Browsing by Author "Mwangi, Mary Wanjiru"

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    The impact of public procurement policy on teaching and learning in selected public secondary schools in Kahuro district, Murang’a county, Kenya
    (Kenyatta University, 2014) Mwangi, Mary Wanjiru; Waweru, S. N.; Mungai, J. G.
    The study sought to find out the impact of public procurement policy on teaching and learning in selected public secondary schools in Kahuro District, Murang’a County. The objectives that guided the study were:- to establish the impact of costs of goods and services, transparency in the procurement process, stock levels and the quality of goods procured affects teaching and learning. The descriptive survey research design was employed to undertake the study. Secondary school principals, finance officers, teachers and students served as the target population. Stratified random sampling method was used to define the sample size. Data was collected by use of questionnaires which were administered to principals, finance officers and teachers. Focus group discussions were used to generate responses from the students and an interview schedule was administered to the District Education Officer. Data was analyzed by use of inferential and descriptive statistics and presented in frequency tables and percentages. Interrogation of secondary records was done to complement primary data. The study found out that principals considered schools to be getting adequate value from the cost of goods purchased. The inclusivity of the procurement committee was deemed as high by most of the principals, teachers and finance officers thus transparency in the procurement process. Most principals considered their schools to have employed mechanisms to evaluate the supplier’s financial positions to ensure adequate stock levels in the procurement of goods and services. Most principals confirmed that they had put in place modalities to ensure that the schools had access to quality goods and services while some were of a contrary opinion. The study made the following recommendations: Public secondary schools should put in place provisions which assure them of capacity to contain the cost of goods and services procured. The ministry of education should put in place mechanisms to enforce public secondary schools to raise transparency standards in all procurement procedures. The Ministry of Education should enforce provision for stock levels management in all public secondary schools. Public secondary schools should employ effective measures for quality assurance of goods and services procured.
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    Patients Perspectives on Seclusion and Restraint Experience at Mathari National Teaching and Referral Hospital Nairobi City County, Kenya
    (Kenyatta University, 2024-11) Mwangi, Mary Wanjiru
    Mental health research across the world has elicited various perspectives regarding the experiences of seclusion and restraint of mentally unwell, aggressive patients. In spite of the need of understanding some of the determinants of seclusion and restraint of mentally ill patients, there has been limited publications particularly in the Kenyan context addressing the experiences of seclusion and restraint on social demographic characteristics of a mentally ill patient, patient and Institutional factors leading to seclusion and restraint as well as exploring the experiences of the mentally ill patients undergoing seclusion and restraint at Mathari National Teaching and Referral Hospital. The present study therefore aimed to explore patient’s experience on seclusion and restraint at Mathari National Teaching and Referral Hospital as well as describing the patient and institutional factors leading to their seclusion and restraints. Phenomenological research approach was carried out and Qualitative data was gathered using interview guide. The study targeted all the patients who had been nursed in seclusion and restraint during admission to Mathari National Teaching and Referral Hospital Nairobi City, Kenya, and those who consented to the study and were mentally stable. The study used purposive sampling method to select participants whereby the sample consisted of 10 participants who were interviewed until saturation of data was reached. Audio recorder was used to record the patients as they narrated their experiences. Data was collected for a period of about two months. The data was transcribed verbatim, Coding was done and codes which were similar were grouped into same categories. Similar categories were grouped into themes. Data was analyzed through iterative approach. It was revealed that seclusion procedure at Mathari National Teaching and Referral Hospital was not patient friendly as they were forced to it and not provided with the basic needs apart from medication. The interviewees also described two main themes relating to experiences of patients undergoing seclusion and restraint at Mathari National Teaching and Referral Hospital including desirable views of seclusion and restraints and undesirable views on seclusion and restraints experiences. The desirable view on seclusion experiences included that seclusion and restraint provided relief and a less stimulating environment in which they felt safe and secure. Patients were grateful for the constant support and supervision of health care providers. However, the undesirable experiences as mentioned by the respondents was that during seclusion and restraint they experienced abandonment, mistreatment and neglect. The study concludes that seclusion and restraint is a crucial but contentious treatment which should only be used as a last resort, and steps should be taken to guarantee that patients’ dignity is preserved as guided by the Mental Health Act 2016. The study recommends that Mathari National Teaching and Referral Hospital to have the seclusion sessions customized to each patient’s unique cognitive ability and mental condition.