Building Trust in Kenyan Rural Public Health Facilities

Most Kenyans seem to have lost trust in government institutions as impartial public service providers. For instance, many of them would be astonished to learn that one has obtained a passport or a driver's license without 'knowing someone' or 'paying something small.' However, despite this being the perception of the majority of the people, it is not always the case. There are numerous examples of exemplary public servants as well as institutions. This paper is as a case study concerned with the issue of a lack of trust in public institutions in rural health facilities in Kenya. The purpose of this paper is to explore factors that engender this practice and thus erode the requisite stocks of social capital that is required for good governance to take root at these facilities. A field study was undertaken in western Kenya where four institutions were used as research sites. A questionnaire was administered to both the community of health service providers and users to determine the level of trust that exists in these institutions, and how they impact on service delivery. The study found that ethnicity, amongst other prejudices, was a major hindrance to the realization of quality health care service delivery in these facilities. Keywords: Rural Health Facilities, Social Capital, Good Governance, Health Policy, Health Systems.

© Itabari Zulu Mar 2010. Provided by ProQuest LLC. All Rights Reserved.

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