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- ItemAdoption of E-Health Records Management Systems as a Strategy to Improve Service Delivery in Public Hospitals in Kenya(International Journal of Project Management, 2024-12-23) Raphael Nyonje; Lawrence Nduva Munyaka; Ndunge Kyalo; Mulwa AngelinePurpose: To establish the extent to which the adoption of an electronic records management system influences service delivery in public hospitals in Kenya. Materials and Methods: A descriptive research method, correlational research design, and mixed method of research were employed. The target population was all the 1207 professional staff working in Moi Teaching and Referral Hospital and Kenyatta National Hospital as well as 1841 outpatients treated in both hospitals between January and May. To select the 341 respondents of the research, a stratified random sampling technique was used. The researcher used secondary and primary data. Semi-structured questionnaires were distributed to the respondents to allow for the collection of primary data. Qualitative data was analyzed with the help of thematic analysis. Inferential and descriptive statistics were used in the analysis of quantitative data. Descriptive statistics that were used include mean, percentages, frequencies, and standard deviation. Inferential statistics that were used are multiple regression analysis, correlation analysis, and univariate regression analysis. Findings: The correlation analysis results showed that there exists a positive correlation between the utilization of electronic records management and service delivery in public hospitals (r=0.733, p-value=0.000). In addition, regression analysis results showed that the utilization of electronic records management had a positive influence on service delivery in public hospitals in Kenya (β=0.715, p-value=0.000). Implications to Theory, Practice and Policy: The study recommends that public hospitals in Kenya should fully adopt and utilize electronic record management as a way of improving efficiency in service delivery in terms of waiting time and loss of files.
- ItemIncome Generating Initiatives and Sustainability of Projects in Kenya(African Journal of Economics and Sustainable Development, 2024-12-23) Raphael O. Nyonje; Humphrey Mwandawiro Mwambeo; Lydiah N. Wambugu; James T. Kariuki
- ItemTowards Optimal Project Management: Influence of Monitoring and Evaluation Practices on Project Outcomes in HIV Service Provision in Kenya(International Journal of Professional Business Review, 2024-12-23) Raphael Nyonje; Mutie Mwikali Jacinta; Lydia Wambugu; Reuben KikwathaObjective: Quality healthcare service provision is crucial for achieving Sustainable Development Goal 3 on universal health and well-being. However, a noticeable gap exists in the literature regarding the essential role of Monitoring and Evaluation (M&E) practices in planning, data collection, reporting, and results dissemination of Human Immunodeficiency Virus (HIV) services. The objective was to investigate extent to which the perceptions of healthcare workers influence on M&E practices. Theoretical Framework: The program theory was applied as it provides a framework for planning, implementation, and evaluation of interventions by identifying the pathways through which these outcomes are achieved. A retrospective cross-sectional survey design was used as it leverages complementary methodologies. The high consensus levels highlighted the universality of this perspective within the healthcare community. A moderate positive correlation and a significant relationship between the two variables was observed. Theoretically, it showed how the perceived contribution of M&E offers a conceptual framework for analyzing and evaluating interventions toward project effectiveness. Results and Discussion: Variations in healthcare infrastructure, resources, and patient demographics across regions could influence the applicability of the results. The practical, methodological and theoretical implications of this research provide insights into how the results can be applied. Research Implications: This study contributes to the literature through practical contributions by identifying progress and challenges throughout the healthcare system to provide. Originality/Value: The relevance and value of this research are evidenced by guiding stakeholders, project managers and implementers in improving their M&E systems, allowing for better resource mobilization, and planning, by documenting and replicating successful interventions.
- ItemEnvironmental Damage Theory Applicable to Kenya(Journal of Business, 2024-07-25) James ONYANGO; Elvis KIANO; Ernest SAINAThis study seeks to establish the environmental damage theory applicable to Kenya. The analysis is based on annual data drawn from World Bank on carbon dioxide emissions (CO2 e) and gross domestic product per capita (GDPPC) for Kenya spanning 1963 to 2017. Research Methodology: The study adopts explanatory research design and autoregressive distributed lag model for analysis. Results: The results revealed a coefficient of -0.017 for GDPPC and 0.004 for GDPPC squared indicating that economic growth has negative effect on CO2 e in the initial stages of growth but positive effect in the high growth regime with the marginal effect being higher in the initial growth regime. The findings suggest a U-shaped relationship consistent with Brundtland Curve Hypothesis (BCH). Conclusions: The findings emphasize the need for sustainable development path that enables present generations to meet own needs without compromising the capacity of future generations to meet their own. Sustainable development may include, investment in renewable energies like wind, solar and adoption of energy efficient technologies in production and manufacturing. The study concludes that BCH is applicable to Kenya and that developing affordable and effective mechanisms to boost sustainable development implementation is necessary to decrease the anthropogenic impact in the environment without any attendant reduction in the economic growth.
- ItemGender Inequality in Administration of Secondary Schools in Kenya(Journal of African Studies in Educational Management and Leadership, 2024-01-12) James K. Sang; Peter M. Masila; Jane C. SangThis paper aims to provide a discussion on the nature and extent of gender inequality in secondary schools’ administration in Kenya. Using content analysis of selected documents, the discussion shows existence of gender gaps in administration of secondary schools in Kenya. The paper concludes that the previous constitution presented a pitfall in the country’s education management policies and unwittingly derailed the move to equal opportunity in education management. However, we acknowledge the massive improvements in the new constitution promulgated in 2010 and whose full implementation could be a watershed for gender equity in general. Recommendations are based on strong belief that stakeholders in education need to urgently address prevailing gender inequity in access to secondary school administrative opportunities in the country.