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Munyao, Martin; Kithuka, Elizabeth (Rowman & Littlefield, 2021)[more][less]
Abstract: When the World Health Organization (WHO) chief declared the COVID-19 spread to be a global pandemic, renowned global philanthropist Melinda Gates of Bill & Melinda Gates Foundation projected that Africa was waiting to see hundreds of thousands of fatalities. She cited weak economies, poor healthcare systems, increasing slum dwellings, lack of clean water, and high rates of poverty as some of the reasons why COVID-19 was going to ravage Africa. Contrariwise, Africa has not experienced high Coronavirus cases compared to the USA, Europe, and Asia. However, the pandemic has revealed what human rights activists have been decrying of Africa for decades, namely, widespread economic disparities and social inequalities. The pandemic is disparaging Africa not by COVID-19 related sicknesses and death, but by exposing the already existing dysfunctional political, economic, and social systems. At the center of the said dysfunction amidst a pandemic are religious institutions which often have acted as an adhesive in the society. Not only do religious organizations bring people together for worship but also do shape life and morality amongst communities. However, in the recent past, the religious space has delegated that role to secondary parties such as civil society organizations. There is less and less public engagement on matters of politics and push for socio-economic reforms. As containment measures against further spread of the Coronavirus, the religious places of worship were considered as ‘nonessential’ need. While from a public health standpoint it is known that this was a containment measure to curb the COVID-19 spread, it symbolically brings in the question of whether religious institutions rose to the occasion as a public defender. This is even though African life is fundamentally rooted in religious foundations. In this chapter, the authors will firstly discuss the role of religious institutions during the COVID-19 period on the public. Secondly, the paper will analyze the impact of COVID19 on gender issues in Kenya. Lastly, the authors will suggest viable options for restoring the prophetic voice of various religious institutions in Kenya’s public life in the event of future global crises for sustainable development Description: Book Chapter URI: https://www.researchgate.net/publication/356492681_The_Role_of_Religion_in_Public_Life Files in this item: 1
The Role of Religion in Public Life.pdf (220.0Kb) -
Wambua, Anthony W.; Maake, Benard M. (International Journal of Software Engineering and Computer Systems, August , 2022)[more][less]
Abstract: Given the increased reliance on technology, Software Quality Assurance(SQA) has become a vital area in Software Engineering (SE). SQA practices require training, cost and often take more time than actual code writing. Owing to these requirements, software developers often ignore or partly implement SQA practices, leading to potentially poor quality software development. The goal of the study is to characterise SQA practices of software developers in Kenya. As such, quantitative empirical research was conducted. Seventy-seven (N=77) completed questionnaires were received and analysed to yield the required insights. The analysis of the findings indicates compliance with SQA practices. However, the research unearths concerns such as failure to comply with Software Development Life Cycle (SDLC) models as having the potential to lower the quality of software products. The assessment found that Unit testing was the most common type of software test. Based on the findings and literature, recommendations are made. The need to improve software engineering education and invest in software testing is underscored. The results can be generalised to most developing countries and used by software developers and trainers to identify areas in SQA that need strengthening Description: Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3891 Files in this item: 1
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Gitonga, Myra O.; Wambua, Anthony W (CEDRED Publications, 2020)[more][less]
Abstract: eLearning can be defined as learning conducted via electronic media, or technology assisted learning typically over the Internet. It is an area that came into existence more than a decade ago and has then evolved slowly being introduced as part of technology assisted learning, especially in Kenya. First it has been integrated into a blended learning as both learners and teachers ensure pedagogy and proper use of tools. However, with the present pandemic of COVID-19, countries have been forced to close institutions of learning indefinitely. Education has a direct impact on sustainable development therefore learning needs to go on. So, it is on this basis that various learning tools have quickly been adapted with speed so that learning may progress. In Kenya, different university lecturers adopted several eLearning tools informally or formally. This paper investigates tools that are being used during this difficult period. Further, the effectiveness of the tools as far