Management of Health Care Facilities and Patient Attendance during Major Disruptions: Evidence from Kenya

Vista sencilla de ítem
dc.creatorAndrews, Kathryn
dc.creatorDal Ri, Fabiano
dc.creatorGatti, Roberta
dc.creatorLemos, Renata
dc.creatorMacis, Mario
dc.creatorNakhone, Lydia
dc.date2026-05-01T18:19:00Z
dc.date2026-05-01T18:19:00Z
dc.date2026-05-01
dc.date.accessioned2026-07-01T00:30:58Z
dc.descriptionThis paper measures and analyzes management practices in the Kenyan health care sector, drawing on a nationally representative survey and linked administrative data. The paper adapts the World Management Survey to measure management quality in primary health care facilities and hospitals, surveying 429 primary health care facilities and 73 hospitals. Primary health care facilities are the primary point of contact for most patients, providing treatment for common infectious diseases and chronic conditions, as well as services related to maternal and child health. Management quality is low on average, and the distribution is highly compressed. The analysis uses administrative data to test the association between the management quality and performance of primary health care facilities, measured by outpatient attendance, during a period of disruption that included the COVID-19 pandemic and a public health workers' strike. Overall attendance fell during this period. Private facilities experienced a smaller decline than public facilities, consistent with substitution during the strike. Within the private sector, better-managed facilities showed greater resilience, driven primarily by operations management. These results underscore the role of management quality in strengthening facility-level resilience and the complementarity of public and private sectors in absorbing healthcare shocks.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttps://openknowledge.worldbank.org/entities/publication/07700da5-51bb-4b62-80c5-d27678217397
dc.identifierhttps://hdl.handle.net/10986/44775
dc.identifier10.1596/1813-9450-11369
dc.identifier.urihttp://hdl.handle.net/123456789/405040
dc.languageEnglish
dc.languageen_US
dc.publisherWashington, DC: World Bank
dc.relationPolicy Research Working Paper; 11369
dc.rightsCC BY 3.0 IGO
dc.rightshttps://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectMANAGEMENT PRACTICES
dc.subjectPRIMARY HEALTH CARE
dc.subjectOUTPATIENT ATTENDANCE
dc.subjectSHOCKS
dc.titleManagement of Health Care Facilities and Patient Attendance during Major Disruptions: Evidence from Kenya
dc.typeWorking Paper

Archivos

Colecciones

AgroKnow