Abstract:
Public health kiosks can enhance access to healthcare in rural communities. To
understand how to apply such an effective intervention and achieve results in another
setting is key. This study explores the factors that influence the transferability of
health kiosks in community markets in Kenya, with a focus on cardiovascular disease prevention and health promotion. The study was conducted in Vihiga and Nyeri
counties, Kenya, between December 2023 and January 2024, among 64 participants. This qualitative exploratory study was nested in an implementation project
dubbed Health Kiosks in Markets (HEKIMA). Six focus group discussions and sixteen
in-depth interviews were conducted among purposively selected healthcare workers,
market leaders, and policy actors. The conceptual framework, Population–intervention–environment–Transfer Model of Transferability (PIET‐T), guided the study
design, data analysis, and identification of key themes. It also provided recommendations to optimize the program transfer. The successful transfer of a community-based
health intervention to new settings depends on four key factors: its demonstrated
effectiveness, compatibility with the local infrastructure, alignment with decisionmakers’ priorities, and the level of institutional and stakeholder support. The findings
provide valuable insights for guiding and informing the applicability of an intervention
to other contexts. We demonstrate that active stakeholder participation should be
encouraged.
