MSIT Theses and Dissertations (2015)

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A framework for implementation of e-health in Kenya public hospitals
(Strathmore University, 2015) Middii Edwin Odhiambo
E-health has fundamentally shifted the way patients’ information is accessed and shared across health system. This advancement has greatly improved healthcare which is associated with the mission critical services that are connected with the well being of life, by providing comprehensive, reliable, accessible and timely patient information for evidence based decision to the healthcare providers. However, there are still a problem of gaps and weaknesses in the existing e-health frameworks. The main purpose of the research was to explore on ways in which e-health can be successfully be implemented. The research adopted qualitative and quantitative research methodology to investigate and come up with a framework for the implementation of e-health in public hospitals. The research instruments used were survey questionnaires, interviews. The research identifies the benefits of implementing e-health as; Enhanced health services availability and access, Improved health quality, safety and outcomes, Increased service efficiency, productivity and cost effectiveness, Improved teaching methods facilitated by e-learning system, Knowledge sharing by practitioners, Improved decision making and Reduced healthcare cost. The challenges encountered in E-health implementation are; E-health standards, ICT capacity, Elegislation, e-health infrastructure, Security and privacy issues and technical organization. The research found out that there are various areas and components that should be considered in order to successfully implement and scale up e-health uptake in the public hospitals. The areas and components include; Education/awareness, infrastructure, stakeholders, form of ehealth to be implemented, challenges in e-health implementation and uses of e-health. These findings were used to build a framework for implementation of e-health in Kenya public hospital. The framework is composed of the mentioned components and areas. The research therefore, will enhance the quick implementation and uptake of e-health in public hospitals.
Data centric decision making healthcare prototype
(Strathmore University, 2015) Wanjugu, Sammy Wamae
Kenya is classified as one of the fastest growing countries in Africa. With this growth there has been increase in the application of Information and Communication Technology (ICT) in the major ministries in the government which includes the Ministry of Health. This has been in the areas of electronic medical records, technologies that assist in imaging such as MRI scans, immunizations, and appointments, among others. The Ministry of Health in Kenya uses many applications to capture data in the health facilities, which include IQCARRE and FUNSOFT. However, the reporting system used is DHIS which runs parallel to these systems hence forcing the health workers to re-enter the data for transmission to decision makers at Afya House. This causes redundancies in data entry, and increases reporting time which in turn delays necessary action by the key decision makers. A case study methodology was used to assess the decision making process in the Ministry of Health and also the activities involved in electronic data collection in Mbagathi and Kenyatta National Hospital. This was done through structured questionnaires. The results of the data analysis indicated that there was a disconnect between the data capture and reporting due to the use of different systems. The results also indicated that there was a need for a data mining based decision making system that could read the data in the data capture systems and transmit it to the decision makers. The prototype was developed and tested by both the health workers and the decision makers. From testing and responses from the health workers and decision makers, the prototype helped to standardize the reporting system and increased reporting time. The researcher recommended that the prototype be improved to cover all areas at the scope only covered patient and disease data.
A framework to enhance data quality in the banking sector in Kenya : case study of two banks in Kenya
(Strathmore University, 2015) Njau, Robinson Gakuo
This thesis explores data quality in the financial sector in Kenya and explores a structured method of improving data quality. The thesis gathers the statistics on the quality of data in the banking sector in Kenya and establishes the main causes of data inconsistencies. In addition, it designs a framework that will be used in the banking sector in Kenya to improve the quality of the existing data. Better quality data is important will allow banks to make better business decisions that will influence their growth positively. In developing this framework, the research looked at the different existing data quality enhancement frameworks and data quality practices in two banks in Kenya in order to create a tailored framework for the banking sector in Kenya. Lastly, the research validated the framework through the use of a focus group and Eppler and Wittig Criteria.
A Prototype for secure key management
(Strathmore University, 2015) Omondi, Fredrick
Key Management refers to the cycle of maintaining key exchange from the moment of initialization to retirement. It has proved to be a major concern for parties concerned where these keys have landed in the wrong hands through hacking and other means. The weaknesses have been perpetrated by taking advantage of weaknesses in the design of algorithms intended to manage these security keys. The problem thus exists in the secure storage and distribution of keys. The population on the case study area is Strathmore University from which the sample data is also collected for usability testing. The prototype can however work in any institutional setup where security is a highly valued concept. This research carries out an analysis of past works done on key management protocol and coming up with a solution that addressed some security vulnerabilities in these models. It combines aspects of all the architectures in an attempt to develop a unique solution that captures the strongest points from them. The proposal will design an algorithm that if implemented in code will be able to offer a more robust solution to secure key management problems. Tools used to develop the prototype are basic content management system, Joomla 3.3.6, MySql workbench for the database design and draw.io for the software modeling diagrams. These are all Open source tools and will suffice for the proof of concept being developed. The usability tests would be carried out amongst the sample users in the case study with a view of assessing their level of appreciation of the proposed solution; whether they would find it useful and collect any positive recommendations for improvement. There are many application areas that this prototype could be deployed. Other than learning institutions such as the case study area, other institutions like banks and insurance companies can still benefit from it. Modifications would however be necessary to cater for their peculiar needs.
A framework to achieve seamless data interchange of electronic air-waybill in e-freight systems : Case of Kenya air freight sector
(Strathmore University, 2015) Koima, Norah Edigar J.
The study creates a standard framework on what is required to ensure electronic air waybill data transmitted from one system to the other and be able to update all the available e-freight systems. The study does not cover the impact of the integration or development of the integration systems but provides the Framework which can be used later in the development of the system. A major challenge in the air freight sector is seamless data interchange between the e-freight systems. This challenge arises mainly because e-freight system has different message formats, use different protocols and varies in document’s information. The main objective of this research is to develop a framework that will guide the developer in e-freight system development which ensures seamless data interchange. A mixed research design approach was used which is a combination of qualitative and quantitative approach .To achieve the aim of the study a variety or research instruments were used namely; questioners, interviews and literature review. It was established that different e-freight system have major difference in terms of the message format transmitted, the protocols used and the way they have been implemented where others are web based, ERP’s and some are in house developed systems. The framework proposed has the following components: system legal requirements, system a converter including message format converter and protocol converters in case the two systems are incompatible. The framework was validated via stakeholder’s interviews and the researcher concluded that the best method of approach is to consider the IATA requirements as well as the researcher proposed framework.

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