School of Medicine and Health Sciences
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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 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 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.