THE EFFECT OF INFECTION CONTROL PRECAUTIONARY MEASURES AND BASIC EQUIPMENT'S ON PRIMARY HEALTH SERVICE DELIVERY PREPAREDNESS IN NYANDARUA COUNTY GOVERNMENT PRIMARY HEALTH FACILITIES
Keywords:
Basic Equipment's, Infection Control Precautionary Measures, Service Delivery Preparedness and Nyandarua CountyAbstract
Purpose: The main purpose of this study was to establish the effect of infection control precautionary measures and basic equipment's on primary health service delivery preparedness in Nyandarua County government primary health facilities
Methodology: The study was descriptive cross sectional. The target population in the study was dispensaries and health centers of the county government of Nyandarua. The desired sample size was 47 dispensaries and health centres from Olkalou, Ndaragwa and Kinangop out of the overall 68 in the county. A structured questionnaire was used to collect data. The study used both descriptive and inferential statistics in data analysis. Descriptive statistics include percentages; mean and standard deviation while inferential statistics include correlation and binary logistic regression analysis.
Results: The study findings established that basic equipments were available in 69%) of the Nyandarua county government primary health facilities. The "Linda mama" basic equipments in the laboratory for antenatal clinic (ANC) profiling were 69% as well. The findings confirmed that majority (85%) of the infection control precautionary measures in the primary health facilities in Nyandarua County were in place.
Unique contribution to Theory, Practice and Policy: The study recommends that the department of health services in the county government of Nyandarua should conduct an audit of all the primary health facilities to take account of what gaps exist and put in place the appropriate measures to fill them.
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References
Abazinab, S., Woldie, M. & Alaro, T,.M. (2016).Readiness of Health Centers and Primary Hospitals for the Implementation of Proposed Health Insurance Schemes in Southwest Ethiopia. Ethiop J Health Sci.v.26(5); 2016 Sep. PMC5389059. Retrieved from; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5389059/
Ademe, B., W., Tebeje, B., and Molla, A. (2016).Availability and utilization of medical devices in Jimma zone hospitals, Southwest Ethiopia: a case study. BMC Health Serv Res.2016; 16: 287.Published online 2016 Jul 19. doi: 10.1186/s12913-016-1523-2. Retrived from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4952070/
Agwanda, R., O, Kwamanga, D., O. & Kiugu, S., K. (1996). Essential drugs supply and usage as a reflection of outpatient morbidity in Kirinyaga District, Kenya.EastAfr Med J. 1996 Feb;73(2):120-5.
Ajuwon, G., A. (2006). Use of the Internet for health information by physicians for patient care in a teaching hospital in Ibadan, Nigeria. Published online 2006 Dec 12. doi: 10.1186/1742-5581-3-12. Biomedical Digital Libraries. Biomed Digit Librv.3; 2006 PMC1764751
AKW. (2011). 10 Medical Equipment Supplies That All Hospitals Should Always Have. Inc.8228 Mercury Ct. #120 San Diego, CA 92111Retrieved from: https://www.akwmedical.com/blog/10-medical-equipment-supplies-all-hospitals-should-always-have
Bangladesh Health Facility Survey 2014. Dhaka, Bangladesh: NIPORT (Associates for Community and Population Research- ACPR, and ICF International.), ACPR, and ICF International. Retrieved from: https://dhsprogram.com/pubs/pdf/SPA23/SPA23.pdf
Barker, C., Mulaki, A., Mwai, D. and Dutta, A. (2014). Devolution of health care in Kenya: Assessing county health system readiness in Kenya: A review of selected health inputs. Brief. Health Policy Project, Futures Group. Health Policy Project One Thomas Circle NW, Suite 200 Washington, DC 20005. www.healthpolicyproject.compolicyinfo@futuresgroup.com
Baylis, E. and Morgan, A. (2017). Infection Prevention & Control Guideline Glove Use. Lincolnshire Community Health Services. NHS Trust. Retrieved from: https://www.lincolnshirecommunityhealthservices.nhs.uk/application/files/4415/0946/5579/G_IPC_04_Guidance_on_the_Use_of_Gloves.pdf
Bitton,A., Ratcliffe, H., L.,Veillard, J., H.,Kress, D., H., Barkley, S., Kimball, M., Hirschhorn, L., R. (2016). Primary Health care as a Foundation for strengthening Health Systems in Low- and Middle- Income Countries. Journal of General internal Medicine.(J Gen Intern Med.)2017 May; 32(5): 566-571.Published online 2016 Dec 9. doi: 10.1007/s11606-016-3898-5.US National Library of Medicine National Institute of Health. ISSN: 1525-1497 (electronic version) Journal no. 11606.
