Methodological Evaluation of Public Health Surveillance Systems in Kenya Using a Difference-in-Differences Approach

This study addresses a current research gap in Medicine concerning Methodological evaluation of public health surveillance systems systems in Kenya: difference-in-differences model for measuring efficiency gains in Kenya. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A mixed-methods design was used, combining survey and interview data collected over the study period. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of public health surveillance systems systems in Kenya: difference-in-differences model for measuring efficiency gains, Kenya, Africa, Medicine, intervention study This work contributes a formal specification, transparent assumptions, and mathematically interpretable claims. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.