Bibliographic Details
Title: |
The impact of the nurses’, doctors’ and clinical officer strikes on mortality in four health facilities in Kenya |
Authors: |
Grace Kiringa Kaguthi, Videlis Nduba, Mary Beth Adam |
Source: |
BMC Health Services Research, Vol 20, Iss 1, Pp 1-10 (2020) |
Publisher Information: |
BMC, 2020. |
Publication Year: |
2020 |
Collection: |
LCC:Public aspects of medicine |
Subject Terms: |
Strikes, Mortality, Doctors, Nurses, Clinical officers, Universal health care, Public aspects of medicine, RA1-1270 |
More Details: |
Abstract Background Health worker strikes are a significant threat to universal access to care globally and especially in sub Saharan Africa. Kenya’s health sector has seen an increase in such industrial action. Globally there is limited data that has examined mortality related to such strikes in countries where emergency services were preserved. We sought to assess the mortality impact of an 100 day physician strike which was followed by 151 day nurses’ strike and 20 day clinical officer strike in Kenya. Methods Monthly mortality data was abstracted from four public hospitals, Kenyatta National Referral Hospital, AIC Kijabe Hospital, Mbagathi Hospital and Siaya Hospital between December 2016 and March 2018. Differences in mortality were assessed using t-tests and multiple linear regression adjusting for facility, numbers of patients utilizing the hospital and department. Results There was a significant decline in the numbers of patients seen, comparing the non-strike and strike periods; beta (ß) coefficient − 649 (95% CI -950, − 347) p |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
1472-6963 |
Relation: |
http://link.springer.com/article/10.1186/s12913-020-05337-9; https://doaj.org/toc/1472-6963 |
DOI: |
10.1186/s12913-020-05337-9 |
Access URL: |
https://doaj.org/article/61dde2a76b5946509dbb19ed6dd151f6 |
Accession Number: |
edsdoj.61dde2a76b5946509dbb19ed6dd151f6 |
Database: |
Directory of Open Access Journals |
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