Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya

dc.contributor.authorGitahi, Eunice
dc.contributor.authorKabue, Priscilla
dc.contributor.authorAmbani, Elizabeth
dc.date.accessioned2025-10-30T07:38:40Z
dc.date.available2025-10-30T07:38:40Z
dc.date.issued2024-08-28
dc.descriptionArticle
dc.description.abstractPrimary 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
dc.identifier.citationGitahi, 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.
dc.identifier.urihttps://doi.org/10.37284/eajhs.7.1.2156
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/31881
dc.language.isoen
dc.publisherEast African Journal of Health and Science
dc.titleFactors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya
dc.typeArticle
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