Carter, J., Y., Lema, O., E., Wangai, M., W., Munafu, C., G. and Rees, P., H., Nyamongo, J., A. (2012). Laboratory testing improves diagnosis and treatment outcomes in primary health care facilities. African journal of Laboratory medicine (AJLM). Med. 2012;1(1), Art. #8, 6 pages. http://dx.doi.org/10.4102/ ajlm.v1i1.8. Retrieved from: https://ajlmonline.org/index.php/ajlm/article/view/8/61
Centre for disease control and prevention (CDC). (2009). Standard Precautions. Standard Precautions version 1.0 28th April 2009.Retrieved from: http://www.hpsc.ie/A-Z/MicrobiologyAntimicrobialResistance/InfectionControlandHAI/StandardPrecautions/File,3600,en.pdf on 09.12.2016.
County Government of Nyandarua (CGN).(2017). Health services. Retrieved from: http://www.nyandarua.go.ke/health- services
County Government of Nyandarua (CGN).(2018). Major milestone for health care in Nyandarua County. Retrieved from: http://www.nyandarua.go.ke/portfolio/major-milestone-for-health-care-in-nyandarua-county
County Government of Nyandarua (CGN).(2018). Nyandarua County Integrated Development Plan (CIDP2). The Socio-economic Transformative Agenda For Nyandarua County. Pg 11.Designed and Printed by: Kenya Literature Bureau. P. O. Box 30022-00100, Nairobi Email: info@klb.co.ke Website: www.klb.co.ke
Coverage Cluster World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland. Retrieved from: http://www.who.int/primary-health/en/
District Health Information System (DHIS) 2.(2018). District health information software system.January- December. Retrieved on 18th January 2018; www.dhis.org
Essendi, H., Johnson, F., A., Madisa, N., Matthews, Z., Falkingham, J., Bahaj, A., S."¦Blunden, L. (2015). Infrastructural challenges to better health maternity facilities in rural Kenya: Community and health worker perceptions. Reprod Health. 2015; 12: 103.Published online 2015 Nov 9. doi: 10.1186/s12978-015-0078-8. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640392/
Ged, G. (2016). The Quality of Healthcare Service Delivery in Nigeria: An Assessment of the Availability of Some Basic Medical Devices/Equipment in the Primary Health Care Centres in Delta State. Online J Health Allied Scs. 2016;15(1):6. Available at URL: http://www.ojhas.org/issue57/2016-1-6.html
Global Fund. (GF) (2015). Nyandarua County HIV and AIDS Strategic Plan (NCHASP 2016 - 2020). Retrieved from: file:///C:/Users/Njoroge/Downloads/nyandarua_chasp.pdf
Goldman, D. and Romley, J., A. (2008). Hospitals as hotels: the role of patient amenities in hospital demand Working Paper 14619 http://www.nber.org/papers/w14619. National bureau of economic research 1050 Massachusetts Avenue Cambridge, MA 02138 December 2008
Goldman, D., P., Vaiana, M. and Romley, J., A. (2010).The Emerging Importance of Patient Amenities in Hospital Care.New England Journal Medicine journal. 2010; 363:2185-2187December 2, 2010DOI: 10.1056/NEJMp1009501. Retrieved from: http://www.nejm.org/doi/full/10.1056/NEJMp1009501#t=article
Government of Kenya (GoK). (2018). Keynote address by his Excellency Hon. Uhuru Kenyatta CGH, President and Commander in Chief of the Defense Forces of the Republic of Kenya during the official opening of the 5th annual Devolution Conference at Kakamega High School on 24th April 2018. Retrieved from; http://www.president.go.ke
Grissinger, M. (2013).Perilous Infection-Control Practices With Needles, Syringes, and Vials Vigorous Monitoring Is Crucial. Pharmacy and Therapeutics.2013 Nov; 38(11): 649, 666. MediMedia USA, Inc. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875254/#b2-ptj3811649
Hughes, M. (2016). Protecting patient privacy at your healthcare facility. Healthcare facilities Today. Retrieved from: https://www.healthcarefacilitiestoday.com/posts/Protecting-patient-privacy-at-your-healthcare-facility--13766
Kaiser, B., M. (2016). World Health Organization's Essential Medicines List: From Idea to Implementation. Prepared as part of an education project of the Global Health Education Consortium (GHEC) and collaborating partners. http://www.cugh.org/sites/default/files/106_WHO_Essential_Medicines_List_from_Idea_to_Implementation_FINAL_1.pdf
Kaur, M. & Hall, S. (Ed.), Attawell, K. (2001). Medical supplies and equipment for primary health care A practical resource for procurement and management. Published by ECHO International Health Services Ltd, 2001. Retrieved from: http://apps.who.int/medicinedocs/documents/s20282en/s20282en.pdf.ISBN 0-9541799-0-0.Printed in the United Kingdom by Dunns.
