ABSTRACT Studies on bedside rationing in developing countries such as Kenya are scanty. Bedside rationing entails implicit or explicit withholding of essential healthcare services from clients. The existing literature on bedside rationing in developed countries cannot be generalized to middle-income countries because of contextual differences. This study examined bedside rationing among frontline healthcare workers in St. Francis Community Hospital, which is a faith-based hospital located in...
ABSTRACT Medication errors are among the most prevalent medical errors worldwide. The Institute of Medicine estimates 1.5 million preventable medication errors occur in the united states every year. Health care in Kenya has been largely susceptible to occurrences of medical mistakes and grave errors, some of which may have led to permanent disability and loss of life for the patients. 65% of medication errors detected had meaningful effect on patient’s health. Medication related deaths are...
ABSTRACT Competitive advantage in the market and maximization of stakeholder profits have been the main motivators for investors. However, due to competition, globalization and technological advancement there is need to align technological adoption with business models. Most organizations have adopted information technology to ease their operational procedures and cumulatively optimize on their business models. Hence, the current study seeks to establish the implication of information techno...
ABSTRACT Domestic tourism provides critical support to tourism industry in several areas of performance including seasonality, regional dispersal and increased domestic spending. A vibrant domestic tourism industry can generate visitor spending of substantial contribution to the industry’s overall financial resilience. Statistics on the uptake of domestic tourism especially in Kenya has received little attention as the focus is predominantly on international tourism, with a major allocatio...
ABSTRACT This research aimed at evaluating the category of medicines that consumed most of the allocated budget in Nyeri Couty and assessing whether Nyeri County procured the right medicines, at the right cost, in the right quantities. The archival method was used to collect medicines procurement data from the following 5 hospitals: Nyeri County Referral Hospital, Karatina Sub-County Hospital, Mukurwe-ini Sub-County Hospital, Othaya Sub-County Hospital and Mt. Kenya Sub-County Hospital. Medi...
Abstract The main objective of this study was to explore the drives of strategy execution among Insurance companies in Kenya. The study sought to rank of the drivers of strategy execution among insurance companies, to assess the effect of strategy execution drivers based on size of the of insurance companies and identify the contribution of each department to the strategy execution process among insurance companies. The population was the 53 Insurance companies regulated by the Insurance re...
ABSTRACT The global agenda focus is on how countries can adopt context specific initiatives towards realizing Universal Health Coverage as emphasis by the post 2015 development agenda(United Nations, 2015). The Kenya health financing strategy (2017) emphasis on Universal Health Coverage and envisions the National Hospital Insurance Fund (NHIF) as the primary provider of health insurance as the vehicle for delivery of UHC. The study sought to assess the determinants of enrolment and retention...
ABSTRACT Engagement has been theorized as one of the key positive outcomes of well-designed jobs. Job design determines how the employee interacts with work on a daily basis and significantly influences the behaviour of the employee. The broad objective of this study was to evaluate the effect of job design on employee engagement. Social exchange theory explained the findings of the studies linking job design to employee engagement. Quantitative descriptive cross-sectional research design wa...
ABSTRACT Employee turnover is a vital element in the survival and success of an organization and should be considered when developing strategies and business plans to ensure a competent and skilled workforce that delivers the organizational objectives and goals. The departure of key staff can have a drastic impact on the performance of the organization. The determinants of employee turnover and their effect on organisational performance at Airtel Kenya Limited is a complex area of study. Num...
ABSTRACT Background: The recent worldwide focus on healthcare quality improvement, cost containment and enhanced patient experience has led to increased need for adoption of Electronic Medical Record systems (EMR).This would significantly reduce clinician workload and medical errors while saving the institution major expenses. Kenya is globally acclaimed as a leader for its Information Communication Telecommunications (ICT) innovations such as M-PESA.Yet compared to developed nations, Kenya ...
ABSTRACT Infrastructure development is critical for the economic growth of any country, more so as a supplyside growth catalyst. However, comparative reports by development partners indicate that Kenya, among other sub-Sahara African countries, has insufficient infrastructure relative to the rest of the world. As the continent embarks on major infrastructure projects to bridge this insufficiency, affected businesses are bound to experience varied effects on their performance. This study focu...
ABSTRACT The attainment of universal health coverage is a top global priority as advanced by WHO and member countries, including Kenya. Social health insurance schemes, like the Health Insurance Subsidy for the Poor serve as one of the means to achieve the UHC challenges of access to care, equity and affordability of services. The purpose of this study was to assess effectiveness of such SHI programmes in improving satisfaction, access and utilization of healthcare among the beneficiaries in...
ABSTRACT Maternal health is the state of health of women during pregnancy, childbirth and the postpartum period. The Kenyan government introduced free maternal healthcare services in June 2013 to address the high maternal mortality rates that stood at 362 per 100000 live births in 2016. Maternal Mortality rate in Nairobi County was estimated to be at 57.1 per 100000 live births as of 2014. The study aimed at contributing towards strengthening maternity services by assessing the availability ...
ABSTRACT The primary objective of the study was to examine the effects of customer experience management on customer churn in the Telco Industry in Kenya. The specific objectives were: to determine the effect of social environment on mitigation of customer churn in the Telco Industry, to examine the effects of service interface on mitigation of customer churn in the Telco Industry, to ascertain the effect of retail environment on mitigation of customer churn in the Telco Industry and to dete...
ABSTRACT The purpose of this study was to explore in-depth the experiences within the St Francis Community hospital (STFCH) in its short Quality Improvement (QI) journey; and to identify both the facilitating and hindering factors encountered in the establishment of Continuous QI initiatives for policy analysis through examining policy actors, content, context and policy process involved in the introduction of QI initiatives. The study was informed by the Theoretical frame work of the Donabe...