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 system i...
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 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 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...
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 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...