as the learners and field of study is concerned is investigated. Another objective was to find out the extent to which mobility devices were used for eLearning. Effectiveness is assessed using factors such as the satisfaction of the students in relation to the achievement of their learning objective is assessed. In addition, as this research seek to finds out eLearning tools that were applied it will relate effectiveness to how favorable the learner’s environment and infrastructure supported their application. Primary data was collected using online questionnaires to the learners and teachers using an online research tool. The scope covered a study of science and computing students in a private institution of higher learning in Kenya. A total of 48 students from the faculty of science of a private university participated in the research. The analysis of the effectiveness of eLearning Description: Book Chapter URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3810 Files in this item: 1
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Boyo, Bernard; Bowen, Michael; Kariuki-Githinji, Scholastica; Kombo, James (International Bulletin of Mission Research, 2021)[more][less]
Abstract: Africa has witnessed an increase of clergy who favor faith healing but have little appreciation for modern medicine. The intersection between African traditional healing and faith healing remains unclear, with most curricula in theological and Bible schools failing to address these fundamental issues. Research was conducted to establish the intersection between faith, traditional, and biomedical healing. The findings show that faith healing is practiced by nearly three-fourths of the respondents and that African Instituted Churches give relatively more attention to practices of faith healing than do other denominations. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3808 Files in this item: 1
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Boyo, Bernard; Ayiro, Laban Peter (Hippobooks, 2021)[more][less]
Abstract: The Church and Politics offers an introduction to African political theology that is thorough, practical, and deeply powerful. From traditional power structures to the political ramifications of colonialism, Dr. Bernard Boyo provides a foundation for understanding Africa's contemporary political concerns in their cultural and historical context. Alongside this overview of African political history, Boyo traces the impact of Western missionaries, evangelicals, liberation theology, and African theologians on the church's understanding of itself and its role within society. This book critiques the emphasis on individual salvation that has so often led the church into abdicating its societal responsibilities and provides an exegetical analysis that firmly roots political engagement within a scriptural framework. The church, we are reminded, has a mandate to bring justice and righteousness into every aspect of human experience. As we follow Christ, it is not just our personal lives that should be transformed but our communities and even our nations. Description: Book Abstract URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3801 Files in this item: 1
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Kahiga, Keziah Wakonyo (Journal of Nursing Education and Practice, July , 2018)[more][less]
Abstract: Introduction: The literature demonstrates that little research has been conducted to explore job satisfaction among nurses working in obstetric units in Kenya. The perception of job satisfaction by nurses is influenced by the environment in which they work. Methods: A cross-sectional survey design was used to carry out the study. The study tools included the work quality index (WQI) and the demographic data questionnaires. Convenience sampling method was. Data were analyzed using the SPSS version 20. The items in the WQI were organized into six subscales and Cronbach’s alpha was calculated to obtain the reliability coefficient of each subscale. An independent t-test was used to compare the subscales scores for the male and female participants. ANOVA was conducted to compare the level of satisfaction with the six subscales and the participants’ characteristics. Pearson’s product-moment correlation coefficient was calculated to assess if there was any relationships, the magnitude and the direction of the relationship between the six subscales. Results: Nurses are most satisfied with the perception that the work associated with their position provides them with the opportunity to be of service to others and least satisfied with receiving enough time to complete indirect patient care tasks. There are no significant differences in the overall level of satisfaction between males and females though males are more satisfied with autonomy of practice and professional role enactment. The six subscales strongly and positively correlate with one another. Conclusions: Nurses working in the obstetric units are relatively dissatisfied with most of the aspects of the work environment. The more educated nurses are less satisfied than less educated nurses. Since all aspects of job satisfaction are interrelated, emphasis should be put on each of them so as to create a satisfying work environment for nurses working in obstetric units. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3797 Files in this item: 1
