Date of Award

1-1-2015

Document Type

Open Access 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.

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