RP-School of Health Sciences

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Browsing RP-School of Health Sciences by Author "Ambani, Elizabeth"

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    Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya
    (East African Journal of Health and Science, 2024-08-28) Gitahi, Eunice; Kabue, Priscilla; Ambani, Elizabeth
    Primary health care is instrumental to delivery of quality basic health care services in communities. Its significance lies in ensuring that appropriate basic healthcare services are offered to all who need them competently, fairly and efficiently based on a people-centered approach. The study therefore sought to assess the factors affecting implementation of primary health care services among nurses in level 3 health facilities in Kiambu County, Kenya. This was an analytical cross-sectional study conducted among 141 nurses who worked in level 3 health facilities in Kiambu County and recruited using simple random sampling technique. They responded to a self-administered questionnaire. Data was probed descriptively with measures including proportions along with counts utilizing SPSS version 25.0. Relationships in study attributes were probed with chi-square test at 95% CI with outcomes shown in tables and figures. From the findings, majority (91.5%, n = 129) of the nurses rated the level of implementation of primary health care services in their workstations as sub-optimal. The factors found to strongly correlate with the poor implementation of the primary healthcare services were inadequate number of available healthcare personnel (p = 0.002); poor or low remuneration of healthcare providers (p = < 0.000); poor supply of essential medicine/drugs (p = 0.011); unavailability of essential medical equipment (p = 0.000); poor planning of the PHC programs (p = 0.024); lack of or inadequate support to HCPs from the hospital management (p = 0.013) and significant underfunding of the primary health care services (p = 0.001). Efforts are therefore required on the part of relevant stakeholders in Kiambu County to address the various factors that impede effective delivery of primary health care services
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    Patient-Related Factors Associated with Non-Adherence to Psychotropic Medication among Patients with Mental Disorders attending Clinic Follow-Up at Mathari National Hospital, Nairobi City County, Kenya
    (Journal ofMedicine, Nursing and Public Health, 2025-03) Makau, Ruth Mwikali; Kabue, Priscilla; Ambani, Elizabeth
    Non-adherence to psychotropic medication among persons with mental disorders prevents the sick persons from getting the full advantages of medication which affects them and their families negatively besides putting unnecessary pressure on the already overstretched health care system. Recent research findings show that non-adherence is a worldwide phenomenon among mentally sick persons leading to poorer outcomes such as increased hospital admissions, suicides, and deaths. This study aimed to examine patient-related factors associated with non-adherence to psychotropic medication among patients with mental disorders. This research employed a descriptive cross-sectional design. A total of 230 respondents were identified through simple random sampling in that all patients with a history of missing drug therapy as documented in the clinic notes or observed by the referring clinician were included. The correlation analysis results revealed that economic status and family support had a significant negative association with non-adherence to psychotropic medication. Moreover, side effects, beliefs and perceptions, and comorbidity had a significant positive association with non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. Regression results indicated that comorbidity had a significant positive effect on non-adherence; while family support had a significant negative effect on non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. The families of patients with mental disorders should continually support them in their recovery journey and particularly encourage them to keep taking the treatment as instructed.