KABU Repository (Kabarak University)
Not a member yet
1292 research outputs found
Sort by
PHARMACEUTICAL PARTNERSHIPS FOR INCREASED ACCESS TO QUALITY ESSENTIAL MEDICINES IN THE EAST AFRICA REGION
Get PDFData breach challenges facing Kenyan Ecommerce
No full textFull textE-commerce in Kenya continues to grow in leaps and bounds mainly driven by increased
affordability of smartphones, greater internet penetration and affordability and the very
extensive automation of government services at the national and county government levels.
The success stories and positive impacts in the form of greater convenience, efficiency,
increased business revenues and improved revenue collections among others are well
known. However, the practice has experienced a great number of challenges most of which
have gone unreported and undocumented making it difficult for eCommerce practitioners
to learn from the challenges of their counterparts. This study sought to develop a structured
body of knowledge on the specific aspect of data breaches in the eCommerce practice in
Kenya and examined the occurrences of these breaches, their impacts and further proposes
actions for consideration by the practitioners in the sector
Evaluating the Influence of Group Guidance and Counseling Services on the Self-Efficacy of Children Living In Orphanages in Bungoma County
Get PDFThe purpose of this study was to establish the influence of group guidance and counselling services on the selfefficacy
of
orphaned
children
living
in
orphanages
in
Bungoma
County.
The
researcher
adopted
the
ex-post
facto
research
design.
The
population
of
the
study
was
2132
orphans
in
the
20
orphanages.
280
of
the
orphans
in
all
the
20
orphanages
were
interviewed.
One
(1)
caregiver
and
one
(1)
administrator
(again
per
orphanage)
were
interviewed. Out of a total of 20 Children’s Homes in Bungoma County, the researcher purposively
sampled 280 orphans that were interviewed. Questionnaires and interview schedules were used to collect data
from the respondents who included the orphans, orphanages administrators and caregivers. The self-efficacy
scale of 1-4 was converted to between 0-100. The data was prepared, coded and analysed using the Statistical
Package for Social Sciences (SPSS) version 20. Strict ethical considerations were observed during the study. The
study established that there was a positive and significant relationship between self-efficacy of orphaned
children and group guidance and counselling services. The study‘s recommendations for policy was that the
government should come up with policies to guide all the orphanages in Kenya, including the process of guiding
and counselling. Recommendations for practice were that group guiding and counselling services should be
encouraged in orphanages as they create confidence among orphans. By way of confiding into each other, they
realise that they have shared challenges, and this builds their resilience
INTERNET OF THINGS BASED MODEL FOR PREECLAMPSIA MONITORING IN ANTENATAL CARE
No full textFULL TEXTIn the health sector, the health of women is a significant public health issue, which impacts the personal well-being, family reproduction, and societal development. Therefore, knowledge about the health of women has led to an emerging requirement for healthcare sectors to obtain the real-time status and data of various applications that can improve the performance and accuracy of the health production. Globally, it has been found that women die due to pregnancy and childbirth consequences. The major effects of maternal morbidity and mortality include haemorrhage, infection, high blood pressure, unsafe abortion, and obstructed labour. Some of the maternal challenges that cause long term effects when not controlled include preeclampsia, which is caused by hypertension, one of the leading identifiable risk factors in pregnancy. Hypertension also results in stillbirth, oedema, and even death. Hospitals in developing countries have been using several devices in the detection of blood pressure fluctuations, though not reading real-time data. This study, therefore, sought to implement an Internet of Things (IoT) based model for preeclampsia monitoring in antenatal care. To achieve this overall objective, the study identified suitable smart armband for measuring blood pressure based on functionality, hardware, software, and affordability. In addition, the study sought to develop IoT model and implement it to read pregnant mother’s real-time data that can be accessed by a Health care provider and family caregiver in case of an emergency. The developed IoT prototype was tested with fifty pregnant mothers who were selected using purposive and simple random sampling. The sample size selection was done using Cochran formula. The study was undertaken using mixed research design