A5053653151- Global Maternal and Child Health
- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Healthcare Policy and Management
- Vaccine Coverage and Hesitancy
- SARS-CoV-2 and COVID-19 Research
- COVID-19 Clinical Research Studies
- Tuberculosis Research and Epidemiology
- Syphilis Diagnosis and Treatment
- Primary Care and Health Outcomes
- COVID-19 Pandemic Impacts
- HIV/AIDS Impact and Responses
- COVID-19 and healthcare impacts
- Family and Disability Support Research
- Healthcare cost, quality, practices
- Public Procurement and Policy
- Community Health and Development
- Adolescent Sexual and Reproductive Health
- Disaster Response and Management
- Infant Development and Preterm Care
- Reproductive tract infections research
- Public-Private Partnership Projects
- Intensive Care Unit Cognitive Disorders
Kenya Medical Research Institute
2020-2024
Wellcome Trust
2021-2022
University of Cape Town
2020-2021
We estimated unit costs for COVID-19 case management patients with asymptomatic, mild-to-moderate, severe and critical disease in Kenya.We per-day of patients. used a bottom-up approach to estimate full economic adopted health system perspective patient episode care as our time horizon. obtained data on inputs their quantities from provided by three public treatment hospitals Kenya augmented this guidelines. input prices recent costing survey 20 market Kenya.Per-day, per-patient asymptomatic...
In 2013, Kenya introduced a free maternity policy in all public healthcare facilities. 2016, the Ministry of Health shifted responsibility for program, now called Linda Mama, to National Hospital Insurance Fund (NHIF) and expanded access beyond sector. This study aimed examine implementation Mama program.We conducted mixed-methods cross-sectional at national level 20 purposively sampled facilities across five counties Kenya. We collected data using in-depth interviews (n = 104), administered...
Objectives COVID-19 has altered health sector capacity in low-income and middle-income countries (LMICs). Cost data to inform evidence-based priority setting are urgently needed. Consequently, this paper, we calculate the full economic costs of clinical management 79 LMICs under different epidemiological scenarios. Methods We used country-specific projections from a dynamic transmission model determine number cases, hospitalisations deaths over 1 year four mitigation defined response for...
A few studies have assessed the epidemiological impact and cost-effectiveness of COVID-19 vaccines in settings where most population had been exposed to SARS-CoV-2 infection.
Background User fees have been reported to limit access services and increase inequities. As a result, Kenya introduced free maternity policy in all public facilities 2013. Subsequently 2017, the was revised Linda Mama programme expand private sector, benefit package change its management. Methods An interrupted time-series analysis on facility deliveries, antenatal care (ANC) postnatal (PNC) visits data between 2012 2019 used determine effect of two policies. These were from 5419 305...
Health Technology Assessment (HTA), a tool for priority setting, has emerged as means of ensuring the sustainability Universal Coverage (UHC) system. However, setting up an effective HTA system poses multiple challenges and knowledge exchange can play crucial role in helping countries achieve their UHC targets. This article reports results discussion during preconference session at 2019 HTAsiaLink Conference, annual gathering agencies Asia, which supports transfer among practitioners. As...
How health facilities are financed affects their performance and system goals. We examined how in the public sector Kenya, within context of a devolved system. carried out cross-sectional study five purposely selected counties using mixed methods approach. collected data document reviews in-depth interviews (no = 20). In each county, we interviewed county department managers facility from two one hospitals center respectively. analyzed qualitive thematic analysis conducted descriptive...
Vaccines are considered the path out of COVID-19 pandemic. The government Kenya is implementing a phased strategy to vaccinate Kenyan population, initially targeting populations at high risk severe disease and infection. We estimated financial economic unit costs procuring delivering vaccine in across various vaccination strategies.We used an activity-based costing approach estimate incremental delivery, from health systems perspective. Document reviews key informant interviews(n = 12) were...
The resources for critical care are limited in many settings, exacerbating the significant morbidity and mortality associated with illness. Budget constraints can lead to choices between investing advanced (e.g. mechanical ventilators intensive units) or more basic such as Essential Emergency Critical Care (EECC; e.g. vital signs monitoring, oxygen therapy, intravenous fluids).We investigated cost effectiveness of providing EECC Tanzania comparison 'no care' 'district hospital-level using...
Essential Emergency and Critical Care (EECC) is a novel approach to the care of critically ill patients, focusing on first-tier, effective, low-cost, life-saving designed be feasible even in low-resourced low-staffed settings. This distinct from advanced critical care, usually conducted ICUs with specialised staff, facilities technologies. paper estimates incremental cost EECC for planning patients Tanzania Kenya.The costing took health systems perspective. A normative based ingredients...
BACKGROUND: There are currently large gaps in unit cost data for TB, and substantial variation the quality methods of estimates. Uncertainties remain about sample size, range comprehensiveness collection different purposes. We present results a project implemented Kenya, Ethiopia, India, The Philippines Georgia to estimate costs TB services, focusing on findings most relevant these remaining methodological challenges. METHODS: estimated financial economic costs, close collaboration with...
BACKGROUND: The reduction of Kenya´s TB burden requires improving resource allocation both to and within the National TB, Leprosy Lung Disease Program (NTLD-P). We aimed estimate unit costs services for budgeting by NTLD-P, allocative efficiency analyses future Strategic Plan (NSP) costing. METHODS: estimated all interventions in a sample 20 public private health facilities from eight counties. calculated national-level provider´s perspective using bottom-up (BU) top-down (TD) approaches...
Case management of symptomatic COVID-19 patients is a key health system intervention. The Kenyan government embarked to fill capacity gaps in essential and advanced critical care (ACC) needed for the severe COVID-19. However, given scarce resources, both ACC persist. This study assessed cost-effectiveness investments inform prioritisation investment decisions.
Abstract Background Most children with developmental disabilities (DD) live in low- and middle-income countries, but access to services is limited, impacting their ability thrive. Pilot study findings of the World Health Organization’s Caregiver Skills Training (WHO CST) intervention, which equips caregivers strategies facilitate learning adaptive behaviours DD, are promising evidence from an appropriately powered trial delivered by non-specialist facilitators lacking. This will investigate...
Abstract Introduction Case management for COVID-19 patients is one of key interventions in country responses to the pandemic. Countries need information on costs case inform resource mobilization, planning and budgeting, purchasing arrangements, assessments cost-effectiveness interventions. We estimated unit with asymptomatic, mild moderate, severe, critical disease Kenya. Methods per patient day that are asymptomatic those have symptoms. For moderate patients, we home-based care...
Screening for genital inflammation can reveal asymptomatic cases of sexually transmitted infections (STIs) and bacterial vaginosis (BV), useful in settings where only syndromic management is available. This study aimed to estimate the incremental cost screening using a new cytokine biomarker rapid test determine budget impact providing this service primary health facilities South Africa.Costs adding existing family planning services were estimated women (15-49 years) attending 3 different...
ABSTRACT Background Few studies have assessed the benefits of COVID-19 vaccines in settings where most population had been exposed to SARS-CoV-2 infection. Methods We conducted a cost-effectiveness analysis vaccine Kenya from societal perspective over 1.5-year time frame. An age-structured transmission model assumed at least 80% prior natural immunity when an immune escape variant was introduced. examine effect slow (18 months) or rapid (6 roll-out with coverage 30%, 50% 70% adult (> 18...
Objective: To estimate the economic impact of border closure and social distancing by estimating decline gross domestic product (GDP) in Kenya, Singapore Thailand. Methods: We analysed secondary data retrospectively. calculate NPIs on GDP, relationship between GDP stock market index was examined using ordinary least squares (OLS). Then, autoregressive moving averages (ARMA) model used to examine NPI index. The change due derived multiplying coefficients OLS ARMA models. Results: An increase...
Abstract Background: How health facilities are financed affects their performance and system goals. We examined how in the public sector Kenya, within context of a devolved system. Methods: carried out cross-sectional study five purposely selected counties using mixed methods approach. collected data document reviews in-depth interviews (no=20). In each county, we interviewed county department managers facility from two one hospitals center respectively. analyzed qualitive thematic analysis...
Using program evaluation findings is crucial in improving health programs and realising the program’s benefits. In this article, we report on how a knowledge translation (KT) approach supported use of to improve Linda Mama free maternity Kenya. We used case study design employing qualitative approaches describe our KT strategy its impact use. Data were collected through semi-structured in-depth interviews participants (n = 25) three Kenyan counties following dissemination co-production...
Kenya has progressed towards implementing and institutionalizing strategic health purchasing (SHP) practices as a key strategy to achieving universal coverage (UHC). However, multiple challenges are faced such fragmentation of pooling arrangements, inadequate funding, rigid public financial management requirements, lack purchaser-provider split formal policies laws support SHP. Given these challenges, we conducted mixed methods study understand lessons on the reforms in Kenya. We...