Purpose: This study sought to establish challenges among cancer patients that may influence recovery outcomes in palliative care units in Nairobi and Nyeri Counties. Methodology: The study adopted a correlation research design. The target population were the cancer patients, attending treatment at the three palliative care units in Nairobi and Nyeri Counties. Systematic random sampling technique was used in the study to obtain a sample of 96 participants. Semi structured questionnaires were used to collect data. Data was analyzed using both descriptive and inferential statistics, namely Pearson Moment Correlation Coefficient(r). Findings: Result showed that, majority of the respondents indicated participating in the programs available at the palliative care institutions, which included; group psychotherapy (91.7%), spiritual support (91.7%) and programs on coping skills (91.7). Others (22.6%) participated in programs such as performing chorals, knitting and board games. The results also showed that 82.1% and 78.6% of the respondents noted that they experienced challenges of being isolated and lacking finances respectively. 50% of the respondents had a challenge in coping with the condition, while 2.4% experienced challenges in adhering to drugs .These findings were not unusual considering that most of the patients were newly diagnosed with cancer and for some respondent’s metastasis had set in. Unique contribution to theory, practice and policy Patients facing challenges receiving palliative care could adopt group psychotherapy, including cognitive-behavioral, informational, non-behavioral, social support, and using unusual treatments such as music and art therapy to curb cancer. Administrators and medical staff in the palliative care units should create awareness and encourage the attending patients to source for a health insurance cover e.g. National Health Insurance Fund (NHIF) to cater for the cancer disease both outpatient and incase of hospitalization. This will ease the financial burden of cancer on the patient, family and community.
{"title":"CHALLENGES AMONG CANCER PATIENTS THAT MAY INFLUENCE RECOVERY OUTCOMES IN PALLIATIVE CARE UNITS IN NAIROBI AND NYERI COUNTIES","authors":"J. Wang’ombe, B. Kathungu","doi":"10.47604/gjhs.1275","DOIUrl":"https://doi.org/10.47604/gjhs.1275","url":null,"abstract":"Purpose: This study sought to establish challenges among cancer patients that may influence recovery outcomes in palliative care units in Nairobi and Nyeri Counties. \u0000Methodology: The study adopted a correlation research design. The target population were the cancer patients, attending treatment at the three palliative care units in Nairobi and Nyeri Counties. Systematic random sampling technique was used in the study to obtain a sample of 96 participants. Semi structured questionnaires were used to collect data. Data was analyzed using both descriptive and inferential statistics, namely Pearson Moment Correlation Coefficient(r). \u0000Findings: Result showed that, majority of the respondents indicated participating in the programs available at the palliative care institutions, which included; group psychotherapy (91.7%), spiritual support (91.7%) and programs on coping skills (91.7). Others (22.6%) participated in programs such as performing chorals, knitting and board games. The results also showed that 82.1% and 78.6% of the respondents noted that they experienced challenges of being isolated and lacking finances respectively. 50% of the respondents had a challenge in coping with the condition, while 2.4% experienced challenges in adhering to drugs .These findings were not unusual considering that most of the patients were newly diagnosed with cancer and for some respondent’s metastasis had set in. \u0000Unique contribution to theory, practice and policy Patients facing challenges receiving palliative care could adopt group psychotherapy, including cognitive-behavioral, informational, non-behavioral, social support, and using unusual treatments such as music and art therapy to curb cancer. Administrators and medical staff in the palliative care units should create awareness and encourage the attending patients to source for a health insurance cover e.g. National Health Insurance Fund (NHIF) to cater for the cancer disease both outpatient and incase of hospitalization. This will ease the financial burden of cancer on the patient, family and community.","PeriodicalId":260509,"journal":{"name":"Global Journal of Health Sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124472440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya. Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 21 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant. Findings: Education level (p<0.02) and employment status (p<0.03) of mothers influenced perinatal mortality. Wrong action taken during an experience of antenatal complication (AOR= 0.6; 95% CI: 0.1 – 0.9; p = 0.03), emergency unpreparedness (AOR=0.1; 95%CI: 0.04-0.42; p=0.0007) and, lack of recognition of newborn danger signs (AOR=01; 95%CI: 01-0.4; p<0.0001) were significantly associated with perinatal mortality. Birth preparedness and complication readiness during pregnancy and childbirth, based on the study findings reduce delay in obtaining care. Strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival. Unique Contribution to Theory, Practice, and Policy: Unique factors are that apart from medical interventions, strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival in Lurambi and Butere sub counties. Interventions to promote informed decisions regarding maternal and newborn care with a strong social support system are critical. These results contribute to maternal and newborn health care practice and policy change that if implemented could result in a reduction of perinatal mortalities.
