{
  "title": "Facility financing constraints and chronic disease continuity in rural Kenya",
  "research_question": "How do financing bottlenecks shape continuity of chronic care in rural primary facilities?",
  "methods": "Mixed-methods study using facility records, interviews, and process review across seven facilities.",
  "main_findings": [
    "Facilities experienced frequent medicine stockouts and approval delays.",
    "Restricted spending autonomy weakened continuity of hypertension and diabetes care."
  ],
  "operational_implications": [
    "Prioritize shorter procurement approval loops for chronic medicines.",
    "Track reimbursement delays as a service delivery risk indicator."
  ],
  "equity_notes": "Low-resource facilities carry the largest burden when financing is delayed or inflexible.",
  "limitations": "This output is a demonstration artifact and should be reviewed by a domain expert before use."
}