Stratford Peer Reviewed Journals and Books
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Factors Associated With Utilisation of 4th Postnatal Care among Mothers Seeking Vaccination for Children in Selected Health Facilities in the City of Kigali, Rwanda
No full textMaternal mortality remains a global public health concern. Maternal mortality rate was 211deaths per 100,000 live births in 2017 with sub-Saharan Africa accounting for two third. A strengthened postnatal care can significantly reduce this unacceptable mortality. This study aims at assessing the factors associated with the utilization of 4th postnatal care services among mothers seeking vaccination for their children in selected health centers located in the city of Kigali. A cross-sectional study design was conducted in 10 health centers and 403 mothers were recruited. Data was collected using an interview-administered questionnaire, Chi-square and multivariate analysis were used to examine the relationship between independent variables and PNC4 attendance. Mothers who participated in the study (56.7%) were between the ages of 26 and 35, 47.6% were cohabiting, and 49.6% had completed secondary and TVET school. The attendance of PNC4 was 27%. PNC4 service awareness (AOR = 10.922, 95% CI: 5.869-20.325, P 0.001), ANC attendance (AOR = 2.334, 95% CI, 1.050-5.188, P = 0.038), and religion belief (AOR=0.338, 95% CI, 0.177-0.645, P=0.001) were significantly associated with PNC4 attendance. The utilisation of PNC4 is still low. PNC4 should be strengthened to ensure the well-being of the mothers and children.
Keywords: Postnatal care, Vaccination for Children, utilization, Selected Health facilities, Kigali, Rwand
Access to Healthcare and Mortality Rate among Elderly People in Shumen, Bulgaria
No full textAccess to healthcare is a critical determinant of mortality rates among the elderly population. Inadequate access can result in delayed diagnosis, suboptimal disease management, and increased mortality risks. Factors such as economic limitations, geographic barriers, health literacy gaps, and limited availability of specialized care contribute to hindered healthcare access for the elderly. Addressing these barriers through policy reforms, infrastructure improvements, health education, and targeted interventions is essential to reduce mortality rates and improve the overall well-being of elderly individuals. The study used the descriptive research design. The target population was 500 elderly people in Shumen, Bulgaria. The study did sampling of 360 respondents that were selected from the target population of 500 elderly people in Shumen, Bulgaria. Questionnaires were used to collect the data. It was concluded that the link between access to healthcare and mortality rates among the elderly is evident and calls for immediate attention. The convergence of economic constraints, geographic challenges, health literacy gaps, and specialized care inadequacies creates a complex web of barriers to healthcare access. Addressing these issues through comprehensive reforms, including financial support for the elderly, improved transportation infrastructure, tailored health education, and enhanced healthcare services, is paramount. By dismantling these barriers, Shumen can pave the way for better health outcomes and a higher quality of life for its elderly population, ultimately leading to reduced mortality rates. The study recommended that, to improve access to healthcare and reduce mortality rates among the elderly in Shumen, Bulgaria, it is essential to implement targeted policies that alleviate financial burdens through subsidies and expanded insurance coverage. Moreover, investing in transportation infrastructure and promoting telehealth services can enhance geographic accessibility, ensuring timely medical attention and fostering better health outcomes.
Keywords: Healthcare, Mortality Rate, Elderly People, Bulgari
Knowledge Retention Practices and Performance of Public Research Institutions in Kenya
No full textIn the dynamically changing environment, knowledge is becoming the most important resource for organisational performance, surpassing other resources such as land and capital. Therefore, retaining organizational knowledge is the key characteristic of sustainable improvement in organisational performance. On the contrary, publicly funded research institutions in Kenya lose experts’ knowledge from retiring employees. Knowledge management in publicly funded research institutions in Kenya seems to be a major challenge contributing to poor service delivery and gaps in work performance. Therefore, based on the Human Capital theory, this study sought to fill the gap by establishing the influence of knowledge retention practices on the performance of publicly funded research institutions in Kenya. The study used stratified random approaches to sample 135 respondents out of 6,799 employees in Kenya's 12 publicly funded research institutions. Both qualitative and quantitative primary and secondary data were collected to achieve the study objectives. While qualitative data was analysed through thematic methods, quantitative data were analysed using both descriptive statistics (mean scores, percentages and standard deviation) and inferential statistics (Multiple Regression Analysis) through the Statistical Package for Social Sciences (SPSS) version 24. It was established that adopting knowledge retention practices such as succession planning, use of retirees, mentoring and coaching are associated with a significant positive influence on the performance of publicly funded research institutions in Kenya. Based on the findings, the study recommends the management of public research firms provide regular training and mentoring programs to employees to help them retain knowledge and improve their skills. The organizations can also conduct exit interviews with departing employees as a useful way to capture their knowledge and insights before they leave the organization. This information can then be used to improve knowledge retention and prevent the loss of critical knowledge.
