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Study of Utilization of Electronic Medical Records in Health Service Provision at the HIV Comprehensive Care Centers in Kiambu County, Kenya
(International Journal of Advances in Scientific Research and Engineering (ijasre), 2024-08) Mwangi, Caroline Gathoni; Otieno, George; Oyore, John Paul
An electronic medical record system (EMR) is a digital record of health-related data for individual patients,
maintained by authorized providers. Complete and timely information is crucial for informing public health decisions
and improving health service delivery, particularly for HIV/AIDS. This study assessed the utilization of EMR systems
in HIV comprehensive care centers in Kiambu County, Kenya. Specifically, it examined the association and predictive
influence of infrastructure, technical factors, and perceived usefulness on EMR utilization. The research adopted a
descriptive cross-sectional design and applied stratified random sampling to categorize 38 health facilities based on
their level of care. A sample size of 186 participants was proportionally allocated to the various strata, and data was
collected through questionnaires. Analysis using SPSS version 25.0 involved Chi-square tests to examine associations
between variables and logistic regression analysis to assess predictive influences. The results revealed that
infrastructure (χ²=24.23, p<0.05), technical factors (χ²=62.93, p<0.05), and perceived usefulness (χ²=38.55, p<0.05)
had significant associations with EMR utilization and had positive predictive influences. The study concluded that
upscaling EMR utilization in HIV care clinics requires a multifaceted approach. It recommended that the County
Government of Kiambu implement comprehensive training programs for EMR users, increase funding for EMR
infrastructure, strengthen routine maintenance of ICT equipment, and engage ICT staff at the facility level to provide
on-site support and troubleshoot the systems
Defaulting Rate and Associated Factors among Patients Attending Methadone Maintenance Clinics in Nairobi City County, Kenya
(International Journal of Community Medicine and Public Health, 2024-10) Owuor, Sharon Akoth; Mwanzo, Isaac J. M.; Orago, Alloys S. S.
Background: Defaulting from MMT clinics is a major public health problem affecting people globally resulting in high transmission of HIV, hepatitis B and C, increased crime rate, and reduced productivity of an individual. However, defaulting rate in the MMT clinics in Nairobi City County in Kenya remains understudied. This study was aimed at determining the defaulting rate and its associated factors from MMT clinics in Nairobi City County, Kenya. Methods: A cross-sectional analytical study design was employed. Simple random sampling, purposive sampling and stratified sampling were utilized in this study. A sample size of 388 patients was randomly selected. A semistructured questionnaire was used for data collection. SPSS V.24 was used for data analysis. Results: A response rate of 95% (369) was achieved. Most were youths aged 18-35yrs (60.7%, n=224), male (76.4%, n=282), married (39%, n=144), Christians (51.8%, n=191). The defaulting rate was 53% with marital status, religion, education level, and income source being significantly associated with defaulting (p
Credit Risk Management and Liquidity of Commercial Banks in Kenya
(Stratford Peer Reviewed Journals and Book Publishing, 2025-04) Osman, Warsame Mohamed; Makori, Daniel; Muchira, Bancy
Liquidity has remained a challenge among commercial banks in Kenya. For instance, the ratio of loans against deposits of the said banks stood at 0.740969, 0.74092, 1, 0.713654 and 0.795822 with an average value being 0.798273 across the period 2018, 2019, 2020, 2021 and 2022 respectively. This implies that most of the commercial banks did not have adequate assets as compared to deposits needed to finance customer loan requests which provide evidence of liquidity concerns among commercial banks in Kenya. This study examined the effect of credit information sharing, loan loss provisioning, and lending requirements on the liquidity of commercial banks in Kenya. Guided by relevant financial theories, it adopted a positivist, explanatory approach using both primary and secondary data from 39 banks between 2018 and 2022. The questionnaire was pilot tested before data gathering process among 4 credit managers from commercial banks in Kenya. The reason for pilot testing was to determine reliability of questionnaire while its validity was ensured by supervisor and two experts in the field of finance. Processing of the gathered data was done descriptively and inferentially and presented in tabular and graphical forms. Multicollinearity, normality was conducted as diagnostic tests before regression analysis to test its assumptions. The ethical issues that were considered in this study included appropriate citation and referencing of the information reviewed to avoid plagiarism and voluntary participation by respondents. The findings were that credit information sharing (p
Climate Variability and Response Strategies among Smallholder Sweet Potato Farmers in Gatundu North Sub-County, Kiambu County, Kenya
(International Journal of Research in Environmental Science (IJRES), 2024) Gacheru, Jemimah Wanjiru; Wemali, Evelyn; Gathuru, Gladys
Climate change and climate variability as manifested in prolonged droughts and frequent floods among other effects is a challenge world over, affecting climate sensitive sectors such as agriculture. Climate variability could be particularly damaging to smallholder farmers that are dependent on rain-fed agriculture including those that grow sweet potatoes in many parts of Kenya such as Gatundu North Sub-County of Kiambu County. The aim of this research was therefore to assess the relationship between smallholder sweet potato production and climate variability in Gatundu North Sub-County. The study used monthly rainfall totals, monthly average maximum and minimum temperatures, annual sweet potato production and responses fromselected smallholder sweet potato farmers. There was a decreasing trend in annual rainfall totals, this trend was however not significantbut the rainfall was highly variable. Annual average maximum and minimum temperatures had an upward trendbut variability was negligible. There was a downward trend in annual sweet potato production. Annual sweet potato production and annual rainfall/annual average maximum and minimum temperatures had a weak negative correlation. The coping strategies being utilized by smallholder sweet potato farmers included crop diversification, irrigation, planting fast-maturing varieties, cultivating in swampy areas, cultivating under other plants to provide shade and adjustment of planting dates. It was concluded that there was no significant relationship between changes in rainfall and temperature and sweet potato production in the study area implying that the coping strategies being used by surveyed farmers were effective in mitigating the deleterious effects of climate variability on the crop and should therefore be strengthened.
International Financial Reporting Standard 9 and Performance of Commercial Banks in Kenya
(Nairobi University, 2025-03) Thogo, Mburu Daniel; Warui, Frederick; Musau, Salome
Commercial banks play a critical role in resource allocation and financial intermediation, channeling funds from depositors to investors. In response to the 2007–2008 global financial crisis, regulators introduced measures to enhance financial stability, including the International Financial Reporting Standard 9 (IFRS 9), issued by the International Accounting Standards Board in 2014. IFRS 9 replaced IAS 39, aiming to strengthen bank financial performance through a forward-looking credit risk management framework and expected credit loss (ECL) provisioning. However, studies have suggested that the early recognition of credit losses and stricter risk management practices under IFRS 9 may negatively impact bank profitability. This study examines the impact of IFRS 9 on the financial performance of commercial banks in Kenya, focusing on loan loss provisioning, credit risk, and capital adequacy. Additionally, bank competition was analyzed as a moderating factor. The research is grounded in Credit Risk Theory, Asymmetric Information Theory, Agency Cost Theory, the Basel Capital Adequacy Framework, and the Structure-Conduct-Paradigm Theory. A positivist research philosophy and a longitudinal design were employed, utilizing secondary data from 39 banks over the period 2018–2022, sourced from audited financial statements and Central Bank of Kenya supervision reports. Descriptive statistics and panel regression analysis were conducted, alongside diagnostic tests to ensure data reliability. The findings indicate that loan loss provisioning, credit risk management, and capital adequacy have a significant positive impact on bank performance. Additionally, market share was found to moderate this relationship. The study recommends that bank managers enhance loan loss provisioning, maintain adequate capital buffers to meet regulatory requirements, and strategically expand market share to improve financial performance.