Kenya institute for public policy research and analysis(KIPPRA). (2018). An assessment of healthcare delivery in Kenya under the devolved system. Special paper No. 19/2018.Pg 58.Published 2018 © Kenya Institute for Public Policy Research and Analysis Bishops Garden Towers, Bishops Road PO Box 56445-00200 Nairobi, Kenya tel: +254 20 2719933/4; fax: +254 20 2719951 email: admin@kippra.or.ke website: http://www.kippra.org ISBN 9966 058 80 5
Kimura, J., H. (2016 June 21). A rejoinder: What makes Nyandarua poorest of Kikuyu counties. Standard Digital. Retrieved from: https://www.standardmedia.co.ke/article/2000205953/a-rejoinder-what-makes-nyandarua-poorest-of-kikuyu-counties.Published Tue, June 21st 2016.
Klynveld Peat Marwick Goerdeler (KPMG). (2014). Devolution of healthcare services in Kenya. Conference report. www.kpmgafrica.com
Kramer, A. (2007). Role of Disinfection in the infection Multi barrier System.GMS Krankenhhyg Interdiszip. 2007; 2(1): Doc13. Published online 2007 Sep 13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831489/
Latzo, C., T. (2009). Market solutions: Hospitals and healthcare. Retrieved from http://www.arcflashstudypro.com/hospital-healthcare-electrical-power-reliability.html
Levin, K., A. (2006). Study design III: Cross-sectional studies. Dental Health Services Research Unit, University of Dundee, Dundee, Scotland, UK. Evidence-Based Dentistry (2006) 7, 24-25. doi:10.1038/sj.ebd.6400375. Retrieved from: http://www.floppybunny.org/robin/web/virtualclassroom/stats/basics/articles/odds_risks/cross_sectional_studies_2006.pdf
Maina, W. (2018 February 27). Doctors ordered to close private clinics. Daily Nation, No. 19320.Pg 12. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Maina, W. (2018 February 27). Protests over poor services at JM Hospital. Daily Nation, No. 19242. Pg 21. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Maiti, R., Bhatia, V., Padhy, B., M. & Hota, D. (2015). Essential Medicines: An Indian Perspective. Indian Journal of Community Medicine; 2015 Oct-Dec; 40(4): 223-232. doi: 10.4103/0970-0218.164382. Online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581141/
Merab, E. (2018 July 21). Doctors blame faulty machines for most treatment and surgical mistakes. Saturday Nation.No. 19377.Pg 13 (Special report).Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Ministry of Health (MoH). (2014.) Kenya Health Sector Referral Implementation Guidelines. Published by: Ministry of Health, Division of Emergency and Disaster Risk Management Afya House P.O. Box 30016, General Post Office Nairobi 00100, Kenya http://www.health.go.ke
Ministry of Health (MoH). (2015). Nyandarua county. Health at a glance. Retrieved from: https://www.healthpolicyproject.com/pubs/291/Nyandarua%20County
Ministry of Health (MoH). (2016). Kenya Essential Medicines List 2016. Published by the Ministry of Health June 2016; Ministry of Health Afya House, Cathedral Rd Box 30016-00100 Nairobi, Kenya +254 20 271 7077. www.health.go.ke
Ministry of Health (MoH). (2018 December 13). Universal Health Coverage. Daily Nation, Pg 29. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Ministry of Health and Social Welfare (MoH& S W).(2013). Directorate Policy & planning, Monitoring & evaluation Unit, Dar es Salaam, Tanzania. ISBN: 976-9987-9652-6-7. Published by Ifakara Health Institute, Plot 463, Kiko avenue, Mikocheni, P.O. Box 78373, Dar es Salaam, Tanzania. www.ihi.or.tz
Ministry of Public Health & Sanitation & Ministry of Medical Services (MoPHS& MOMS). (2010). National Infection Prevention and Control Guidelines for Health Care Services in Kenya.Pg 72-74. Nairobi, Kenya: Government of Kenya, December 2010. Government of Kenya
Muchomba, F., G. (2015). Influence of devolved Governance and performance of the Health Sector in Kenya. Strategic Journal of Business & Change Management. Vol. 2, No. 2 (2015) http://strategicjournals.com/index.php/journal/article/view/123
Mutisya, J. (2018, July 21). Doctors not held to account for causing preventable injuries. Saturday Nation, No. 19377, Pg 12 (Special report). Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Nakyanzi, J., K., Kitutu, F., E. Oria, H. and Kamba, P., F. (2010). Expiry of medicines in supply outlets in Uganda. Bulletin of the World Health Organization 2010;88:154-158. doi: 10.2471/BLT.08.057471. Retrieved from http://www.who.int/bulletin/volumes/88/2/08-057471/en/
Nascimento, R., C., R., M., Ãlvares, J., Junio, A., A., G., Gomes I., C., Costa, E., A., Leite, S., N., ."¦Acurcio, F., A. (2017). Availability of essential medicines in primary health care of the Brazilian Unified Health System. On-line version ISSN 1518-8787. Rev. Saúde Pública 51 (2) 34-56
National Hospital Insurance Fund (NHIF) (2017). Accredited health facilities in Nyandarua County. Retrieved from: http//www.nhif.or.ke/healthinsurance/outpatientservices
National Institute of Population Research and Training (NIPORT). (2016).
