Skip to main content
. 2017 Jul 18;7(3):244–254. doi: 10.15171/ijhpm.2017.81

Table 3. Summary of NHIF Benefit Package, Kenya Essential Package for Health and Top 10 Leading Causes of Mortality in Kenya .

NHIF National Scheme Benefit Package 41,42 Kenya Essential Package for Health 2015 28 Top 10 Causes of Mortality in Kenya in 2009 43
Inpatient benefits depend on category of hospitala
• Consultation
• Hospital daily charges
• Nursing care
• Prescribed diagnostic laboratory or other medically necessary services
• Physician's, surgeon's, anaesthetist’s or physiotherapist's fees
• Operating theatre charges
• Specialist consultations or visits
• Prescribed drugs/medications and dressings
Maternity benefits
• Consultation and treatment for both mother and child
• Child birth including caesarean section deliveries
• Family planning services
Outpatient benefitsb
• General consultation
• Diagnostics and treatment of common ailments
• Laboratory and investigation
• Dental services
• Prescribed drugs administration and dispensing
• Management of chronic ailments (HIV/AIDS, diabetes, asthma, hypertension, cancer)
• Health and wellness education/healthcare counselling such as Screening for conditions eg, cervical and prostate cancer
• Treatment of sexually transmitted diseases
• Radiology services
• Family planning/midwifery/ante/post-natal services
• Physiotherapy services
• Referral for specialized services
• Immunization
• Child health
• Screening for communicable conditions
• Antenatal care
• Prevention of mother to child HIV transmission
• Integrated vector management
• Good hygiene practices
• HIV and STI prevention
• Port health
• Control and prevention of neglected tropical diseases
• Community screening for non-communicable diseases
• Institutional screening for non-communicable diseases
• Workplace health and safety
• Food quality and safety
• Pre-hospital care
• HIV/AIDS
• Conditions arising during the perinatal period
• Lower respiratory infections
• Tuberculosis
• Diarrhoeal diseases
• Malaria
• Cerebrovascular disease
• Ischemic heart disease
• Road traffic accidents
• Violence

Abbreviations: NHIF, National Hospital Insurance Fund; STI, Sexually transmitted infection.

a Category A: comprehensive cover for all diseases; Category B: comprehensive cover for all diseases though co-pay required for surgical procedures; Category C: per diem payment for each night of admission.

b The study was conducted before the introduction of outpatient benefits.