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dc.contributor.authorKilonzo, Susan
dc.contributor.authorKamaara, Eunice
dc.contributor.authorMagak, Kitche
dc.coverage.spatialKenyaen
dc.date.accessioned2017-03-22T10:14:05Z
dc.date.available2017-03-22T10:14:05Z
dc.date.issued2017-03-22
dc.identifier.urihttp://opendocs.ids.ac.uk/opendocs/handle/123456789/12868
dc.description.abstractDevolution was greeted with great anticipation in Kenya as a means of bringing services closer to the people. However, since the implementation of the recent devolution reforms, criticism has mounted, with evidence of corruption, poor management, late payment of county staff and considerable disaffection among service providers, especially health professionals. In this study, we examine health-care users’ and providers’ perceptions of the effect of devolved health services on referral maternal health-care access in Kisumu and Uasin Gishu counties in Western Kenya. Our findings suggest that while health workers are dissatisfied, there is considerable satisfaction among users of referral maternal health services. Users largely associate their satisfaction with devolution. However, closer analysis suggests that improved access is not only linked to devolved health services but also to other developments both at the national level (health campaigns, increased mobile telephony) and county level (improved transportation, relocation of available funds).en
dc.language.isoenen
dc.publisherInstitute of Development Studiesen
dc.relation.ispartofseriesIDS Bulletin;48.2
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International licence, which permits downloading and sharing provided the original authors and source are credited – but the work is not used for commercial purposes. http://creativecommons.org/licenses/by-nc/4.0/legalcodeen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealthen
dc.titleImproving Access to Maternal Health Care through Devolution in Western Kenyaen
dc.typeSeries paper (IDS)en
dc.rights.holderInstitute of Development Studiesen
dc.identifier.teamGovernanceen
dc.identifier.doi10.19088/1968-2017.118
dcterms.dateAccepted2017-03-22
rioxxterms.funderDefault funderen
rioxxterms.identifier.projectDefault projecten
rioxxterms.versionNAen
rioxxterms.funder.projectc941507f-fd0b-4fc3-9822-4b2132f61a1den


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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International licence, which permits downloading and sharing provided the original authors and source are credited – but the work is not used for commercial purposes. http://creativecommons.org/licenses/by-nc/4.0/legalcode
Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International licence, which permits downloading and sharing provided the original authors and source are credited – but the work is not used for commercial purposes. http://creativecommons.org/licenses/by-nc/4.0/legalcode