Daystar University Repository

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Conference/ Workshop/ Seminar/ Proceedings/ Lecture Series
A collection of conference, workshop, seminar, proceedings, and lecture series showcasing diverse topics and cutting-edge research from faculty and staff of Daystar University.
Daystar Archives
An archival collection chronicling the institutional history, academic achievements, and diverse heritage of Daystar University.
Daystar University Publications
A collection of Publications by faculty and staff showcasing research, academic achievements, and institutional insights of Daystar University.
Lectures and Speeches
A collection of Lectures and Speeches from distinguished speakers across various disciplines of Daystar University.
Policies
A collection Policies and Operational Manuals from different departments of Daystar University.

Recent Submissions

Estimating Efficiency Levels of County Health Facilities in Kenya Pre and During COVID 19 Period using DEA Methodology
(African Economic Research Consortium, 2024-03) Lutta, Paul; Munialo, Sussy; Ngeno, Haron; Muhonja, Faith Hope
Health efficiency remains high before and after COVID-19. This could be attributed to devolved hospital management system which has brought public financial management services closer to the hospital and increased effectiveness in delivery of services
Association of Climate Awareness with Urban Mobility and Consumption Behaviour in Accra: a Path Analysis
(Transportation, 2025-09) Asiamah, Nestor; Anyanful, Theophilus Kofi; Ansah, Nana Benyi; Doumbia, Musah Osumanu; Opuni, Frank Frimpong; Aidoo, Isaac; Muhonja, Faith Hope; Agyemang, Simon Mawulorm; Yarfi, Cosmos; Kumi, Prince Koranteng; Tetteh, Kafui Agormeda-; Lomatey, Toku; Eku, Eric
This study evaluated the direct and indirect association of Climate Change Awareness (CCA) with urban mobility options (i.e., walking, biking, and driving a carbon-dependent car) through Green Purchase Intention (GPI) and Eco-Socially Conscious Consumer Behaviour (ECCB). The study adopted a cross-sectional design with sensitivity analyses, robustness tests, and common methods bias evaluation. The participants were 865 adults in Accra, Ghana. The relationship was tested concurrently with a path analysis through structural equation modelling. CCA was positively associated with walking, biking, and driving. It had an indirect positive association with walking time through ECCB but an indirect negative association through GPI with walking time. CCA had an indirect positive association with biking and driving through GPI. ECCB can be an important determinant of walking for transportation among city dwellers with higher CCA. This study was the first to assess the nexus between environmental knowledge, pro-environmental consumption indicators, and active and non-active travel, unfolding implications for city design in a Sub-Saharan African context.
Association between Utilization of Personal Protective Equipment and Prevalence of Road Traffic Injuries amongst Motorcycle Users in Kibera Constituency, Nairobi County Kenya
(International Journal of Current Science Research and Review, 2023) Senaji, Franklin Mike A.; Muhonja, Faith Hope; Maathai, Ronald
Throughout the world, road traffic injuries (RTIs) are a vastly silent encroaching public health problem. Motorcyclists and pillion passengers are two of the most vulnerable road users worldwide. In Kenya, the annual incidence reports on RTIs amongst these groups had been on the rise in recent years. In 2017, 1,270 injuries were recorded while 2018 had 1,587 RTIs amongst these two groups. In 2019, 2,911 injuries were reported and 4,575 injuries in 2020. The purpose of the study was to assess the association between the utilization of Personal Protective Equipment (PPE) and the prevalence of Road Traffic Injuries (minor and major) amongst motorcycle riders in Kibera constituency, Nairobi County, Kenya. Specific objectives were to determine the prevalence of RTIs amongst motorcycle riders, to determine the level of PPE utilization amongst the motorcycle riders, to evaluate the association between the utilization of PPE and the severity of injury sustained by the riders, and to evaluate the effect size of the association between the utilization of PPE and the type of injury sustained by motorcycle riders. A cross-sectional analytical study design was used to gather both qualitative and quantitative data from the motorcycle riders in Kibera constituency. Questionnaires were used to gather information on injuries sustained from the local hospitals and clinics visited by the motorcycle riders in Kibera constituency. A checklist was used to gather data on the utilization of personal protective equipment by motorcycle users in Kibera constituency. The total number of registered motorcycles (2956) was subjected to Slovin's formula (n)=N/(1+Ne^2) to obtain a representative sample of 353 motorcycle riders who participated in the study. Data was analyzed using SPSS V22 and MS-excel software. Data was subjected to bivariate analysis with crosstabs for case classification, Chi square to evaluate the association, and Cramer's V to measure the effect size of the association. A 95 percent confidence level was used for the whole analysis of this study. The 0.05 level of significance was used throughout the study to test the significance of the association between PPE utilisation and severity of injury when an accident occurred. Utilisation of PPE was negatively associated with severity of injury. Further, while Helmet, Jacket, Heavy trousers and Gloves reduced severity of injury, Reflective vest and Boots were not significantly associated with severity of injury sustained by the Motorcycle riders
