Health financing reform in Kenya- assessing the social health insurance proposal

  • Guy Carrin
  • Chris James
  • Michael Adelhardt
  • Ole Doetinchem
  • Peter Eriki
  • Mohammed Hassan
  • Henri van den Hombergh
  • Joses Kirigia
  • Burkard Koemm
  • Rolf Korte
  • Rudiger Krech
  • Cristopher Lankers
  • Jan van Lente
  • Tom Maina
  • Katherine Malonza
  • Inke Mathauer
  • Tom Mboya Okeyo
  • Stephen Muchiri
  • Zipora Mumani
  • Benjamin Nganda
  • James Nyikal
  • Joyce Onsongo
  • Chris Rakuom
  • Bernd Schramm
  • Xenia Scheil-Adlung
  • Friedeger Stierle
  • Dan Whitaker
  • Manfred Zipperer


Kenya has had a history of health financing policy changes since its   independence in 1963. Recently, significant preparatory work was done on a new Social Health Insurance Law that, if accepted, would lead to universal health coverage in Kenya after a tr&nsition period. Questions of economic  feasibility and political acceptability continue to be discussed, with   stakeholders voicing concerns on design features of the new proposal   submitted to the  Kenyan parliament in 2004. For economic, social, political and organisational reasons a transition period will be  necessary, which is likely to last more than a decade. However, important objectives such as access to health care  and avoiding impoverishment due to direct health care payments should be recognised from the start so that  steady progress towards effective universal coverage can be planned and achieved.

Journal Identifiers

eISSN: 0256-95749
print ISSN: 2078-5135