An Assessment of Health Care Delivery in Kenya Under Devolved System

Provision of and access to quality health care is fundamental in human capital development, with the global objective being to ensure a healthy, skilled and productive population for sustainable development. In Kenya, access to quality health care is a basic right granted by various articles in the Constitution. Among the functions devolved to the county level is ‘county health services’ – essentially, primary health care services, while the national level focuses on policy and national referral services. Early this year, KIPPRA designed a study to assess health care delivery in the country under devolved system.

The objective of the study was to assess the changes brought about by some key policy reforms aimed at improving the delivery and uptake of health care services in the country since the accession to devolution in 2013. This was achieved through an assessment of the extent of interaction between target communities and their respective county governments in planning and budgeting for the delivery of health care. A further objective was to explore Kenyans’ uptake of and perceptions on primary health care services in the context of a devolved system in the country. Against the backdrop of previous evaluations, the study identifies areas in which public health care has improved under devolution, while also highlighting those of persisting constraints.

KIPPRA held regional dissemination workshops as follows: 13th October, 2017 –Waterbuck Hotel, Nakuru; 17th October, 2017 – Reef Hotel, Mombasa; and 23rd October, 2017 – Outspan Hotel, Nyeri. The workshops brought together health sector professionals from the various counties.

KIPPRA Signs Grant Agreement with CAPEC on IDRC’S Project

Titled  ‘Economic Inclusion of Young People and Women through Inclusive Entrepreneurship: Case of Kenya’, the project’s overall objective is to  analyze the contribution of inclusive entrepreneurship to young people and women’s well-being in Cote d’Ivoire, Burkina Faso and Kenya. Findings from this project are expected to provide useful insights for governments to implement incentives and support mechanisms to mainstream the practice of inclusive entrepreneurship while maximizing its impact on vulnerable groups, including women and youth.

Three think tanks, namely: KIPPRA, the Economic Policy Analysis Unit of CIRES (CAPEC) of Cote d’Ivoire, and the Laboratory of Quantitative Analysis Applied to Development – SAHEL (LAQAD-S) in Burkina Faso are involved in the realization of this project. This is a three-year project which will be managed on behalf of the three countries by CAPEC.

KER 2018: Boosting Investments for Delivery of Kenya Vision 2030

The KIPPRA Act 2006 mandates institute to produce an annual report on Kenya’s economic performance and medium term economic prospects. The theme of the KER 2018 report is “Boosting Investments for Delivery of Kenya Vision 2030”. The report will provide an analysis on total investments required to deliver the desired 10 per cent economic growth for Kenya. It is worth noting that increasing investments across all sectors of the economy will enhance their respective contributions towards overall growth.

Under the economic pillar of Vision 2030, Kenya’s average GDP growth is expected to be sustained at 10 per cent annually. However, the economy grew by 5.8 per cent in 2016 while the 2017 and 2018 economic growth is projected at 5.9 per cent and 6.2 per cent respectively. For the vision 2030 growth to be realized, investments are required to increase steadily and their respective financing expected to be mainly from gross national savings.

The projections for savings and investment ratios to GDP are estimated at 18.3 per cent and 24.4 per cent of GDP in the medium term thereby resulting to a projected financing gap of 6.1 per cent.

While preparing the KER 2018, the analysis will be guided by several questions as follows. What is the status of investments? What are the opportunities and risks for investments? What are the constraints and challenges for investments? What are the financing options for investments? What are the policy implications and recommendations on investments?

Capacity Development for Child Sensitive Planning and Budgeting in Kenya

KIPPRA is participating in the Capacity Development for Child Sensitive Planning and Budgeting initiative in Kenya with support from UNICEF. Core sectors of focus include public financial management, health, education, social protection, and water and sanitation services.

The process is being spearheaded by the National Treasury. Other partnering institutions include Oxford Policy Management (OPM) and Kenya School of Government (KSG).

The overall objective of this initiative is to develop the national and county governments’ capacity and capabilities in the area of child sensitive planning, budgeting and related policy making processes.

Upcoming activities in relation to the initiative include national level and county level trainings; and production of selected county budget briefs, starting with Kisumu, West Pokot and Nairobi. The project will inform the 2018/19 budget making process through participation in relevant sector budget working groups.

