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 Influence of Strategic Planning on the Performance of Telecommunication Industry in Somalia(Academic Journal of Humanities and Social Sciences Research,, 2025-08) Hassan Abdullahi, Abdikafi; Mbithi, Mary; Maore, StephenDespite notable growth, Somalia’s telecommunication industry faces persistent performance challenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, and limited adaptability in a highly competitive and dynamic environment. This study investigated the influence of strategic planning on the performance of the telecommunication industry in Somalia. The research adopted a mixed-methods approach, combining quantitative and qualitative data collection techniques to provide comprehensive insights into the relationship between strategic planning practices and industry performance. The study targeted 220 participants across 22 registered telecommunication firms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents included telecommunication managers, strategic planning staff, innovation strategy personnel, and customer relationship managers. Using census sampling, the research achieved an exceptional response rate of 90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires with quantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptions regarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealed a strong correlation coefficient (R = 0.742) and explanatory power (R2 = 0.551), indicating that strategic planning accounts for 55.1% of variance in industry performance. The regression model proved statistically significant (F = 242.358, p < 0.001), with standardized coefficient (ff = 0.742) confirming the positive relationship. For every unit increase in strategic planning implementation, performance increased by 0.684 units. The study concluded that strategic planning serves as a critical predictor of organizational performance in Somalia’s telecommunications sector, supporting the rejection of the null hypothesis. The study recommended that telecommunication companies in Somalia should prioritize strategy evaluation and control systems, establish performance monitoring frameworks, invest in data analytics, and build institutional capacity to adapt strategies in response to changing market conditions and evaluation findings.Item Influence of Strategic Planning on thePerformance of Telecommunication Industryin Somalia(Academic Journal of Humanities and Social Sciences Research, 2025) Abdullahi, Abdikafi Hassan; Mbithi, Mary; Maore, StephenDespite notable growth, Somalia’s telecommunication industry faces persistent performancechallenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, andlimited adaptability in a highly competitive and dynamic environment. This study investigated theinfluence of strategic planning on the performance of the telecommunication industry in Somalia. Theresearch adopted a mixed-methods approach, combining quantitative and qualitative data collectiontechniques to provide comprehensive insights into the relationship between strategic planning practicesand industry performance. The study targeted 220 participants across 22 registered telecommunicationfirms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents includedtelecommunication managers, strategic planning staff, innovation strategy personnel, and customerrelationship managers. Using census sampling, the research achieved an exceptional response rate of90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires withquantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptionsregarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealeda strong correlation coefficient (R = 0.742) and explanatory power (R² = 0.551), indicating thatstrategic planning accounts for 55.1% of variance in industry performance. The regression model provedstatistically significant (F = 242.358, p < 0.001), with standardized coefficient ( = 0.742) confirmingthe positive relationship. For every unit increase in strategic planning implementation, performanceincreased by 0.684 units. The study concluded that strategic planning serves as a critical predictor oforganizational performance in Somalia’s telecommunications sector, supporting the rejection of the nullhypothesis. The study recommended that telecommunication companies in Somalia should prioritizestrategy evaluation and control systems, establish performance monitoring frameworks, invest in dataanalytics, and build institutional capacity to adapt strategies in response to changing market conditionsand evaluation findingsItem Influence of Strategic Planning on thePerformance of Telecommunication Industryin Somalia(Academic Journal of Humanities and Social Sciences Research,, 2025) Abdullahi, Abdikafi Hassan; Mbithi, Mary; Maore, StephenDespite notable growth, Somalia’s telecommunication industry faces persistent performancechallenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, andlimited adaptability in a highly competitive and dynamic environment. This study investigated theinfluence of strategic planning on the performance of the telecommunication industry in Somalia. Theresearch adopted a mixed-methods approach, combining quantitative and qualitative data collectiontechniques to provide comprehensive insights into the relationship between strategic planning practicesand industry performance. The study targeted 220 participants across 22 registered