Page 29 - FULL MAGAZINE - KUSCCO.indd

STRIDES TOWARDS UNIVERSAL HEALTH COVERAGE
FOR ALL KENYANS

The above table highlight a comparison in February 2017. Services for registered JOO45O?:?
:4CE#5J$\?$5
:4?:E?cE?5????-R5?????
between FY 2016/17 (audited) and FY 2017/18 mothers’ begun thereafter on 1st May 2017.
(unaudited) with free maternity having the Bene?ciaries of the Linda Mama Program is in 2017/2018 Unaudited 2016/2017 Audited
highest growth (5183%), followed by optical phase 3 of implementation, with the bene?t
bene?ts package mainly offered to the managed package expanded to cover ante natal and post- REVENUE Kes Kes
scheme members by (365%) then kidney natal care services at all contracted healthcare
transplants (198%) among others. providers since 1st March 2018. So far, there have National Scheme - Member Contributions 32,937,431,608 29,858,615,338
been 395,918 mothers registered with 223,459 Premiums from Special Medical Schemes 12,777,354,649 5,212,980,312

nlLihA??iiL?C?EIL deliveries done across the country. All Kenyan Income from Other Sources 2,174,394,001 2,108,495,639
Several Strategies and initiatives have been Mothers who have not registered for the NHIF Total Revenue 47,889,180,259
directed at increasing member registration Supacover are eligible through registration via 37,180,091,289
which has steadily risen in the last ?ve years mobile phone using *263#
to 7,657,463 principal members by end of June RECURRENT EXPENDITURE
2018. With the over seven million principal JiùEíg?JnlLíEIíøEgELr? Benefits & Claims
members, NHIF health insurance a t total of over In a bid to give back to the society, the Fund
25 million Kenyans. Registration of a member has been engaging in Social Sustainability Payment to Health Care Providers - National scheme 27,280,245,486 21,963,838,108
ensures that a spouse and all declared children activities. During the year under review, the
are covered for their healthcare needs. Fund undertook the following programs: Payment to Health Care Providers - Special Medical Schemes 10,295,653,192 4,560,342,238

OíøgA????C?EIùEKíg?4AhøA?l??ioLe?CíLLA?I? Cardiac Program Total Benefits and Claims (37,575,898,678) (26,524,180,346)
The NHIF @50 Cardiac Program was rolled Administration and Other Operating Costs (8,313,109,576) (8,304,320,856)
PERIOD PRINCIPAL MEMBERS out in September 2016 with an aim to alleviate Operating Surplus Before IBNR & OCR 2,000,172,005 2,351,590,088

2013/2014 4,713,662 suffering amongst NHIF members who are in ?JOO45O?:?$55
$0?C:J$O$:5?J?O????-R5?????

2014/2015 5,475,180 need of treatment interventions pertaining 2017/2018 Unaudited 2016/2017 Audited
to cardiac conditions. A review of bene?ciary Kes Kes
2015/2016 6,136,256 cases in need of heart treatment and therapeutic ASSETS
Non-Current Assets 14,211,401,078 13,136,454,491
2016/2017 6,817,888 interventions by NHIF Property, Plant and Equipment 1,366,314,640 838,133,167
2017/2018 7,657,463 at various accredited Investments
13,974,587,657
EOA? rAí?? 4AhøA?leEK? ?ioLe? C?ih? facilities demonstrated
????g????? EIíIùEíg? rAí?? Li? ????g????? that treatment 5,317,399,455
Financial year. delays and lapses in 18,110,576,600
disease complications Total Non-Current Assets 15,577,715,718 23,427,976,055
37,402,563,712
and occasional Current Assets

$ICi?híLEiI?OAùeIigier?þiKLEiI discontinuity of Trade and Other Receivables 4,477,028,312
enlisted bene?ciaries Cash and cash equivalents 22,517,436,924
PRINCIPAL MEMBERS to follow up on Total Current Assets 26,994,465,237

management of the TOTAL ASSETS 42,572,180,955
diagnosed disease
conditions to be
attributed to the
lengthened durations EQUITY AND LIABILITIES
of waiting. Capital and Reserves 36,609,062,459 34,608,890,455
In October 2017, NHIF Current Liabilities 2,051,658,605 1,658,393,537
through a partnership Deferred Income 3,911,459,891 1,135,279,721
with Agile Global Health, an international TOTAL EQUITY AND LIABILITIES
healthcare management company, funded the 42,572,180,955 37,402,563,712