Keywords: Knowledge Retention Practices, Performance of Public Research Institutions, Kenya
 
Influence of Project Planning, Financing, and Supervision on Project Performance in Food Security Projects: A Case Study of Rwanda Northern Province
No full textThis research examined the influence of project planning, financing, and supervision on the performance of Food Security Projects in the Northern Province. Through a mixed-methods approach, the study analyzed the perceptions and experiences of project staff involved in food security initiatives to understand the relationship between project control strategies and project performance. The research objectives focused on assessing the impact of project planning, examining the effect of project financing, and analyzing the influence of project supervision. The findings highlight the significance of project planning in achieving favorable project performance. Effective project planning, including initiation, scope definition, resource allocation, scheduling, and implementation, was strongly associated with improved project outcomes. Furthermore, the study emphasized the importance of adequate project financing, as it enables projects to meet objectives and deliver desired results. Proper financial management was identified as crucial for successful project implementation. Additionally, the research underscores the value of project supervision, particularly monitoring and evaluation, in enhancing project performance. Regular evaluation and feedback were found to have a positive impact on project outcomes by facilitating identification of areas for improvement and enabling necessary adjustments.
Keywords: Project control techniques, Accountability, Technological solutions, Global project control techniques, Project planning, Project financing, Project supervision, Project management, Food security projects, Project performanc
Employee Engagement and Organizational Culture in Automotive Firms in Japan
No full textThe automotive industry in Japan is known for its competitiveness and demanding work environment, which can potentially impact employee engagement and organizational culture. Organizational culture refers to the shared values, beliefs, and behaviors that mould the overall working environment and atmosphere within a company. It plays an important role in employee engagement, which is the extent to which workers are emotionally committed to their work, the organization's goals, and its success. A positive organizational culture fosters employee engagement by providing a supportive and inclusive environment where employees feel valued, motivated, and empowered to contribute their best. This, hence, leads to increased productivity, higher job satisfaction, and lower turnover rates, ultimately benefiting the organization as a whole. Leadership plays a crucial role in driving employee engagement and shaping organizational culture. The study adopted the descriptive research design. The target population was 5 automotive firms in Japan. The study did sampling of 3 respondents that were selected from the target population of 5 automotive firms in Japan. Questionnaires were used to collect the data. The study concluded that factors such as long working hours, hierarchical structures, and traditional management practices impact employee engagement and the development of a positive culture. These challenges need to be addressed by automotive firms in Japan to create a work environment that promotes employee well-being, encourages open communication, supports work-life balance, and embraces innovative approaches. It was recommended that automotive firms in Japan should prioritize creating a work environment that encourages open communication and collaboration among employees at all levels. To enhance employee engagement and promote a positive organizational culture, automotive firms in Japan should invest in employee development and well-being programs.
Keywords: Employee Engagement, Organizational Culture, Automotive Firms, Japa
Welfare Policies and Employee Satisfaction in Private Hospitals in Nairobi City County
No full textEmployee satisfaction in certain private hospitals in Kenya has been inadequate, possibly leading to cases of negligence. This shortfall in job satisfaction can markedly influence the overall quality of healthcare services delivered. Thus, the study examined the effect of welfare policies on employee satisfaction in private hospitals in Nairobi. The study was based on role stress theory. The research methodology of this study encompassed several different elements. A positivist philosophy was employed to test hypotheses derived from existing theories, specifically through the use of a descriptive research design. This design incorporated both qualitative and quantitative data to mitigate the limitations of employing just one type of method. The study was centered on 19 private hospitals in Nairobi City County, specifically those classified as level 4 and 5 hospitals, and included both management and support personnel. Data were collected through questionnaires for the support staff and interviews for the upper management. A sample size of 332 respondents, calculated using Yamane's formula, was distributed proportionally across the categories of management and support personnel. The data collection procedure involved the use of questionnaires, interview guidelines, and the SPSS version 27 for data analysis. The study found that welfare policies are positively and significantly connected with employee satisfaction (r=.271, p=0.000). The study concluded, when welfare policies are well-designed and well-communicated, they can positively impact employee satisfaction and can be an important retention tool for employers. It is recommended that private hospitals in Nairobi City County should have adequate welfare policies in place to support their employees. The stress theory of welfare suggests that employee stress levels should be addressed through welfare policies. Hence, private hospitals in Nairobi City County should provide support for employees who are experiencing stress due to work-related or personal reasons. The welfare policies in the hospitals such as stress management programs, counseling services, and flexible work arrangements, can help employees manage stress levels and improve their wellbeing.
