Kenya Methodist University crestKENYA METHODIST UNIVERSITYDigital Repository
 

Master of Science in Health Systems Management

Permanent URI for this collectionhttp://41.89.31.6:4000/handle/123456789/63

Welcome to Master of Science in Health Systems Management collection

Browse

Has files: YesSubject: search.filters.subject.Public health facilities

Search Results

Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Factors Influencing Utilization of Health Information Data in Nairobi County Public Health Facilities, Kenya
    (KeMU, 2022-10) Njuguna, Duncan Chege
    Effective management of today's health systems depends on the critical use of data and information for policy formulation, planning, service monitoring, and decision-making. However, data use has been restricted and inadequate; resulting in vital health decisions frequently being based on political opportunism, donor demand, and infrequently repeated national studies that are insensitive to changes occurring over a shorter timescale. This study's objective was to investigate the factors that influence the utilization of Health information data. Specifically, assess the influence of data quality, establish the extent to which individual factors determines utilization of health information data, establish the level of staff involvement influences the utilization of health information data and identify organizational factors that influences the utilization of health information data in Nairobi County Public Health Facilities. A descriptive cross-sectional study employing quantitative methodology was conducted with at least 216 participants. Using a multistage sampling technique, the sample size of respondents was determined. Three public health facilities were sampled with proportional representation of respondents in each facility. Using SPSS version 25, quantitative data from structured questionnaires was entered, verified, cleaned, and analyzed. In the event of a relationship between categorical variables, the Chi-square test was applied. The majority of respondents were between the ages of 30 and 39, they were female, and were nurses. Majority also held a diploma as their highest level of education. Less than two- thirds of respondents (65.3%) used routine data for decision making on occasion. Additionally, (19.9%) and (14.8%) use routine data/health information for decision making infrequently and frequently, respectively. Level of education (p=0.025), gender of the health worker (p=0.010), cadre (p=0.001), participation in data discussion forums (p=0.013), training on data utilization (p=0.036), data collection (p=0.041), data analysis (p=0.032), data management (p=0.007), overall levels of competency (p=0.0001), access to routine data (p=0.001), access to a functional computer (p=0.023), and internet access (p=0.030). The researcher hopes that the study's findings will serve as a wake-up call for the management of public health facilities regarding the value of health information data in informing every decision made in the health facilities. The study recommends that County health management, in conjunction with the national level, provide training to improve health workers' skills, with a focus on routine data use, through on-the-job trainings and mentoring. It also recommended that the organizational context be improved by providing resources that support the use of information.
  • Thumbnail Image
    Item
    Strategies Influencing Performance of Health Workers in Public Health Facilities in Wajir County, Kenya
    (KeMU, 2022-10) Hussein, Abdikadir Abbey
    The healthcare workforce is at the heart of all efforts to improve health systems. The provision of health initiatives necessitates the use of qualified and well- supported medical staff. There have been serious shortages of health care workers such as doctors, clinicians, nurses, medical lab officers, nutritionists, etc. in Wajir County, preventing the delivery of important health services. While these shortages have been present for some time, they have been exacerbated by unsatisfactory performance. As a result, long-term plans for increased health worker performance must be developed and maintained in order to boost the current workforce's engagement, productivity, and supports. The study's overall goal was to determine the strategies that influence performance of health workers in public health facilities in Wajir County. The study specifically aimed to establish the extent to which standard-based performance, quality improvement guidelines, professional regulations and recognition systems influences performance of the health workers in public health facilities, in Wajir County. The research focused on several human behavioral theories and used a cross-sectional descriptive research approach to collect data from 130 healthcare workers through a self-administered questionnaire. The six sub- Counties were sampled using stratified sampling and simple random sampling procedures. Correlation analysis results showed that quality improvement guidelines, standard-based performance, recognition systems and professional regulations were positively correlated to performance of the health workers. Logistic regression analysis results showed that standard-based performance, recognition systems and professional regulations affected performance while quality improvement guidelines negatively influenced the performance. The study came to the conclusion that while professional regulations, a recognition system, and performance measured against standards are all positively associated with performance at the bivariate level, quality improvement guidelines are not. Additionally, performance that was based on standards, industry rules, and recognition programs improved it when it was integrated with other setups that took into account all the factors. Performance, nevertheless, was unaffected by the quality improvement recommendations method. The identification system was also the most important strategy in a combined setup, preceded by performance based on standards. It was recommended that the management at public health facilities should ensure that performance based standards are regularly updated, and used for clinical decision-making, they should ensure that employees constantly adhere to the set performance-based standards, the management should ensure there are adequate health workers reward systems for recognizing high performance, ensure there are financial rewards for recognizing high performance, the management at the facility and ministry of health in Wajir county should ensure there are clear quality improvement guidelines, roles and expectations adequate health workers education on quality improvement guidelines, ensure there are mechanisms for ensuring continuing competence, and there are mechanisms for amending scopes of practice in Professional Regulation
