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Research Article
Assessing the Influence of Behavioural Factors of Community Health Promoters on Use of Community Based Health Information Systems in Selected Counties, Kenya
Susan Njoki Mambo*
,
George Odhiambo-Otieno,
George Ochieng’-Otieno,
Wanja Mwaura-Tenambergen
Issue:
Volume 9, Issue 2, June 2024
Pages:
95-110
Received:
17 January 2024
Accepted:
1 February 2024
Published:
28 April 2024
Abstract: Globally, health management information systems (HMIS) in strengthening health systems have gained recognition due to potential of technology to improve access to quality care in underserved communities. In Kenya, the functionality of Community based- Health Management Information System (CBHMIS) currently stands at 55% down from 64% in year 2015. The aim of this paper was to determine the influence of behavioral factors of community units personnel on CBHMIS. As a nested study, with a broader aimt to establish the operational status of CBHMIS and its use in selected counties in Kenya; The main objective of this research was: To establish whether behavioural factors of Community Health Promoters (CHPs) influence CBHMIS use in Kenya. A mixed method design. was adopted, Kiambu, Kajiado and Nairobi counties formed the study location, a target population of 156 active community units was considered to arrive at a total sample of 122 community units and out of 7800CHPs a sample of 366 respondents was drawn. Multistage sampling was used to identify the CUs, and systematic random sampling to identify 366 respondents. Quantitative data tools were semi-structured closed ended questionnaires. Qualitative data tools included observation checklist, Focus Group Discussion and Key Informant Interviews guides. Quantitative data was analyzed using SPSS to generate univariate and bivariate analysis at p<0.05 significance level; Qualitative data was analyzed using content analysis based on key themes generated from the objectives. Results were presented in form of graphs, tables, figures, and narration. This study showed that the use of Community based- Health Management Information System stood at 56.6%. Behavioural factors were found to significantly influence use of Community based- Health Management Information System. Further, of the total variations in the use of Community based- Health Management Information System, behavioral factor explains 13.7% (R2 = .137). Results show that the model was valid (F(1, 363) = 58.579, P = .001) hence the explanatory variable (X2, Behavioral factors) is good in explaining total variations in Use of CbHMIS by community units. This implies that the use of CbHMIS by Community Units (CU) improves significantly when the community units have better behavioural factors. In conclusion, behavioural factors of CHPs have strong and significant influence on the CBHMIS use. Motivation of CHPs is key as a motivator to CBHMIS use, as well as. provision of material support including reporting tools and IEC materials and capacity development technical, computer and electronic reporting skills to enhamce CHP operations and processes.
Abstract: Globally, health management information systems (HMIS) in strengthening health systems have gained recognition due to potential of technology to improve access to quality care in underserved communities. In Kenya, the functionality of Community based- Health Management Information System (CBHMIS) currently stands at 55% down from 64% in year 2015. ...
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Research Article
Implementation of Emergency Preparedness and Response-Rapid Team Program in Niger
Kadri Sani*,
Mahamadou Yacouba Moustapha,
Garba Salifou Mohamed,
Bagouari Adamou,
Ide Amadou Habibatou,
Issiaka Gandou Aboubacar,
Mohamed Abdel Karim,
Elhadji Ibrahim Tassiou,
Hanki Yayé,
Kourouma Mamadou,
Ibrahim Salifou Alkassoum
Issue:
Volume 9, Issue 2, June 2024
Pages:
111-118
Received:
17 March 2024
Accepted:
15 April 2024
Published:
28 April 2024
Abstract: Introduction: The WHO’s prompt declaration of a Public Health Emergency of International Concern (PHEIC) shepherded an effective coordinated response to contain the epidemic. Objective: The aim of this study is to describe the experiences, challenges, and lessons learned during the Implementation of Emergency Preparedness and Response-Rapid Response Team (EPR-RRT) program. Method: The study used mixed methods approach quantitative and qualitative data from a literature review of WHO AFRO coordination mechanisms and the Niger Public Health Emergency Operational Centre (PHEOC). The study was conducted in the National Public Health Emergency Operational Centre (PHEOC) of Niger during 12 months from September 2022 to September 2023. Results: The implementation of this program began with the evaluation of Niger's capacities and capacity building of teams to prepare, detect and respond to public health emergencies within 24 hours of an alert. The team of multi-disciplinary and multi-sector experts was identified and selected and trained on series of modules training. The team is composed of a total of 50 experts from 6 ONE HEALTH sectoral ministries. The average age is 49.94 (±5.9) years with extremes ranging from 33 to 56 years. The sex ratio is 0.35. The team have acquired the experience of being deployed in 4 regions of the country, 6 districts as part of the response to 6 public health events. Conclusion: The rapid response team has made it possible not only to acquire the technical and operational skills, financial, human and logistical capacities to respond rapidly when a public health emergency occurs.
Abstract: Introduction: The WHO’s prompt declaration of a Public Health Emergency of International Concern (PHEIC) shepherded an effective coordinated response to contain the epidemic. Objective: The aim of this study is to describe the experiences, challenges, and lessons learned during the Implementation of Emergency Preparedness and Response-Rapid Respons...
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Research Article
Analysis of Related Risk Factors for Artificial Airway Management in Postoperative Patients with No Throat in Laryngeal Cancer
Issue:
Volume 9, Issue 2, June 2024
Pages:
119-124
Received:
30 March 2024
Accepted:
19 April 2024
Published:
28 April 2024
Abstract: Objective: To analyze the relevant factors affecting artificial airway management in postoperative non laryngeal patients with laryngeal cancer. Method: A total of 150 patients who underwent total laryngectomy in a tertiary hospital between January 2020 and January 2023 were selected as the study subjects. Their clinical data were retrospectively analyzed, and they were divided into two groups based on whether they had postoperative artificial airway problems: one group had no airway problems (n=52) and the other group had artificial airway problems (n=98). Conduct univariate analysis on factors that may affect artificial airways, and conduct multivariate logistic regression analysis on factors with statistically significant differences. Results: Among the 150 patients, a total of 98 experienced postoperative artificial airway problems, with an incidence rate of 65.33%. Gender, age, diabetes, tumor stage, wound healing, sputum viscosity after artificial airway, room temperature and humidity, occurrence of multiple drug resistance, and neck lymph node dissection were included in the univariate analysis of the occurrence of artificial airway problems. The results showed that wound healing, sputum viscosity after artificial airway, room temperature and humidity, occurrence of multiple drug resistance were related to the artificial airway problems of laryngocarcinoma patients without larynx after surgery (P<0.05). Four statistically significant single factors, including wound healing, sputum viscosity after artificial airway, room temperature and humidity, and the occurrence of multiple drug resistance, were included in the multivariate logistic regression analysis. The results showed that wound healing, sputum viscosity after artificial airway, and the occurrence of multiple drug resistance were closely related to the occurrence of artificial airway problems in non laryngeal patients after laryngeal cancer surgery, and were independent risk factors (P<0.05). Conclusion: For patients with laryngeal cancer treated with total laryngectomy, wound healing, sputum viscosity after artificial airway, and the occurrence of multidrug resistance are high-risk influencing factors for postoperative artificial airway problems, which should be taken seriously in clinical work.
Abstract: Objective: To analyze the relevant factors affecting artificial airway management in postoperative non laryngeal patients with laryngeal cancer. Method: A total of 150 patients who underwent total laryngectomy in a tertiary hospital between January 2020 and January 2023 were selected as the study subjects. Their clinical data were retrospectively a...
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