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Akunga, Daniel Nyagetiria; Wanyoro, Anthony; Wanyoro, Anthony Karanja (Journal of Cancer Treatment and Research, January , 2018)[more][less]
Abstract: In Kenya, 51.2% of estimated women population of 11 million aged 15 years and older are at risk of developing cervical cancer. Research shows that screening a woman even once between the ages of 35 and 40 years reduces her lifetime risk of cervical cancer by 25–36%. However, the effective cervical cancer screening in developing countries is as low as 18.5%. Low levels of utilization of Cervical Cancer Screening Services (CCSS) among health care workers have been documented. This study sought to determine the utilization of cervical cancer screening services by healthcare workers (HCWs) in selected health facilities in Machakos County. It was also thought imperative to determine individual HCW attributes influencing utilization of cervical cancer screening services in selected health care facilities in the county. The study adopted a descriptive cross-sectional study design involving 271 female health workers drawn from all the level 4 and level 5 facilities within the county. Respondents were stratified according to level of facility and according to their cadres. Data was collected via self-administered questionnaires and a facility assessment tool. Data analysis used SPSS version 21. Association was subjected to binary logistic regression. Only 25% of HCWs had utilized cervical cancer screening services. HCWs who had certificate (OR = 0.05, p-value < 0.01), diploma (OR = 0.04, p-value < 0.01) and degrees (OR = 0.09, p-value = 0.01) were less likely to utilize CCSS as compared to HWCs who had attained graduate studies or higher. Also health workers aged 30 years and below (OR = 0.12, p-value = 0.01) and those aged between 31 and 40 years (OR = 0.30, p-value = 0.05) were less likely to utilize CCSS as compared to healthcare workers who were aged more than 50 years. The study recommends establishment of tailor-made sensitization programs on young female health care worker aimed at increasing their uptake of CCSS services among these group. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3796 Files in this item: 1
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Shibonje, Janet Mukoshi; Wanja, Mwaura-Tenambergen; Njuguna, Susan (International Journal of Scientific and Research Publications, May , 2016)[more][less]
Abstract: Timely delivery of effective, safe, quality and personal services is a key pillar of health system strengthening. A Maternal, Newborn and Child Health (MNeCH) Project was initiated by the Ministry of Health and World Vision Kenya in Bamba Division, Kilifi County. The project’s goal was to strengthen health systems at the facility and community levels, including Antenatal Care (ANC). One of the strategies used by the project to achieve its goal was to strengthen community health referral system. The objectives of the study were 1) to determine whether providing maternal health education to pregnant women had any influence on ANC attendance in the intervention and control communities and 2) to determine whether issuing referral advice forms to patients has any influence on ANC attendance in the intervention and control communities. This study adopted the static group control design to assess the influence of community health referral practices on ANC attendance in Mirihini, the intervention community in Bamba and Midoina the control community. Primary data were sourced from 246 mothers of children aged below 2 years, parents of children aged 2 to 4 years, as well as Community Health Volunteers (CHVs). Quantitative analysis yielded descriptive statistics and cross-tabulations with Chi-square (χ2) tests. Qualitative data were transcribed, described and analyzed systematically to reveal themes and patterns. Maternal health education: In Mirihini, there was no significant association between providing maternal health education on the ideal number of ANC visits and women’s achievement of optimal ANC attendance (χ2 = 1.423, df=1 & a ρ-value = 0.233). In Midoina, a significant relationship between the two aspects was obtained (χ2 = 3.109, df = 1 & ρ-value = 0.078. Referral documentation: In Mirihini, issuing referral documents to pregnant women was significantly associated with women’s achievement of optimal ANC attendance (χ2 = 8.308, df =1 & ρ-value = 0.004). In Midoina, there was no significant association between two aspects (χ2 = 0.823, df = 1 & ρ-value = 0.185). The study recommends the need for: CHVs to deliver more information to support care-seeking behavior change; project officers to strengthen supervisory support to CHVs by engaging with MoH to provide reporting materials and ensure consistency of monthly review meetings. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3795 Files in this item: 1
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Chalulot, Geoffrey Kipkorir; Njuguna, Susan; Ndirangu, Eunice (Journal of Medicine, Nursing &Public Health, September , 2018)[more][less]
