Abstract:
Background: The aim of this study was to assess the population and health system factors affecting the transferability of health kiosks in markets in Kenya.
Methods: A cross-sectional study with a partially mixed concurrent dominant status design was conducted
among 843 households, policy actors, market chairpersons and champions, community health promoters and
health workers. A χ2 test was used to test for independence with variables with a statistical significance (p<0.05)
subjected to logistic regression. Qualitative data were transcribed verbatim to form nodes and themes.
Results: Level of income, knowledge, awareness and perception of cardiovascular disease (CVD) risk factors were
associated with 27.5% of Nyeri respondents earning ≥Ksh 10 000 monthly compared with Vihiga respondents
(17.3%). Vihiga respondents were likely to identify excessive alcohol consumption as a cause of CVD. Vihiga
had fair (40%) and good (26.6%) awareness levels towards CVDs compared with Nyeri respondents (36.3% and
19.7%, respectively). Vihiga respondents had a higher positive perception towards health services at the local
facility compared with Nyeri respondents.
Conclusions: CVD burden, low awareness levels, low health insurance cover and the poor attitude of health
workers have the potential to affect the transferability of a health intervention such as a health market kiosk.