telecommunicationfirms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents includedtelecommunication managers, strategic planning staff, innovation strategy personnel, and customerrelationship managers. Using census sampling, the research achieved an exceptional response rate of90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires withquantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptionsregarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealeda strong correlation coefficient (R = 0.742) and explanatory power (R² = 0.551), indicating thatstrategic planning accounts for 55.1% of variance in industry performance. The regression model provedstatistically significant (F = 242.358, p < 0.001), with standardized coefficient ( = 0.742) confirmingthe positive relationship. For every unit increase in strategic planning implementation, performanceincreased by 0.684 units. The study concluded that strategic planning serves as a critical predictor oforganizational performance in Somalia’s telecommunications sector, supporting the rejection of the nullhypothesis. The study recommended that telecommunication companies in Somalia should prioritizestrategy evaluation and control systems, establish performance monitoring frameworks, invest in dataanalytics, and build institutional capacity to adapt strategies in response to changing market conditionsand evaluation findings.Item Influence of Demographic Factors on Uptake of Diagnostic Imaging by Oncology Patients in South Rift Counties, Kenya(Journal of Medicine, Nursing and Public Health,, 2024-08) Muikamba, Lilian; Tenambergen, Wanja; Muiruri, LilianPurpose: To determine the influence of demographic factors on uptake of diagnostic imaging by oncology patients in South Rift Counties, Kenya. Methodology: A cross-sectional research design was adopted when collecting data from 5 public hospitals in South Rift Counties. The study issued questionnaires to oncology patients and interviewed the rest of the respondents. A pre-test study was done at Texas Cancer Center in Nairobi County. Quantitative data was analyzed using descriptive statistics and binary logistic regression analysis. Qualitative results data was analyzed through thematic method. Results: 74(25%) patients had 41-50 years and 65(22%) were 61-70 years. The least number of oncology patients who were 3(1%) and they were 18-20 years of age. Further, 264(89%) were married while 33(11%) were not married. Additionally, 182(61%) were male patients while 115(39%) were female patients. Additionally, 166(56%) had a tertiary level of education while 39(13%) had primary school qualifications. In addition, 203(68%) were Christians and 80(27%) were Muslims and only 5(2%) were not religious. Notably, 110(37%) of the patients had breast cancer while 77(26%) had colon cancer. The least group of patients who were 12(4%) had lung cancer. Additionally, most of healthcare workers who were 12(39%) had more than 50 years while 10(32%) had 41-50 years. However, 4(13%) had 18-30 years. Further, 18(58%) had a master’s degree while 5(16%) had a PhD. In addition, 17(55%) had more than 10 years of service while only 5(16%) had 5-7 years. The Chi-square result revealed that χ2 (1, N = 297) = 461.599, p < 0.05. That is the Pearson Chi-Square was 461.599 at a p-value of 0.027. Conclusion and Recommendations: Most patients that sought cancer diagnostic imaging were middle and old aged male people who were married. This meant that unmarried young female adults hardly sought imaging services. The most common cancer illnesses scanned were breast, colon, and cervical cancers. The study recommends that that the hospital management should provide more funding for sensitization programs to inform unmarried young people especially females to seek early diagnostic imaging services. This will enable them to ensure that no cancerous cells are growing to be discovered at a late stage for effective management.Item Influence of Strategic Planning on the Performance of Telecommunication Industry in Somalia(Academic Journal of Humanities and Social Sciences Research, 2025-03) Hassan, Abdikafi Abdullahi; Mbithi, Mary; Maore, StephenDespite notable growth, Somalia’s telecommunication industry faces persistent performancechallenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, andlimited adaptability in a highly competitive and dynamic environment. This study investigated theinfluence of strategic planning on the performance of the telecommunication industry in Somalia. Theresearch adopted a mixed-methods approach, combining quantitative and qualitative data collectiontechniques to provide comprehensive insights into the relationship between strategic planning practicesand industry performance. The study targeted 220 participants across 22 registered telecommunicationfirms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents includedtelecommunication managers, strategic planning staff, innovation strategy personnel, and customerrelationship managers. Using census sampling, the research achieved an exceptional response rate of90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires withquantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptionsregarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealeda strong correlation coefficient (R = 0.742) and explanatory power (R² = 0.551), indicating thatstrategic planning accounts for 55.1% of variance in