Power and positionality in the practice of health system responsiveness at sub-national level: insights from the Kenyan coast.

ABSTRACT:

Background

Health system responsiveness to public priorities and needs is a broad, multi-faceted and complex health system goal thought to be important in promoting inclusivity and reducing system inequity in participation. Power dynamics underlie the complexity of responsiveness but are rarely considered. This paper presents an analysis of various manifestations of power within the responsiveness practices of Health Facility Committees (HFCs) and Sub-county Health Management Teams (SCHMTs) operating at the subnational level in Kenya. Kenyan policy documents identify responsiveness as an important policy goal.

Methods

Our analysis draws on qualitative data (35 interviews with health managers and local politicians, four focus group discussions with HFC members, observations o

SUBMITTER: Kagwanja N 

PROVIDER: S-EPMC11367973 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature