 The pilot program aimed to improve healthcare facility regulations in Kenya by introducing new inspection methods and procedures. These included a joint health inspection checklist, JHIC, increased inspection frequency, allocation of facilities to compliance categories, and public display of regulatory results. The reforms resulted in higher inspection scores compared to control facilities, indicating improved compliance. The study found that the reforms were successful due to several factors, including the perception of fairness and transparency, friendly interactions between inspectors and facility staff, and the introduction of an electronic checklist. Additionally, the reform process itself was seen as inclusive and collaborative, leading to high buy-in among regulators. However, practical challenges with transportation, route planning, and budgeting limited the effectiveness of the reforms. Overall, the study concluded that effective facility inspection requires more than just hardware, such as checklists, protocols, and training. It must also include cultural, relational, and institutional software elements, such as fairness, transparency, and collaboration in order to achieve desired outcomes. This article was authored by Eric Tama, Irene Cione, Catherine Goodman, and others. We are article.tv. Links in the description below.