caa a22 4500 606222642 CHVBK 20210128101134.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00038-015-0681-z doi (NATIONALLICENCE)springer-10.1007/s00038-015-0681-z How can we improve healthcare access and general self-rated health among orphans and vulnerable children? Findings from a Kenyan cross-sectional study [Elektronische Daten] [Michael Goodman, Sarah Seidel, Reegan Kaberia, Philip Keiser] Objectives: This study analyzes healthcare access and general self-rated health (GSRH) among orphan and vulnerable child (OVC) households enrolled in an empowerment program in Eastern Province, Kenya. Analyses investigate whether reported monthly income mediates the association between program participation and medical security. Predictors of GSRH are also investigated. Methods: Cross-sectional survey data on families (n=707) participating in a multisectoral empowerment program were collected in June 2012. Regression methods were used to investigate study aims. Results: Monthly income mediated 14.3% of the total effect of program participation on healthcare accessibility. Program participation was not significantly associated with higher GSRH. Conclusions: Increased reported monthly income predicted improved healthcare access, but only explained a portion of improved healthcare access in the study population. Partnerships between community-based empowerment programs and clinical providers might successfully target multiple outcomes among OVC, including improved healthcare access, though further research on potential synergies is required. GSRH was associated with increased access to food, medical care, literacy, safe drinking water and household income. Further research on GSRH among OVC should target measurement validity, potential sources of disparity in GSRH between OVC and non-OVC, and targets for improving GSRH among OVC. Swiss School of Public Health, 2015 Health care access nationallicence General self-rated health nationallicence OVC nationallicence Kenya nationallicence Goodman Michael Sodzo International, Houston, USA aut Seidel Sarah Sodzo International, Houston, USA aut Kaberia Reegan Zoe Orphan Empowerment, Maua, Kenya aut Keiser Philip University of Texas Medical Branch, Galveston, Texas, USA aut International Journal of Public Health Springer Basel 60/5(2015-07-01), 589-597 1661-8556 60:5<589 2015 60 38 https://doi.org/10.1007/s00038-015-0681-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0681-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Goodman Michael Sodzo International, Houston, USA aut NATIONALLICENCE 700 1- Seidel Sarah Sodzo International, Houston, USA aut NATIONALLICENCE 700 1- Kaberia Reegan Zoe Orphan Empowerment, Maua, Kenya aut NATIONALLICENCE 700 1- Keiser Philip University of Texas Medical Branch, Galveston, Texas, USA aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/5(2015-07-01), 589-597 1661-8556 60:5<589 2015 60 38