3 research outputs found
INFLUENCE OF STRATEGIC SENSITIVITY ON ORGANIZATION PERFORMANCE OF PUBLIC INSTITUTIONS IN KENYA: A CASE OF NAIROBI WATER COMPANY
<p><strong>Abstract:</strong> This study sought to establish the influence of strategic sensitivity on organization performance of public institutions in Kenya: a case of Nairobi Water Company. The study adopted a case study research design. The target population was the employees at Nairobi Water Company. This study adopted stratified sampling technique to choose a representative sample of eighteen respondents (8 directors, and 10 managers from crucial departments. A semi structured questionnaire as the main instrument of collecting primary data from directors and managers at the Nairobi Water Company. The researcher used descriptive statistics such as the mean and standard deviation to also present the data, while analyzed the data and presented the results in form of percentages, frequencies, graphs and tables. The study also utilized multiple regressions analysis to find out the relationship between business level strategy and performance. Correlation analysis was also used to scale and analyze how independent variables and dependent variable correlate and whose data was put in interval and ratio scales. From the study findings, it revealed that strategic sensitivity had a significant relationship to organization performance by identifying opportunities and threats for competitive advantage. The study comes to the conclusion that leaders in the institution were focused on getting the job done by anticipating, structuring, managing, and assessing organization's performance, and that strategic agility was seen as their role and obligation. The study recommended that top managers' capacity to cope with resource management and service delivery will be facilitated by their awareness of the many strategic views. Therefore, a comparative study can be conducted in private institutions to compare the findings for effective generalization of the findings on both categories of organizations' performance.</p><p><strong>Keywords:</strong> Strategic Sensitivity, Organizational Performance, Public Institutions.</p><p><strong>Title:</strong> INFLUENCE OF STRATEGIC SENSITIVITY ON ORGANIZATION PERFORMANCE OF PUBLIC INSTITUTIONS IN KENYA: A CASE OF NAIROBI WATER COMPANY</p><p><strong>Author:</strong> Felister Wambui, Antony Sije</p><p><strong>International Journal of Social Science and Humanities Research </strong></p><p><strong>ISSN 2348-3156 (Print), ISSN 2348-3164 (online)</strong></p><p><strong>Vol. 11, Issue 4, October 2023 - December 2023</strong></p><p><strong>Page No: 236-244</strong></p><p><strong>Research Publish Journals</strong></p><p><strong>Website: www.researchpublish.com</strong></p><p><strong>Published Date: 03-November-2023</strong></p><p><strong>DOI: </strong><a href="https://doi.org/10.5281/zenodo.10068591"><strong>https://doi.org/10.5281/zenodo.10068591</strong></a></p><p><strong>Paper Download Link (Source)</strong></p><p><a href="https://www.researchpublish.com/papers/influence-of-strategic-sensitivity-on-organization-performance-of-public-institutions-in-kenya-a-case-of-nairobi-water-company"><strong>https://www.researchpublish.com/papers/influence-of-strategic-sensitivity-on-organization-performance-of-public-institutions-in-kenya-a-case-of-nairobi-water-company</strong></a></p>
Evaluating the performance of clinical officer anaesthetists’ curriculum from Kenya Medical Training College, Kenya
The trend in Kenya is that the number of patients requiring safe anaesthesia services has increased along with the growth of the surgical services. The labour force remains strongly dependent on the COAs that have been trained in the Kenya Medical Training College. Physician anaesthesiologists remain in serious shortage in Kenya, as only less than 200 are available to over 50 million people. This study aimed to evaluate the effectiveness of the Clinical Officer Anaesthetists’ curriculum at Kenya Medical Training College. This study was anchored on the Context, Input, Process, Product model. Cross-sectional design was used, which allowed use of both qualitative and quantitative methods. Level five hospitals were selected as the study area. The census method was used for clinical officer anaesthetics (140), and seven anaesthesiologists were interviewed. Questionnaires and interview guides were used for data collection. The Statistical Package for Social Sciences aided data analysis. Qualitative data was coded and reported in narration and verbatim. Strict ethical guidelines were followed in this study. Findings of this study reveal that the perceptions of Clinical Officer Anaesthetists (COAs) trained by KMTC are typically seen as competent, with the mean scores in all domains being 3.63 to 3.72. The correlation analysis shows highly significant and strong relationships between competence in the practice of anaesthesia, effective communication and collaboration, patient outcomes from knowledge and skills and professional development and improvement (r = 0.957 to r = 0.986, p = 0.001). This study concludes that clinical officer anaesthetists trained at KMTC are competent in their practice of anaesthesia and teamwork and positively impactful on patient outcomes. Nevertheless, the possibilities of professional development are still restricted, and there is concern regarding the possibility of long-term development and preparedness foradvanced practice. It recommends that KMTC should enhance its curriculum by incorporating formal continuing professional development like regional anaesthesia, increasing exposure to more advanced anaesthetic methods, and providing more mentorship
Hookworm Infection among Pregnant Women at First Antenatal Visit in Lira, Uganda: A Cross-Sectional Study
Background: Hookworm infection in expectant mothers has adverse health effects on both the mothers and their unborn babies. Foetal effects are known to include intrauterine growth retardation and physical and mental growth retardation, while the mothers may develop anemia which could potentially result in death. Unfortunately, little is known about factors that may predispose a pregnant woman to infection by hookworm. In this study, we strived to determine not only the prevalence of hookworm infection among pregnant women attending their first antenatal visit during the current pregnancy in a local health center in northern Uganda but also factors that might predispose them to hookworm infection.
Method: This cross-sectional study was conducted among 346 pregnant women from Ogur Health Center IV located in Lira district, northern Uganda. Stool samples were collected from each study participant and analyzed for hookworms. The independent variables listed in this study (participant’s sociodemographic characteristics, preconception care, and sanitation factors) were obtained using a structured questionnaire. Data analysis, including calculation of adjusted ratios, was performed using STATA software (version 14).
Results: Prevalence of hookworm infection among pregnant women who attended their first antenatal visit at Ogur Health Center IV was 11% (n = 38). After controlling for confounders, factors found to be significantly associated with this infection among pregnant women here were gardening barefooted (adjusted odds ratio (AOR), 3.4; 95% confidence interval (CI), 1.6 to 7.5; P < 0:001) and fetching unsafe water shared with animals for domestic uses (AOR, 2.8; 95% CI, 1.3 to 6.2; P value of 0.002).
Conclusion: Hookworm infection among pregnant women at Ogur Health Center IV in Lira district, at 11%, is a public health concern and significantly associated with barefoot gardening and fetching water from unsafe sources shared with animals. We, therefore, recommend that special emphasis during routine prenatal health education be placed on the use of protective footwear during farming and fetching water for domestic use from protected safe sources.
Author Summary: Hookworm infection is a parasitic condition that more often goes unnoticed, yet it presents immense detrimental effects, especially to pregnant women and their unborn children. It is a chronic disease with accruing effects of blood depletion resulting in anemia. Anemia is, by far, one of the major causes of maternal morbidity and mortality in Uganda. Pregnant women are more prone to hookworm infection by virtue of their compromised immunity, secondary to the physiological process of pregnancy. We demonstrated here that hookworm infection still exists among pregnant women in Uganda. We also showed that gardening barefooted and fetching water for domestic uses from unsafe sources shared with animals were major factors associated with this helminthic infection. This study provides evidence necessary to influence decision making on prevention of hookworm infection in the study area.publishedVersio
