Browsing by Author "Oluoch, Musa"
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Item Determinants of Electronic Medical Records Use Among Health Care Workers in HIV Care Facilities in Kenya In Nairobi County(Journal of Health, Medicine and Nursing, 2018-07-18) Nziwa, Pamela; Oluoch, Musa; Tenambergen, Mwaura Wanja; Kimemia, Fredrick M.Purpose: Recognizing that high-quality data are essential to HIV prevention, the study investigated the use of EMR and its determinants among healthcare workers in HIV care in Nairobi County, Kenya. The study’s aim was to assess the determinants of electronic medical records use among health care workers in HIV care facilities in Nairobi County. Methods: The study adopted a cross-sectional study design. Five sub-counties within Nairobi County were randomly selected and in each two health facilities with EMR systems were randomly selected. A total of 64 respondents from health information departments of the selected facilities were purposively recruited into the study. A self–administered structured questionnaire was used for data collection. Statistical Package for Social Science (SPSS) version 22 was employed during data analysis. Spearman correlation test was used to find relationships at a significance level of 0.05. Results: From the findings, over a half (58%) of the respondents used EMR data. Less than a third (28%) and a third (33%) of the respondents reported to have fully and partially utilised the EMR data respectively. Functionality of the system was significantly (rs=0.251, p=0.045) related with the type EMR tool. Update of records was significantly (rs=0.283, p=0.023) associated with EMR data use. Further, integration of EMR with other systems was significantly (rs=0.296, p=0.018) associated with extent of EMR utilisation. Other factors were not significantly (p>0.05) associated with use of EMR. A fair proportion of health care providers use EMR system in HIV care. Unique Contribution to Theory, Practice and Policy: The study recommend that the whole aspect of HIS and EMR be considered as a study area in the curriculum of all healthcare workers to help ensure a seamless transition at the workplace and at the same time dealing with the issue of the human barrier.Item Determinants of Health Facility Preparedness in the Management of Gender Based Violence in Kenya: A Case of Primary Health Facilities in Mombasa County(Journal of Popular Education in Africa, 2024-09) Onkoba, Phyllys Kemunto; Tenambergen, Mwaura Wanja; Oluoch, MusaGender based violence (GBV) is a significant obstacle to achieving human rights and sustainable development goals. the study aimed at establishing the determinants of health facility preparedness in the management of GBV: A case of PH facilities in Mombasa County. Descriptive cross-sectional research design was used in establishing the factors influencing health facility preparedness in the management of GBV. The study focused on health workers working Mombasa County Primary health (PH) facilities including the hospital administrators, medical officers, clinical officers, nurses, counsellor, psychiatrists, pharmacists and lab technicians working in Level 2, Level 3 and Level 4 health facilities. The study employed the random sampling approach where all the elements had equal chances of being chosen. The study sample was 334 which was 16.4% of the target population. A questionnaire was used in collecting the necessary data aimed at fulfilling the purpose of this study. Data was analyzed using SPSS version 25 and both descriptive and analytic statistics were done. Pearson correlations was used to assess the strength of the association between the study variables. Finally, the multiple regression was run in order to find out the collective predictive power of the independent factors on the dependent variables. The study found and concluded that that budget allocation, health information management system and professionalism were significant factors in influencing the PH facilities preparedness in the management of GBV with significant value of .000 each. Further, the study concludes that physical infrastructure was an insignificant determinant of the PH facilities preparedness in the management of GBV with significance value of .084Item Determinants of Nurses Performance in Tier Three Health Facilities: A Case Study of Kajiado County, Kenya(Journal of Health, Medicine and Nursing, 2018) Kokwaro, Brenda; Oluoch, Musa; Adoyo, Maureen Atieno; Kimemia, Fredrick M.; Tenambergen, Mwaura WanjaPurpose: Human Resources for Health (HRH) is critical for improved productivity and efficient delivery of health services. However, insufficient health personnel in terms of numbers and level of performance are a major constraint in disease control and maintenance of a health population. A study was carried out to determine the relationship between job related factors, the work environment, organizational factors and policy practices that affect the performance of nurses in tier three health facilities in Kajiado County. Method: A cross sectional, descriptive study design was utilized, adopting qualitative and quantitative data