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DETERMINANTS OF QUALITY OF HEALTHCARE DELIVERY IN DEVOLVED SYSTEMS: CASE STUDY OF LAMU COUNTY, KENYA

John Mburu Kimani - Masters Student, Kenyatta University, Kenya

Edna Moi - Lecturer, Kenyatta University. Kenya


ABSTRACT

Devolved government is a form of administration that is permitted by Article 6 of the Kenyan Constitution. Its two political and administrative arms, the Legislature, and the Executive, are divided among the 47 counties. Devolution helps to achieve this goal by distributing control, authority, and representation to local levels. The enactment of numerous legislations by Parliament to create the foundations for implementation and adoption has helped to realize the goals of devolution. The healthcare statistics for Kenya offer an unsettling picture due to a lack of medical facilities, staff, equipment, and supplies. In order to receive healthcare, patients may use over-the-counter medications, conventional medical services, or private healthcare facilities, while others may succumb to this circumstance. The purpose of the current study is to identify the variables influencing the provision of medical care services, with particular reference to Lamu County, Kenya. In particular, the study aimed to ascertain how government funding and the degree of service delivery quality affect health care delivery in Lamu County. A descriptive research design was used for this investigation. The 143,920 individuals that comprise the study's target group were both hospitalized patients and hospital-based healthcare workers. To select 399 respondents, a straightforward random sampling approach was used. The necessary sample size was calculated using the Yamane formula and a level of confidence of 95%. The researcher collected data using a semi-structured questionnaire. The researcher used the "Drop and Pick Later" data collection method to allow respondents sufficient time to respond to the study's questions. A pilot study consisting of ten respondents who were not included in the final poll was done. The reliability of the study was determined by calculating Cronbach's alpha, and an alpha of 0.7 or above indicated that the instruments were reliable. A combination of descriptive analysis and content analysis was utilized for analysis of the data collected. Descriptive analysis was used to investigate the quantitative elements, such as the size of the human resource, health facilities, the working hours, and the demographics of the respondents. On the other hand, content analysis was used to examine the theoretical conclusions of the research. The studied data was illustrated using frequency data tables, pie charts, and bar graphs. The study also came to the conclusion that the distribution of resources has a big impact on how well health services are delivered in Kenya. The study recommends that in order to enhance the delivery of healthcare services, both National and County should implement a set of deliberate and proactive processes, rules, and structures that support board size.


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COMMUNITY PARTICIPATION AND ITS EFFECT ON SECURITY AGENDA SETTING IN NAIROBI CITY COUNTY, KENYA

Felix Ingasia - Masters Student, Kenyatta University, Kenya

Wilson Muna - Lecturer, Kenyatta University. Kenya


ABSTRACT

The world, specifically developing nations such as Kenya are experiencing increased crime rate. Kenya specifically has experienced a surge in crime rate since 2014. Today, due to the dynamic and diverse nature of crime trends security agencies are engaging local communities through various strategies in security agenda setting. There is growing empirical studies on public participation, however, the link on how the framework affect community participation in security agenda setting in Kenya has not been adequately addressed. Therefore, the purpose of this study was to determine the effects of community participation on security agenda setting in Westland Sub-County, Nairobi County. It was premised on three key theories, namely agenda setting theory, systems’ approach and stakeholders approach. The study used descriptive research design to collect primary data from the sub-county security team. The researcher used interview guides and semi-structured questionnaires to collect qualitative and quantitative data from a sample size of 49 respondents (1 SSIC members, 2 ACCs, 1 OCS, 5 chiefs, 7 assistant chiefs, 11 Nyumba Kumi clusters, 5 peace committees, and 18 village elders) selected within the scope area. The collected data was analyzed using descriptive statistics such as frequency distribution tables, calculating rates and tabulation, Statistical Package for Social Sciences (SPSS) and content analysis approach for quantitative and qualitative data, respectively.The findings show that security agents majorly use information sharing to engage citizens in security agenda setting, especially by holding public meetings. Regarding intelligence gathering, the findings show that citizens share intelligence information more with security agents, making it easier to maintain peace within the scope area. Also, it was found that security agents hardly share security-related or intelligence information with members of the public due to confidentiality. The inferential analysis shows a positive correlation between dependent and independent variables.


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WORKFORCE DIVERSITY MANAGEMENT AND EMPLOYEE PERFORMANCE AMONG NON GOVERNMENTAL ORGANIZATIONS IN NAIROBI, KENYA

Brian Kipsang - Master’s Student, School of Business, University of Nairobi, Kenya

Jeremiah Kagwe - Lecturer, School of Business, University of Nairobi, Kenya


ABSTRACT

This study had two objectives; to establish the workforce diversity management practices adopted by entre for Centre for Health Solutions in Nairobi, Kenya and to analyze the relationship between workforce diversity management and employee performance at the Centre for Health Solutions in Nairobi, Kenya. The study adopted descriptive survey research design targeting 95 staff from Centre for Health Solutions in Nairobi. Stratified random sampling method was used to select 77 respondents as the sample size. Primary data was gathered through questionnaire and analyzed through means and standard deviations as well as regression analysis and presented through tables. The study noted that education diversity (β=0.212, p<0.05) had the greatest positive and significant relationship with employee performance of CHS followed by age diversity (β=0.182, p<0.05), culture diversity (β=0.162, p<0.05) and gender diversity (β=0.098, p<0.05). The study concludes that workforce diversity management is a significant predictor of employee performance at CHS.


