Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 16710
Country/Region: Kenya
Year: 2013
Main Partner: Equity Group Foundation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

USAID/Kenya as part of its sustainability strategy intends to help grow the percentage of Kenyans covered by Health Insurance and also help increase the services covered to include HIV/AIDS. Towards this end USAID/Kenya through a Global Development Alliance (GDA) intends to partner with Equity Group Foundation to increase the number of Equity Banks member covered with health insurance.

Currently Equity has about 7 million members of whom only 30,000 have health insurance. Equity Bank estimates that ill health contributes significantly to their bad debt portfolio estimating the loss at US$ 172 million (Kshs 15 billion). USAID/Kenya and Equity therefore have a common interest in expanding health insurance to Equity members. For USAID/Kenya its part the sustainability agenda and for Equity its to lessen their bad debt portfolio.

Equity Group Foundation proposes to increase uptake of a comprehensive health insurance package to 25% of the banks 7 million members by 2017. This will be achieved through three objective areas:

1) Provider reforms Equity will take a High Volume/Low Margin approach through developing standardized health care services; and also utilizing franchising to ensure rapid scale up and thus increase access to this affordable high quality out-patient services.

2) Client reforms to increase health literacy and health insurance literacy amongst clients.

3) Payer reforms by developing and scaling up affordable comprehensive health insurance products.

Funding for Care: Adult Care and Support (HBHC): $0

This activity will help to increase the breadth and depth of health insurance amongst Equity Bank to 25% of the banks 7 million members. This will contribute to USAID/Kenyas sustainability strategy which aims at growing the number of individuals covered with health insurance and increase the services covered to include HIV/AIDS. This activity will be via a GDA with Equity Group Foundation. This activity is funded out of pipeline funds.