collection approaches. Four tier three health facilities were included and one hundred and thirty (130 ) respondents were involved in the study. Purposive sampling was used Nurses working in the various departments in the respective facilities were issued with questionnaires to fill in and return. The heads of the different departments were interviewed using an interview guide. Inferential statistics was used to analyze the data. Quantitative data was analysed using SPSS version 23 .0 and qualitative data was analysed through thematic content analysis. Results: Results on organizational-relation aspects revealed lack of necessary support provision for incompetent nurses. It also revealed a substantial lack of an appraisal and review system. The findings on job related factors showed that most of the nurses were diploma holders hence the need for opportunities for further training and enhancement in education levels to advance their knowledge. Findings on organizational factors showed that inadequate staff levels led to increased workload on available staff which in turn affected the performance of nurses. Unique Contribution to Theory, Practice and Policy: The study recommends that there should add more refresher and training courses for the nurses, recruitment of more nursing staff and improvement of resources available.Item Effects of Public Private Partnerships in Strengthening Faith-Based Health Systemsin Kisii County, Kenya(International Journal of professional Practice (IJPP), 2024-01-07) Ringera, William; Tenambergen, Mwaura Wanja; Oluoch, MusaPublic-Private Partnerships(PPPs)are important in enhancement of efficiency and effectiveness in different agencies. PPPs is a concept that has been borrowed and applied in various sectors. It is noted that within governments, Health Ministries’ focus on the public sector often disregard the frequently much larger private finance and private provision of healthcare. This study examined the effects of PPPs in material support, leadership/management, and human resources for health (HRH)on strengthening of health systems in faith-based organization (FBO) health services in Kisii County, Kenya. A cross-sectional descriptive study was conducted targeting 78 FBO facilities ’officials from Tabaka, Christian Marian and Nyanchwa; and officials from the Ministry of Health. Data was collected using structured questionnaires and interview schedules, and analysed using SPSS Version 20and Ms. Excel. The study found that PPP on leadership and management, material support, HRH and provision of guidelines for the implementation of the PPP were significantly associated with strengthening of FBO health systems atp<0.05.The study conclude that PPPs targeting materialsupport, leadership and management, provision of guidelines for PPP process, and HRH improved provision of public health services in FBO facilities in Kisii County. Therefore, the PPP is yielding fruits in the Government’s effort to strengthen delivery of public health services, particularly in areas of HIV/AIDS and maternal, neonatal and child health-MNCH, in Kisii County. From the viewpoint of Kisii County Government, FBO facilities are able to effectively complement the work of government in public health services and should be supported through the PPPs.Item Factors Affecting The Utilization Of Routine Immunization Coverage Of Children Under Two Years In Somalia: A Case Of Garowe Town(Journal of Medicine, Nursing & Public Health, 2020-08) Abshir, Said Nuriye; Tenambergen, Mwaura Wanja; Oluoch, MusaThe purpose of this study was to interrogate the determinants of the utilization of routine immunization coverage for children under 2 years in Garowe town. The specific objectives of the study was to determine caregiver, interpersonal, health facility factors and policy factors affecting the utilization of routine immunization to children under Two years in Garowe town. A cross-sectional survey design was the most suitable for the study. The study also used both qualitative and quantitative data collected by interviewing mothers, guardians of the children under two years, service providers in selected health facilities, and community health workers. The selection of the sample was through probabilistic as well as non-probabilistic methods. Before that, the sample size of 384 was determined by use of Fisher formula The data collection instruments were Semi-structured questionnaires, KII and FGDs. For data interpretation, quantitative data was analyzed through univariate methods, descriptive statistics, Chi-square (χ2) and regression methods. In addition, qualitative data were organized and summarized in line with the thematic areas; described, followed by thematic analysis.The findings confirmed that care giver factors such as demographic characteristics, knowledge of caregivers reduced utilization of routine immunization in Somalia. The results further showed that interpersonal factors and health facility factors had a positive and significant effect on utilization of routine immunization in Somalia. The study findings implied that lack of adequate policies in Somalia reduced effective