dc.description.abstract | Gender based violence (GBV) is an affront to human rights and the attainment of
sustainable development goals (SDGs). In Mombasa county 65% of the population live in
informal settlement which exacerbate GBV due to poverty. However, health systems are
not prepared to deal with the health consequences that are brought about by this vice such
as injuries and trauma. To better understand the components that could improve primary
health facilities' preparedness in managing this problem, this study Independent variable
were to investigated the influence of budget allocation, physical infrastructure, health
information management system, and professional approach. While depended variable
was Primary Health Facilities Preparedness in the management of gender based violence.
Relying on the Theory of Reasoned Action/Planned Behavior and the Intellectual Capital
Theory, a descriptive cross-sectional research design was used to ascertain factors that
affect health facility preparedness in the management of GBV. A sample of 334 health
workers was selected; stratification sampling was employed to categorize them while
simple random sampling was used to select respondents in each category. Primary data
was collected using questionnaires, which was then analyzed through the Statistical
Package for Social Sciences version 25. Correlation and multi-linear regression analysis
were used respectively, while descriptive statistics were used to produce means and
standard deviation from the collected data. It was found that that budget allocation and
primary health facilities preparedness had insignificant correlations with value of P=.095.
Further, physical infrastructure and Primary Health Facilities Preparedness insignificantly
correlated with a correlation value of P=.079. Also, Health Information Management
System and Primary Health Facilities Preparedness significantly and positively correlated
with a correlation value P=.243. Additionally, Professionalism and Primary Health
Facilities Preparedness positively and significantly correlated with a correlation value of
P=.424. Based on these findings the study recommends that county government should
ensure appropriate allocation of budget to improve the physical infrastructure of primary
health facilities that is adequate lighting, and separate entrances and exits to maintain
confidentiality. The study also recommends hospital management should enhance the
health information management system that specifically addresses the management of
GBV cases in primary health facilities for standardized data collection tools and protocols
for recording and reporting GBV incidents. The county government should support
capacity building programs focused on professionalism and ethical conduct for healthcare
providers and staff members in primary health facilities in order to respond to GBV. | en_US |