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Journal articles on the topic 'And NHIF'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Mwangi, Eunice M., Wanja M. Tenambergen, Job Mapesa, and Samuel K. Wairia. "Role of County Health Governance in Implementation of Social Insurance National Scheme in Selected Counties in Kenya." International Journal of Professional Practice 7, no. 2 (2019): 1–14. https://doi.org/10.71274/ijpp.v7i2.41.

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Health care financing (HCF) is one of the building blocks of a health system. Kenya envisions to have Universal Health Coverage (UHC) by 2022. To achieve this, the National Hospital Insurance Fund (NHIF) was identified as a vehicle towards the realization of UHC. NHIF collects revenue, pools risks, and purchases health services for its members. NHIF uses capitation as a strategic purchasing model to provide primary care health services (PCHS). This study aimed to establish the role of County Health Governance in implementation of the NHIF national scheme. Specifically, the study sought informa

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Mwangi, Eunice M., Wanja M. Tenambergen, Job O. Mapesa, and Isaac K. Mutai. "Citizen engagement in social health insurance purchasing, in selected counties in Kenya." International Journal Of Community Medicine And Public Health 6, no. 10 (2019): 4145. http://dx.doi.org/10.18203/2394-6040.ijcmph20194171.

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Background: National hospital insurance fund (NHIF) uses capitation as a strategic purchasing model to provide primary care health services (PCHS). This study sought information on citizen knowledge of PCHS benefit package, NHIF communication to citizens, determination of citizen views and values, NHIF accountability to citizens, citizen choice of PCHS provider and how these factors influence citizen access to NHIF, PCHS.Methods: This was a cross sectional research conducted between March 2017 to March 2018. 426 patients were sampled from Nyandarua and Nakuru Counties.Results: 366 (93%) patien

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Oyando, Robinson, Vincent Were, Ruth Willis, et al. "Examining the responsiveness of the National Health Insurance Fund to people living with hypertension and diabetes in Kenya: a qualitative study." BMJ Open 13, no. 7 (2023): e069330. http://dx.doi.org/10.1136/bmjopen-2022-069330.

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ObjectivesTo assess the responsiveness of the National Health Insurance Fund (NHIF) Supa Cover benefit package to the needs of individuals with diabetes and hypertension in Kenya.Design, setting and participantsWe carried out a qualitative study and collected data using key informant interviews (n=39) and focus group discussions (n=4) in two purposively selected counties in Western Kenya. Study participants were drawn from NHIF officials, county government officials, health facility managers, healthcare workers and individuals with hypertension and diabetes who were enrolled in NHIF. We analys

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Barasa, Edwine W., Njeri Mwaura, Khama Rogo, and Ledia Andrawes. "Extending voluntary health insurance to the informal sector: experiences and expectations of the informal sector in Kenya." Wellcome Open Research 2 (September 28, 2017): 94. http://dx.doi.org/10.12688/wellcomeopenres.12656.1.

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Background: Kenya has made a policy decision to use contributory health insurance as one of its key pre-payment health financing mechanisms. The National Hospital Insurance Fund (NHIF) is the main health insurer in Kenya. While the NHIF has hitherto focused its efforts on providing health insurance coverage to individuals in the formal sector, it has recently broadened its focus to include individuals in the informal sector. This paper provides an analysis of the perceptions, and experiences of informal sector individuals in Kenya with regard to enrolment with the NHIF. Methods: We collected d

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Kazungu, Jacob, Edwine Barasa, Justice Nonvignon, and Matthew Quaife. "Examining national health insurance fund members’ preferences and trade-offs for the attributes of contracted outpatient facilities in Kenya: A discrete choice experiment." PLOS Global Public Health 5, no. 4 (2025): e0003557. https://doi.org/10.1371/journal.pgph.0003557.

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Patient choice of health facilities is increasingly gaining recognition for potentially enhancing the attainment of health system goals globally. In Kenya, National Health Insurance Fund (NHIF) members are required to choose an NHIF-contracted outpatient facility before accessing care. Understanding their preferences could support resource allocation decisions, enhance the provision of patient-centered care, and deepen NHIF’s purchasing decisions. We employed a discrete choice experiment to examine NHIF members’ preferences for attributes of NHIF-contracted outpatient facilities in Kenya. We d

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Munyao, Anne Ngina, and Samuel Maina. "Examining the Impact of Resource Mobilization on the Performance of NHIF in Machakos County Kenya." Journal of Strategic Management 3, no. 4 (2023): 15–23. http://dx.doi.org/10.70619/vol3iss4pp15-23.

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Health insurance programs are frequently regarded as noteworthy social advances and significant avenues for industrial expansion. Nevertheless, the task of improving NHIF coverage and performance continues to present challenges, despite the existence of several motivating considerations. Presently, the NHIF provides coverage to around 15.8% of the population in Kenya; or almost 80% of individuals who own some type of health insurance. The performance of the NHIF has been a subject of criticism, despite its extensive coverage. The1main objective1of this1paper is1to1 examine the effects of resou

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Sanhawat Chaiwong Saronga Happiness , Hien Thi Nguyen,, Francis Walugembe ,. Mushi Laurell ,. "Factors Influencing Voluntary Enrollment into NHIF among Market Vendors: A Case of Mwanza, Tanzania." Cuestiones de Fisioterapia 53, no. 03 (2024): 2501–19. https://doi.org/10.48047/rqgt9d39.

