Browsing by Author "Nguu, Carolyne Ndinda"

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    County Government Administration and the Implementation of Covid Mitigation Measures in Machakos County, Kenya
    (IJSRA, 2024-09) Nguu, Carolyne Ndinda; Kiruthu, Felix
    The Constitution of Kenya (2010) ushered in devolution, and the transfer of several services including public health from the central government to the county to push for interventions that best fit the local context. The onset of Covid19 pandemic in 2019 brought uncertainty, vulnerability, and increased health care responsibility for county governments. The county governments were faced with the challenge of handling a global pandemic. This study sought to examine the implementation of covid mitigation measures by the county government of Machakos in Kenya. The objectives of the study were to analyse how the county government prepared isolation facilities and provided medical equipment for Covid-19 mitigation. The study was guided by the agency theory and the theory of decentralization. It adopted descriptive research design. The target population was 128 health practitioners and management staff at the Machakos county level 5 hospital and census sampling was preferred. A self-administered questionnaire and key informant interviews were used to collect data. The statistical software for the social sciences version 25 was used to examine quantitative data, while content analysis was used to assess qualitative data. The findings showed that the county government did very well in the provision of isolation facilities and the provision of medical equipment. The study noted the timeliness and adequacy of government interventions were concerning. For the readiness for future pandemics, the study recommends establishing early warning systems, creating robust and strengthening of existing healthcare systems, strengthening research and development and the legal and policy framework.
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    County Government Administration and the Implementation of Covid Mitigation Measures in Machakos Level 5 Hospital, Machakos County, Kenya
    (Kenyatta University, 2024-10) Nguu, Carolyne Ndinda
    The Constitution of Kenya (2010) ushered in devolution, and the transfer of a number of services including of public health from the central government to the county with a view to putting in place interventions that best fit the local context. The onset of Covid-19 pandemic in 2019 brought uncertainty, vulnerability, and increased health care responsibility for county governments. The county governments were faced with the challenge of handling a global pandemic. This study, therefore, sought to examine the implementation of covid mitigation measures by the county government of Machakos in Kenya. The objectives of the study were to analyse how the county government prepared isolation facilities, provided medical equipment and conducted contact tracing as a Covid-19 mitigations measure. The study was guided by the agency theory, stakeholders’ theory and the theory of decentralization. It adopted descriptive research design. The target population was 128 health practitioners and management staff at the Machakos county level 5 hospital. The study utilized a census of the entire target population as it was reasonably small. A self-administered questionnaire was used to gather data from respondents, while key informant interviews were conducted using interview guidelines. The statistical software for the social sciences (SPSS) version 25 was used to examine quantitative data, while content analysis was used to assess qualitative data. The study findings showed that the county government did very well in the provision of isolation facilities, followed by contact tracing and provision of medical equipment while there was mitigation measures put in place including provision of isolation facilities, contact tracing and provision of medical equipment there were concerns on the timeliness and adequacy. For the readiness for future pandemics, the study recommends establishing early warning systems, creating robust and strengthening of existing healthcare systems, strengthening research and development and the legal and policy framework.