Edwards, NancyJuma, Pamela2012-06-112012-06-1120112011http://hdl.handle.net/10625/49416The thesis examines Kenyan policies to enhance access to health services. Findings indicate that policies that support decentralization and primary health care enable nurses’ work while those aimed at increasing efficiency, such as structural adjustment programs, in effect act as constraints. The thesis presents a qualitative analysis of the impact of policies on nurses’ work (Chapter 2). It presents qualitative results regarding nurses’ involvement in policy processes (Chapter 3) as well as the results of a quantitative survey of frontline nurses’ experiences with policy reforms (Chapter 4). The last chapter presents an integrative discussion of key findings.Text1 digital file (232 p. : ill.)application/pdfenHEALTH POLICYHEALTH-CARE DELIVERYNURSESNURSINGKENYAPOLICY MAKINGGENDER EQUALITYGENDER DISCRIMINATIONWOMEN'S PARTICIPATIONDECENTRALIZATIONDECISION MAKINGHEALTH SERVICESSOUTH OF SAHARAThesis