Health Situation Reports

 African countries are recording economic growth rates of around 5 to 6% per annum – on par with the rest of the
world1 – and policy improvements have brought greater stability to many countries. These positive trends in
economic growth and stability are good news for efforts to reduce poverty and improve health in Africa.

However, sub-Saharan Africa still faces a grim scenario with respect to the health of its people. The region – home
to 12 percent of the world’s population – accounts for 22 percent of the total global disease burden and more than
68 percent of the people living with HIV/AIDS2.

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 Kenya has over the years taken important steps aimed at laying a firm foundation to overcome the development 
obstacles and improve socio-economic status of her citizens including health. 

The development of Kenya Health Policy Framework (KHPF 1994-2010), launching of Vision 2030,enactment of the
Constitution 2010, and fast tracking of actions to achieve the Millennium Development Goals (MDGs)by 2015 are
some of the steps.

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National Health Accounts (NHA) is a process of monitoring the flow of resources in a country’s health sector. 

The NHA describes the sources, uses, and channels for all funds used in the production and consumption of healthcare
goods and service. Expenditures towards the production of healthcare are explored, along with the main funders in a
health system. These are primarily the public sector (government), development partners,and the private sector
(employers and households).

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About 940 billion is required to cover the national need for pharmaceuticals, health supplies and commodities annually. 

Of this, 65.5% would be spent at community and district level As result we see, HIV/AIDS drugs and commodities take
up significant proportion (23%) of the total costs of pharmaceuticals, as does malaria drugs and related commodities
which altogether take up 22% of total costs.

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 NHA is an internationally accepted methodology used to determine a nation’s total health expenditure patterns, including

public, private, and donor spending. NHA methodology tracks the flow of health funds from a specific source
(where the money comes from), to its specific intermediary (who manages the money, who makes allocation decisions),
to its specific end use (services provided).

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 This document provides a preliminary assessment of aspects of the Ugandan health system relative to the goal of universal

health coverage, with a particular focus on the financing system. In the 2010 World Health Report, universal health
coverage is defined as providing everyone in a country with financial protection from the costs of using health care and
ensuring access to the health services they need (World Health Organisation 2010)

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Life expectancy at birth in Kenya has improved from a low of 45.2 years in the 1990s to an estimated 60 years by 2012.
There are indications of on-going improvements in the health status for infants and under 5s. According to latest figure,
infant and under-5 mortality improved from 77 and 115 in the 1990s to 48 and 73 per 1000 live births respectively in 2012.

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