ABSTRACT Feeding of infants is determined by many things which including the nature of work done by the mother. Sex worker outreach Programme (SWOP) is a clinic that caters for medical needs of the women selling sex in Kenya. The legal standing of sex work in Kenya means that sex workers are often marginalized and unable to make a meaningful income from the same. Consequently, they often have little resources available to them as savings. This means they often engage in sex work when pregnan...
ABSTRACT Routine immunization is a lifesaving intervention which targets preventable diseases which very common in children below the age of 5 years. However, despite its importance Garowe Town in Puntland Somalia, has not achieved the desired immunization impact. This study therefore purposed to interrogate the determinants of utilization of routine immunization coverage for children aged 12 to 23 months in Garowe Town. The specific objectives of the study were to determine the influence ca...
ABSTRACT Governance in essence is exercise of authority. It is about decision-making and implementation of decisions. It ensures strategic policy frameworks exist alongside effective oversight, coalition building, provision of appropriate regulations and accountability. The study set out to determine influence of governance accountability mechanisms in delivery of quality health services in Kenyatta National Hospital. Specific objectives of the study were to: i) establish the influence of pr...
ABSTRACT Clinical teaching is a major component of nursing education. The training of Bachelor of Science Nursing (BScN) students entails clinical nurse instructors to help students translate theoretical knowledge into clinical skills and attitudes needed in the nursing profession. Over the decades employers have raised concerns about BScN nurses lacking adequate clinical skills and behavioral abilities required for safe patient care. In Kenya, there has been increasing concerns about BScN s...
ABSTRACT Most referral health facilities are faced with challenges ranging from congestion of patients at these health facilities, limited resources both human and material to deal with the voluminous clients, slow rate of service delivery due to high numbers as a result of the by-passing tendencies. Self-referrals normally results in compromised quality of medical care provided to the patients. The problems mentioned above affects most of the high level health facilities which are tradition...
ABSTRACT Health systems do not always respond to legitimate non-medical needs and expectations of the patients attending for services. Responsiveness to peoples‘ legitimate expectations in health systems is one of the goals of health systems. Despite its importance, few studies have documented interventions aimed at improving responsiveness in primary health care facilities. The aim of the study was to establish whether integration of an intervention of health literacy of patients‘ right...
ABSTRACT Information use is paramount for effectively managing today’s health systems. Health information has been underutilized hence important decisions related to healthcare mostly rely on other factors other than Routine Health Information Systems. The study was based on the Health Information Systems pillar. The general objective was to examine determinants of health information utilization in making decisions among healthcare managers in Mombasa County. The study had four specific ob...
ABSTRACT Global attention to health systems strengthening has led to different quality improvement approaches in developed and developing countries. The awakening realization that information is critical for health systems functioning has directed most countries towards strengthening their existing information systems or developing new ones. Despite efforts to improve on existing information systems, fragmented information systems have emerged hindering the efforts of addressing the concern ...
ABSTRACT The use of antiretroviral agents in an HIV negative person before engaging in coitus with a HIVpositive partner is termed as pre-exposure prophylaxis. The objective of this study was to assess the factors influencing acceptance and willingness to use of pre exposure prophylaxis as a prevention strategy in a group of men who have sex with men. This study sought to examine the participant’s knowledge on HIV transmission, explore the attitudes and behaviors related to HIV among Male ...
ABSTRACT The refugee population verification exercise in 2016 indicated Dadaab Refugee Camp population to be on a declining trend. The declining trend was due to relocations, and voluntary repatriation of the refugees. With the call for repatriation, it was expected that health service delivery would be affected. Therefore the study sought to assess the influence of institutional reorganization on the access to primary health services during the transition period in IFO Camp of Dadaab Refuge...
ABSTRACT Countries face health systems challenges which in turn affect the quantity and quality of health services delivered to the people. This consequently results in poor service delivery, negative outcomes and client dissatisfaction. Globally, delays of elective surgical procedures are a major concern for all healthcare institutions and their resolution would be key in reducing waste and improving workflow efficiency. However, achieving efficiency in the performance of elective surgical ...
ABSTRACT The NHIF is a mandatory health insurance fund covering public and private formal sector workers and their dependents as the main health insurer in Kenya. NHIF has embarked on an ambitious reform program intended to convert it to a Social Insurance Health Scheme with an aim of serving as workers’ first pillar of social insurance. The national formal scheme members are entitled to all outpatient services after selecting their preferred facilities from a list of the NHIF accredited o...
Professionals from varying disciplines work collaboratively to serve patients. Although interprofessional collaboration is essential, existing barriers can prohibit inter-professional teams from working together effectively and efficiently. Inter-professional collaborative education and practice can prepare health workers to work on inter-professional teams by educating them about key concepts related to inter-professional collaboration. Therefore, the study sought to establish factors influe...
ABSTRACT Professionals from varying disciplines work collaboratively to serve patients. Although interprofessional collaboration is essential, existing barriers can prohibit inter-professional teams from working together effectively and efficiently. Inter-professional collaborative education and practice can prepare health workers to work on inter-professional teams by educating them about key concepts related to inter-professional collaboration. Therefore, the study sought to establish f...
Hospital Management Information Systems (HMIS) has the potential of improving the quality of services delivered as well as the efficiency and effectiveness of healthcare providers through integration of various hospital functional units. However, the benefits of this implementation in service delivery have not been adequately addressed. This study sought to appraise the impact of implementation of Hospital Management Information Systems, on service delivery in Moi Teaching and Referral Hospit...