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BackgroundNational Health Insurance Fund recently developed new affordable packages aiming at attracting enrolment ofnew clients into the health insurance scheme, however, NHIF still faces low enrollment of clients primarily fromthe informal sector. This study aims at understanding factors affecting uptake of voluntary NHIF in the informalsector, focusing on how demographic factors, socioeconomic status, level of awareness and perceived quality ofhealth care affect the uptake of voluntary NHIF in the informal sector.

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Wambua, Jacqueline Koki, and Dr Justice Mutua. "Biometric Strategies and Performance of Electronic Claim Processing at National Hospital Insurance Fund in Kenya." East African Scholars Journal of Economics, Business and Management 7, no. 06 (2024): 213–25. http://dx.doi.org/10.36349/easjebm.2024.v07i06.002.

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Over the years, there have been concerns about the rising number of fraudsters who work with hospitals to defraud businesses of millions of shillings in fake surgeries and treatments, while health service providers overcharge those who have insurance. To address this issue, medical insurance companies and businesses have implemented biometric authentication systems in collaboration with healthcare providers. The purpose of this study was to determine the effect of biometric adoption strategies on the performance of E-claim processing at NHIF Kenya. The research was guided by four theories that

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Mwangi, Eunice, and Wanja Mwaura-Tenambergen. "Healthcare Providers’ Engagement in Strategic Purchasing of Outpatient Services: A Cross-sectional Analysis of the National Health Scheme in Kenya." Pan-African Journal of Health and Environmental Science 3, no. 1 (2024): 137–58. http://dx.doi.org/10.56893/ajhes2024v03i01.11.

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Abstract Background: National Health Insurance Fund (NHIF) outpatient services operate under capitation, and are strategically designed to enhance quality, equity, and affordability. However, despite this strategy, providers often demand out-of-pocket payments. This study investigates provider participation in strategic purchasing and its impact on NHIF’s outpatient service delivery. Methods: A cross-sectional analytical study was conducted among 66 healthcare managers from facilities accredited to provide NHIF outpatient services in two counties in Kenya. The data were collected using structu

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Frank, Otieno, and Nyaboga Ibrahim. "Influence Of Employment Status on the Retention of National Health Insurance Coverage in the Unorganized Sector in Homa Bay County, Kenya." International Journal of Research and Innovation in Social Science VIII, no. XI (2024): 2026–34. https://doi.org/10.47772/ijriss.2024.8110161.

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Retaining health insurance coverage among informal sector workers is a persistent challenge, particularly in low-income countries like Kenya. This study investigates the influence of employment status on the retention of National Health Insurance Fund (NHIF) coverage among informal sector workers in Homa Bay County. A descriptive cross-sectional survey design was employed, with data collected from a stratified random sample of 382 respondents across three key locations in the county: Homa Bay, Mbita, and Oyugis. Of these, 363 responses were completed and analyzed, yielding a response rate of 9

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Kironji, K., W. Tenambergen, and E. Mwangi. "Effects of Perceived Image of NHIF Outpatient Facilities on Utilization of Primary Care Services by Private University Employees in Nairobi County." International Journal of Professional Practice 7, no. 1 (2019): 34–45. https://doi.org/10.71274/ijpp.v7i1.26.

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NHIF is a mandatory health insurance fund in Kenya covering public and private formal sector workers where members are entitled to all primary health services on selecting preferred facilities from a list of providers.Some members have their monthly contributions remitted to NHIF by their employer yet do not utilize primary care services.This study sought to determine effects of perceived image of NHIF outpatient facilities on utilization of primary care services by the national formal scheme members in Nairobi while focusing on Private University employees.This study adopted a cross-sectional

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Elhadi, Yasir Ahmed Mohammed, Abdelmuniem Ahmed, Ramy Mohamed Ghazy, et al. "Healthcare Utilization with Drug Acquisition and Expenses at the National Health Insurance Fund in Sudan." Healthcare 10, no. 4 (2022): 630. http://dx.doi.org/10.3390/healthcare10040630.

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Background: Understanding the pattern of care use can provide valuable information for reform interventions. This study investigates the pattern of healthcare utilization and its association with drug acquisition patterns and expenses in the National Health Insurance Fund (NHIF) of Al Jazira State in Sudan. Methods: A cross-sectional survey was conducted at NHIF primary healthcare centers of Al Jazirah state in Sudan. Results: A total of 768 beneficiaries were interviewed, of which 63.2% reported using out-of-network physician care, while 36.8% receive care from the NHIF physician network only

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Okumu, Mary, Luketero S. Wanyonyi, and Kikete D. Wabuya. "Uptake of health insurance by the informal sector workers at Kenyatta market, Kibra sub-county, Nairobi County, Kenya." Asian Journal of Social Sciences and Management Studies 11, no. 3 (2024): 59–68. http://dx.doi.org/10.20448/ajssms.v11i3.5798.

