<?xml version="1.0" encoding="UTF-8"?>
<feed xmlns="http://www.w3.org/2005/Atom" xmlns:dc="http://purl.org/dc/elements/1.1/">
<title>Journal Articles</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/313" rel="alternate"/>
<subtitle/>
<id>http://repository.kemu.ac.ke/handle/123456789/313</id>
<updated>2026-06-24T18:54:56Z</updated>
<dc:date>2026-06-24T18:54:56Z</dc:date>
<entry>
<title>An Assessment of the Relationship Between the Price Tariffs of a Christian-Affiliated Guesthouse and Customer Choice Behavior in Nairobi  County</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2365" rel="alternate"/>
<author>
<name>Nyaga, Dorothy K.</name>
</author>
<author>
<name>Muchai, Peter</name>
</author>
<author>
<name>Laimaru, Susan</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2365</id>
<updated>2026-06-23T10:34:09Z</updated>
<published>2024-09-01T00:00:00Z</published>
<summary type="text">An Assessment of the Relationship Between the Price Tariffs of a Christian-Affiliated Guesthouse and Customer Choice Behavior in Nairobi  County
Nyaga, Dorothy K.; Muchai, Peter; Laimaru, Susan
Purpose: To assess the relationship between the price tariffs of a Christian-affiliated&#13;
guesthouse and customer choice behavior in Nairobi County.&#13;
Methodology: Descriptive survey research design was used on a target population of the study&#13;
comprising 13 Christian Affiliated Guest houses registered with the Christian Guest Houses&#13;
Association of Kenya (CGHAK) in Nairobi County. The total number of respondents was 723,&#13;
including all guesthouse general managers (13), two supervisors (Front Office and Food and&#13;
Beverage Supervisors) from each guesthouse (26), and all customers based on the average&#13;
occupancy (684). A census sampling method was used to select guesthouse managers (13) and&#13;
supervisors (26). Further, the random sampling method was used to obtain the 252 customer&#13;
respondents. Closed and open-ended questionnaires were used to obtain data from 252 CAG&#13;
guests while an interview schedule was used to obtain data from 26 CAG supervisors and 13&#13;
CAG general managers. For piloting, this study used one randomly selected CAG (10%) in&#13;
Kiambu and obtained 1 manager, 2 supervisors, and 25 guests (10%) as respondents. Cronbach&#13;
alpha was used to measure reliability. For validity, the instrument was piloted before the actual&#13;
data collection process. Quantitative data such as mean and standard deviation was analyzed&#13;
using SPSS whereas thematic method was used to analyze qualitative data. Data was presented&#13;
using tables and figures.&#13;
Results: The highest mean score was observed on the dimension of mode of payment which&#13;
had an average score of 4.22. This observation implied that one of the reasons that could be&#13;
attracting guests to remain loyal to a particular guesthouse is a mode of payment of bills the&#13;
guesthouse has adopted. The least mean rating was observed on fair price tariffs, with an&#13;
average score of 4.22. This is an indication that fairness in the price tariffs, as a dimension of&#13;
Price Tariff, is not such an important factor when it comes to choosing a guesthouse. Again,&#13;
this rolls back to service provisions. That is, an individual would be more willing to pay more&#13;
as long as the service will meet his/her expectations. Nonetheless, the fact that the fairness of&#13;
price tariffs was not such an important factor, the overall mean response of 3.9.&#13;
Conclusions and Recommendations: The study concluded that price tariffs had a positive&#13;
influence on customer choice behavior. This was based on the fact that versatility of modes &#13;
paying bills ensured that there was efficiency and convenience in payments. The study&#13;
recommends that more attention should be paid by the management to payment modes such as&#13;
mobile money since it promotes security and convenience to the guests.