Abstract: The study aimed at establishing the institutional factors that influenced the implementation of policy on management of childhood illnesses in Bomet County. A descriptive cross sectional study design with both quantitative and qualitative approaches was used for data collection. The study population was a total of 279 health workers in Bomet County Hospital and Tenwek Hospital. A sample of 164 was arrived at which was selected using stratified and simple random sampling technique. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS version 24). The study established a significant positive relationship between institutional factors of enhancing compliance to policy procedures on implementation of policy on management of childhood illnesses at 0.824, p˃0.01. The study recommends that health institutions in Bomet County facilitate the dissemination and compliance to the implementation of the policy on management of childhood illnesses. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3794 Files in this item: 1
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Kuyo, Richard Ole; Muiruri, Lillian; Njuguna, Susan (International Journal of Medical Research & Health Sciences, October , 2018)[more][less]
Abstract: Background: Sound and reliable information is the foundation of decision-making across all health system building blocks that include service delivery, health workforce, health information, medical products, vaccines and technology, financing, leadership, and governance. This study is built on health information system pillar. Objectives: To determine the organizational factors influencing the use of DHIS2 in Uasin Gishu County. Methods: Study was conducted in Uasin Gishu-Sub County health facilities. A questionnaire was used to collect quantitative data from 283 health workers selected randomly while 10 key informants were selected purposively from this sample for indepth interviews. Results: Total 50.0% of the participants acknowledged that finances were adequate to run DHIS2. The main champions of DHIS2 used in decision-making were the county health records and information officers (56.2%) and the sub-county health records and information officers (39.0%). Up to 78.5% agreed or strongly agreed that organizational hierarchy influenced DHIS2 use and 80.8% agreed or strongly agreed that there was improved staff performance due to DHIS2 utilization. On the other hand, the major challenges experienced in the use of DHIS2 for evidenced-based decision-making were the lack of management support (34.3%), poor skills among the users (48.6%), lack of adequate computers (36.7%), unreliable internet connectivity (47.1%), lack of power backup (27.6%), and resistance to change (21.0%). Conclusion: The main funding for the DHIS2 system comes from the County government while health records and information officers are the main promoters of DHIS2 use. The main determinants of DHIS2 used are the availability of computers, network and internet services, trained staff and legislation. The main challenges inhibiting DHIS2 use are lack of management support, poor skills among the users, lack of adequate computers, unreliable internet connectivity, lack of power backup and resistance to change. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3793 Files in this item: 1
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Nandikove, Peter; Mwaura-Tenambergen, Wanja; Njuguna, Susan (IOSR Journal of Nursing and Health Science (IOSR-JNHS), April , 2018)[more][less]
Abstract: The recent worldwide focus on healthcare quality improvement, cost containment and enhanced patient experience has led to increased need for adoption of Electronic Medical Record systems (EMR) ( Waithera L, Muhia J, Songole R , 2017). This technology agitates for paperless transactions health care and would significantly reduce clinician workload and medical errors while saving the institution major expenses. Kenya is globally acclaimed as a leader for its Information Communication Telecommunications (ICT) innovations such as M-PESA (Graham, 2010). Many studies have been done in other countries to study the factors influencing adoption and usage of EMR technology, but a small number of studies exist in Kenyan situation (Ministry of Health, 2010). This study sought to examine why the application of EMR technology has not kept pace with its demand. This study therefore sought to answer two key research questions derived from the study objectives which include the influence of network infrastructure, EMR system design and staff ICT skill levels on information use of electronic medical records technology in a public health institution in Kakamega County The study was guided by technology acceptance model as its theoretical framework (Seok Kim, Kee-Hyuck Lee, Hee Hwang and Sooyoung Yoo, 2016). The study adopted a cross-sectional survey design with a target population of 80 respondents working in Kakamega county referral hospital. A descriptive survey research design was used. Stratified random sampling was embraced to divide the population into homogeneous subgroups as per the professional cadres then did simple random sampling in proportion to their number in the population. A questionnaire with a 5-point Likert scale was constructed and used. Data was collected using structured questionnaires and analyzed using SPSS version 23. Both content and construct validity were used to ensure validity of the research instrument’s while reliability was determined by using the Cronbach-Alpha Coefficient. Pilot testing to pre-test and validate the research instruments was done prior to the main study. One of the two hypothesis was rejected, there seemed to exist no significant differences among professionals with regards to EMR information use F (9,62) = 1.745, p > 0.05, one hypothesis was accepted, there seemed to exist a significant relationship between technical factors and EMR information use (r = 0.583, p <0.05). The study recommends that health facilities should increase infrastructure and resources that support EMR use, employees should be supported for further training on EMR operation and suppliers should regularly support and train health staff on how to use EMR effectively. The study results may be useful to hospitals as they gear towards integrating all their process by using technology. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3792 Files in this item: 1
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Kishasha, K. Meshack; Oluoch, Musa; Njuguna, Susan (Journal of Health, Medicine and Nursing, 2018)[more][less]
Abstract: Purpose:The purpose of this study was to determine the performance, challenges and the opprtunities in task shifting for the cadre. Methods:This was a cross-sectional study design. Purposive snowballing technique was employed. One hudred and fifty Clinical Officers were targed for study. A sample of 45 was captured for study calculated as 30% of the target population. Structured questionnaires were administered and triangulated by focus group discussions and key informant interviews. Cross tabulation and chi-square tests were used to compare performance in various reproductive health procedures. Analysis of Variance was employed to test for significance in differences on various responses. Data from focus group discussion was transcribed and analyzed by content analysis. Analysis of the Quantitative data collected was done using SPSS (Version 22). Data collected was analysed using tables, graphs and descriptive statistics Results:The study found out that motivation builds a better, more satisfied and better performing workforce as evidenced by response of further training There was significant statistical evidence of competence in performing task shifted obstetrical and gyneacological procedures at p-value 0.05, computed chi-square value of 7.134 against the critical value of 9.488. Analysis of Variance with a computed value of 95.7, p-value 0.05 and critical Value of 2.45 indicated that responses from respondence differed significantly while response for anew act of parliament for the practice of new skills was 100%. Unique Contribution to Theory, Practice and Policy: The study recommeded for the development of task shifting policy framework the, strengthening of health systems workforce through task shifting for the cadre and sensitization of workforce at health facilities on the concept of task shifting. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3791 Files in this item: 1
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Odhiambo, Mildred Adhiambo; Njuguna, Susan; Waireri-Onyango, Rachel; Mulimba, Josephat; Ngugi, Peter Mungai (The Pan African Medical Journal, September , 2015)[more][less]
Abstract: Introduction: Health systems face challenges of improving access to health services due to rising health care costs. Innovative services such as day surgery would improve service delivery. Day surgery is a concept where patients are admitted for surgical procedures and discharged the same day. Though used widely in developed countries due to its advantages, utilization in developing countries has been low. This study sought to establish how utilization of day surgery services was influenced by medical providers, patient awareness and cost among other factors. Methods: The study design was cross sectional with self administered questionnaires used to collect data. Data analysis was done by using statistical package for social science (SPSS) and presented as frequencies, percentages and Spearman's correlation to establish relationship among variables. Results: Medical providers included doctors, their employees and medical insurance providers. Most doctors were aware of day surgery services but their frequency of utilization was low. Furthermore, medical insurance providers approved only half of the requests for day surgery. Doctors' employees were aware of the services and most of them would recommend it to patients. Although, most patients were not aware of day surgery services those who were aware would prefer day surgery to in patient. Moreover, doctors and medical insurance providers considered day surgery to be cheaper than in patient. Conclusion: The study showed that medical providers and patient awareness had influence over day surgery utilization, though, cost alone did not influence day surgery utilization but as a combination with other factors. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3790 Files in this item: 1
