DIPLOMA IN COMMUNITY HEALTH AND DEVELOPMENT

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    FACTOR INFLUENCING ADOPTION OF ELECTRONIC MEDICAL RECORD SYSTEM IN WAJIR COUNTY REFERRAL HOSPITAL.
    (Management University of Africa, 2020-09) MUZAMIL OSMAN SALAH
    Acceptance of the information system sent by a physician to healthcare facilities is important to achieve the goal of the program, but many systems facing the challenges of this study have attempted to identify factors that influence the acceptance of electronic record systems, a year after its implementation. in Kenya. Electronic devices are useful for capturing and storing patient data that can be returned in summary form to provide a summary of the patient's history. Electronic medical records may be able to demonstrate completeness, provide better search and retrieval instructions and provide more accurate quality control and especially decision making. The purpose of the search and especially the support of the election. The purpose of this study was to identify the mechanism by which power may influence the acquisition of an electronic record system at Wajir County Referral Hospital, to determine the extent to which the area is affected by the adoption of an electronic medical record at the Wajir County Referral Hospital. The descriptive design of the search engine is welcome because it provides a description of the current state of affairs and currently the description of what is available, including the question and why. The target population was Wajir, County Referral Hospital. However, the electronic record system has not been implemented, so the penny is received to collect information from all healthcare areas in the general population. Selecting a participant from each hospital for the purpose of sampling is a kind of incompetence based on the characteristics of the population of interest, so the sample size of this study was all structures in the population based on the theory from which the modification technology exists. (TAM) imaging. Questionnaires were abandoned so that the plaintiff would complete them at his appointed time. This study collected data, as well as the use of standardized questionnaires and data encoded and analyzed using statistics.
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    FACTORS IMPACTING THE IMMUNIZATION IMPLEMENTATION PROCESS IN MARSABIT COUNTY'S SAKU CONSTITUENCY.
    (MUA, 2022-09) UMAR SALIHA ORGE
    This study looked into the variables influencing the immunization program in Kenya's Saku Constituency in Marsabit County. It was done in the four local government area regions (north, south, east, and west). To gather the data, the study used a cross-sectional study and an administered semi-structured interview questionnaire. Mothers and other caregivers of children ages 0 to 5 made up the study's population. Interviews were conducted with 400 moms and children under the age of five. According to the study, vaccination has a number of advantages, such as helping children grow up healthy and strong and reducing disease and death. Additionally, medication difficulties (unavailability), poor road/transport conditions, a baby or mother's poor health, and a busy schedule were the primary causes of each missed vaccine shot. The kid immunization rate in Saku is still unsatisfactory despite the fact that childhood immunizations are offered without cost and with increasing awareness. The study suggested that mothers' empowerment via education is necessary since it has been found to be a predictor of full vaccine uptake.
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    FACTORS AFFECTING VIOLENCE AGAINST WOMEN IN ELDAS SUB COUNTY IN WAJIR COUNTY, KENYA: A CASE STUDY OF CENTRE FOR RIGHTS EDUCATION AND AWARENESS
    (MUA, 2022-11) UBAH HUSSEIN ALI
    This research aimed to identify causes of violence against women in Eldas Sub County, Wajir County, so that appropriate measures might be taken to lessen its incidence. In doing so, it aimed to add to the existing body of information about the causes of violence against women in this area. This research aimed to better understand the causes and consequences of violence against women in Eldas Sub County, Wajir County, Kenya. The following goals served as the basis for this research: The goal of this study is to assess the impact of anti-violence training programs on female victims of violence in Kenya. Examining the connection between women's property rights and domestic violence in Kenya The purpose of this study is to determine the effect of socialization within communities on gender-based violence against women in Kenya. The purpose of this study is to determine the effect of power dynamics on the prevalence of violence against women in Kenya. Hopefully, the study's results will help those with a stake in the issue to zero in on the specific techniques that have been successful in their own countries, therefore giving financial, physical, and emotional agency to victims of violence against women. The government may take heart from this report as well. In light of the study's results, policymakers in Kenya's education system may decide to include coursework on domestic violence prevention and intervention in the national curriculum. The research relied heavily on three theories: Bandura and Weaver's (2016) Social Learning Theory, Kelman and Weaver's (1958) Theory of Social Influence, and Merrill and Weaver's (1992) Feminist Theory (2016) Descriptive methods will be used in this study. Participants consisted of 149 women aged 15 to 49 from Eldas Sub County, Wajir County (149). To guarantee that every demographic is fairly represented in the data set, a stratified random sampling strategy was used. A questionnaire consisting of both structured and unstructured questions was the primary tool for data gathering. Qualitative and quantitative methods were used to examine the data.
