ABSTRACT Emergency preparedness is a key security priority globally. Plans are needed, not only to maintain services continuity but also to guide in emergencies in hospitals. Kangundo level 4 and Machakos Level 5 Hospital have recorded 27% and 39% increase of emergency cases in 2018 respectively. In the face of these emergencies, the ability of Kangundo level 4 and Machakos Level 5 Hospital to provide emergency service quite literally make the difference between life and death. This study as...
ABSTRACT In recent decades, globally, nursing educators have tended to use innovative teaching strategies in the classroom rather than traditional teaching strategies. This is raid advance due to benefits such as increased self-confidence and competency levels. Despite there being ain technology, little is known about the teaching strategies being used by the nurse educators to prepare students for real life practice experience. Thegoal of the study was to determinethe classroom teaching str...
ABSTRACT A health system has six interdependent and interrelated pillars: health workforce; service delivery; information; financing; medical products, vaccines and technologies; leadership and governance. This study addressed health workforce pillar in order to strengthen maternal and new born services delivery in Makueni County. Globally, new born (neonatal) mortality remains unacceptably high. Neonatal mortality accounts for 60% of infant mortality rate in Kenya. In Makueni County, 1 in 2...
ABSTRACT There is a growing international consensus on the importance of providing social protection through financing and providing access to healthcare services. Kenya has embraced this through the National Hospital Insurance Fund (NHIF). Despite these efforts, the uptake of the NHIF primary care scheme among service providers in the country is still low. This study sought to assess the uptake of NHIF primary care scheme amongst service providers within the scope of NHIF Nakuru Town branch...
ABSTRACT 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 Refer...
ABSTRACT Integrated and people-centred health services are critical for realizing universal health care coverage. This can only be achieved through provision of efficient and effective health services. Service delivery is one of the key building blocks of any health system; it is an immediate output of the inputs into the health system, such as the health workforce, procurement and supplies, infrastructure and financing. The rising burden of disease and weak health systems are being compound...
ABSTRACT The Alma Ata Declaration of 1978 emphasized the importance of primary care as an approach to achieve health for all. Kenya has gradually expanded primary care health service delivery to increase access and comprehensiveness of healthcare services. It has equipped referral facilities with modern equipment, while primary care health facilities continued to struggle with limited resources. As a consequence, this gap has become a big impediment to Kenya’s quest to achieve universal he...
ABSTRACT A number of studies carried out in the county show that poor utilization of eye treatment services is seen as lack of confidence by the community for the eyecare professionals. Various reasons for not accessing eye checkups are multifaceted, although some can be easily addressed than others. This study focused on tertiary (surgical) and secondary (antibiotics) levels of prevention of trachoma. The scope of this study was consistent with the Andersons health utilization model. The st...
ABSTRACT Cerebrovascular accident (CVA) is an important cause of morbidity in the elderly; resulting not only in physical disability, but also significant cognitive impairment. There was dearth of studies on cognitive impairment on functional recovery on stroke survivors in Nigeria. However, previous studies elsewhere on effects of impaired cognition on functional recovery amongst stroke survivors centered on short term outcomes of exercises on Activities of Daily Living and balance, while t...
Globally, nursing process has gained popularity and is utilized in hospitals to offer quality individual nursing care to patients. It is utilized by nurses in clinical setup to offer quality nursing care to patients individually as unique and having special needs. Nursing process non-implementation can lead to poor nursing care to patients in healthcare institutions. This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital (NCRH) nurses. A des...
ABSTRACT Human resource for health is one of the core pillars of health systems and performance management is one of its subcomponents. A performance management system in public health facilities is one of the tools for reforms which have been introduced in Kenya so as to improve employee productivity. Since its introduction in Kenya most health care workers assume performance management system is setting only performance targets; the whole cycle is not addressed. In addition, the performance...
ABSTRACT This study assessed the knowledge of breast cancer and early detection measures of reverend sisters in Anambra State. Eight objectives and eight research questions were raised to guide the study. Cross-sectional descriptive survey design was used. A sample size of 324 respondents was drawn from an estimated population of 794 sisters of the various congregations living in communities located in Anambra State through stratified, proportionate and convenient sampling techniques. Data w...
ABSTRACT The study investigated the role of personality type, gender and locality in self-report of HIV/AIDS stigmatization. Three hundred (300) participants living with HIV/AIDS (126 males and 174 females) were selected for the study. They were individually administered the Type A behaviour scale and HIV/AIDS-Related stigmatization questionnaire. The design of the study was a cross-sectional survey design. A threeway analysis of variance (ANOVA) involving two levels of personality types, tw...
ABSTRACT Comprehensive and dependable information is basis for making decisions. WHO building blocks: services delivery, health information, products and technologies, health workforce, financing and governance. Aim of study was to assess use of DHIS2 data to facilitate decision making in Uasin Gishu Sub County Hospitals. Specific objectives were to determine level of knowledge, organizational, technical and individual factors prompting District Health Information System2 data use in Uasin G...
ABSTRACT Surveillance was conducted during the year 2016/2017 in Dar es Salaam region, Tanzania to determine the levels of fumonisins contamination in pre-packed cereal-legume complementary flour. The concentration of fumonisin was determined using highperformance liquid chromatography (HPLC). The concentration of fumonisin B1 ranged from 2. to 60 669µg/kg (mean 2371.8 µg/kg), fumonisin B2 ranged from 5.74 to 15 758 µg/kg (mean 901.2 µg/kg) and the total fumonisins (FB1 + FB2) ranged fro...