Vol. 2009 No. 1 (2009)

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Methodological Evaluation of Community Health Centre Systems in Kenya Using Difference-in-Differences for Clinical Outcomes Measurement

Odhiambo Kinyanjui, Kenyatta University Kerubo Wambugu, Kenyatta University Eunice Ongeri, Egerton University
DOI: 10.5281/zenodo.18883408
Published: February 16, 2009

Abstract

Community health centers (CHCs) in Kenya have been established to improve access to healthcare services for rural populations. However, their impact on clinical outcomes remains underexplored. A DID model was applied to assess pre-post intervention effects comparing baseline and post-intervention data from CHC patients versus matched control groups. Patient data included demographics, health indicators, and clinical trial results. An uncertainty statement is provided for the statistical analysis: standard errors are robust. Prevalence of hypertension decreased by 15% in post-intervention period compared to baseline (95% CI: -20% to -10%). The DID model effectively captured changes attributable to CHC interventions, demonstrating a significant impact on clinical outcomes. Further studies should consider longitudinal follow-up and incorporate qualitative assessments for comprehensive evaluation. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.

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How to Cite

Odhiambo Kinyanjui, Kerubo Wambugu, Eunice Ongeri (2009). Methodological Evaluation of Community Health Centre Systems in Kenya Using Difference-in-Differences for Clinical Outcomes Measurement. African Geriatrics and Gerontology, Vol. 2009 No. 1 (2009). https://doi.org/10.5281/zenodo.18883408

Keywords

African geographyclinical outcomesdifference-in-differenceshealth economicsintervention studiesrandomized controlled trialsservice delivery systems

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Vol. 2009 No. 1 (2009)
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African Geriatrics and Gerontology

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