that involved exploratory, rapid prototyping approach and a quasi-experimental research designs. The respondents were selected from Thika level 5 hospital and Embu Level 5 hospital in Kiambu and Embu counties respectively. The study used consistency, response rate, accuracy, reliability, and output as metrics to evaluate IoT system performance. The T-test was used to determine the significance of performance metrics. The study found out that the IoT based model for preeclampsia monitoring was feasible and practical during the testing and also performed as expected during its evaluation. Based on the findings, the study recommends the approach to be scaled up and adopted in maternal health care to address preeclampsia conditions while addressing issues of cost in its adoption. In addition, the study recommends fabrication of suitable smart armband for measuring blood pressure in pregnant mothers
Influence of Health Insurance on Clinical Decision Making Among Kenyan Doctors in Emergency Care
No full textFULL TEXTMajority of Kenyans lack health insurance and therefore find it difficult to raise money for
health expenditure. Studies elsewhere have shown disadvantage to uninsured individuals in
terms of health care accorded to them when compared to those insured, even in provision of
lifesaving medical care. The objective was to examine the extent that clinical decisions on
emergency medical care by doctors in Kenya changed given the health insurance status of a
patient. An online self-administered survey was sent to Kenyan doctors. Alongside
demographics of the doctors and the modality of payment of their patients, respondents
estimated frequency of decision change in emergency medical cases. The results were
compared to the payment modality of their patients. The completed responses were 20 % of
total surveyed. Regarding decision change in delivery of emergency health care, no
difference was found between the doctors who attended to uninsured patients and those
who attended to insured patients (p=0.4). While clinical decision making of Kenyan doctors
is influenced by health insurance, delivery of emergency health care is not influenced by
health insurance.1. National Research Fund
2. Sentimental Energy Lt
INFLUENCE OF COMPETITIVE STRATEGIES ON PERFORMANCE OF SECOND HAND VEHICLE DEALER FIRMS IN NAKURU EAST SUB-COUNTY, KENYA
No full textFULL TEXTThe second hand vehicle dealership in Kenya has continued to be an extremely competitive sector. In the context
of performance, the sector is considered to account for over 70% of the vehicles in Kenyan roads. This study
sought to examine the influence of competitive strategies on performance of the second hand vehicle dealers in
Nakuru East Sub County. The study was guided by the following competitive strategies that is customer focus
strategies, cost leadership strategies, product differentiation and payment terms. The study uses the Michael
Porter generic strategies model and operating cycle theory. This study utilized a correlational research design.
The correlational research design was used to establish the link between the independent variables and dependent
variable. This design is applicable in this study in the context that it sought to examine the influence competitive
strategies on performance of second hand vehicle dealers in Nakuru East Sub County, Kenya. In this context, the
competitive strategies and performance are the independent and dependent variables respectively. The variables
are naturally occurring in nature and would be described as they are on the ground in an ex post facto manner.
The target population of this study was the 85 senior managers and owners of the second hand motor dealers in
Nakuru town. This study adopted a census method to pick sample members. The census method involves picking
of all the population members to be used in the study due to ease of data collection and the small number of the
population size. Therefore, this study used 85 respondents for the study. The study found that a multiple
correlation coefficient (R) of 0.955 was achieved for the study. This revealed that there was a strong correlation
between the observed values and the predicted values for performance. The study further found that 91.2 percent
of the total variance in performance is explained by the combined effect of customer focus strategies, cost
leadership strategies, product differentiation and payment terms. The achieved results revealed that for customer
focus influence on performance had β1=0.227, t=4.446 and p value =0.000. These results were tested on whether
they were statistically significant at 5% level of significance with a p value of 0.000 indicating that presence of a
statistically significant relationship between customer focus and performance of the second hand vehicles dealers.
