Human Resources Factors and Management of Health Products and Technologies A Multi-County Study on Access to Quality, Affordable Health Products and Technologies
Main Article Content
Abstract
Health Products and Technologies (HPTs) are fundamental to realizing Kenya's Universal Health Coverage (UHC) goals, which emphasize high-quality medical services and minimized financial barriers. Despite efforts to improve HPT management, several counties face inefficiencies that hinder the consistent availability of affordable essential HPTs, undermining equitable access. This study investigated the impact of human resource for health (HRM) factors on the management of HPTs in selected Kenyan counties. Guided by management theory and the pragmatism paradigm, the research employed a mixed-methods design, using a descriptive survey for quantitative data and an exploratory approach for qualitative data. A census sampling technique encompassed 141 personnel responsible for HPT management at level 4 and 5 public health facilities, supplemented by key informant interviews with County Health Management Teams. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data underwent thematic analysis. The research revealed a correlation between human resource factors and HPT management of r = .509 (n = 106, P = .000). Human resource factors stood out as the most impactful predictor of HPT management (\beta = 0.251; t = 3.213; P = .002). Improving human resources for health enhances the availability of quality, affordable HPTs, advancing UHC. The study recommends a multidisciplinary Health Products and Technologies management Units (HPTUs) approach to foster collaboration among pharmacy, nursing, and clinical laboratory professionals for integrated, comprehensive HPT management.
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References
Chandani, Y., Noel, M., Pomeroy, A., Andersson, S., Pahl, M. K., & Williams, T. (2012). Factors affecting availability of essential medicines among community health workers in Ethiopia, Malawi, and Rwanda: Solving the last mile puzzle. The American Journal of Tropical Medicine and Hygiene, 87(5), 120–126. https://doi.org/10.4269/ajtmh.2012.11-0781 DOI: https://doi.org/10.4269/ajtmh.2012.11-0781
Chelangat, C., Kipmerewo, M., & Mukabana, B. (2021). Factors influencing women’s Preferred Mode of Delivery in Kericho County Hospitals, Kenya. Global Journal of Health Science, 13(11), 1–11. https://pdfs.semanticscholar.org/361e/031f8bce6ddd9168638fd04d56939619d102.pdf DOI: https://doi.org/10.5539/gjhs.v13n11p89
Dorsey, D. (2020). A Case Study Exploring the Impact of Human Resource Management Practices on Voluntary Turnover in Nonprofit Organizations. Northcentral University. [Doctoral dissertation, Northcentral University]. Northcentral University. https://www.proquest.com/openview/8277eb4def0ee8b53b75dab8f44e454a/1?pq-origsite=gscholar&cbl=18750&diss=y
Dye, C. F. (2020). Leadership in healthcare: Essential virtues and core competencies (4th Ed.). Health Administration Press
Ewing, A. (2023). Health care for all: A qualitative exploration of health, space, and accessibility in Kajiado, Kenya [Master’s thesis, Uppsala University]. DiVA. https://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1741434&dswid=-8013
Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction, and loyalty: An investigation in the context of private healthcare systems. International journal of quality & Reliability Management, 35(6), 1195–1214. https://doi.org/10.1108/IJQRM-02-2017-0031 DOI: https://doi.org/10.1108/IJQRM-02-2017-0031
Feyisa, D., Jemal, A., Aferu, T., Ejeta, E., Fikadu, A., & Alem, E. (2021). Evaluation of cold chain management performance for temperature-sensitive pharmaceuticals at public health facilities supplied by the Jimma Pharmaceuticals Supply Agency Hub, Southwest Ethiopia: Pharmaceuticals logistic management perspective using a multicentered, mixed-method approach. Advances in Pharmacological and Pharmaceutical Sciences, 2021, Article 5167858. https://doi.org/10.1155/2021/5167858 DOI: https://doi.org/10.1155/2021/5167858
