Kenya is making progress towards ensuring access to family planning services, an analysis by Deutsche Stiftung Weltbevölkerung (DSW) has shown.
The budget analysis conducted by Deutsche Stiftung Weltbevölkerung (DSW) examined the national budget and the budgets of 11 counties.
The county budget information analysed include those of Bungoma, West Pokot, Uasin Gishu, Trans Nzoia, Nandi, Nakuru, Laikipia, Nyandarua, Meru, Nairobi, Kilifi, Kwale and Mombasa.
DSW’s budget analysis: Continuing decades of progress in Kenya requires more Investment in family planning
Key findings:
Bungoma County has a projected family planning budget allocation of KES. 152.1 million (6.8% of the county health budget) in the current financial year (2017/18), up from the estimated allocation of KES. 123.6 million in 2016/2017. Read more…
Kilifi County’s projected family planning budget allocation is KES. 118.1 million (4.2% of health the county health budget) on family planning in the current financial year (2017/2018), up from the estimated allocation of KES. 92.3 million in 2016/17. Read more…
In Laikipia County, the projected family planning budget allocation for the 2017/18 financial year is KES. 73.9 million (3.2% of the county health budget) up from the estimated allocation of KES. 55.9 million in 2016/17. Read more…
Meru County’s projected family planning budget allocation in 2017/18 is KES. 184.3 million (5.8% of the county health budget) up from the estimated allocation of KES. 128.2 million in 2016/17. Read more…
In Mombasa County, the projected family planning budget allocation is KES. 111.9 million (3.6% of the county health budget) up from the estimated allocation of KES. 90.8 million in 2016/17. Read more…
Nakuru County has a projected family planning budget allocation of KES. 153.3 million (3.5% of the county health budget) up from the estimated allocation of KES. 137.2 million in 2016/17. Read more…
Nandi County has a projected family planning budget allocation of KES. 60.4 million (4% of the county’s health budget) up from the estimated budget of KES. 57.6 million in 2016/17. Read more…
Nyandarua County has a projected family planning budget allocation of KES. 70.8 million in 2017/18 (5.4% of the county health budget) up from the estimated KES. 53.4 million in 2016/17. Read more…
Trans Nzoia County has a projected family planning budget allocation of KES. 135.5 million (6.1% of the county health budget) in the current financial year (2017/2018), up from the estimated allocation of KES. 128 million in 2016/2017. Read more…
Uasin Gishu County has a projected family planning budget allocation of 104.1 million (5.6% of the county health budget) in the current financial year (2017/2018), up from the estimated allocation of KES. 82.8 million in 2016/2017. Read more…
West Pokot County has a projected family planning budget allocation of KES. 36.7 million (3.2% of the county health budget) in the current financial year (2017/2018), up from the estimated allocation of KES. 35.7 million million in 2016/2017. Read more…
Methodology
Family Planning allocation estimation was aimed at establishing how much counties allocate to family planning and the level of prioritization. The specific objectives was to determine the total allocations family planning in Financial Years (FY) 2015/16 to 2017/18.
From the eleven counties under this study, it was evident from the discussions with the respondents (Chief Officer for Health, The Director, Reproductive Health coordinator and other staff who were involved in budgeting) that there is no dedicated line item for family planning.
This indicates that it is difficult to establish how much counties are spending for family planning from the budgets allocated.
Further, as the counties move towards programme based budgeting, the three main programmes that have always been given precedence are general administrative and finance, curative services, and preventive and Promotive health services.
Within these programmes, counties have derived sub-programmes mainly based on the vertical programmes (in other words disease areas). Few counties have attempted to have reproductive, maternal, neo-natal, child and adolescent health (RMNCAH) as a sub-programme.
Due to the vastness of scope, for these sub-programmes one cannot succinctly and precisely pinpoint the allocations within this sub-program.
The estimation of budgetary allocation for family planning at the county level was undertaken using workload statistics since the was no dedicated budget line for family planning at the county level as seen in most financial records and from discussions with the county department of health management team (Budgetary team, Reproductive Health coordinator, Chief officer, planning officers).
The indirect allocation by County Governments was estimated per country based on workload statistics from DHIS and subjected to county allocation to health. For FY 2017/18, the service utilization statistics and thus the rates used were inputted based on the average change between the preceding period. Then the weights were used to derive possible allocations for family planning.
Budget advocacy for family planning investments
DSW works with partners to advocate for increased funding from national and sub-national governments in Kenya to address the unmet need for family planning.
Conducting budget analyses is one of the ways in which we generate evidence to support our advocacy work.
Through advocacy, we aim to mobilize more and better funds from key European donors (Germany and The European Union) as well as from East African governments (Kenya, Tanzania, Uganda) to support family planning. In Kenya, DSW is implementing the project in 11 counties: West Pokot, Kilifi, Laikipia, Meru, Mombasa, Nakuru, Nyandarua, Nandi, Bungoma, Trans Nzioia and Uasin Gishu.