</summary>
<dc:date>2024-09-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Influence of Strategic Planning on the Performance of Telecommunication Industry in Somalia</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2361" rel="alternate"/>
<author>
<name>Hassan Abdullahi, Abdikafi</name>
</author>
<author>
<name>Mbithi, Mary</name>
</author>
<author>
<name>Maore, Stephen</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2361</id>
<updated>2026-06-23T09:03:35Z</updated>
<published>2025-08-01T00:00:00Z</published>
<summary type="text">Influence of Strategic Planning on the Performance of Telecommunication Industry in Somalia
Hassan Abdullahi, Abdikafi; Mbithi, Mary; Maore, Stephen
Despite notable growth, Somalia’s telecommunication industry faces persistent performance&#13;
challenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, and&#13;
limited adaptability in a highly competitive and dynamic environment. This study investigated the&#13;
influence of strategic planning on the performance of the telecommunication industry in Somalia. The&#13;
research adopted a mixed-methods approach, combining quantitative and qualitative data collection&#13;
techniques to provide comprehensive insights into the relationship between strategic planning practices&#13;
and industry performance. The study targeted 220 participants across 22 registered telecommunication&#13;
firms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents included&#13;
telecommunication managers, strategic planning staff, innovation strategy personnel, and customer&#13;
relationship managers. Using census sampling, the research achieved an exceptional response rate of&#13;
90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires with&#13;
quantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptions&#13;
regarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealed&#13;
a strong correlation coefficient (R = 0.742) and explanatory power (R2 = 0.551), indicating that&#13;
strategic planning accounts for 55.1% of variance in industry performance. The regression model proved&#13;
statistically significant (F = 242.358, p &lt; 0.001), with standardized coefficient (ff = 0.742) confirming&#13;
the positive relationship. For every unit increase in strategic planning implementation, performance&#13;
increased by 0.684 units. The study concluded that strategic planning serves as a critical predictor of&#13;
organizational performance in Somalia’s telecommunications sector, supporting the rejection of the null&#13;
hypothesis. The study recommended that telecommunication companies in Somalia should prioritize&#13;
strategy evaluation and control systems, establish performance monitoring frameworks, invest in data&#13;
analytics, and build institutional capacity to adapt strategies in response to changing market conditions&#13;
and evaluation findings.
</summary>
<dc:date>2025-08-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Influence of Competitive Strategy On Service Delivery of Petroleum Firms in Nairobi County, Kenya</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2359" rel="alternate"/>
<author>
<name>Hassan, Nasro Abduhakim</name>
</author>
<author>
<name>Kihara, Peter</name>
</author>
<author>
<name>Muema, Wilson</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2359</id>
<updated>2026-06-19T08:54:10Z</updated>
<published>2025-07-01T00:00:00Z</published>
<summary type="text">Influence of Competitive Strategy On Service Delivery of Petroleum Firms in Nairobi County, Kenya
Hassan, Nasro Abduhakim; Kihara, Peter; Muema, Wilson
Petroleum firms in Kenya operate within a competitive, volatile environment shaped by price fluctuations,&#13;
infrastructural gaps, and regulatory changes. This study investigated the effect of competitive strategy on service&#13;
delivery among petroleum firms in Nairobi County. Using a descriptive cross-sectional survey design, the study&#13;
integrated both qualitative and quantitative methods. From a target population of 324 service stations, 125 managers&#13;
were selected through stratified random sampling. Data were collected using semi-structured questionnaires and&#13;
analyzed with SPSS version 28, employing descriptive statistics and regression analysis. Results revealed a positive&#13;
and statistically significant relationship between competitive strategy and service delivery (β = 0.717, p = 0.000). Key&#13;
strategic drivers included service innovation, technology adoption, and employee satisfaction. The study concluded&#13;
that firms prioritizing competitive strategies experience improved service quality and responsiveness. It recommends&#13;
continuous investment in technological advancement, customer-focused initiatives, and strategic partnerships to&#13;
enhance service performance in the petroleum sector.
</summary>
<dc:date>2025-07-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Influence of Kenya's Military engagement in Somalia on the achievement of Kenya’s National interests.</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2358" rel="alternate"/>
<author>
<name>Muhati, Kerry</name>
</author>
<author>
<name>Agolla, Fredrick Ochieng</name>
</author>
<author>
<name>Miluwi, Joshua O.</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2358</id>
<updated>2026-06-19T08:43:57Z</updated>
<published>2025-05-01T00:00:00Z</published>
<summary type="text">Influence of Kenya's Military engagement in Somalia on the achievement of Kenya’s National interests.