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The uptake rate of health insurance in many countries is quite low, particularly in Africa and East Asia. In Kenya, the National Health Insurance has been lowly taken up by employees involved in the informal economy, this has been credited to a host of factors. This paper assessed the influence of education level, income level, marital status, and religious affiliations on the rate at which the National Health Insurance is taken up by informal sector employees in Kenyatta market. The theories of Maslow hierarchy of needs and Planned behaviour were anchors for the study. Descriptive research de

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Naibu, Ramadhan Said, and Willy Maliganya. "Effects of the National Health Insurance Fund on the Wellbeing of Elderly Populations in Tanzania." African Journal of Empirical Research 5, no. 4 (2024): 1736–53. https://doi.org/10.51867/ajernet.5.4.146.

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Ageing has been considered as an important policy issue worldwide because of the large proportion of elderly people. Despite efforts to improve access to healthcare and social services, the elderly in Tanzania still face challenges such as limited access to quality healthcare. Despite efforts to improve access to healthcare and social services, little is known on the extent to which elderly people have been accessing health services for enhancing social protection in Tanzania. The effectiveness of NHIF in promoting social protection among elderly individuals in Tanzania, especially in Kinondon

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Mbaabu, Silas Muguna, Tarsila Kibaara, and Paul Maku Gichohi. "Effectiveness of NHIF in addressing Students’ Healthcare in Public Secondary Schools in Meru County, Kenya." International Journal of Professional Practice 9, no. 2 (2021): 18–31. https://doi.org/10.71274/ijpp.v9i2.92.

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The Government of Kenya has invested in a unique NHIF program, namely EduAfya, for public secondary schools. Although EduAfya is relatively new, it has faced implementation challenges attributable to the weak structures and mechanisms for supporting its operationalization. This study aimed to assess the NHIF as a health service provision model in public secondary schools in Meru County, Kenya. The specific objective was to examine the efficacy of NHIF as an approach for addressing healthcare in public secondary schools in Meru County. The study was guided by Andersen's model of health service

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Kapungu, Imani, Emmanuel Evarest, Nyimvua Shaban, and Andongwisye J. Mwakisisile. "Modelling and Forecasting Claim Payments of Tanzania National Health Insurance Fund." Tanzania Journal of Science 49, no. 4 (2023): 911–20. http://dx.doi.org/10.4314/tjs.v49i4.12.

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The expenses of medical services are increasing across the globe. As a result, pressure is placed on government and insurance companies’ budgets. The amounts of money collected are not enough to cover the claim payments. Therefore, it threatens the sustainability of the health insurance companies due to the mismatch of income and expenditures. This study aimed to model and forecast claim payments for the national health insurance fund (NHIF) in Tanzania. The claim payment data for the period of 2001–2021 from NHIF were used in building the ARIMA model. It was proven that ARIMA (0, 2, 2) is the

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KIBET, KETER PHILIP, and ABDINASIR JELLE. "FINANCIAL IMPLICATIONS OF MOTIVATION ON EMPLOYEE PERFORMANCE IN THE PUBLIC SERVICE: A CASE STUDY OF NATIONAL HOSPITAL INSURANCE FUND." International Journal of Applied Science and Research 07, no. 02 (2024): 64–94. http://dx.doi.org/10.56293/ijasr.2024.5808.

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The Salaries and Remuneration Commission's continuous review of state and public officers' salaries, aimed at enhancing morale and productivity, has not translated into improved public service delivery, as evidenced by public dissatisfaction with diminishing service quality and a declining number of public servants. This study investigates the impact of motivation on employee performance in the public service, using the National Hospital Insurance Fund (NHIF) as a case study. Specific objectives include assessing the effects of compensation, career development opportunities, retirement benefit

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Ndwiga, Hellen Wawira, Dennis Muriithi, and Daniel Mwangi. "Time Series Modeling of National Hospital Insurance Fund Coverage in Kenya." European Journal of Mathematics and Statistics 5, no. 6 (2024): 16–24. https://doi.org/10.24018/ejmath.2024.5.6.382.

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National Hospital Insurance Fund (NHIF) is a state-owned organization that was established in 1966 with the goal of providing Kenyans with social health insurance that is easily accessible, affordable, long-lasting, and of high quality. Only 24% of Kenyans have access to NHIF, this may affect the implementation and outcome of Universal Health Coverage (UHC). NHIF mandate can only be achieved if the whole population is under an insurance health cover. Understanding patterns, trends and forecasting of NHIF population Coverage using time series analysis would help in policy formulation and planni

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Fulla, Ritha, Namanya Basinda, Theckla Tupa, et al. "Patterns and Mitigation Strategies for Rejected Claims Among Health Facilities Providing Services for the National Health Insurance Fund in Mwanza, Tanzania." Healthcare 13, no. 3 (2025): 320. https://doi.org/10.3390/healthcare13030320.

