Publications by authors named "T Chelagat"

Maternal mortality continues to be one of the biggest challenges of the health system in Kenya. Informal settlements in Kenya have been known to have higher rates of maternal mortality and also receive maternity services of varied quality. Data assessing progress on key maternal health indicators within informal settlements are also often scarce.

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Article Synopsis
  • - The study aimed to assess health managers' views on the sustainability of improvement projects in Kenyan health facilities and identify factors that either aided or hindered project maintenance using qualitative methods.
  • - Thirty-three health manager teams, who had recently undergone leadership training funded by USAID, were interviewed about their experiences in sustaining projects over 24-60 months, with data analyzed thematically.
  • - Findings revealed 29 out of 33 projects reported sustainability, highlighting key enablers like effective program design and stakeholder support, while challenges included human resource constraints and policy misalignment.
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The provision of health care services in Kenya was devolved from the national government to the counties in 2013. Evidence suggests that health system performance in Kenya remains poor. The main issue is poor leadership resulting in poor health system performance.

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Background: Kenya's new constitution passed in 2010 recognizes the right of quality care resulting in the devolution of health service delivery to the sub-national units called counties in 2013. However, the health system performance continues to be poor. The main identified challenge is poor health systems leadership.

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Objectives: Knowledge transfer is recognised as a key determinant of organisational competitiveness. Existing literature on the transfer of knowledge and skills imply diminutive return on investment in training and development due to the low application of learnt knowledge. Following devolution of health services provision to new counties in Kenya in 2013, Strathmore Business School designed an experiential facility improvement project-based leadership training programme for healthcare managers in the new counties.

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