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Health workers’ perceptions towards implementation of Universal Health Coverage pilot at Machakos Level 5 Hospital in Kenya
(Strathmore University, 2023) Abuto, W. A.
This study explores the perceptions of frontline healthcare workers on the implementation of Universal Health Coverage (UHC) pilot in Machakos County, Kenya. UHC is an initiative that aims to provide quality healthcare services to individuals and communities without financial hardship. The pilot was launched in December 2018 in four counties as part of President Kenyatta’s Big Four Agenda for socio-economic development and was intended to run for one year. The study employed a qualitative design using in-depth interviews with frontline healthcare workers in Machakos Level 5 Hospital. The findings revealed that the participants had a positive attitude towards UHC, but also faced various challenges such as inadequate funding, human resources and misuse of services by patients. The participants also suggested subsidized payments from users instead of complete removal of fee and supported the role of NHIF as a driver of the program. The study recommends a sustainable healthcare financing approach, provision of adequate human resources for health and stakeholder involvement and sensitization in decision making for successful scaling up of UHC.