Table 1 Intersectionality principles applied within this study

Power, politics, history and social determinants

 • Consideration of how power influences priority-setting, including the processes and systems of power, resulting from the historical, social and political context within which priority-setting takes place.

 • The importance of time and space in considering how historical factors have changed over time leading up to the present day and how positions of privilege or disadvantage have changed since devolution came about.

 • How intersecting social determinants of health (such as gender, place of residence, poverty level) contribute towards ability to engage with priority-setting and to access and use effective health services.

Analysis approaches

 • Multiple levels of analysis (across national, county, sub-county, health facility and community) to understand how priority-setting has influenced health system performance for community health.

 • Including voices from those not typically heard during priority-setting processes, such as youth from Korogocho informal settlement, Nairobi County.

 • Acknowledgment of our role as researchers, including the power and relationships we bring to the study through applying a reflexivity lens to make explicit our influence as researchers on the choices and decisions made about the methods selected, data collected and analysis conducted as a result of our backgrounds.