School of Medicine and Health Sciences
Permanent URI for this collectionhttp://41.89.31.6:4000/handle/123456789/315
Welcome to School of Medicine and Health Sciences collection.This collection contains Journal articles published by faculty affiliated to the school.
Browse
8 results
Search Results
Item The Influence of Staffs’ Knowledge on Preparedness of Catholic Mission Hospitals for Health Service Delivery during Emergency Inflow of Patients in Nairobi County, Kenya(American Journal of Health, Medicine and Nursing Practice, 2022) Kiteng’u, Petronella Mueni; Muiruri, Lillian; Musa, OluochPurpose: To determine the influence of staffs’ knowledge on preparedness of catholic mission hospitals for health service delivery during emergency inflow of patients in Nairobi County, Kenya. Methodology: A cross sectional descriptive study design was used with quantitative approach for data collection and analysis. Four tier-3 Catholic Mission Hospitals were purposively selected and a stratified random sample of 647 members of staff from different cadres was taken. A structured questionnaire was used to collect data. Data was analyzed using STATA software v.16, where descriptive statistics were presented using frequencies and percentages whereas inferential statistics were presented using correlation and regression analysis. Findings: The study found out that staff training and exercises for knowledge and skills influenced preparedness of Catholic Mission Hospitals for health service delivery during emergency influx of patients. A positive and significant relationship was found at (r=0.211; p<0.01). This means that the hospitals are perceived as prepared for health service delivery during emergency influx of patients. However, staff drills (staff exercises) at (r = -0.147; p<0.05) were found insignificantly influencing services delivery. This means that the hospitals would be unprepared even if staff drills were in place. Recommendations: The study recommends that the managers of catholic hospitals should have scheduled staff trainings and drills for efficient and timely response in times of need for emergency service deliver. Policy guidelines on skills acquisition for the staff in the health institutions need to be developed to guide the trainings and frequent drills to sharpen the theory and practice of the healthcare team.Item Factors Affecting Medical Equipment Utilization in Health Service Delivery in Mandera County Referral Hospital(IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2021-08) Guyow Hassan Aliow,; Mwaura, Tenambergen Wanja; Musa, OluochHealth service delivery in Kenya and Mandera County Referral Hospital (MCRH) in particular has been hampered by low utilization medical equipment. This study sought to investigate factors that influence the utilization of medical equipment in health service delivery in MCRH. This was a cross-sectional study design with a sample of 108 health workers from MCRh. The study adopted questionnaires for data collection and data was analysed using SPSS V.23. Descriptive analysis involved frequencies, percentages and cross tabulations. The inferential analysis was done using binary logistic regression. The findings revealed that human resource capacity development is a significant predictor of utilization of medical equipment (p = 0.001, Ex (β) = 0.064). The study also established that medical equipment management policy is a significant predictor of medical equipment utilization (p = 0.031, Ex (β) = 8.891).The causal effect relationship between medical equipment procurement policy and medical equipment utilization was also significant (p = 0.025, Ex (β) = 1.221). Finally, adherence to service charter was a significant predictor of utilization of medical equipment at Mandera county referral hospital (p = 0.001, Ex (β) = 2.119). The study concluded that the major determinants of medical equipment utilization at Mandera referral hospital included human resource capacity development, medical equipment management policy, medical equipment procurement policy and adherence to service charter. The study recommends that management of Mandera county referral hospital to improve the capacity of the staff through training, have in place detailed medical equipment policy and adhere to medical equipment procurement policy.Item Factors affecting the utilization of routine immunization coverage of children under two years in Somalia: a case of Garowe town(Stratford Peer Reviewed Journals and Book Publishing Journal of Medicine, Nursing & Public Health, 2020-08) Abshir, Said Nuriye; Wanja, Mwaura-Tenambergen; Musa, OluochThe purpose of this study was to interrogate the determinants of the utilization of routine immunization coverage for children under 2 years in Garowe town. The specific objectives of the study was to determine caregiver, interpersonal, health facility factors and policy factors affecting the utilization of routine immunization to children under Two years in Garowe town. A cross-sectional survey design was the most suitable for the study. The study also used both qualitative and quantitative data collected by interviewing mothers, guardians of the children under two years, service providers in selected health facilities, and community health workers. The selection of the sample was through probabilistic as well as nonprobabilistic methods. Before that, the sample size of 384 was determined by use of Fisher formula The data collection instruments were Semi-structured questionnaires, KII and FGDs. For data interpretation, quantitative data was analyzed through univariate methods, descriptive statistics, Chi-square (χ2) and regression methods. In addition, qualitative data were organized and summarized in line with the thematic areas; described, followed by thematic analysis.The findings confirmed that care giver factors such as demographic characteristics, knowledge of caregivers reduced utilization of routine immunization in Somalia. The results further showed that interpersonal factors and health facility factors had a positive and significant effect on utilization of routine immunization in Somalia. The study findings implied that lack of adequate policies in Somalia reduced effective utilization of routine immunization. The study concluded that utilization