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INFLUENCE OF SELECTEDSTRATEGIES ON IMPLEMENTATION OF DONOR ASSISTED E-HEALTH MANAGEMENT SYSTEMS IN KENYA: A SURVEY OF PUBLIC HEALTH FACILITIES IN NAKURU COUNTY
No full textFULL TEXTE-health is emerging as one of the most important paradigms of healthcare management due to its significant potential to deliver cost-effective, quality health care, and spending on ehealth systems by governments and development partners. Consequently, the usage of ehealth systems is increasing worldwide. However, E-Health adoption remain low in many countries and even when some of the known barriers have been mitigated by the implementers using several strategies, in several cases, the system falls into disuse or is used only as a redundant system in healthcare management. In Nakuru County, the adoption rates are still low at 21% with most medical practitioners preferring to use the hybrid system or rely purely on paperwork. Therefore, the main objective of the study was to analyze the influence of selected strategies used in implementation of donor assisted e-health management systems in Kenya focusing on public health facilities in Nakuru County. Specifically, it sought to establish the influence of facilitation strategy, training strategy, domestication strategy and Monitoring and Evaluation (M&E) strategy on implementation of e-health management systems in public health facilities in Nakuru County. The study was guided by The Systems Theory,The Resource based View and the Technology Acceptance Model. The study used descriptive survey research design targeting the health Ministry at both the national and county government and involved 42 public health facilities and 7 partnering NGOs in the County. The accessible population were, therefore, 220 persons comprising e-Health program managers and staff. Both purposive and stratified random sampling methods were used to obtain a sample size of 111 respondents from which 79 participated in the study. Data was collected using questionnaires and analyzed using both descriptive and inferential statistical methods. The study findings indicated that facilitation strategy (t = 0.92, p ˃ 0.10) and training strategy(t = 0.12, p ˃ 0.10)did not have a statistically significant relationship with the implementation of e-health management systems in the area as per the regression results. However, M&E strategy (t = 2.01, p < 0.10) and domestication strategy (t = 1.81, p ˂ 0.10) did manifest a statistically significant relationship with the implementation of e-health management systems in public health facilities in Nakuru County.In addition, all the four independent variables could explain up to 27.2% of the variations in the implementation variable.From the findings it can be concluded that Monitoring and Evaluation, Domestication as implementation strategies wereimportant factors boostingthe e-health systems implementation in public health facilities in Nakuru County other than the other two variables;(Facilitation and Training). Thereseacher recommends that stronger emphasis should be put on facilitating e-health system implementation to cover all resource gaps. Similarly, more emphasis should be put on training to follow a needs assessment plan to fill gaps encountered during the implementation process. It is also recommended that the project implementers continually sensitize the donors and other development partners on the need to have more local input on the system that will enable both the implementers and end-users to build on the system and increase its perceived usefulness and usability. Finally, there is need for the implementing organizations to ensure that in addition to the M&E evaluations, quality evaluation and reporting be also made to raise the quality standards of the system after implementation
EFFECT OF STRATEGIC ENTREPRENEURIAL ORIENTATION ON GROWTH OF SELECTED KENYAN EXPORT FIRMS
No full textFULL TEXTKenya adopted an export led growth of economic development following the paradigm shift in trade policy, from an inward to an outward approach documented in Sessional Paper No. 1 of 1986 on Economic Management for Renewed Growth. This policy orientation is further justified in Kenya Vision 2030 that foresees trade as a key contributor to economic growth target rate of 10% per year. Despite adoption of the policy, export firms still do not achieve optimal growth and competitive levels that is envisaged to facilitate industrial progress in Kenya. The foregoing motivated the undertaking of this study. This research thus sought to examine effects of strategic entrepreneurial orientation on growth of selected Kenyan export firms. The objectives of this study were: To examine the effect of innovation on growth of selected Kenyan export firms; to examine the effect of risk taking propensity on growth of selected Kenyan export firms; and to examine the effect of adoption of marketing mix on growth of selected Kenyan export firms; to examine the effect of networking on growth of selected Kenyan export firms. This study also sought to establish the moderating effect of political and regulatory framework on the effect of strategic entrepreneurial orientation on growth of selected Kenyan export firms. This study was based on entrepreneurship