What question did this study set out to answer?

To evaluate the adoption rates of evidence-based medical practices in district hospitals in Kenya and identify factors influencing these rates.

March 12, 2026Open Access

Quasi-Experimental Evaluation of District Hospital Systems in Kenya: Methodological Insights into Adoption Rates

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Quasi-experimental analysis reveals varying adoption rates of medical practices across Kenyan districts, suggesting targeted policy interventions.

To evaluate the adoption rates of evidence-based medical practices in district hospitals in Kenya and identify factors influencing these rates.
Mixed-methods approach combining quantitative surveys and qualitative interviews
Utilisation of propensity score matching for district comparability
Quasi-experimental design to analyse adoption dynamics
Adoption rates varied from 30% in rural districts to 65% in urban districts (p < 0.01)
Identified significant disparities in resource availability and operational efficiency across districts
Recommendations for tailored training programmes and resource strategies for underserved areas

Kinyanjui et al. (2012) studied this question.

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Quasi-experimental analysis reveals varying adoption rates of medical practices across Kenyan districts, suggesting targeted policy interventions.