IHP news 521: Emerging Voices

By on May 10, 2019

Healthcare equity analysis: applying the Tanahashi model of health service coverage to community health systems following devolution in Kenya

R McCollum (EV 2014) et al ; https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-0967-5

Universal health coverage (UHC) is growing as a national political priority, within the context of recently devolved decision-making processes in Kenya. Increasingly voices within these discussions are highlighting the need for actions towards UHC to focus on quality of services, as well as improving coverage through expansion of national health insurance fund (NHIF) enrolment. Improving health equity is one of the most frequently described objectives for devolution of health services. Previous studies, however, highlight the complexity and unpredictability of devolution processes, potentially contributing to widening rather than reducing disparities. Our study applied Tanahashi’s equity model (according to availability, accessibility, acceptability, contact with and quality) to review perceived equity of health services by actors across the health system and at community level, following changes to the priority-setting process at sub-national levels post devolution in Kenya….”

IHP (blog) – Joining hands and heads to reach the SDGs in West Africa – and how WANEL assists in this


Blog by Juliana Gnamon (EV 204), Clément Méda (EV 2010) and other WANEL colleagues, related to a recent workshop in Dakar.

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