http://ijpp.kemu.ac.ke/index.php/ijpp/issue/feed International Journal of Professional Practice 2024-05-03T13:25:15+00:00 Prof. Paul Maku Gichohi ijpp@kemu.ac.ke Open Journal Systems <p>The International Journal of Professional Practice (The IJPP) is an interdisciplinary journal published by Kenya Methodist University and dedicated to the publication of research articles, perspectives and commentaries related to social and economic life as well as innovation. The IJPP publishes articles from scholars globally and irrespective of country of origin, institutional affiliation, race, color, gender or creed. Articles published in The IJPP are blind peer-reviewed to ensure that their content is suitable for publication. IJPP is a multidisciplinary journal that has come of age.</p> <p><strong>ISSN:</strong> <strong><a href="https://portal.issn.org/resource/ISSN/2790-9468">2790-9468</a></strong></p> http://ijpp.kemu.ac.ke/index.php/ijpp/article/view/321 Modeling Predictors of Health System Responsiveness among Chronic Care Centers in Tier Three Hospitals in Kenya 2023-05-29T06:50:48+00:00 Hillary Kibiriti hillarykibiriti@yahoo.com Wanja Mwaura Tenambergen wanja.tenambergen@kemu.ac.ke Job Mapesa job.mapesa@kemu.ac.ke <p>This study sought to model predictors of health system responsiveness among diabetic and hypertensive patients in Kenyan primary hospitals. Responsiveness in the health system hinges on service provision and system demands, but there are noted deficiencies in Kenya prompting this study. The study explored how valuations, accountability, access, structural factors, organizational culture, and perceptions of justice impact responsiveness. This cross-sectional survey provided baseline data for an intervention study. From a sampling frame of 853 patients, 323 were sampled using the Fishers et al. formula. Of these, 308 questionnaires were completed: 130 from Gatundu, 98 from Uasin Gishu, and 80 from Kimilili Hospitals. Data was collected through structured questionnaires using a five-point Likert scale, after which scores were summed up and divided into favorable and unfavorable using the demarcation threshold formula. Only 38.3% of respondents reported favorable responsiveness. Three predictors; accountability, structural and organizational culture had majority in the unfavorable, while valuations, access, and justice had majority in the favorable category. Following conditional backward binomial logistic regression, the final model included four significant predictors of responsiveness; namely, structural, accountability, organizational culture, and justice perceptions. Using the Nagelkerke statistic, the model explained 15.7% variation in responsiveness. The model achieved a 79.5% success rate in predicting unfavorable responsiveness and a 46.6% success rate in predicting favorable responsiveness, with an overall correct prediction rate of 66.9%. The probability of experiencing favorable responsiveness given positive experiences in the predictors was 68.5%. In conclusion, responsiveness remains low. Critical predictors identified in this study serve as intervention targets for improving responsiveness. With 15.7% explained variation in responsiveness, there's room for further model enhancement. The study recommends managers to adopt a holistic, patient-centered care approach, and suggests implementation studies to validate the model across diverse contexts and identify additional predictive factors for responsiveness improvement.</p> 2024-05-03T00:00:00+00:00 Copyright (c) 2024 International Journal of Professional Practice http://ijpp.kemu.ac.ke/index.php/ijpp/article/view/389 Assessment of the Effectiveness of Non-Technical Approach to Cyber Security Management for NLIMS System in the Ministry of Lands and Physical Planning, in Kenya 2023-08-28T12:43:49+00:00 Gabriel Chebbe thgabu@gmail.com Edwin Mkhganga thgabu@gmail.com Robert Mutua Murungi robert.murungi@kemu.ac.ke Lawrence Mwenda Muriira lawrence.muriira@kemu.ac.ke Patricia Kavuli Ndambuki thgabu@gmail.com <p>The study determined whether NLIMS has adequately addressed the social aspect of their information security system. The study was conducted at Ministry of Land and Physical Planning Headquarters in Nairobi. The study adopted descriptive research design, and utilized stratified sampling technique to select respondents. Close-ended questionnaires were used to collect quantitative on social engineering cyber threats. Results indicated that 70% of staff using NLIMS system lack knowledge about social engineering attacks, their conduct, weaknesses, and the skills necessary to prevent or stop cyber threats. The findings further indicated that the 70% of Ministry of Lands’ staff use insecure methods to dispose waste that may contain information that could be used to launch an attack. This lack of attention to secure waste disposal puts NLIMS at risk of accessing sensitive information through dumb star diving. Unauthorized personnel can easily access information on staff computers or working desks through shoulder surfing. Workstation privacy is compromised by workstation resource sharing policies, allowing malicious staff to exploit them. Over 60% of staff lack proper social engineering awareness. Further, lower rank staff accesses information they are not authorized to access through the workstation resource sharing policy. The non-technical aspect of information security at KMLPP towards NLIMS has weaknesses, impairing the overall effectiveness of the security. This study establishes, as a key take away, that despite global awareness, less attention is given to the social aspect of cyber security despite being labelled the major weakness in any information security system. The study concludes that holistic approach, technical and non-technical aspects in KMLPP's use of secure waste disposal methods, such as shredding and burning, is essential for effective management of non-technical vulnerabilities. This study recommends that KMLPP on NLIMS should pay more attention to workstation privacy, secure waste disposal and educating staff on cyber security awareness.