Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission
Background:Kenya has implemented a robust response to non-communicable diseases and injuries (NCDIs); however, key gaps in health services for NCDIs still exist in the attainment of Universal Health Coverage (UHC). The Kenya Non-Communicable Diseases and Injury (NCDI) Poverty Commission was establis...
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Ubiquity Press
2021
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oai:doaj.org-article:0b5fe8f8e1a242ef819d55226fde157a2021-12-02T13:31:37ZReframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission2214-999610.5334/aogh.3085https://doaj.org/article/0b5fe8f8e1a242ef819d55226fde157a2021-01-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3085https://doaj.org/toc/2214-9996Background:Kenya has implemented a robust response to non-communicable diseases and injuries (NCDIs); however, key gaps in health services for NCDIs still exist in the attainment of Universal Health Coverage (UHC). The Kenya Non-Communicable Diseases and Injury (NCDI) Poverty Commission was established to estimate the burden of NCDIs, determine the availability and coverage of health services, prioritize an expanded set of NCDI conditions, and propose cost-effective and equity-promoting interventions to avert the health and economic consequences of NCDIs in Kenya. Methods:Burden of NCDIs in Kenya was determined using desk review of published literature, estimates from the Global Burden of Disease Study, and secondary analysis of local health surveillance data. Secondary analysis of nationally representative surveys was conducted to estimate current availability and coverage of services by socioeconomic status. The Commission then conducted a structured priority setting process to determine priority NCDI conditions and health sector interventions based on published evidence. Findings:There is a large and diverse burden of NCDIs in Kenya, with the majority of disability-adjusted life-years occurring before age of 40. The poorest wealth quintiles experience a substantially higher deaths rate from NCDIs, lower coverage of diagnosis and treatment for NCDIs, and lower availability of NCDI-related health services. The Commission prioritized 14 NCDIs and selected 34 accompanying interventions for recommendation to achieve UHC. These interventions were estimated to cost $11.76 USD per capita annually, which represents 15% of current total health expenditure. This investment could potentially avert 9,322 premature deaths per year by 2030. Conclusions and Recommendations:An expanded set of priority NCDI conditions and health sector interventions are required in Kenya to achieve UHC, particularly for disadvantaged socioeconomic groups. We provided recommendations for integration of services within existing health services platforms and financing mechanisms and coordination of whole-of-government approaches for the prevention and treatment of NCDIs.Kibachio MwangiGladwell GathechaMary NyamongoSylvester KimaiyoJemima KamanoFredrick BukachiFrank OdhiamboHellen MemeHussein AbubakarNelson MwangiJoyce NatoSamuel OtiCatherine KyobutungiMarylene WamukoyaShukri F. MohamedEmma WanyonyiZipporah AliLoise NyanjauAnn NgangaDorcas KiptuiAlfred KaraguMary NyangasiValerian MwendaMartin MwangiAaron MulakiDaniel MwaiPaul WaweruMamka AnyonaPeninah MasiboDavid BeranIdris GuessousMatt CoatesGene BukhmanNeil GuptaUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021) |
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DOAJ |
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DOAJ |
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EN |
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Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 |
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Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Kibachio Mwangi Gladwell Gathecha Mary Nyamongo Sylvester Kimaiyo Jemima Kamano Fredrick Bukachi Frank Odhiambo Hellen Meme Hussein Abubakar Nelson Mwangi Joyce Nato Samuel Oti Catherine Kyobutungi Marylene Wamukoya Shukri F. Mohamed Emma Wanyonyi Zipporah Ali Loise Nyanjau Ann Nganga Dorcas Kiptui Alfred Karagu Mary Nyangasi Valerian Mwenda Martin Mwangi Aaron Mulaki Daniel Mwai Paul Waweru Mamka Anyona Peninah Masibo David Beran Idris Guessous Matt Coates Gene Bukhman Neil Gupta Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| description |
Background:Kenya has implemented a robust response to non-communicable diseases and injuries (NCDIs); however, key gaps in health services for NCDIs still exist in the attainment of Universal Health Coverage (UHC). The Kenya Non-Communicable Diseases and Injury (NCDI) Poverty Commission was established to estimate the burden of NCDIs, determine the availability and coverage of health services, prioritize an expanded set of NCDI conditions, and propose cost-effective and equity-promoting interventions to avert the health and economic consequences of NCDIs in Kenya. Methods:Burden of NCDIs in Kenya was determined using desk review of published literature, estimates from the Global Burden of Disease Study, and secondary analysis of local health surveillance data. Secondary analysis of nationally representative surveys was conducted to estimate current availability and coverage of services by socioeconomic status. The Commission then conducted a structured priority setting process to determine priority NCDI conditions and health sector interventions based on published evidence. Findings:There is a large and diverse burden of NCDIs in Kenya, with the majority of disability-adjusted life-years occurring before age of 40. The poorest wealth quintiles experience a substantially higher deaths rate from NCDIs, lower coverage of diagnosis and treatment for NCDIs, and lower availability of NCDI-related health services. The Commission prioritized 14 NCDIs and selected 34 accompanying interventions for recommendation to achieve UHC. These interventions were estimated to cost $11.76 USD per capita annually, which represents 15% of current total health expenditure. This investment could potentially avert 9,322 premature deaths per year by 2030. Conclusions and Recommendations:An expanded set of priority NCDI conditions and health sector interventions are required in Kenya to achieve UHC, particularly for disadvantaged socioeconomic groups. We provided recommendations for integration of services within existing health services platforms and financing mechanisms and coordination of whole-of-government approaches for the prevention and treatment of NCDIs. |
| format |
article |
| author |
Kibachio Mwangi Gladwell Gathecha Mary Nyamongo Sylvester Kimaiyo Jemima Kamano Fredrick Bukachi Frank Odhiambo Hellen Meme Hussein Abubakar Nelson Mwangi Joyce Nato Samuel Oti Catherine Kyobutungi Marylene Wamukoya Shukri F. Mohamed Emma Wanyonyi Zipporah Ali Loise Nyanjau Ann Nganga Dorcas Kiptui Alfred Karagu Mary Nyangasi Valerian Mwenda Martin Mwangi Aaron Mulaki Daniel Mwai Paul Waweru Mamka Anyona Peninah Masibo David Beran Idris Guessous Matt Coates Gene Bukhman Neil Gupta |
| author_facet |
Kibachio Mwangi Gladwell Gathecha Mary Nyamongo Sylvester Kimaiyo Jemima Kamano Fredrick Bukachi Frank Odhiambo Hellen Meme Hussein Abubakar Nelson Mwangi Joyce Nato Samuel Oti Catherine Kyobutungi Marylene Wamukoya Shukri F. Mohamed Emma Wanyonyi Zipporah Ali Loise Nyanjau Ann Nganga Dorcas Kiptui Alfred Karagu Mary Nyangasi Valerian Mwenda Martin Mwangi Aaron Mulaki Daniel Mwai Paul Waweru Mamka Anyona Peninah Masibo David Beran Idris Guessous Matt Coates Gene Bukhman Neil Gupta |
| author_sort |
Kibachio Mwangi |
| title |
Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| title_short |
Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| title_full |
Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| title_fullStr |
Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| title_full_unstemmed |
Reframing Non-Communicable Diseases and Injuries for Equity in the Era of Universal Health Coverage: Findings and Recommendations from the Kenya NCDI Poverty Commission |
| title_sort |
reframing non-communicable diseases and injuries for equity in the era of universal health coverage: findings and recommendations from the kenya ncdi poverty commission |
| publisher |
Ubiquity Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/0b5fe8f8e1a242ef819d55226fde157a |
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