How Kenya's fee-for-service model prioritises costly treatment over prevention

Doctor and patient

Many health systems do not prioritise cost-effective primary and community-based NCD interventions such as screening, early diagnosis and preventive care, and instead allocate funding to high-cost hospital-based curative treatments.

Photo credit: Pool

At any given moment, somewhere in Kenya, a woman is receiving a chronic disease diagnosis at a stage where treatment is no longer a single outpatient procedure, but rather months of chemotherapy and radiotherapy. Not to mention the referral process and resulting bill, which can amount to hundreds of thousands of shillings.

In many cases, the disease could have been detected years earlier through routine screening at a fraction of the cost.

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Note: The results are not exact but very close to the actual.