Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya
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Date
2024-08-28
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East African Journal of Health and Science
Abstract
Primary health care is instrumental to delivery of quality basic health care
services in communities. Its significance lies in ensuring that appropriate
basic healthcare services are offered to all who need them competently,
fairly and efficiently based on a people-centered approach. The study
therefore sought to assess the factors affecting implementation of primary
health care services among nurses in level 3 health facilities in Kiambu
County, Kenya. This was an analytical cross-sectional study conducted
among 141 nurses who worked in level 3 health facilities in Kiambu County
and recruited using simple random sampling technique. They responded to
a self-administered questionnaire. Data was probed descriptively with
measures including proportions along with counts utilizing SPSS version
25.0. Relationships in study attributes were probed with chi-square test at
95% CI with outcomes shown in tables and figures. From the findings,
majority (91.5%, n = 129) of the nurses rated the level of implementation
of primary health care services in their workstations as sub-optimal. The
factors found to strongly correlate with the poor implementation of the
primary healthcare services were inadequate number of available
healthcare personnel (p = 0.002); poor or low remuneration of healthcare
providers (p = < 0.000); poor supply of essential medicine/drugs (p =
0.011); unavailability of essential medical equipment (p = 0.000); poor
planning of the PHC programs (p = 0.024); lack of or inadequate support
to HCPs from the hospital management (p = 0.013) and significant
underfunding of the primary health care services (p = 0.001). Efforts are
therefore required on the part of relevant stakeholders in Kiambu County
to address the various factors that impede effective delivery of primary
health care services
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Citation
Gitahi, E., Kabue, P. & Ambani, E. (2024). Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya East African Journal of Health and Science, 7(1), 395-406. https://doi.org/10.37284/eajhs.7.1.2156.