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پاورپوینت انگلیسی Determinants Of Health Status
فرمت :
پاورپوینت - PPT
تعداد اسلاید :
22
شناسه :
986
توضیحات :
DETERMINANTS OF HEALTH STATUS IN KENYA
GAKUNJU E. M.
2001/HD06/013K
MASTERS OF ARTS IN ECONOMIC POLICY MANAGEMENT
EPM 651: RESEARCH PAPER
MAKERERE UNIVERSITY INSTITUTE OF ECONOMICS

MARCH 2003
Introduction
• Health “as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity WHO (1978)•“the health of the people is fundamental to the attainment of peace and security and is dependent upon the fullest co-operation of individuals and the state . WHO (1978)• Human health has a major role to play in a Country’s Economy Development. •There is a direct relationship between the health status of a population and its productivity as demonstrated by industrialized countries, which are now benefiting from years of investment in health services•The provision of good health satisfies one of the basic human needs and contributes significantly towards maintaining and enhancing the productivity of the peopleResearch Problem•The health sector is at crossroads. Health statistics shows tremendous decline in the performance of the health indicators over the last ten years despite the increase allocation in health expenditure.•Implies therefore the increasing government spending may not necessarily lead to improvement in health status as would be expected. Why is this the case?•What other factors can explain the health status?•What is the role of the social and economic factors in addition to public spending in determination of health status of a country?.Objective of the study••is to analyse the factors determining health status in Kenya.•Outline policy options necessary for reversing declining health status in Kenya. •Overview of the Health sector in Kenya•Kenya entered the 1970s with a strong economy exemplifying the excellent macroeconomic performance of the 1960s. This was reflected in high growth of the overall and sectoral gross domestic product (GDP) averaging more than 5% per annum.• The country’s health sector recorded tremendous growth especially in its public sub-sector.• This sector growth was attributed to the high priority accorded to the improvement of the health status of the Kenyans as well as social economic development of the countryTable1: Growth in Healthcare Facilities (1967-2000)
Year Hospital Health No. of beds No. of
centres & Cots personnel
1967 199 162 na na
1980 216 241 27691 19307
1985 243 267 30986 27850
1990 268 299 33086 33918
1995 356 531 47214 43264
2000 481 601 57416 55732
Source; Economic survey various issues

Health status indicators
•As the health facilities increased, “indicators of health status improved tremendously.•Infant mortality rate declined from 120 to 62 per 1000 live births while the Under 5 mortality rate dropped from about 200 to 97 per 1000 between 1963 and 1991.• Life expectancy increased from 40 years in 1965 to 60 years by 1990 Health indicators con’t•the remarkable performance of the country’s health sector was not sustained after the first two decades of independence.•By the start of the millennium, health status in Kenya worsened even further.•Infant mortality rate increased from 74 in 1998 to 77 in 2003 while the under five-mortality rate rose from 112 in 1998 to 115 in 2003.• Life expectancy at birth for females declined to 48 years and 47 for males

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