Use of Integrated Security Management System in Crime Prevention: A Case of Public Referral Hospitals in Nairobi City County, Kenya
Kassan, Peter Lotee
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Security in health care facilities and their environment is of absolute necessity. The patients, staff and visitors have a legal right to protection against any criminal activity. Many hospitals have installed an Integrated Security Management System (ISMS) where physical, electronic and procedural security measures are synchronized to mitigate the levels of crime. This study assessed the use of ISMS in mitigating crime in public referral hospitals specifically, in Nairobi County. The objectives were to: (i) establish the components of the Integrated Security Management System used to address insecurity in public hospitals in Nairobi County, (ii) examine the capacity of the security guards deployed in public hospitals in Nairobi County in line with the Integrated Security Management System, (iii) assess the extent of implementation of the Integrated Security Management System in public hospitals in Nairobi County, and identify the challenges that public hospitals encounter in implementation of the Integrated Security Management System. The study was structured by the integrated system theory of information security management. Cross-sectional survey design was used in the study. Both non-probability and probability sampling procedures were used to obtain a sample of 196 participants. Data was gathered through a questionnaire and an interview guide. Data analysis was through descriptive statistics and thematically for quantitative and qualitative data respectively. The study found out that though the hospitals had installed first line protection measures, they had inadequate security officers to cover all critical areas. Another finding was that security officers from Kenyatta Hospital were well trained on electronic security measures than those from Mathari Hospital, even though security officers in both health care the facilities were not well trained in line with ISMS components. Kenyatta Hospital had implemented the integrated security management system (ISMS) as per the required security procedures unlike in Mathari Hospital. The results show that referral hospitals lacked adequate budgetary allocation to install appropriate ISMS components. The study recommends that there is need to equip the hospitals with adequate ISMS components with the required operational specifications, train the security officers on how to integrate the components of ISMS in order to mitigate the level of crime in the hospitals.