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...
ABSTRACT Access to essential medicines, vaccines and medical technologies is the anchor pillar in this study. Medical products must be of assured quality, safety, effective, scientifically sound and cost effective. Rational use of medicines requires that a patient receives appropriate medications to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time and at the lowest cost to them. It is concerned with how commodities are selected, proc...
ABSTRACT The delivery of health interventions requires skilled and adequately supported health personnel. Work-life balance is the maintenance of a health workers balance between responsibilities at work and at home. The inadequacies of work-life balance practices in public hospitals has become a major concern among health workers resulting to high absenteeism and lateness, less time spent in clinical care, and increased patient waiting time. The general objective of the study was to establi...
ABSTRACT Various organizations employ different human resources initiatives in order to increase efficiency. The most common initiatives employed to improve efficiency include performance contracts, internal contracting, contracting-out and outsourcing of services among others. Employing such initiatives are considered among the primary HRM practices, which are aimed at determining the equilibrium between workforce supply and the ability of healthcare practitioners to practice effectively an...
ABSTRACT Products and services requisition, Procurement, warehouse management and rational medicine use are all part of pharmaceutical supply chain management cycle. They are critical at all levels of health care organizations and facilities. Pharmaceutical supply chain management cycle is influenced by various factors which determine whether it’s efficient or not. These factors include but not limited to human resources, standard operating procedures, organizational culture and procuremen...
ABSTRACT Access to safe essential medicines is a key success indicator of a functional health system of which the private sector such as retail chemists plays a critical role. Despite their obvious benefits, medicines have the potential to cause harm in form of Adverse Drug Reactions that may not be determined in the drug development process. Reporting of Adverse Drug Reactions leads to regulatory action that improve the safety profiles of medicines. However, reporting of adverse drug reacti...
ABSTRACT Most cancer patients in Kenya do not have access to available cancer health care facilities, leading to increase in newly diagnosed oncology cases reported each year. Most studies conducted in Kenya lay more emphasis on the increased prevalence and incidence of cancers. Consequently, there is limited empirical research on access to oncology specialized healthcare services in Kenya, a research gap filled by this study. The main objective of this study was to determine factors influen...
ABSTRACT Health care financing (HCF) is one of the six building blocks of a health system. Kenya envisions having Universal Health Coverage (UHC) by 2022. In order to achieve this Kenya has identified and settled on National Hospital Insurance Fund (NHIF) as a vehicle towards the realization of UHC. UHC is one of the country’s “Big-four” agendas. NHIF is Kenya’s sole social insurer which collects revenue, pools and purchases health services for its members. Purchasing can be passive ...
ABSTRACT Background: A growing population contributes to increasing demand for water. Windhoek’s water supply is based on the use of surface and groundwater. However, all potable water resources within a radius of 500 km have been fully exploited. The rainfall is uncertain and long spells of severe droughts are frequently encountered. There are four main sources of water supply to the central area of Windhoek: surface water obtained from the Von Bach, Swakoppoort and Omatako dams; groundwa...
This study was conducted to assess the effect of Early Childhood Development (ECD) interventions on the health of children under five years of age in Aromo sub-county, Lira district by Medical Teams International (MTI) through trained mothers. The objectives that guided the study were to: identify the different ECD interventions; determine the nutritional practices for children under one year of age whose mothers were trained; assess the nutritional status of the children under five years of ...