Child Sensitive Planning and Budgeting Project

KIPPRA in collaboration with UNICEF is implementing a project on Child Sensitive Planning and Budgeting in Kenya. The overall objective is to develop the country’s analytical capacity in child sensitive planning and budgeting with a view to promote the capacity of government in policy decision making. More specifically this project aims:

  1. To utilize the comparative research expertise, skills, human resources of all partners to deliver robust credible child sensitive evidence;
  2. To promote attainment of rights of a child through child focused approaches and methods of policy analysis and advocacy;
  3. To build KIPPRA’s capacity to undertake analysis that promotes the rights of a child with a focus on social sectors and related governance issues around public finance.
  4. To build government capacity on child focused outcomes and child sensitive budgeting

The project findings will inform planning and budget engagements for social protection, labour, public finance management, water, sanitation, education and health for the fiscal year 2018/19.

Building Resilience to Mitigate the Impacts of Droughts and Floods in Kenya

KIPPRA is undertaking a study ‘Building Resilience to Mitigate the Impacts of Droughts and Floods in Kenya’. The study supports the ongoing efforts by the government to end emergencies emanating from droughts and floods, which are key in anchoring the long term economic growth as articulated in the Kenya Vision 2030.

The study will analyze the socio-economic impacts, assess the policy and institutional structures that govern disaster management and identify any capacity gaps that require government intervention in building resilience to climatic shocks.

So far, the Institute has held a roundtable discussion with relevant stakeholders on 1st September 2017, and is now preparing for field survey to collect the primary data. Upon completion, the Institute will hold a national workshop to disseminate the survey findings with the intention of initiating national dialogue on how the country can strengthen its preparedness and response to emergencies of droughts and floods.

Public Expenditure and Financial Accountability Assessment in Six Counties

KIPPRA in conjunction with the World Bank – Kenya Office, is undertaking the first Public Expenditure and Financial Accountability (PEFA) assessment in county governments in Kenya. The assessment aims at strengthening Public Financial Management (PFM) systems of the counties for enhanced efficiency in use of public resources and effective delivery of services.

The initial phase of the pilot project covers six counties, namely: Makueni, Kajiado, Nakuru, Baringo, West Pokot and Kakamega. The purpose is to ascertain how the processes and the institutions are organized and once completed, the findings will provide entry points for PFM reforms in respective counties.

Climate Change Agricultural Production, Trade and Food Security in East African Community

This is a regional study covering five East African Community (EAC) countries of Burundi, Kenya, Rwanda, Tanzania and Uganda. It is meant to develop a set of analytical works to understand in detail the linkages between climate change, agricultural production, and trade and food security. The study was commissioned by the United Nations Commission for Africa (UNECA) through African Climate Policy Centre (ACPC).

The study is premised on the fact that overreliance on rainfall has made agriculture systems in the EAC highly vulnerable to climatic variability and climate change. However, the impacts of climate change on agricultural production will not be expected to be uniform across the member states — it will enhance production in some states while suppress it in others. This will necessitate the use of trade policies to facilitate food flow to deficit areas.

This study aims to assess the link between climate change, agricultural production, trade and food security with the view to promote sustainable development. Specifically, it will:

(i) Review the policies on climate change, agriculture production and trade

(ii) Explore the spatial effects of climate change on agricultural production

(iii) Assess the welfare implications of regional agricultural policy and

(iv) Identify the potential effects of climate change on food security in the EAC region

Collaborating institutions include the World Meteorological Organization (WMO) Regional Office for Eastern and Southern Africa (WMO ESA), Bureau for Agricultural Consultancy Service, Kigali International University, Centre for Research and Development (CERDA)- Sokoine University of Agriculture and Economic Policy Research Centre.

Evaluation of the Food and Agriculture Organization Kenya Country Programme

KIPPRA, Tegemeo and FAO’s Office of Evaluation are jointly evaluating FAO’s Kenya country programme for the period 2013-2016. The objective of the evaluation is to assess the strategic relevance of FAO’s interventions in responding to country needs; assess FAO’s contributions to results and outcomes; identify lessons learnt as well as causes of successes and failures; and identify gaps in FAO’s country programming and potential areas of future work.

The assessment involves collecting evidence to support FAO’s achievements both at national and county level.

Appraisal of Performance of the Track and Trace System of Excisable Goods in Kenya

Illicit and unregulated trade in potentially harmful excisable products imposes social costs to society in various forms. It leads to loss of government revenue through tax evasion. Acknowledging the serious costs of illicit trade, the government has in the past taken several initiatives to fight the vice. In 2013, the government introduced the Customs and Excise (Excisable Goods Management System) Regulations 2013. An independent appraisal or assessment of this system is, however, yet to be done with regards to existing implementation challenges and its contribution to control of illicit trade in excisable goods. Such an excise can provide bases for policy interventions in Kenya as well as learning experiences to other developing countries that intend to roll out similar systems.

The overall objective of the study is to review implementation challenges of the Track and Trace System of Excisable Goods in Kenya. The study shall also examine the contribution of the system towards the control of illicit trade.