Rural clinics in Kenya face challenges in delivering consistent quality healthcare due to resource limitations and varying operational standards. The study employed systematic reviews of existing literature and conducted qualitative interviews with healthcare providers. Multilevel regression models were used to analyse data from multiple levels (individual patient, clinic, district). Analysis revealed significant variation in treatment efficacy across different clinics, influenced by factors such as staffing levels and equipment access. Multilevel regression analysis highlighted the importance of balancing resource allocation at various organisational levels for improved clinical performance. Strategic investments should prioritise enhancing infrastructure and training programmes to support rural healthcare delivery effectively. rural clinics, Kenya, multilevel regression, clinical outcomes, health system evaluation Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Ochieng et al. (Wed,) studied this question.