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The role of community engagement in building sustainable health-care delivery interventions for Kenya

Elise Catherine Davis (Department of Epidemiology and Biostatistics, Texas A&M University School of Public Health, College Station, Texas, USA)
Elizabeth T. Arana (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
John S. Creel (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Stephanie C. Ibarra (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Jesus Lechuga (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Rachel A. Norman (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Hannah R. Parks (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Ali Qasim (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
David Y. Watkins (Department of Health Administration, Texas A&M University School of Public Health, College Station, Texas, USA)
Bita A. Kash (Department of Health Policy and Management, Texas A&M University School of Public Health, College Station, Texas, USA)

European Journal of Training and Development

ISSN: 2046-9012

Article publication date: 19 February 2018

697

Abstract

Purpose

The purpose of this article is to provide a general review of the health-care needs in Kenya which focuses on the role of community engagement in facilitating access and diminishing barriers to quality care services. Health-care concerns throughout Kenya and the culture of Kenyan’s health-care practices care are considered.

Design/methodology/approach

A comprehensive review covered studies of community engagement from 2000 till present. Studies are collected using Google Scholar, PubMed, EBSCOhost and JSTOR and from government and nongovernment agency websites. The approach focuses on why various populations seek health care and how they seek health care, and on some current health-care delivery models.

Findings

Suggestions for community engagement, including defining the community, are proposed. A model for improved health-care delivery introduces community health workers (CHWs), mHealth technologies and the use of mobile clinics to engage the community and improve health and quality of care in low-income settings.

Practical implications

The results emphasize the importance of community engagement in building a sustainable health-care delivery model. This model highlights the importance of defining the community, setting goals for the community and integrating CHWs and mobile clinics to improve health status and decrease long-term health-care costs. The implementation of these strategies contributes to an environment that promotes health and wellness for all.

Originality/value

This paper evaluates health-care quality and access issues in Kenya and provides sustainable solutions that are linked to effective community engagement. In addition, this paper adds to the limited number of studies that explore health-care quality and access alongside community engagement in low-income settings.

Keywords

Acknowledgements

This paper forms part of a special section “Global health and human development in Africa”, guest edited by Fredrick Muyia Nafukho.

Citation

Davis, E.C., Arana, E.T., Creel, J.S., Ibarra, S.C., Lechuga, J., Norman, R.A., Parks, H.R., Qasim, A., Watkins, D.Y. and Kash, B.A. (2018), "The role of community engagement in building sustainable health-care delivery interventions for Kenya", European Journal of Training and Development, Vol. 42 No. 1/2, pp. 35-47. https://doi.org/10.1108/EJTD-06-2016-0042

Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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