theories namely; Psychological, Economic and Discovery, and creation alternative theories of entrepreneurial action. The study applied the survey research design. The target population consisted of 770 export firms registered by Export Promotion Council. The sample for the study was identified by using purposive and stratified random sampling techniques. The sample frame was stratified into seven subsectors. The sample size was 169 export firms. Data was collected using structured questionnaire. The study adopted descriptive, inferential data analysis, and Structural Equation Modelling Methods. The study employed Bootstrap its confidence intervals results indicated an optimum confidence interval, hence considered to yield more accurate values than percentile. Most of the variables indicate a 100 (1-p) % confidence interval. Innovation split model yielded Ratio Index (20.013) p<0.05 indicating a significant difference, innovation split model had Ratio index (2.224) - less than 5 though larger than marketing mix model. In comparison, innovation and marketing mix models differ indicating that the parameters worsened for Innovativeness. A percentage error difference of 10% on error difference, while a 1 % marketing mix is effective compared to Innovation model in favour of the Marketing. Results indicate a strong effect of marketing mix on growth of export firms and a low correlation between innovation and growth of export firms. Marketing Mix loaded higher than innovation in support of growth of export firms. The dimensions of strategic entrepreneurial orientation were positively related to growth of export firms. Growth of export firms is likely to be enhanced, from the perspective of both theoretical mechanism and empirical analysis. Innovative collaboration with foreign partners is likely to increase firms‘ capability to export to other countries, as marketing mix could contribute to meeting the local demand for different products. This study contributes to knowledge, in that the conceptual framework and innovative Achola Ogundo Split growth of export firm‘s model can be applied by other researchers. This study recommends that government of Kenya develops a national entrepreneurship policy, to focus attention on developing innovation capacity, future research to address whether risk taking that lead to growth of export firms among surviving firms is also associated with risk of failure of firms. A longitudinal investigation would allow the firms to be studied over a period of time and provide further insights into the dynamic nature, of the relationship between variables
Zilizopendwa: An Amalgamation of Music Territories at the Kenya Music Festival
No full textFULL TEXTThe Kenya Music Festival has incorporated contemporary African musical genres in the festival under
the name adaptation and arrangement of zilizopendwa. Somehow in this context, the genre has become
very popular among the youth who are the performers of this musical genre. The purpose of this paper
is to identify the original Zilizopendwa musical renditions and compare them with the renditions at the
Kenya Music Festival in order to establish how artistic expression has been achieved by the arrangers
of this genre and how this context has influenced the development and rendition of the zilizopendwa.
To achieve this, I analyse contemporary African popular music in its original context. Likewise, I
analyse selected pieces arranged for presentation at the Kenya Music Festival’s national level. Hence, I
compare the two to ascertain the developmental process that has ensued. The result unveils the
evolution of the popular music genre in Kenya and contributes to the discourse on the evolution and
conservation of contemporary African musical forms.National Research Fun
EFFECT OF CREDIT RISK MANAGEMENT PRACTICES ON LOAN PERFORMANCE OF WOMEN ENTERPRISE FUND IN KENYA: A SURVEY OF WOMEN GROUPS IN NAKURU TOWN SUB-COUNTY
No full textFULL TEXTWomen Enterprise Fund as any other credit business is exposed to credit risks. Credit advanced to women by WEF come along with credit risk challenges. How the fund has handled these risks challenges among women is not adequately researched compared to other enterprises or corporations. To the researcher knowledge, there is little documented study done on effect of credit risk management on loan performance of Women Enterprise Fund, much of the work done relating to credit risk management practices on financial performance of commercial banks and microfinance institutions creating a research gap. The objective of the study was to analyze effect of credit risk management practices on loan performance of Women Enterprise Fund in Kenya. More specifically, the study was to analyze loan appraisal procedure, loan recovery procedure, savings rate and interest rate on loan performance of Women Enterprise Fund in Kenya. The study adopted the following theories for the analysis of the objectives; financial economic theory, credit risk theory, adverse selection theory of credit, credit default theory and capital asset pricing theory. One limitation was adequacy of the sample size for generalization of results for the entire women groups in other Sub-Counties by funded WEF. The study delimited this challenge by using representative sample. The