16 hasil untuk "Benjamin Tsofa"
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Artikel Jurnal Teks lengkap
Recentralization within decentralization: County hospital autonomy under devolution in Kenya
Background: In 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…
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Crises and Resilience at the Frontline—Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast
Background: Public 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…
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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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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…
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Political economy analysis of sub-national health sector planning and budgeting: A case study of three counties in Kenya
Devolution represented a concerted attempt to bring decision making closer to service delivery in Kenya, including within the health sector. This transformation created county governments with independent executive (responsible for implementing) and legislative (responsible for agenda-setting)…
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Health worker strikes in Kenya: A symptom of governance inadequacies in a devolved health system
Recurrent health worker strikes in Kenya since the 2013 devolution reforms reflect more than episodic labour unrest; they signal broader governance challenges that may be particularly pronounced in decentralised and resource-constrained health systems. Despite constitutional protections for labour…
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Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries: A scoping review of qualitative evidence
The rising prevalence of chronic diseases in low- and middle-income countries (LMICs) poses significant challenges to already overburdened health systems. Community-based interventions are recognised as effective strategies for managing these conditions. However, implementing such interventions…
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Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya
Efficiency gains is a potential strategy to expand Kenya’s fiscal space for health. We explored health sector stakeholders’ understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We conducted a qualitative cross-sectional…
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Budget monitoring, accountability practices and their influence on the efficiency of county health systems in Kenya
Public Finance Management (PFM) practices influence the attainment of health system goals. PFM processes are implemented within the budget cycle which entails the formulation, execution, and monitoring of government budgets. Budget monitoring and accountability actors, structures, and processes are…
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Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study
Globally, hypertension causes 10.8 million deaths annually. However, in Kenya, like in other low-and middle-income countries, access to hypertension care remains limited and inequitable. Understanding patients’ journeys in accessing care along the care cascade is critical to inform patient-centred…
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Artikel Jurnal Teks lengkap
Implementing community case management of malaria: Stakeholder insights on advancing equitable access in Kilifi County
Malaria detection in Kilifi, County, primarily relies on intermittent active surveillance at healthcare facilities. To strengthen control of uncomplicated malaria, community health promoters (CHPs) were engaged in community health education, case detection, and treatment. This study examines…
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On the resilience of health systems: A methodological exploration across countries in the WHO African Region
The need for resilient health systems is recognized as important for the attainment of health outcomes, given the current shocks to health services. Resilience has been defined as the capacity to “prepare and effectively respond to crises; maintain core functions; and, informed by lessons learnt…
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Declining Responsiveness of Plasmodium falciparum Infections to Artemisinin-Based Combination Treatments on the Kenyan Coast
Background: The emergence of artemisinin-resistant P. falciparum malaria in South-East Asia highlights the need for continued global surveillance of the efficacy of artemisinin-based combination therapies. Methods: On the Kenyan coast we studied the treatment responses in 474 children 6–59 months…
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Non -O ABO blood group genotypes differ in their associations with Plasmodium falciparum rosetting and severe malaria
Blood group O is associated with protection against severe malaria and reduced size and stability of P. falciparum-host red blood cell (RBC) rosettes compared to non-O blood groups. Whether the non-O blood groups encoded by the specific ABO genotypes AO, BO, AA, BB and AB differ in their…
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SARS-CoV-2 seroprevalence in three Kenyan health and demographic surveillance sites, December 2020-May 2021
Background: Most of the studies that have informed the public health response to the COVID-19 pandemic in Kenya have relied on samples that are not representative of the general population. We conducted population-based serosurveys at three Health and Demographic Surveillance Systems (HDSSs) to…
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Sero-surveillance for IgG to SARS-CoV-2 at antenatal care clinics in three Kenyan referral hospitals: Repeated cross-sectional surveys 2020–21
Introduction: The high proportion of SARS-CoV-2 infections that have remained undetected presents a challenge to tracking the progress of the pandemic and estimating the extent of population immunity. Methods: We used residual blood samples from women attending antenatal care services at three…