| dc.description.abstract | This research work explores the potential role of finance in determining the implementation
of Universal Health Care in Kenya. UHC refers to a global health system that ensures all
individuals have access to quality health care services in the country without having to
endure any financial destitution. It has two fundamental goals: optimizing the impact of
health care services, and eradicating financial crisis that bring impoverishment to families
due to high health care costs (WHO, 2016). Governments all over the world have been
exploring ways and means of achieving a lasting solution towards a stable and cost effective
UHC system for all the citizens. The research was guided by the following objectives: to
determine the influence of drugs in hospitals on delivery of health care services, to assess the
impact of health care personnel in health institutions, to determine the influence of medical
machines, Equipmentss and to assess the influence of infrastructure in health care facilities
on delivery of healthcare services in Kenya. Logic positivism a mix of strategy methodology
which involves qualitative as well as quantitative analysis was applied. It was also guided by
the theory of demand and supply by Mclure (2017) and adopted positive paradigm
philosophy. Further, it used descriptive survey research design. The research study was
carried out in Nyeri County in central Kenya. There are 101 healthcare institutions in that
county. The sample size for this research was 78 respondents derived by applying Yamane
(1967) formula from the population of study which was 101 healthcare facilities. Data was
collected from the county hospitals level 6, 5, 4, and level 3 facilities through the use of
questionnaire inquiry on drop and pick method. Data was manipulated using descriptive and
inferential statistics which involved frequencies, percentages and cross tabulations. Data was
run by application of SPSS version 25 method of getting the values of central tendency such
as, variances analysis, standard deviation, inferential statistics, correlation coefficient and
regression results to assemble the data. Bivariate correlation and regression results findings
supported the attempt to test hypotheses direction. The four main valuables tested in the
hypotheses study were found to be reliably significant and in right direction in attempt to
discover the Moderating effect of finance in determining the provision of UHC in Kenya
health institutions. The drivers are; medical drugs in hospitals, health personnel, modern
medical Equipmentss and infrastructures. The research study concluded that financing in
health services has direct influence on provision of UHC programs. However financing fails
to have the moderating effect on UHC in comparison to the other variables because it
assumes the superiority position as observed from the regression coefficient analysis results
(beta = 0,383). Financing is always there it can only be enhanced. The study recommends
further investigation on other areas perhaps individual personal health care insurance cover to
take care of health needs, away from out of pocket payment for healthcare bills.
Governments should encourage citizen to utilize NHIF health scheme available in the
country by enrolling as many members as possible. | en_US |