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Background: Rejected medical claims pose a significant challenge for healthcare facilities accredited by Tanzania’s National Health Insurance Fund (NHIF). Despite the NHIF’s role in reducing out-of-pocket costs, claim rejections have been a persistent issue, largely due to documentation errors, coding mistakes, and non-compliance with NHIF regulations. This study determined the patterns of rejected claims and the strategies employed by NHIF-accredited hospitals to mitigate these challenges. Methodology: This cross-sectional study was conducted between July and August 2024 and used quantitative

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Lasfargues, Gérard, Pascal Jacquetin, Nathalie Vongmany, Claire Chauvet, and Quentin Durand-Moreau. "O5E.1 Data on acknowledgment and costs of work-related mental diseases in france." Occupational and Environmental Medicine 76, Suppl 1 (2019): A49.1—A49. http://dx.doi.org/10.1136/oem-2019-epi.132.

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ObjectiveTo report data concerning the reality of work-related mental diseases (WRMD) in France, their acknowledgment as occupational diseases and some socio-economic data.MethodsData were collected from the French National Health Insurance Fund (NHIF) and from the database of the French national occupational surveillance and prevention network (rnv3p). Rnv3p collects data from French Occupational Disease Centers to identify and describe risks and/or emerging work-related diseases.ResultsData from NHIF indicate that the number of requests for acknowledgment of WRMD has increased significantly

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Dr. Lucy Njiru, Mureithi Reginah Wanjira;. "Influence of Psychological Demands on Job Satisfaction among the Employees of the National Hospital Insurance Fund in Kenya." Editon Consortium Journal of Psychology, Guidance, and Counseling 2, no. 1 (2020): 149–58. http://dx.doi.org/10.51317/ecjpgc.v2i1.141.

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The purpose of this study was to assess the influence of psychosocial demands factors on job satisfaction among employees at the National Hospital Insurance Fund (NHIF) in Kenya. Psychological demands refer to job aspects that are physical, social, or organizational that required for physical and psychological effort to be sustained. A descriptive research design was adopted and all the 1918 employees at NHIF were targeted for this study. A stratified random sampling technique was used to obtain 330 respondents from the study population. To collect primary data on psychological demand, the stu

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Gimose, Alice, Job Mapesa, and Eunice Nyavanga. "Effects of Socio-economic Status on Uptake of National Hospital Insurance Fund among Motorcycle Riders (Bodaboda) in Vihiga County, Kenya." International Journal of Professional Practice 11, no. 6 (2023): 63–72. https://doi.org/10.71274/ijpp.v11i6.216.

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Not much is known about the extent to which bodaboda riders in Kenya contribute to the National Hospital Insurance Fund (NHIF) through out-of-pocket payments. Bodabodas address mobility needs, create employment opportunities for youth and supplement household income within the informal sector. Access to healthcare services is influenced by various factors including demographics, socio-economic status, and overall health. Disparities in healthcare financing across different socio-economic groups in Kenya have been an ongoing topic of discussion. This study aimed to investigate whether socio-eco

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Ochodo, Grace K. A., Margaret Oloko, and John Yabs. "Role of Focus Strategy in Performance of NHIF Accredited Hospitals in Kenya." International Journal of Business and Management 15, no. 8 (2020): 16. http://dx.doi.org/10.5539/ijbm.v15n8p16.

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The mandate of the National Hospital Insurance Fund (NHIF) is to enable all Kenyans to access quality and affordable services. Consequently, NHIF accredited hospitals are positioned to facilitate the fulfilment of the said mandate, necessitating identification of competitive strategies employed by the hospitals for them to remain competitive. This study aimed at establishing the role of focus strategy on the performance of NHIF accredited hospitals within Kenya. A mixed research design was adopted based on non-experimental, descriptive and causal approaches taking into account both qualitative

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Josephine, John, Mseti Samwel, and T. Ngonzi Tibuhinda. "THE EFFECT OF SERVICE QUALITY ON HEALTH SECTOR CUSTOMER LOYALTY A CASE OF NHIF-CERTIFIED HEALTH FACILITIES IN MWANZA CITY, TANZANIA." ISIR Journal of Business and Management Studies (ISIRJBMS) 1, no. 3 (2024): 54–69. https://doi.org/10.5281/zenodo.14332914.

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<em>The paper highlights a significant concern regarding the relationship between service quality and customer loyalty in health insurance facilities in Mwanza City. By understanding the impact of service quality dimensions on customer loyalty, this research aims to provide insights for healthcare providers to enhance patient satisfaction and retention. The primary objective of the research was to examine how various dimensions of service quality impact customer loyalty towards NHIF services. The examination focused on five key aspects of service quality: reliability, assurance, tangibility, r

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Kenneth Saikwo Sisimwo, Kezia Muthoni Njoroge, Musa Oluoch Ong’ombe, and Duncan Ndombi Shikuku. "Willingness to renew national hospital insurance fund among voluntary scheme members in Kajiado County-Kenya." International Journal of Science and Research Archive 7, no. 1 (2022): 443–55. http://dx.doi.org/10.30574/ijsra.2022.7.1.0187.

