Daystar University Repository
Welcome to the Daystar University’s Digital Repository. Here we preserve and disseminate the University's Intellectual output.
To register you require an @daystar.ac.ke email address
Communities in DSpace
Select a community to browse its collections.
- A collection of Class Projects and Student articles showcasing innovative ideas and diverse perspectives from our talented student community at Daystar University
- A collection of conference, workshop, seminar, proceedings, and lecture series showcasing diverse topics and cutting-edge research from faculty and staff of Daystar University.
- An archival collection chronicling the institutional history, academic achievements, and diverse heritage of Daystar University.
- A collection of Publications by faculty and staff showcasing research, academic achievements, and institutional insights of Daystar University.
- A collection of Lectures and Speeches from distinguished speakers across various disciplines of Daystar University.
Recent Submissions
Altogether Now ... Understanding the Role of International Organizations in ICCM Policy Transfer
(Health Policy and Planning, 2015-07) Bennett, Sara; Dalglish, Sarah L; Juma, Pamela A.
; Rodrı´guez, Daniela C
Introduction Policy transfer theories explain how policy ideas move across time and geography and offer an approach to understanding waves of policy change, a common phenomenon in global health. Four primary mechanisms for the transfer of policies from global to national levels are posited: learning, coercion, socialization and competition. Methods We used six concurrent country case studies of policy change for child survival followed by a global study to analyse (1) mechanisms for policy transfer and (2) the roles of international organizations in promoting policy transfer. Our six country cases drew upon early adopters of integrated Community Case Management of Childhood Illness policy (Malawi, Niger), as well as countries that were slower to adopt due either to practical implementation challenges (Mozambique, Mali) and/or policy resistance (Burkina Faso, Kenya). In total, 145 semi-structured interviews and 283 document reviews were conducted across the six country cases, and 25 semi-structured interviews and 72 document reviews for the global study. Results Three of the four diffusion mechanisms (learning, coercion and socialization) were important in these cases, but not competition. Multiple strategies were employed by multilateral organizations to support policy transfer, such as regional meetings or academic publications, frequently serving multiple diffusion mechanisms simultaneously (e.g. both learning and socialization). In just one country case, funding conditionalities were used to press for policy change. The emphasis of policy transfer mechanisms varied between early and later adopters. Early adopters, for example, were more likely to engage in learning. International multilateral organizations were active policy transfer agents, and national policy-makers perception of them as “trusted partners” made them well suited for this role. However, on occasion their role became more that of advocates than neutral facilitators. Conclusions International actors use multiple synergistic channels to promote uptake of global health policies in low- and middle-income countries, and tailor strategies employed to country
contexts.
Public Health in Africa: What is New—The Context, The Gains, the Losses, The Renewed Public Health, and the Way Forward
(International Society of Nephrology, 2005) Kaseje, Dan; Juma, Pamela A.
; Oindo, Missie
Two Decades of Tobacco Use Prevention and Control Policies in Cameroon: Results From the Analysis of Non-Communicable Disease Prevention Policies in Africa
(BMC Public Health, 2018) Tassou, Clarisse Mapa; Bonono, Cecile Rénée; Assah, Felix; Wisdom, Jennifer; Juma, Pamela A.; Katte, Jean-Claude; Njoumemi, Zakariaou; Zogo, Pierre Ongolo; Fezeu, Leopold K.; Sobngwi, Eugene; Mbanya, Jean Claude
Background: Tobacco use is the leading cause of preventable death in the world today. In 2010, the World Health Organization (WHO) proposed efficient and inexpensive “best buy” interventions for prevention of tobacco use including: tax increases, smoke-free indoor workplaces and public places, bans on tobacco advertising, promotion and sponsorship, and health information and warnings. This paper analyzes the extent to which tobacco use prevention policies in Cameroon align with the WHO tobacco “best buy” interventions. It further explores the context, content, formulation and implementation level of these policies. Methods: This was a case study combining a structured review of 19 government policy documents related to tobacco use and prevention, in-depth interviews with 38 key stakeholders and field observations. The Walt and Gilson’s policy analysis triangle was used to describe and interpret the context, content, processes and actors during the formulation and implementation of tobacco prevention and control policies. Direct observations ascertained the level of implementation of some selected policies. Results: Twelve out of 19 policies for tobacco use and prevention address the WHO “best buy” interventions. Cameroon policy formulation was driven locally by the social context of non-communicable diseases, and globally by the adoption of the WHO Framework Convention on Tobacco Control. These policies incorporated at a certain level all four domains of tobacco use “best buy” interventions. Formulating policy on smoke-free areas was single-sector oriented, while determining tobacco taxes and health warnings was more complex utilizing multisectoral approaches. The main actors involved were ministerial departments of Health, Education, Finances, Communication and Social Affairs. The level of implementation varied widely from one policy to another and from one region to another. Political will, personal motivation and the existence of formal exchange platforms facilitated policy formulation and implementation, while poor resource allocation and lack of synergy constituted barriers.