Nyandarua County Assembly (NCA).(2015). The Hansard. NCA/201/07/2015(3) Nyandarua county assembly debates. Retrieved from: https://assembly.nyandarua.go.ke/download/hansard/Official%20Report%20(Hansard)%20of%2028th%20July,%202015..pdf
O' Connor, F. (2012).Hospital networks take key role in health care as IT makes Further clinical advances. Retrieved from: https://www.computerworld.com/article/2505262/healthcare-it/hospital-networks-take-key-role-in-health-care-as-it-makes-further-clincial-advances.html
O'Grady, T., P., Hawkins, M.A., and Parker, M.L. (1997). Whole-systems shared governance: Architecture for integration. Pg 106. Gaithersburg, MD: Aspen.
O'Neill, K., Takane, M., Sheffel, A., Carla Zahr, C., A. & Boerma, T. (2013). Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment.' Retrieved from: http://www.who.int/bulletin/volumes/91/12/12-116798/en/
Omboki, A. (2019 January 7). Maina, W. (2018 February 27). Primary, Local Health Drives to help UHC. Daily Nation, No. 19546.Pg 11. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Oyekale, A., S. (2017). Assessment of primary health care facilities' service readiness in Nigeria. BMC Health Services Research.Retrieved: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333428/
Radichel, T., M.S. (2018). A Systems Approach to Service Delivery CCC-SLP Luther Hospital and Thinking Publications Originally published in Communication Connections, newsletter of the Wisconsin Speech-Language-Hearing Assn. Pg 38. Retrieved from: http://www.csap.org/slush_pile/TinaSlushPile.pdf
Raj, K. (2009). Facilities and Equipment as Predictors of Effective Health Care Delivery Services in Selected State Government Hospitals in Oyo State, Nigeria.Published by Kamla-Raj in the Anthropologist, 11(3): 181-187 (2009). Retrieved on 09.12.2016 from; http://www.krepublishers.com/02-Journals/T-Anth/Anth-11-0-000-09-Web/Anth-11-3-153-09-Abst-PDF/Anth-11-03-181-09-481-Ogundele-B-O/Anth-11-03-181-09-481-Ogundele-B-O-Tt.pdf
RashedulIslam, M., Laskar, S., P. & Macer, D. (2016).A Study on Service Availability and Readiness Assessment of Non Communicable Diseases Using the WHO Tool for Gazipur District in Bangladesh. Bangladesh Journal of Bioethics 2016; 7(2):1-13
Sabuni, A.(2017). KNA (Kenya news agency). Health Nominee assures Healthy County. Retrieved: http://kenyanewsagency.go.ke/en/?p=118172
Smits, H., Supachutikul, A. and Mate, K., S. (2014). Hospital accreditation: lesson from low- and middle-income countries. Global Health.2014; 10: 65.
Snow, J. (2018). Timor-Leste Health Improvement Project: The Facility Readiness Format: Improving Service Delivery at Health Posts, Health Centers, and Hospitals. Technical Brief. For more information: John Snow, Inc. 44 Farnsworth Street Boston, MA 02210 www.jsi.comRetrieved from: https://www.jsi.com/JSIInternet/Inc/Common/_download_pub.cfm?id=16078&lid=3
Stymiest, D., L. (2016). Best practices for hospital power system reliability. Retrieved from: https://www.hfmmagazine.com/articles/2089-best-practices-for-hospital-power-system-reliability
Thomas, B. (1998). "Analyzing the Decentralization of Health Systems in Developing Countries: Decision Space, Innovation and Performance." Social Science and Medicine 47(10): 1513-1527
Tropical Health & Education Trust(THET). (2016). Why medical equipment matters. Partnership for global health. Available online:http://www.thet.org/health-partnership-scheme/resources/medicalequipment/why-are-medical-equipment-partnerships-important Registered in England and Wales. Office: 1 Wimpole Street, London W1G 0AE | Charity Registration No. 1113101 | Company Registration No. 5708871
World Bank (WB). (2010). A generic drug policy as cornerstone to essential medicines in china. China health policy notes, NO. 4. The International Bank for Reconstruction and Development / The World Bank 1818 H Street, NW Washington DC 20433 USA Tel.+ (202) 473-1000 Internet: www.worldbank.org; Available online: http://www.worldbank.org/china
World Bank (WB). (2017). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. Press release No. 2018/092/hd. Retrieved from: http://www.worldbank.org/en/news/press-release/2017/12/13/world-bank-who-half-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expense
World Health Organization (WHO). (2006). Aide-memoire: Infection Control Standard Precautions in Health care. CH-1211 Geneva-27. Switzerland.www.who.int/csr. Retrieved: from: http://www.who.int/csr/resources/publications/4EPR_AM2.pdf on 09.12.2016.
