SU+ Digital Repository

SU+ is an online repository for the preservation and promotion of assorted digital content at Strathmore University

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Conferences / Workshops / Seminars + 474
Documents and Proceedings of Conferences, Seminars, Workshops (and more) held at Strathmore University
Digital Archives 178
Assorted collections of resources covering various subject themes contributed by Faculty and Library Staff
Reports / Policies + 10
Public reports and policy documents
Research / Researchers / Publications 4659
Researcher Profiles / Conference presentations / Published research articles / Faculty and Corporate research outputs
Strathmore Heritage Collection 41
A digital chronicle of the History of the University presented through a mix of pictures, videos and digitized publications

Recent Submissions

Effect of cancer epidemiology on treatment efficiency in Kenyan
(Strathmore University, 2026) Nagaiahsamy, Vishnukumar
Globally and across Africa, the rising burden of cancer continues to place significant pressure on health systems, with increasing incidence, limited resources, and disparities in access undermining the delivery of timely and effective treatment. In Kenya, cancer cases and deaths are steadily increasing amid gaps in diagnostic capacity, radiotherapy access, and healthcare infrastructure, resulting in delays in diagnosis and treatment and reduced treatment efficiency. This study examines how cancer epidemiological patterns influence treatment efficiency at a facility level in Nairobi, providing context-specific evidence to inform oncology planning and service delivery. Guided by Epidemiologic Transition Theory and Health Services Utilization Theory, the study explains both the shift toward chronic diseases and how healthcare demand and system capacity shape service use and efficiency. Existing literature largely relies on aggregated or high-income country data, with limited longitudinal, facility-level evidence from urban African settings, creating a gap this study addresses. A pragmatic research philosophy and retrospective quantitative descriptive design were adopted using secondary data from 8,483 cancer patient records (2018–2025), collected through a validated structured extraction tool with a high retrieval rate of 94.3%. Findings revealed fluctuating annual trends influenced by COVID-19 disruptions, dominance of breast, cervical, and prostate cancers, and a patient population largely composed of older adults, females, and residents of Nairobi and nearby counties. Treatment efficiency was constrained by significant documentation gaps and limited recording of treatment and outcome indicators. The study concludes that strengthening data systems, improving capacity planning, and decentralizing oncology services are essential to enhance efficiency, equity, and overall cancer care delivery.
Determinants of successful strategy implementation in medium-sized hospitals in Nairobi, Kenya: a case of Bristol Park Hospital
(Strathmore University, 2026) Kathenge, Winfred Kavusi
The performance of organizations, including those in the healthcare sector, is determined not only by the quality of strategic plans but also by the effectiveness of their implementation. Despite developing well-crafted strategic plans, many medium-sized hospitals in Kenya face significant challenges in translating plans into action, resulting in implementation gaps that undermine organizational performance. This study sought to assess the determinants of successful strategy implementation in medium-sized private hospitals, with Bristol Park Hospital serving as a case study. Guided by the Dynamic Capability Theory (DCT), Resource-Based View (RBV), and McKinsey 7S Framework, the study pursued three objectives: to examine the impact of organizational alignment on strategy implementation, to investigate the role of internal resources in driving strategic execution, and to assess the influence of organizational structure and decision-making processes on implementation outcomes. A qualitative case study design was adopted, and purposive sampling was used to recruit 20 management personnel out of a total of 69 at Bristol Park Hospital. Data were collected through semi-structured key informant interviews, transcribed verbatim, coded, and analyzed thematically with the aid of NVivo software. Interviews revealed that the majority of respondents felt that successful strategy implementation requires aligning strategic objectives with the organization’s mission, vision, culture, and shared values, supported by effective communication channels. Respondents highlighted that internal resources, particularly human capital, financial allocations, and technological capacity, are critical enablers of execution, with targeted staff training and external partnerships helping to mitigate resource constraints. The hospital’s organizational structure was generally seen as facilitating communication and accountability, although respondents noted a need for greater decentralization in decision-making to enhance responsiveness. Additionally, while the Balanced Scorecard framework was widely used, respondents indicated that it requires customization to better suit the hospital’s operational realities. Overall, the study suggests that strategy implementation success in medium-sized private hospitals depends on a holistic approach that integrates organizational alignment, optimizes internal resource utilization, and adapts strategic frameworks to contextual realities. Respondents recommended strengthening communication systems, conducting regular strategy review meetings, investing in targeted capacity-building programs, and refining strategic frameworks such as the Balanced Scorecard to improve adaptability and comprehensiveness. Keywords: Strategy Implementation, Organisational Alignment, Internal Resources, Organisational Structure, Balanced Scorecard, McKinsey 7S, Resource-Based View, Dynamic Capability Theory, Medium-Sized Private Hospitals, Kenya
Factors influencing the retention of medical specialists working in public Level 4 and Level 5 rural health facilities in Kenya
(Strathmore University, 2026) Mose, Felister Moraa