study adopted a quantitative longitudinal research design taking women groups funded by Women Enterprise Fund as the target population. The study collected primary data 99 women groups. Regression analysis was used to analyze the relationship between independent and dependent variables. The findings from the study will inform the policies of the Women Enterprise Fund as government revolving funds on effect of credit risk management practices on loan performance and also broaden scholarship knowledge in the fields like Micro Finance, Developmental Finance and Economics. The study established that saving and lending rates contributed significantly towards loan performance index, this was because saving rate had P=0.0.047<0.05 and P=0.0.000<0.05 respectively indicating that the frequency of women groups savings and the lending rate by WEF contributed significantly towards loan performance index of Women Enterprise Fund Nakuru Town East
EFFECTS OF BUDGETARY ALLOCATIONS ON FINANCIAL SUSTAINABILITY OF PUBLIC HEALTH FACILITIES IN NAKURU WEST SUB COUNTY, KENYA
No full textFULL TEXTUniversal healthcare constitutes one of the fundamental goals enshrined in the Vision 2030. Indeed, the government is presently striving to ensure as many Kenyan citizens as possible have access to affordable health services. However, the public health sector has been facing an array of problems. These range from shortage of drug supplies, lack of necessary medical equipment, to intermittent industrial strikes and go-slows especially in devolved healthcare providers. The foregoing challenges can be traced to skewed and/or inadequate budgets which have compromised financial sustainability of the health facilities. The general objective of this study was to analyze how budgetary allocations affect financial sustainability of the public health sector in Kenya paying closer attention to health facilities in Nakuru West Sub-County. More precisely, the study determined the effect of financial sources, budgetary allocation criteria, stakeholder involvement, and budgetary variance on financial sustainability of the aforestated facilities. The pecking order theory, theory of soft budgetary constraints, stakeholder theory, and Musgrave‟s theory of public expenditure guided the study. Hitherto empirical studies touching on budgetary allocations and financial sustainability particularly in the health sector have been reviewed and critiqued with the resultant research gaps outlined. The study employed descriptive research design and quantitative approach. A total of 147 finance, accounting and management staff working with public health facilities in Nakuru West Sub-County constituted the study population. A sample of 73 respondents was drawn from the accessible population using stratified random sampling technique. A structured questionnaire was employed to facilitate collection of data. A pilot test was carried out to facilitate determination of both validity and reliability of the research questionnaire. The collected data were processed and analyzed with the aid of the Statistical Package for Social Sciences software. Descriptive and inferential statistics were used in the analysis. The null hypotheses were tested at 95% confidence level. The study findings were presented in form of tables. Necessary ethical issues were considered prior, during, and after carrying out the study. The study established that stakeholders involvement had the strongest correlation with financial sustainability (r = 0.685). Financial sources, stakeholder involvement, and budgetary variance were significantly correlated with financial sustainability (p 0.05). Moreover, it was revealed that budgetary allocations explained 58.5% of financial sustainability of public health facilities in Nakuru West SubCounty. All the null hypotheses were rejected except the second one. The study concluded that various aspects of budgetary allocations including financial sources, stakeholder involvement, and budgetary variance, are crucial in enhancing financial sustainability of public health facilities. It has been recommended that there should be financial prudence at the facilities in order to ensure financial sustainability and sustained service delivery. It is recommended that that the health facilities uphold the sound budget planning mechanisms
RELATIONSHIP OF FIRM OWNERSHIP STRUCTURE AND SIZE ON FINANCIAL PERFORMANCE OF PRIVATIZED STATE OWNED ENTERPRISES IN NAIROBI SECURITIES EXCHANGE, KENYA
No full textFULL TEXTFirms‟ ownership may be used to increase firms‟ value and also solve problems associated with managers and shareholders. Firm size is gaining importance among researchers as far as performance is concern. To-date the government has divested several SOEs using different approaches among the most popular being; public offering, pre-emptive rights and competitive bidding and direct sales. The study intended to analyze relationship of firm ownership structure and size and performance listed state corporations in Nairobi Securities Exchange. Particularly, the study analyzed effect of government, local, foreign ownership and firm size on financial performance of privatized state owned enterprise in Nairobi Securities Exchange. The study adopted a quantitative longitudinal research design