World Health Organization (WHO). (2007). Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action. World Health Organization press, 20 Avenue Appia, 1211 Geneva 27, Switzerland (Tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). ISBN 978 92 4 1596077. (NLM classification: W 84.3)
Ademe, B., W., Tebeje, B., and Molla, A. (2016).Availability and utilization of medical devices in Jimma zone hospitals, Southwest Ethiopia: a case study. BMC Health Serv Res.2016; 16: 287.Published online 2016 Jul 19. doi: 10.1186/s12913-016-1523-2. Retrived from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4952070/
Agwanda, R., O, Kwamanga, D., O. & Kiugu, S., K. (1996). Essential drugs supply and usage as a reflection of outpatient morbidity in Kirinyaga District, Kenya.EastAfr Med J. 1996 Feb;73(2):120-5.
Ajuwon, G., A. (2006). Use of the Internet for health information by physicians for patient care in a teaching hospital in Ibadan, Nigeria. Published online 2006 Dec 12. doi: 10.1186/1742-5581-3-12. Biomedical Digital Libraries. Biomed Digit Librv.3; 2006 PMC1764751
AKW. (2011). 10 Medical Equipment Supplies That All Hospitals Should Always Have. Inc.8228 Mercury Ct. #120 San Diego, CA 92111Retrieved from: https://www.akwmedical.com/blog/10-medical-equipment-supplies-all-hospitals-should-always-have
Bangladesh Health Facility Survey 2014. Dhaka, Bangladesh: NIPORT (Associates for Community and Population Research- ACPR, and ICF International.), ACPR, and ICF International. Retrieved from: https://dhsprogram.com/pubs/pdf/SPA23/SPA23.pdf
Barker, C., Mulaki, A., Mwai, D. and Dutta, A. (2014). Devolution of health care in Kenya: Assessing county health system readiness in Kenya: A review of selected health inputs. Brief. Health Policy Project, Futures Group. Health Policy Project One Thomas Circle NW, Suite 200 Washington, DC 20005. www.healthpolicyproject.compolicyinfo@futuresgroup.com
Baylis, E. and Morgan, A. (2017). Infection Prevention & Control Guideline Glove Use. Lincolnshire Community Health Services. NHS Trust. Retrieved from: https://www.lincolnshirecommunityhealthservices.nhs.uk/application/files/4415/0946/5579/G_IPC_04_Guidance_on_the_Use_of_Gloves.pdf
Bitton,A., Ratcliffe, H., L.,Veillard, J., H.,Kress, D., H., Barkley, S., Kimball, M., Hirschhorn, L., R. (2016). Primary Health care as a Foundation for strengthening Health Systems in Low- and Middle- Income Countries. Journal of General internal Medicine.(J Gen Intern Med.)2017 May; 32(5): 566-571.Published online 2016 Dec 9. doi: 10.1007/s11606-016-3898-5.US National Library of Medicine National Institute of Health. ISSN: 1525-1497 (electronic version) Journal no. 11606.
Carter, J., Y., Lema, O., E., Wangai, M., W., Munafu, C., G. and Rees, P., H., Nyamongo, J., A. (2012). Laboratory testing improves diagnosis and treatment outcomes in primary health care facilities. African journal of Laboratory medicine (AJLM). Med. 2012;1(1), Art. #8, 6 pages. http://dx.doi.org/10.4102/ ajlm.v1i1.8. Retrieved from: https://ajlmonline.org/index.php/ajlm/article/view/8/61
Centre for disease control and prevention (CDC). (2009). Standard Precautions. Standard Precautions version 1.0 28th April 2009.Retrieved from: http://www.hpsc.ie/A-Z/MicrobiologyAntimicrobialResistance/InfectionControlandHAI/StandardPrecautions/File,3600,en.pdf on 09.12.2016.
