Please use this identifier to cite or link to this item: http://ir.mu.ac.ke:8080/jspui/handle/123456789/6189
Title: Factors that hinder effectiveness in the management of the waiver system: A case study of Kapsabet Hospital in Kenya
Authors: Kamanda, Allan Mbuthia
Kimengi, Isaac Njuguna
Nangami, Mabel
Keywords: Waiver
Undercoverage
Leakage
Effectiveness
Issue Date: 2-Feb-2015
Publisher: International Journal of Education and Research
Abstract: The purpose of the study was to investigate the factors that hinder effectiveness in the management of waiver system. The study used a cross-sectional design. Interview schedules, questionnaires and document review approaches were used to collect the data. Purposive sampling method was used to obtain key informant respondents from the hospital staff while simple random sampling and systematic sampling was used to obtain patient respondents. The population of this study was composed of patients at the hospital as well hospital staff involved in the management of waiver system. Data collected was analyzed using the Statistical Package for Social Sciences (SPSS). Frequency counts and percentages were used to describe the data. Among the major findings the study showed that there were no long term plans for waiver system operation and there was no inclusion of its related costs in the annual budgeting process. There was poor utilization of the waiver system among potential beneficiaries despite more than half of the patients knowing that a waiver system existed at the hospital, three waived patients per month was the norm; Age of the patient respondent was statistically significant on waiver application (X2 = 10.22, p = 0.015). Occupation, education and income level were not significant factors in waiver application. However, Stock out of drugs, supplies, lack of information dissemination on waivers, difficulty in beneficiary identification and poor operating structure for the waiver system were some of the factors identified to hinder effectiveness in the management of the waiver system. On the basis of the findings the study recommended that there was need for the development of enforcement mechanisms for issued guidelines under the waiver system such as monitoring and evaluation of the waiver system on a prescribed time frame and the establishment of an effective and efficient operating framework structure.
URI: http://ir.mu.ac.ke:8080/jspui/handle/123456789/6189
Appears in Collections:School of Public Health

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