School of Medicine and Health Sciences
Permanent URI for this collectionhttp://41.89.31.6:4000/handle/123456789/315
Welcome to School of Medicine and Health Sciences collection.This collection contains Journal articles published by faculty affiliated to the school.
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Item Influence of community dialogues on social accountability in the health system in Nairobi County, Kenya(International Journal of Community Medicine and Public Health, 2022-08) Abuga, Malkia M.; Tenambergen, Wanja M.; Njoroge, Kezia M.Background: Social accountability encompasses a variety of strategies that enable citizens to express their concerns about the performance of health-care services. Community dialogues provide a forum for community engagement and participation in the health care system. However, there is little documentation on how it is used to improve social accountability within government community health structures. The purpose of this study was to determine the influence of community dialogues on social accountability in Nairobi County, Kenya. Methods: A qualitative study was conducted that included in-depth interviews with key stakeholders purposively selected. A total of three focus group discussions with 23 participants, eight key informant interviews and document review of minutes were conducted. Data analysis was done using thematic analysis. Results: Findings showed that community dialogues were held quarterly. The forums were mostly used for education purposes with little evidence on community engagement. Minutes showed what the community health assistant and community health volunteer said to the community with minimal input from the community members. Feedback was a challenge because the health management team hardly attended community dialogues due to logistic and workload issues. Conclusions: There is need of practical strengthening community dialogues through use of tools like chalk board and community scorecard as advocated in the community health policy. However, in practice, these tools were hardly used resulting to missed opportunity for the community to voice their opinions on health services.Item Promoting delivery of reproductive health services through legal support and capacity development of healthcare providers in a health provider network in Kenya(Journal of Obstetrics and Gynecology of JOGECA East and Central Africa, 2021-08) Munyasia Lusike Nelly,; Mwangi, Eunice M.; Tenambergen, Wanja M.Health provider networks (HPNs), an innovation in the private sector, is a service delivery model that has improved access to health services. However, there are no known studies or empirical evidence to support their effectiveness in Kenya. Objective: To determine the influence that legal support and provider capacity building have on providing quality reproductive health services in a healthcare provider network in Kenya. Methods: A cross-sectional study design was used. The study was carried out among Reproductive Health Network Kenya (RHNK) healthcare providers spread all over 42 counties in Kenya. The target population was 457 health care providers within RHNK and five board members. A sample of 252 health care providers was drawn using simple random sampling. A structured questionnaire was used to collect data from the 252 health care providers in the network. Quantitative data were analyzed using the IBM SPSS software, version 23, for descriptive and inferential statistics, and results were presented in tables. Results: A total of 252 respondents were included in this study; 52 (n=132) were male. Forty-six percent % (n=117) of the respondents were between 41-50 years. Nurses were the majority at 73 (n=184), and 31 % % (n=78) of the respondents owned nursing homes. Fifty-one percent (n=127) of the respondents were diploma holders, and 28 (n=70) had 16-20 years of % work experience. The bivariate analysis reported that legal support (r=.235**, p< .05) and capacity building (r= .213**, p< .05) had a positive and significant influence on the provision of quality reproductive health services in the provider network. Conclusion: Legal support and capacity building through training, mentorship, and coaching significantly impact reproductive health services quality in a provider network.