Kenya

Kenya has conducted four rounds of NHA between 1997-2010. The 1997 and 2001/02 NHA, which showed households accounted for over 50% of total health spending, led to a 30% increase in government budget allocation for health in 2003/4.  To reduce household OOP, Kenya also initiated procurement of a three-month kit, Essential Medicines and Medical Supplies for Rural Health Facilities, channeling of operational directly to health facilities, and mobilizing donors to hire health workers to rural areas. User fees were standardized. These efforts contributed to a reduced financial burden on households, from 51% in 2001/2 to 30% in 2009/10.