Willis Mulaa
Department of Health and Sanitation, Busia County, Busia, Kenya
Publications
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Research Article
Social Determinants of Maternal and Child Health Outcomes in Busia County, Kenya: Implications for Nursing Practice and Health Systems Strengthening
Author(s): Dr. William Okedi*, Anne Sogoli, Emanuel Luvai and Willis Mulaa
Background: Persistent maternal and child health (MCH) inequities in low- and middle-income countries are driven not only by service delivery gaps but also by structural social determinants of health (SDOH), including housing, water and sanitation, poverty, and governance fragmentation. In Kenya’s devolved health system, county governments bear primary responsibility for service delivery, yet multisectoral coordination remains uneven. Generating local evidence on household-level determinants is critical for informing county policy and strengthening primary health care systems. Aim: To assess household- and system-level social determinants influencing maternal and child health in Busia County, Kenya, and to identify policy and governance implications for nursing practice and county health systems strengthening. Methods.. Read More»