by Edwine W. Barasa, Susan Cleary, Sassy Molyneux et al.
Health Policy Plan. (2016) – First published online: September 26, 2016
This paper describes and evaluates the budgeting and planning processes in public hospitals in Kenya. The budgeting and planning process in the case study hospitals was characterized by lack of alignment, inadequate role clarity and the use of informal priority-setting criteria. Alignment of budgeting and planning practices, clarity of composition and roles of decision-making structures, and the use of explicit and formal decision-making criteria could improve hospital level priority setting. Hospital priority-setting practices could be improved by incorporating both efficiency and equity in decision making.