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Objective: This study established determinants for readiness to renew the NHIF (national hospital Insurance fund) among informal sector national scheme members in Kenya for universal health coverage (UHC). Methods: This was a cross sectional survey on 394 purposively sampled national health insurance members in Kajiado County. Data was collected through questionnaires rated on a 5-point Likert scale. Binary logistic regression was used to establish the significant determinants associated with the willingness to renew the insurance covers. P-values of less than 0.05 were considered statisticall

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Dida, Guyo Galgalo, and Robert O. Buba. "Analysis of Process Re-engineering on Organizational Performance of NHIF in Northern Region, Kenya." Asian Journal of Economics, Business and Accounting 23, no. 15 (2023): 19–30. http://dx.doi.org/10.9734/ajeba/2023/v23i151012.

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Companies across the world are turning to strategic innovation as a reaction to the growing volatility and complexity of the business environment they are facing. The primary goal of this research is to determine the impact of process reengineering on the organizational performance of the National Health Insurance Fund (NHIF) in chosen counties in Kenya's northern region. Knowledge-based theory served as the theoretical foundations for this investigation. For the purpose of collecting data, a descriptive survey research design was used, which included the utilization of both primary and second

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Simeonova, Joana I., Snejanka T. Tisheva-Gospodinova, Yoana M. Todorova, Petkana A. Hristova, Asia N. Yanakieva, and Martin I. Hristov. "Measurement and Comparison of Costs of Hypertensive Patients Aged 40-89 Years Treated with Lisinopril and Perindopril." Journal of Biomedical and Clinical Research 10, no. 2 (2017): 111–18. http://dx.doi.org/10.1515/jbcr-2017-0018.

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Summary A cross-sectional study was carried out in 2016 in the research project No 4/2016. We selected 98 patients aged 40-89 and diagnosed with hypertension. The patients were admitted to Cardiology Clinic One of the University Hospital in Pleven. The study aimed to measure and compare direct and indirect costs of hypertensive patients aged 40-89 years, who were treated with lisinopril and perindopril. We estimated the total and average costs of 50 (51.0%) patients treated with lisinopril and 48 (49.0%) treated with perindopril. Males were 46.4%, and the mean age of the sample was 65.9.0±11.2

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Nungo, Susan, Jonathan Filippon, and Giuliano Russo. "Social Health Insurance for Universal Health Coverage in Low and Middle-Income Countries (LMICs): a retrospective policy analysis of attainments, setbacks and equity implications of Kenya’s social health insurance model." BMJ Open 14, no. 12 (2024): e085903. https://doi.org/10.1136/bmjopen-2024-085903.

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ObjectivesTo analyse the potential of the Social Health Insurance (SHI) model to support the achievement of Universal Health Coverage (UHC) in Low and Middle-Income Countries (LMICs) through a policy analysis case study of Kenya’s National Health Insurance Fund (NHIF).DesignWe used an adaptation of the policy triangle framework to perform a retrospective policy analysis of Kenya’s NHIF, drawing from semistructured interviews and analysis of published documents and grey literature.SettingWe focused on Kenya’s NHIF as a case study.ParticipantsWe conducted 21 interviews with key stakeholders incl

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Atanasijevic, Dragana, and Vladimir Zah. "HEALTH TECHNOLOGY ASSESSMENT IN SERBIA." International Journal of Technology Assessment in Health Care 33, no. 3 (2017): 384–89. http://dx.doi.org/10.1017/s0266462317000538.

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Objectives: This study provides an overview of the Republic of Serbia healthcare system and describes the process of developing and conducting health technology assessment (HTA).Methods: The authors performed pragmatic, nonsystematic literature review based on available statistical data, legislation, and studies.Results: Healthcare law creates conditions that allow implementation of the principle “value for money.” The institutions directly vested in the implementation of HTA are the National Health Insurance Fund (NHIF) and the Ministry of Health (MoH). There are some reflections of the effor

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Abdi, Ahmed Nunow, and Reuben Njuguna. "Employee Empowerment and Service Delivery in the National Hospital Insurance Fund in Wajir County, Kenya." International Journal of Business Management, Entrepreneurship and Innovation 2, no. 2 (2020): 98–104. http://dx.doi.org/10.35942/jbmed.v2i2.120.

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National Hospital insurance fund has faced so many challenges regarding customer satisfaction and service delivery. Majority of the National Hospital Insurance Fund accredited facilities in Wajir County have failed to satisfy the customers or members. The problem has escalated to Mashaalah nursing home and even to Jeddah nursing home which are situated in Wajir County. Therefore the aim of this study was to investigate the effect of employee empowerment on service delivery in national hospital insurance fund Wajir County, Kenya. The study was guided by quality improvement theory. Descriptive r

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Victor, Charles, and Angela Mathias Kavishe. "The Challenges Faced by Trade Unions in Improving Employee Welfare and Strategies to Address Them: A Case of the Tanzania Union of Government and Health Employees (TUGHE) at the National Health Insurance Fund (NHIF)." African Journal of Empirical Research 6, no. 1 (2025): 189–200. https://doi.org/10.51867/ajernet.6.1.18.

