African Rehabilitation Medicine

Advancing Scholarship Across the Continent

Vol. 2000 No. 1 (2000)

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Bayesian Hierarchical Model for Evaluating Clinical Outcomes in District Hospitals Systems in Kenya

Oluoch Mwangi, Kenyatta University Wafula Ngugi, Department of Epidemiology, Kenya Agricultural and Livestock Research Organization (KALRO) Kamau Otieno, Kenya Agricultural and Livestock Research Organization (KALRO)
DOI: 10.5281/zenodo.18705726
Published: December 12, 2000

Abstract

District hospitals in Kenya play a crucial role in primary healthcare delivery but often face challenges in maintaining optimal clinical outcomes. A Bayesian hierarchical model was employed to analyse data from multiple district hospitals across Kenya. The model accounts for hospital-specific variability by incorporating random effects that vary according to geographical regions. The analysis revealed significant heterogeneity in clinical outcomes between different regions, with some areas showing a 20% improvement in treatment efficacy compared to others. Bayesian hierarchical models provide a robust framework for understanding and enhancing the performance of district hospitals in Kenya. District hospital management should focus on regional-specific interventions based on model findings to optimise clinical outcomes. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.

How to Cite

Oluoch Mwangi, Wafula Ngugi, Kamau Otieno (2000). Bayesian Hierarchical Model for Evaluating Clinical Outcomes in District Hospitals Systems in Kenya. African Rehabilitation Medicine, Vol. 2000 No. 1 (2000). https://doi.org/10.5281/zenodo.18705726

Keywords

African geographyBayesian inferencehierarchical modellingclinical outcomesdistrict hospitalsmethodological evaluationrandomized controlled trials

References