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Boyo, Bernard (Interdisciplinary Perspectives, 2006)[more][less]
Abstract: The discussion of the concept" integration of faith and learning or scholarship” calls for a proper understanding of the issues behind the statement itself as developed within its proper historical setting. While the phrase has been used within Christian related institutions of higher learning, its theological implication has more often than not been ignored. The assumption that faith and learning are to be integrated, as though they were disjointed and disparated elements that are intrinsically incompatible unless by a decisive act of will by" the Christian scholar" is quite unfortunate to say the least. This cliché, religious as it may sound, poses a major theological threat to the biblical understanding of the accession and practice of faith, besides rendering Christianity as a mere subjective pursuit of instinctive urges which obliterates one's capacity for objectivity and capability to carry out verifiable findings on the basis of proof by any empirical standards. On the one hand, the call for “integration of faith and learning” in general, borders on subjectivity dependent solely on the individual to the detriment of academic professionalism. On the other hand, academic intellectualism does not preclude one's religious beliefs as though the two were mutually exclusive. Description: Abstract URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3789 Files in this item: 1
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Chumba, D; Ayiro, Laban Peter; Chang'ach, J. K; Marete, I (World Journal of Medical Education and Research, 2018)[more][less]
Abstract: Introduction: Breaking bad news to patients is one of the most common, and often difficult, responsibilities in the practice of medicine, particularly in cancer related diagnosis. Breaking bad news in an abrupt and insensitive manner may not only be devastating for both the patient and his or her family but is also associated with poor treatment outcomes and doctor burnout. This task is commonly done by residents who are on training. The complexity of the current resident work environment, including the impact of making money or finances in third world countries, is underappreciated. A study to establish the effectiveness of a training intervention to assist residents in breaking bad news hit a big snag when the training workshop, which was held on a weekend, received approximately 10 attendees. 40 attendees were expected. Methods: A quantitative research approach, a quasi-experimental group design was utilized. A purposeful sample of 80 physicians who are residents were selected for the study on a first-come-first-served basis. They were then randomly grouped into two groups: test group and control group. Test group was trained and compared with the control group. Perceived competence in performing breaking bad news tasks by residents was measured using two learning domains: cognitive and affective. These evaluated self– efficacy, empathy and physician’s beliefs before and after the training. To achieve this, we designed a flipped classroom program and, two weeks later, a workshop for the test group was held. Cronbach’s alpha, median and interquartile range (IQR) was calculated in SPSS version 22. P-value less than or equal to 0.05 was taken as statistically significant. Ethical approval was obtained from the Institutional Review and Ethics Committee (IREC) of Moi University and Moi Teaching and Referral Hospital. Results: A post-workshop survey of residents’ self-efficacy score in breaking bad news tasks, empathy scores using JSPE and physician belief scores were assessed. The post-workshop survey revealed that the residents’ self-efficacy scores improved significantly when compared with the control group. However, empathy scores and physician belief scores did not change significantly. Resident responses also exposed some challenges in communication skills training in real-life clinical settings for them. There was an apparent less humanistic approach to patients by residents suggesting biomedical curriculum based on the philosophy of science and less or limited in the ‘humanistic’ one based on the art of medicine. Conclusions: Innovative flipped classroom format in combination with workshop sessions allows easy incorporation of breaking bad news skills training for residents in a postgraduate training program. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3788 Files in this item: 1
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Rono, K. J., Bomet, E., & Ayiro, L. (European Journal of Education Studies, 2019)[more][less]