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This study explored the challenges trade unions face in improving employee welfare and strategies to curb them drawing from the functions of the Tanzania Union of Government and Health Employees (TUGHE) in the National Health Insurance Fund (NHIF). The study used the Scarcity Consciousness Theory which advocates that individuals' or groups’ perception of the insufficiency of resources influences their decision making. The study employed a case study design and specifically the qualitative approach. The targeted population was the National Health Insurance Fund (NHIF) employees at Dodoma Munici

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Ghazizadeh-Ahsaee, Mahdi. "Accurate NHIF Locator Utilizing Two-End Unsynchronized Measurements." IEEE Transactions on Power Delivery 28, no. 1 (2013): 419–26. http://dx.doi.org/10.1109/tpwrd.2012.2215889.

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Kemboi Yego, Nelson, Juma Kasozi, and Joseph Nkurunzinza. "Optimizing Pension Participation in Kenya through Predictive Modeling: A Comparative Analysis of Tree-Based Machine Learning Algorithms and Logistic Regression Classifier." Risks 11, no. 4 (2023): 77. http://dx.doi.org/10.3390/risks11040077.

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Pension plans play a vital role in the economy by impacting savings, consumption, and investment allocation. Despite declining mortality rates and increasing life expectancy, pension enrollment remains low, affecting the long-term financial stability and well-being of populations. To address this issue, this study was conducted to explore the potential of predictive modeling techniques in improving pension participation. The study utilized three tree-based machine learning algorithms and a logistic regression classifier to analyze data from a nationally representative 2019 Kenya FinAccess Hous

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Munene, Vincent, and Jenifer Muriuki. "Influence of Strategic Management Practices on Performance of National Health Insurance Fund, Kenya." International Journal of Business Management, Entrepreneurship and Innovation 6, no. 2 (2024): 99–120. http://dx.doi.org/10.35942/7pdqyn82.

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Strategic management remains crucial for organizations, regardless of their size, as it defines their success in navigating the external environment while optimizing internal resources. This study addressed a contextual problem where the National Health Insurance Fund (NHIF) in Kenya struggles to fully achieve its performance objectives despite implementing strategic management practices. The research identified a gap in understanding how specific dimensions of strategic management practices—strategic intent, formulation, implementation, and control of strategy—affect NHIF's performance. Finan

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Papp, Zsombor Mátyás, László Szakács, Shayan-Salehi Hajivandi, et al. "Impact of a Targeted Project for Shortening of Imaging Diagnostic Waiting Time in Patients with Suspected Oncological Diseases in Hungary." Medicina 59, no. 1 (2023): 153. http://dx.doi.org/10.3390/medicina59010153.

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Background and Objectives: Medical imaging is a key element in the clinical workup of patients with suspected oncological disease. In Hungary, due to the high number of patients, waiting lists for Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) were created some years ago. The Municipality of Budapest and Semmelweis University signed a cooperation agreement with an extra budget in 2020 (HBP: Healthy Budapest Program) to reduce the waiting lists for these patients. The aim of our study was to analyze the impact of the first experiences with the HBP. Material and Methods: The study

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Okech, Timothy Chrispinus, and Steve Ltumbesi Lelegwe. "Analysis of Universal Health Coverage and Equity on Health Care in Kenya." Global Journal of Health Science 8, no. 7 (2015): 218. http://dx.doi.org/10.5539/gjhs.v8n7p218.

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<p>Kenya has made progress towards universal health coverage as evidenced in the various policy initiatives and reforms that have been implemented in the country since independence. The purpose of this analysis was to critically review the various initiatives that the government of Kenya has over the years initiated towards the realization of Universal Health Care (UHC) and how this has impacted on health equity. The paper relied heavly on secondary sources of information although primary data data was collected. Whereas secondary data was largely collected through critical review of pol

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Nyakundi, Jane Bitutu, Shadrack Yonge, Samuel Kiiru, and Peter Gichangi. "Factors influencing contraceptive uptake among women of reproductive age in Kenya." Gates Open Research 8 (August 19, 2024): 32. http://dx.doi.org/10.12688/gatesopenres.15283.2.

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Background Modern Contraceptive Methods (MCM) use is among the interventions preventing unplanned pregnancies and unsafe abortions globally. Nevertheless, MCM uptake is still low. We aimed at determining factors influencing contraceptive uptake among women of reproductive age 15 to 49 years, in Kenya. Methods We used secondary data collected by Performance Monitoring for Action (PMA). PMA used cross sectional multi-stage cluster survey design and collected the data between November and December 2019. The study was approved by NACOSTI/202974 and KNERC KNH/ERC/R/192. Results The study obtained a

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Nyakundi, Jane Bitutu, Shadrack Yonge, Samuel Kiiru, and Peter Gichangi. "Factors influencing contraceptive uptake among women of reproductive age in Kenya." Gates Open Research 8 (April 24, 2024): 32. http://dx.doi.org/10.12688/gatesopenres.15283.1.

