Table 1.
Key demographic and health indicators in the study counties
| Indicator | Nairobi County (urban) | Siaya County (rural) | Kenya |
|---|---|---|---|
| Population in 2015/16 [37] | |||
| Total | 4,463,000 | 985,000 | 45,371,000 |
| Male | 2,237,000 (50.1%) | 466,000 (47.3%) | 22,393,000 (49.4%) |
| Female | 2,226,000 (49.9%) | 519,000 (52.7%) | 22,977,000 (50.6%) |
| Poverty rate in 2015/16 [38] | 16.7% | 33.8% | 36.1% |
| HDSS [33, 35, 39–44] | |||
| Population | 70,000 | 255,000 | > 868,472 |
| Households | 25,793 | 63,943 | > 173,220 |
| Health facilities in 2015 [45, 46] | |||
| Public | 161 | 123 | 4929 |
| Non-governmental | 118 | 7 | 347 |
| Faith-based | 100 | 16 | 1081 |
| Private | 543 | 28 | 3797 |
| Utilization of traditional/faith healers/herbalists | 0.9% | 0.9% | 0.8% |
| Health personnel in public facilities in 2015 [45, 46] | |||
| Nurses (per 100,000 people) | 53 | 33 | 55 |
| Doctors (per 100,000 people) | 14 | 2 | 10 |
| Clinical Officers (per 100,000 people) | 6 | 25 | 21 |
| Access to health services [37] | |||
| Utilization of curative services | 17.3% | 30.6% | 18.0% |
| Utilization of promotive/preventive services | 2.4% | 7.3% | 4.2% |
| Health facility deliveries | 90.8% | 83.9% | 67.2% |
| Measles I & II immunization coverage (0–59 months) | 77.7% | 83.4% | 77.4% |
| Health financing | |||
| Total government health spending, 2014/15 (per capita in US$) [47] | 34.9 | 76.8 | 66.7 |
| Health insurance coverage (2015/2016) [37] | 40.7% | 7.6% | 19.0% |