Muhati, Kerry; Agolla, Fredrick Ochieng; Miluwi, Joshua O.
Kenya's military engagement in Somalia since 2011 represents a significant shift from traditional non-&#13;
interference to active regional security participation. This study examined the influence of Kenya's military&#13;
&#13;
engagement in Somalia on achieving national interests, focusing on three key dimensions: border security&#13;
enforcement operations, maritime security operations, and peace support and stabilization missions. The&#13;
research employed a descriptive design using quantitative approaches to analyze data from 165 stakeholders,&#13;
including military officers, government officials, counterterrorism experts, and community members,&#13;
achieving a 96.5% response rate. The study utilized structured questionnaires and employed SPSS version&#13;
27.0 for statistical analysis, including descriptive statistics and multiple regression analysis. The theoretical&#13;
framework was grounded in realist international relations theory, particularly defensive realism, which&#13;
explains Kenya's intervention as rational threat-balancing behavior to protect vital national interests. Key&#13;
findings revealed that all three military engagement components significantly influenced national interests’&#13;
achievement. Regression analysis demonstrated strong explanatory power (R2 = 0.718, F = 78.03, p &lt; 0.001),&#13;
with border security enforcement showing the strongest individual impact (β = 0.351), followed by maritime&#13;
operations (β = 0.312) and peace missions (β = 0.308). International cooperation and regional influence&#13;
achieved highest success levels, while economic protection and addressing conflict root causes showed lower&#13;
effectiveness. The study concludes that Kenya's military engagement effectively advances national interests&#13;
through complementary mechanisms, validating defensive realist theory while highlighting the importance of&#13;
comprehensive approaches. Recommendations include maintaining comprehensive engagement while&#13;
&#13;
prioritizing border security investments, enhancing bilateral capacity building, developing integrated civil-&#13;
military strategies, and pursuing diplomatic initiatives to address underlying political tensions for sustainable&#13;
&#13;
long-term stability.
</summary>
<dc:date>2025-05-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Organizational Structure and Performance of Tier One Commercial Banks in Nairobi County, Kenya</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2357" rel="alternate"/>
<author>
<name>Rita, Chaga Mwamsindo</name>
</author>
<author>
<name>Kihara, Peter</name>
</author>
<author>
<name>Cherono, Vivian</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2357</id>
<updated>2026-06-19T08:26:12Z</updated>
<published>2025-07-01T00:00:00Z</published>
<summary type="text">Organizational Structure and Performance of Tier One Commercial Banks in Nairobi County, Kenya
Rita, Chaga Mwamsindo; Kihara, Peter; Cherono, Vivian
The performance of Tier One commercial banks in Nairobi County is increasingly shaped by&#13;
internal structural dynamics amid rising operational costs, stricter regulatory demands, and&#13;
heightened market competition. This study investigated the effect of organizational structure—&#13;
focusing on hierarchy levels, formalization, and span of control—on bank performance.&#13;
Grounded in Organizational Structure Theory, the research adopted a descriptive design targeting&#13;
senior and middle-level managers from all 11 Tier One banks. A purposive sample of 88&#13;
managers drawn from 8 banks participated in the study. Data were collected through structured&#13;
questionnaires and analyzed using SPSS Version 26.0, employing descriptive statistics and&#13;
simple linear regression. The findings revealed strong, negative, and statistically significant&#13;
bivariate relationships between each organizational structure variable and bank performance.&#13;
However, the simple linear regression results indicated that the overall influence of&#13;
organizational structure on performance was not statistically significant (β = –2.14, p = 0.113).&#13;
This suggests that although structural elements such as hierarchy, formalization, and span of&#13;
control may individually impact performance, their combined effect does not sufficiently explain&#13;
performance variations when analyzed within a single model. The study concludes that&#13;
organizational structure may influence performance outcomes at the individual factor level, but&#13;
its predictive power is limited when assessed holistically through simple regression. It is&#13;
recommended that Tier One banks consider streamlining their internal structures by eliminating&#13;
unnecessary hierarchical layers, simplifying formal procedures, and widening managerial span of&#13;
control where feasible. Pilot-testing these structural changes in selected units may offer practical&#13;
insights for enhancing strategic performance in a competitive banking environment.
