A Systematic Review of Client Perceptions on Quality of Care Offered by Hospitals in Kenya
DOI:
https://doi.org/10.5281/zenodo.17100210Keywords:
quality, hospitals, client, perceptionsAbstract
The purpose of this study was to systematically review client perceptions on quality of care offered by hospitals in Kenya. A total of 7 studies published between 2017 and 2022 were included after screening 18 initial records across Cochrane Library, EBSCOhost, and Google Scholar. The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Overall, most clients reported high satisfaction (above 70%) with prompt service, effective care, and clean facilities. However, significant impediments included costs, lack of knowledge, distance to facilities, poor communication, stockouts, lengthy waiting times, and mistreatment. Perceptions were strongly influenced by provider behavior, responsiveness, and facility conditions. Strengthening communication, counseling, and early detection services may improve client satisfaction and health outcomes.
Downloads
References
Abuya, T., Warren, C. E., Ndwiga, K., Okondo, D., Sacks, E., & Sripad, P. (2022). Indicators, responses and outcomes of mistreatment of newborns and infants and their parents in Kenya: A qualitative study. PLOS ONE.
Gakunga, R., Kinyanjui, A., Ali, Z., Ochieng', R., Gikaara, N., Maluni, J., & Subramanian, S. (2019). Facilitators and barriers to early detection and treatment of breast cancer in Kenya: A qualitative study. The Oncologist.
Garg, S., Basu, S., Rustagi, R., & Borle, A. (2020). [Title not specified: Study related to client perception in public hospitals].
Githemo, G. K., Karani, A. K., Ogutu, M., & Gachoka, H. (2018). Patient satisfaction with nursing care: A quasi-experimental study at two public hospitals in Kenya. Nursing & Healthcare International Journal.
Lonnie, E., Pooja, S., Allison, L., Reuben, K., David, A., Juddy, W., & Paula, B. (2021). Health system responsiveness to street children in Western Kenya: A qualitative study. BMC Health Services Research.
Ministry of Health (MOH). (2010). National Health Sector Strategic Plan II 2005–2010.
Nyatuka, D., & de la Harpe, R. (2022). Design considerations for patient-centered eHealth interventions in resource-constrained environments: A case of informal settlements in Kenya. Electronic Journal of Information Systems in Developing Countries.
Wairiuko, J., Cheboi, S., Ochieng, J., & Oyore, J. (2017). Access to healthcare services in informal settlement: Perspective of the elderly in Kibera Slum Nairobi-Kenya. Annals of Medical and Health Sciences Research.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Bryant Sang (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Every single publication in Fastlane Journal is licensed under open-access so that anyone can read it, share it, and use it provided that the original work is being credited.