of the routine immunization in Garowe Town had improved since majority of the caregivers had taken their children for polio vaccines, BCG injection among others. The study concluded that a significant number of caregivers still leave their children unprotected by failing to observe the routine immunization despite being close to health facilitiesItem The influence of human resource factors on pharmaceutical procurement supply chain management cycle in nongovernmental organizations in Kenya(International Academic Journal of Health, Medicine and Nursing, 2020-08) Nyarwati, Jacob Mang’ondi; Wanja, Mwaura Tenambergen; Musa, OluochProcurement is an important part of efficient drug management and supply and is critical for all levels of health care institutions. An effective procurement process ensures the availability of the right drugs in the right quantities, available at the right time, for the right patient and at reasonable prices, and at recognizable standards of quality. Sound procurement policies and standard operating procedures are among the essential elements of good governance. Lack of or failure to use existing standard operating procedures of procurement in the procurement of medicines and other health related products can lead to procurement of substandard products and thus knowledge of SOPs among the health personnel is crucial for maintenance of quality products. The study aims at determining the effect of human resource factors on pharmaceutical procurement supply chain management cycle in charitable NGOs in Kenya with a specific focus on the Kenya Red Cross Society. Methods: The study adopted a descriptive cross section survey design. The study was conducted at Kenya Red Cross Society in Nairobi County head office and in 8 Kenya Red Cross Society regional offices. The study population comprised of 48 procurement, finance and logistic personnel. The stratified sampling method was used to identify the subgroups in the population. Self-administrated questionnaire with 5 point likert scale was to collect data. Quantitative data was analyzed using SPSS version 25. Results: The findings of the study revealed that human resources awareness of procurement and logistic policies is significantly associated with the efficiency of pharmaceutical supply chain at the KRCS. Based on the findings of this study, it is recommended that, there should be periodic training of all staff engaged in procurement and logistics of pharmaceutical productsItem Factors Influencing Job Satisfaction among Health Workers in Tanzania: A Case of Kilimanjaro Christian Medical Centre Referral Hospital(International Journal of professional Practice (IJPP), 2020) Msanya, Deogratius; Wanja, Mwaura-Tenambergen; Musa, Oluoch; Alloyce, Julius PiusA well-functioning health system is composed of six building blocks. Health workers are one among the six blocks. Human resource for health is vital for effective and efficient delivery of health care. However, there has been existing problem of inadequate staffing in the health care which weaken the health service delivery. It’s of paramount importance to ensure that the available health workers are satisfied with their job for quality delivery of care. The purpose of this study was to ascertain factors which influence job satisfaction among human resource for health in Kilimanjaro Christian Medical Centre (KCMC), Tanzania. The objectives were to assess the influence of demographic characteristics, institutional governance, the working environment and professional related factors on job satisfaction among health care workers. This was an institution-based cross-sectional study and the target population was all health workers in KCMC. Sampling procedure was stratified probability sampling and a total of 257 respondents were included in the study. Data was collected using a structured questionnaire and analyzed using SPSS version 23. Logistic regression model was run to determine association between factor scores in the independent variables and the dependent variable at 95%CI whereas P<0.05 was regarded statistically significant. Results showed that job satisfaction rate of health workforce at KCMC was 49%. Nurses is the cadre with the highest job dissatisfaction rate of 60.2% followed by doctors at 51.6%. The highest job satisfaction rate was revealed among the carder of allied health professional at the rate of 66.7%. Factors found to have significant association to job satisfaction were marital status (P=0.006), decision making process (P=0.002), supervisory support (P=0.014), relationship with co-workers (P=0.001), pay (P=0.0001), nature of work (P=0.009) and career advancement (P=0.0001). On measuring the satisfaction levels, it was promotion and income that had the lowest satisfaction rates of 14.1% and 14.7% respectively. The hospital management needs to improve on the factors which were identified as major contributors to job satisfaction for the purpose of enhancing job satisfaction among health workers. Therefore, major decisions must be participatory, supervisory support must be enhanced, salary increases or promotion should be regularly considered and career advancement opportunities must be provided for the employees to acquire more skills and competencies for quality health care deliveryItem Factors Influencing Uptake of Oncology Specialized Health Care Services in Uasin Gishu County, Kenya(International Research Journal of Oncology, 2020-10) Linner, Chepngetich Soy; Mwangi, Eunice Muthoni; Musa, OluochIn Kenya, absence or poor access for oncology services has escalated the total national mortality rate in Kenya. Despite numerous studies on the increased prevalence and incidence of cancers, there is insufficient empirical literature explaining the factors influencing the increased absence or poor of access to oncology tertiary healthcare services in Uasin Gishu County, a research gap filled by this study. This study determined factors influencing access to oncology specialized healthcare services among patients in Uasin Gishu. Using descriptive research design, the study employed a census survey on population of 142 screened oncology patients in the 18 level 3 and 4 facilities in Uasin Gishu County. Data was collected using structured questionnaires. Data was analysed