The unequal distribution of healthcare workers, particularly medical specialists, remains a significant global challenge, especially in underdeveloped and rural regions. These areas often experience acute shortages across nearly all cadres of healthcare workers, with medical specialists being among the scarcest. Their scarcity contributes to elevated patient morbidity and mortality rates in rural settings. This study aimed to determine the factors influencing the retention of medical specialists in rural Kenya among Level 4 and 5 hospitals, to mitigate turnover and enhance access to specialized care. A descriptive cross-sectional study was conducted among 323 randomly selected medical specialists working in rural health facilities. Regression analysis was used to analyze the association between retention and various factors including working conditions, financial incentives, career development, and professional responsibilities. Findings revealed that only 32.5% of respondents were willing to remain at their current facilities. Key positive predictors of retention included the presence of quality equipment and infrastructure satisfaction with salary and availability of career development opportunities. However, limited availability of essential drugs and supplies significantly reduced retention. The study concluded that improving working conditions, providing professional development, and ensuring adequate resources are critical to enhancing specialist retention in rural Kenya, thereby improving healthcare service delivery in underserved regions. The study recommends that rural health facilities should strengthen working conditions, ensure consistent medical supplies, upgrade equipment, and maintain supportive infrastructure, while also improving salary competitiveness and expanding funding for professional development. Keywords: Medical specialists, Retention, Rural healthcare, Kenya, Healthcare workforce, Working conditions, Career development, Health equity.
Assessment of mental wellness program implementation and healthcare provider well-being at Aga Khan University Hospital, Kenya
(Strathmore University, 2026) Keru, Belinda
Healthcare providers in private hospitals across sub-Saharan Africa face high occupational demands, yet the implementation and effectiveness of institutional mental wellness programmes in this context remain poorly documented. This study assessed the implementation of mental wellness programmes (MWPs) and their relationship with healthcare provider (HCP) well-being at Aga Khan University Hospital (AKUH), Nairobi, Kenya. Grounded in the Job Demands– Resources (JD-R) model and Organisational Support Theory (OST), the study employed a quantitative, cross-sectional survey design with a final valid sample of 328 healthcare providers. Data were analysed using descriptive statistics, Pearson correlation, chi-square tests, one-way ANOVA, and structural equation modelling. Awareness of MWPs was high (87.2%) and overall participation was substantial (69.3%), though significant cadre-based disparities were identified, with nursing staff and administrative personnel reporting the lowest participation rates. Organisational support for MWPs was strongly associated with provider well-being, and MWP implementation was a significant predictor of HCP well-being. A notable paradox was observed: high emotional exhaustion coexisted with high job satisfaction and positive overall well-being, reflecting an engaged but increasingly depleted workforce. Workload and shift patterns were significant independent predictors of well-being but did not significantly moderate the MWP–well-being relationship, suggesting that programme benefits were consistent across levels of occupational demand. The findings support the applicability of the JD-R model and OST in a sub- Saharan African private hospital context. The study recommends that private hospitals institutionalise mental wellness frameworks as a core human-resource strategy, develop cadre-specific outreach programmes, establish formal emotional exhaustion monitoring protocols, and conduct workload and shift reviews to address high occupational demand burdens alongside wellness programme investments. Keywords: mental wellness programmes, healthcare providers, perceived organisational support, job demands–resources model, PLS-SEM, emotional exhaustion, job satisfaction, private hospitals, Kenya
Effect of supply chain drivers on sales performance among fish traders in Gikomba Market, Kenya
(Strathmore University, 2026) Nkurunziza, Bitsinze
The fish trade plays a vital role in Kenya’s food security and urban livelihoods, with Tilapia as one of the most consumed fish species in Kenya. Gikomba Market serves as one of the largest informal hubs for tilapia distribution, linking producers, wholesalers, and retailers to urban consumers. However, these markets are characterized by inefficiencies in their supply chains leading to traders in these markets struggling to achieve consistent and sustainable sales performance despite the growing demand for fish in urban areas. This study therefore set to examine the effect of supply chain drivers on sales performance among tilapia fish traders in Gikomba Market, Nairobi County. Specifically, the study focused on four key supply chain drivers: route-to-market avenues, consumer preferences, supplier relationships, and government regulation. The study was guided by the Supply Chain Management Theory and the Resource-Based View. A positivist research philosophy was utilized to underpin the study. Further, a cross-sectional research design aided in examining the phenomena within the current period to get a current view of the effect of the selected factors. The population was drawn from 1,500 traders within Gikomba market who specialize in Tilapia fish trading. The sample was 315 as derived using the Yamane formula. The research applied a structured questionnaire using a 5-point Likert scale format. The questionnaire was developed in line with the objectives of the study. Descriptive and inferential analysis were used to quantitatively examine the gathered data. Tables and figures were used to present the findings. Findings from the study were that sales performance was rated highly overall, and that all the four supply chain drivers under investigation have strong, positive, and statistically significant correlations with sales performance. Regression results reaffirm this finding, confirming that supplier relationships have the strongest predictive effect on sales success, followed by consumer preference and finally route to market avenues which had moderate positive effects on sales performance. However, government regulations were revealed to have insignificant effects on sales performance. Recommendations were for traders to invest in supplier partnerships, quality differentiation, and to explore collectively logistic arranges. Furthermore, Policymakers were recommended to simplify regulatory processes by streamlining licensing and tax collection to reduce the perceived burden, to invest in market infrastructure, and ensure there are adequate training opportunities for traders.