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INFLUENCE OF COMMUNITY POLICING INITIATIVES ON YOUTH RADICALIZATION IN MOMBASA COUNTY IN KENYA

Mwakaribu Mazima Mwagut - Masters Student, Kenyatta University, Kenya

David Minja - Lecturer, Kenyatta University. Kenya


ABSTRACT

Effective implementation of community policing is a key tenet hence the need to evaluate the factors influence effective implementation of community policing. The study also looked at its influence on how police conduct their work, crime rate and community cohesion. Despite all these measures that have been established to secure the future of these young people especially from radicalization; there are still elements that end up getting a way to radicalize the youths into the gang groups and terrorist cells. The study therefore sought to evaluate influence of community policing on youth radicalization using the context of Kisauni Sub-county in Mombasa County. The specific objectives shall include: examining the influence of inadequate funding, police officer professionalism, and information sharing on youth radicalization levels. The study relied on Mass line policing theory that shows how the police as security institution can adopt the community policing program model to reduce incidences of crime and insecurity in society. A descriptive design was adopted. The study adopted a census study to identify the respondents and the population distribution of the target population since the target population was too small for sampling. The target population was members of community policing committee in the eight wards in Kisauni Constituency. The study conducted a census of all the 150 respondents comprised of ward and self-administered questionnaires to the police officers. The collected data was then analyzed using SPSS version 22 as the main computer tool of analysis. The descriptive statistics such as mean, standard deviation, percentages and frequency of responses as well as inferential statistics such as regression to give the linear relationship of the variables were used. The results were then presented inform of tables and charts for easy interpretation and understanding by the readers. The study finding in this study is expected to assist the national government through the National Police Service in the administration of the community policing policy in strategy and policy formulation of community policing guidelines. The study established that inadequate funding; police officers professionalism and information sharing all have significant influence on youth radicalization. The study concludes the community policing is a significant predictor of youth radicalization. The study recommends that the management of the County Policing Authority should review, monitor and track the progress so far made in implementation of the Community Policing Initiative in Mombasa County. The policy makers at the National Security should align the policies and overall goals of County Policing Authority with the National Security goals so as to allow multi-agency and integrated approach in dealing with youth radicalization. The Finance Managers at the County Treasury should allocate adequate funds towards the County Policing Authority to support the community policing activities in Mombasa County. Equally, the National Treasury should remit County budgetary allocations on time so that the same can be utilized in funding the community policing initiatives. The management team of advocacy and civil society organizations in Mombasa should organize more seminars and training among youths to create more awareness on the need to share relevant information and cooperate with police officers in handling radicalization challenge. The human resource managers working in the County Policing Authority and those at the Kenya Police Service should review the professional standards required by police officers.


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EFFECT OF COMMERCIAL MOTORCYCLE TRANSPORT ON SOCIO-ECONOMIC EMPOWERMENT AMONG THE YOUTHS IN KWALE COUNTY, KENYA

Clyde Omondi Deppuh - Masters Student, Kenyatta University, Kenya

Peter Ng’ang’a - Lecturer, School of Humanities and Social Sciences, Kenyatta University. Kenya


ABSTRACT

Transportation is crucial for all of our endeavors and is an essential component of empowerment and socioeconomic growth. Examining the effects of commercial motorcycle transportation on teenage social and economic empowerment in Kwale County, Kenya, was the study's main goal. The survey objectives were; to establish the effects of employment creation on social economic empowerment among the youths in Kwale County, Kenya, to examine the effects of poverty alleviation on social economic empowerment among the youths in Kwale County, Kenya, to find out the effects of informality of operations on social economic empowerment among the youths in Kwale County, Kenya and to determine the effects of access to finance on social economic empowerment among the youths in Kwale County, Kenya. The survey was based on; functional theory, human capital theory and social capital theory to convey out the effects of commercial motorcycle transport on social economic empowerment among the youths in Kwale County, Kenya. Descriptive research design was applied to the study. The study population was categorized into commercial motorcycle transport operators, youth group officials and Sacco personnel in Kwale County. The study, which had 310 commercial motorbike transporters as its target audience as well as youth group representatives and Sacco staff in Kwale County, was calculated using the Yamane (1967) formula with a 95% confidence level (0.05 level of significance). Tables were used to present the results. Inferential data was analyzed using multiple regression. Using a multivariate regression analysis model, the link between the independent and dependent variables was discovered. In-depth information was gathered via questionnaires. To ensure that the respondents provided thoughtful responses, the questionnaires were distributed to them using the drop-and-pick approach. Two days before to dropping off the questionnaires, the researcher scheduled meetings with the chairwoman of the Kwale County Boda-boda Association. Each question was designed to address both the variables and each of the study's objectives. Open ended questions were used to get specific information from the operators, whereas close ended questions were used to elicit opinions on certain topics. The researcher has a moral duty to treat the data gathered from the operators with the utmost propriety due to the sensitivity of the information sought for this study. Before starting the study, the researcher contacted the appropriate authorities to request their authorization. The findings reveal that there is a significant relationship between employment creation on socio-economic empowerment among the youths in Kwale County. Poverty alleviation is positively related with socio-economic empowerment among the youths in Kwale County. There is a significant relationship between informality of operations and socio-economic empowerment among the youths in Kwale County. Access to finance is significantly related with socio-economic empowerment among the youths in Kwale County. This study concluded that that there is a significant relationship between commercial motorcycle transport and socio-economic empowerment among the youths in Kwale County. The study recommends that the youth diversify their sources of incomes to supplement income from the boda-boda businesses. The youth should organize themselves into groups to access soft loans for their the boda-boda businesses. Youth should comply with the regulations of the boda-boda business. The youth should also explore various sources of financing of their motorcycle business. This study recommends that banks and saccos should assist the boda-boda businesses. The financial institutions should facilitate the youth with credit to expand their boda-boda businesses. The youth should also be provided with favorable interest rates on loans. The study recommends that a cross sectional research could be carried out in all counties in Kenya. Other studies could adopt a mixed methods approach of data collection for better understanding of the phenomenon.


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