What does this research mean for the field?

Quasi-experimental methodologies for evaluating district hospital system adoption in Kenya show a positive association with improved supply chain metrics, but often lack methodological rigor. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This review aims to appraise quasi-experimental methodologies used in the evaluation of district hospital system adoption in Kenya.

March 13, 2026Open Access

A Systematic Review of Quasi-Experimental Methodologies for Evaluating District Hospital System Adoption in Kenya, 2000–2026

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Authors

WMWanjiku MwangiUniversity of Nairobi KAKipchumba AumaPwani University

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Implication

This systematic review evaluates the effectiveness of quasi-experimental methodologies in assessing system adoption in Kenyan district hospitals, suggesting the need for improved designs.

Key Points

This review aims to appraise quasi-experimental methodologies used in the evaluation of district hospital system adoption in Kenya.
Conducted a systematic search of multiple databases according to PRISMA guidelines.
Included studies that used quasi-experimental designs such as difference-in-differences and interrupted time series.
Assessed study quality using the ROBINS-I tool for risk of bias.
Difference-in-differences was the most frequently used design in 63% of studies.
Only 22% tested parallel trends assumptions, revealing methodological weaknesses.
Meta-analysis indicated a positive relationship between system adoption and supply chain metrics with an odds ratio of 1.85 (95% CI: 1.42, 2.41).

Cite This Study

Mwangi et al. (2007) studied this question.

synapsesocial.com/papers/69b3ac3f02a1e69014ccdbdd https://doi.org/10.5281/zenodo.18953618

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Implication

This systematic review evaluates the effectiveness of quasi-experimental methodologies in assessing system adoption in Kenyan district hospitals, suggesting the need for improved designs.

A Systematic Review of Quasi-Experimental Methodologies for Evaluating District Hospital System Adoption in Kenya, 2000–2026

Discussion

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Implication

Key Points

Cite This Study

A Systematic Review of Quasi-Experimental Methodologies for Evaluating District Hospital System Adoption in Kenya, 2000–2026

Discussion

Member takes

Implication

Key Points

Cite This Study

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