</p> 2024-06-18T00:00:00+00:00 Copyright (c) 2024 International Journal of Professional Practice http://ijpp.kemu.ac.ke/index.php/ijpp/article/view/371 Influence of Routine Health Information on Decision-Making in Public District Hospitals in Kilimanjaro Region, Tanzania 2023-09-15T08:15:56+00:00 Alex Mdidi Lisu alex.lissu@gmail.com Wanja Mwaura Tenambergen alex.lissu@gmail.com Eunice Muthoni Mwangi alex.lissu@gmail.com <p>The study sought to assess the implication of regularly collected health information in public hospitals in Kilimanjaro region, Tanzania. The effect of information accuracy, completeness of reports, information reliability, and information timeliness on decision-making in public district hospitals was examined. Descriptive cross-sectional design was adopted for this study conducted in the Kilimanjaro region of Tanzania. A target population of 60 individuals comprising hospital administrators, procurement officers, pharmacists, doctors, and nurses from six public district hospitals was identified. The sample size was determined using convenient sampling techniques. Primary quantitative data was collected through structured survey questionnaires. Data was analysed using the Statistical Packages for Social Sciences (SPSS Version 26). The study underscores the importance of accurate and timely health information in guiding decision-making processes and improving healthcare delivery. It identifies challenges such as lack of standardized information procedures and inadequate electronic health information systems, and highlights the importance of streamlining data presentation and visualization as crucial in enhancing better comprehension among healthcare professionals, reducing delays, and improving efficiency in health information management. The study recommends implementation of standardized procedures and electronic health information systems, capacity building for health information analysis, and establishing accessible common health management information system to all hospitals. Further, the study advocates for policy suggestions, such as prioritization and adoption of standardized procedures and electronic systems, training healthcare professionals, and appointing health management information system focal persons within hospitals to facilitate information sharing and communication in bid to enhance accountability, and transparency, and ultimately improve health outcomes for the population served by public district hospitals</p> 2024-06-18T00:00:00+00:00 Copyright (c) 2024 International Journal of Professional Practice http://ijpp.kemu.ac.ke/index.php/ijpp/article/view/369 Influence of Camel breeds on Productivity in Mandera County, Kenya 2023-08-08T14:37:56+00:00 Issadin Maalim Ali issadin09@gmail.com Stephen Laititi Mutunga stephen.mutunga@kemu.ac.ke William Ncene william.ncene@kemu.ac.ke <p>Mandera County relies mainly on camel production for income and livelihoods. However, the trade in camel and camel products remains largely under exploited. Efforts at exploiting the potential in the camel and its products have been made, albeit to a very low extent, but a lot remains to be done if camel productivity is to be maximized. It was against this background that the current study sought to investigate the influence of camel breeds on productivity in Mandera County. The objective of the research was to find the influence of camel breeds on productivity of meat, milk, hides and other products. Basic Needs Theory anchored the study. Descriptive research design was adopted. Both purposive and random sampling techniques were used to select respondents. Random sampling technique was applied on a population of 43,691 camel dealers in Mandera County, from which a sample of 396 households was obtained. 100 respondents were purposively selected from each Sub County. Government officers that work with camel dealers were interviewed. Reliability and dependability of the data were confirmed before analysis using SPSS Version 26. Cronbach alpha coefficient of 0.778 was realized for reliability of constructs of camel breeds. Descriptive statistics were used to explain the findings, while information from government officers was analyzed qualitatively for triangulation purposes. Hypothesis testing indicated that effects of breeds on camel productivity was statistically significant (β=0.201, p=0.032). Results revealed that effects of camel breeds were positively and significantly correlated to camel productivity at r=0.733. It was concluded that Camel breeds were critical to improvement of productivity. The study recommended that Mandera County invests in acquisition of adequate and good breeds of camel especially bulls and avail them in to the farmers so as to maximize productive cycles of female camels that often lack bulls when on heat losing production.</p> 2024-06-24T00:00:00+00:00 Copyright (c) 2024 International Journal of Professional Practice