Research Papers/Topics in Health Services Management

Implementation Challenges Of The Millennium Development Goal To Improve Maternal Health By Health Care Providers In The Tamale Metropolis Of Ghana

ABSTRACT This study examined the implementation challenges of the Millennium Development Goal to improve maternal health in the Tamale Metropolis. The study used a qualitative descriptive study. Purposive sampling was used in the selection of participants for the study. The methods for data collection included in-depth interviews, focus group discussions and a review of documents. The study participants included midwives and health managers at the facility level. The study revealed ...

Factors Affecting Patient Waiting Time in the Out Patient Department in Health Care Delivery in Mokwa

ABSTRACT Patient waiting time is the time interval between when a patient presents him/herself for health care services and when he/she finally leaves the health facilities. This project work examined the causes of patient waiting time in the outpatient department at the General Hospital Mokwa. Using simple random of twenty one questionnaires to elicit information from health record officer, physician and patient attending consultative outpatient department. The results obtained indicat...

Patient Level Of Satisfaction With Perceived Health Service Quality In Nyandarua County Referral Hospital

Perceived health services quality and patient satisfaction are two important health indicators for measuring health system performance. Meeting the needs of the patient and maintaining acceptable healthcare standards are imperative to achieving high quality health care which makes the patient to be the center of healthcare’s quality agenda. While perceived quality of health services affects utilization of services, there is still a gap in literature on the level of customer satisfact...

Uptake Of Health Insurance Among Patients Attending Public And Private Hospitals In Embu County, Kenya

ABSTRACT Health insurance has been considered as key to achieving universal health care by various countries. This is with the aim of ensuring that every citizen should have access to needed healthcare services that are effective and of acceptable quality and that no one should risk financial ruins as a result of illness. However, recent statistics still indicate that in Kenya, currently 26.6% of total health expenditure is out of pocket. Out-of-pocket spending on healthcare has been fo...

Compliance With The Provisions Of Section 126 Of The Public Health Act (Cap 242) By Public Food Places In Bungoma County, Kenya

ABSTRACTThe public food industry in Bungoma has been experiencing numerous challenges in their quest to comply with the Public Health Act (CAP 242), especially section 126. Consequently, the study sought to establish the extent of compliance with the provisions of Section 126 of the Public Health Act (Cap 242) by public food places in Bungoma County, Kenya. The government has channeled few resources towards enforcement of public health laws in the county regardless of the high levels of court...

Utilization Of Hiv Services Among Men-Who-Have-Sex-With Men In Nairobi County, Kenya.

ABSTRACTThe new constitution promulgated in 2010 clearly state every Kenyan without discrimination is entitled to the highest attainable quality of health care, which is not reflected with the current challenges men-who-have-sex with- men continue to face in the sexual health service utilization. Kenya struggles in its response to this ongoing crisis amongst MSM in many areas including disease prevention, treatment, and HIV related stigma, prejudice, and discrimination. Currently little infor...

Development Of Patient Record Management System For Yendi Health Centre

ABSTRACT INTRODUCTION: Over the years, medical care has become more complex, making complete patient medical history not accessible in certain situations. The quest for comprehensive medical history of patients for the purpose of continuity of care brought about the evolution of storing patient information electronically. Previous health information plays a critical role in the proper diagnosis and treatment of patients. Therefore, there should be an efficient information management sys...

Factors Influencing The Utilization Of Routine Immunization Of Children Aged 12 To 23 Months In Somalia: A Case Of Garowe Town

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 influen...

Governance Accountability Mechanisms As A Determinant Of Delivery Of Quality Health Services In Kenyatta National Hospital, Kenya

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 ...

Determinants Of A Functional Referral System In Kisumu County, Kenya. Patients’ Perspective.

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 trad...

The Influence Of Health Literacy On Patients' Rights Charter On Health Systems Responsiveness At A Primary Health Care Facility In Machakos County

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‘ ...

Examination Of Determinants Of Health Information Utilization In Making Decision Among Healthcare Managers In Mombasa County, Kenya

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 specif...

Integration Of Health Management Information Systems In Healthcare Organizations In Kenya

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 con...

Influence Of Institutional Reorganization On The Access To Primary Care Health Services In A Transition Period: A Case Of Ifo Camp, Dadaab Refugee Complex, Kenya

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 R...

Factors Influencing Delays Of Elective Surgical Cases At The Aga Khan Hospitals In Kenya

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 surg...


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