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Abstract
IntroductionEssential Health Packages (EHP) delivery is likely to strengthen service delivery. Healthcare utilization rate is 77% for the sick. 44% and 18% who don't seek care are hindered by cost and distance respectively. The overall child mortality rate in Kenya is 121/1000. In Homabay County, child mortality rate is 91/1000, and maternal mortality rate of 583/100000. The study looked into the provision of EHP in public hospitals in Homabay County.MethodsCross-sectional research design was used. Two hospitals were conveniently due to their municipality location. The study targeted 213 Health workers and 350 patients. Stratified sampling and proportionate sampling was used among different health workers. Sample size was determined by Yamane Formula. The study sampled 138 health workers and 186 patients. Questionnaire and key interview guide were used to collect data.ResultsThere are inadequate health workers based on 138 (100%) health workers. Insufficient drugs were reported by 138 (100%) health workers, and 120 (64.5%) patients. 115 (83.3%) health workers say ambulances are not operational. 26 (18.8%) health workers noted lack medical equipment, 138 (100%) are aware of patients referred elsewhere due to lack of medical equipment. 153 (82.3%) and 135 (72.6%) patients’ health access is hindered by cost and distance respectively. 159 (85.5%) patients don't always find services needed. 159 (85.5%) patients affected by long waiting time.ConclusionLow service provision/utilization rate in Homabay County results from lack of health workers, inadequate drugs, poor health infrastructure, and lack of access in terms of affordability, availability and distance.
Highlights
Essential Health Packages (EHP) delivery is likely to strengthen service delivery
Based on the findings and discussion above, with 138 (100%) of health workers admitting that there is a need for more health care workers, and majority, 138 (100%) saying they are not satisfied with the existing number of health workers, it is evident that there are not enough health care workers in Homabay County hospitals
On the part of the patient satisfaction with the service provision, it is evident that the lack of enough health workers is responsible for low service provision, which means patients are not satisfied with the services resulting from inadequate health workers
Summary
Essential Health Packages (EHP) delivery is likely to strengthen service delivery. Healthcare utilization rate is 77% for the sick. 44% and 18% who don't seek care are hindered by cost and distance respectively. Conclusion: low service provision/utilization rate in Homabay County results from lack of health workers, inadequate drugs, poor health infrastructure, and lack of access in terms of affordability, availability and distance. The health care utilization rate in Kenya is approximately 77% for those who are sick, meaning that a large percentage of the population does not seek care despite being ill [4]. Among those Kenyans who are ill and do not choose to seek care, 44% were hindered by cost. Addressing factors influencing the provision of essential health package in Homabay can be a solution to strengthen service delivery and improve access to health care.
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