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    FACTORS INFLUENCING DRUG AND ALCOHOL ABUSE AMONG YOUNG PEOPLE IN KENYAN SLUMS. A CASE STUDY OF MOROTO SLUM MOMBASA COUNTY
    (MUA, 2024-04) ANNE LASOI BAKARI
    Use of cigarettes, marijuana, and other psychoactive drugs among young people is a global health crisis. The goals of this case study of the Moroto Slums in Mombasa County were to assess the extent to which peer pressure, illiteracy, drug availability, and family cohesiveness contribute to youth substance abuse, and to draw conclusions about the implications of these factors. The study employed a quantitative research approach to demonstrate correlations and cause and effect relationships vital to the constructs' viability, and the methodology was descriptive. One hundred persons were randomly selected from a pool of 200 residents of the Moroto Slums. A questionnaire was used to gather information from participants in the research. Validity and reliability of the research instrument were established by a pilot study. The collected information was put via SPSS analysis before being shown graphically.
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    CHALLENGES FACING COMMUNITY HEALTH EDUCATION PROGRAMS IN URBAN AREAS A CASE STUDY OF LANGATA CONSTITUENCY
    (Management University of Africa, 2024-06) QURESHA ALI ABDILLE
    Langata Constituency is the intended site of this research of the difficulties encountered by urban community health education initiatives. The study's overarching goal is to learn what makes community health education programs in cities fail, and its more narrowly focused goals include: Langata Constituency community health education program outcomes as a function of socioeconomic level. Looking at how health literacy affects the success of health education programs in the community. Finding out how the presence of healthcare facilities in the Langata Constituency affects the state of community health education initiatives. In the urban Langata Constituency, we look at how infrastructure and resources help or hurt community health education programs. Using a basic random selection procedure, 112 respondents (representing 10% of the population) were chosen from a target population of 1,124 homes. In order to gather data, research assistants distributed Liker scale questionnaires. The research tools were fine-tuned in a pilot study with 12 respondents before the main investigation. In order to analyze the data, which mostly made use of descriptive statistics like percentages and frequencies, the data had to be coded and entered into Excel. The use of tables, bar graphs, and pie charts to display data improved the analysis and allowed for a more thorough understanding of the results. By taking this tack, we were able to learn everything we could about the difficulties urban community health education programs encounter, which aided lawmakers, medical professionals, and community members in their quest to find solutions and make health education programs work better everywhere. The research looked at the difficulties of urban community health education programs and found that the participants were very different in terms of gender, age, education level, and duration of residence in Langata Constituency, among other demographic variables. Disparities in program accessibility and efficacy were highlighted by socioeconomic status perceptions, whereas health literacy levels affected program understanding and participation. Transportation issues limited access to healthcare facilities, which in turn affected program participation. The effects on program delivery of infrastructure quality and allocation of resources were not uniform. The research found that in order for community health education to be successful in urban settings, it is important to address socioeconomic gaps, improve health literacy, make healthcare more accessible, and optimize infrastructure. Improvements to healthcare access, culturally relevant health education materials, infrastructural upgrades, and individualized treatments for people from different socioeconomic backgrounds are all on the list of suggestions. To improve health education equality, future research should focus on the following: long-term program effects; comparative studies across urban contexts; creative intervention techniques; and intersectional analyses.