Assessment of Factors Influencing Job Satisfaction among Healthcare Workers' in Public Hospitals in Nairobi County, Kenya
(Ibom Medical Journal, 2025) Lifuleze, Cyrus; Muhonja, Faith Hope; Muchiri, Joseph
According to (Kalinski, 2020) Job satisfaction is a complex combination of psychological, emotional feeling and other environmental factors that can affect an employee positively and give them a sense of achievement on the job. Further, He implys that job satisfaction can be linked to doing a job one enjoys, being productive and getting positive intrinsic rewards like enthusiasm, and contentment. On March 14, 2024 the healthcare worker’s through their union representatves (KMPDU & KNUN) announced a nationwide strike in Kenya. This strike lasted for 56 days and was called off on May 8th 2024 after negotiations, the government officials agreed to some of the union demands. (MoH, 2024). It is evident that Healthcare workers are dissatisfied and the link to the major causes is not clear. Objective This study sort to investigate the factors influencing job satisfaction among healthcare workers' in public hospitals in Nairobi County, Kenya based on Herzberg’s Motivation Theory. Methodology This study employed a cross-sectional research design, targeting healthcare workers from five select Hospitals in Nairobi County, Kenya. A sample of 400 participants was selected using stratifed random sample based on proportioanl allocation. The data collection instrument was self-administered questionnaires and analysis done using the SPSS software, version 26.0, with the level of significance set at 0.05. Analyzed data was presented using tables with both descriptive, and inferentiall statistics i.e. Chisquare, Odds Ratios and Confidence Intervals. Results The study found that promotions ( p-value<0.001) with OR =1.790 and 95% CI = (1.090, 2.939), Training and development (p-value<0.001) with OR = 1.960 and 95% CI = (1.214, 3.165), Communication (p-value=0.001) with OR = 1.189 and 95% CI = (0.687, 2.059), Supervision (P-Value < 0.001) with OR = 1.380 and 95% CI = (0.805, 2.365), quality of buildings in terms of space (p-value<0.001) with OR = 1.505 and 95% CI = (0.924, 2.453), Equipment adequacy (p-value<0.001) with OR = 2.871 and 95% CI = (1.698, 4.854), Availability of PPEs’ (p-value=0.022) with OR = 2.394 and 95% CI = (1.316, 4.357), and Availability of amenities such as toilets and water (p-value=0.04) with OR = 1.844 and 95% CI = (1.458, 2.556) had a statistically significant effect on satisfaction/dissatisfaction by Healthcare workers. Conclusion The study was able to established that there are factors determining job satisfaction among healthcare workers in Public hospitals in Nairobi County, Kenya. They include salaries, fringe benefits, training and development, recognition and reward, supervision and management, communication, equipment and utilities, lighting and ventilation, and conducive work environment. Over (70%) of the respondents were not satisfied with their work environment. This study recommends that employers should come up with clear guidelines on rewards such as merit-based promotions, training, and development opportunities through programs such as in-service training and compensation for extra training that HCWs incur expenses for, and more resources should be invested towards the construction of more hospital spaces and improving the quality of the available hospital spaces.
Association of Frailty with Functional Difficulty in Older Ghanaians: Stability Between Women and Men in Two Samples with Different Income Levels
(BMC Geriatrics, 2024) Asiamah, Nestor; Danquah, Emelia; Vieira,Edgar Ramos; Hjorth, Peter; Mensah, Reginald Arthur‑ Jnr; Agyemang, Simon Mawulorm; Khan,Hafiz T. A.; Yarfi, Cosmos; Muhonja, Faith Hope
Research to date suggests that frailty is higher in women and is associated with functional difficulty. This study builds on the evidence by examining the association between frailty and functional difficulty between lowand higher-income groups and between older men and women in these income groups. Methods This study adopted a cross-sectional design that complied with the STROBE checklist and included steps against confounding and common methods bias. The population was community-dwelling older adults aged 50 years or older in two urban neighbourhoods in Accra, Ghana. Participants were either in the low-income group in a low socioeconomic neighbourhood (n=704) or the higher-income group in a high socioeconomic neighbour‑hood (n=510). The minimum sample necessary was calculated, and the hierarchical linear regression analysis was utilised to analyse the data. Results Frailty was positively associated with functional difficulty in the low- and higher-income samples, but this association was stronger in the higher-income sample. Frailty was positively associated with frailty in men and women within the low- and higher-income samples. Conclusion The association of frailty with functional difficulty was consistent between low- and higher-income samples, although the strength of the relationship differed between these samples. In both income samples, the fore‑going relationship was consistent between men and women, although the strength of the relationship differed between men and women.