EFFECT OF COMMUNITY-BASED PUBLIC HEALTH STRATEGIES ON HEALTH SERVICE OUTCOMES IN TANA DELTA SUBCOUNTY, KENYA

Purpose of Study: The study examined the effect of community-based public health strategies on health service outcomes in Tana Delta Sub County, Tana River County, Kenya. Problem Statement: Despite the potential of community-based public health strategies, equitable access to quality healthcare remains limited in Tana Delta Sub-County due to infrastructural, socio-cultural, and economic barriers. Methodology: The study was grounded in Social Capital Theory, and Health Belief Model. The research used a cross-sectional design. The target population included community health workers, local leaders, health facility staff and residents within the Tana Delta Sub County. The study used stratified random sampling. The study used both descriptive statistics and inferential statistics of the Pearson correlation coefficient and the multiple regression model. Result: The findings revealed significant relations between community awareness program and health outcomes (β = 0.572, p = 0.001), and collaboration with local organizations and health outcomes (β = 0.583, p = 0.001). Conclusion: Community based PH strategies have significant effect on the health outcomes in Tana River Sub County, in Kenya. Recommendation: Health awareness should considered when developing strategies to improve health outcomes in Tana River Sub County. In addition, community participation included in strategies of PH in order to enhance health outcomes. Recommendation for further research to investigate the impact of community-based public health initiatives on health care outcomes in various sub-counties and counties throughout Kenya. Keywords: Community health awareness programs; collaboration with local organizations, and health service outcomes