County Government of Nyandarua (CGN).(2017). Health services. Retrieved from: http://www.nyandarua.go.ke/health- services
County Government of Nyandarua (CGN).(2018). Major milestone for health care in Nyandarua County. Retrieved from: http://www.nyandarua.go.ke/portfolio/major-milestone-for-health-care-in-nyandarua-county
County Government of Nyandarua (CGN).(2018). Nyandarua County Integrated Development Plan (CIDP2). The Socio-economic Transformative Agenda For Nyandarua County. Pg 11.Designed and Printed by: Kenya Literature Bureau. P. O. Box 30022-00100, Nairobi Email: info@klb.co.ke Website: www.klb.co.ke
Coverage Cluster World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland. Retrieved from: http://www.who.int/primary-health/en/
District Health Information System (DHIS) 2.(2018). District health information software system.January- December. Retrieved on 18th January 2018; www.dhis.org
Essendi, H., Johnson, F., A., Madisa, N., Matthews, Z., Falkingham, J., Bahaj, A., S."¦Blunden, L. (2015). Infrastructural challenges to better health maternity facilities in rural Kenya: Community and health worker perceptions. Reprod Health. 2015; 12: 103.Published online 2015 Nov 9. doi: 10.1186/s12978-015-0078-8. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640392/
Ged, G. (2016). The Quality of Healthcare Service Delivery in Nigeria: An Assessment of the Availability of Some Basic Medical Devices/Equipment in the Primary Health Care Centres in Delta State. Online J Health Allied Scs. 2016;15(1):6. Available at URL: http://www.ojhas.org/issue57/2016-1-6.html
Global Fund. (GF) (2015). Nyandarua County HIV and AIDS Strategic Plan (NCHASP 2016 - 2020). Retrieved from: file:///C:/Users/Njoroge/Downloads/nyandarua_chasp.pdf
Goldman, D. and Romley, J., A. (2008). Hospitals as hotels: the role of patient amenities in hospital demand Working Paper 14619 http://www.nber.org/papers/w14619. National bureau of economic research 1050 Massachusetts Avenue Cambridge, MA 02138 December 2008
Goldman, D., P., Vaiana, M. and Romley, J., A. (2010).The Emerging Importance of Patient Amenities in Hospital Care.New England Journal Medicine journal. 2010; 363:2185-2187December 2, 2010DOI: 10.1056/NEJMp1009501. Retrieved from: http://www.nejm.org/doi/full/10.1056/NEJMp1009501#t=article
Government of Kenya (GoK). (2018). Keynote address by his Excellency Hon. Uhuru Kenyatta CGH, President and Commander in Chief of the Defense Forces of the Republic of Kenya during the official opening of the 5th annual Devolution Conference at Kakamega High School on 24th April 2018. Retrieved from; http://www.president.go.ke
Grissinger, M. (2013).Perilous Infection-Control Practices With Needles, Syringes, and Vials Vigorous Monitoring Is Crucial. Pharmacy and Therapeutics.2013 Nov; 38(11): 649, 666. MediMedia USA, Inc. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875254/#b2-ptj3811649
Hughes, M. (2016). Protecting patient privacy at your healthcare facility. Healthcare facilities Today. Retrieved from: https://www.healthcarefacilitiestoday.com/posts/Protecting-patient-privacy-at-your-healthcare-facility--13766
Kaiser, B., M. (2016). World Health Organization's Essential Medicines List: From Idea to Implementation. Prepared as part of an education project of the Global Health Education Consortium (GHEC) and collaborating partners. http://www.cugh.org/sites/default/files/106_WHO_Essential_Medicines_List_from_Idea_to_Implementation_FINAL_1.pdf
Kaur, M. & Hall, S. (Ed.), Attawell, K. (2001). Medical supplies and equipment for primary health care A practical resource for procurement and management. Published by ECHO International Health Services Ltd, 2001. Retrieved from: http://apps.who.int/medicinedocs/documents/s20282en/s20282en.pdf.ISBN 0-9541799-0-0.Printed in the United Kingdom by Dunns.
Kenya institute for public policy research and analysis(KIPPRA). (2018). An assessment of healthcare delivery in Kenya under the devolved system. Special paper No. 19/2018.Pg 58.Published 2018 © Kenya Institute for Public Policy Research and Analysis Bishops Garden Towers, Bishops Road PO Box 56445-00200 Nairobi, Kenya tel: +254 20 2719933/4; fax: +254 20 2719951 email: admin@kippra.or.ke website: http://www.kippra.org ISBN 9966 058 80 5
Kimura, J., H. (2016 June 21). A rejoinder: What makes Nyandarua poorest of Kikuyu counties. Standard Digital. Retrieved from: https://www.standardmedia.co.ke/article/2000205953/a-rejoinder-what-makes-nyandarua-poorest-of-kikuyu-counties.Published Tue, June 21st 2016.
