{"id":"https://openalex.org/W3211290512","doi":"https://doi.org/10.4236/health.2021.1310084","title":"Effectiveness of Hospital Management Committees in Busia County, Kenya","display_name":"Effectiveness of Hospital Management Committees in Busia County, Kenya","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W3211290512","doi":"https://doi.org/10.4236/health.2021.1310084","mag":"3211290512"},"language":"en","primary_location":{"id":"doi:10.4236/health.2021.1310084","doi":"https://doi.org/10.4236/health.2021.1310084","is_oa":true,"landing_page_url":"https://doi.org/10.4236/health.2021.1310084","pdf_url":"https://content.scirp.org/pdf/health_2021102615143775.pdf","source":{"id":"https://openalex.org/S4210222741","display_name":"Health","issn_l":"1949-4998","issn":["1949-4998","1949-5005"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://content.scirp.org/pdf/health_2021102615143775.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044018382","display_name":"William N. Okedi","orcid":"https://orcid.org/0000-0003-1832-7119","observed_orcids":["https://orcid.org/0000-0003-1832-7119"]},"institutions":[{"id":"https://openalex.org/I4405256813","display_name":"Alupe University","ror":"https://ror.org/04jfsqd34","country_code":"KE","type":"education","lineage":["https://openalex.org/I4405256813"]}],"countries":["KE"],"is_corresponding":true,"raw_author_name":"William N. Okedi","raw_affiliation_strings":["Department of Public Health and Behavioural Sciences, Alupe University College, Busia, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health and Behavioural Sciences, Alupe University College, Busia, Kenya","institution_ids":["https://openalex.org/I4405256813"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055870327","display_name":"Ferdinard Adungo","orcid":"https://orcid.org/0000-0002-0873-7993","observed_orcids":["https://orcid.org/0000-0002-0873-7993"]},"institutions":[{"id":"https://openalex.org/I2841861","display_name":"Kenya Medical Research Institute","ror":"https://ror.org/04r1cxt79","country_code":"KE","type":"facility","lineage":["https://openalex.org/I2841861"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Ferdinard Adungo","raw_affiliation_strings":["Kenya Medical Research Institute, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kenya Medical Research Institute, Nairobi, Kenya","institution_ids":["https://openalex.org/I2841861"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5044018382"],"corresponding_institution_ids":["https://openalex.org/I4405256813"],"apc_list":null,"apc_paid":null,"fwci":1.2327,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.76993813,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":97},"biblio":{"volume":"13","issue":"10","first_page":"1129","last_page":"1144"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5814999938011169,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5814999938011169,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.3799000084400177,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.012400000356137753,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/committee-member-selection","display_name":"committee member selection","score":0.5299999713897705},{"id":"https://openalex.org/keywords/hospital-governance","display_name":"hospital governance","score":0.5460000038146973},{"id":"https://openalex.org/keywords/busia-county","display_name":"Busia County","score":0.6589999794960022}],"concepts":[{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5701960325241089},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5038325190544128},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.4848853051662445},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.48086363077163696},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.38103151321411133},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3741426467895508},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3214142620563507},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.23583874106407166},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.1970416009426117},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.4236/health.2021.1310084","doi":"https://doi.org/10.4236/health.2021.1310084","is_oa":true,"landing_page_url":"https://doi.org/10.4236/health.2021.1310084","pdf_url":"https://content.scirp.org/pdf/health_2021102615143775.pdf","source":{"id":"https://openalex.org/S4210222741","display_name":"Health","issn_l":"1949-4998","issn":["1949-4998","1949-5005"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.4236/health.2021.1310084","doi":"https://doi.org/10.4236/health.2021.1310084","is_oa":true,"landing_page_url":"https://doi.org/10.4236/health.2021.1310084","pdf_url":"https://content.scirp.org/pdf/health_2021102615143775.pdf","source":{"id":"https://openalex.org/S4210222741","display_name":"Health","issn_l":"1949-4998","issn":["1949-4998","1949-5005"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320480","host_organization_name":"Scientific