School of Science, Engineering and Health
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Browsing School of Science, Engineering and Health by Author "Ayiro, Laban Peter"
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Item Emotional Intelligence and Leadership: A Case for Quality Assurance Managers in Kenyan Universities(Emotional Intelligence – New Perspectives and Applications, 2012) Ayiro, Laban Peter; Sang, James K.The notion of quality is hard to define precisely, especially in the context of tertiary education where institutions have broad autonomy to decide on their own visions and missions. Any statement about quality implies a certain relative measure against a common standard; in tertiary education, such a common standard does not exist. Various concepts have evolved to suit different contexts ranging from quality as a measure for excellence to quality as perfection, quality as value for money, quality as customer satisfaction, quality as fitness for purpose, and quality as transformation (in a learner) (SAUVCA 2002). Some institutions have adopted the International Standards Office (ISO) approach in some of their activities. Depending on the definition selected, quality implies a relative measure of inputs, processes, outputs or learning outcomes. Institutions, funders, and the public need some method for obtaining assurance that the institution is keeping its promises to its stakeholders. This is the primary goal of quality assurance. The leadership of the quality assurance directorates in universities has therefore come into sharp focus.Item Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya(Science Journal of Public Health, 2017-07-03) Sang, Richard Kiplangat; Obwoge, Ronald Omenge; Kangethe, Simon; Ayiro, Laban Peter; Changeiywo, Johnson MasaiTuberculosis (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.Item Patient Factors Which Contribute to Non-adherence to TB Treatment in Kericho and Nakuru Counties of Kenya(Science Journal of Public Health, 2017-07) Arap Sang, Richard Kiplangat; Obwoge, Ronald Omenge; Kangethe, Simon; Ayiro, Laban Peter; Changeiywo, Johnson MasaiTuberculosis (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.Item Stunted Too Early: Analysis of the Cambodia and Kenya 2014 Demographic and Health Survey Data(World Nutrition, 2019) Ettyang, Grace A. K.; Sawe, Caroline J.; Ayiro, Laban PeterBackground Child stunting reflects chronic under-nutrition, which often begins before birth and is almost irreversible after the second year of life. Globally, by 2018, an estimated 140 million children under the age of 5 years were stunted. Over one-third each lived in South East Asia (34.4%) and Eastern and South Africa (33.6%). This condition puts children at disadvantages due to partly irreversible physical and cognitive damage. This poorly nourished beginning has consequences that include persistent poverty, worsening inequality, higher health care costs and weaker national economies. Early detection of stunting is a key factor to any prevention strategy. Objective To examine the relationship between child, maternal, household, and gender inequality characteristics with early onset of child stunting in Kenya and Cambodia. Methods The study analyzed data from the 2014 Demographic and Health Surveys (DHS) in Kenya and Cambodia for children under age 2. Bivariate and logistic regression analyses were performed to find associations between the variables and child stunting. Results The prevalence of stunting among children under age 2 in Kenya was 22%, and in Cambodia, 25%. Child’s age, perceived birth size, family wealth status, and region of residence were significantly associated with stunting. In both countries children from the richest households had 0.4 times lower odds of being stunted compared with those from the poorest households. In Kenya, female children had 0.6 times lower odds of being stunted compared with male children. In Cambodia, children from rural areas had 0.6 times lower odds of being stunted compared with those from urban areas, while children whose mothers were underweight had 1.7 times higher odds of being stunted than children whose mothers were not underweight. In both countries, there was general lack of a strong and significant relationship between the DHS indicators of gender inequality and child stunting. Conclusions Children’s characteristics, household wealth and maternal underweight were more important in predicting stunting in these children under two years of age than factors related to gender inequality. A more extensive analysis of future DHS data that includes other aspects of gender inequality such as decisions on choice and preparation of food, purchase of household goods, as well as gender-based barriers to provision of child care might provide additional insights on that potential determinant of early stunting.Item Successes and Limitations of Community- Based Education Service at Moi University School of Medicine, Eldoret, Kenya(World Journal of Medical Education and Research, 2018) Katwa, J. K; Ayiro, Laban Peter; Baliddawa, J; Kei, RBackground: Community-based education has been introduced in many medical schools around the globe, but evaluation of instructional quality has remained a critical issue. Community-based education is an approach that aims to prepare students for future professional work at the community level. Instructional quality should be measured based on a program’s outcomes.. The purpose of this study was to evaluate the successes and limitation of COBES. 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: The response rate among students was 250 (91%), 65 (48%) among lecturers and 9 (100%) among administrators. 77% of students accepted that the college is short of vehicles for COBES. Majority of the students felt that COBES provides an opportunity to meet real life problems of the community and is challenged to provide solutions to the existing health problems. Participant 098 stated that “COBES Provides different approach to solving problems and alternative and realistic approach in seeking answers to actual health problems”. Conclusions: Community based education motivates students to practice community health care. In addition, their motivation is increased by the health education activity. Participating in this activity probably produces a positive effect and improves the instructional quality of the program based on its outcomes. Policy Implications: Community based education during medical school has a positive effect on students. However, the adoption has been met with some concern, primarily because of the substantial manpower and means of transport. COBES becomes a major concern when there are limited resources available.