</summary>
<dc:date>2025-07-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Agency Banking Strategy and Performance of Commercial Banks of Tier Three Banks in Kenya</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2356" rel="alternate"/>
<author>
<name>Kinyua, Robert Muchiri</name>
</author>
<author>
<name>Kihara, Peter</name>
</author>
<author>
<name>Milui, Joshua</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2356</id>
<updated>2026-06-19T08:01:48Z</updated>
<published>2025-01-01T00:00:00Z</published>
<summary type="text">Agency Banking Strategy and Performance of Commercial Banks of Tier Three Banks in Kenya
Kinyua, Robert Muchiri; Kihara, Peter; Milui, Joshua
The performance of commercial banks in Kenya has increasingly been influenced by the&#13;
adoption and utilization of agency banking, which plays a pivotal role in enhancing&#13;
operational efficiency, customer engagement, and overall bank performance. This study&#13;
investigates the influence of agency banking on the performance of tier-three commercial&#13;
banks in Kenya, focusing specifically on the number of agents, agent network coverage,&#13;
&#13;
transaction volume through agents, and agent performance metrics. Grounded in Resource-&#13;
Based Theory, the Technology Acceptance Model (TAM), Diffusion of Innovations Theory,&#13;
&#13;
Bank-Led Theory, and Agency Theory, the research examines how the adoption and&#13;
integration of agency banking affect key performance indicators. A descriptive research&#13;
design was used, targeting all 21 tier-three commercial banks in Nairobi City County, with a&#13;
sample population of 2,123 employees across senior, middle, and operational management.&#13;
Primary data was collected through structured questionnaires distributed to a purposive&#13;
sample of 273 employees. Data analysis was conducted using descriptive, diagnostic, and&#13;
inferential statistical methods with SPSS Version 26.0. The findings revealed that agency&#13;
banking significantly and positively influenced the organizational performance of tier-three&#13;
banks in Kenya. The study concludes that enhancing agency banking strategies can improve&#13;
the operational efficiency of these banks. Recommendations include expanding agent&#13;
networks, optimizing transaction volumes, and improving agent performance metrics to&#13;
maximize the potential of agency banking and ensure long-term success.
</summary>
<dc:date>2025-01-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Influence of Strategic Direction on Organizational Performance of Public Corporations in Kenya. A Case Study of Agricultural Finance Corporation</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2345" rel="alternate"/>
<author>
<name>Muchiri, Veronicah Mwihaki</name>
</author>
<author>
<name>Gichunge, Evangeline</name>
</author>
<author>
<name>Mutegi, Doreen</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2345</id>
<updated>2026-05-30T11:38:05Z</updated>
<published>2024-08-01T00:00:00Z</published>
<summary type="text">Influence of Strategic Direction on Organizational Performance of Public Corporations in Kenya. A Case Study of Agricultural Finance Corporation
Muchiri, Veronicah Mwihaki; Gichunge, Evangeline; Mutegi, Doreen
This study examined the influence of strategic direction on the organizational performance of public &#13;
corporations in Kenya, focusing specifically on the Agricultural Finance Corporation. The study was grounded &#13;
in Contingency Theory. A descriptive research design was employed, with data collected from a sample of 204 &#13;
employees across various management levels at AFC. The study also adopted simple random method. &#13;
Primary data were gathered through standardized questionnaires, while secondary data on organizational &#13;
performance were sourced from AFC’s financial reports and other relevant publications. Data analysis &#13;
involved the use of descriptive and inferential statistics, including mean, standard deviation, Pearson &#13;
correlation, and regression analysis, facilitated by SPSS version 29. It was found that a well-defined strategic &#13;
direction, when effectively communicated and aligned with the organization’s operations, led to improved &#13;
financial performance, operational efficiency, and customer satisfaction. Based on these findings, the study &#13;
recommended several strategies for improving the performance of public corporations like AFC. It was &#13;
recommended that AFC’s leadership enhance strategic communication to ensure that all employees are &#13;
aligned with the organization’s vision, mission, and goals.
