Costing resource gaps for the delivery of minimum essential health services package in the coast province, Kenya

Abstract

Objective: The study aims to determine the resource gaps in the delivery of MEHSP at the district health system. Design: Cross sectional survey. Setting: District health system, Coast Province, Kenya. Subjects: A sample of 11 district health system facilities. Results: Resource gaps analysis shows that service provision is sensitive to dominant inputs (availability of buildings, equipment, personnel, drugs and non-pharmaceuticals) at all levels of care. Targeting of the resources in respect of the important inputs is poor at all levels >IS demonstrated by the wide range of excess and shortages of inputs. The mismatch may have adverse effects on both quantity and quality of services. . .. . Conclusion: A deliberate policy for targeting of finances for the important inputs needs to be developed to ensure optimisation of their combinations for minimization of mismatch of resources.