Research Reports

PSP4H generates original research reports, policy briefs and implementation notes on an ongoing basis. The research reports are available below for online reading or download. We encourage use of and reference to our materials and ask that you respect copyright by properly citing PSP4H as the source of any materials taken from this web site.

Researchers interested in the data sets underlying PSP4H primary research may contact us to discuss their interest or make a specific request.

Innovation Uptake in Pro-Poor Health Markets

This report captures the healthcare innovations discovered through the on-going course of PSP4H’s implementation and highlights the innovations that have worked, what did not work and explore how these innovations have gone beyond their original interventions and been replicated in different health market areas and in the East African region.


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Feedback from the Field: Insights into PSP4H Interventions from the Partners’ Perspective

This report offers valuable lessons learnt from some of PSP4H’S partners and what could have been done differently in engaging in specific Health areas. The feedback is from the frontline health providers and health business owners offering the quality and affordable primary care to working Kenyans. This information is critical for those private sector healthcare providers exploring opportunities to focus on providing services to low income or mass market population in Kenya and Africa


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Lessons for Future Health and M4P Programming

This paper focuses on what future M4P-in-health programming can achieve, learning from and building on PSP4H’s work so far. PSP4H is among the first development programmes to use an M4P approach in the health sector. The programme has encouraged private sector partners to better target Kenyan’s ‘mass market’, the low income households. The programme has helped firms to adapt their business models and supported innovations, so that these different market segments can benefit from improved quality and access to health services.

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Successes and Failures in Health Market Systems Interventions: Learnings from PSP4H in Kenya

This report documents aspects of implementing market systems interventions in healthcare that worked, or – equally important – did not work. As a research programme, PSP4H has the luxury of documenting failures as well as successes without jeopardizing the programme’s credibility as an implementer. This is particularly important in emerging healthcare market areas such as healthcare finance and mobile/e-health where evidence is scant.

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Documentation of a Cross-Subsidy Cost Recovery Model: Ruaraka Uhai Neema Hospital (RUNH) Case Study

This study documents a cross-subsidy cost recovery model at Ruaraka Uhai Neema Hospital (RUNH). The study goal was to determine the demographic and socio-economic profiles of maternity and maternal and child health (MCH) clients attending RUNH over the past 36 months. The study also documents challenges and opportunities within the client referral system with special attention to clients referred by RUNH partners.

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Lessons Learnt by the Private Sector Innovation Programme for Health (PSP4H) – Midterm Report

This report consolidates some key mid-term lessons learnt by the PSP4H programme. The narrative highlights areas that may be discovered in more detail by comprehensively exploring PSP4H’s full length research reports. Further, some lessons emerged from meta-analysis and from observations during implementation of action research pilot interventions. This is, in effect, a “Top Ten” list of lessons from across the PSP4H portfolio.

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Research into Policy and Practice: How Markets and Pro-Poor Health Interventions Targeting the Private Health Sector Can Work for Poor People in Kenya

This paper synthesises PSP4H research and policy work and consolidates the main findings into one paper focusing on how a market systems approach can deliver health outcomes for poor people in Kenya, particularly in terms of sustainability, value for money and leveraging of development investment.

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Understanding the India Low Cost Model of Healthcare Delivery: A Review of the Literature

This review aims to contribute to an understanding of how the delivery model of Indian healthcare providers has achieved the provision of quality healthcare at affordable costs to lower income groups, and explores how the Indian model can be replicated by private for-profit sector health providers in Kenya.

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A Comparative Analysis of Health Markets and Private For-Profit, Pro-Poor Interventions in East Africa

Based on PSP4H experience in the Kenyan health markets, this report analyses health markets in six East African countries (Ethiopia, Kenya, Rwanda, Somalia, Tanzania, and Uganda) in terms of macroeconomics, health financing, insurance, and supply and demand for private sector healthcare service

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The Kenyan Poor and Their Use of the Private Health Sector

Literature Synthesis Report on the Demand Side of the Kenyan Health Market.

Who are the working poor and what is their health-seeking behaviour?

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Formative Survey of the Private Health Sector in Kenya

The research explored the definition of who are the poor in Kenya, assessed the working poor health provider preferences, their health-seeking behaviour and their willingness and ability to pay for certain health services and products. In addition, the research also explored the challenges and opportunities available for private health providers in the provision of health services and commodities to the poor.

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A Study on Sustainability Outcomes of Donor-funded Healthcare Programmes

The study report assesses the sustainability outcomes of prior donor-funded healthcare programmes in Kenya, particularly those offering grants and subsidies to partners in the public sector, not-for-profit sector, and commercial sector. The report also covers the progression of donor-funded programmes in the health sector in Kenya over time, and the sustainability of both activities and institutions after the end of donor-funded subsidies and projects.

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Comparing Kenya’s Private Health Finance Markets with Neighbouring Markets

This study report covers the current landscape of pro-poor private financing models for health in developing countries.

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Study of the Pharmaceutical Supply Chain in Kenya

The study report describes and analyses the commercial supply chain for pharmaceuticals in Kenya with a specific focus on four counties in Kenya and identifies potential areas of interventions to improve the supply of quality and affordable medicines to the poor.

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