VoICE Immunization Evidence: Health Systems Strengthening
A study of over 80,000 children in Kenya designed to understand the role of inadequate health systems on childhood survival beyond 59 months of age showed that a higher per capita density of heath facilities resulted in a 25% reduction in the risk of death. However, user fees for sick-child visits increased the risk of death by 30%.
Anthopolos, R., Simmons, R., O'Meara, W.P. 2017. A retrospective cohort study to quantify the contribution of health systems to child survival in Kenya: 1996-2014. Scientific Reports. 7:44309.