Date of Award

January 2015

Document Type

Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Mark Lazenby

Second Advisor

Ruth McCorkle

Abstract

Objective: Rural Kenya is affected by health disparities and poor health outcomes among school-age children. This paper identifies gaps in health care among school-aged children in rural Kenya, in order to identify a health care model to meet those gaps.

Design: The results of a systematic review on the health care needs were triangulated with field notes from interviews of stakeholders in a rural Kenyan village. Needs were then compared with currently available health care resources to identify gaps.

Sample: Multiple databases were searched to identify relevant articles published between the years 2000- 2014. Interviews were conducted with health workers, parents/caretakers, and church leaders in Nambale, Kenya.

Measurements: 38 articles met the inclusion criteria for review. Publicly available data on health care needs of school-aged children in sub-Saharan Africa, Kenya, and Busia County, Kenya, were obtained from multiple sources. 49 stakeholder interviews were performed.

Results: Health care access in rural Kenya is affected by a shortage of health care resources including health care facilities, hospital beds, specialty services, and health care providers.

Conclusions: A nurse-run school-based clinic is a care model that can address the health care gaps faced by school-aged children in rural Kenya.

Comments

This thesis is restricted to Yale network users only. It will be made publicly available on 02/22/2019

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