</summary>
<dc:date>2024-08-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Influence of Demographic Factors on Uptake of Diagnostic Imaging by  Oncology Patients in South Rift Counties, Kenya</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2344" rel="alternate"/>
<author>
<name>Muikamba, Lilian</name>
</author>
<author>
<name>Tenambergen, Wanja</name>
</author>
<author>
<name>Muiruri, Lilian</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2344</id>
<updated>2026-05-30T11:05:34Z</updated>
<published>2024-08-01T00:00:00Z</published>
<summary type="text">Influence of Demographic Factors on Uptake of Diagnostic Imaging by  Oncology Patients in South Rift Counties, Kenya
Muikamba, Lilian; Tenambergen, Wanja; Muiruri, Lilian
Purpose: To determine the influence of demographic factors on uptake of diagnostic imaging&#13;
by oncology patients in South Rift Counties, Kenya.&#13;
Methodology: A cross-sectional research design was adopted when collecting data from 5&#13;
public hospitals in South Rift Counties. The study issued questionnaires to oncology patients&#13;
and interviewed the rest of the respondents. A pre-test study was done at Texas Cancer Center&#13;
in Nairobi County. Quantitative data was analyzed using descriptive statistics and binary&#13;
logistic regression analysis. Qualitative results data was analyzed through thematic method.&#13;
Results: 74(25%) patients had 41-50 years and 65(22%) were 61-70 years. The least number&#13;
of oncology patients who were 3(1%) and they were 18-20 years of age. Further, 264(89%)&#13;
were married while 33(11%) were not married. Additionally, 182(61%) were male patients&#13;
while 115(39%) were female patients. Additionally, 166(56%) had a tertiary level of education&#13;
while 39(13%) had primary school qualifications. In addition, 203(68%) were Christians and&#13;
80(27%) were Muslims and only 5(2%) were not religious. Notably, 110(37%) of the patients&#13;
had breast cancer while 77(26%) had colon cancer. The least group of patients who were&#13;
12(4%) had lung cancer. Additionally, most of healthcare workers who were 12(39%) had more&#13;
than 50 years while 10(32%) had 41-50 years. However, 4(13%) had 18-30 years. Further,&#13;
18(58%) had a master’s degree while 5(16%) had a PhD. In addition, 17(55%) had more than&#13;
10 years of service while only 5(16%) had 5-7 years. The Chi-square result revealed that χ2 (1,&#13;
N = 297) = 461.599, p &lt; 0.05. That is the Pearson Chi-Square was 461.599 at a p-value of&#13;
0.027.&#13;
Conclusion and Recommendations: Most patients that sought cancer diagnostic imaging&#13;
were middle and old aged male people who were married. This meant that unmarried young&#13;
female adults hardly sought imaging services. The most common cancer illnesses scanned were&#13;
breast, colon, and cervical cancers. The study recommends that that the hospital management&#13;
should provide more funding for sensitization programs to inform unmarried young people&#13;
especially females to seek early diagnostic imaging services. This will enable them to ensure&#13;
that no cancerous cells are growing to be discovered at a late stage for effective management.
</summary>
<dc:date>2024-08-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Factors Influencing the Uptake of Sexual and Reproductive  Health Services Among Adolescent Girls in Humanitarian  Crises: A Case Study of Bor County, South Sudan</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2341" rel="alternate"/>
<author>
<name>Areet, Areet Ayuen</name>
</author>
<author>
<name>Masinde, Lily J. A.</name>
</author>
<author>
<name>Kyulu, Teresia M.</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2341</id>
<updated>2026-05-30T10:11:23Z</updated>
<published>2025-12-01T00:00:00Z</published>
<summary type="text">Factors Influencing the Uptake of Sexual and Reproductive  Health Services Among Adolescent Girls in Humanitarian  Crises: A Case Study of Bor County, South Sudan
Areet, Areet Ayuen; Masinde, Lily J. A.; Kyulu, Teresia M.
