An examination of the structural linkages between households and community health services in realization of accelerated primary healthcare delivery in Kisumu County, Kenya: a systematic review
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Date
2024-11-13
Authors
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Journal ISSN
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Publisher
F1000Research
Abstract
Background
The provision of community health services (CHS) is critical in
accelerating primary health care delivery to vulnerable and deprived
populations. This systematic review study has been conducted to
interrogate the interrelationship between households and community
health services in accelerating primary healthcare delivery
synthesizing the available empirical studies. The findings are to inform
a primary research on structural linkages between households and
CHS in Kisumu County, Kenya.
Methods
This study applied a descriptive approach using a systematic review
technique to provide context and substance to the two main research
questions: (1) how does the interaction between households and
CHWs affect utilization of CHS to promote equity and right to health?
(2) How do health-seeking behaviours of households influence their
decision-making regarding choices of CHS? We screened the literature
from Google scholar, JSTOR, SAGE and EBSCO based on our inclusion
criteria, resulting in 21 studies. These studies were assessed for
quality and eligibility and data extracted based on relevance to the
research study.
Results
Households place primacy on trust and confidentiality in the
interaction with CHWs and this affects uptake of CHS. The social
determinants of health are also critical in influencing the healthseeking
behaviour of households and individuals and their choice of
CHS. The successful models of CHS share the characteristic of
community ownership and participation and provides for
comprehensive health care teams.
Conclusion
CHS are critical for the acceleration of primary health care delivery. It
forms an important pathway for the achievement of universal health
coverage, which is an outcome required for Sustainable Development
Goal 3 on health.
Description
https://doi.org/10.12688/f1000research.73303.3