Population and health system factors affecting the transferability of health kiosks in markets in Kenya

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.