Kenya Output-Based Aid Voucher Program
Country of Operation
- Kenya National Coordinating Agency for Population and DevelopmentGovernment
- Ministry of Public Health and Sanitation, KenyaGovernment
- EPOS Health ManagementNot-for-profit
- University of California-Berkeley School of Public HealthNot-for-profit
SummaryThe Reproductive Health Output-Based Aid (OBA) voucher program is a performance-based reproductive health program that incentivizes access to women’s healthcare. The initial three main target areas of the program are safe motherhood, clinical family planning and gender violence recovery services.
The objectives of the OBA program are to offer quality reproductive health care services in five pilot sites for economically disadvantaged populations by means of a voucher system. The vouchers are sold at highly subsidized prices, providing a direct subsidy to the poorest people allowing them to access safe motherhood and family planning services ultimately increasing uptake of these services. The program aims to contribute to a reduction of both maternal and infant mortality rates.
Key program components
Three different vouchers are available:
The Safe Motherhood Voucher: entitles women to a variety of services from professional antenatal care, delivery services, and referral to hospitals when needed. Members of the target group have to pay Kshs. 200 (US $2.50) for a safe motherhood voucher. The costs it covers can amount to Kshs. 20,000 (US $200) and higher in case of complications.
The Family Planning Voucher: entitles clients to long term contraception methods including monitoring, referral and consultation. This voucher offers a range of family planning procedures such as intrauterine contraceptive devices (IUCD) and both male (vasectomy) and female (bilateral tubal ligation) voluntary contraceptive surgery. The voucher costs Kshs. 100 (~US $1) and buys up to Kshs 3,000 worth of services.
The Gender Violence Services Voucher: entitles victims to medical and surgical treatment as well as counseling. It is provided to clients free of charge.
To ensure accurate targeting of the poorest and economically most vulnerable, a participatory poverty-grading tool has been used in the project districts - developed with indicators specific to each district. Markers for poverty included housing, medical access, water source, rent, sanitation, income and number of meals taken per day. While many other voucher programs only work with the public or private sector, this program works with both allowing for greater competition and better service coverage. This ensures that government only reimburses the public facilities for specific service based on their service costs rather than on an input basis.
The program is currently in its second Phase (2009-2012) and is being implemented in rural and peri-urban districts in Kenya, representing a population of approximately three million. The initiative is co-funded by the German Development Bank (KfW) and the Kenyan government (US$ 9.55 million for Phase I, 2005-2009).
Additional Information * Watch Voucher Babies in Kenya - Output Based Aid
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