Journal Articles

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Influence of product selection on health commodity security among level four public health facilities in Nairobi County, Kenya
(International Journal of Community Medicine and Public Health, 2022-07) Kaitany, Fridah C.; Mwangi, Eunice M.; Njoroge, Kezia
Background: Procurement of health products and technologies in Kenya faces challenges as seen by increased public complaints regarding erratic supplies of the essential drugs and other medical supplies in public health facilities. Often overlooked, is the need to build effective product selection systems which can ensure there is availability of health commodities. Methods: The study adopted a cross sectional survey research design with descriptive approach involving 120 top management team, procurement officers, stores clerks, pharmaceutical officers and head of departments who were involved in procurement of health products and commodities from the 4 level four government health facilities in Nairobi County (Mbagathi Hospital, Pumwani Maternity Hospital, Mama Lucy Kibaki Hospital and Mutuini Hospital). The survey used questionnaires to collect data from the respondents. Consent was obtained from participantsabove the age of 18 years was included in to the study. Informed consent was taken prior to conduct of the study. Results: Correlation analysis indicated that product selection and health commodity security were positively correlated (r=0.769, p<0.05) while regression analysis indicated that product selection influenced health commodity security in level four public health facilities in Nairobi City County, Kenya (β=0.457; p=0.05). Conclusions: Product selection is important to ensure health commodity security. The management at the facilities should ensure product selection committees are available in the facilities, products selected are registered for use in the country and ensure that the user departments are involved in product selection.
Factors influencing demand for healthcare insurance:A study of jua kali workers in Nairobi
(IJPP, 2013-01) Nalebeson, Mugubi Robert N.; Odhiambo-Otieno, George W.
Health systems are a means to achieving better health outcomes for all. However, where patients depend largely on out of pocket (OOP) payments to access health services, there is often lack of care for those who cannot afford. This study aimed at establishing the fac¬tors influencing the demand for health insurance among Jua Kali workers in Nairobi. This was a cross-sectional research study involving mixed approach (simple random, purposive sampling, qualitative and quantitative methods) involving 130 Jua Kali workers from Associations/Cooperatives and 258 Jua Kali workers from non-organized groups; key informants from NHIF and the Department of Micro and Small Enterprise Department and was. The study was conducted between January to March 2012 within Pumwani Division in Nairobi County. Findings indicated that 113 (29.1%); 21.1% members of Jua Kali association and 11.8% individualJua Kali workers out of 388 were enrolled in NHIF while 262 (67.5%) were not enrolled in NHIF. Inadequate Knowledge of NHIF benefit and the KShs. 480 upfront NHIF premium payment were the main contributing factors to non-enrolment of262 (67.5%) of Jua Kali workers. 42.3 % individual Jua Kali and 6.1 % members of association with a monthly income less than KShs. 9,000 did not enrol in NHIF. To enhance more enrolment of Jua Kali workers, the study recommends that NHIF should design strategies that target the younger, low income and Jua Kali workers with low level of education with key information on health insurance benefits and the benefits of enrollment in NHIF , establish satellite pay¬ment offices within Jua Kali working zones to bring services closer to them, apply KShs. 160 per month instead of KShs. 480 and enhance networking and engage Jua Kali association as strategic partners for the purpose of motivating Jua Kali workers enrollment.

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