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 Towards A Digital Health Information Framework For Managing Essential Medicine Supply Chain in Public Healthcare Facilities in Kenya(International Research Journal of Modernization in Engineering Technology and Science, 2024-05) Nalebe, Robert Mugubi; Otieno, George W. Odhiambo-Health information systems technology is an enabler of real time dissemination of information for decision making that supports health service delivery including medicine stock management in hospitals. However essential medicine stock out in public healthcare facilities in Kenya persist due to poor information processing and delayed information flow. The study sought to create a digital health information framework for management of essential medicine supply chain in Kenya’s public healthcare facilities. The researcher used a mixed method approach involving both qualitative and quantitative techniques. Purposive sampling was used to select 14 key informants (medical superintendents) while simple random sampling was used to select 150 healthcare workers. An interview schedule was used to collect data from the key informants while a semi- structured questionnaire from the rest of the respondents through an ArcGIS enterprise platform. The average Cronbach Alpha for all the variables was 0.839, which means that the research instrument was reliable. Linear regression analysis was used to analyse data. The study was conducted between August and October 2023 Kajiado, Makueni and Mombasa counties. Study findings indicated that most public healthcare facilities do not have complete DHIS, thereby processing information through a mixture of paper and fragmented electronic systems. The findings also show that the current systems were s unreliable, inaccurate, incomplete. Most of the public health facilities did not have adequate functional computers, an adequate number of skilled personnel and internet connection, which affected information dissemination. The study concludes that .the study concludes that although most public healthcare facilities in Kenya do not have complete DHIS, the quality of digitized health information, digitized health information processing strategy, ICT infrastructure support, workforce skills and policy framework have a positive and significant effect on essential medicine supply chain management in public healthcare facilities.Item The Influence of ICT Infrastructure Support for Management of Essential Medicine Supply Chain in Health Facilities in Kenya(International Journal of Research Publication and Reviews, 2024-03) Nalebe, Robert Mugubi N.; Otieno, George W. Odhiambo-; Kyalo, Caroline KawilaWhile application of ICT to support management of essential medicine supply chain in public facilities in Counties is increasing, full utilization of digitalization is slowed down by poor or inadequate ICT infrastructure, frequent system breaks down, lack of internet bundles and inadequate digital skills to support management of essential medicine supply chain at all levels of the health system. The aim of this study was to investigate the influence of ICT infrastructure support for essential medicine supply chain management in public healthcare facilities in Kenya. The study employed both quantitative and qualitative research design. The study sites were Kajiado, Makueni and Mombasa Counties. Simple random sampling and purposive sampling were used to identify respondents to the study. The research focused on medical professionals including medical officers, clinical officers, pharmacists, health records personnel, pharmaceutical technologists, and procurement officers, along with key informants selected from 11 level 4 and 3 level 5 public healthcare facilities across three counties. A total of 150 participants were selected using the formula devised by Nasiurma D.K (2000) at a confidence level of 95%. Quantitative and qualitative data were collected through a combination of 12 key informant interviews and 143 semi-structured questionnaires. The collected data underwent cleaning, transformation, and analysis using NVivo, Qualitative Data Analysis (QDA) Miner, and SPSS software. The study revealed that most public hospitals in Kenya do not have sufficient functional computers to support processing of digital information for managing essential medicine supply chain. The findings also reveal that while most public hospitals in the counties of Kajiado, Makueni and Mombasa have electricity connectivity, most of them do not have reliable internet to support inter computer connectivity and timely digital essential medicine information communication between units and departments for timely management of essential medicine supply chain process. The study is significant to all stakeholders because it provides evidence for strengthening ICT infrastructure and digitalization information processing and sharing to support efficiency in management of essential medicine supply chain.