Monitoring Progress towards Universal
Health Coverage in Machakos County,
2019/2020
Chessa Ian Were
SPH/PGH/FE/07/18
A THESIS SUBMITTED TO THE SCHOOL OF PUBLIC HEALTH IN
PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
AWARD OF
MASTER OF SCIENCE DEGREE IN FIELD EPIDEMIOLOGY,
MOI UNIVERSITY
2021
,DECLARATION BY CANDIDATE
This thesis is my original work and has not been presented to any other
University/Institution. No part of this work may be reproduced without the express
permission of the author or Moi University.
Sign………………………………………………………………Date: 05th January, 2022
Chessa Ian Were
SPH/PGH/FE/07/18
DECLARATION BY SUPERVISORS
This thesis has been submitted to Moi University with our approval as University
supervisors
Name: Dr. Robert Too Sign…………………………….. Date: 05th January, 2022
Department of Epidemiology and Medical Statistics- School of Public Health
Moi University
Name: Dr. Jane Githuku Sign……………………………….Date: 05th January,
2022
Kenya Field Epidemiology and Laboratory Training Programme, Ministry of
Health
,DEDICATION
This dissertation is dedicated to all healthcare workers in Machakos County, who are at
work striving to make the Universal Health Coverage a success; for their patience,
support, and encouragement you conferred me throughout my placement and study
period in Machakos County, and their understanding and contribution towards this thesis.
, ACKNOWLEDGEMENT
In the foremost, I would like to thank Almighty God for His assistance and guidance in
my journey as an Epidemiologist in training and in making my journey bearable. I wish
to acknowledge all who have made it possible, for the completion of the write up. In
particular, my supervisors, Dr. Robert Too, Dr. Jane Githuka and Dr. Elvis Oyugi, for
their patience, impeccable guidance and continuous advice which inspired me to
accomplish this project.
To my Master of Science in Field Epidemiology class of 2020 colleagues (FELTP Cohort
XV); thank you for the wonderful opportunity to know, interact, work with and grow
alongside you in the field of epidemiology is May this journey we embarked on lead us to
self –actualization. Last and not least I thank all those who, in one way or another,
contributed towards the accomplishment of my thesis. Your inspiring, encouraging and
fruitful discussions, which in no doubt empowered me to complete this work, will always
be part of my treasured memories.
TABLE OF CONTENTS
DECLARATION BY CANDIDATE....................................................................................................2
This thesis is my original work and has not been presented to any other
University/Institution. No part of this work may be reproduced without the express
permission of the author or Moi University.........................................................................2
Sign………………………………………………………………Date: 05th January, 2022
..............................................................................................................................................2
DECLARATION BY SUPERVISORS.................................................................................................2
This thesis has been submitted to Moi University with our approval as University
supervisors...........................................................................................................................2
DEDICATION................................................................................................................................3
ACKNOWLEDGEMENT.................................................................................................................4
LIST OF TABLES............................................................................................................................8
LIST OF FIGURES..........................................................................................................................8
Health Coverage in Machakos County,
2019/2020
Chessa Ian Were
SPH/PGH/FE/07/18
A THESIS SUBMITTED TO THE SCHOOL OF PUBLIC HEALTH IN
PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
AWARD OF
MASTER OF SCIENCE DEGREE IN FIELD EPIDEMIOLOGY,
MOI UNIVERSITY
2021
,DECLARATION BY CANDIDATE
This thesis is my original work and has not been presented to any other
University/Institution. No part of this work may be reproduced without the express
permission of the author or Moi University.
Sign………………………………………………………………Date: 05th January, 2022
Chessa Ian Were
SPH/PGH/FE/07/18
DECLARATION BY SUPERVISORS
This thesis has been submitted to Moi University with our approval as University
supervisors
Name: Dr. Robert Too Sign…………………………….. Date: 05th January, 2022
Department of Epidemiology and Medical Statistics- School of Public Health
Moi University
Name: Dr. Jane Githuku Sign……………………………….Date: 05th January,
2022
Kenya Field Epidemiology and Laboratory Training Programme, Ministry of
Health
,DEDICATION
This dissertation is dedicated to all healthcare workers in Machakos County, who are at
work striving to make the Universal Health Coverage a success; for their patience,
support, and encouragement you conferred me throughout my placement and study
period in Machakos County, and their understanding and contribution towards this thesis.
, ACKNOWLEDGEMENT
In the foremost, I would like to thank Almighty God for His assistance and guidance in
my journey as an Epidemiologist in training and in making my journey bearable. I wish
to acknowledge all who have made it possible, for the completion of the write up. In
particular, my supervisors, Dr. Robert Too, Dr. Jane Githuka and Dr. Elvis Oyugi, for
their patience, impeccable guidance and continuous advice which inspired me to
accomplish this project.
To my Master of Science in Field Epidemiology class of 2020 colleagues (FELTP Cohort
XV); thank you for the wonderful opportunity to know, interact, work with and grow
alongside you in the field of epidemiology is May this journey we embarked on lead us to
self –actualization. Last and not least I thank all those who, in one way or another,
contributed towards the accomplishment of my thesis. Your inspiring, encouraging and
fruitful discussions, which in no doubt empowered me to complete this work, will always
be part of my treasured memories.
TABLE OF CONTENTS
DECLARATION BY CANDIDATE....................................................................................................2
This thesis is my original work and has not been presented to any other
University/Institution. No part of this work may be reproduced without the express
permission of the author or Moi University.........................................................................2
Sign………………………………………………………………Date: 05th January, 2022
..............................................................................................................................................2
DECLARATION BY SUPERVISORS.................................................................................................2
This thesis has been submitted to Moi University with our approval as University
supervisors...........................................................................................................................2
DEDICATION................................................................................................................................3
ACKNOWLEDGEMENT.................................................................................................................4
LIST OF TABLES............................................................................................................................8
LIST OF FIGURES..........................................................................................................................8
