Management of Health Care Facilities and Patient Attendance during Major Disruptions: Evidence from Kenya, NBER Working Paper 35223, links a management survey with administrative data. The May 2026 study covers 429 primary healthcare facilities and 73 hospitals and examines outpatient attendance during disruption that included COVID-19 and a public health workers’ strike. The authors report that attendance fell overall. Private facilities experienced a smaller decline than public facilities, consistent