Assessing quality of primary healthcare services for the elderly in Kiambu County, Kenya

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dc.contributor.authorMbiyu, J. W.
dc.date.accessioned2023-09-20T08:08:30Z
dc.date.available2023-09-20T08:08:30Z
dc.date.issued2023
dc.descriptionFull - text thesis
dc.description.abstractOld age increases the risk of non-communicable diseases and other degenerative diseases. This trend is evident in many parts of the world including sub-Saharan African (SSA) countries such as Kenya. To adequately prepare and respond to the healthcare needs of the elderly in SSA, there is need for more research to generate information on health sys-tem challenges regarding provision of quality healthcare to the elderly in SSA. The objective of the study was to assess the quality of primary healthcare services for the el-derly in Kiambu County, Kenya. The County has the highest number of elderly persons (5% of the population) out of the 47 Counties in Kenya (KNBS 2019). The study popula-tion was the elderly people (defined as anyone aged 60 years and above) visiting the selected health facilities in Kiambu County. The study used a qualitative cross-sectional design, with purposeful sampling in which a semi-structured interview guide was used to capture information from the participants regarding the following aspects of quality of care: structure, process, and outcome. A total of seventy-two participants (24 males and 48 females, age range 60 – 86 years) were recruited from14 primary healthcare centres between the month of February and March 2023. Data analysis involved transcribing the data from the interviews held, followed by statistical analysis using the NVIVO. Results showed that lack of medication, referral for laboratory services, waiting time and short-age of healthcare workers (HCWs) were some of the challenges affecting the quality of healthcare for the elderly in Kiambu County. Additionally, interpersonal relationships with the healthcare providers which are all linked to quality of healthcare services for the elderly were found to be important for a positive experience for the elderly during the treatment process. The study also demonstrated that the access to care by the elderly de-pends on their satisfaction with the services provided by the healthcare facility and the health care provider. Key recommendations include: Kiambu County to address the is-sues of lack of drugs in the health facilities and especially those that relate to care for the elderly e.g. the non-communicable diseases medication, HCW training on social inclu-sion and re-designing of the health facilities to be disability friendly, HCW worker shortage to be addressed, In conclusion, the results of this study can be used to improve quality of healthcare for the elderly in other settings, depending on the context under which such services are being provided.
dc.identifier.citationMbiyu, J. W. (2023). Assessing quality of primary healthcare services for the elderly in Kiambu County, Kenya [Strathmore University]. http://hdl.handle.net/11071/13504
dc.identifier.urihttp://hdl.handle.net/11071/13504
dc.language.isoen
dc.publisherStrathmore University
dc.titleAssessing quality of primary healthcare services for the elderly in Kiambu County, Kenya
dc.typeThesis
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