Health, Governance and Accountability Advocate, Kenya Legal and Ethical Issues Network on HIV and AIDS (KELIN), Nairobi, Kenya.
Health Governance Consultant, Initiative for Strategic Litigation in Africa, Nairobi, Kenya.
Sex Reprod Health Matters. 2020 Dec;28(2):1851347. doi: 10.1080/26410397.2020.1851347.
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.
本文通过探讨肯尼亚全民健康覆盖（UHC）的推出过程，研究其在逐步实现肯尼亚宪法所承诺的性健康和生殖健康及权利（SRHR）方面的潜力。我们认为，SRHR 需要高度关注预防性和促进性健康的方法，这需要对获取信息、规范以及法律和政策框架方面的障碍进行审查。然后，我们详细阐述了肯尼亚的 UHC 进程，包括其起源、发展和最终推出，重点关注基本福利套餐及其组成部分。我们认为，一个意识到公平、非歧视和透明度的民主优先事项设定过程，将更好地为获得 SRHR 的基本福利套餐提供合法性和可接受性。因此，我们认为肯尼亚的 UHC 进程没有意识到宪法对性健康和生殖健康的重视，也没有解决在获取卫生服务方面的历史不平等问题。
