In this last desperate sprint to the finish — following searing pain associated with the development of plan to AccelerateUHC in middle- & low-income countries (LICs & LMICs) — we are realising with startling clarity that there is nothing more we can do to the plan. Except for one thing. We have to abandon all doubt about it. We have to trust absolutely that a marketing team should now start the plan’s implementation process.
We are trusting the team (in photo) not just believing but knowing that it will be there for us. It has just been trained on how to accelerateUHC with adverts. It will pass on to businesses the knowledge it got during the training.
Desperate sprint because, even with public health insurance available since 1966, only 20% of Kenyans have access to some sort of medical coverage. With the population at over 44 million and rising, it means that as many as 35 million Kenyans are excluded from quality health care coverage.
In Kenya, like in other LICs & LMICs; 70% of the population lives in rural and peri urban areas (RPUA); 95% doctors, 75% dispensaries and 95% hospitals are in urban areas; 60-80% private practitioners are semi or un-qualified; and, absenteeism rate can be as high as 60% at government clinics in RPUA.
An average person in RPUA pays for ~99% of his/her healthcare costs out-of-pocket. His/her healthcare cost is approximately twice the healthcare cost of his/her average urbanised compatriot. This disparity is partly because he/she is transported to an urban area hospital for healthcare very late in his/her disease-cycle. By the time of this transportation, he/she must, at a minimum, be accompanied by caregiver(s).