School of Nursing: Recent submissions
Previous Page
Now showing items 21-25 of 25
-
Onyando, Jack Omondi; Olouch, Musa; Njuguna, Susan (International Journal of Current Business and Social Sciences, 2018)[more][less]
Abstract: Strengthening health service delivery as a building block to the health system is key to the attainment of the health-related Sustainable Development Goals, which include the delivery of effective interventions to reduce adolescent and youth mortality as well as the burden of HIV/AIDS. The Government of Kenya and its partners have over the years recommended certain standards through Adolescent Sexual Reproductive Health Policies and guidelines, with youth friendly centres continuing to be used as one model in providing reproductive health services to the youth. Despite these guidelines, the effectiveness of the centres has been acknowledged to depend on many factors which include institutional, service provider, policy and youths’perceptions. The study examined how those factors affected effectiveness of the centres in Kisumu County- one of the counties with some of the worst youth sexual and reproductive health indicators. The study used both quantitative and qualitative approaches to collect data and utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 182 youth seeking services from8 centres. The key informants were mainly service providers who were working at the centres at the time of study and were interviewed using an interview guide. Focused group discussions were conducted with the youth from two of the facilities, while a checklist was used to assess mostly institutional elements. The coding, entry and analysis of the quantitative data were doneusing Statistical Package for Social Sciences (SPSS) Version 20. Qualitative data on the other handwere transcribed then coded using NVivo 9 software and analysed using content, thematic framework approach. Descriptive statistics and correlation tests were performed to determine significant associations. The study established significant weak positive correlation between institutional factors and effectiveness of YFCs, (Spearman's rho(r) = 0.373, p=0.043, CL=95%); a significant moderate positive correlation between policy factors and effectiveness of YFCs (Spearman's rho(r)=0.596 p=0.019, CL=95%); a significant strong positive correlation between service provider factors and effectiveness of YFCs, (Spearman's rho(r) = 0.896, p=0.003, CL=95%) and a significant moderate positive correlation between client factors and YFCs. (Spearman's rho(r) = 0.403, p=0.023, CL=95%). The findings also showed that a majority of youth felt the services were both visually (75.3%, n=182) and auditory confidential (84.1%, n=182); 53% (n=21) of the service providers were not exposed to youth friendly policies and guidelines, many of whom (95%) had been trained on health promotion and advocacy as part of AYFHS. From the findings, most the youth rated the services as good (73.6%, n=182) and 88.5% would recommend the facilities to their peers. The study concluded that the effectiveness of YFCs in Kisumu County is greatly influenced by service provider and the perceptions of the youth themselves. In view of the findings, this study recommends the need for the government and partners to: design centres that ensure integrated and innovative services; widely disseminate relevant policies and guidelines to the implementers; intensify training on ‘softer skills’ and supervision of service providers and to involve youth in the planning and management of affairs at the youth centres. Further research is also recommended. Description: Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3726 Files in this item: 1
-
Gathitu, Eunice Wambui; Osuga, Ben Onyango; Njuguna, Susan; Kihara, Peter (nternational Journal of Current Innovation Research,, 2017)[more][less]
URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3666 Files in this item: 1
-
Kamau, Kariri James; Osuga, Ben Onyango; Njuguna, Susan (Health Systems and Policy Research, 2017)[more][less]
Abstract: The right to the highest attainable standard of health is a fundamental human right and, central to this right within a hierarchical health system, is the existence of a well-functioning referral system that allows for continuity of care across the different tiers of care. A referral system enables management of client health needs comprehensively with resources locally unavailable. This study sought to establish challenges facing implementation of the referral system for quality health care services in Kiambu County, Kenya. Specifically, investigated the influence of infrastructure, capacity of health care workers, health information systems and financial resources on implementation of health care referral system. A crosssectional research design was done targeting health care workers in public health care facilities Tier 2 and Tier 3 in Kiambu County and two hundred and seventy one respondents took part in the study. A statistical analysis was done using SPSS 20 and Excel 2013. Both questionnaires and interview guide were employed as data collection tools which attained quantitative and qualitative data. Inferential statistics was used to conduct regression analysis. From the findings of the study it was established there existed a relationship between independent and dependent variables as revealed by infrastructure with coefficient 4.457; capacity of health care workers with coefficient 4.105; health information systems with coefficient 4.405; and financial resources with coefficient.4.013. The p value was <0.001. The study concluded that infrastructure, health information systems, capacity of health care workers, and financial resources are challenges in implementation of health care referral system in Kiambu County and should be strengthened. The study recommended that Kiambu County Health care facilities should improve infrastructure; implement a standard referral system monitoring toolkit and curriculum to train health workers on the referral policies and guidelines; develop standard referral forms/registers and provide adequate funds for implementation monitoring and evaluation. URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3621 Files in this item: 1
-
Njuguna, Susan; Tuikong, Sylvia; Ngure, Peter (Archives of Palliative Care and Medicine, 2018)[more][less]
Abstract: supportive environment in support groups is correlated with reducing apprehension and depression among people living with HIV although psychological issues are not adequately addressed. A randomized control study with the intervention of narrative approach was carried out for Women living with HIV. Eligibility included a score of above 21 on the Impact of Event (IES- R) Scale, severe depression (CES-D) and scored high on the Internal Stigma Scale (HIV ISS). A structured group therapy session using narrative approach was conducted weekly for twelve (12) weeks for five groups of ten (10) members each. The finding was a reduction in the impact of event for all intervention groups on the Impact of Event Scale (IES-R). On the depressive scale, all members in the intervention groups moved from severe depression to moderate 37(75%) and mild 13(25%). The stigma scale indicated that 30(60 %) of the participants improved to moderate and mild while 20(40%) remained with severe stigma. Group therapy should be structured and adopt the narrative approach for women living with HIV. This will complement measures to reduce trauma from the impact of event, depression and internal stigma. URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3569 Files in this item: 1
-
Jillo, Ali Jillo; Ofware, Peter Obonyo; Njuguna, Susan; Mwaura-Tenambergen, Wanja (Pan African Medical Journal, April 23, 2015)
[more][less]Abstract: Introduction: Access to maternal and child health care services among the nomadic pastoralists community in Kenya and African continent in general is unacceptably low. In Turkana, only 18.1% of the women had seen a nurse or a midwife for antenatal care during pregnancy while only 1.3% of pregnant women reported delivery at health facilities in 2005. Ng’adakarin BAMOCHA model, based on migratory routes of the Turkana pastoralists and container clinics was adopted in 2007 to improve access to maternal and child health services by the nomads. Methods: A crosssectional study design was used to establish the effectiveness of Ng’adakarin BAMOCHA model on accessibility and uptake of ante-natal care and delivery services. A total of 360 households and 400 households were interviewed for pre-intervention and post-intervention respectively. The study compared the pre-intervention and post-intervention findings. Structured questionnaires and focus group discussion were used for data collection. Results: There was no improvement in the fourth ante-natal care visits between pre-intervention and post-intervention groups at 119(51.5%) and 111(41.9%) respectively (p<0.05). Knowledge of the community on the importance of ANC visits improved from 60%-72% with significance level of p<0.05. There was a significant increase 6%-17% of deliveries under a skilled health worker (p<0.05). TBA assisted deliveries increased from 7.5%- 20.2% with a p<0.05.There was significant reduction in home deliveries from 89.5%-79.5% with a p<0.05. Conclusion: The Ng’adakarin Bamocha model had a positive effect on the improving maternal health care among the nomadic pastoralist community in Turkana. URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/2966 Files in this item: 1
Previous Page
Now showing items 21-25 of 25