title: Health sector reforms in Kenya: an examination of district level planning.
abstract: The paper examines health sector reforms in Kenya at the district level based on the Government of Kenya's Health Policy Framework of 1994. The authors present the context of and historical perspective to health sector reforms in Kenya and discuss the major reform policies including decentralization to the district level. The authors then review intended policy outcomes, investigating assumptions on which the implementation and effectiveness of the reform agenda at the local level are based. The authors argue that emphasis on outcomes rather than process has not supported sustainable reforms or achieved the government's goal of improving health and ensuring equity for the citizens of the country.
authors.affiliation: Tropical Institute of Community Health and Development (TICH), Kisumu, Kenya.
authors.forename: Charles O
authors.initials: CO
authors.lastname: Oyaya
authors.forename: Susan B
authors.initials: SB
authors.lastname: Rifkin
mesh_terms: D018672:Community Health Planning / Q000191:economics / Q000458:organization & administration*; D003159:Community-Institutional Relations; D018166:Health Care Reform; D006801:Humans; D007630:Kenya; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D011057:Politics; D011635:Public Health Administration; D019035:Rural Health Services; D012935:Social Justice; D012959:Socioeconomic Factors