utilization of routine immunization. The study concluded that utilization of the routine immunization in Garowe Town had improved since majority of the caregivers had taken their children for polio vaccines, BCG injection among others. The study concluded that a significant number of caregivers still leave their children unprotected by failing to observe the routine immunization despite being close to health facilities.Item Factors Influencing Collecting of Blood Donor Test Results in Nairobi County – A Case Study of Nairobi Regional Blood Transfusion Centre(Journal of Health, Medicine and Nursing, 2018) Gititu, George; Oluoch, Musa; Tenambergen, Mwaura WanjaBackground: The Kenya National Blood Transfusion Services screens all donated blood for HIV, Hepatitis B&C and syphilis with each blood donor being informed of testing of his or her donated blood and availability of test results for collection at the Regional Blood Transfusion Centers. The study-assessed factors influencing collection of blood test results by blood donors as only less than 10% blood donor’s return to collect their test results. Method: The study utilized descriptive cross-sectional study approach employing a mix of both quantitative and qualitative approach. 385 blood donors and seven key informants interviewed using a pre-designed questionnaire and Key informant respectively. Quantitative data was analyzed using Epi info 6.04 while qualitative data was transcribed and analyzed using content thematic framework approach. Results: 95% of participants did not return to collect their test results with 90% not being aware that test results are available for collection. 50% of those who had not collected their test results would not have collected even after being adequately informed. 93% would not collect their test results in presence of friends fearing stigmatization and would not share the outcome of the test even with their families. Conclusion: The study concluded that the collection of donor test results is greatly influenced by knowledge, location of result collection sites, working hours of collection sites, stigma and cultural beliefs. The Study recommends mass sensitization on availability of test results, where to collect results and demystify social cultural beliefs.Item Factors Influencing Job Satisfaction among Health Workers in Tanzania: A Case of Kilimanjaro Christian Medical Centre Referral Hospital(International Journal of professional Practice (IJPP), 2020) Msanya, Deogratius; Tenambergen, Mwaura Wanja; Oluoch, Musa; Alloyce, Julius PiusA well-functioning health system is composed of six building blocks. Health workers are one among the six blocks. Human resource for health is vital for effective and efficient delivery of health care. However, there has been existing problem of inadequate staffing in the health care which weaken the health service delivery. It’s of paramount importance to ensure that the available health workers are satisfied with their job for quality delivery of care. The purpose of this study was to ascertain factors which influence job satisfaction among human resource for health in Kilimanjaro Christian Medical Centre (KCMC), Tanzania. The objectives were to assess the influence of demographic characteristics, institutional governance, the working environment and professional related factors on job satisfaction among health care workers. This was an institution-based cross-sectional study and the target population was all health workers in KCMC. Sampling procedure was stratified probability sampling and a total of 257 respondents were included in the study. Data was collected using a structured questionnaire and analyzed using SPSS version 23. Logistic regression model was run to determine association between factor scores in the independent variables and the dependent variable at 95%CI whereas P<0.05 was regarded statistically significant. Results showed that job satisfaction rate of health workforce at KCMC was 49%. Nurses is the cadre with the highest job dissatisfaction rate of 60.2% followed by doctors at 51.6%. The highest job satisfaction rate was revealed among the carder of allied health professional at the rate of 66.7%. Factors found to have significant association to job satisfaction were marital status (P=0.006), decision making process (P=0.002), supervisory support (P=0.014), relationship with co-workers (P=0.001), pay (P=0.0001), nature of work (P=0.009) and career advancement (P=0.0001). On measuring the satisfaction levels, it was promotion and income that had the lowest satisfaction rates of 14.1% and 14.7% respectively. The hospital management needs to improve on the factors which were identified as major contributors to job satisfaction for the purpose of enhancing job satisfaction among health workers. Therefore, major decisions must be participatory, supervisory support must be enhanced, salary increases or promotion should be regularly considered and career advancement opportunities must be provided for the employees to acquire more skills and competencies for quality health care delivery.Item Factors that Influence Healthcare Service Utilization During