What question did this study set out to answer?

To evaluate the effectiveness and cost-effectiveness of public health surveillance systems in Kenya.

February 28, 2026Open Access

Methodological Evaluation of Public Health Surveillance Systems in Kenya Using Multilevel Regression Analysisfor Cost-Effectiveness Assessment

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Evaluation of surveillance system performance and cost-effectiveness in Kenya, highlighting regional disparities and implications for policy.

To evaluate the effectiveness and cost-effectiveness of public health surveillance systems in Kenya.
Utilized multilevel regression analysis on data from healthcare facilities and community surveys.
Data collected over five years across various regions in Kenya.
Quantified uncertainty in model estimates using robust standard errors.
Significant performance differences were identified between urban and rural areas (p < 0.05).
Cost-saving potential of $12 per capita annually for the most effective systems was estimated.
Regional disparities in cost-effectiveness were highlighted, suggesting targeted investments are needed.

Oleloko et al. (2004) studied this question.

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Evaluation of surveillance system performance and cost-effectiveness in Kenya, highlighting regional disparities and implications for policy.