Mount Kenya University Institutional Repository
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    Education CS Fred Mantiang'i Visits to Mount Kenya University Main campus in Thika

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    Analysis of gender Based violence on community development:a case Barwago ward Wajir County

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    Assessment of e-government implementation on organizational effectiveness in the department of immigration in Nairobi, Kenya.

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    Electronic Governance is one of the strategic innovations that many government agencies have considered implementing to deliver efficient government services and support development of government operations. The main objective of this study was to assess the level of e-government implementation on organizational effectiveness in the Department of Immigration in Nairobi, Kenya. E-government strategy was rolled out in Kenya in 2004 but much is yet to be achieved in terms of transparency, quality and accountability in service delivery. This study therefore assessed digital divide, training in ICT, ICT infrastructure, and legal framework. Descriptive research design was used. Descriptive and inferential statistics were used in data analysis. Descriptive statistics involved use of percentages, frequencies and means which helped to determine and present the status of variables while correlation and regression analysis was used as statistical tools to explain the variable relationships. Hypothesis was tested using Pearson’s product moment correlation co- efficient. A sample of 200 respondents was drawn from a target population of 400 officers and clients at Nyayo house, Nairobi. The research instrument was self-administered. Data was collected using a survey questionnaire. The study achieved the response rate of 78.5%. The study established a significant positive correlation between training in ICT and organizational effectiveness with a correlation coefficient of 0.987,a significant positive correlation between availability of ICT infrastructure and organizational effectiveness with the correlation coefficient of 0.914, a significant positive correlation between legal framework in e-government and organizational effectiveness with coefficient of 0.667,a weak positive correlation between digital divide and organizational effectiveness with coefficient of 0.414. Regression analysis results indicated that an in increase in training in ICT, ICT infrastructure, legal framework and digital divide by one unit would increase adoption of e-government and organizational effectiveness by 0.451, 0.533, 0.0629, 0.400 units respectively. From the study findings, the study concludes that training of clients and officers on ICT will enhance adoption and effectiveness of e-government by providing better skills and the necessary knowledge to utilize e-government services. Therefore the government should establish and maintain ICT skill inventory of the officers and assess the existing skill gaps for effective e- government and organizational effectiveness in the Department. The study also concludes that there are inadequate funds needed to expand capacity, support and maintain essential ICT infrastructure and internet network coverage in Kenya and in the Department. Further conclusions are drawn that an effective legal framework speeds up the implementation process of e-government since the success in introduction and implementation ICT standards in Kenya highly depend on the existing legal framework related to ICT. Finally, despite increased number of people who are utilizing e- government services, the study established that digital divide is still a major challenge for many citizens to gain advantage of e-government due to demographic factors, illiteracy and economic factors

    Assessment of functional factors for health management Information system (HMIS) performance in Elgeiyo Marakwet County, Kenya.

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    Health Management Information Systems (HMIS) have been used by many countries using platforms adopted or own-designed. It is implemented by integrating all health care services and enables service providers collect, store and use health data. The System provides information on all aspects of the organization from billing to patient care and beyond. Despite this significance, lack of specificity and clarity hamper understanding, implementation, functionality and evaluation. The study is aimed at assessing the functional factors for Health Management Information System performance in Elgeiyo-Marakwet County (EMC). The specific objectives were to: determine technical factors for HMIS performance in Elgeiyo Marakwet County; identify the behavioural factors for HMIS performance in EMC; determine the organizational factors for HMIS performance in EMC; determine health policy framework for HMIS performance in EMC; and identify challenges affecting the use of HMIS in EMC. Quantitative research method was used and data gathered through administration of questionnaires to 52 respondents. Data was analyzed using Statistical Package for the Social Sciences (SPSS) computer software version 20.0. The study found 85.0% of the respondents indicating availability of technical factors, behavioural factors, organizational factors and health policy framework for HMIS performance in Elgeiyo Marakwet County. In addition 87.8% of the respondents indicate that despite the presence of technical factors, behavioural factors, organizational factors and health policy framework there are also are challenges of HMIS involving factors that affect the ability to collect health data and use of health information in the county. The study concludes that the presence of standard indicators, manuals, reporting forms are essential inputs for HMIS performance in the county. In addition competency in HMIS tasks, documentation reports in the HMIS of private & NGOS and availability of minimum package of information (MPI) for collection, collation, analysis, dissemination and use of health information in HMIS are important conveyance for HMIS performance. The study recommends enhance support for technical and organizational attributes for efficient and effective utilization of HMIS, regular review as well as capacity building to alleviate behavioural attributes and challenges in the county. There is need for further study in sphere of health management information systems in the counties of Kenya

    The Patterns of Selected Antibiotics Sensitivity and Resistance to Staphylococcus Aureus Isolates

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    Complications of Staphylococcus aureus infection have greatly increased in recent past because of the many invasive procedures, increased cases of immunocompromised individuals, and the uprising tren ds in increased antimicrobial resistance of S. aureus strains. Despite of these available information and by contrast with developed countries, S. aureus associated disease are ranked low on the public - health agenda in Kenya and other developing countries. Therefore there is due reason to undertake an investigation and report the trends and patterns in a thorough manner, majorly and especially regarding the antimicrobial resistance. The aim of this study was thus to determine the levels of drug resistance o f Staphylococcus aureus to various classes of antibiotics. This data is of significance in improving baseline data on antibiotic resistance of S. aure us isolated from human clinical specimens for the prudent use of antibiotics and the coming up with poli cies on control programs. All culture isolates were confirmed as Staphylococcus aureus genus by various tests, That is, gram staining, catalase and oxidase. Catalase positive, gram positive and oxidase neg ative isolates were defined as Staphylococcus. Furt her analyses by mannitol salt agar fermentation of the isolates and positive coagulase tests indicated Staphylococcus aureus. The area of clearance of sensitivity and tolerance was measured in millimeters and categorized as sensitive, resistant or int ermed iate. The present study reported that, S. aureus was most sensitive to Azithromycin, whereby 46 (61%) samples were sensitive. Penicillin on the hand was least sensitive showing 29% level of sensitivity. Methicillin, Gentamicin had more than 50% level of se nsitivity, That is, 41 (55%) and 40 (53%) respectively. Other antibiotic drugs including ampicillin, augmentin and tetracycline demonstrated less than 50% sensitivity, That is, 29 (39%), 32 (43%) and 33 (44%) respectively. Drug resistance for S. aureus was therefore reported to be highest in penicillin (59%) and least in Azithromycin (25%). Based on results of this study we conclude that drug resistance of Staphylococcus aureus may vary with the antibiotics being used

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