The Role of Medical Camps in Ensuring Equity in Accessing Health Care Services in Kenya

J. W. Karia, M. Njoroge, William Nyabuto
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引用次数: 1

Abstract

: This study was carried out to help improve the management and organization of the medical camps in Kenya by the various key stakeholders thus enabling the medical camps achieve the overall goal of enabling access of quality affordable health care services to the disadvantaged and marginalized population in Kenya in acknowledgement that equity in the accessing and provision of health care services is an underlying principle intertwined in the human rights principles. Everyone irrespective of their social and economic status are entitled to a standard of health that is enjoyed by majority of the advantaged populations within a society and deliberate multi-disciplinary efforts need to be taken to ensure access of quality affordable health care services for all. Medical camps organized by public sector, private and Non-governmental organizations are initiatives aimed at achieving the goal of availing high standard of health to especially the vulnerable and disadvantaged populations in a community. This study sought to establish the role of medical camps in ensuring equity in accessing health care services in Kenya. The study targeted 500 patients who attended a medical camp, mounted by Embu County Government, one of the 47 county governments in Kenya, in Karaba, Mbeere South Sub-County on 1 st of November 2019. A total of 50 respondents were sampled which was 10% of the total population as it was not possible to involve all the patients due to time and cost constraints. A convenience sampling technique was employed where the study relied on information provided by willing respondents. The data was collected using a structured interview schedule comprising of both closed and open-ended questions. The data was analysed using factor analysis by use of SPSS software. Descriptive statistics in form of frequencies and percentages were used. The findings revealed that there was 100% response rate where majority of the respondents were female. It was notable that majority of those who attended the medical camp were vulnerable persons most of them with primary level of education, unemployed and earning a meagre monthly income of estimated US$ 139. The findings established that the medical camp was well planned and organized. The location was convenient to majority of the respondents; it was easy to locate and navigate through and majority resided within 5 kilometres of the venue. The majority of the respondents were to a great extent satisfied with services offered, level of professionalism and friendliness of the health professionals, proximity of the medical camp; hygiene and as well as free services. The study therefore concluded that to a great extent medical camps ensure equity in accessing health care services among the disadvantaged populations and recommended that such medical camps be organized on a regular basis. The study also recommended that consideration be given to build the capacity of local health staff to enable them offer follow up services after medical camps are offer. Expanding and equipping health facilities should also be a priority given that not all services could be offered during medical camps such as complicated major surgeries. Data was collected usinga structured interview guide endedquestions. The data was analysed using factor analysis by use of SPSS software.
医疗营在确保公平获得肯尼亚医疗保健服务方面的作用
*开展这项研究是为了帮助各主要利益攸关方改善肯尼亚医疗营的管理和组织,从而使医疗营能够实现使肯尼亚处境不利和边缘化人口能够获得负担得起的优质医疗服务的总体目标,同时认识到公平获得和提供医疗服务是与人权原则交织在一起的一项基本原则。每个人,无论其社会和经济地位如何,都有权享有社会中大多数有利人口所享有的健康标准,需要采取深思熟虑的多学科努力,确保所有人都能获得负担得起的优质保健服务。由公共部门、私营组织和非政府组织组织的医疗营是旨在实现向社区中特别是易受伤害和处境不利的人口提供高标准保健的目标的举措。这项研究试图确定医疗营在确保肯尼亚公平获得保健服务方面的作用。该研究的目标是参加2019年11月1日在Mbeere南副县卡拉巴由肯尼亚47个县政府之一的恩布县政府举办的医疗营的500名患者。由于时间和成本限制,不可能涉及所有患者,因此总共抽样了50名受访者,占总人口的10%。采用方便的抽样技术,研究依赖于自愿受访者提供的信息。数据是通过结构化的面试时间表收集的,包括封闭式和开放式问题。采用SPSS软件进行因子分析。使用频率和百分比形式的描述性统计。调查结果显示,在大多数受访者为女性的情况下,有100%的回复率。值得注意的是,参加医疗营的大多数人是弱势群体,其中大多数人受教育程度较低,失业,月收入微薄,估计只有139美元。调查结果证实,医疗营是精心策划和组织的。地理位置对大多数受访者来说是方便的;很容易定位和导航,大多数人居住在距离场馆5公里的范围内。大多数答复者在很大程度上满意所提供的服务、卫生专业人员的专业水平和友好程度、靠近医疗营地;卫生和免费服务。因此,研究得出的结论是,医疗营在很大程度上确保了弱势群体获得保健服务的公平性,并建议定期组织这种医疗营。该研究还建议考虑建设当地保健工作人员的能力,使他们能够在提供医疗营之后提供后续服务。扩大保健设施并为其配备设备也应是一项优先事项,因为并非所有服务都能在医疗营期间提供,例如复杂的大手术。数据是通过结构化的面试指南和问题收集的。采用SPSS软件进行因子分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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