Browsing MBA-HCM Theses and Dissertations (2018) by Issue Date
Now showing items 1-20 of 34
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Assessment of data quality of an EMR system, and the effect of CD4 guideline change and patient escort on time to linkage to and retention in ART: a study at Kiambu County Referral Hospital
(Strathmore University, 2018)Kiambu County Referral Hospital adopted electronic medical records in the HIV clinic for longitudinal follow up of patients enrolled in care. The hospital also implemented CD4 guideline changes on antiretroviral therapy ... -
An assessment of factors influencing patient safety incident reporting in the inpatient department at the Gertrude’s children Hospital in Nairobi,Kenya
(Strathmore University, 2018)The main purpose of the study was to establish the factors influencing the reporting Patient safety incidents at Gertrude’s Children hospital. The study employed a Descriptive mixed method with both quantitative and ... -
Assessing the effect of devolution on the number of healthcare workers in hardship areas: a case study of doctors, clinical officers, nurses and specialists in Wajir County
(Strathmore University, 2018)Kenya has had shortage of healthcare workers since independence, but this picture is worse in the hardship areas as majority of these workers tend to concentrate in urban areas. The Constitution of Kenya 2010 devolved ... -
Determinants of enrollment and retention of organized members of the informal sector into National Hospital Insurance Fund Nairobi County
(Strathmore University, 2018)The global agenda focus is on how countries can adopt context specific initiatives towards realizing Universal Health Coverage as emphasis by the post 2015 development agenda(United Nations, 2015). The Kenya health financing ... -
An Assessment of the implementation of the Free Maternal Services in Murang’a County Referral Hospital
(2018)This study aimed to establish the trends of utilization of FMS services at Murang’a County Referral Hospital between 2013 and 2017, to assess the readiness of the hospital to offer FMS and to explore the contextual factors ... -
Using Health Management and Information Systems for decision making: an exploratory study in private sector level 3 & 4 health centres in Narok
(Strathmore University, 2018)In the recent past there has been a rapid uptake in the deployment and use of HMIS by private facilities in Kenya. It is unclear how private sector managers have implemented these systems and whether they are using these ... -
Effects of co-payments on utilization of healthcare services at a private out-patient facility: a case study of AAR healthcare Kisumu Out-patient Centre
(Strathmore University, 2018)Rising cost of healthcare is a concern worldwide. In Kenya, this has seen insurance companies report losses despite increase in premiums. In order to control the rising costs, insurance companies have introduced co-payments ... -
Health insurance cost escalation and containment: the case study of employer medical scheme
(Strathmore University, 2018)This study sought to examine the cost drivers of health care and cost containment measures in employer sponsored medical scheme. A retrospective case study was carried out. The study included the entire population of the ... -
Determinants of client loyalty amongst outpatients at the Meridian Equator Hospital
(Strathmore University, 2018)The private health sector continues to grow exponentially across low- and middle-income countries such as Kenya, which has caused increased competition. This creates a strong need for understanding client preferences and ... -
Factors associated with delay in presentation of Cancer patients for treatment: a patients’ perspective
(Strathmore University, 2018)The global burden and threat of non-communicable diseases constitute one of the major challenges for development in the twenty-first century which undermines social and economic development throughout the world. A huge ... -
Exploring hand hygiene practices among healthcare workers in Ruiru Sub-County Hospital
(Strathmore University, 2018)The individual, household and economic impact of Hospital Acquired Infections (HAIs) globally cannot be overstated; therefore, how healthcare workers perform and comply to hand hygiene practices is essential for mitigating ... -
Determinants of retention strategies for health care practitioners in public health facilities in Kenya: a case of County Hospitals in Nairobi Kenya
(Strathmore University, 2018)At the heart of each and every health care system, the workforce is central to advancing health. Healthcare is a labour- intensive industry and therefore retention and growth of is important. This study seeks to determine ... -
Assessing service availability before and after the introduction of free maternity services at the Pumwani maternity Hospital
(Strathmore University, 2018)Maternal health is the state of health of women during pregnancy, childbirth and the postpartum period. The Kenyan government introduced free maternal healthcare services in June 2013 to address the high maternal mortality ... -
Factors contributing to medication errors at the Kenyatta National Hospital
(Strathmore University, 2018)Medication errors are among the most prevalent medical errors worldwide. The Institute of Medicine estimates 1.5 million preventable medication errors occur in the united states every year. Health care in Kenya has been ... -
Assessing pharmaceutical commodity supply chain management challenges in Busia County
(Strathmore University, 2018)Pharmaceuticals together with salaries consume 60-80% of the health budgets of most counties in Kenya, therefore improving performance of the pharmaceutical commodity supply chain is one of the key activities aimed at ... -
Expenditure on medicines in Nyeri County between 2014 and 2017: a retrospective analysis using the ABC and VEN classifications of medicines.
(Strathmore University, 2018)This research aimed at evaluating the category of medicines that consumed most of the allocated budget in Nyeri Couty and assessing whether Nyeri County procured the right medicines, at the right cost, in the right quantities. ... -
Reimbursement practices and budgetary implications in the implementation of waivers and maternity care exemption policy in a Sub-County referral Hospital
(Strathmore University, 2018)The waiver and free maternity policies play a major role in enhancing equity and access to health care services among the poor and the pregnant mothers respectively. However, for the policies to be successful, there is ... -
Effects of working environment on job satisfaction among physicians in Public Health Sector of Nairobi County
(Strathmore University, 2018)Job satisfaction is the feeling of pleasure and achievement that one experiences in his/her job when they know that their work is worth doing; or the degree to which work gives feeling of pleasure. WHO refers to human ... -
An Assessment of the implementation of the East African pooled procurement mechanism among faith-based medicines supply organizations
(Strathmore University, 2018)The East African region has a significant burden of communicable and noncommunicable diseases, yet patients have low access to essential medicines and medical supplies. Some of the barriers to accessing medicines are high ... -
Bedside rationing by frontline healthcare workers: a case study of St.Francis community Hospital
(Strathmore University, 2018)Studies on bedside rationing in developing countries such as Kenya are scanty. Bedside rationing entails implicit or explicit withholding of essential healthcare services from clients. The existing literature on bedside ...
