Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol.

ABSTRACT:

Introduction

There is a growing emphasis on improving primary health care services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There is limited understanding of the effects of health facility autonomy on primary health care (PHC) facilities performance. It is recognized that stakeholder interests influence reforms, and gender plays a critical role in access to health and its outcomes. This protocol outlines the methods for a study that plans to evaluate the effects, implementation experience, political economy, and gendered effects of health facility autonomy reforms in Kenya.

Methods and analysis

The research will use a before-and-after quasi-experimental study des

SUBMITTER: Musiega A 

PROVIDER: S-EPMC11737602 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature