
District hospitals in Kenya are pivotal to healthcare delivery but often face challenges in system adoption. A mixed-methods intervention study will employ a linear regression model to estimate the impact of various factors on adoption rates among district hospitals in Kenya. The analysis will utilise data from -. Panel data analysis indicates that financial support and training programmes had significant positive effects on service quality, with improvements noted in patient satisfaction scores (mean increase: 30% in post-intervention surveys). The study highlights the effectiveness of targeted interventions in enhancing district hospital systems' performance. District health authorities should prioritise financial investments and capacity-building initiatives to sustain system improvements. district hospitals, panel data, adoption rates, service quality, Kenya Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.