Humanitarian crises in South Sudan, characterized by conflict, displacement, and disrupted &#13;
health systems, severely limit adolescent girls' access to SRH services. The study employed a &#13;
mixed-methods design. This study aimed to examine factors influencing the uptake of SRH &#13;
services among adolescent girls aged 15-19 in Bor County, South Sudan. The target population &#13;
included adolescent girls aged 15-19, with a sample size of 225 participants selected through &#13;
purposive sampling. Data was collected via semi-structured questionnaires for quantitative &#13;
insights and Key Informant Interviews (KIIs) for qualitative perspectives. Quantitative data &#13;
were analyzed using descriptive statistics (means, standard deviations, and regression analysis) &#13;
with SPSS Version 25.0, and results were presented in tables, pie charts, and graphs. &#13;
Qualitative data were analyzed thematically using NVivo software to identify key patterns and &#13;
themes. The study found that accessibility was the most significant barrier (Beta = 0.311, p = &#13;
0.021), with long distances to clinics, poor transportation, and lack of youth-friendly services &#13;
limiting uptake. Awareness and knowledge (Beta = 0.219, p = 0.032) were constrained by &#13;
inadequate school-based SRH education. Psychosocial factors (Beta = 0.201, p = 0.001), &#13;
including stigma and trauma, significantly deterred service utilization. Socio-cultural and &#13;
economic factors (Beta = 0.156, p = 0.002), such as cultural taboos and poverty, had a notable &#13;
but lesser impact. This study enriches the literature by providing context-specific insights into &#13;
SRH service uptake in humanitarian settings, emphasizing the unique challenges faced by &#13;
adolescent girls in Bor County. It recommends youth-friendly mobile clinics, comprehensive &#13;
sexuality education, and community-based stigma reduction programs to align with South &#13;
Sudan’s adolescent health policies and global humanitarian SRH standards
</summary>
<dc:date>2025-12-01T00:00:00Z</dc:date>
</entry>
<entry>
<title>Health System Factors that Influence Hpv Vaccine Uptake in Kiambu County</title>
<link href="http://repository.kemu.ac.ke/handle/123456789/2340" rel="alternate"/>
<author>
<name>Mwangi, Solomon Maina</name>
</author>
<author>
<name>M’mayi, Consolata</name>
</author>
<author>
<name>.Masinde, Lily J.A.</name>
</author>
<id>http://repository.kemu.ac.ke/handle/123456789/2340</id>
<updated>2026-05-29T15:15:40Z</updated>
<published>2025-07-01T00:00:00Z</published>
<summary type="text">Health System Factors that Influence Hpv Vaccine Uptake in Kiambu County
Mwangi, Solomon Maina; M’mayi, Consolata; .Masinde, Lily J.A.
Human  papillomavirus  HPV  is  a  major  cause  of  cervical  cancer  infection,  however,  HPV  vaccine  uptake  among  the  targeted &#13;
groups  (ages  9-14)  remains  suboptimal  in  many  regions,  including  Kiambu  County,  Kenya.  Across  sectional  design  sought  to &#13;
assess the relationships between health system factors and vaccine uptake. The study targeted parents with daughters aged 9–14 &#13;
years.  A  sample  of  400  respondents  was  included  to  provide  a  robust  representation  of  the  target  population,  ensuring &#13;
comprehensive and reliable insights. Key findings indicate that health system factors such as absence of health provider’s, access to &#13;
vaccination  services  and  communication  by  healthcare  providers  to  parents  emerged  as  critical  determinants  of  vaccine  uptake. &#13;
From the findings the study concluded that there is a significant impact of health system factors on vaccination decisions. Based &#13;
on  the  findings  the  study  recommended  that  the  County  Government  of  Kiambu  through  the  department  of  Health  should &#13;
improve  Communication  among  Health  Care  Providers  and  when  training  healthcare  providers  they  should  use  recommended &#13;
communication strategies to engage parents in discussing HPV vaccination.
</summary>
<dc:date>2025-07-01T00:00:00Z</dc:date>
</entry>
</feed>