Abstract: Despite the existence of strategic plans in public Technical and Vocational Education training institutions in Kenya, there seems to be a problem in the implementation process. This study therefore sought to investigate the influence of employees’ perception on strategic plan implementation in public Technical and Vocational Education training institutions (TVET) within Rift valley region, Kenya. The study was guided by the following hypothesis: Ho: There is no statistically significant difference between employee’s perception and strategy implementation in public TVET within Rift valley region, Kenya. Change Management theory supported the specific objectives of the study. The study adopted descriptive survey research design using both qualitative and quantitative approach. The target population was 1255 employees in selected public TVET institutions; while a sample size of two hundred ninety four (294) respondents was drawn using purposive and stratified random sampling. Primary data were collected using questionnaires and interviews and analyzed using both descriptive and inferential statistics. The findings revealed that employees perception based on their level of management and implementation of strategic plan were strongly positively related and significant. It accounted for 94.5% of the total variations in strategic plan implementation. The findings are expected to be of value to the management and decision makers to form a basis for improving implementation of strategic plans in higher education. The study revealed that there was a diversity inopinion between the top management and lower management on strategic plan implementation and thus calls for special attention to all employees so as to ensure successful implementation. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3787 Files in this item: 1
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Katwa, J. K; Baliddawa, J; Ayiro, Laban Peter; Kei, R (World Journal of Medical Education and Research, 2018)[more][less]
Abstract: Background: The foundation of SPICES Model of teaching and learning is in its facilitation skills and resources which are vital to student learning. SPICES Model is a mode of teaching in the undergraduate medical curriculum at the Moi University College of Health Sciences. Objectives: The objective of this study was to outline the challenges facing innovative teaching and learning method at the College of Health Sciences. Methods: 274 students, 65 lecturers and 9 administrators were recruited into the study. Self-administered questionnaires with both qualitative and quantitative were used in data collection. Questionnaire utilized a five point Likert scale (1-Totaly disagree, 2-Disagree, 3- Not Sure 4-Agree and 5-Totally Agree). Cronbach’s alpha, median and inter-quartile range (IQR) was calculated in SPSS 22.P-value less than or equal to 0.05 was taken as statistically significant. Ethical approval was obtained from the Institutional Review and Ethics Committee (IREC) of Moi University and Moi Teaching and Referral Hospital. Results: 58 (23%) of students said that the program is confusing; rarely do we know what is expected of us. Others, 72 (29%) said it demands a lot from the student; while 58 (23%) hold the view that this system gives excuse to the lazy lecturers to avoid going to class to teach in the name of the students doing self-directed learning. Sixty two students (25%) think that tutorials are overcrowded. Majority of the lecturers 40 (62 %) said that SPICES Model is not improving with a large number of them 26 (40 %) saying all members of staff should be re-trained on SPICES Model of teaching and learning in order to improve it, however some of them 5(8 %) wanted SPICES Model to be abolished. There was no statistical significance between the number of years the lecturers who have been teaching and whether SPICES Model was improving or not as the p-Value ( 0.138) this result was not statistically significant at p < 0.05. Conclusions: The main challenges were the inadequate teaching and learning resources and training in SPICES Model of teaching and learning to both staff and students. There is overcrowding in all courses in the College, to mitigate on that, management should consider reducing intake until such a time that new facilities are in place. Recommendations: The college should organize annual workshops; separately for both students and lecturers to refresh on SPICES Model of teaching and learning and this will increase acceptability of this program moreover there is need to increase teaching and learning resources; such as teaching space, laboratories and library; whiteboard, LCD projectors, computers, e-books and internet connectivity and reduce intake until such a time that new facilities are in place. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3786 Files in this item: 1
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Boyo, Bernard (Africa Journal of Evangelical Theology, 1994)[more][less]
Abstract: 0 ne of the issues facing the Mrican church is that of adequate salaries for pastors. Not all churches give their pastors sufficient payment. I think, for example, of the Mrica Inland Churches of Nyandarua, Kenya where churches have failed to adequately meet their obligations in supporting the pastors financially. Insufficient support has brought about numerous problems that have affected the church's ministry in Nyandarua. The monthly salary given to a "full-time" pastor is too little compared to the needs that he has for his sustenance and that of his family. Consequently, most pastors have sought outside jobs, such as farming, in order to earn adequate income. In effect, the church suffers from "spiritual malnutrition" because pastors cannot give their full attention to the ministry. The pastor's divided effort causes a lack of spiritual nurture and lack of church growth. One cause of th Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3785 Files in this item: 1
