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At the top of the service spectrum are the National, Referral, and Teaching Hospitals (NRTH) such as Kenyatta National Hospital in Nairobi.

The next best level of care is found in the provincial hospitals, followed by sub-district hospitals.

Nairobi is Capital of Kenya and one of the finest cities in East Africa.

Because of tourist infrastructure put in place, this beautiful country attracts lots of tourist each year. Now that you know a little bit about Kenya, step into the chat room and meet single girls and men looking for lasting friendship.

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On the day of our visit, the hospital was under strain from a shortage of morphine, the gold standard in pain management for major trauma, and patients were visibly suffering from this shortfall.Always remember to use appropriate language in the chat room.A country of approximately 37 million people, Kenya has struggled to build a health system that can effectively deliver quality health services to its population.This paper explores the Kenyan health system and the two major factors that prevent individuals from seeking care—cost and access—and also addresses the existence of other social and cultural factors that might affect health seeking behavior and utilization of health services.A hierarchical structure, the Kenyan health system is administered from the top down by the Ministry of Health (MOH), an institution which remains broken into two sister Ministries since the post-election turmoil of 2007: the Ministry of Medical Services, and the Ministry of Public Health and Sanitation.The split of MOH has led to additional strain on the health system by causing overlap and inefficiency in both planning and implementation processes, in addition to the obvious inefficiency that has accompanied the maintenance and daily operations of two separate institutions in the place of one.Health facilities are distributed regionally, with the most sophisticated services available in the major cities or only at the national level.According to recent data, the health care utilization rate in Kenya is approximately 77% for those who are sick, meaning that a large percentage of the population does not seek care despite being ill.In order to bring about broad improvements in health in Kenya, it is essential to understand who is currently using the facilities that are available, and what factors are preventing those who do not seek care from doing so.The cost, however, is minimal when compared to the private ward of the hospital, where a room costs between Ksh. The doctors attending both the public and private ward are the same, though they are paid at a higher rate for working in the private wing.While both public and private patients can expect to receive a high level of care at KNH, the disparity between services offered there and at a provincial hospital can be substantial.

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