the financing of non-profit providers in Africa - especially not faith-based health providers, who have often historically remained elusive in terms of financial transparency. This thesis reports on a multiple case study conducted with two non-profit faith-based health providers in Kenya, namely the Africa Inland Church Kijabe Hospital; and Nyumbani-Children of God Relief Institute in Nairobi (Nyumbani) - and situates these within the broader context of health systems financing and public-private partnership in Kenya. Data was collected from multiples sources including: secondary literature; secondary analysis of existing data (such as the Kenya Health Information System); financial data on projects and annual reports; routine facility and service data; previous research on both organizations; archival data; and supplemented by 6 in-depth interviews with key stakeholders. The study reveals a highly complex funding environment for non-profit (and faith-based) health providers in Kenya, which is a result of historic health system configurations, and current funding policy and focus (such as the influx of HIV-related funding). The HIV program in AIC Kijabe Hospital is solely funded by USAID; while Nyumbani is also funded by USAID (70%), but has other private sources. In both cases, funding from various sources is structured differently with varied financial flows and requirements. Faith-based health providers in Kenya are highly dependent on complex donor-funding arrangements, and lack financial resilience as a result. Donors need to better understand the nuance of engagement with such providers. 2018-05-07T09:13:39Z 2018-05-07T09:13:39Z 2018 Master Thesis Masters MPH http://hdl.handle.net/11427/27941 eng application/pdf Health Policy and Systems Division Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Policy Health Systems Health Economics Kingangi, Lucy Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| thesis_degree_str | Master's |
| title | Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| title_full | Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| title_fullStr | Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| title_full_unstemmed | Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| title_short | Mapping and tracking the complexity of financial flows through non-state non-profit (faith-based) health providers in Kenya |
| title_sort | mapping and tracking the complexity of financial flows through non state non profit faith based health providers in kenya |
| topic | Public Policy Health Systems Health Economics |
| url | http://hdl.handle.net/11427/27941 |
| work_keys_str_mv | AT kingangilucy mappingandtrackingthecomplexityoffinancialflowsthroughnonstatenonprofitfaithbasedhealthprovidersinkenya |