101 hasil untuk "Benjamin Tsofa"
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Artikel Jurnal
Evaluating healthcare priority setting at the meso level: A thematic review of empirical literature [version 1; referees: 3 approved]
Background: Decentralization of health systems has made sub-national/regional healthcare systems the backbone of healthcare delivery. These regions are tasked with the difficult responsibility of determining healthcare priorities and resource allocation amidst scarce resources. We aimed to review…
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Artikel Jurnal
Evaluating healthcare priority setting at the meso level: A thematic review of empirical literature [version 2; referees: 3 approved]
Background: Decentralization of health systems has made sub-national/regional healthcare systems the backbone of healthcare delivery. These regions are tasked with the difficult responsibility of determining healthcare priorities and resource allocation amidst scarce resources. We aimed to review…
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Artikel Jurnal
How does Public Financial Management (PFM) influence health system efficiency: A scoping review [version 1; peer review: 2 approved]
Background Effective Public Financial Management (PFM) approaches are imperative in the quest for efficiency in health service delivery. Reviews conducted in this area have assessed the impact of PFM approaches on health system efficiency but have left out the mechanisms through which PFM…
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Artikel Jurnal
Experiences and Outcomes of the Implementation of Cuban Health Cooperation Programs in Low and Middle-Income Countries: A Scoping Review [version 2; peer review: 1 approved, 2 approved with reservations]
Background Health systems in low-and middle-income countries (LMICs) face chronic Human Resources for Health (HRH) shortages. This is especially worse in rural and primary healthcare settings. The Cuban government since 1960s has been implementing a policy strategy for producing healthcare workers…
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Artikel Jurnal
Devolution and its effects on health workforce and commodities management – early implementation experiences in Kilifi County, Kenya
Abstract Background Decentralisation is argued to promote community participation, accountability, technical efficiency, and equity in the management of resources, and has been a recurring theme in health system reforms for several decades. In 2010, Kenya passed a new constitution that introduced…
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Artikel Jurnal
How does decentralisation affect health sector planning and financial management? a case study of early effects of devolution in Kilifi County, Kenya
Abstract Background A common challenge for health sector planning and budgeting has been the misalignment between policies, technical planning and budgetary allocation; and inadequate community involvement in priority setting. Health system decentralisation has often been promoted to address health…
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Artikel Jurnal
Experiences with the Implementation of Cuban Health Cooperation Programs in Low and Middle-Income Countries: A Scoping Review [version 1; peer review: 1 approved, 2 approved with reservations]
Background Health systems in low and middle-income countries (LMICs) face chronic Human Resources for Health (HRH) shortages. This is especially worse in rural and primary healthcare settings. The Cuban government since 1960s has been implementing a policy strategy for producing healthcare workers…
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Artikel Jurnal Teks lengkap
Recentralization within decentralization: County hospital autonomy under devolution in Kenya.
BackgroundIn 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine…
Juga tersedia di: PLOS
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Artikel Jurnal Teks lengkap
Management capacity of primary healthcare facilities in low- and middle-income countries: A scoping review.
How health facilities are managed determines their performance and health service delivery. Management capacity of health facilities comprises the competency of managers at the individual level and the management support and work environment in their institutions. Evidence shows this management…
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Artikel Jurnal Teks lengkap
Crises and Resilience at the Frontline-Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast.
BackgroundPublic primary health care (PHC) facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to play a key role in implementing health sector reforms and…
Juga tersedia di: PLOS
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Artikel Jurnal Teks lengkap
Political Prioritisation for Performance-Based Financing at the County Level in Kenya: 2015 to 2018
Background Performance-based financing (PBF) was introduced to Kilifi county in Kenya in 2015. This study investigates how and why political and bureaucratic actors at the local level in Kilifi county influenced the extent to which PBF was politically prioritised at the sub-national level.Methods…
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Artikel Jurnal
Understanding mental health among university students in Kenya: what role do family support and age play?
ObjectiveWhile mental health conditions play a significant role in the global disease burden, their determinants and predictors are still not well understood in Kenya. This study examined the prevalence of mental health conditions among university students and the factors associated with…
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Artikel Jurnal
A scoping review of breastfeeding peer support models applied in hospital settings
Abstract Background The 2013 updated guidelines on management of severe acute malnutrition in infants and children recommends the support of exclusive breastfeeding. These guidelines are inconsistently applied in low and middle income countries (LMICs) due to barriers including unclear…
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Artikel Jurnal
Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution: a county-level case study in Kenya
Abstract Background Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector…
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Artikel Jurnal Teks lengkap
Examining the Implementation of the Free Maternity Services Policy in Kenya: A Mixed Methods Process Evaluation
Background Kenya introduced a free maternity policy in 2013 to address the cost barrier associated with accessing maternal health services. We carried out a mixed methods process evaluation of the policy to examine the extent to which the policy had been implemented according to design, and…
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Artikel Jurnal
Understanding health system responsiveness to public feedback at the sub-national level: Insights from Kilifi County, Kenya.
Responsiveness is one of four health system goals alongside health outcomes, equity in financing and efficiency. Many studies examining responsiveness report a composite satisfaction index or proportions of patients describing satisfaction with dimensions of responsiveness. Consequently…