COVID-19 Pandemic Among Pregnant Women and Caregivers with Children Under Two Years in Rongo Sub-County, Migori County, Kenya(International Journal of Community Medicine and Public Health, 2021-08-13) Awino, Doreen Baraza; Tenambergen, Mwaura Wanja; Oluoch, MusaBackground: Health systems have failed in past epidemics to maintain delivery of routine health essential services. Most resources including human and essential supplies are all diverted to address health emergency, sometimes resulting in lack of important basic and routine health services. Methods: This was a retrospective cross-sectional study with mixed data collection methods, where respondents were asked questions on how COVID-19 affected them with regard to utilization of MCH healthcare during the first peak of the COVID-19 in Kenya. Two high volume facilities were selected purposively based on volume and capacity of services offered. A random sample was drawn from the stratum using a list generated by community health workers (CHWs) attached to the health facilities. Key informant interviews were used to collect data among health care providers and structured questionnaire was used for pregnant women and caregivers. Independent variables, social distancing, social stigma, communication and human mobility restriction were associated with health care service utilization and significant at 0.05 p value. Results: Correlation analysis indicated social stigma (r-0.407, p<0.512), social distancing (r-0.324, p<0.001) and human mobility restrictions (r-0.606, p<0.001) negatively influenced service utilization. Whereas COVID-19 related communication (0.631, p<0.001) was protective and thus promoted service utilization. The hierarchical linear regression model explained 67.73% of the total variations in the health care service utilization, which was r=0.6773. Conclusions: From the findings social stigma, communication, social distancing and human mobility restrictions influence health care service utilization. Ministry of health should strengthen targeted community outreaches for pregnant women and caregivers with children under two years.Item Influence of Accountability on Health System Responsiveness: A Case of Pumwani Maternity Hospital, Kenya(IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2021-09-15) Samich, Joseph Kisur; Tenambergen, Mwaura Wanja; Oluoch, MusaAvailability of quality healthcare servicesis essential to functioning of a society. While the government of Kenya is constitutionally mandated to ensure highest level of healthcare for all of its citizens, a number of hurdles remain on the way to realization of such priorities. To improve health system performance, accountability has been considered key to reducing abuse as well as assuring compliance with procedures and standards. The objective of this study was to examine the influence of accountability mechanisms on health system responsiveness in Pumwani Maternity Hospital (PMH) Nairobi in Kenya. The study was guided by the Principal-Agent theory. This was a cross-sectional study design with mixed data collection methods. The target population was health workers and patients from PMH. The study sample of 111 health workers was determined using Yamane (1967) formula, 25 middle level managers were purposively selected as key informants, and patients were included in 5 Focused Group Discussions (FGDs). Quantitative data was collected among health workers using a structured questionnaire, key informant and focused group discussion guides were used to collect qualitative data from key informants and patients. Quantitative data was analyzedusing SPSS for descriptive and inferential statistics. Thematic content analysis was used to summarize qualitative data.The multivariate linear regressions results revealed that the two variables under investigation in this study, professional accountability (β1= 0.075, P< .001) and social accountability (β2 = 0.356, P< .002) had a positive and significant influence on health system responsiveness. Results reviewed that patients did not mention any issues on social accountability.The study recommends that the PMH management should i) strengthen clinical audits in order to ensure good clinical governance in the institution, ii) develop strategies to ensure adherence of use of clinical practice guideline among all health workers, and iii) the Nairobi County government should work with community health workers and civic organizations to empower the community on social accountability issues.Item Motivational Factors That Influence Retention of Nursing Faculty in Kiambu Nurse Training Institutions(Journal of Health, Medicine and Nursing, 2018) Wanja, Nyambura Susan; Tenambergen, Mwaura Wanja; Oluoch, MusaPurpose: The main purpose of this study was to establish the motivational factors that influence retention of nursing faculty in Kiambu County. Methodology: The study design was descriptive cross-sectional. The study population comprised nursing faculty currently working in Nursing Council of Kenya registered Institutions in Kiambu County. The total population of full time nurse educators in the 7 NCK registered schools in Kiambu