industry performance. The regression model provedstatistically significant (F = 242.358, p < 0.001), with standardized coefficient ( = 0.742) confirmingthe positive relationship. For every unit increase in strategic planning implementation, performanceincreased by 0.684 units. The study concluded that strategic planning serves as a critical predictor oforganizational performance in Somalia’s telecommunications sector, supporting the rejection of the nullhypothesis. The study recommended that telecommunication companies in Somalia should prioritizestrategy evaluation and control systems, establish performance monitoring frameworks, invest in dataanalytics, and build institutional capacity to adapt strategies in response to changing market conditionsand evaluation findings.Item Influence of Strategic Planning on the Performance of Telecommunication Industry in Somalia(Academic Journal of Humanities and Social Sciences Research, 2025) Hassan, Abdikafi Abdullahi; Mbithi, Mary; Maore, StephenDespite notable growth, Somalia’s telecommunication industry faces persistent performancechallenges due to inadequate strategic planning, leading to inefficiencies, poor resource allocation, andlimited adaptability in a highly competitive and dynamic environment. This study investigated theinfluence of strategic planning on the performance of the telecommunication industry in Somalia. Theresearch adopted a mixed-methods approach, combining quantitative and qualitative data collectiontechniques to provide comprehensive insights into the relationship between strategic planning practicesand industry performance. The study targeted 220 participants across 22 registered telecommunicationfirms in major urban centers including Mogadishu, Hargeisa, and Kismayo. Respondents includedtelecommunication managers, strategic planning staff, innovation strategy personnel, and customerrelationship managers. Using census sampling, the research achieved an exceptional response rate of90.5%, with 199 completed questionnaires. Data collection employed structured questionnaires withquantitative analysis conducted using SPSS version 28. The findings revealed strong positive perceptionsregarding strategic planning practices in Somalia’s telecommunications industry. The analysis revealeda strong correlation coefficient (R = 0.742) and explanatory power (R² = 0.551), indicating thatstrategic planning accounts for 55.1% of variance in industry performance. The regression model provedstatistically significant (F = 242.358, p < 0.001), with standardized coefficient ( = 0.742) confirmingthe positive relationship. For every unit increase in strategic planning implementation, performanceincreased by 0.684 units. The study concluded that strategic planning serves as a critical predictor oforganizational performance in Somalia’s telecommunications sector, supporting the rejection of the nullhypothesis. The study recommended that telecommunication companies in Somalia should prioritizestrategy evaluation and control systems, establish performance monitoring frameworks, invest in dataanalytics, and build institutional capacity to adapt strategies in response to changing market conditionsand evaluation findings.Item Factors Influencing the Uptake of Sexual and Reproductive Health Services Among Adolescent Girls in Humanitarian Crises: A Case Study of Bor County, South Sudan(Journal of Medicine, Nursing and Public Health, 2025-12) Areet, Areet Ayuen; Masinde, Lily J. A.; Kyulu, Teresia M.Humanitarian crises in South Sudan, characterized by conflict, displacement, and disrupted health systems, severely limit adolescent girls' access to SRH services. The study employed a mixed-methods design. This study aimed to examine factors influencing the uptake of SRH services among adolescent girls aged 15-19 in Bor County, South Sudan. The target population included adolescent girls aged 15-19, with a sample size of 225 participants selected through purposive sampling. Data was collected via semi-structured questionnaires for quantitative insights and Key Informant Interviews (KIIs) for qualitative perspectives. Quantitative data were analyzed using descriptive statistics (means, standard deviations, and regression analysis) with SPSS Version 25.0, and results were presented in tables, pie charts, and graphs. Qualitative data were analyzed thematically using NVivo software to identify key patterns and themes. The study found that accessibility was the most significant barrier (Beta = 0.311, p = 0.021), with long distances to clinics, poor transportation, and lack of youth-friendly services limiting uptake. Awareness and knowledge (Beta = 0.219, p = 0.032) were constrained by inadequate school-based SRH education. Psychosocial factors (Beta = 0.201, p = 0.001), including stigma and trauma, significantly deterred service utilization. Socio-cultural and economic factors (Beta = 0.156, p = 0.002), such as cultural taboos and poverty, had a notable but lesser impact. This study enriches the literature by providing context-specific insights into SRH service uptake in humanitarian settings, emphasizing the unique challenges faced by adolescent girls in Bor County. It recommends youth-friendly mobile clinics, comprehensive sexuality education, and community-based stigma reduction programs to align with South Sudan’s adolescent health policies and global humanitarian SRH standardsItem Health System Factors that Influence