Assessing Provision and Equity in Low and Middle-Income Country Health Markets: A Study from Kenya

Assessing-Provision-and-Equity-in-LMIC-Health-Markets.pdf

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In Kenya the public sector provides 59.9% of all contraception, the remaining 40% delivered by commodity outlets, NGOs, faith-based organizations, social franchised providers, and for-profit clinics. The objectives of the study were to compare the wealth distribution of clients in each of the four sectors, focusing on clients who sought family planning or basic curative care for children under 5 with diarrhea, fever or ARI. A secondary objective was to assess if any of the four sectors fundamentally increased access to the health system for FP or child health clients, by addressing the concept of ‘additional users’ of the service.

The study found that there were significant differences in the wealth profile of clients in each of the four sectors. The public sector serves significantly more poor clients than each of the other three sectors when compared to the both national and urban wealth distributions.