County was approximately 50. Census sampling method was used where the entire nursing faculty in Kiambu County. The study used questionnaires to collect the required data. Descriptive statistics was used mainly to summarize the data. SPSS was used for analysing complex data. Data presentation was through the use of pie charts, and frequency tables. Results: The study findings revealed that there was a significant relationship between the effect of career development opportunity and the period of time the faculty had worked in the current organization. Availability of human resources was cited by 50% of the respondents as the work environment factor requiring improvement. Majority (66.7%) of the respondents said management of their respective institutions was not responsive to the faculty’s needs. There was no significant relationship (P=0.081) between the academic status of the respondent and the effect of institutional management factors on motivation. Policy recommendation: The study recommended that a research exploring the intrinsic factors that motivate faculty in Kiambu County Nursing Institutions needs to be carried out and the institutional management of Kiambu County nursing programs should institute a system of continually finding what the faculty needs are and responding to these needs.Item The Influence of Human Resource Factors on Pharmaceutical Procurement Supply Chain Management Cycle in Nongovernmental Organizations in Kenya(International Academic Journal of Health, Medicine and Nursing (IAJHMN), 2020-08-06) Nyarwati, Jacob Mang'ondi; Tenambergen, Mwaura Wanja; Oluoch, MusaProcurement is an important part of efficient drug management and supply and is critical for all levels of health care institutions. An effective procurement process ensures the availability of the right drugs in the right quantities, available at the right time, for the right patient and at reasonable prices, and at recognizable standards of quality. Sound procurement policies and standard operating procedures are among the essential elements of good governance. Lack of or failure to use existing standard operating procedures of procurement in the procurement of medicines and other health related products can lead to procurement of substandard products and thus knowledge of SOPs among the health personnel is crucial for maintenance of quality products. The study aims at determining the effect of human resource factors on pharmaceutical procurement supply chain management cycle in charitable NGOs in Kenya with a specific focus on the Kenya Red Cross Society. Methods: The study adopted a descriptive cross section survey design. The study was conducted at Kenya Red Cross Society in Nairobi County head office and in 8 Kenya Red Cross Society regional offices. The study population comprised of 48 procurement, finance and logistic personnel. The stratified sampling method was used to identify the subgroups in the population. Self-administrated questionnaire with 5 point likert scale was to collect data. Quantitative data was analyzed using SPSS version 25. Results: The findings of the study revealed that human resources awareness of procurement and logistic policies is significantly associated with the efficiency of pharmaceutical supply chain at the KRCS. Based on the findings of this study, it is recommended that, there should be periodic training of all staff engaged in procurement and logistics of pharmaceutical products.Item Training Influence on the Performance of Mental Health Professionals in Selected Public Psychiatric Hospitals Kenya(Journal of the Kenya National Commission for UNESCO, 2024-07-18) Wambu, Fredrick; Oluoch, Musa; Tenambergen, Mwaura WanjaPublic hospitals have been struggling with issues related to low general performance and personnel productivity. Concerns have been raised about differences in study leave and training received by employees at public health facilities, which explain why employee performance is low. There are serious consequences when employee well-being is not addressed through good training. Failing to prioritize their training can result in increased rates of disengagement, absenteeism, and turnover. The objective of thisstudy is to evaluate how training influence performance of mental health professionals. The study adopted mixed methodologies in a cross-sectional descriptive research design. About 146 mental health professionals, were sampled using stratified random proportionate sampling. Purposive sampling was used to select ten key informants. Content analysis was used on qualitative data, descriptive and inferential statistics were used to analyze quantitative data. The study findings show there is a correlation between training and employee relations (r=0.584, p<0.001), between training and appraisal (r=0.529, p<0.001), between training and remuneration (r=0.415, p<0.001) between training and performance (r=0.280, p < 0.001). This study recommends that in order to maximize employee performance, hospital management should prioritize the ongoing skill development of their staff. Only via ongoing training and development procedures is this achievable