Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review

World Bank Group

Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review

2015

World Bank Group

Kenya is currently in an expansionary phase of its fiscal policy reflected in a widening primary deficit. The fiscal framework is marked by a significant fiscal expansion over the last three years, 2011/12 to 2013/14. The fiscal stimulus implemented in 2009/10 increased aggregate spending by 2 percent of Gross Domestic Product (GDP). However the envisaged fiscal retrenchment at the end of the program did not materialize and fiscal expansion continued with the general election in 2013. Aggregate expenditure averaged 25 percent and revenue at 18 percent of GDP. The fiscal deficit financed through debt is reflected in the doubling of the primary deficit (commitment basis) now in the range of 3.3 percent of GDP, and the rising stock of public debt from 37 percent to 43 percent of GDP (net of deposits), of which about half 22 percent was external debt in 2013/14. The fiscal developments have seen an increase in the share of debt service in total spending from 13 percent to 15 percent of recurrent spending, equivalent to 2.6 percent of GDP. Kenya s debt service is higher among East Africa Community (EAC) peers, 2 percentage points above Ethiopia and Rwanda, and 1 percentage point higher than Uganda and Tanzania.

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Editeur

Washington, DC

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Household poverty; Public providers; Share of public spending; Primary health care; Private sectors; Low birth weight; Primary care; Access to health care services; Health care facilities; Aggregate outcomes; Public health system; Antenatal visits; Citizens; Hospital admissions; Health organization; Life expectancy; Quality of health; Health workers; Dispensaries; Public spending; Policy research; Public policy; Health care provision; Child mortality; Access to services; Private insurance; Public expenditure on health; Demand for health; Progress; Aids relief; Equity in access; Health conditions; Health care delivery; National health; Health management; Aggregate health expenditure; Access to health services; Health system strengthening; Health delivery; Essential medicines; Health care financing; Emergency plan; Health care expenditure; Demand for health care; Health outcomes; Expenditures; Health clinics; Malaria control; Midwives; Infant mortality; Public health spending; Ministry of health; Quality of health care; Public health expenditure; Health financing; Access to health care; Income countries; Health specialist; Health research; Medical supplies; Community health; Infant mortality rate; Capital expenditure; Hospital beds; Health sector; Share of health expenditure; Delivery of health services; Antenatal care; Primary health facilities; Emergency obstetric care; Health service; Provincial hospitals; Contraceptive prevalence; Health coverage; Primary health care facilities; National governments; Quality of care; Quality care; Essential drugs; Existing resources; Share of health spending; Maternity care; Health needs; Health centers; Voluntary counselling; Health investments; Physician; Incidence analysis; Public health interventions; Health centres; National health insurance; Health funding; Global health; Birth attendant; Private spending; Health service delivery; Birth attendants; Use of resources; Private hospitals; Health centre; Financial risk; Health care system; Health indicators; Hospital · cost; Leading causes; Injuries; Health infrastructure; Determinants of health; Essential health services; Disability; Clinics; National health insurance fund; Maternal mortality; Live births; Under-five mortality; Service provision; Demand for health services; Public health providers; Provision of health care; Inequities; Curative health care; Health interventions; Primary health care services; Nursing; Health professionals; Allocative efficiency; Provision of services; Counselling; Public hospitals; Aids patients; Health systems; Health provision; Health expenditure per capita; Health system; Budget allocation; National government; Maternal mortality rate; Nurses; Chronic conditions; Health facilities; Source of drinking water; Financial risk protection; Maternity services; Cost-effectiveness; Under five mortality; Health status; User fees; Pocket payments; Health expenditure; Appropriate incentives; Clinical guidelines; Health providers; Health policy; Health information; Deaths; Health resources; Health information system

Langue

anglais

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Laying the Foundation for a Robust Health Care System in Kenya : Kenya Public Expenditure Review

2015

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Informations bibliographiques