A retrospective cohort study to quantify the contribution of health systems to child survival in Kenya: 1996-2014.

ABSTRACT: Globally, the majority of childhood deaths in the post-neonatal period are caused by infections that can be effectively treated or prevented with inexpensive interventions delivered through even very basic health facilities. To understand the role of inadequate health systems on childhood mortality in Kenya, we assemble a large, retrospective cohort of children (born 1996-2013) and describe the health systems context of each child using health facility survey data representative of the province at the time of a child's birth. We examine the relationship between survival beyond 59 months of age and geographic distribution of health facilities, quality of services, and cost of services. We find significant geographic heterogeneity in survival that can be partially explained by differences in

SUBMITTER: Anthopolos R 

PROVIDER: S-EPMC5349518 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature