- Global Maternal and Child Health
- Global Health Care Issues
- Economic and Environmental Valuation
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Child Nutrition and Water Access
- Microfinance and Financial Inclusion
- Business and Economic Development
- Primary Care and Health Outcomes
- Evaluation and Performance Assessment
- Quality and Safety in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Poverty, Education, and Child Welfare
Kenya Medical Research Institute
2018-2023
University of Oxford
2021
University College London
2019
Provider payment mechanisms (PPMs) play a critical role in universal health coverage due to the incentives they create for care providers deliver needed services, quality, and efficiency. We set out explore public, private, faith-based providers' experiences with capitation fee-for-service Kenya identified attributes of PPMs that considered important.
Community health workers (CHWs) play a critical role in supporting systems, and improving the availability accessibility to care. However, CHW programs globally continue face challenges with poor performance high levels of attrition. are often underfunded poorly planned, which can lead loss motivation by CHWs. The study aims determine preferences CHWs for job incentives goal furthering their success.Relevant incentive attributes were identified through focus group discussions in-depth...
Abstract Background Stated preference elicitation methods such as discrete choice experiments (DCEs) are now widely used in the health domain. However, “quality” of health-related DCEs has come under criticism due to lack rigour conducting and reporting some aspects design process attribute level development. Superficially selecting attributes levels vaguely might result misspecification which may, turn, bias study misinform policy. To address these concerns, we meticulously conducted report...
SUMMARY Background The study set out to explore whether mobile money use (mobile phone‐based financial services) increased the probability of rural dwellers outside formal employment sector being enrolled in Kenya's social health insurance, National Hospital Insurance Fund (NHIF). Methods We used data from 2015 FinAccess Household Survey and analysed responses 4282 individuals sector. Probit bivariate probit models were adjusted for phone ownership, sex, age, age‐squared, education, wealth...
Background Community health volunteers (CHVs) play crucial roles in enabling access to healthcare at the community levels. Although CHVs are considered volunteers, programmes provide financial and non-financial incentives. However, there is limited evidence on which bundle of incentives most effective for their improved performance. Methods We used a discrete choice experiment (DCE) understand incentive preferences with aim improve motivation, performance retention. Relevant attributes were...
Provider payment mechanisms (PPMs) are important to the universal health coverage (UHC) agenda as they can influence healthcare provider behaviour and create incentives for service delivery, quality efficiency. Therefore, when designing PPMs, it is consider providers' preferences PPM characteristics. We set out uncover senior facility managers' attributes of a capitation mechanism in Kenya. use discrete choice experiment focus on four attributes, namely, schedule, timeliness payments, rate...
Introduction There is a renewed global interest in improving community health worker (CHW) programmes. For CHW programmes to be effective, key intervention design factors which contribute the performance of CHWs need identified. The recent WHO guidelines recommends combination financial and non-financial incentives improve performance. However, evidence gaps remain as what package will their different country contexts. This study aims evaluate incentive preferences retention strengthen help...