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Arap Sang, Richard Kiplangat; Obwoge, Ronald Omenge; Kangethe, Simon; Ayiro, Laban Peter; Changeiywo, Johnson Masai (Science Journal of Public Health, July , 2017)[more][less]
Abstract: Tuberculosis (TB) continues to be a major cause of high morbidity and mortality in Kenya. Adherence to TB treatment is one of the interventions that lead to increase in cure rate thus reducing mortality and emergence of Multi drug resistant tuberculosis (MDR) and high cost of treatment. This study focused on TB patients in urban and rural areas of Kericho and Nakuru Counties. The study was to determine the patient factors which contribute to non-adherence to TB treatment. A purposive sampling method was used to carry out a cross sectional descriptive survey with retrospective cohort of nonadherent TB patients. Target population was smear positive TB patients registered in the TB registers in the two counties, within the past six months at the commencement date of the study. Data was collected using adopted/ developed observation forms/checklists, interview schedules and questionnaires. Respondents were traced non-adherent smear positive TB patients (defaulters), care supporters and health care workers. Collected data was analyzed using SPSS platform. Age, gender, inadequate knowledge, ignorance on need for treatment adherence, stigma, alcoholism, social and economic factors such as low income, lack of social support, low education, financial problems, drug side effects were analyzed. Feeling well soon after medication initiation, drug side effects, low educational level, poor financial status, unemployment, shortage of Tb drugs including unavailability of pyridoxine which is essential in counteracting drug side effects and were associated with defaulting. Staff should also intensify adherence counselling targeting effect of personal factor to adherence. The County of Nakuru and Kericho’s Ministry of Health to increase awareness on Tb and make the public aware of the importance of TB control. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3784 Files in this item: 1
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Mudulia, Mabel Ambogo; Ayiro, Laban Peter; Kipsoi, Emmy (Journal of Education and Practice, 2017)[more][less]
Abstract: Sustainable development goal number five of the 2030 agenda aims to achieve gender equality and empower all women and girls. The Kamunge Commission report of 1988 recommends that schools and universities provide guidance to university applicants to enable them make rightful choices. The paper objectively looks at the forms (processes, programmes and activities) of career guidance used in secondary schools and its effect on girls’ performance and career choice. The study embraced a mixed methods approach. Form four girls of 2012 in mixed and girls’ secondary schools in Vihiga County formed the target population. Thirty (30) schools were selected from the 112 mixed and girls’ secondary schools in the county by stratified sampling using the 4 constituencies as strata. Purposive sampling was then used to select 30 principals, 30 career guidance teachers, 4 district quality assurance officers and one county director of education. One hundred and eighty (180) students were randomly sampled. Data was collected using questionnaires, content analysis and interview schedules. Quantitative data was analyzed using frequencies, means, standard deviations, and Pearson’s product moment correlation while qualitative data was analyzed thematically. For all statistical tests, the alpha (significance) level was set at .05. The result of the analysis indicated that there was a statistically significant relationship between career guidance and, academic performance and career choice, r = 0.513, p< 0.05.The major forms of career guidance identified were class counseling, group counseling involving subject choices, and filling of joint admission board forms. The study found out that schools that were better equipped and staffed, with more career guidance programs had better performance and sent more students to public universities for admission into a variety of careers than the understaffed schools with no equipment. The study concluded that career guidance is essential yet many schools are not adequately funded, equipped and staffed for it. It recommends that career guidance be incorporated into mainstream curricular. The study has practical implications for the ministry of education and school administrators to provide a broad range of career guidance activities and programs to help learners make sound career choices. Description: Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3783 Files in this item: 1