ArticleDialogues in health2023
The effect of a pilot universal health coverage program on hospital workload: A comparative study of two counties in Kenya.
Article in Dialogues in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Examining the emergence and implementation experience of Primary Health Care Networks (PCNs) in Kenya: a qualitative process evaluation.BMC health services research · 2025Article
- Quantifying Health-Related Risk Factors Associated with Breast and Prostate Cancer Burden: The Role of Trends and Disparities in Obesity and Cholesterol.Iranian journal of public health · 2025Article
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Abstract
Aim: Universal health coverage (UHC) aims to provide individuals with the healthcare they need without predisposing them to catastrophic health expenditures. The Kenyan government piloted UHC in four select counties in 2019. Nyeri County was one of the selected counties. Area residents accessed health services from government-owned health facilities at no cost. This study assessed the effect of this pilot on the workload of major health facilities in Nyeri. Material and methods: The monthly workload of six health facilities in Nyeri was compared with that of similar facilities in the non-participating county of Embu. A difference-in - differences analysis was done for workload indicators. Workload was downloaded from the Kenya health information system. The level 5 hospital recorded an increase in eight workload indicators with four having statistically significant increases. Three indicators recorded non-significant declines. The level 4 and 3 health facilities also recorded an increase in outpatient workload. Conclusion: The pilot UHC program increased workload and by extension utilization of healthcare among major health facilities in Nyeri.
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