Risk Reduction in Community Health Centres Systems: A Multilevel Regression Analysis in Kenya

This study aims to evaluate the effectiveness of community health centres in Kenya by assessing their ability to reduce health risks among residents. A multilevel regression model was employed, with community-level data on healthcare access and patient outcomes nested within individual-level health records. The model is represented as Yᵢⱼ = eta₀ + eta₁X₁ᵢⱼ + eta₂X₂ᵢⱼ + uᵢ + vⱼ where uᵢ represents the random intercept for communities, and vⱼ captures the community-level effect. Community health centres were found to reduce overall risk by approximately 30% in terms of preventable diseases such as malaria and diarrhoea across varying socio-economic contexts. The findings suggest that well-resourced and adequately staffed community health centres play a pivotal role in reducing health risks, particularly among vulnerable populations. Policy makers should prioritise investment in infrastructure and human resources to enhance the effectiveness of these healthcare systems.