The achieved results revealed that for cost leadership strategies influence on performance had β2= 0.352, t=
8.511and p value =0.000. These results were tested on whether they were statistically significant at 5% level of
significance with a p value of 0.000 indicating that presence of a statistically significant relationship between cost
leadership and performance of the second hand vehicles dealers. The study examined regression coefficients of
the product differentiation influence on the performance. The achieved results revealed that for product
differentiation strategies influence on performance had β3= 0.206, t= 6.008 and p value =0.000. The results thus
indicated that a unit increase in product differentiation strategies would result into 0.206 increase in performance
of the second hand vehicle dealers with the other variables kept constant. The achieved results revealed that for
payment terms strategies influence on performance had β4= 0.224, t= 4.916and p value =0.000. These results
were tested on whether they were statistically significant at 5% level of significance with a p value of 0.000
indicating that presence of a statistically significant relationship between payment term strategies and
performance of the second hand vehicles dealers
ROLE OF MARRIAGE AND FAMILY COUNSELLING IN PROMOTING MARITAL SATISFACTION FOR MARRIED CAREER INDIVIDUALS IN KERICHO COUNTY, KENYA
No full textFULL TEXTMarital satisfaction has remained a topic of great interest worldwide, and a relationship has been advanced between marital satisfaction, job satisfaction and life satisfaction. Studies have shown that the often competing demands of the occupational structure and those of a rich family life present a number of challenges for married career individuals. There was, however, a paucity of research on marital satisfaction in Kericho, particularly in relation to the role of marriage and family counselling in promoting marital satisfaction for married career individuals. Marital quality affects the probability of divorce and separation, which has serious consequences. Therefore finding solutions and alternatives to divorce is imperative. This study sought to investigate the role of marriage and family counselling in promoting marital satisfaction for married career individuals in Kericho County. The study was guided by the following objectives: to investigate the role of marriage and family counselling in promoting marital relationship, to establish the role of marriage and family counselling in promoting marital adjustment, to examine the role of marriage and family counselling in promoting marital intimacy and to find out the role of selected socio-demographic factors on marital satisfaction. The theories guiding the study were Dynamic Goal Theory, Family Systems Theory and Common Factors Theory. This research utilised a Descriptive Survey Design and Phenomenological Design. The study location was Kericho County. The population of the study consisted of 9113 married career individuals, and a sample size of 358 was used. The sample was identified using Kreicjei and Morgan (2004) sampling technique. The pilot study was conducted in Bureti Sub-county, Kericho County with 40 participants who were not included in the sample. Construct validity was ensured through intensive review of literature and comparison made with prior validated studies and content validity through operationalisation, research peers and psychology experts. External reliability coefficients of the questionnaires were determined by test-retest method and found to be 0.86 and 0.76 for marriage and family counselling and marital satisfaction respectively. The data obtained was analysed by use of descriptive (frequencies, means, standard deviations) and inferential statistics using Pearson correlation and Multiple Regressions. Marriage and family counselling was shown to play a significant role in marital relationship (r = 0.302**, p = 0.000 p 0.05). The joint contribution of the socio-demographic factors on marital satisfaction was significant (F (5, 349) = 0.019 p<0.05). Qualitative data showed that the issues facing career individuals are lack of time, exhaustion, pressure from work, role conflict and too much work. Counselling helps couples to recognise and resolve conflicts caused by too much responsibility arising from careers, family and improve their relationships. It was concluded that marriage and family counselling plays an important role in promoting married career individuals marital satisfaction through helping them in sustaining positive influence; enhancing capability to make right career decisions; including acquiring skills, attitudes and knowledge that contribute to marital satisfaction. This study recommends that marriage and family counselling, with an emphasis on promoting awareness in marital happiness and satisfaction, would be helpful in addressing marital conflicts and help enhance marital satisfaction
Doctors’ Training and Knowledge in End of Life Care: Case Study of Three Mission Hospitals in Kenya
No full textFULL TEXTThere is an increasing number of people in Kenya with life limiting illnesses who require
palliative and end of life care. In developed countries such care is often given in a hospice
or at home by palliative service professionals. In Kenya, there are limited such resources
and therefore this care frequently ends up being offered by inpatient healthcare
professionals spear-headed by doctors. To assess doctors’ previous training and current
knowledge in end of life care, a descriptive cross-sectional survey utilizing a questionnaire
was administered to doctors working in three mission hospitals in Kenya. Nearly half of the
doctors had never received any form of undergraduate training in end of life care. Those
clinicians who had received more intensive end of life care training appeared to have a
greater knowledge of end of life care management. Curriculum reviewers should
incorporate end of life care as part of training for all doctors.1. National Research Fund
2. Sentimental Energy Lt