Reliability Assessment of Community Health Centre Systems in Kenya: A Randomized Field Trial

Community health centers in Kenya play a crucial role in providing healthcare services to underserved populations. However, their reliability and effectiveness need further evaluation. A randomized field trial was conducted among 120 randomly selected community health centers across Kenya. A mixed-method approach using quantitative and qualitative data collection methods was employed, including patient surveys and staff interviews. The analysis revealed that the reliability of these systems varied significantly, with a proportion of 75% of centers meeting established quality standards in terms of service delivery and infrastructure maintenance. This study provides evidence on the current state of community health centre reliability in Kenya and highlights areas for improvement. Policy recommendations include strengthening training programmes for healthcare staff, improving logistical support systems, and enhancing public awareness campaigns. Community Health Centers, Reliability Assessment, Randomized Field Trial, Quality Standards Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.