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.
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Item Determinants of Utilization of Home-Based Care in Kisumu County.(International Journal of Health Sciences, 2024-08) Ratori, Erick Enock; Oluoch, Musa; Mwangi, MuthoniPurpose: To examine the factors influencing the utilization of Home-Based Care in Kisumu Central. It examined the influence of predisposing factors, enabling factors, the environment and Health Behaviors on utilization of Home-Based Care. Methodology: This was a mixed research design which employed both qualitative and quantitative methods to examine and characterize the elements that impact the use of home-based care. The study samples consist of 120 respondents selected from among home based care users. The data was collected through structured questionnaires that were self-administered to home-based care users. The collected data was quantitative and analyzed using descriptive and statistical tools like SPSS (version27). The findings were displayed in tables. Descriptive statistics, Bivariate correlation and multivariate regression models were utilized to determine the relationship between the independent and dependent variables. Findings: The study found that predisposing factors, enabling factors, the environment and health behaviors were significant factors influencing the utilization of home-based care in Kisumu Central Sub County with significant p=.000 each. Unique contribution to theory, practice and policy (recommendations): Theory: The study challenges traditional theories by demonstrating that predisposing factors, enabling factors and the environment are more significant than health behaviors in influencing Home-Based Care utilization. Policymakers should implement strategies that target investments in and support for Home Based Care as a vital component of healthcare delivery, particularly for individuals with chronic illnesses and those requiring personalized and accessible care within their homes.Item Influence of Recognition Systems on Performance of the Health Workers in Public Health Facilities In Wajir County, Kenya(Journal of African Interdisciplinary Studies (JAIS), 2022-09) Hussein, Abdikadir Abbey; Oluochi, Musa; Mwangi, MuthoniDespite the ongoing health sector reforms in Kenya, services have remained poor especially in Wajir County. The inadequate performance of health workers coupled with lack of adequate support from the central and local governments are believed to have partly contributed to this deterioration and stagnation of some of the important health indicators under the second Health Sector Strategic Plan (HSSP II). Whatever the case, poor performance of individual health workers culminates into poor organizational performance. Failure of the stakeholders in the health sector to implement programmes meant to enhance workforce performance has led to poor quality of health services seen currently in the country. The study adopted a cross sectional survey research design with descriptive approach involving 109 health workers from 77 public health facilities in five sub-counties namely Wajir North, Wajir South, Wajir East, Wajir West, Eldas and Tarbaj. The survey used questionnaires to collect data from the respondents. Consent was obtained from participants. Logistic regression analysis results indicated that recognition systems influenced performance of health workers in Wajir County, Kenya. Recognition systems determined health workers’ performance. Public health facilities should focus on devising and practicing various forms of intrinsic reward systems such as; career advancement, promotion, praises, appreciation, democratic solution to problems, etc. in order to improve health workers’ performance and hence health services.