Health Financing Schemes in Informal Settlement in Nairobi County, Kenya

Erastus Thoronjo

Abstract: Community-based health financing (CBHF) aims to empower communities to meet their health financing needs through pooling of resources to pay for healthcare as a group. CBHF schemes share the goal of finding ways for communities to meet their health financing needs through pooled revenue collection and resource allocation decisions made by the community. The purpose of this study is to evaluate entrepreneurial sustainability and performance of community based health financing schemes in informal settlement in Nairobi city county, Kenya. The specific objectives of this study was, To establish policy guideline for sustainable performance of CBHFs, to determine how innovative practices influence sustainability and performance of Community Based Health Financing schemes in informal settlement in Nairobi County, to evaluate how dimensions of creativity and proactiveness influence sustainability of Community Based Health Financing schemes at in informal settlement in Nairobi County, to examine how innovations by Community Based Health Financing Schemes of Kibera informal settlement in Nairobi County influence their sustainability and continued performance. The study shows that innovative practices, dimensions of creativity and proactiveness, and innovations by Community Based Health Financing Schemes influence sustainability and performance of Community Based Health Financing schemes. It is evident that creativity, proactiveness and innovation enhances performance of CBHFs, however it was identified that there exists a gap for sustainable CBHFs. The study failed to identify effective and sustainable framework among the government and non government organisations. The study identified non effective and unclear guidelines into effective management and control of CBHFs and their future sustainability. The study therefore recommends that the government should formulate policy documents that should guild and sustain growth and development of CBHFs. Accordingly as innovative practices, creativity and proactiveness by Community Based Health Financing Schemes is enhances, its recommended that unclear and unsound sustainable

strategies should harmonised to endure future growth and sustainability CBHFs.

Key words: entrepreneurship; sustainability; community based health financing schemes

JEL codes: A10