245199 Comparing health system performance in India and Kenya: A cross-national analysis to understand the achievement of Millennium Development Goals

Monday, October 31, 2011: 3:06 PM

Yohannes Kinfu, PhD , Scientist & Head, Urbanization & Wellbeing Research Program, African Population & Health Research Centre, Nairobi, Kenya
Monika Sawhney, PhD , Assistant Professor, Department of Interdisciplinary Studies/Global Health, Mercer University, Macon, GA
Collins Opiyo, PhD , Population and Social Statistics, Kenya National Bureau of Statistics, Nairobi, Kenya
The ongoing global financial meltdown and the contraction of economies across the world, and prevailing concerns about a possible decline in global, regional and national resources for health and other social sectors, present hard choices to many national and local governments in the developing world: they would have to either improve the efficiency with which they use their existing inputs or risk losing the ground they have achieved so far in terms of better outcomes and coverage of essential services. Since Independence, India and Kenya have been working to achieve better health status and have followed different strategies to improve the wellbeing of their respective populations, which resulted in some localities (in each of these countries) delivering lower outcomes than others, even when they have comparable input levels. This study measures the performance of two countries India and Kenya (facing challenges to meet the Millennium Development Goals (MDGs), following a stochastic production frontier approach. Specifically, we draw on national and sub-national data on health inputs, outputs and outcomes and identify the determinants of health care inefficiencies in two different settings. Our preliminary analysis suggest that gains from investment on health and social services seem to be uneven in the study area, with some localities delivering lower outcomes than others, even when they have comparable input levels.

Learning Areas:
Biostatistics, economics
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health administration or related administration
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Discuss functioning of health systems across different nations 2. Compare determinants of efficiency of health systems among different countries

Keywords: Health Disparities, Essential Public Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Having earned a PhD in Public Health and experience working in research and field has provided me academic credentials and experience to work on this research assignment.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.