The challenge of promoting interventions to prevent disease in impoverished populations in rural western Kenya

K. Schilling, B. Person, S.H. Faith, R. Otieno and R. Quick

American Journal of Public Health, 2013, vol. 103, issue 12, 2131-2135

Abstract: Poverty is a critical social determinant of health. A particular approach toward mitigating inequitable access to health services in Kenya has been through a community-based distribution program implemented by the Safe Water and AIDS Project (SWAP) that has achieved modest uptake of public health interventions. To explore reasons for modest uptake, we asked program participants about child health problems, daily tasks, household expenditures, and services needed by their communities. Respondents identified child health problems consistent with health data and reported daily tasks, expenses, and needed services that were more related to basic needs of life other than health. These findings highlight the challenges of implementing potentially self-sustaining preventive interventions at scale in poor populations in the developing world.

Keywords: child; child welfare; community care; controlled study; economics; health care delivery; health care disparity; health promotion; human; Kenya; longitudinal study; organization and management; poverty; preschool child; primary prevention; questionnaire; randomized controlled trial; rural population; statistics and numerical data; article; controlled clinical trial; statistics, Child; Child Welfare; Child, Preschool; Community Networks; Health Promotion; Health Services Accessibility; Healthcare Disparities; Humans; Kenya; Longitudinal Studies; Poverty Areas; Primary Prevention; Questionnaires; Rural Population, Child; Child Welfare; Child, Preschool; Community Networks; Health Promotion; Health Services Accessibility; Healthcare Disparities; Humans; Kenya; Longitudinal Studies; Poverty Areas; Primary Prevention; Questionnaires; Rural Population (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301459_8

DOI: 10.2105/AJPH.2013.301459

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