Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

International Nursing Organizations II01:28

International Nursing Organizations II

1.3K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.3K
Primary Healthcare Services01:30

Primary Healthcare Services

1.8K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.8K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Secondary Healthcare System01:11

Secondary Healthcare System

1.9K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.9K
Tertiary Healthcare System01:21

Tertiary Healthcare System

2.1K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.1K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Rural cancer research activity across Europe: A bibliometric analysis on patterns, gaps and policy implications.

European journal of oncology nursing : the official journal of European Oncology Nursing Society·2026
Same author

Media representations of rural and coastal cancer inequalities in the UK: A 10-year retrospective place-based analysis.

Health & place·2026
Same author

Coastal cancer care: A blueprint to address the unmet needs through place-based research and policy approaches.

Journal of cancer policy·2026
Same author

Coral larvae have unique transcriptomic responses to pathogenic and probiotic bacteria.

Coral reefs (Online)·2026
Same author

Toward Causal Relationships of Intracranial Pressure, Cerebrovascular Reactivity, Interventions, and Outcome in Severe Traumatic Brain Injury: A CENTER-TBI High-Resolution Substudy.

Neurocritical care·2026
Same author

Chronic Comparison of Short Recovery Stress Scale in Trained Individuals Completing Traditional or Accentuated Eccentric Loading.

Journal of strength and conditioning research·2026

Related Experiment Video

Updated: Dec 25, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
23:56

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

17.0K

Coordinating health workforce management in a devolved context: lessons from Kenya.

Mathew Kariuki Thuku1, Janet Muriuki1, Ummuro Adano2

  • 1IntraHealth International, Nairobi, Kenya.

Human Resources for Health
|April 2, 2020
PubMed
Summary
This summary is machine-generated.

Kenya established an inter-county human resources for health (HRH) coordination framework to improve devolved health services management. This framework enhanced HRH practices, addressed shortages, and strengthened the national health system.

Keywords:
DecentralizationHealth systems strengtheningHuman resources for healthSelf-reliance

More Related Videos

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.2K
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K

Related Experiment Videos

Last Updated: Dec 25, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
23:56

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

17.0K
Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.2K
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K

Area of Science:

  • Public Health
  • Health Workforce Management
  • Health Systems Strengthening

Background:

  • Kenya devolved health services to 47 county governments in 2013.
  • An inadequate coordination mechanism for managing the health workforce at the county level became apparent.
  • This necessitated the creation of a collaborative framework for devolved human resources for health (HRH) management.

Purpose of the Study:

  • To describe the development of an inter-county, multi-stakeholder HRH coordination framework in Kenya.
  • To outline how this framework promotes consensus, commitment, and cooperation in devolved HR management.
  • To analyze its role in transforming national HRH strategies into county-level actions.

Main Methods:

  • Development of an inter-county coordination framework supported by USAID and IntraHealth International.
  • Grouping 47 counties into nine clusters based on geographic context and HRH challenges.
  • Establishment of quarterly inter-county cluster HRH stakeholder coordination forums with rotating leadership.

Main Results:

  • Expedited policy development, customization, and dissemination for HRH.
  • Enabled mentorship of county HRH officers by national counterparts.
  • Facilitated collaborative resolution of HRH challenges, leading to hiring over 20,000 health workers, expanding the HR information system, developing provider sharing guidelines, and establishing professionalized HRH units in all counties.

Conclusions:

  • The HRH coordination framework has been instrumental in strengthening Kenya's health system.
  • It supports the standardization of county health operations with national goals and addresses HRH gaps.
  • Transitioning to local funding is crucial for sustaining the progress achieved through the inter-county forums.