to analyze this relationship and guided by relevant theories such as Growth of Firms Theory, Economic Theory, Stakeholders Theory and Dynamic Trade-Off Theory. The study targeted the 11 privatized listed firms in Nairobi Stock Exchange. The listed privatized State owned Enterprises were few but the period of the study was widened in order to give more accurate information. Data from secondary sources and mainly audited financial reports covering a period of 10 years (2008-2017) were analyzed for the purpose of the study. The study used mean, standard deviation to describe the data and inferential statistics used to describe the relationship between ownership structure and size on financial performance and tested using Panel Regression analysis. The study was informative to Capital Market Authority, Central Bank and NSE policy regulators in providing insight from the study for designing policies to that will improve privatization process, regulation on firms‟ ownership and size to control any dominance. Government shares was the only variable found to have a significant effect on ROA with a p value of 0.000 holding local shares, foreign shares and firm size constant which all had insignificant effect. Relationship between ownership structure and firm size on ROA remained statistically significant when interest rate was introduced as moderating factor with a p value of 0.0005 whereas for ROE the relationship was statistically insignificant when interest rate was introduced as moderating factor
Challenges in Litigating under Kenya’s Protection from Domestic Violence Act 2015
Get PDFThe Protection against Domestic Violence Act (2015) was enacted to
specifically cater for the needs of the victims of domestic violence. It
addresses all forms of domestic relationships and places the duty to ensure
the protection of victims on the government. However, the law is practically
ineffective in its daily applicability to victims of domestic violence. Some of
the shortcomings of this Act are in the wording while others are in its conflicts
with the prevailing procedural and constitutional realities in daily practice.
This paper looks at some of these challenges from the point of view of a
legal practitioner who has tried to use it in Kenya’s Magistrates’ Courts
A WEB-BASED MODEL TO DETERMINE CYBERSECURITY READINESS INDEX FOR HOSPITALS TOWARDS ADOPTION OF E-HEALTH
No full textFULL TEXTThe main goal of healthcare sector worldwide is to provide quality and efficient health services to citizens. As the threat landscape on healthcare continues to escalate, many hospitals still lag behind in terms of protecting its critical infrastructure and electronic protected health information (ePHI).This research provided solution by designing a web application that will help the healthcare determine its Cybersecurity Readiness Index (CRI). The research targeted 55 respondents from 11 hospitals both private and public operating within Nakuru County. 50 questionnaires were returned translating to 91% response rate. The design of the model was based on 4 cybersecurity elements (people, process, policy, and technology). After an in depth analysis it was established that there existed a positive and statistically significant correlation between CRI and each of the four cybersecurity elements. Relevant weights for designing the mathematical model were derived using regression analysis. The model was implemented as a web based application through design science using PHP as a server-side language, MYSQL as a database engine and Bootstrap for the responsive front-end. This research is significant in the sense that, hospitals will be able to check their cyber readiness status, maintain its systems, sustain its operations, protect against current and future cyber threats, and respond and recover from it
INFLUENCE OF HOME-BASED FACTORS ON DROPOUT RATES OF STUDENTS IN CO EDUCATIONAL PUBLIC DAY SECONDARY SCHOOLS IN RONGAI DISTRICT, NAKURU COUNTY, KENYA
Get PDFImproving the Performance of Network Intrusion Detection Based on Hybrid Feature Selection Model
No full textFULL TEXTDue to the high dimensionality of the network traffic data, it is not realistic for an Intrusion
Detection System (IDS) to detect intrusions quickly and accurately. Feature selection is an
essential component in designing intrusion detection system to eliminate the associated
shortcoming and enhance its performance through the reduction of its complexity and
acceleration of the detection process. It eliminates irrelevant and repetitive features from the
dataset to make robust, efficient, accurate and lightweight intrusion detection system to be
certain timelines for real time.In this paper, a novel feature selection model is proposed based on
hybridising feature selection techniques (information gain, correlation feature selection and chi
square). In the experiment the performance of the proposed feature selection model is tested with
different evaluation metrics which includes: True Positive rate (TR), Precision (Pr), false
positive rate (FPR), on NSL KDD datasetwith four different classificaton techniques i.e. random
forest, Bayes, J48, Parts. The experimental results showed that the proposed model improves the
detection rates and also speed up the detection process.National Research Fun