Health Facility Committees and Financial Management Structures in Kenya
This case study is set in the Kenyan context and examines two policies. First, direct facility funding, through which facilities receive funding directly into their bank accounts, in part to address the problem of funding from higher levels in the health system that does not flow through to facilities. Second, health facility committees, which is about broadening community participation in public health service delivery. Health facility committees are also involved in managing the funds received through direct facility funding.
In exploring the implementation of these policies, this case study covers the relationships between health workers and health facility committees and the relationships between the wider community and the health facility committees.