Efficiency and factors influencing efficiency of Community Health Strategy in providing Maternal and Child Health services in Mwingi District, Kenya: an expert opinion perspective
Identifieur interne : 001721 ( Main/Exploration ); précédent : 001720; suivant : 001722Efficiency and factors influencing efficiency of Community Health Strategy in providing Maternal and Child Health services in Mwingi District, Kenya: an expert opinion perspective
Auteurs : Japheth Mativo Nzioki [Kenya] ; Rosebella Ogutu Onyango [Kenya] ; James Herbert Ombaka [Kenya]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2015.
Abstract
Community Health Strategy (CHS) is a new Primary Health Care (PHC) model in Kenya, designed to provide PHC services in Kenya. In 2011, CHS was initiated in Mwingi district as one of the components of APHIA
This was a qualitative study. Fifteen Key informants were sampled from key stakeholders. Sampling was done using purposive and maximum variation sampling methods. Semi-structured in-depth interviews were used for data collection. Data was managed and analyzed using NVIVO. Framework analysis and quasi statistics were used in data analysis.
Expert opinion data indicated that the CHS was efficient in providing MCH services. Factors influencing efficiency of the CHS in provision of MCH services were: challenges facing Community Health Workers (CHWs), Social cultural and economic factors influencing MCH in the district, and motivation among CHWs.
Though CHS was found to be efficient in providing MCH services, this was an expert opinion perspective, a quantitative Cost Effectiveness Analysis (CEA) to confirm these findings is recommended. To improve efficiency of the CHS in the district, challenges facing CHWs and Social cultural and economic factors that influence efficiency of the CHS in the district need to be addressed.
Url:
DOI: 10.11604/pamj.2015.20.88.4711
PubMed: 26090046
PubMed Central: 4450026
Affiliations:
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Health, Maseno University, Kisumu, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Public Health, Maseno University, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author><author><name sortKey="Ombaka, James Herbert" sort="Ombaka, James Herbert" uniqKey="Ombaka J" first="James Herbert" last="Ombaka">James Herbert Ombaka</name><affiliation wicri:level="1"><nlm:aff id="AF0003">Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Biomedical Sciences and Technology, Maseno University, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26090046</idno><idno type="pmc">4450026</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450026</idno><idno type="RBID">PMC:4450026</idno><idno 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Health services in Mwingi District, Kenya: an expert opinion perspective</title><author><name sortKey="Nzioki, Japheth Mativo" sort="Nzioki, Japheth Mativo" uniqKey="Nzioki J" first="Japheth Mativo" last="Nzioki">Japheth Mativo Nzioki</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Environmental Health, University of Kabianga, Kericho, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Environmental Health, University of Kabianga, Kericho</wicri:regionArea><wicri:noRegion>Kericho</wicri:noRegion></affiliation></author><author><name sortKey="Onyango, Rosebella Ogutu" sort="Onyango, Rosebella Ogutu" uniqKey="Onyango R" first="Rosebella Ogutu" last="Onyango">Rosebella Ogutu Onyango</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Public Health, Maseno University, Kisumu, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Public Health, Maseno University, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author><author><name sortKey="Ombaka, James Herbert" sort="Ombaka, James Herbert" uniqKey="Ombaka J" first="James Herbert" last="Ombaka">James Herbert Ombaka</name><affiliation wicri:level="1"><nlm:aff id="AF0003">Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Biomedical Sciences and Technology, Maseno University, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>Community Health Strategy (CHS) is a new Primary Health Care (PHC) model in Kenya, designed to provide PHC services in Kenya. In 2011, CHS was initiated in Mwingi district as one of the components of APHIA <italic>plus kamili</italic> program. The objectives of this study was to evaluate the efficiency of the CHS in providing MCH services in Mwingi district and to establish the factors influencing efficiency of the CHS in providing MCH services in the district.</p></sec><sec id="st2"><title>Methods</title><p>This was a qualitative study. Fifteen Key informants were sampled from key stakeholders. Sampling was done using purposive and maximum variation sampling methods. Semi-structured in-depth interviews were used for data collection. Data was managed and analyzed using NVIVO. Framework analysis and quasi statistics were used in data analysis.</p></sec><sec id="st3"><title>Results</title><p>Expert opinion data indicated that the CHS was efficient in providing MCH services. Factors influencing efficiency of the CHS in provision of MCH services were: challenges facing Community Health Workers (CHWs), Social cultural and economic factors influencing MCH in the district, and motivation among CHWs.</p></sec><sec id="st4"><title>Conclusion</title><p>Though CHS was found to be efficient in providing MCH services, this was an expert opinion perspective, a quantitative Cost Effectiveness Analysis (CEA) to confirm these findings is recommended. To improve efficiency of the CHS in the district, challenges facing CHWs and Social cultural and economic factors that influence efficiency of the CHS in the district need to be addressed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wangalwa, Gilbert" uniqKey="Wangalwa G">Gilbert Wangalwa</name></author><author><name sortKey="Cudjoe, Bennett" uniqKey="Cudjoe B">Bennett Cudjoe</name></author><author><name sortKey="Wamalwa, David" uniqKey="Wamalwa D">David Wamalwa</name></author><author><name sortKey="Machira, Yvonne" uniqKey="Machira Y">Yvonne Machira</name></author><author><name sortKey="Ofware, Peter" uniqKey="Ofware P">Peter Ofware</name></author><author><name sortKey="Ndirangu, Meshack" uniqKey="Ndirangu M">Meshack Ndirangu</name></author><author><name sortKey="Ilako, Festus" uniqKey="Ilako F">Festus 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Herbert Ombaka</name><name sortKey="Onyango, Rosebella Ogutu" sort="Onyango, Rosebella Ogutu" uniqKey="Onyango R" first="Rosebella Ogutu" last="Onyango">Rosebella Ogutu Onyango</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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