ABSTRACT Rivers are essential ecosystems that assist in maintaining and supporting functions and ecological processes that are important for sustaining the biodiversity and providing services and resources to people. However, in the tropics they are under threat of deterioration as a result of human encroachment and more so, removal of riparian vegetation. This study aimed at assessing the effects clear-cut of Tumoo forest on water quality, coarse particulate organic matter (CPOM) and benthic...
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 The purpose of the study was to assess the socioeconomic factors as determinants of the quality of Life of diabetic patients in NAUTH. Some research questions and hypotheses were set to guide the study. A cross sectional correlation research design was adopted for the study. A sample of 226 respondents was drawn from the target population of 520 diabetic patients in NAUTH using Taro Yamane formula. Purposive sampling technique was used to choose NAUTH as the only Teaching Hospital t...
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 The efficiency of the sewage works depends on the quality and quantity of the influent and the design of the sewage works. Inefficiency of the sewage work has adverse health impact to the aquatic ecosystem. Pollutants can bio-accumulate and bio-magnify in the food chain causing health impact to both human being and wildlife. The main objective of this study was to assess the effectiveness of wastewater management system of Njoro industrial sewage works. This study used descriptive re...
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 The use of pit latrines, their eventual fill up and need to desludge them expose humans and the environment to diseases associated with untreated excreta. Based on this, a study was done in Nakuru County to assess prescence of viable parasitic helminthes ova in faecal sludge and pit desludging and disposal practices used. Thirty five pit latrines were sampled and the prescence of parasitic helminthes ova determined at varius pit depths. Pit desludging and disposal practices was also ...
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 Reports show that most maternal deaths occur during the post natal period, yet this is when coverage and programmes of maternal and child health are at their lowest along the continuum of care in the local government, state, country and African region at large. Therefore it is important to investigate postnatal care practices carried out by mothers to reduce the trend. The aim of this is study was to assess postnatal care practices with respect to, perineal wound care, breast-feedin...
ABSTRACT The deficiency of Vitamin A increases child vulnerability to stunting whose effects are permanent if not managed early and spilling over into adulthood. The study aimed to measure the outcome of vitamin A routine supplement and diet rich in vitamin A on morbidity and nutrition status (stunting) in under-fives months children in Wajir East Sub-County. The study design was descriptive cross-sectional survey. The target population was children under-fives months and the sample size was...
ABSTRACT Extract of Ocimumgratissimum (OG) is popularly used to treat diabetes mellitus and its hypoglycaemic activity has been confirmed by in vivo studies. There is paucity of data on the effect of this extract on placenta development and birth outcome in diabetic pregnancy. This study was therefore aimed at investigating this.42 pregnant rats weighing 150-200g were used. They were divided into control and extract treated diabetic and non-diabetic groups with 6 rats in each subgroup. Extra...
Abstract People Over Time, Have Devised Various Techniques For Communicating Their Thoughts, Needs And Desires To Others In Every Aspect Of Life. The Emergence Of Ict Has Affected All Aspects Of Human Life, Including Education At All Levels. Ict Knowledge, Accessibility And Use Are Linked With Higher Efficiency And Higher Productivity. Undergraduate Nursing Students And Their Teachers Occupy A Central Position In Both Educational And Health Care Systems Of Any Country. This Study Was Carried...