Last updated January 2009
; Peterson Junius Muriithi; Josephine Kibaru; Paul Kizito
The general conclusion of the assessment of levels of achievement is that they are not optimum for the RH services delivery system and its resource effort. Vital indicators are below expectations e.g. stalling of fertility rates and CPR. Possible explanations may lie in lack of effectiveness and efficiency on part of the of service provision models. Innovations have addressed issues that may influence effectiveness and efficiency in respect of organisation of provision. Recent policy movement has targeted choices of organizational forms and management systems and delivery models that emphasize integration and decentralisation. Community involvement and social marketing are gaining currency as innovations to improve on the delivery modes.
This study proposes to generate evidence from the Kenyan system to augment the understanding on poor indicators on RH and the need for scaling up the uptake of the RH services and links between good indicators of RH and economic development and consequently poverty reduction. Resource constraints facing most health care systems call for efficiency and effectiveness in the use of the available resources. Hence, the need to provide information on the efficiency and effectiveness of different RH provision models and gain an understanding of the features of the provision models that promote efficiency in resource use. Such understanding is of relevance to policy makers in aiding decisions on choice and design of RH provision strategies that maximise the outcomes given resource constraints. Furthermore, there is paucity of studies attempting to evaluate the costs and effectiveness of the service delivery models in the SSA setting thereby limiting these countries’ leverage in evidence based decision-making on resources use for RH.
Mercy Mugo, firstname.lastname@example.org
; Peterson Junius Muriithi, email@example.com
; Josephine Kibaru, firstname.lastname@example.org
; Paul Kizito, email@example.com
, University of Nairobi, Ministry of Health, National Coordinating Agency for Population and Development