Waiving user fees and micro health insurance schemes are two different ways of improving access to healthcare and providing social protection. This brief describes a two-year research project in Kenya to compare the cost-effectiveness of these two approaches and to determine whether they can lead to more inclusive economic growth.
The study compares the Kenyan national free maternal and primary care program with The Community Health Plan (TCHP). The cost and impact of both programs are being measured in terms of reaching the poor and certain sub-groups, quality of care, health service utilization, and out-of-pocket expenditures. The study’s goal is to provide evidence that can inform policy on the most cost-effective strategies to reach low-income populations with affordable, accessible healthcare.