ARTÍCULO
TITULO

Analysis of health seeking behaviour on effective delivery of health services under capitation scheme in Kenya

Priscilla Nduku Wangai    
Amos Njuguna    
Joseph Ngugi    

Resumen

Under capitation health scheme, a member freely selects a health facility from which to seek health services. There is no restriction of the number of times a member seeks health services from the facility within the contract period. This has affected delivery of health service under capitation contracting. This paper documents a quantitative analysis of the effect of health seeking behaviour on effective delivery of health services. Since human behaviour is assumed to be a natural phenomena, a philosophical view of positivism w?s ?dopted in this research. Accordingly, a scientific approach was used to deduce the influence of health seeking behaviour on the metrics of effectiveness. Out of 1152 health facilities accredited to offer primary healthcare in Kenya, data was collected from a sample of 297 health units using closed ended questionnaires. Logit regression analysis on the data revealed that congestion in out-patient department had a negative effect on quality of health services delivered but a positive effect on accessibility and affordability of the services. Increased frequency of consultation had a negative effect on all the three measures of effectiveness; quality, accessibility and affordability of health service delivery. Corresponding odds ratios were 0.173, 1.105 and 1.295 respectively.

Palabras claves

 Artículos similares

       
 
Giulia Foti, Giorgia Bondanini, Georgia Libera Finstad, Federico Alessio and Gabriele Giorgi    
The COVID-19 pandemic led to serious psychological consequences that negatively affect workers? mental health, leading to post-traumatic symptoms. In this scenario, employees may be exposed to multiple stressors that ultimately drain their resources. Dra... ver más

 
Penia Marsella, Dewi Cahyani Pangestuti     Pág. 237 - 248

 
Arsena Gjipali, Valbona Karapici and Nevila Baci    
This paper draws on a current international analysis of pandemic consequences in the labour market and on the way different segments have been impacted. The purpose is to provide a critical investigation of the facts and arguments regarding how and why t... ver más

 
Katerina Gkalitsiou and Dimosthenis Kotsopoulos    
Metaphors and storytelling are important communication tools that play a significant role in leadership and organizational life. Leaders have used metaphors and storytelling to enhance their written and verbal communication from ancient times, since Aris... ver más

 
Rian Andriani,Disman Disman     Pág. in press
The health industry has the third highest voluntary turnover rate in the world; thus, the degree of participation in the health industry is still relatively low. Low employee engagement continues to make employee engagement an intriguing issue of study, ... ver más