Year 2019, Volume 4, Issue 1, Pages 31 - 42 2019-04-01

ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES

Vincent Okungu [1]

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The study used the county institutional capacity assessment tool (CICAT) to assess the capacities of selected county health departments (CHDs) along the World Health Organization (WHO) health systems framework that is organized around the six building blocks. The aim was to determine the current status of the six health system building blocks in Kenya’s county health departments.

The article emanates from data collected for a technical report on county institutional capacity assessment. Data were analysed using Microsoft Excel spreadsheet and thematic analysis.

The overall performance of the counties was 54% indicating average capacity. The performance scores were: leadership and governance (39%), human resources for health (44%), health information systems (66%), medical products and technologies (50%), health system financing (50%), and service delivery (71%). There was no statistically significant difference in the overall performance of the counties (p= 0.892). The key issues in some of the worst performing building blocks included poor work-planning and lack of transparency in budgeting and expenditure, low funding and irregular disbursements of health budgets, lack of key policies, e.g. workforce strategy and commodity supply chain.

In conclusion, the study proved that the CICAT is useful for assessing the process of strengthening health systems in Kenyan counties. 

Capacity development, health department, county, Kenya
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Article
Authors

Author: Vincent Okungu (Primary Author)
Institution: School of Public Health, University of Nairobi
Country: Kenya


Dates

Application Date: January 5, 2019
Acceptance Date: March 12, 2019
Publication Date: April 1, 2019

Bibtex @research article { ijhsrp508787, journal = {International Journal of Health Services Research and Policy}, issn = {}, eissn = {2602-3482}, address = {Rojan GÜMÜŞ}, year = {2019}, volume = {4}, pages = {31 - 42}, doi = {10.23884/ijhsrp.2019.4.1.04}, title = {ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES}, key = {cite}, author = {Okungu, Vincent} }
APA Okungu, V . (2019). ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES. International Journal of Health Services Research and Policy, 4 (1), 31-42. DOI: 10.23884/ijhsrp.2019.4.1.04
MLA Okungu, V . "ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES". International Journal of Health Services Research and Policy 4 (2019): 31-42 <http://dergipark.org.tr/ijhsrp/issue/44323/508787>
Chicago Okungu, V . "ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES". International Journal of Health Services Research and Policy 4 (2019): 31-42
RIS TY - JOUR T1 - ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES AU - Vincent Okungu Y1 - 2019 PY - 2019 N1 - doi: 10.23884/ijhsrp.2019.4.1.04 DO - 10.23884/ijhsrp.2019.4.1.04 T2 - International Journal of Health Services Research and Policy JF - Journal JO - JOR SP - 31 EP - 42 VL - 4 IS - 1 SN - -2602-3482 M3 - doi: 10.23884/ijhsrp.2019.4.1.04 UR - https://doi.org/10.23884/ijhsrp.2019.4.1.04 Y2 - 2019 ER -
EndNote %0 International Journal of Health Services Research and Policy ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES %A Vincent Okungu %T ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES %D 2019 %J International Journal of Health Services Research and Policy %P -2602-3482 %V 4 %N 1 %R doi: 10.23884/ijhsrp.2019.4.1.04 %U 10.23884/ijhsrp.2019.4.1.04
ISNAD Okungu, Vincent . "ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES". International Journal of Health Services Research and Policy 4 / 1 (April 2019): 31-42. https://doi.org/10.23884/ijhsrp.2019.4.1.04
AMA Okungu V . ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES. IJHSRP. 2019; 4(1): 31-42.
Vancouver Okungu V . ASSESSING THE CAPACITY OF COUNTY HEALTH DEPARTMENTS IN KENYA USING THE WORLD HEALTH ORGANIZATION’S HEALTH SYSTEMS FRAMEWORK: IMPLICATIONS FOR SERVICE DELIVERY AND OUTCOMES. International Journal of Health Services Research and Policy. 2019; 4(1): 42-31.