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Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors.

PLoS One · 2017 · PMC5328402 · PMID 28241032

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a positive trendno p-value reported
While it’s a positive trend that primary care facilities were utilized extensively, the county and sub-county health management should strengthen this level of care to reduce dependence of higher level facilities by e.g. ensuring allocation of resources according to need and demand.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.