The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya.

The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya. Research Abstract Details 

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The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya. Abstract Text:

Catherine Molyneux,Beryl Hutchison,Jane Chuma,Lucy Gilson,Catherine Molyneux,Beryl Hutchison,Jane Chuma,Lucy Gilson,

There is growing concern that health policies and programmes may be contributing to disparities in health and wealth between and within households in low-income settings. However, there is disagreement concerning which combination of health and non-health sector interventions might best protect the poor. Potentially promising interventions include those that build on the social resources that have been found to be particularly critical for the poor in preventing and coping with illness costs. In this paper we present data on the role of one form of social resource-community-based organizations (CBOs)-in household ability to pay for health care on the Kenyan coast. Data were gathered from a rural and an urban setting using individual interviews (n = 24), focus group discussions (n = 18 in each setting) and cross-sectional surveys (n = 294 rural and n = 576 urban households). We describe the complex hierarchy of CBOs operating at the strategic, intermediate and local level in both settings, and comment on the potential of working through these organizations to reach and protect the poor. We highlight the challenges around several interventions that are of particular international interest at present: community-based health insurance schemes; micro-finance initiatives; and the removal of primary care user fees. We argue the importance of identifying and building upon organizations with a strong trust base in efforts to assist households to meet treatment costs, and emphasize the necessity of reducing the costs of services themselves for the poorest households.

The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya. Publishing Authors By Initials

C Molyneux,B Hutchison,J Chuma,L Gilson,C Molyneux,B Hutchison,J Chuma,L Gilson,

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The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Health policy and planning

VOLUME: 22

Page Numbers: 381-92

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ISSN: 0268-1080

DAY: 16

MONTH: Nov

YEAR: 2007

The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya. Information

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LANGUAGE: eng

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Grant and Affiliation Information for The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya.

AFFILIATION: KEMRI, P.O. Box 230, Kilifi, Kenya. SMolyneux@kilifi.kemri-wellcome.org.

Country: England

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MEDLINETA: Health Policy Plan

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