Adera Benard
Bachelor of Economics
The Technical University of Kenya
0704929200
Benardaderah@gmail.com
The Big Four Agenda comprises transformational legacy projects that our President with the help of his government wishes to accomplish by the end of his second term by 2022.They are basically extracts from the long-term plan (Vision 2030) goals. In summary, these are the basic economic growth indicators explained in four major components.
Universal Healthcare (UHC), one of the agenda items in brief, provides for:
- 100 per cent of the projected population of 51.6million covered with health insurance scheme by 2022.
- 100 per cent of the poor population covered by the Government by 2022.
- 10 modern referral hospitals.
- 50% reduction in out of pocket medical expenses.
- Four modern cancer center.
- One modern kidney center.
- 50 per cent increase in health officer to patient ratio from 9: 10,000 to 14 :10,000
- 36 million women covered under Linda Mama Programme.
- 8 million elderly people of over 70 years covered.
- The pilot UHC programme will involve the strengthening of the public health system with a strategic focus on primary health approach.
- Whenever we talk about UHC, what in most cases comes to mind is the National Health Insurance Fund (NHIF). However, this institution was developed in 1966 and has its provision in Act 9 of 1998, while on the other hand, UHC is barely 10 months old. Therefore, one of the best ways of achieving UHC provisions is to align NHIF policies to UHC requirements. This includes a mandatory informal sector coverage and introduction of multi-tiered packages.
- Effective and sincere collaboration with county governments, both in equal share allocation and provision of conditional grants tied to health facilities and services, is also vital in the move towards faster achievement of wide health coverage.
- Key to all, resources, specifically financial resources, which are the major drivers to any economic growth activity in any country. Therefore, to facilitate effective and efficient rollout of the programme, additional financing from the National Treasury is required that is, (increase in health allocation from the current 7% of GDP in 2017 to 10% of GDP by 2022).
- New governance structures e.g. introducing UHC department under ministry of health to solely deal with issues provided for under the UHC requirements.
- Civic education to all citizens to make them understand their role towards the achievement of this milestone agenda. Similarly, effective and professional training of the health officers is necessary since they play a major role in the implementation of the programme.
- Getting sufficient education to ensure that they are well informed on issues universal health coverage by reviewing the literatures about countries that have successfully implemented the programme e.g. Australia, Canada, France, Germany, Singapore, Switzerland and the United Kingdom.
- Giving civic education to people majorly in the rural areas about the benefits, provisions and procedures of UHC in specific NHIF.
- Selling policies to the Government in various platforms to inform the general government policies.
- Lower healthcare cost for the economy.
- Standardization of services at a low cost.
- Prevention of future social cost and health issues through early stages childhood health measures and health care practices.
Country | Type | % of GDP | Per Capita | Infant Mortality Rate | WHO Ranking |
Australia | 2-tier | 9.6% | $4,798 | 3.1 | 32 |
Canada | Single | 10.6% | $4,752 | 4.3 | 30 |
France | 2-tier | 11.0% | $4,600 | 3.2 | 1 |
Germany | Mandate | 11.3% | $5,550 | 3.2 | 25 |
Singapore | 2-tier | 4.9% | $2,000 | 2.2 | 6 |
Switzerland | Mandate | 12.4% | $7,919 | 3.6 | 20 |
United Kingdom | Single | 9.7% | $4,193 | 3.7 | 18 |
United States | Private | 18.0% | $9,892 | 5.6 | 37 |