Presented by: Ann Mwangi
Registration number: I30/2160/2006
A research proposal submitted in partial fulfillment of the requirements for the award of the degree of Bachelor of Science (nursing and public health) in the school of health sciences of Kenyatta University.
February, 2010.
DECLARATION
STUDENT’S DECLARATION
This proposal is my original work and has not been presented for any academic award in any other University or college.
Signature……………………………………… Date……………………..
Name: Ann Mwangi
Registration number: I30/2160/2006
SUPERVISOR’S DECLARATION
This proposal has been submitted for review with my approval as a university supervisor.
Signature …………………………………..Date………………….
Name: Mrs. Makworo
Department: Nursing sciences.
ABBREVIATIONS AND ACRONYMS
NHIF National Hospital Insurance Fund
MOH Ministry of Health
CAP Chapter
HMOs Health Management Organization
UNICEF United Nations Children’s Fund
KIPPRA Kenya institute for public policy research activities and analysis
OPERATIONAL DEFINITIONS
Health care- Goods and services used as inputs to produce health. In some analyses one’s own time and knowledge used to maintain and promote health are considered in additional to conventional inputs. Used synonymously with Medicare in this study.
Health maintenance organization (HMOs) –It is a managed care plan that integrates financing and delivery of a comprehensive set of health care services to an enrolled population. HMOs may contract with or directly employ health care providers.
Social insurance – It’s a government insurance programme in which eligibility and premiums are not determined by the practices common to private
References: 2. Arrow, K.J. (1963).”Uncertainty and the welfare economics of medical care.” American Economic review. 3. Inke Mathauer, Guy, C, Doetinchem, O., Joses, K, Laurent, M. (2004). Social health insurance: how feasible is its expansion in the African region, ISS, Rotterdam. 4. Kraushaar, D. (1994).” Health insurance: what is it, how it works.” Financing districts Health Services international workshop 5 6. Manda, Kimani. D., &Muthaka (2004) Healthcare financing through health insurance in Kenya: the shift to a national social health insurance fund. Kenya Institute for Public Policy Research Activities and Analysis (KIPPRA), Nairobi, Kenya. 7. Republic of Kenya (2003a). The National Social Health Insurance Strategy. Prepared by the Task Force on the Establishment of Mandatory National Social Health Insurance. 8. Republic of Kenya (1999). Kenya Gazette supplement, Acts, 1999. The national hospital insurance fund Act, 1998. Nairobi: government printer. 9. Republic of Kenya, (1997). Economic survey. Nairobi: government printer. 10. Shaw, P. (1998) Financing healthcare in the sub-Saharan Africa through user fees and insurance. World bank 11 12. World Bank (1993). World development report 1993: investing in health. Oxford university press. 13. Techlink International (1999). A renewed NHIF: final report manual.