VoICE Immunization Evidence

A retrospective cohort study to quantify the contribution of health systems to child survival in Kenya: 1996-2014

Authored by: Anthopolos, R., Simmons, R., O'Meara, W.P.

Appears in:

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.

Key Idea

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 faciities resulted in a 25% reduction in the risk of death. However, user fees for sick-child visits increased the risk of death by 30%.

Published In

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.

Disease or Vaccine