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September 24, 2018

NHIF must cover family planning

NHIF building at Community. /FILE
NHIF building at Community. /FILE

Universal health coverage is one of the hottest topics in Kenya and the rest of the world, and for good reason.

Universal health coverage is about ensuring that people have access to the healthcare they need without suffering financial hardship.

This definition as provided by the World Health Organisation comes very close to what the 2010 Constitution says about the right to health. That every person has the right to the highest attainable standard of health, which includes the right to healthcare services, including reproductive healthcare.

It is not uncommon to hear of families being driven into poverty because a member fell ill. Medical appeals and fundraisers have become the norm rather than the exception.

The National Health Insurance Fund is one of the paths that Kenya can take towards achieving universal health coverage.

A common source of distress for many Kenyans is reproductive health, including lack of access to family planning services. A good pointer of this distress can be highlighted using two indicators — maternal deaths and unmet need for family planning.

Despite the progress we have made in reducing maternal deaths, Kenya still records an unacceptably high number of maternal deaths. An estimated 6,300 women die each year during pregnancy and childbirth.

A major contributing factor to maternal deaths is unplanned pregnancy.

Many Kenyan women are at risk of unplanned pregnancy. One in every five women ( 18 per cent) in a marriage or union — who want to postpone their next birth for two years or more, or not have any more children — are not using any method of contraception.

Access to family planning services, including access to contraceptives, can go a long way in reducing maternal injuries and deaths.

Unfortunately, the NHIF does not entirely cover members seeking family planning services, with access to contraceptives not included as part of the cover.

As it stands, couples seeking access to family planning services have enough social and cultural barriers to dodge without adding another. Financial considerations should not be an additional barrier.

Indeed, the government, in its commitment to the family planning 2020 process, identifies provision of contraceptives to the NHIF cover by 2020. Inclusion of all aspects of family planning in the NHIF cover will have high returns on investment.

Studies have established that family planning investments have tremendous return on investment in health and other development outcomes.

These studies have shown that when women and their partners have unlimited access to family planning services, the socioeconomic benefits accrue to their families, communities and the entire nation.

Access to family planning services improves women’s opportunities for education, paid work, and full participation in society.

Family planning investments have also been shown to lead to savings in the cost of healthcare services by reducing pregnancy-related injuries and deaths, while reducing the burden on public amenities such as health, water and sanitation, as well as education.

It is therefore important that we include the entire family planning services spectrum, including contraceptives, in the NHIF cover. Doing so will boost Kenya’s efforts towards universal health coverage.

Kibaru-Mbae is the director general, National Council for Population and Development [email protected]

Samba is the Kenya country director at Deutsche Stiftung Weltbevoelkerung (DSW), an international development agency evelyn. [email protected]

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