INFLUENCE OF INSTITUTIONAL REORGANIZATION ON THE ACCESS TO PRIMARY CARE HEALTH SERVICES IN A TRANSITION PERIOD: A CASE OF IFO CAMP, DADAAB REFUGEE COMPLEX, KENYA
Abstract
The refugee population verification exercise in 2016 indicated the Dadaab Refugee Camp population to be on a declining trend. The declining trend was due to relocations, and voluntary repatriation of the refugees. Health service delivery has transmuted from difficult situations on previous years to serve Dadaab refugee, through soliciting sufficient funds to provide quality essential services like Primary care services for care and protection. With the call for repatriation, it was expected that health service delivery would be affected. Therefore, the study sought to assess the influence of institutional reorganization on the access to primary care services during the transition period in IFO Camp of Dadaab Refugee Complex, Garissa County. The study adopted cross-section descriptive study design that combined both qualitative and quantitative methods of data collection. A total of 384 respondents were included in this study. Random sampling was used to select the respondents. Data collection was face to face using structured questionnaires. In depth interviews were done with camp leaders and institutional managers. Study findings revealed the respondents were aware of the institutional re-organizations that had taken place in the primary care health sector of IFO Camp during the transition period, namely: management process (51.3%), resource re-adjustment (11.7%), structure re-organization (9.9%), and stakeholders’ role (5.5%). The chi-square analysis showed that there was positive correlation between structural adjustment (Χ2=204; P< 0.001), resource adjustment (Χ2 = 67.9, P< .001) and access to primary health care services. Hence it was concluded that there was an association between structural adjustments, resource adjustment, and access to primary health access among the refugees. The study recommends that; i) all stakeholders inside the refugee camp should be involved for effective resource re-adjustments in order to ensure continued access to primary care health services during the transition period and ii) the UNHCR should ensure that there is effective management during the reorganization period in order to ensure efficiency use of resources for better access to health services during the transition.
Article visualizations:
Keywords
Full Text:
PDFReferences
Albreht, T., Diana M. J. Delnoij, Niek Klazinga (2006). Changes in primary health care centres over the transition period in Slovenia. European Journal of Public Health, Vol. 16, No. 3, 237–242.
Buong, J., Gwoswar , C., Dan, O., Kasejet, H., Odhiambo, O., Mary. Evelyn A. (2013, August). Uptake of Community Health Strategy on Service Delivery and Utilization in Kenya.
CGI White paper (2014); Healthcare Challenges and Trends, The Patients at the Heart of Care. CGI. Group. INC https://www.cgi.com/en/media/white-paper/healthcare-challenges-and-trends, accessed on 17 May, 2016.
David Adler., Mgalula, K., Price, D., and Taylor, O. “Introduction of a portable ultrasound unit into the health services of the Lugufu refugee camp, Kigoma District, Tanzania, https://pubmed.ncbi.nlm.nih.gov/19384640, accessed on 17 May, 2016.
Gandham N. V. Ramana, Rose Chepkoech, and Netsanet Walelign (2013, January). Working to Improving Universal Primary Health Care by Kenya: A Case Study of the Health Sector Services Fund. The World Bank, Washington DC.
Gianluca Veronesi and Kevin Keasey (2009). Policy implementation and stakeholder involvement within the National Health Service. United Kingdom.
Golafshani, N. (2003, December 4). Understanding Reliability and Validity in Qualitative Research. Qualitative Report, 8(4), 597-607.
Handbook for Repatriation and Reintegration Activities (2004, May) UNHCR. Geneva
Haskew, P. Spiegel, B. Tomczyk, N. Cornier, and H. Hering (2010): A standardized health information system for refugee settings: Rationale, challenges and the way forward. European Scientific Journal. vol.9 No.23.
Jiwrajka, M., Mahmoud, A., & Uppal, M. (2017). A Rohingya refugee’s journey in Australia and the barriers to accessing healthcare. BMJ case reports, 2017, bcr-2017.
