Kenya

The main objective of this study was to examine the health seeking behavior of TB patients, practices of TB and access to health care. A cross- sectional survey of TB patients was done in Athi River, Machakos level 5 and Mutituni TB treatment health facilities in Machakos County. [from abstract]

This article explores the human resources problems along with the health status and services for Kenya, Rwanda and Uganda. Situational analysis on health status and service delivery is presented via a thorough examination of country specific National Health Sector Strategic Plans. Strategic solutions based on improving the Human Resources for Health are explained and World Health
Organization’s Millennium Development Goals are examined. [from abstract]

This document is a guide for advocating for attention to gender issues in future microbicide introduction. The guide is based on the findings from a gender analysis conducted by FHI 360 in Kenya in 2012–2013. The purpose of this analysis was to examine how gender norms and inequalities may affect women’s access to and use of a microbicide product. [from introduction]

The objective of this manuscript was to examine existing hospital accreditation systems in three East African countries (Uganda, Kenya and Tanzania), assess attitudes and opinions of key stakeholders regarding hospital accreditation systems in the region, and identify lessons regarding sustainable and effective implementation of hospital accreditation systems in resource-limited countries. [from abstract]

This analysis examines this issue of performance and attrition in [voluntary medical male circumcision] programs by looking descriptively at job-fulfillment and burnout. [from introduction]

This technical highlight provides a brief overview of Pathfinder’s experience implementing the Kenyan Community Strategy through the USAID-funded APHIAplus (AIDS, Population, and Health Integrated Assistance Plus) Nairobi-Coast project (2011-2014). [from abstract]

This project examined the surgical productivity and attrition of non-physician cataract surgeons (NPCSs) in Tanzania, Malawi, and Kenya. [from abstract]

Through interviews, researchers found Kenyan women medical clinical researchers shared similar motivations as US women but differed as well. Kenyan medical doctors pursued health research within a context of limited resources, but the ability to balance work and family while contributing to public health through research and leadership was highly valued. [adapted from abstract]

Despite the huge burden of HIV in sub-Saharan Africa, there is little evidence of the multidimensional needs of patients with HIV infection to inform the person-centred care across physical, psychological, social and spiritual domains stipulated in policy guidance. We aimed to describe the problems experienced by people with HIV in Kenya and Uganda and the management of these problems by HIV outpatient services. [from abstract]

This paper reports an exploratory trial designed to test the effect of a low-cost training in-service training intervention for primary health care providers on: the rate of accurate routine clinic detection of mental disorder and recovery (improved health and social outcomes and quality of life) of clients. [adapted from author]

This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. [from abstract]

This study qualitatively assessed the process of implementing a tool developed to integrate data from health programs at the district level to enable district health management teams to review and monitor program progress for specific health issues to make informed service delivery decisions; and evaluated the tool’s effect on data-informed decision making at the district level. [adapted from abstract]

This study was undertaken to determine providers’ and patients’ adherence to national tuberculosis (TB) treatment guidelines. The key findings are expected to provide information regarding factors influencing provider adherence to guidelines, such as providers’ TB-related knowledge and attitudes, environmental factors and resources necessary to adhere to TB diagnosis and treatment standards. [adapted from author]

This study aims to describe and assess selected clinical and reporting information processes of health workers providing antenatal care services in three Kenyan facilities to the national health information system. It assessed different aspects of clinical information systems and the quality of data. [adapted from author]

This work explored perceptions of the roles of Kenyan non-physician clinicians in typical health system settings. [adapted from abstract]

This study sought to further the evidence on how socio-demographic factors influence community health worker effectiveness in conducting home visits in order to ensure the adoption of evidence based maternal, newborn, child health and nutrition best practices and to increase demand for facility based services, including skilled birth attendance. [adapted from author]

The authors describe the design of a cluster-randomized controlled study to investigate the role of sustainable institutional incentives to improve management of malaria in peripheral health facilities. This study will demonstrate whether facility-based rather than individual incentives are compelling enough to change provider behavior and whether these incentives lead to cost savings as a result of targeted drug consumption. [from author]

This article reports recent national data on mobile phone ownership and use among health workers and patients in Kenya and examine factors influencing ownership and SMS use to help guide the policy implications of mHealth. [from author]

Despite advances, insufficient progress has been made in implementing HRH interventions to improve access to qualified health workers. This qualitative study was conducted to determine the factors that define the enabling environment for successful implementation of HRH interventions in three countries: Kenya, Tanzania, and Uganda. [from publisher]

This CPD framework provides guidelines that create an environment for nurses to keep abreast with, and improve competencies in service delivery in an effort to satisfy the needs and expectations of patients and clients in Kenya. [adapted from author]

A recent trial in Kenya showed that text-message reminders on adherence to malaria case-management sent to health workers’ mobile phones improved management of pediatric outpatients by 25 percentage points. This paper examines costs and cost-effectiveness of this intervention. [from abstract]

This study was collected data from caregivers who work directly with vulnerable children to explore how care decisions are made by community-based volunteers, and the utility of the Child Status Index at the community level as a job aid. [adapted from summary]

This controlled study aimed to assess the effectiveness of a personalized HIV risk-reduction intervention delivered by community health workers to people who know they have HIV and who are not on treatment. [from author]

This study examines the supply of, demand for, and policy
environment of private nurse production in four selected countries. [from abstract]

This review examined literature on the roles of mid-level managers to understand how they might influence service delivery quality in Kenyan hospitals. [adapted from abstract]

This qualitative study was conducted among frontline health workers to explore provider experiences with integration in order to ascertain their significance to the performance of integrated health facilities. [from abstract]

The purpose of the study was to test the hypothesis that strengthening health systems, through improved leadership and management skills of health teams, can contribute to an increase in health-service delivery outcomes. The study was conducted in six provinces in the Republic of Kenya. [from abstract]

This brief outlines a comprehensive human resources information system to support management functions in the public health sector that is being implemented by the Ministries of Health in Kenya. [adapted from author]

This article describes the process and results of an uncontrolled before and after study to explore intervention dose-effect relationships, as clinical practice guidelines were disseminated and training was progressively implemented. [adapted from author]

This paper presents the results of a qualitative study to investigate the perceptions and experiences of health workers involved in a a cluster-randomized controlled trial of a novel intervention to improve health worker malaria case management in 107 government health facilities in Kenya. The intervention involved sending text-messages about paediatric outpatient malaria case-management accompanied by motivating quotes to health workers’ mobile phones. [from abstract]