VoICE Immunization Evidence
A retrospective cohort study to quantify the contribution of health systems to child survival in Kenya: 1996-2014
From the VoICE Editors
This retrospective cohort study of children born between 1996 and 2013 eamined the health system impact by evaluating the geographic distribution of health facilities, quality of services and cost of services.
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%.