Thesis:

Assessment of factors affecting implementation of community health strategy in Mogotio sub county, Baringo, Kenya

The community health strategy (CHS) approach is one of the Kenya’s flagships of vision 2030, intending to improve well being care services of rural communities. This study therefore assessed factors influencing the enactment of CHS in Mogotio Sub County, Baringo County, Kenya. The study applied cross-sectional study design in collecting primary data. The study was conducted in three locations of Mogotio sub-county namely Koitebes, Ngubereti and Sirwa location. Study design was cross-sectional based with a target population of 12406 and studied population (household heads) of 2410. Simple random sampling was used to select household head respondents and purposive sampling to select key informants and the piloting study was undertaken in Emining location, Emining ward. The study involved 320 respondents and the target groups were Community health volunteers (CHVs) Community health extension workers (CHEWs), household head (HHH) and county health management team (CHMT). Data was analyzed quantitatively (mean and percentages) and inferentially. For inferential statistics, Spearman’s correlation analysis was used to determine the influence of participation by the county administration as well as the challenges faced by County Administration and the community well-being volunteers on the enactment of the community well-being approach using the 21 st version of Statistical Package for the Social Sciences (SPSS) with 0.05 level of significance. Data was presented in tables, pie charts and bar graphs. Dissemination of information on CHS to the members of households was low or non-existent,probably because the training and facilitation offered to CHVs was poor and inadequate creation of awareness to the local community in the enactment of the program. The findings indicated that majority (51%) of the household head respondents were male and 49% female. Through Spearman’s correlation test, all the contributions and challenges by both the community well-being volunteers and the county administration had a significant influence on the enactment of the community well-being approach (P<0.05). The study also revealed that the CHVs were not adequately trained on both the basic and technical modules. Based on the study findings, it is recommended that the county administration need to ensure that CHVs are well trained on both the basic and technical modules and also provide all the required resources for proper enactment of the CHS program.