Financial distress prospect is a key bother to the executives and different business partners for quite some time. The impact of financial distress and bankruptcy on firms is hard to the extent of ignoring it is impossible. Financial distress is not a selective event it attacks or can happen both too big organizations and small organizations. With the importance of securing financial health of our listed companies in Kenya is therefore important in anticipating the likelihood of fiscal d...
Tier one commercial banks in Kenya operate under an extremely competitive environment in which there is competition for market share, customer numbers, loan clients, deposits and profitability levels. One of the strategies that have been adopted for the purposes of building competitive advantages is the adoption of new technologies. However, the manner in which change management is undertaken is critical in the commercial banks gaining competitive advantages given the context that these...
Today businesses are expected to take on additional social responsibilities aside from maximising profits and shareholders‟ wealth. Pressure from stakeholders have induced the businesses to espouse sustainable practices that look beyond their economic and legal requirements but also fulfil social obligations. However, due to their limited resources or lack thereof, small and medium enterprises, especially in developing countries, typically do not practice CSR or engage in reactionary C...
ABSTRACT Multinational Corporations (MNCs) are confronted with unprecedented levels of uncertainty due to increasingly rapid pace of economic globalization. The main objective of this research was to establish the relationship between multinational/ transnational market entry strategies and financial performance. The study employed a cross-sectional descriptive survey design. Cross-sectional study was considered as the most appropriate time horizon because information was gathered at a parti...
Abstract Kenya has witnessed a rapid epidemiological shift, with a surge in non-communicable diseases (NCDs) like diabetes and cardiovascular diseases, which often require lifelong treatment and can lead to impoverishment. One driver of excessive expenditure is medicines and related products. To prevent impoverishment from NCDs, counties must strengthen the management of commodities. However, frequent stock-outs at public facilities suggest weaknesses in supply chain management. This study s...
ABSTRACT This research is about the influence of organisational culture on the process of implementation of quality management system. More specifically, ISO 9001:2008/2015. This dissertation attempted to dissect the dimensions of organizational culture on the process of implementation of quality management systems with a focus on ISO 9000:2008/2015. The study adopted a mixed research design to investigate the influence of organisational culture, used explanatory and descriptive methods. The...
ABSTRACT Rising cost of healthcare is a concern worldwide. In Kenya, this has seen insurance companies report losses despite increase in premiums. In order to control the rising costs, insurance companies have introduced co-payments on healthcare services with an aim of controlling utilization by limiting visits, costs, drugs and diagnostics. However, the effectiveness of co-payments in reducing utilization is still unclear, with some studies arguing that it has little or no effect. A retros...
ABSTRACT Consumer behavior is affected by many factors, and characteristics, influencing the consumer in their decision making, purchase behavior, brand loyalty and even their choice of retailer. The factors influencing consumer behavior include; the psychological factors like perception, motivation, attitudes and beliefs, social factors like reference, family, status and role, cultural factors like own cultural beliefs and habits, sub culture and social class. In addition, there are also th...
ABSTRACT Increasing health costs globally have resulted in more patients seeking pre-payment mechanisms for health insurance to avoid catastrophic expenditures. Insurers use capitation and fee for service models for reimbursement, but there is insufficient evidence on which is efficient or cost effective. This study uses retrospective panel data from the Avenue Hospital’s electronic medical records (EMR) to compare reimbursement costs using capitation and fee for service models by four Ken...
ABSTRACT Accelerator programs in the developed world have had tremendous success in nurturing startups to the point where these organizations have gone on to be large global organizations operating in multiple jurisdictions, hiring thousands of employees, increasing their valuations and enriching employees and investors alike. However, despite the high number of accelerators/incubators/hubs in Africa (>500), the continent is yet to witness this level of growth for startups operating in this ...
ABSTRACT Enterprise development is one of the most important ingredients of economic growth. In particular, SMEs contribute 45% to the GDP in Kenya. Despite the economic contributions of enterprises among the SMEs in Kenya, little information is available on the impact of some of the critical factors affecting enterprise development in Kenya. This study sought to determine the effect of the critical factors on enterprise development based on SMEs in the country. To do this, primary data was ...
ABSTRACT This study aimed to establish the trends of utilization of FMS services at Murang’a County Referral Hospital between 2013 and 2017, to assess the readiness of the hospital to offer FMS and to explore the contextual factors affecting the implementation of FMS. The study adopted a mixed method design. Quantitative data on trends of the use of FMS was obtained from the hospital records. A checklist was used to assess the services availability and readiness, while a qualitative inquir...
ABSTRACT The local banking industry has been facing intense competition from various players in the financial industry, such as Saccos, Microfinance firms, and digital lending platforms in competing for customers. Further, increasing changes in the regulatory and business climate have increased the pressure on local banks to enhance their capacity to remain competitive. The emergence of new technologies and digital disruption has presented the commercial banks with new tools that can be adap...
ABSTRACT Delivery of hospital services has been experiencing various challenges such as escalating costs of care delivery. Spending in healthcare is wasted due to operational inefficiency leading to poor healthcare outcomes. Health information technologies, such as Electronic Medical Records Systems (EMRS) are critical to transforming the healthcare industry. The purpose of this study was to analyze the effect of EMRS on the delivery of hospital services from an operational efficiency perspe...
ABSTRACT The purpose of the study was to analyze the factors affecting sustainable growth of local pharmaceutical manufacturing companies by determining and establishing their influence on sustainable growth of these firms in Kenya. The review of related literature identified these factors as competition, government regulations, international regulations and the cost of production. The study adopted a cross sectional research design and targeted 32 local firms registered with the Pharmacy Po...