Hpv Vaccine Uptake in Kiambu County(EPRA International Journal of Multidisciplinary Research (IJMR), 2025-07) 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 groups (ages 9-14) remains suboptimal in many regions, including Kiambu County, Kenya. Across sectional design sought to assess the relationships between health system factors and vaccine uptake. The study targeted parents with daughters aged 9–14 years. A sample of 400 respondents was included to provide a robust representation of the target population, ensuring comprehensive and reliable insights. Key findings indicate that health system factors such as absence of health provider’s, access to vaccination services and communication by healthcare providers to parents emerged as critical determinants of vaccine uptake. From the findings the study concluded that there is a significant impact of health system factors on vaccination decisions. Based on the findings the study recommended that the County Government of Kiambu through the department of Health should improve Communication among Health Care Providers and when training healthcare providers they should use recommended communication strategies to engage parents in discussing HPV vaccination.Item Influence of Strategy Implementation on Performance of Water Service Providers in the Lower-Eastern Counties of Kenya(Academic Journal of Humanities and Social Sciences Research,, 2025-09) Miriti, Erastus Mwongera; Kihara, Peter; Miluwi, JoshuaWater scarcity continues to constrain socioeconomic development in Lower-Eastern Kenya, with water service providers struggling to address high Non-Revenue Water (NRW) levels, weak coverage expansion, and financial sustainability concerns. This study examined the influence of strategy implementation on the performance of licensed water service providers in the region. Grounded in the Resource-Based View (RBV), which emphasizes effective deployment of valuable, rare, inimitable, and non-substitutable resources for competitive advantage, the study assessed how strategic processes translate into organizational outcomes. A positivist philosophy and descriptive survey design guided the research. A stratified purposive sample of 183 respondents was drawn from a population of 758 staff across ten providers. Data were collected through structured questionnaires, pre-tested for reliability, and analyzed using SPSS Version 21. Descriptive statistics established existing practices, while regression analysis tested the hypothesized relationship. Findings revealed strong leadership engagement and organizational capacity but highlighted gaps in employee support, particularly inadequate training, motivation, and resource provision. Inferential results demonstrated a significant positive relationship between strategy implementation and performance (R = 0.526, R2 = 0.277, β = 0.491, p < 0.001). This indicates that strategy implementation explains 27.7% of performance variation, confirming that providers with robust implementation processes achieve superior efficiency, customer satisfaction, and financial outcomes. The study concludes that strategy implementation is a critical driver of performance but must be complemented by broader reforms and capacity-building initiatives. It recommends strengthening employee support systems, enhancing monitoring and evaluation mechanisms, building implementation capabilities across organizational levels, prioritizing financial sustainability, and investing in research and innovation to foster adaptive strategies for long-term water service improvement.Item Understanding The Socio-Economic Determinants of Family Planning Service Utilization Among Women of Reproductive Age In Eldas Sub-County: A Mixed-Methods Study(KeMU, 2024-06) Mohamed, Sulekha; M’mayi, Consolata; Nyavanga, EuniceThis study investigates the socio-economic factors influencing the utilization of family planning (FP) services among women of reproductive age (15-49 years) in the Eldas sub-county. Utilizing a mixedmethods research approach, quantitative data were collected through structured surveys administered to a representative sample of women. Additionally, qualitative insights were gathered through in-depth interviews with key stakeholders. The findings reveal significant associations between various socioeconomic variables and FP service utilization. Marital status and age emerged as contributors, with women aged 36-45 demonstrating higher utilization rates compared to younger age groups, and widowed women exhibiting greater propensity to utilize FP services compared to their married counterparts. Educational background and employment status were also found to be statistically significant predictors of FP service utilization, with educated and employed women demonstrating higher likelihoods of utilizing FP services. Moreover, the number of children, involvement in polygamous marriages, and discussion about birth control with partners were identified as key factors influencing FP service utilization. These findings underscore the importance of addressing socio-economic disparities and promoting educational and economic empowerment initiatives to enhance FP service utilization among women in the Eldas subcounty. Policy and programmatic interventions targeting these factors are recommended to improve reproductive health outcomes and empower women in making informed decisions about their reproductive health.