Keywords: Welfare policies, employee satisfaction, private hospitals, Nairobi City County, Keny
The Role of Destination Image in Influencing Tourist Behaviors and Experiences: A Comparative Study of the Greek Islands versus Mainland Destinations
No full textThis research delved into the significance of destination image in shaping tourist behaviors and experiences, through a comparative study between the Greek Islands and mainland destinations. Previous literature provided substantial groundwork for understanding the concept of destination image and its correlation with tourist behavior. A comprehensive review of numerous scholarly articles, journals, and books was undertaken to identify the core elements contributing to destination image, such as natural resources, cultural heritage, hospitality, and tourist facilities. The study highlighted the crucial role of destination image as a determinant of tourist satisfaction, which, in turn, influenced behavioral intentions like word-of-mouth promotion and revisits. The analysis was bifurcated into two sections, representing the Greek Islands and the mainland, with each section examining distinct aspects of these diverse environments. Findings from the literature revealed a more romantic and adventurous image associated with the Greek Islands, rooted in their unique cultural attributes, beautiful landscapes, and laid-back lifestyle. This image was found to stimulate tourist activities related to relaxation, exploration, and cultural immersion. In contrast, mainland Greece, rich in history, architecture, and tradition, was perceived as more educational and historical. Tourists here were likely to engage in activities like museum visits, city tours, and archaeological explorations. Discrepancies in tourist behaviors and experiences in the two regions underlined the powerful influence of destination image. While both regions attracted tourists, their behaviors and experiences differed based on the respective destination images. This research has filled an academic gap by providing a comparative analysis of tourist behaviors and experiences influenced by the destination image between the Greek Islands and mainland Greece. It also offers practical insights to tourism planners and marketers in these regions, emphasizing the need for destination marketing strategies that accurately reflect and capitalize on their distinct destination images.
Keywords: Destination Image, Tourist Behaviors, Tourist Experiences, Greek Islands Tourism, Mainland Greece Touris
Sensory Brand Experience and Post-Purchase Behavior among Millennial Guests of Classified Hotels in Nairobi City County, Kenya
No full textThe study aimed to determine influence of sensory brand experience on post purchase behaviour of millennial guest of classified hotel brands in Nairobi City County, Kenya. An embedded mixed-method research design was applied to collect quantitative and qualitative data from millennial guests born from 1982-2002. Convenience sampling was used to select millennial respondents from each hotel category, while purposive sampling was used to collect supplementary information from the managers. A sample size of 384 respondents was obtained from the possible 10,000 target population of millennial guests in classified hotels in Nairobi City County. Questionnaires were used to collect data from millennial hotel guests and front office and restaurant managers. Data was analysed using descriptive statistics, correlation and regression analysis with aid of SPSS v.29. The findings revealed a significant and positive influence of sensory, brand experience on post-purchase behaviour of millennial hotel guests. Thus, sensory brand experience serves as a robust predictor of post-purchase behavior among millennial guests. Therefore, the study recommends that hotel management and marketers place a strong emphasis on cultivating a sensory-rich brand experience. Investing in elements such as appealing color schemes, curated music playlists, and distinctive scents can contribute significantly to enhancing the overall guest experience and, consequently, drive positive post-purchase behaviors among millennial guests.
