Joseph Mwashighadi Waduu, Prof. Maurice Ogada, Dr. Veronica Nyatichi, Monica Wanjiru Kinyanjui


This study delves into the quality of health outcomes within Kenya's County Governments, underpinned by theoretical frameworks emphasizing citizens as vital stakeholders in budget formulation and execution. The study encompasses patients within County and County-affiliated personnel, adopting a correlational research design. A convenience sampling technique facilitated patient identification from hospitals in targeted County governments. Primary data collection employed well-structured questionnaires, supplemented by secondary data from budget documents and reports. Collected data underwent meticulous coding, editing, and refining, followed by a comprehensive analysis employing both descriptive and inferential methodologies. Descriptive statistics, including frequency distribution, means, and percentages, briefly presented key variables. Rigorous analytical methods aimed to extract nuanced insights into health budget allocation's intricate dynamics and tangible health outcomes within County-level governance structures. The study explored healthcare accessibility, quality, and challenges within Kenyan County governments, employing a cross-sectional design and comprehensive survey data to assess patients' experiences and perceptions on major findings of the study. This study contributes valuable insights into the healthcare landscape within surveyed counties, shedding light on access, affordability, and quality. Suggestions for future research include a more in-depth analysis of geographical influences, real-time monitoring and evaluation, qualitative research methods for richer insights, and comparative studies across regions to identify best practices. These recommendations aim to guide future research endeavors, fostering a nuanced comprehension of healthcare dynamics and contributing to the ongoing enhancement of healthcare systems.

Keywords: Budget, Health Service Delivery, County Governments, Healthcare Accessibility, Quality, Challenges

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