Influence Of Structural Arrangement On Provision Of Quality Primary Care Health Services In Public Health Centers In Nakuru County, Kenya

ABSTRACT

The Alma Ata Declaration of 1978 emphasized the importance of primary care as an approach to achieve health for all. Kenya has gradually expanded primary care health service delivery to increase access and comprehensiveness of healthcare services. It has equipped referral facilities with modern equipment, while primary care health facilities continued to struggle with limited resources. As a consequence, this gap has become a big impediment to Kenya’s quest to achieve universal health coverage. Structural arrangement has been cited as the major contributing factor to quality health services delivery. This study examined relationship between structural arrangements and provision of quality primary care health service in public health centers. The objectives was to assess whether infrastructural resources, financial resources, staffing and governance influence provision of quality primary care services in public health centers in Nakuru County. Acrosssectional study design with mixed data collection methods was adopted for this study. A total of 110 respondents from 33 public health centers in Nakuru County were included in the study sample. The respondents were Clinical officers, Nurses, Pharmaceutical Technologist and Laboratory Technologists. Data entry and analysis was done using SPSS Version 20. Descriptive analysis was used to profile the characteristic of the respondents. Mean, Standard deviation, correlation and regression was used to determine the relationships. The findings showed that modern equipment and adequate supply of essential commodities was associated with high quality primary care health service delivery (r=0.453, p