Klynveld Peat Marwick Goerdeler (KPMG). (2014). Devolution of healthcare services in Kenya. Conference report. www.kpmgafrica.com
Kramer, A. (2007). Role of Disinfection in the infection Multi barrier System.GMS Krankenhhyg Interdiszip. 2007; 2(1): Doc13. Published online 2007 Sep 13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831489/
Latzo, C., T. (2009). Market solutions: Hospitals and healthcare. Retrieved from http://www.arcflashstudypro.com/hospital-healthcare-electrical-power-reliability.html
Levin, K., A. (2006). Study design III: Cross-sectional studies. Dental Health Services Research Unit, University of Dundee, Dundee, Scotland, UK. Evidence-Based Dentistry (2006) 7, 24-25. doi:10.1038/sj.ebd.6400375. Retrieved from: http://www.floppybunny.org/robin/web/virtualclassroom/stats/basics/articles/odds_risks/cross_sectional_studies_2006.pdf
Maina, W. (2018 February 27). Doctors ordered to close private clinics. Daily Nation, No. 19320.Pg 12. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Maina, W. (2018 February 27). Protests over poor services at JM Hospital. Daily Nation, No. 19242. Pg 21. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Maiti, R., Bhatia, V., Padhy, B., M. & Hota, D. (2015). Essential Medicines: An Indian Perspective. Indian Journal of Community Medicine; 2015 Oct-Dec; 40(4): 223-232. doi: 10.4103/0970-0218.164382. Online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581141/
Merab, E. (2018 July 21). Doctors blame faulty machines for most treatment and surgical mistakes. Saturday Nation.No. 19377.Pg 13 (Special report).Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Ministry of Health (MoH). (2014.) Kenya Health Sector Referral Implementation Guidelines. Published by: Ministry of Health, Division of Emergency and Disaster Risk Management Afya House P.O. Box 30016, General Post Office Nairobi 00100, Kenya http://www.health.go.ke
Ministry of Health (MoH). (2015). Nyandarua county. Health at a glance. Retrieved from: https://www.healthpolicyproject.com/pubs/291/Nyandarua%20County
Ministry of Health (MoH). (2016). Kenya Essential Medicines List 2016. Published by the Ministry of Health June 2016; Ministry of Health Afya House, Cathedral Rd Box 30016-00100 Nairobi, Kenya +254 20 271 7077. www.health.go.ke
Ministry of Health (MoH). (2018 December 13). Universal Health Coverage. Daily Nation, Pg 29. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Ministry of Health and Social Welfare (MoH& S W).(2013). Directorate Policy & planning, Monitoring & evaluation Unit, Dar es Salaam, Tanzania. ISBN: 976-9987-9652-6-7. Published by Ifakara Health Institute, Plot 463, Kiko avenue, Mikocheni, P.O. Box 78373, Dar es Salaam, Tanzania. www.ihi.or.tz
Ministry of Public Health & Sanitation & Ministry of Medical Services (MoPHS& MOMS). (2010). National Infection Prevention and Control Guidelines for Health Care Services in Kenya.Pg 72-74. Nairobi, Kenya: Government of Kenya, December 2010. Government of Kenya
Muchomba, F., G. (2015). Influence of devolved Governance and performance of the Health Sector in Kenya. Strategic Journal of Business & Change Management. Vol. 2, No. 2 (2015) http://strategicjournals.com/index.php/journal/article/view/123
Mutisya, J. (2018, July 21). Doctors not held to account for causing preventable injuries. Saturday Nation, No. 19377, Pg 12 (Special report). Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Nakyanzi, J., K., Kitutu, F., E. Oria, H. and Kamba, P., F. (2010). Expiry of medicines in supply outlets in Uganda. Bulletin of the World Health Organization 2010;88:154-158. doi: 10.2471/BLT.08.057471. Retrieved from http://www.who.int/bulletin/volumes/88/2/08-057471/en/
Nascimento, R., C., R., M., Ãlvares, J., Junio, A., A., G., Gomes I., C., Costa, E., A., Leite, S., N., ."¦Acurcio, F., A. (2017). Availability of essential medicines in primary health care of the Brazilian Unified Health System. On-line version ISSN 1518-8787. Rev. Saúde Pública 51 (2) 34-56
National Hospital Insurance Fund (NHIF) (2017). Accredited health facilities in Nyandarua County. Retrieved from: http//www.nhif.or.ke/healthinsurance/outpatientservices
National Institute of Population Research and Training (NIPORT). (2016).
Nyandarua County Assembly (NCA).(2015). The Hansard. NCA/201/07/2015(3) Nyandarua county assembly debates. Retrieved from: https://assembly.nyandarua.go.ke/download/hansard/Official%20Report%20(Hansard)%20of%2028th%20July,%202015..pdf
O' Connor, F. (2012).Hospital networks take key role in health care as IT makes Further clinical advances. Retrieved from: https://www.computerworld.com/article/2505262/healthcare-it/hospital-networks-take-key-role-in-health-care-as-it-makes-further-clincial-advances.html
O'Grady, T., P., Hawkins, M.A., and Parker, M.L. (1997). Whole-systems shared governance: Architecture for integration. Pg 106. Gaithersburg, MD: Aspen.
