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 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 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...
The second biggest killer disease triggered by a single infectious agent and the leading cause of mortality for children living with HIV (CLHIV) is Tuberculosis (TB), rendering it an significant public health concern that needs aggressive preventive steps. In some nations, Isoniazid Preventive Therapy (IPT) has been introduced to shield children from the development of latent TB infection to active disease and also to avoid TB reinfection after exposure to an open case of childhood TB. The im...
ABSTRACT A well-functioning health system works in harmony among the six pillars; trained and motivated health workers, functional infrastructure, consistent supply of essential medicines and technologies and sufficient funding.Africa is uniquely affected by maternal health challenges with a maternal mortality estimated at 686/100,000 live births. These deaths are avoidable with proper medical intervention.Kenya has high maternal mortality estimated at 360/100,000 live births.This study soug...
49% of pregnant women are able to make four or more ANC visits in Sub Saharan part of Africa. General objective of the study was to find out factors influencing uptake of ANC in public health facilities in Taita Taveta County. The specific objectives were; to assess influence of early initiation of ANC on uptake of ANC in, determine influence of skilled health providers’ attitude on uptake of ANC, establish influence of availability of community health volunteers on uptake of ANC and de...
ABSTRACT The promulgation of the Constitution of Kenya, 2010 birthed devolution. After the General Elections held on 4th of March of 2013, devolution of various public functions including healthcare gained momentum. However, challenges facing around the delivery of public healthcare exist. The influence of devolution on the delivery of health services in Kenya had not been evaluated, necessitating this study. The study analyzed how the various components of devolution, including devolved hea...
ABSTRACT The use of formularies in drugs management is a widely accepted practice and Kenya has adopted the World Health Organization (WHO) drug formulary model to develop its own formularies or essential drug lists. This study explored factors affecting management of drug formularies by both private and public health facilities in Nairobi. Specifically, the study sought to determine the type of formulary in use by various health facilities in Nairobi as well as exploring extents to which bo...
ABSTRACT Today’s health systems rely on health information for effective management. In contrast, compromised global data control systems progressively undermine international disease control initiatives thereby cutting back on health gains. Allocative efficiency is strained by sub optimal Health Management Information Systems (HMIS). On the other hand, undetermined HMIS capacity challenges make it difficult to realize kenya’s informed county health priorities in a devolved health sector...
ABSTRACT The world is experiencing a chronic shortage of well-trained health workers with a global deficit of doctors, nurses and midwives being approximately 2.4 million, and with low- and middle income countries having acute human resource crisis. Human workforce Health crisis in Sub-Saharan Africa has been due to the critical shortage especially of the doctors, nurses and mid-wives. To alleviate this shortages, task shifting was recommended in 2004 and approved by the World Health Organiz...
ABSTRACT In general, most local authorities in Kenya have been unable to cope up with the segregation, the treatment and methods of waste disposal especially healthcare waste. Health facilities in Machakos County have poor practices when it comes to the segregation of healthcare waste, its treatment & disposal; the general population, the patients, the health workers including waste handlers are exposed to certain risks such as needle stick injuries, a higher risk of infection of HIV/AIDS an...
ABSTRACT In order to achieve improved and standard health care delivery, health workforce is of paramount importance. With the inadequate staffing of health workers in Tanzania which has well been reported, satisfied personnel is vital for effective and quality health service delivery. The broad objective of this research was to ascertain factors that impact job satisfaction among human resource for health in Kilimanjaro Christian Medical Centre (KCMC), Tanzania. This was a cross-sectional s...