Journal Articles
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Item Human resource capacity for information management in selected public healthcare facilities in Meru County, Kenya(Pan African Medical Research, 2015-04) Kiilu, Elizabeth Mueke; Okero, Dominic Charles; Muiruri, Lillian; Owuondo, Pacific AkinyiIntroduction: Reliable health information is essential for decision making in the healthcare system. Information management in Kenya was considered the weakest area under the Health Information System pillar mainly due to inadequate health workers capacity. The study therefore aimed at assessing health workers skills and current training needs for information management in the selected healthcare facilities. Methods: Cross-section research design was adopted and both purposive sampling technique and censuses were used to establish the study participants. Analysis was done using SPSS version 20 and results were presented in tables, charts and graphs. Results: It was established that capacity building was usually undertaken through on-job trainings i.e. 85.1% (103) health workers had on-job training on filling of data collection tools and only 10% (13) had received formal classroom training on the same. Further, only 9.1% (11) health workers had received information management training while 90.9% (110) had not received such training. Health workers demonstrated below average skills on information management i.e. only 17.4% (21) could check for data accuracy, only 16.5% (20) could compute trends from bar charts and only 16.5% (20) could transform the data they collected into meaningful information for use. Conclusion: The researcher recommended that healthcare facilities management teams develop a competency based framework for defining the desired skill mix for information management and have a yearly Training Needs Assessment for assessing training needs for information management among the health workers.Item Preparedness of County Referral Health Facilities in Implementing Adolescent Friendly Health Services: A Case of Mama Lucy Kibaki County Refferal Hospital, Kenya(Global Journal of Health Science;, 2015) Owuondo, Pacific Akinyi; Mwaura-Tenembergen, Wanja; Adoyo, Maureen; Kiilu, Elizabeth M.Background: Health service delivery is a key pillar of health system management. However, there is limited peer reviewed literature on health services to adolescents necessitating assessment of whether the existing health facilities were prepared to implement the adolescent friendly health services. Staff capacity, health resources and health system factors were assessed in regards to health service delivery to adolescent cohort study. Methods: Cross-sectional research design was adopted, census, stratified random sampling and simple random sampling were used to establish study participants. Data was collected using structured questionnaires and focused group discussions for adolescents. Analysis was done using Statistical package for the social science Version 17.0 programme for data analysis and results were presented in tables and graphs. Results: The study established that there is limited adolescent friendly health services implementation in the facility. Even though 107 (73.3%) of the healthcare providers referred to the adolescent health services offered at the facility as friendly. Health workers capacity was limited in regards to adolescent friendly health service delivery. On the other hand 212 (100%) adolescents recommended specific health resources to be incorporated within the health system to improve the services rendered to them. Conclusion: The link between health care resources and adolescent health is not well understood by health workers and managers leading to inadequacy of services specific to adolescents. Laborious awareness drives to sensitize county referral health facilities to make a significant investment in the health system that supports adolescent friendly health service implementation. Similar studies need to be done in other county referral health facilities to generate more supportive evidence.