O'Neill, K., Takane, M., Sheffel, A., Carla Zahr, C., A. & Boerma, T. (2013). Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment.' Retrieved from: http://www.who.int/bulletin/volumes/91/12/12-116798/en/
Omboki, A. (2019 January 7). Maina, W. (2018 February 27). Primary, Local Health Drives to help UHC. Daily Nation, No. 19546.Pg 11. Published at Nation centre, Kimathi Street & Printed at Mombasa road, Nairobi by Nation media group Limited, P.O. Box 49010, Nairobi, 00100.
Oyekale, A., S. (2017). Assessment of primary health care facilities' service readiness in Nigeria. BMC Health Services Research.Retrieved: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333428/
Radichel, T., M.S. (2018). A Systems Approach to Service Delivery CCC-SLP Luther Hospital and Thinking Publications Originally published in Communication Connections, newsletter of the Wisconsin Speech-Language-Hearing Assn. Pg 38. Retrieved from: http://www.csap.org/slush_pile/TinaSlushPile.pdf
Raj, K. (2009). Facilities and Equipment as Predictors of Effective Health Care Delivery Services in Selected State Government Hospitals in Oyo State, Nigeria.Published by Kamla-Raj in the Anthropologist, 11(3): 181-187 (2009). Retrieved on 09.12.2016 from; http://www.krepublishers.com/02-Journals/T-Anth/Anth-11-0-000-09-Web/Anth-11-3-153-09-Abst-PDF/Anth-11-03-181-09-481-Ogundele-B-O/Anth-11-03-181-09-481-Ogundele-B-O-Tt.pdf
RashedulIslam, M., Laskar, S., P. & Macer, D. (2016).A Study on Service Availability and Readiness Assessment of Non Communicable Diseases Using the WHO Tool for Gazipur District in Bangladesh. Bangladesh Journal of Bioethics 2016; 7(2):1-13
Sabuni, A.(2017). KNA (Kenya news agency). Health Nominee assures Healthy County. Retrieved: http://kenyanewsagency.go.ke/en/?p=118172
Smits, H., Supachutikul, A. and Mate, K., S. (2014). Hospital accreditation: lesson from low- and middle-income countries. Global Health.2014; 10: 65.
Snow, J. (2018). Timor-Leste Health Improvement Project: The Facility Readiness Format: Improving Service Delivery at Health Posts, Health Centers, and Hospitals. Technical Brief. For more information: John Snow, Inc. 44 Farnsworth Street Boston, MA 02210 www.jsi.comRetrieved from: https://www.jsi.com/JSIInternet/Inc/Common/_download_pub.cfm?id=16078&lid=3
Stymiest, D., L. (2016). Best practices for hospital power system reliability. Retrieved from: https://www.hfmmagazine.com/articles/2089-best-practices-for-hospital-power-system-reliability
Thomas, B. (1998). "Analyzing the Decentralization of Health Systems in Developing Countries: Decision Space, Innovation and Performance." Social Science and Medicine 47(10): 1513-1527
Tropical Health & Education Trust(THET). (2016). Why medical equipment matters. Partnership for global health. Available online:http://www.thet.org/health-partnership-scheme/resources/medicalequipment/why-are-medical-equipment-partnerships-important Registered in England and Wales. Office: 1 Wimpole Street, London W1G 0AE | Charity Registration No. 1113101 | Company Registration No. 5708871
World Bank (WB). (2010). A generic drug policy as cornerstone to essential medicines in china. China health policy notes, NO. 4. The International Bank for Reconstruction and Development / The World Bank 1818 H Street, NW Washington DC 20433 USA Tel.+ (202) 473-1000 Internet: www.worldbank.org; Available online: http://www.worldbank.org/china
World Bank (WB). (2017). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. Press release No. 2018/092/hd. Retrieved from: http://www.worldbank.org/en/news/press-release/2017/12/13/world-bank-who-half-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expense
World Health Organization (WHO). (2006). Aide-memoire: Infection Control Standard Precautions in Health care. CH-1211 Geneva-27. Switzerland.www.who.int/csr. Retrieved: from: http://www.who.int/csr/resources/publications/4EPR_AM2.pdf on 09.12.2016.
World Health Organization (WHO). (2007). Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action. World Health Organization press, 20 Avenue Appia, 1211 Geneva 27, Switzerland (Tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). ISBN 978 92 4 1596077. (NLM classification: W 84.3)
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2019-08-19
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Njoroge, H. M., Oluoch, M., & Muthoni, E. (2019). THE EFFECT OF INFECTION CONTROL PRECAUTIONARY MEASURES AND BASIC EQUIPMENT’S ON PRIMARY HEALTH SERVICE DELIVERY PREPAREDNESS IN NYANDARUA COUNTY GOVERNMENT PRIMARY HEALTH FACILITIES. Journal of Health, Medicine and Nursing, 4(3), 57 – 73. Retrieved from https://iprjb.org/journals/index.php/JHMN/article/view/959
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