Benjamin Tsofa
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View article: Power, Interests, and Maternal Health Care: A Political Economy Analysis of Service Delivery Redesign in Kenya
Power, Interests, and Maternal Health Care: A Political Economy Analysis of Service Delivery Redesign in Kenya Open
The Maternal and Newborn Health (MNH) Service Delivery Redesign (SDR) in Kakamega County, Kenya, represents the country’s first system-level reorganization of MNH services. The reform aimed to improve care quality and reduce mortality by c…
View article: Methods for assessing climate vulnerability in Africa across two decades: a scoping review
Methods for assessing climate vulnerability in Africa across two decades: a scoping review Open
Background Climate change and extreme weather events (EWEs) have an adverse impact on both populations and their surrounding environment. These effects span regions and sectors, with varying impacts, some of which are irreversible. The cha…
View article: Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study
Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study Open
Globally, hypertension causes 10.8 million deaths annually. However, in Kenya, like in other low-and middle-income countries, access to hypertension care remains limited and inequitable. Understanding patients’ journeys in accessing care a…
View article: Establishing the effect of COVID-19 lockdown policy on the utilization of facility-based delivery in Kenya: a multi-method study
Establishing the effect of COVID-19 lockdown policy on the utilization of facility-based delivery in Kenya: a multi-method study Open
Background Amidst the COVID-19 pandemic, lockdown policies emerged as pivotal policies to contain viral transmission. Questions arise about whether their implementation challenged access to care, particularly in regions with fragile health…
View article: Analytical Review of Kenya’s Health Workforce Policy Strategies, 1994-2024: Implication for Health Workforce Management
Analytical Review of Kenya’s Health Workforce Policy Strategies, 1994-2024: Implication for Health Workforce Management Open
Background Explicit human resource policies and guidance can support the management and governance of the health workforce and is needed to address the challenges of shortages, maldistribution, outmigration, and lack of motivation. Our stu…
View article: Management capacity of primary healthcare facilities in low- and middle-income countries: A scoping review
Management capacity of primary healthcare facilities in low- and middle-income countries: A scoping review Open
How health facilities are managed determines their performance and health service delivery. Management capacity of health facilities comprises the competency of managers at the individual level and the management support and work environme…
View article: “Poverty is a social issue, not a mathematical problem”: Examining the lessons for beneficiary identification from implementation of the UHC indigent program in Kenya
“Poverty is a social issue, not a mathematical problem”: Examining the lessons for beneficiary identification from implementation of the UHC indigent program in Kenya Open
Background: Kenya rolled out a UHC indigent program aimed to expand financial protection and health service access for poor households through subsidized health insurance under the national insurer, NHIF. As Kenya transitions to a new soci…
View article: Understanding mental health among university students in Kenya: what role do family support and age play?
Understanding mental health among university students in Kenya: what role do family support and age play? Open
Objective While mental health conditions play a significant role in the global disease burden, their determinants and predictors are still not well understood in Kenya. This study examined the prevalence of mental health conditions among u…
View article: Examining the Implementation Experience of Primary Health Care Networks (PCNs) in Kenya: A Qualitative Study
Examining the Implementation Experience of Primary Health Care Networks (PCNs) in Kenya: A Qualitative Study Open
Background : Kenya has identified Primary Health Care Networks (PCNs) as a key reform to strengthen Primary Health Care (PHC) delivery. It has enacted the Primary Health Care Act of 2023 to facilitate their implementation. PCNs were pilote…
View article: Experiences with the Implementation of Cuban Health Cooperation Programs in Low and Middle-Income Countries: A Scoping Review
Experiences with the Implementation of Cuban Health Cooperation Programs in Low and Middle-Income Countries: A Scoping Review Open
Background Health systems in low and middle-income countries (LMICs) face chronic Human Resources for Health (HRH) shortages. This is especially worse in rural and primary healthcare settings. The Cuban government since 1960s has been impl…
View article: Management capacity of healthcare facilities in Low- and Middle-Income Countries; A scoping review
Management capacity of healthcare facilities in Low- and Middle-Income Countries; A scoping review Open
How health facilities are managed determines their performance and health service delivery. Management capacity of health facilities comprises the competency of managers at the individual level and the management support and work environme…
View article: Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study
Access to hypertension services and health-seeking experiences in rural Coastal Kenya: A qualitative study Open
Globally, hypertension causes 10.8 million deaths annually. However, in Kenya, like in other low-and middle-income countries, access to hypertension care remains limited and inequitable. Understanding patients’ journeys in accessing care a…
View article: Improving Implementation of NCD Care in Low- and Middle-Income Countries: The Case of Fixed Dose Combinations for Hypertension in Kenya
Improving Implementation of NCD Care in Low- and Middle-Income Countries: The Case of Fixed Dose Combinations for Hypertension in Kenya Open
Health systems in low- and middle-income countries face the challenge of addressing the growing burden of non-communicable diseases (NCDs) with scarce resources to do so. There are cost-effective interventions that can improve management o…
View article: Access to longitudinal mental health data in Africa: Lessons from a landscape analysis by the INSPIRE network datahub
Access to longitudinal mental health data in Africa: Lessons from a landscape analysis by the INSPIRE network datahub Open
Background Data from longitudinal mental health research in Africa is critical to understanding the complexities of mental health disorders in the continent’s diverse contexts. To be useful, data need to adhere to the FAIR principles of Fi…
View article: Evaluating the impact, implementation experience and political economy of primary care networks in Kenya: protocol for a mixed methods study
Evaluating the impact, implementation experience and political economy of primary care networks in Kenya: protocol for a mixed methods study Open
Background Primary care networks (PCNs) are increasingly being adopted in low- and middle-income countries (LMICs) to improve the delivery of primary health care (PHC). Kenya has identified PCNs as a key reform to strengthen PHC delivery a…
View article: Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries: A scoping review of qualitative evidence.
Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries: A scoping review of qualitative evidence. Open
The rising prevalence of chronic diseases in low- and middle-income countries (LMICs) poses significant challenges to already overburdened health systems. Community-based interventions are recognised as effective strategies for managing th…
View article: Understanding health system responsiveness to public feedback at the sub-national level: Insights from Kilifi County, Kenya
Understanding health system responsiveness to public feedback at the sub-national level: Insights from Kilifi County, Kenya Open
Responsiveness is one of four health system goals alongside health outcomes, equity in financing and efficiency. Many studies examining responsiveness report a composite satisfaction index or proportions of patients describing satisfaction…
View article: Evaluating the effectiveness of the National Health Insurance Subsidy Programme within Kenya’s universal health coverage initiative: a study protocol
Evaluating the effectiveness of the National Health Insurance Subsidy Programme within Kenya’s universal health coverage initiative: a study protocol Open
Background Low-income and middle-income countries, including Kenya, are pursuing universal health coverage (UHC) through the establishment of Social Health Insurance programmes. As Kenya rolls out the recently unveiled UHC strategy that in…
View article: Community-Based Health Information Systems in Africa: A Scoping Review of Data Generation, Utilization, and Community Empowerment
Community-Based Health Information Systems in Africa: A Scoping Review of Data Generation, Utilization, and Community Empowerment Open
Introduction The community-based health information system (CBHIS) is a vital component of the community health system, as it assesses community-level healthcare service delivery and generates data for community health programme planning, …
View article: Access to longitudinal mental health data in Africa: Lessons from a landscape analysis by the INSPIRE network datahub
Access to longitudinal mental health data in Africa: Lessons from a landscape analysis by the INSPIRE network datahub Open
Background Data from longitudinal mental health research in Africa is critical to understanding the complexities of mental health disorders in the continent’s diverse contexts. To be useful, data need to adhere to the FAIR principles of Fi…
View article: How does Public Financial Management (PFM) influence health system efficiency: A scoping review
How does Public Financial Management (PFM) influence health system efficiency: A scoping review Open
Background Effective Public Financial Management (PFM) approaches are imperative in the quest for efficiency in health service delivery. Reviews conducted in this area have assessed the impact of PFM approaches on health system efficiency …
View article: Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol
Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol Open
Introduction There is a growing emphasis on improving primary healthcare (PHC) services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autono…
View article: Examining the development and utilisation of Community-Based Health Information Systems (CBHIS) in Africa: A Scoping Review
Examining the development and utilisation of Community-Based Health Information Systems (CBHIS) in Africa: A Scoping Review Open
Introduction The community-based health information system (CBHIS) is a vital component of the community health system, as it assesses community-level healthcare service delivery and generates data for community health programme planning, …
View article: Power and positionality in the practice of health system responsiveness at sub-national level: insights from the Kenyan coast
Power and positionality in the practice of health system responsiveness at sub-national level: insights from the Kenyan coast Open
Background Health system responsiveness to public priorities and needs is a broad, multi-faceted and complex health system goal thought to be important in promoting inclusivity and reducing system inequity in participation. Power dynamics …
View article: Managing hypertension in rural Gambia and Kenya: Protocol for a qualitative study exploring the experiences of patients, health care workers, and decision-makers
Managing hypertension in rural Gambia and Kenya: Protocol for a qualitative study exploring the experiences of patients, health care workers, and decision-makers Open
Background Hypertension is the single leading risk factor for premature death in Sub-Saharan Africa (SSA). Prevalence is high, but awareness, treatment, and control are low. Community-centred interventions show promise for effective hypert…