DSW’s partner counties in Kenya are estimated to have allocated between 2.6 percent and 4.9 percent of their total health budgets to family planning for the 2020/2021 fiscal year, a study by DSW shows.
The study, conducted in October 2020, also shows that three counties – Mombasa (KES. 20 million), Kilifi (KES. 7,802,099) and Laikipia (KES. 880, 000) had family planning budget lines in their annual budgets.
HOW WE DID THE BUDGET STUDY
From the eleven counties studied, it was evident that there was no dedicated line item for family planning in the majority of the counties except for Mombasa, Kilifi and Laikipia counties.
Whilst, counties have Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) as a sub-programme,it is impossible to pinpoint the allocations for family planning within this RMNCAH sub-program. The estimation of budgetary allocation at the county level was therefore undertaken using workload statistics with one inpatient case taken to be equivalent to 4 outpatient visits.
- The data collected derived workload statistics for: family planning services & all other services, staff time utilization family planning, and where relevant staff time utilisation for maternal and child health/family planning.
- All workloads were converted in outpatient visits equivalent: i.e. one inpatient-day or one bed-day was assumed to be equal to 4 outpatient visits
- All the bed-days encompassing inpatient and maternity services were converted into outpatient visits and added to all outpatients’ visits to obtain total workload equivalent.
- The family planning percentage was then obtained by dividing total family planning visits by total workload equivalent visits.
- This was done for every county for the period 2015/16, 2016/17 ,2017/18, 2018/19 and 2019/20.
- A trend analysis was determined, and an average growth was used to generate the proportions for FY 2020/21
- The proportions were then used to derive the allocations to FP services in each county using the percentage of family planning workload in total workload in the county.
- The county allocation to health multiplied by family planning percentage to get an estimate of County Government allocation to family planning in each of the financial years.
WHAT WE FOUND OUT
The County Government of Bungoma did not have a budget line for family planning in the 2020/2021 programme-based budget. However, indirect family planning allocation* by the County Government of Bungoma was estimated at KS. 86,296,028. Read more…
The County Government of Kilifi had a budget line for family planning for FY 2020/2021 with an allocation of KES. 7,802,099. Additionally, indirect family planning allocation by the Kilifi County Government was estimated at KES. 139,922,459. Read more…
The County Government of Laikipia had a budget planning for family planning for FY 2020/2021 with an allocation of KES. 880, 000, a decline from KES.1,350,000 in 2019/20. Additionally, there was an indirect family planning allocation by the County Government of Laikipia estimated at KES. 73,707,973. Read more…
The County Government of Meru did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation* by the County Government of Meru was estimated at KES. 97,129,863. Read more…
The County Government of Mombasa for the first time allocated KES. 20 million towards Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) and family planning-related activities in the county 2020/21 program-based budget. Additionally, indirect family planning allocation by the County Government of Mombasa was estimated at KES. 105,932,536. Read more…
The County Government of Nakuru did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation by the County Government of Nakuru was estimated at KES. 278,504,769. Read more…
The County Government of Nandi did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation* by the County Government of Nandi was estimated at KES. 89,828,967. Read more…
The County Government of Nyandarua did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation* by the County Government of Nyandarua was estimated at KES. 96,830,572. Read more…
The County Government of Trans Nzoia did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation by the County Government of Trans Nzoia was estimated at KES. 99,739,734. Read more…
The County Government of Uasin Gishu did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation by the County Government of Uasin Gishu was estimated at KES. 118,346,154. Read more…
The County Government of West Pokot did not have a budget line for family planning for FY 2020/2021. However, indirect family planning allocation by the County Government of West Pokot was estimated at KES. 45,503,502. Read more…
WHY THE BUDGET STUDY IS IMPORTANT
DSW works in partnership with civil society organisations, youth-led advocacy networks, the national government and county governments in Kenya to advocate for increased funding from national and county governments in Kenya to address the unmet need for family planning. DSW’s advocacy work in Kenya is implemented in West Pokot, Kilifi, Laikipia, Meru, Mombasa, Nakuru, Nyandarua, Nandi, Bungoma, Trans Nzoia and Uasin Gishu counties.
Conducting budget analyses is one of the ways in which we generate evidence to support our advocacy work.
Through advocacy, we aim to mobilise 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.
Investing in family planning is key for Kenya’s quest to be a newly industrialising, middle-income country, providing a high-quality life to all its citizens by the year 2030. Kenya’s status as a lower middle-income country means that we are slowly being weaned off development funding for basic services such as health.
The Health Sector Working Group Report 2021/22-2023/24 published in October 2020 notes that Development Partners for Health Kenya (Foreign, Commonwealth & Development Office (FCDO) of the UK Government, UNFPA, USAID, and the Bill and Melinda Gates Foundation) have pledged to match government of Kenya funding for Reproductive Maternal Neonatal Child and Adolescent Health (which includes family planning) funding on a sliding scale till Kenya takes over domestic financing by 2023.
