ENHANCING UNIVERSAL HEALTH CARE IMPLEMENTATION FOR THE MAASAI COMMUNITY IN KAJIADO COUNTY, A META-GOVERNANCE APPROACH
ENHANCING UNIVERSAL HEALTH CARE IMPLEMENTATION FOR THE MAASAI COMMUNITY IN KAJIADO COUNTY, A META-GOVERNANCE APPROACH
Alexander Oketch - Institute for Social Transformation, Tangaza University, Kenya
ABSTRACT
This interdisciplinary study delves into the intricate interplay of cultural dynamics in the implementation of Universal Health Care (UHC) initiatives within indigenous communities, specifically focusing on the Maasai community in Kajiado County, Kenya. It draws upon insights from anthropology, cultural studies, and public health to illuminate the pivotal role of cultural sensitivity and community engagement in shaping effective UHC policies. By integrating indigenous knowledge systems, cultural norms, and traditional healing practices into UHC frameworks, the research emphasizes the imperative of fostering trust, enhancing accessibility, and bolstering health outcomes among marginalized populations. The findings of the study underscore the significance of cultural integration within UHC implementation for the Maasai community, aligning seamlessly with the meta-governance approach proposed. The study reveals robust community support (mean score: 4.59) for integrating traditional practices and involving Maasai elders (mean score: 4.66) in UHC frameworks, highlighting the importance of cultural inclusivity and responsiveness in healthcare policies. Moreover, statistical analyses demonstrate a significant positive correlation (r = 0.903) and regression coefficient (β = 0.741) linking cultural integration to improved healthcare delivery, further validating the meta-governance principles of inclusivity and stakeholder engagement. The study underscores the necessity of ongoing research endeavors and dialogue aimed at fostering mutual understanding and respect for cultural diversity, as emphasized in the meta-governance approach. By fostering meaningful engagement and participatory governance mechanisms, policymakers can cultivate a culture of inclusivity and responsiveness within healthcare systems serving indigenous communities. The research concludes by advocating for cultural humility, reciprocity, and social justice as fundamental principles in achieving equitable and inclusive healthcare for all, in line with the meta-governance framework's emphasis on diverse perspectives and collaboration.