Information technology remains pivotal in the ?rst of a series of local surgical operations,
Funds transformative agenda. Over the review setting a new pace in heart treatment in Kenya
period The Fund has focused on: that before this had heavily relied on overseas
care. This was against a backdrop of a waiting
x Enhanced network in the 96 service points list of about 1,435 in the country. Since then, .c?#$#0$#OJ?:5?$55
$0?CE:E45
?:?O#?R5
and 53 Huduma service centres country wide
over 644 cases ranging from open-heart
x Enabling environment for businesses to surgery, interventional cardiology to diagnostic
submit contributions through the NHIF online procedures have done under the package.
platforms in-a-bid to enhance the ease of doing This ambitious initiative enabled patients like
business in Kenya Young Blessing Sila, who underwent open heart ?í??:LeA??RKAIlAl?
surgery locally, to receive a second chance in íl?CA?ùAILíeA?iC?
x Digitization of registration, payments and life. $IùihA
claims processes for effective services Six hospitals namely; Mater Hospital, The
Karen Hospital, Tenwek Hospital, Gertrude’s Other operating
x Enabling members to register, make Children Hospital, Nairobi Hospital and Coast expenses as percentage
contributions, pay penalty and receive status Provincial General Hospital were involved in the of contributions
updates via their mobile devices wherever they NHIF Cardiac programme and combined, were reduced by 5% in the
may be country wide. able to handle over 644 open heart surgeries year 2018 compared to
the previous year 2017.
In a bid to simplify access to health care, NHIF
will leverage on technology to provide swift, under the cover by the end of 2017. 49.5% of open
secure and safe services. The Fund will soon heart surgeries were rheumatic heart diseases
be able to guarantee this through the use of of both mitrl and aortic valves. So far, over
biometrics. 400 patients have bene?ted, after undergoing
various surgical and medical interventions.
\ElEiI??????gíeleEK?C?iGAùLl
NHIF plays a key role under the social pillar in 5#$?íllElLl?íør?4EùeAggA? ?ø????cAí??$IùihA?
the achievement of Vision 2030. Consequently, NHIF in 2017 assisted Baby Michelle Awour verses Expenditure
the Fund has been implementing the following Otondi who had suffered 55% burns that left her ?ioLe
program to enhance social protection and severely incapacitated earlier on in 2015. NHIF
inclusivity. dispatched an ambulance to Kisumu County The graph below
The Health Insurance Subsidy Program (HISP) and the child was taken to Kenyatta National shows a steady growth
is a program targeting vulnerable segments of Hospital to undergo specialized surgical care for in income and bene?t
the population. A total of 181,415 households the reconstruction of her face to enable her eyes expense for the past
are registered under the program countrywide see properly under light. NHIF has facilitated ?ve years and n growth
consisting of bene?ciaries under the GOK’s Cash the treatment through hospital payments to for administration
Transfer Program for Orphans & Vulnerable KNH whose doctors have actively taken care of and other operating
Children who are accessing bene?ts. A 45% Baby Michelle. NHIF continues to stand with expenses.
bene?t payout ratio has been realized. Baby Michelle in order to ensure that she gets
Older Persons & Persons living with Severe all the relevant care.
Disabilities (OPSD) has a total of 42,000
households registered under the program 4AþEùíg?
íhKl ??ù??4AllíeA?C?ih?LeA?ií?þ?iC?E?AùLi?l
across the country consisting of bene?ciaries NHIF supports local communities in informal The above ?nancial statement are extracts from the ?nancial records of the Fund. The complete
under the GOK’s Cash Transfer Program for settlements through free medical camps to set of the ?nancial statements can be accessed on the institution’s head office located at NHIF
Older Persons and persons living with severe identify common health problems and give Building, Ragati Road, Upperhill, Nairobi and the Fund’s official website: www.nhif.or.ke.
disabilities. The bene?t payout ratio achieved free medical information to the community
is at 50%. The members of the program were members. Community members are also advised FUTURE OUTLOOK
to access the National Health Scheme bene?ts on nutrition and checked on body mass index, The Fund’s results continue to be a clear re?ection of the success of its strategic thrust. We
package dubbed NHIF SUPACOVER. hypertension, diabetes, ?u and general wellness remain focused on meeting the needs of our clients, and are con?dent in our ability to continue
The Free Maternity Program tagged ‘Linda with further referral of specialized treatment. to provide value for all of our stakeholders whilst prudently managing our resources. We have
Mama – Boresha Jamii’ was launched in
October 2016, followed by the signing of the already had a positive start to 2018/2019 and expect to continue to realize healthy, sustainable
MOU between the Government and the Fund growth through the current year and beyond.
FINANCIAL STATEMENTS SACCO Star Magazine |27