{"title":"RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA","authors":"C. Simiyu, M. Kipmerewo, J. Arudo","doi":"10.47604/gjhs.1256","DOIUrl":"https://doi.org/10.47604/gjhs.1256","url":null,"abstract":"Purpose: To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya. \u0000Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 21 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant. \u0000Findings: Education level (p<0.02) and employment status (p<0.03) of mothers influenced perinatal mortality. Wrong action taken during an experience of antenatal complication (AOR= 0.6; 95% CI: 0.1 – 0.9; p = 0.03), emergency unpreparedness (AOR=0.1; 95%CI: 0.04-0.42; p=0.0007) and, lack of recognition of newborn danger signs (AOR=01; 95%CI: 01-0.4; p<0.0001) were significantly associated with perinatal mortality. Birth preparedness and complication readiness during pregnancy and childbirth, based on the study findings reduce delay in obtaining care. Strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival. \u0000Unique Contribution to Theory, Practice, and Policy: Unique factors are that apart from medical interventions, strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival in Lurambi and Butere sub counties. Interventions to promote informed decisions regarding maternal and newborn care with a strong social support system are critical. These results contribute to maternal and newborn health care practice and policy change that if implemented could result in a reduction of perinatal mortalities.","PeriodicalId":260509,"journal":{"name":"Global Journal of Health Sciences","volume":"266 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114105723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The focus of the study was to analyze the influence of supply chain drivers on performance of National Government Constituency Development funded projects in Bungoma County. Methodology: Based on pragmatic worldview the study employed descriptive research design. The target population of the study consisted of five prequalified accredited service providers’ contractors in Bungoma County with a total composition of 293 staff from which a sample size of 169 was drawn from the entire population.The data collection tool was the questionnaire which was subjected to pre testing through piloting before actual data collection. The data was analyzed descriptively and inferentially with the aid of SPSS tool and presented by use of tables. Correlation analysis was performed to establish the relationship between variables and multiple regressions to determine the cause effect of the variables. Findings: Result of multiple regressions revealed that supply chain drivers jointly and independently influence performance of NGCDF funded projects in Bungoma County, Kenya. The study findings showed that all study variables (ICT β=0.136, p<0.05, material management β=0.140, p<0.05, supplier selection β=0.317, p<0.05 and contract β=0.280, p<0.05 were significant to performance of NGCDF funded projects in Bungoma county. Therefore the study concluded that supply chain practices of ICT, material flow, supplier selection and contractual capacity affects the performance of funded projects. Unique contribution to theory, practice and policy: The study recommends that the county government management in Kenya need to invest in constant training of their employees on effective supply chain practices to enhance their performance and appropriate measures put in place that ensure that potential risks regarding contract management and detected in advance and mitigated to enhance operational performance
{"title":"ADOPTION OF SUPPLY CHAIN DRIVERS ON SUSTAINABLE PERFORMANCE OF CONSTITUENCY DEVELOPMENT FUNDED PROJECTS IN THE COUNTY GOVERNMENT OF BUNGOMA","authors":"Wamalwa Moses Hussein, Enock G. Musau","doi":"10.47604/ijscm.1173","DOIUrl":"https://doi.org/10.47604/ijscm.1173","url":null,"abstract":"Purpose: The focus of the study was to analyze the influence of supply chain drivers on performance of National Government Constituency Development funded projects in Bungoma County. \u0000Methodology: Based on pragmatic worldview the study employed descriptive research design. The target population of the study consisted of five prequalified accredited service providers’ contractors in Bungoma County with a total composition of 293 staff from which a sample size of 169 was drawn from the entire population.The data collection tool was the questionnaire which was subjected to pre testing through piloting before actual data collection. The data was analyzed descriptively and inferentially with the aid of SPSS tool and presented by use of tables. Correlation analysis was performed to establish the relationship between variables and multiple regressions to determine the cause effect of the variables. \u0000Findings: Result of multiple regressions revealed that supply chain drivers jointly and independently influence performance of NGCDF funded projects in Bungoma County, Kenya. The study findings showed that all study variables (ICT β=0.136, p<0.05, material management β=0.140, p<0.05, supplier selection β=0.317, p<0.05 and contract β=0.280, p<0.05 were significant to performance of NGCDF funded projects in Bungoma county. Therefore the study concluded that supply chain practices of ICT, material flow, supplier selection and contractual capacity affects the performance of funded projects. \u0000Unique contribution to theory, practice and policy: The study recommends that the county government management in Kenya need to invest in constant training of their employees on effective supply chain practices to enhance their performance and appropriate measures put in place that ensure that potential risks regarding contract management and detected in advance and mitigated to enhance operational performance","PeriodicalId":260509,"journal":{"name":"Global Journal of Health Sciences","volume":"310 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122777064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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