Mixed-method analysis reveals decentralized funding improves clinical outcomes in rural clinics, indicating strategic resource allocation is essential.
This study examines rural clinics in Kenya to evaluate their clinical outcomes over a period of one year. A mixed-method approach was employed, integrating quantitative panel-data estimation techniques to analyse clinical outcomes. The study utilised a generalized linear model (GLM) for the statistical analyses, incorporating robust standard errors to account for potential heteroscedasticity. Panel-data regression analysis revealed that clinics operating under a decentralized funding mechanism had significantly higher patient compliance rates compared to those with centralized funding (β = -0.65, $p < 0.01$). The study concludes that a balanced decentralization strategy is crucial for improving clinical outcomes in rural Kenya's health clinics. Policy recommendations include reallocating resources to decentralized clinics and enhancing community engagement initiatives.
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Odhiambo Wambui (2015) studied this question.
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