Research Publishing","host_organization_lineage":["https://openalex.org/P4310320480"],"host_organization_lineage_names":["Scientific Research Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.7246000170707703},{"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.6601999998092651}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3211290512.pdf","grobid_xml":"https://content.openalex.org/works/W3211290512.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W1978126135","https://openalex.org/W2039678313","https://openalex.org/W2089697392","https://openalex.org/W2104121829","https://openalex.org/W2116617623","https://openalex.org/W2128938742","https://openalex.org/W2137986468","https://openalex.org/W3114688356"],"related_works":["https://openalex.org/W4283708390","https://openalex.org/W2591356490","https://openalex.org/W4205719998","https://openalex.org/W2039678313","https://openalex.org/W4226236359","https://openalex.org/W2526159932","https://openalex.org/W2104121829","https://openalex.org/W3082837661","https://openalex.org/W4211073340","https://openalex.org/W2116617623"],"abstract_inverted_index":{"The":[0,185],"Kenya":[1,95,176],"Ministry":[2],"of":[3,14,21,47,57,85,107,156,175,203,210],"Health":[4],"restructured":[5],"the":[6,12,18,26,35,39,45,48,51,55,76,83,86,132,151,157,165,173,193,207,211,216],"health":[7,19,58],"sector":[8],"in":[9,60,71,88,99,111,192],"2009":[10],"with":[11,150,161,181],"goal":[13],"promoting":[15],"and":[16,82,90,96,115,124,134,139,183,190,199,206,227,237],"improving":[17],"status":[20],"all":[22,108],"citizens.":[23],"It":[24],"established":[25],"Hospital":[27,40],"Management":[28,41],"Services":[29],"Fund":[30],"to":[31,67,197,223],"be":[32],"managed":[33],"at":[34,50,131],"facility":[36,133],"level":[37,53,113,117],"by":[38,104,178,201],"Committees":[42],"(HMCs).":[43],"Since":[44],"establishment":[46],"HMCs":[49,87],"county":[52,135],"following":[54],"devolution":[56],"services":[59],"2016,":[61],"no":[62,221],"evaluation":[63],"has":[64],"been":[65,233],"done":[66],"assess":[68],"their":[69,92,225],"performance":[70,84],"Busia":[72,89],"County.":[73],"We":[74],"assessed":[75],"criteria,":[77],"selection":[78],"process,":[79,195],"orientation,":[80],"induction,":[81],"considered":[91],"implications":[93],"for":[94],"similar":[97],"contexts":[98],"Africa.":[100],"Data":[101],"were":[102,137],"collected":[103,129],"purposive":[105],"sampling":[106],"HMC":[109,218],"members":[110,202,219],"six":[112],"4":[114],"one":[116],"5":[118],"hospitals":[119,144,158],"through":[120],"Focus":[121],"Group":[122],"Discussions":[123],"key":[125],"informant":[126],"interviews.":[127],"Documents":[128],"both":[130],"levels":[136,163],"analysed":[138],"used":[140],"appropriately.":[141],"All":[142],"seven":[143],"evaluated":[145],"did":[146],"not":[147,232],"fully":[148],"comply":[149],"National":[152],"Guidelines.":[153],"Three":[154],"(43%)":[155,171],"nominated":[159,217],"persons":[160,180],"educational":[162],"below":[164],"required":[166],"O-level":[167],"certification.":[168],"Another":[169],"3":[170],"contravened":[172],"Constitution":[174],"(2010)":[177],"excluding":[179],"disabilities":[182],"minorities.":[184],"study":[186],"identified":[187],"systemic":[188],"commissions":[189],"omissions":[191],"recruitment":[194],"leading":[196],"anxiety":[198],"frustrations":[200],"HMCs,":[204],"staff":[205],"catchment":[208],"population":[209],"respective":[212],"hospitals.":[213],"In":[214],"conclusion,":[215],"have":[220,231],"legitimacy":[222],"assume":[224],"roles":[226],"responsibilities":[228],"as":[229],"they":[230],"gazetted,":[234],"appointed,":[235],"oriented,":[236],"facilitated.":[238]},"counts_by_year":[{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2021-11-08T00:00:00"}