Keywords: Sensory Brand Experience, Post Purchase Behaviour, Millennial Guest, Hote
The Potential Therapeutic Benefits and Safety of Psychedelics in the Treatment of Mental Health Conditions: A Systematic Review
No full textMental illnesses pose social, economic, and health burdens worldwide. The increasing health burden and mental diseases pose the need for investigating other potential medications. The present review focuses on psychedelic medications. The Patient/Participant, Intervention, Outcomes, and Studies ([PICOS) protocol and the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist guided the establishment of the inclusion criteria. Two reviewers sought eligible studies in electronic databases, including ProQuest, PubMed, Google Scholar, and Web of Science. A total of 17 articles met the inclusion criteria and were reviewed for the potential therapeutic effects of psychedelics, including 3,4-methylenedioxymethamphetamine (MDMA), Lysergic acid diethylamide (LSD), and psilocybin, in the management of psychiatric illnesses. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the level of certainty of evidence. Psychedelics’ positive therapeutic effects were reported across the 17 articles. The medications provided relief from psychotic experiences, reduced the severity of depression and anxiety, improved PSTD, improved social cognition, and elevated the mood of the participants. However, adverse effects, including increased irritability, insomnia, rumination, and low mood, were reported and posed the need for patient monitoring. Despite the long-term therapeutic benefits, psychedelics produced adverse effects when used to manage psychiatric illnesses. LSD, MDMA, and psilocybin are emerging as potential medications that could improve the overall quality of life, life satisfaction, and well-being of mentally ill patients.
Keywords: Psychiatric illness, psychedelics, MDMA, LSD, psilocybin treatment, depressive symptoms, disease severity, and therapeutic outcomes
Effect of Strategic Management Practices on Organisational Performance of Proj Telecoms Ltd in Rwanda
No full textProj Telecom Ltd is a company dedicated to offering Mobile Network Operators cutting-edge equipment and full project services, delivering all facets of infrastructure in the UK and Africa. In Rwanda, it employs 100 people. Through timely project completion, Proj Telecoms Ltd has worked to increase both customer satisfaction and staff retention over the years. All of these represent Proj Telecoms Ltd's efforts to take a competitive advantage by strategically positioning themselves in the market. The study's goal was to determine how strategic management practices affected organizational performance telecom companies in Rwanda's, case of Proj Telecoms Ltd. The following specific goals served as the foundation for this study: To assess the effect of strategic leadership on organizational performance; To analyze the relationship between strategic planning and organizational performance; To examine the effect of strategic intent on organizational performance in Proj Telecoms Ltd. The research design for the study was both qualitative and quantitative. The whole management and staff of Proj Telecoms Ltd. make up the target population. Both purposive sampling and Simple random sample methods were used in this study. The entire pool of 105 responses made up the study's sample size. Through the use of a structured questionnaire, primary data was gathered. Measurements of both descriptive and inferential statistics were produced through analysis. The researcher used sample mean, sample standard deviation, frequency count, and percentages for descriptive statistics, and multiple linear regression analysis and bivariate correlation analysis in inferential statistics. These descriptive results are supported by the correlation results which proved that strategic leadership has a strong significant and positive relationship on organizational performance of Proj Telecoms Rwanda, Rwanda. The results obtained strategic leadership and customer satisfaction (r= 0.955 and sig=0.000), between strategic leadership and staff turnover (r=0.287 and sig=0.004), at 0.05 level of significance. Descriptive results are supported by the correlation results which proved that strategic planning has a strong significant and positive relationship on organizational performance of Proj Telecoms Rwanda, Rwanda. The results obtained showed strategic planning and customer satisfaction with r= 0.987and sig=0.002, between strategic planning and staff turnover with r=0.771 and sig=0.000, at 0.05 level of significance. These descriptive results supported by the correlation results proved that strategic intent has a strong significant and positive relationship on organizational performance of Proj Telecoms Rwanda, Rwanda. The results obtained showed strategic intent and customer satisfaction with r= 0.979and sig=0.000, between strategic intent and staff turnover with r=0.910 and sig=0.000), at 0.05 level of significance. The study recommends the management of Proj Telecoms Ltd to enhance Strategic Management practices in the sense of strategic leadership, strategic planning and strategic intent to ensure high organizational performance. The researcher suggests that future research focus on the impact of strategic leadership efforts on the performance of public organizations. This may be critical in order for government agencies to meet targets for the nation's economic growth as well as other projects with important strategic national interests