Justin Oliver Parkhurst, Loveday Penn-Kekana, Duane Blaauw, Dina Balabanova, Kirill Danishevski, Syed Azizur Rahman, Virgil Onama, Freddie Ssengooba (2005): Health systems factors influencing maternal health Services: a four-country comparison, London. United Kingdom.
Kenya Health Policy (2014-2030): Ministry of Health. Nairobi, Kenya.
Kenya Health Sector Strategic and Investment Plan (July 2014 – June 2018): Ministry of Health. Nairobi, Kenya.
Kenya National Bureau of Statistics (KNBS) and ICF Macro. (2010). Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro.
Maneze, M. DiGiacomo, Y. Salamonson, J. Descallar, and P. M. Davidson. (2015): Facilitators and Barriers to Health-Seeking Behaviors among Filipino Migrants: Inductive Analysis to Inform Health Promotion. BioMed Research International Journal; Volume 2015
OXFAM. (2011). The Human Costs of Funding Shortfalls to the Dadaab Refugee Camps. Nairobi: OXFAM.
Rutta, E. (2008). Prevention of mother-to-child transmission of HIV in a refugee camp setting in Tanzania. Global Public Health. 3.1. (2008): 62-76. Accessed on 16 June 2016.
Santoro, Alessio & Abu-Rmeileh, Niveen & Khader, Ali & Seita, Akihiro & McKee, Martin (2016). Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East. Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ. 22. 417-421. 10.26719/2016.22.6.417.
Taylor-Robinson, S. D., & Oleribe, O. (2016). Famine and disease in Nigerian refugee camps for internally displaced peoples: a sad reflection of our times. QJM: An International Journal of Medicine, 109(12), 831-834.
Tripartite Agreement: Voluntary Repatriation (2013): Nairobi. Kenya
UNHCR (2010): Public Health Equity in Refugee and Other Displaced Persons Settings: Public Health and HIV Section, DPSM Policy Development and Evaluation Service.
UNHCR (2015), Report of the United Nations High Commissioner for Refugees, UNHCR, Nairobi, Kenya.
UNHCR (2015). Kenya Comprehensive Refugee Programme. Nairobi: UNHCR, Nairobi, Kenya.
UNHCR (2016) Strengthening Refugee Protection, Assistance and Support to Host Communities in Kenya And Comprehensive Plan of Action for Somali Refugees, Nairobi, Kenya.
UNHCR (August 2015): Operation in Kenya, Fact Sheet, UNHCR, Nairobi, Kenya.
WHO and Department of Health, Philippines (2012): Health Service Delivery Profile Philippines? Philillines.
World Health Organization (2007). Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action. Geneva. Switzerland
World Health Organization (2007). Health of Migrants Geneva. Switzerland.
World Health Organization (2010). Primary Health Care, the basis for health system strengthening. Genève. Switzerland.
www.unhcr.org/news/Tripartite_agreement_Kenya_Somalia, accessed January 2016.
www.unthsc.edu/students/wp-content/uploads/sites/26/Schlossberg, accessed November, 5th 2016.
Yip WC, Hsiao W, Meng Q, Chen W, Sun X (2010). Realignment of incentives for health-care providers in China PMID: DOI: 20346818 10.1016/S0140-6736(10)60063-3.
DOI: http://dx.doi.org/10.46827/ejphs.v2i2.66
Refbacks
- There are currently no refbacks.
Copyright (c) 2020 Jaji Ann Reggie, Wanja Tenambergen, Lilian Muiruri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright © 2019 - 2023. European Journal of Public Health Studies (ISSN 2668-1056/ISSN-L 2668-1056) is a registered trademark of Open Access Publishing Group. All rights reserved.
This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library. All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All the research works published on this journal are meeting the Open Access Publishing requirements and standards formulated by Budapest Open Access Initiative (2002), the Bethesda Statement on Open Access Publishing (2003) and Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities (2003) and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License. Copyrights of the published research works are retained by authors.