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    FACTORS INFLUENCING DRUG AND ALCOHOL ABUSE AMONG YOUNG PEOPLE IN KENYAN SLUMS. A CASE STUDY OF MOROTO SLUM MOMBASA COUNTY
    (MUA, 2024-04) ANNE LASOI BAKARI
    Use of cigarettes, marijuana, and other psychoactive drugs among young people is a global health crisis. The goals of this case study of the Moroto Slums in Mombasa County were to assess the extent to which peer pressure, illiteracy, drug availability, and family cohesiveness contribute to youth substance abuse, and to draw conclusions about the implications of these factors. The study employed a quantitative research approach to demonstrate correlations and cause and effect relationships vital to the constructs' viability, and the methodology was descriptive. One hundred persons were randomly selected from a pool of 200 residents of the Moroto Slums. A questionnaire was used to gather information from participants in the research. Validity and reliability of the research instrument were established by a pilot study. The collected information was put via SPSS analysis before being shown graphically.
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    CHALLENGES FACING COMMUNITY HEALTH WORKERS IN RURAL AREAS A CASE STUDY OF KHOROF HARAR WARD
    (Management University of Africa, 2024-04) OSMAN MOHAMUD FARAH
    The purpose of this research was to examine, within the context of Khor of Harar Ward in particular, the difficulties encountered by community health workers (CHWs) in rural regions. The primary goal was to learn about the most significant challenges that community health workers faced while providing healthcare in this remote area. Here were the precise goals of the research: This study aimed to determine how community health workers in Khor of Harar Ward were impacted by the resources that were available to them. In order to find out how much of an improvement in performance and service delivery community health workers experienced after receiving training and education. The purpose of this study was to analyze how Khor of Harar Ward's infrastructure and amenities affected community health workers' daily tasks. We wanted to learn more about the cultural elements and community involvement that had an impact on the struggles and triumphs faced by community health workers in this remote region. Community health workers (CHWs) in Kenya's Khor of Harar Ward were the subject of this research. A census sample approach was used to include all members of the target population, which consisted of 104 CHWs. The research gathered data on several variables influencing CHWs using closed ended questionnaires that included Likert scale answers. Collecting data included research assistants helping with questionnaire administration in accordance with the study methodology's ethical concerns. After that, we used Excel to process and analyze the data descriptively, and then we displayed the results visually using graphs and charts. The purpose of this study was to shed light on the factors that helped and hindered community health workers (CHWs) when it came to providing quality healthcare to the people in their communities. By focusing on these particular goals, the research hoped to shed light on ways to make rural community health worker programs more efficient and effective, which would help improve healthcare for underprivileged areas like Khor of Harar Ward. The results showed that CHWs had different views on the availability of resources, which emphasized the need for fair distribution and effective procurement processes. The significance of ongoing education and individualized programs to strengthen capacity was highlighted by the fact that training and education had a favorable effect on CHW responsibilities. Investment in infrastructure development efforts was necessary since CHW efficacy was dependent on infrastructure support, which included transportation and access to facilities. The significance of building alliances, learning about cultural norms, and communicating better with the community was also highlighted as critical to the success of CHWs, along with cultural sensitivity and active community participation. To sum up, the research showed how many variables affected CHW effectiveness and how important it was to take a comprehensive approach to solving problems with rural healthcare delivery. Boosting training and education programs, investing in infrastructure development, boosting resource allocation and management systems, and creating community collaborations were the primary suggestions for successfully supporting CHW operations. These suggestions were made with the intention of enhancing healthcare accessibility and results in rural areas such as Khor of Harar Ward by bolstering the capabilities of community health workers.
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    ASSESSING COMMUNITY BASED HEALTH PROGRAMS FOR PREVENTION OF CHRONIC DISEASES IN KENYA. A CASE STUDY OF MOYALE SUB COUNTY HOSPITAL
    (management university of africa, 2024-03) ZAMZAM ABUBAKAR
    Although mortality from communicable diseases and poor nutrition have been declining, noncommunicable diseases have been on the rise in developing countries. Consequently, this poses a serious challenge to health programming. There are predictions that NCDs will continue to rise in the coming years resulting to at least 9 million deaths every year. This death rate would occur among people who are below 60 years of age in sub-Saharan Africa. NCDs are associated with some underlying risk factors of which most of them can be tackled through clear policy intervention. The specific objectives of the study sought to determine the impact of nutrition education, frequent physical activities, and level of awareness on prevention of chronic lifestyle diseases in Moyale Sub-County Hospital. A descriptive research design was adopted. The population of study includes 160 staffs of Moyale Sub-County Hospital where a sample of 64 individuals was selected using a Stratified random sampling. The data collection tools consist of questionnaires and data was presented using graphs and tables for better interpretation and analysis.