using descriptive statistics and then inferential analysis with results presented in form of tables and figures. The data was analysed with assistance of Statistical Package for Social Sciences (SPSS) software version 22.0. The study reveals that at 0.05 (5%) level of significance, there exists a significant relationship between each of; affordability of oncology services, location of oncology services, acceptability of oncology services, and availability of oncology specialized healthcare services and uptake of oncology specialized healthcare services in Uasin Gishu County. The study recommends that since health is a devolved function, the county government of Uasin Gishu should seek to provide affordable oncology services through establishment of a strategy for low income oncology patients and stakeholder participationItem Determinants of adverse drug reactions reporting in retail chemists in Nairobi County, Kenya(International Journal of Community Medicine and Public Health, 2020-08) Njiru, June W.; Mwangi, Eunice M; Musa, OluochBackground: Reporting of adverse drug reactions remains the mainstay of a vibrant pharmacovigilance system that seeks to safeguard medicines in a health system. This study sought to establish the impact of the national medicines regulatory body, The Pharmacy and Poisons Board (PPB), the operationalization of pharmacovigilance implementation strategies in the retail chemists, the effect of the capacity and that of underlying motivation factors of the retail chemist personnel on reporting of adverse drug reactions. Methods: This was a descriptive cross-sectional study design conducted between May 2018 to June 2018. Results: 149 (60%) of the respondents stated that PPB did not engage retail chemists as stakeholders in pharmacovigilance, 127 (51%) said they had never read any PPB publication on pharmacovigilance, 151 (61%) said they had general knowledge on pharmacovigilance, receiving feedback from PPB was considered a major motivational factor towards ADR reporting by 237 (96%). Multivariate analysis of the determinants of ADR reporting in retail chemists established that the pharmacovigilance implementation strategies (p<0.026), retail chemist personnel (p<0.001) and underlying motivational factors (p<0.05) had significant influence on ADR reporting in retail chemists in Nairobi County. Conclusions: PPB has not engaged retail chemists on pharmacovigilance matters as key stakeholders and this has impacted the quality of the pharmacovigilance implementation strategies in the chemists as well as the capacity and motivation of the retail chemist personnel to report ADRs.Item Influence of devolved healthcare system on delivery of health services in Meru County, Kenya(International Academic Journal of Health, Medicine and Nursing., 2019-07) Njiru, Lydia Wanja; Wanja, Mwaura Tenambergen; Musa, OluochThe promulgation of the Constitution of Kenya, 2010 birthed devolution. After the General Elections held on 4th of March of 2013, devolution of various public functions including healthcare gained momentum. However, there have hitherto been conspicuous challenges facing delivery of public healthcare, which have been attributed to devolution. This has necessitated this research, which sought to evaluate the influence of devolution healthservice delivery in Kenya by focusing on Meru County. The general objective was to evaluate the influence of the devolved healthcare system on delivery of health services in Meru County. Specifically, the study analyzed how the various components of the aforementioned systems, that is, devolved healthcare financing, devolved leadership, devolved healthcare workforce, and devolved medical supply system influence delivery of health services in Meru County. Pertinent empirical studies have been reviewed. The study was guided by the sequential theory of decentralization and the systems theory. A descriptive survey research design was adopted. All the healthcare managers in Kenya constituted our target population. The members of SubCounty Hospital Management Committees and Meru Level V Hospital Committee totaling 168 comprised the study population. A census design was adopted where all the 168 devolved healthcare managers in Meru County were projected to take part in the study. A structured questionnaire was used for data collection. The instruments’ validity and reliability were assessed. The Statistical Package for Social Sciences Version 24.0 tool was used to analyze date. Descriptive and inferential statistics were computed for quantitative data. The results of the analysis were presented in tabular form and were accompanied by pertinent interpretations and discussions. It was found that devolved healthcare financing (r=0.321; p<0.05), devolved leadership (r=0.396; p<0.05), devolved healthcare workforce (r = 0.487; p < 0.05), and devolved medical supply system (r = 0.486; p < 0.05) were significantly correlated with delivery of healthcare services in Meru County. The findings further indicated that 28.9% variance in delivery of health services in Meru County could be explained by the devolved healthcare system. Devolved medical supply (β4 = 0.239) was found to be the most critical component of the devolved healthcare system while devolved leadership (β2 = 0.120) was the least important factor. None of the null hypotheses was rejected. It was concluded that the delivery of healthcare services was pegged on the availability of funds to procure medicine, remunerate workers and ensure the daily operation of health facilities. We also concluded that good corporate leadership could enhance service delivery. In order to improve delivery of health services, it was paramount to have well-remunerated, motivated, and adequate number of staff. Medical supply system was inferred to be very fundamental in delivery of healthcare services. The devolved health facilities should seek supplementary sources of funds to address their operational costs. They should also ensure prudent leadership, which advocates for transparency and accountability. The workforce should be appropriately remunerated and motivated. Furthermore, the medicine and drug allotment should be prioritized on need basis to avoid stock outs and ensure that health services delivery is not compromised.