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International journal of professional Practice (IJPP)

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Author: search.filters.author.Njoroge, KeziaHas files: Yes

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    Health Information Systems and Management of Health Products and Technologies: A Multi-County Study on Access to Quality Affordable Health Products and Technologies
    (International Journal of Professional Practice (IJPP), 2025) Meme, Shadrack Mururu; Kawila, Carol; Njoroge, Kezia
    Health Products and Technologies (HPTs) are critical pillars of the health system and essential to achieving Kenya's Universal Health Coverage (UHC). UHC prioritizes access to highquality medical care with minimal financial hardship. Despite efforts to enhance HPTs management, counties like Kisumu, Machakos, Nyeri, Kiambu, and Isiolo in Kenya face inefficiencies in the management of HPTs, leading to the unavailability of HPTs in public health facilities. This study aimed to examine the influence of health information systems on the management of Health Products and Technologies in selected Counties, Kenya. The utilization management theory guided the research, and the pragmatism paradigm supported a mixed-methods design. Quantitative data utilized a descriptive research design, while qualitative data employed an exploratory design. A census sampling method was used in the study, where 141 staff engaged in managing HPTs at level 4 and 5 public health facilities. Key informant interviews were conducted with members of the County health management team. Data collection involved pre-tested questionnaires and key informant interview guides to ensure validity and reliability. Quantitative data was analyzed using descriptive and inferential statistics, while qualitative data was thematically analyzed. The study found that the model explained 53.5 % (R Square value of 0.535) of the variance in the management of HPTs. The study revealed that health management information systems had a positive, strong, and statistically significant association with the management of HPTs (r=544**, n=106, P=0.000). The study concluded that the health management information system has a statistically significant influence on the management of HPTs in public hospitals in Kenya. The study recommends deployment and widespread adoption of HMIS across all public hospitals and the establishment of a framework that tracks the impact of HMIS on the management of HPTs.
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    Determinants of Demand for Community Differentiated Service Delivery among People Living with HIV in Kakamega County
    (International Journal of Professional Practice (IJPP), 2023) Owiti, Winnie Sarah; Njoroge, Kezia; Mapesa, Job
    Community differentiated service delivery model (CDSD) is community level health system strengthening intervention that addresses barriers to accessing health services. Increased number of stable people living with human immunodeficiency virus (PLHIV) has prompted more emphasis to promoting CDSD model utilization as a significant policy to improve health outcomes and meet the international commitment to make health services accessible. However, key health systems policy makers have put more emphasis on improving physical access rather than its patterns of utilization. This study seeks to understand demand for CDSD model and its determinants among PLHIV in order to device appropriate strategies that will encourage better utilization. The objectives were to assess CDSD model of choice, and factors that determine its demand among PLHIV. A quantitative design was conducted in Kakamega County, Kenya. Systematic random sampling was used to select 402 participants from facilities with high number of stable patients. A pretested interview schedule, and structured questionnaire was used to collect data using an open data kit app. Non parametric test was used to determine determinants for demand for CDSD model. A total of 402 (depicting a response rate of 100%) participants took part in the study. The tests revealed 66 % (264) of participants prefers the family model, 25 % (100) community anti-retroviral treatment groups, 8% (30) community drug distribution points, and 2% (8) community pharmacies. Determinants of demand were awareness 76% (307), acceptability 44% (176), service availability 78% (314), and service cost 78% (315). The findings indicate that the model of choice is the family model. Determinants for demand that affect utilization of the model include awareness, service availability and cost of the services. Policy makers in the ministry of health need to use these key determinants of demand to estimate its impact on health service delivery and health outcomes.