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Background Modern Contraceptive Methods (MCM) use is among the interventions preventing unplanned pregnancies and unsafe abortions globally. Nevertheless, MCM uptake is still low. We aimed at determining factors influencing contraceptive uptake among women of reproductive age 15 to 49 years, in Kenya. Methods We used secondary data collected by Performance, monitoring for Action (PMA). PMA used cross sectional multi-stage cluster survey design and collected the data between November and December 2019. The study was approved by NACOSTI/202974 and KNERC KNH/ERC/R/192. Results The study obtained

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Kilonzi, Manase, Hamu Mlyuka, Agnes Jonathan, et al. "Promoting access of hydroxyurea to sickle cell disease individuals: Time to make it an essential medicine." F1000Research 11 (May 20, 2022): 554. http://dx.doi.org/10.12688/f1000research.111300.1.

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Hydroxyurea (HU) alone has the potential to prevent one out of every three deaths due to sickle cell disease (SCD) and almost all forms of disabilities caused by SCD. However, in Tanzania, only one out of every six registered SCD patients in the SPARCO-Tanzania Sickle Cell Cohort use HU. We conducted studies to understand factors influencing utilization of HU in Tanzania and discovered that among the reason for low utilization of HU include HU is classified as anticancer medication, only hematologists are supposed to prescribe HU, limited HU prescription to only National and Specialized hospit

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Kiyoya, Yohana Andeshi. "Assessing Beneficiaries’ Healthcare Satisfaction under National Health Insurance in Dar es Salaam Region, Tanzania." Policy & Governance Review 3, no. 2 (2019): 91. http://dx.doi.org/10.30589/pgr.v3i2.128.

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This research is based on an empirical study of NHIF beneficiaries on the quality of healthcare received under the scheme. It investigates the extent of healthcare satisfaction as perceived by principal beneficiaries on various factors influencing healthcare, and examined challenges facing the scheme as per beneficiaries’ opinion. This research used survey method for data collection. The analysis is done using primary data from the questionnaire, which were distributed to 152 NHIF beneficiaries (employee) at the National Identification Authority (NIDA) in October 2018. Data collection instrume

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Mwakinyali, Fransisca, Ruthbetha Kateule, and Mahadia Tunga. "Forecasting Pediatric Medical Expenses using Machine Learning: A Case Study of the Toto Afya Card in Tanzania." Journal of ICT Systems 2, no. 2 (2024): 55–66. https://doi.org/10.56279/jicts.v2i2.111.

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In Tanzania, the discontinuation of the "Toto Afya" insurance package in March 2023 highlighted the challenges of managing escalating medical costs and ensuring the sustainability of child health insurance schemes. This research aimed to predict children's medical expenses using machine learning (ML) algorithms to aid the National Health Insurance Fund (NHIF) in effective cost management. Data from 1,212 registered children, comprising 7 variables, was used to train and test four ML models: linear regression, random forest, XGBoost, and CatBoost. CatBoost emerged as the best-performing model w

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Chakuleska, Lidija, Rumyana Simeonova, and Nikolay Danchev. "Pharmacotherapy costs and medicines reimbursement policies of osteoporosis in the Republic of Bulgaria and Republic of North Macedonia." Pharmacia 67, no. 4 (2020): 199–207. http://dx.doi.org/10.3897/pharmacia.67.e55835.

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The aim of the present study was to analyze and compare the number of health insured persons suffering from osteoporosis and antiosteoporotic drugs reimbursed by the National Health Insurance Funds (NHIF) in the Republic of Bulgaria (RBG) and Republic of North Macedonia (RNM) for the period 2015–2018. The reimbursement cost paid by the NHIF for the same period in both countries was surveyed. The results show an increase in both the number of patients with osteoporosis and the cost of the treatment. The most prescribed drug in R. Bulgaria is denosumab and it has the highest costs respectively,

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Chakuleska, Lidija, Rumyana Simeonova, and Nikolay Danchev. "Pharmacotherapy costs and medicines reimbursement policies of osteoporosis in the Republic of Bulgaria and Republic of North Macedonia." Pharmacia 67, no. (4) (2020): 199–207. https://doi.org/10.3897/pharmacia.67.e55835.

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The aim of the present study was to analyze and compare the number of health insured persons suffering from osteoporosis and antiosteoporotic drugs reimbursed by the National Health Insurance Funds (NHIF) in the Republic of Bulgaria (RBG) and Republic of North Macedonia (RNM) for the period 2015–2018. The reimbursement cost paid by the NHIF for the same period in both countries was surveyed. The results show an increase in both the number of patients with osteoporosis and the cost of the treatment. The most prescribed drug in R. Bulgaria is denosumab and it has the highest costs respectively,

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Wabende, Lucy Najala, Manisha Bhatia, Stephen Kiptoo, et al. "The Cost Implication of Trastuzumab in Patients With HER2-Positive Breast Cancer at Moi Teaching and Referal Hospital, Eldoret, Kenya." JCO Global Oncology 8, Supplement_1 (2022): 48. http://dx.doi.org/10.1200/go.22.54000.

