Browsing by Author "Rucha, Kenneth"

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    Awareness and Knowledge on Cervical Cancer Screening Services Among Women Aged 30-49 Years in Kitui West Sub-County
    (Journal of Health, Medicine and Nursing, 2019) Rucha, Kenneth; Ndeleva, Benjamin; Mbaluka, Jane Hannah
    Purpose: The purpose of the study was to establish the utilization of cervical cancer screening services among women aged 30-49 years in Kitui west, Kenya. Methods: A cross-sectional descriptive study design was used. The study population was women aged 30-49 years of age. A Multi-stage cluster sampling technique, simple random sampling, proportionate sampling and systemic sampling was used to obtain 270 respondents from the study population. Data was collected using interviewer administered questionnaire to women aged 30-49 years in Kitui west sub-County. The study used quantitative research methods to obtain data from selected respondents. Quantitative data was collected using closed and open ended questionnaires. All interviews were done after obtaining approval from relevant bodies and consent from study respondents. Data from the respondents was analyzed using statistical package of social sciences (SPSS) in conjunction with Microsoft excel. The study used chi-square test calculated at 95% interval and a margin of 0.05% error to determine the relationship between dependent and independent study variables. Results: The results found out that Majority of the participants 145 (53,7%) were aware of the cancer screening. There was a no significant relationship (p =0 .054) between the awareness and cervical cancer screening services among women aged 30-49 years. The study established that, majority 152 (56.3) of the respondents had low knowledge on cervical cancer and there was an association between knowledge on warning signs (p=0.001) and prevention of cervical cancer (p=0.002) and utilization of cervical cancer screening services. Unique Contribution to Theory, Practice and Policy: The study recommends the Ministry of Health and other stakeholders should hold community awareness and sensitization programmes on benefits of PMTCT services to pave way for acceptance and hence use and prevent vertical and horizontal transmission of HIV. Outreach PMTCT services should be provided routinely needed to reach pregnant women with HIV-infection who reside farther away from the hospital. Patients also need to be continually encouraged to take treatment at their nearest treatment center.
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    Routine Health Information Systems Performance in Management of Diabetes and Hypertension in Selected Health Centers in Nairobi, Kenya
    (Journal of Medicine, Nursing & Public Health, 2025-08) Njoroge, Nduta; Rucha, Kenneth; Kabeu, Emma
    Globally, there has been a strong emphasis on enhancing decision-making through the improvement of routine health information systems (RHIS). Numerous studies have explored methods to enhance the quality of RHIS data to achieve this goal. Similarly, at the regional level, several countries have prioritized enhancing their RHIS performance. However, the Ministry of Health's 2019 policy brief has identified challenges related to health organizations' capacity to effectively analyze and utilize DHIS2 information. In light of these challenges, this study sought to investigate the factors influencing RHIS performance in managing diabetes and hypertension within selected health centers in Nairobi. The study's objectives were to examine the impact of technical determinants, organizational determinants, and behavioral determinants on RHIS performance. To guide thestudy, Delone and McLean's information system success framework will be employed as a theoretical framework. A cross-sectional research design was utilized, and data was collected from a randomly selected sample of 123 healthcare professionals across seven health centers in Nairobi. Data was gathered through the administration of semi-structured questionnaires using the drop-and-pick method. Collected data was scrutinized using SPSS, employing descriptive analysis, correlation analysis, Chi-Square tests, and logistic regression to understand the nature and significance of the effects of technical, organizational, and behavioral determinants on RHIS performance. The findings revealed that technical determinants, such as user-friendliness and the availabilityof adequate reporting tools, significantly influenced RHIS performance (p=0.020, OR=0.316). Behavioral determinants, including staff confidence and data quality assurance skills, had a strong and significant positive relationship with RHIS performance (p=0.050, OR=0.377). However, organizational determinants, such as funding and staffing, showed no significant relationship with RHIS performance (p=0.526). Thus, the study recommends prioritizing the acquisition of user-friendly RHIS systems and ensuring theavailability of adequate reporting tools to improve technical aspects. Additionally, targeted training programs should be implemented to enhance staff confidence, proficiency, and data quality assurance skills. Finally, strengthening the implementation ofnational policies, such as the Kenya National e-Health Policy and the Kenya Health Information System Policy, will ensure alignment with RHIS goals and improve performance across health centers.