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The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR
This paper explores the universal health coverage (UHC) roll-out process in Kenya through the lens of its potential to progressively realise the constitutional promise of sexual and reproductive health and rights (SRHR) in Kenya. We argue that SRHR requires significant attention to be paid to preven...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887766/ https://www.ncbi.nlm.nih.gov/pubmed/33393897 http://dx.doi.org/10.1080/26410397.2020.1851347 |
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author | Owino, Lisa Wangong’u, Annette Were, Nerima Maleche, Allan |
author_facet | Owino, Lisa Wangong’u, Annette Were, Nerima Maleche, Allan |
author_sort | Owino, Lisa |
collection | PubMed |
description | This paper explores the universal health coverage (UHC) roll-out process in Kenya through the lens of its potential to progressively realise the constitutional promise of sexual and reproductive health and rights (SRHR) in Kenya. We argue that SRHR requires significant attention to be paid to preventive and promotive approaches to health and that this requires interrogation of barriers around access to information, norms, and legal and policy frameworks. We then unpack the UHC process in Kenya, its genesis, development and eventual roll-out, focusing on the essential benefits package and its components. We argue that a process of democratic priority-setting cognisant of equity, non-discrimination and transparency will better deliver on an essential benefits package for access to SRHR that is legitimate and acceptable. As a result, we submit that Kenya’s UHC process fails to take cognisance of the weight placed on sexual and reproductive health in our Constitution and fails to address historical inequities around accessing health services. |
format | Online Article Text |
id | pubmed-7887766 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-78877662021-03-30 The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR Owino, Lisa Wangong’u, Annette Were, Nerima Maleche, Allan Sex Reprod Health Matters Review Article This paper explores the universal health coverage (UHC) roll-out process in Kenya through the lens of its potential to progressively realise the constitutional promise of sexual and reproductive health and rights (SRHR) in Kenya. We argue that SRHR requires significant attention to be paid to preventive and promotive approaches to health and that this requires interrogation of barriers around access to information, norms, and legal and policy frameworks. We then unpack the UHC process in Kenya, its genesis, development and eventual roll-out, focusing on the essential benefits package and its components. We argue that a process of democratic priority-setting cognisant of equity, non-discrimination and transparency will better deliver on an essential benefits package for access to SRHR that is legitimate and acceptable. As a result, we submit that Kenya’s UHC process fails to take cognisance of the weight placed on sexual and reproductive health in our Constitution and fails to address historical inequities around accessing health services. Taylor & Francis 2021-01-04 /pmc/articles/PMC7887766/ /pubmed/33393897 http://dx.doi.org/10.1080/26410397.2020.1851347 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Owino, Lisa Wangong’u, Annette Were, Nerima Maleche, Allan The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title | The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title_full | The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title_fullStr | The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title_full_unstemmed | The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title_short | The missing link in Kenya’s universal health coverage experiment: a preventive and promotive approach to SRHR |
title_sort | missing link in kenya’s universal health coverage experiment: a preventive and promotive approach to srhr |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887766/ https://www.ncbi.nlm.nih.gov/pubmed/33393897 http://dx.doi.org/10.1080/26410397.2020.1851347 |
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