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PURPOSE A year course of trastuzumab revolutionized treatment for human epidermal growth factor receptor (HER2)-positive breast cancer by increasing survival rates. However, trastuzumab treatment is cost-prohibitive, and data on abbreviated courses is lacking in advanced disease. At Moi Teaching and Referral Hospital (MTRH), one of two national referral hospitals in Kenya, HER2-positive breast cancer accounts for 20% and 95% of patients present with Stage III/IV disease. The national health insurance fund (NHIF) covers four of the recommended 18 cycles. In this study, we aimed to understand va

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Abdille, Ahmednoor, and Paul Waithaka. "Innovation and Realization of Universal Health Care Coverage in Kenya: A Case of National Hospital Insurance Fund." International Journal of Business Strategies 8, no. 1 (2023): 62–78. http://dx.doi.org/10.47672/ijbs.1522.

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Purpose: The National Hospital Insurance Fund (NHIF) plays a role of health financing which is a key pillar of universal health care coverage in Kenya. However, as of 2014, the Universal Health Care (UHC) index in Kenya was at [52%] compared to [55.0%] in 2019, which represent a mere improvement in access to health by [3%] in a span of 6 years. Thus, a lot has to be done in ensuring that everybody has access to affordable and quality health care services. Although innovation is an important construct, there is scanty of literature and evidence to link it with realization of universal health ca

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Zlatanova, T., M. Djuglarska, N. A. Popov, et al. "Citizen Control in Primary Outpatient Care – Opportunities and Realities in Bulgaria." Acta Medica Bulgarica 50, no. 2 (2023): 49–59. http://dx.doi.org/10.2478/amb-2023-0019.

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Abstract The significance of control increases with the push towards improving the overall effectiveness of the health insurance system. In order for public resources to be spent lawfully and effectively, there needs to be increased control not only from the National Health Insurance Fund (NHIF), but citizen control also needs to be incorporated in the process. Materials and Methods The goal of this survey is to analyze the opportunities for implementing citizen control over the spending of public health funds and compare them to the real conditions as far as the outpatient medical care level.

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Tsvetkova, Antoaneta, and Silvia Mihaylova. "NEW APPROACHES IN THE TREATMENT OF TYPE 2 DIABETES - TRANSITION FROM GLUCOSE-CENTRED TO PATIENT-CENTRED MODEL." Journal of IMAB - Annual Proceeding (Scientific Papers) 27, no. 3 (2021): 3885–92. http://dx.doi.org/10.5272/jimab.2021273.3885.

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Objective: The high prevalence of Type 2 diabetes mellitus (T2D) all over the world cause a high demand of searching for new antidiabetic drugs. The present study aims to identify the consumption of three new classes of antidiabetic drugs (DPP-4 inhibitors, GLP-1 receptor agonists, and SGLT-2 inhibitors), analyzing the use of these drugs prescribed for the treatment of T2D. In this retrospective observational study, we analyzed consumption data for the period 2015–2020, obtained from National Health Insurance Fund (NHIF) database only. Results: The NHIF expenditure of DPP-4 inhibitors, GLP-1 r

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Loth, Gilliard, and Nansanga Godwin. "Customer Satisfaction on Health Service Delivery A Case of NHIF Temeke." Delhi Business Review 19, no. 1 (2018): 17–30. http://dx.doi.org/10.51768/dbr.v19i1.191201811.

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Kasabji, Feras, Alaa Alrajo, Ferenc Vincze, László Kőrösi, Róza Ádány, and János Sándor. "Self-Declared Roma Ethnicity and Health Insurance Expenditures: A Nationwide Cross-Sectional Investigation at the General Medical Practice Level in Hungary." International Journal of Environmental Research and Public Health 17, no. 23 (2020): 8998. http://dx.doi.org/10.3390/ijerph17238998.

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The inevitable rising costs of health care and the accompanying risk of increasing inequalities raise concerns. In order to make tailored policies and interventions that can reduce this risk, it is necessary to investigate whether vulnerable groups (such as Roma, the largest ethnic minority in Europe) are being left out of access to medical advances. Objectives: The study aimed to describe the association between general medical practice (GMP) level of average per capita expenditure of the National Health Insurance Fund (NHIF), and the proportion of Roma people receiving GMP in Hungary, contro

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Yousif Adam Hussien Noreldin and Ekram Adam Eldoom. "A Comparative study on the cost effectiveness of intervention of noncommunicable disease in south Darfur 2017." Magna Scientia Advanced Biology and Pharmacy 2, no. 1 (2021): 019–25. http://dx.doi.org/10.30574/msabp.2021.2.1.0012.

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Background: This study conducted to assess the cost effectiveness of common interventions used to control Noncommunicable diseases in south Darfur. Noncommunicable diseases are becoming an increasing public health concern due to their economic significance, and their great impact on the ability of affected individuals to contribute to their communities, and the high burden it represents on the health system. Objectives: To evaluate the role of health insurance fund in controlling Noncommunicable diseases. To assess cost effectiveness of the management of Noncommunicable disease within the Nati

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