Strategic Resource Allocation and Implementation of Universal Health Coverage Policy in NHIF Northern Kenya Region

Abstract

Universal health coverage (UHC) ensures that all people can access effective, good-quality health services when they need them, without experiencing financial hardship. A recent Kenya Household Health Expenditure and Utilization Survey (KHHEUS) on health insurance found that majority of the counties in the Northern Region, most of who rely on the NHIF, registered less than 10% coverage on average. Lack of adequate health coverage for most of the population means most will still need to meet their health needs using out-of-pocket payments.

Therefore, the main objective of the study is to establish the influence of strategic resource allocation on implementation of universal health coverage strategy focusing on NHIF, Northern Kenya Region. Descriptive research design was used in the study that also targets six NHIF Northern Kenya region branches, that is, Meru, Maua, Embu, Chuka, Isiolo and Marsabit branches. Data collection was done through questionnaires distributed to a sample size of 70 management and staff members of the six NHIF branches selected through a census. Data was analyzed using both descriptive such as frequencies and percentages and inferential statistical methods specifically bivariate regression analysis. The findings revealed that resource allocation practices were negatively affecting the implementation of universal health coverage policy in Northern Kenya region. The study, therefore, recommends that the organization review its resource allocation practices. The resource allocation practices should be strategic and guided by the resource based view at the branch level.