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    FACTORS INFLUENCING THE PERFORMANCE OF COMMUNITY HEALTH WORKERS IN MANDERA EAST CONSTITUENCY
    (management university of africa, 2024-02) OSMAN AHMED MOHAMED
    One reason healthcare delivery is becoming more difficult, particularly in low-income countries, is a lack of trained medical professionals, according to a World Health Organization report from 2006. It was more economical to use CHWs to treat low-income Kenyans. The implementation of CHW in Kenya has prompted inquiries about the program's efficacy and viability in the long run. There is a lack of scientific evidence on important matters, such CHW performance, and the disease burden keeps rising, despite CHWs' great ability. On the other hand, some people question the efficacy of CHWs as change agents and the feasibility of launching and maintaining large-scale CHW initiatives. Factors affecting Mandera East CHW performance were the focus of this study. This descriptive study looked at the results of training and supervision, rewards, and other motivational tactics on community health workers in the Mandera East constituency. It also looked at the impacts of community participation and support. We gathered information using both quantitative and qualitative techniques. Using systematic sampling, we were able to locate respondents. Quantitative data was provided by one hundred community health specialists, while qualitative data was provided by CHMT, customers, and extension workers (CHEWs). Data was presented in tables, and inferential statistics were computed using regression and correlation. The impact of training on the performance of community health workers was the subject of this section of the questionnaire. According to the results, training improved the services provided by community health workers by 80% of the people surveyed. The results showed that 65% of those who took the survey believed that financial incentives would encourage more home visits from community health workers. Increasing incentives will encourage more individuals to seek medical treatment from community health practitioners, according to 60% of respondents. Community involvement and community health worker performance were examined in this part. The data showed that 75% of respondents said community health professionals visit families sometimes and 20% said they usually do. Additionally, 80% of respondents said community health professionals sometimes give health education, while 10% said they usually do. This section examines how workload affects community health professionals.
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    FACTORS INFLUENCING TUBERCULOSIS (TB) AMONG THE ELDERLY PEOPLE FROM THE AGE OF 65 AND ABOVE IN WAJIR COUNTY REFERRALS HOSPITAL
    (management university of africa, 2023-05) SOFIA AHAT
    The primary goal of this research was to examine the factors influencing tuberculosis (TB) among the elderly persons from 65 years and above in Wajir County Referrals Hospital. Specific objectives included: To determine the effect of Sociodemographic characteristics on tuberculosis among the elderly people in Wajir County Referrals Hospital, to determine the effect of diabetes mellitus (DM) on tuberculosis among the elderly people in Wajir County Referrals Hospital and to determine the effect of malnutrition on tuberculosis among the elderly people in Wajir County Referrals Hospital. The study used descriptive research design. The study population included registered elderlies with TB infections on treatment in the Wajir County Referrals Hospital facility. Primary data was collected by questionnaire, and secondary data was congregated from past studies. The Statistical Package for Social Sciences version 24 was used for statistical analysis of the data. The results were presented using figures and tables. The study came to the conclusion that individuals with diabetes mellitus had a significant risk of developing tuberculosis. Statistics showed a statistically significant relationship between socio-demographic factors and TB. The study discovered that a significant contributing factor to the TB illness in Wajir county is malnutrition among the elderly. Males make up a majority of the TB patients at the Wajir County Referral Hospital. In conclusion, to put them (health facilities) closer to the people, fully functional health facilities should be distributed across the area. Mobile units that provide TB testing and treatment services should be established to serve the remote nomads in order to support access to health care. The governments should develop educational initiatives to inform the public about the causes of TB and its treatment. The government should develop strategies to raise literacy rates since education is thought to improve information receptivity. The community will be able to afford healthcare services and other essentials if marketplaces and roads are opened up for business. The study finally recommended that to determine whether the same findings would be obtained, similar research might be conducted in other counties at various locations.