Examining the sustainability and impact of an innovative community pharmacy model in expanding access to Non - Communicable Disease medicines in Nairobi, Kenya

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dc.contributor.authorMusyoki, Rebecca
dc.date.accessioned2023-06-19T10:13:42Z
dc.date.available2023-06-19T10:13:42Z
dc.date.issued2021
dc.descriptionA Dissertation submitted in partial fulfilment of the requirements for the Master in Business Administration in Healthcare Management degree
dc.description.abstractAs the burden of non-communicable diseases (NCDs) continues to rise globally, low- and middle income countries are increasingly appreciating the role of primary health care (PHC) facilities in early screening, detection and disease management However, PHC is poorly funded in most countries, resulting in capacity and operational challenges. In response, innovative models have begun emerging, including community-linked initiatives. This study sought to examine an innovative revolving fund community pharmacy model established to support the fight against NCDs in Nairobi. The study employed a qualitative approach to examine the role the community pharmacy played in expanding access to NCD medicines and explore its sustainability and perceived impact. Data was collected from patients, management committee and providers through in-depth interviews, and analysis conducted using a thematic framework approach. The study revealed that actor ecosystem (management, PHC facility staff and community members) generally understood the key model features, including its operations and financing. There was general agreement that the community pharmacy had promoted access to NCD medicines across key groups. Analysis of sustainability factors (outcome-based advocacy, systems orientation, community linkages, vision focus balance and infrastructure development) suggested that the model was relatively sustainable. The study recommends that for better sustainability, a policy framework for operation of this community pharmacy may be required, and should include· a regulation and oversight framework, monitoring, evaluation mechanisms, and community and stakeholder's engagement protocols. In addition, the study recommends community pharmacies run as partnerships to have shared vision and goals with realistic strategic plans detailing how to achieve them.
dc.identifier.urihttp://hdl.handle.net/11071/13317
dc.language.isoen
dc.publisherStrathmore University
dc.titleExamining the sustainability and impact of an innovative community pharmacy model in expanding access to Non - Communicable Disease medicines in Nairobi, Kenya
dc.typeThesis
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MBA-HCM Theses and Dissertations (2021)