  • Thumbnail Image
    Item
    Determinants of Utilization of NHIF Cover in Public Health Facilities by Public Health Care Workers in Makueni County
    (KeMU, 2022-10) Muia, Angeline
    Robust healthcare funding systems are seen as critical for guaranteeing universal healthcare access. This implies that health services should be adequately accessible to everyone ensuring the health situation doesn’t reduce the patient and their family to poverty. This study’s primary goal was to analyze the determinants of utilization of NHIF cover in public health facilities by public health workers in Makueni County. Specifically, the study examined how the perceived quality of NHIF services, NHIF Scheme characteristics, NHIF communication approaches, and alternative insurance covers the influence of utilization of NHIF cover in public health workers by health care workers. The study used a descriptive research design. The target population was 1183 health workers in public healthcare facilities in Makueni County. This study followed a probabilistic approach. A stratified random sampling technique was used to sample the facilities across the different levels. The study sample was 291. The data was gathered using structured questionnaires. SPSS version 25 was used to code and analyze the data. The study found that there was a statistically significant correction between the alternative cover and utilization of NHIF cover r=0.332(p<0.00). Perceived quality of health services and utilization, r =0.306 (p<0.00), NHIF communication strategy and utilization, r 0.289 (p<.00) .The study concluded that at the significance level of 95%, alternative insurance covers and perceived quality of health services were the most significant in influencing utilization of NHIF cover with significance values of .000.NHIF communication strategy was a significant determinant of the utilization of NHIF cover with a significance value of .005.NHIF scheme characteristics were an insignificant determinant of utilization of NHIF cover. The study recommended that the NHIF management should invest in innovations that would help in promoting the competitive edge of NHIF compared to other covers; a mobile-based app should be developed and made available for the users as one of the major concerns is the delay experienced during the placing of claims; With autonomy for the employees, the quality of the NHIF services would be expected to rise as the processing would do away with any rigid procedures or waiting for commands from above the hierarchy; The NHIF should adopt a horizontal system of leadership to promote the relationships between the management and the employees and that NHIF management should install a modern system of communication that reduces the movements between the NHIF and the healthcare providers.
  • Thumbnail Image
    Item
    Determinants of Commodity Management Practices In Public Health Facilities in Devolved Health Systems: A Case of Essential Medicines in Makueni County, Kenya
    (KeMU, 2022-10) Irungu, Mwangi Daniel
    The rationale for decentralization of health sector enabled lower level governance structures to design health sector interventions using innovative models that are context-specific and that take into consideration the unique health needs of different localities and encourage effective and active citizen engagement. The governance structures are able to facilitate autonomous and expeditious decisions regarding management and mobilization of resources efficiently. However, the health function in almost all counties is affected by significant challenges. Top among them being poor management of essential medicine leading to frequent stock-outs. Essential medicine is one of the six pillars of health systems and plays a key role in ensuring the population remains healthy. This research therefore aimed at analyzing some of the determinants of good management practices in the field of essential commodities especially medicines in publicly owned health facilities in a devolved system. The specific focus of the research was on the impact of healthcare worker training, policy and institutional framework, healthcare budgetary allocations and available infrastructure on effective management of essential medicines in publicly owned health facilities in a devolved system. The researcher used descriptive cross-sectional research design and a mixed method of qualitative and quantitative data collection techniques in collecting both primary and secondary data. The study population was all the health facilities in Makueni County. The study population comprised pharmacist, procurement officer, nurses, laboratory staff, clinical officers, and bio medics and stores clerks in each of the health facilities. The study adopted a stratified random sampling procedure to choose targeted 50 public health facilities in Makueni County from a population of 162 health facilities. The calculated size of the sample was 96 respondents. The sampling technique used was stratified sampling in selecting the sample according to various categories of health facilities. The researcher used a questionnaire and key informant interview guide as the main research instruments. Analysis of data collected was through qualitative and quantitative methods with the presentation done using tables, charts and narration for qualitative data. The study findings established that health worker training (β=3.232, p-value= 0.000), healthcare budgetary allocations (β=2.185, p-value= 0.008) and available infrastructure (β=5.296, p-value= 0.000) had significant and positive effect on management practices of essential medicine in Makueni County, Kenya. However, the effect of policy and institutional framework (β=1.374, p-value= 0.093) was found to insignificant in predicting the management practices of essential medicines in Makueni County. The study concluded that healthcare sector is a dynamic sector that faces different on a daily basis, health worker training, policies and institutional structures, budget allocation and infrastructure need to be advanced to meet the expectation in the evolving healthcare sector. The recommendations of the study included that County Government of Makueni through its ministry of health in collaboration with its counterpart at national government should work in collaboration on ensuring adoption of emerging best practices in management of essential medicines.