Health care methods consult with a particular system that entails completely different folks from totally different organizations and institutions that solely have one objective. In Kenya, the well being worker crisis in the nation has resulted from the combined results on excessive attrition rates from the impression of HIV/AIDS, poor working circumstances and low salaries. Kenyan healthcare falls into this category, where Group Health Workers (CHWs) are increasingly been burdened with the task of serving these healthcare wants, leading to the estimated 1200 expert employees leaving Kenya’s health workforce yearly (2). As such, health services in Kenya are unable to offer quality healthcare as a result of they are dependent on CHWs. Well being system sustainability is a really complicated matter, as numerous elements contribute to the oiling of the engine.
The official international origin and role of the title CHWs goes back to the World Well being Organization’s (WHO) Alma-Alta Declaration of 1978, regardless that traditional healers and neighborhood health activities existed well before this time (4). As such, CHWs are individuals who are invested within the communities where they work and.should be supported by the well being system however not essentially part of its organization, and have shorter training than professional employees” (5). CHWs embody traditional docs, group midwives, conventional beginning attendants, and well being schooling staff to name but a number of (6).
Over the years, CHW’s roles have expanded to incorporate not solely their position as well being care suppliers, but additionally neighborhood advocates who’re involved in higher technical aspects of neighborhood healthcare and supply (5). AIDS has additionally ravaged and decimated Kenyan healthcare providers, contributing to the health employee crisis present within the nation right now (14, 15).
Thus, well being companies in Kenya are unable to offer high quality healthcare as a result of they are depending on CHWs for the availability of healthcare within the nation, to supplement the influence of brain drain on the healthcare sector. Kenya, with its vital skilled well being employee scarcity, is one in every of 57 countries that falls under the WHO acknowledged threshold (1).
Well being providers in Kenya are increasingly unable to offer quality healthcare as a result of they are depending on CHWs as the first methodology of healthcare supply. Consequently, the Kenyan health care system is in a vicious cycle the place CHWs are pressured to fill the pressing need for health care workers and inadvertently grow to be the normative standard of healthcare supply, perpetuating the issue of lack of expert healthcare personnel inside the system. CHW have been forced to take the role of main healthcare suppliers particularly in areas of the country where there are no different options for well being providers (15).