Barriers to Postpartum Contraception: Differences among Women Based on Parity and Future Fertility Desires
(Culture, Health & Sexuality, 2017) Keesara, Sirina; Juma, Pamela A.
; Harper, Cynthia C.; Newmann, Sara J.
Timely use of contraception in the postpartum year is critical for pregnancy spacing, which protects a mother’s health and improves her ability to care for children. This qualitative study explored contraceptive decision-making among postpartum women in Nairobi, Kenya, with a focus on accounts of how women overcame barriers to postpartum contraceptive use. Focus groups (n = 61) and in-depth interviews (n = 30) explored experiences, barriers and actual use of postpartum contraception. Data were analysed using framework analysis, a method that organises qualitative data into themes and then interprets the data by mapping participant characteristics to these themes. Contraceptive use among women who desired future fertility was hindered by fear of side-effects and concern for partner disapproval. However, women who were satisfied with their family size more easily overcame these barriers. Tailoring postpartum contraceptive counselling to both assuage the concerns of women who desire future fertility and address the long-term contraceptive needs of mothers who desire to stop child-bearing could play a role in reducing the unmet need for contraception.
An Analysis of Views on the Perspective of Staff Behaviour on Utilization of Skilled Delivery Services by Maasai Women in Kiekonyokie Sub Location of Kajiado County in Kenya. IOSR Journal of Nursing and Health Science
(IOSR Journal of Nursing and Health Science, 2017) Simel, Laban Lebahati; Nanduri, Lakshmi; Juma, Pamela A.; Omuga, Blasio O.
Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development efforts and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries. In Kenya, 44 percent of births are delivered under the supervision of a health professional, mainly a nurse or midwife. Traditional birth attendants continue to play a vital role in delivery, assisting with 28 percent of births. This research paper aimed to study the role of views on staff behaviour on the utilization of skilled delivery services by Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya population. The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. The sample size was 264 women of reproductive age obtained by using Fisher et al., formula when the population is more than 10,000.The quantitative data has been analyzed using (SPSS) version 17.0 while the qualitative data was analyzed by summarizing of the themes. Results show the role of health seeking behaviour in relation to the views on staff behaviour on utilization of skilled delivery services in Maasai women in Kiekonyokie area of Kajiado County of Kenya.57.2% in the Kajiado study went to the health facility for other illnesses. Mothers in laws played the least role when it came to illnesses compared to pregnancy. The women acknowledged that delivering in the hospital is good but it has no communal support. Over 60% of the women in the study rated the staff behaviour as good with less than 10% rating as unacceptable. This indicated clearly that the staff behaviour towards women during delivery did not have a negative effect nor serve as a hindrance to them. Involvement of the mothers in laws and husbands during antenatal care visits till delivery time is important to enhance skilled delivery services among the Maasai women in this study. Health education to the stake holders is also essential in ensuring the safety of the mother and the newborn.