Population and health system factors affecting the transferability of health kiosks in markets in Kenya.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-05-06 DOI:10.1093/inthealth/ihaf051

Jarim Omogi, Lydia Kaduka, Grace Mbuthia, Anselimo Makokha

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引用次数: 0

Abstract

Background: The aim of this study was to assess the population and health system factors affecting the transferability of health kiosks in markets in Kenya.

Methods: A cross-sectional study with a partially mixed concurrent dominant status design was conducted among 843 households, policy actors, market chairpersons and champions, community health promoters and health workers. A χ2 test was used to test for independence with variables with a statistical significance (p<0.05) subjected to logistic regression. Qualitative data were transcribed verbatim to form nodes and themes.

Results: Level of income, knowledge, awareness and perception of cardiovascular disease (CVD) risk factors were associated with 27.5% of Nyeri respondents earning ≥Ksh 10 000 monthly compared with Vihiga respondents (17.3%). Vihiga respondents were likely to identify excessive alcohol consumption as a cause of CVD. Vihiga had fair (40%) and good (26.6%) awareness levels towards CVDs compared with Nyeri respondents (36.3% and 19.7%, respectively). Vihiga respondents had a higher positive perception towards health services at the local facility compared with Nyeri respondents.

Conclusions: CVD burden, low awareness levels, low health insurance cover and the poor attitude of health workers have the potential to affect the transferability of a health intervention such as a health market kiosk.

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人口和卫生系统因素影响肯尼亚市场卫生服务站的可转移性。

背景：本研究的目的是评估影响肯尼亚市场健康亭可转移性的人口和卫生系统因素。方法：采用部分混合并行主导地位设计的横断面研究，对843户家庭、政策参与者、市场主席和倡导者、社区卫生促进者和卫生工作者进行调查。采用χ2检验，对具有统计学意义的变量进行独立性检验(结果：收入水平、对心血管疾病（CVD）危险因素的知识、认知和感知水平与Nyeri（27.5%）受访者月收入≥Ksh 10,000相关，而Vihiga（17.3%）受访者月收入≥Ksh 10,000相关。Vihiga受访者很可能认为过度饮酒是导致心血管疾病的原因之一。与Nyeri受访者（分别为36.3%和19.7%）相比，Vihiga受访者对心血管疾病的认知度一般（40%）和良好（26.6%）。与尼耶里应答者相比，维希加应答者对当地设施的保健服务有更高的积极看法。结论：心血管疾病负担、认知水平低、医疗保险覆盖率低以及卫生工作者态度不佳可能影响卫生市场亭等卫生干预措施的可转移性。

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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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.