Methodological Evaluation of Community Health Centre Systems in Kenya Using Quasi-Experimental Design for Cost-Effectiveness Assessment

Community health centres (CHCs) play a crucial role in healthcare delivery in Kenya, especially in underserved regions. A mixed-methods approach was employed, including surveys, focus groups, and cost-benefit analysis to assess the operational efficiency and financial sustainability of CHCs in Kenya. CHCs reported an average reduction in patient wait times by 25% after implementing new scheduling systems, with a corresponding decrease in healthcare costs estimated at $10 per patient visit. The quasi-experimental design demonstrated significant improvements in operational efficiency and cost-effectiveness of CHC systems, providing evidence for policy adjustments to enhance service delivery. Implementing standardised training programmes and resource allocation strategies can further optimise the performance of CHCs. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.