Costing resource gaps for the delivery of minimum essential health services package in the Coast Province, Kenya.
OBJECTIVE
The study aims to determine the resource gaps in the delivery of MEHSP at the district health system.


METHODS
Cross sectional survey.


METHODS
District health system, Coast Province, Kenya.


METHODS
A sample of 11 district health system facilities.


RESULTS
Resource gaps analysis shows that service provision is sensitive to dominant inputs (availability of buildings, equipment, personnel, drugs and non-pharmaceuticals) at all levels of care. Targeting of the resources in respect of the important inputs is poor at all levels as demonstrated by the wide range of excess and shortages of inputs. The mismatch may have adverse effects on both quantity and quality of services.


CONCLUSIONS
A deliberate policy for targeting of finances for the important inputs needs to be developed to ensure optimisation of their combinations for minimization of mismatch of resources.
Mugo
Mercy G
MG
University of Nairobi, School of Economics. mmugo@mail.uonbi.ac.ke
Wang'ombe
Joseph K
JK
D003365:Costs and Cost Analysis; D003430:Cross-Sectional Studies; D015276:Health Care Rationing; D019538:Health Care Surveys; D006295:Health Resources / Q000600:supply & distribution*; D006296:Health Services / Q000191:economics*; D006297:Health Services Accessibility; D054625:Healthcare Disparities / Q000191:economics*; D006801:Humans; D007630:Kenya; D008427:Maternal Health Services / Q000191:economics*