Freeman, J., & Jacobs, S. (2021). Structural Deregulation. Harvard. Law. Review, 1(1) 135, 585. https://heinonline.org/HOL/LandingPage?handle=hein.journals/hlr135&div=29&id=&page=
Kagwanja, N., Waithaka, D., Nzinga, J., Tsofa, B., Boga, M., Leli, H., ... & Barasa, E. (2020). Shocks, stress, and everyday health system resilience: experiences from the Kenyan coast. Health policy and planning, 35(5), 522–535. https://academic.oup.com/heapol/article-abstract/35/5/522/5760350 DOI: https://doi.org/10.1093/heapol/czaa002
Kairu, A., Were, V., Isaaka, L., Agweyu, A., Aketch, S., & Barasa, E. (2021). Modelling the cost-effectiveness of essential and advanced critical care for COVID-19 patients in Kenya. BMJ Global Health, 6(12), Article e007168. https://gh.bmj.com/content/6/12/e007168 DOI: https://doi.org/10.1136/bmjgh-2021-007168
Kanyepe, J. (2022). Inventory management strategies and healthcare delivery in hospitals in the Mashonaland region of Zimbabwe. Transport and Logistics: The International Journal, 22(52), 2406–1069. https://www.researchgate.net/profile/James-Kanyepe/publication
Khatoon, A. (2020). A blockchain-based smart contract system for healthcare management. Electronics, 9(1), 94. https://doi.org/10.3390/electronics9010094 DOI: https://doi.org/10.3390/electronics9010094
Kiarie, M. W., & Mbugua, D. (2022). Determinants of Quality of Service offered by Doctors of District Hospitals in Murang’a County, Kenya. Journal of Strategic Management, 2(2), 1-15. https://edinburgjournals.org/journals/index.php/journal-of-strategic-management/article/view/112 DOI: https://doi.org/10.70619/vol2iss2pp1-15
Kwesiga, B., Aliti, T., Nabukhonzo, P., Najuko, S., Byawaka, P., Hsu, J., ... & Kabaniha, G. (2020). What has been the progress in addressing financial risk in Uganda? Analysis of catastrophe and impoverishment due to health payments. BMC Health Services Research, 20(1), 741. https://link.springer.com/article/10.1186/s12913-020-05500-2 DOI: https://doi.org/10.1186/s12913-020-05500-2
Lubega, M., Tumwesigye, N. M., Kadobera, D., Marrone, G., Wabwire-Mangen, F., Peterson, S., ... & Ekström, A. M. (2015). Effect of community support agents on retention of people living with HIV in pre-antiretroviral care: a randomized controlled trial in eastern Uganda. Journal of Acquired Immune Deficiency Syndromes, 70(2), e36-e43. https://10.1097/QAI.0000000000000723 DOI: https://doi.org/10.1097/QAI.0000000000000723
Machanga, A. M. (2024). Determinants of Health Products and Technologies Management in Level Four and Five Hospitals in Nyeri County [Master's Thesis, KeMU], Kenya. http://41.89.31.5:8080/bitstream/handle/123456789/1936/
Ministry of Health. (2029). Kenya health sector strategic plan 2024–2029: Accelerating the attainment of universal health coverage. Government Printer
Mirera, D. O., Kimathi, A., Ngarari, M. M., Magondu, E. W., Wainaina, M., & Ototo, A. (2020). Societal and environmental impacts of seaweed farming in relation to rural development: The case of Kibuyuni village, south coast, Kenya. Ocean & coastal management, 194(1), 105253. https://doi.org/10.1016/j.ocecoaman.2020.105253 DOI: https://doi.org/10.1016/j.ocecoaman.2020.105253
Mwanakarama, A. M., Wanja, T., & Musyoki, F. (2022). Factors influencing the Delivery of Quality Maternity Healthcare in Public Primary Healthcare Facilities in Mombasa County, Kenya. Journal of African Interdisciplinary Studies, 6(1), 64-76. https://kenyasocialscienceforum.wordpress.com/wp-content/uploads/2022/02/pdf-mwanakarama-et-al-factors-influencing-the-delivery-of-quality-healthcare-in-kenya.pdf
Njogo, C. (2022). Efficacy of Health-care Under Devolved Governance in Kenya: The Case of Makueni County [Master's Thesis, University of Nairobi]. Kenya https://erepository.uonbi.ac.ke/handle/11295/163474
Njoroge, G., & Moi, E. (2020). Effect of devolution on healthcare administration in Murang'a County, Kenya. International Academic Journal of Arts and Humanities, 1(2), 141-156. http://www.iajournals.org/articles/iajah_v1_i2_141_156.pdf
Odhiambo, D. O. O., & Wabala, S. (2023). Data management practices and performance of the HIV program in health facilities in Mombasa County, Kenya. International Journal of Social Sciences Management and Entrepreneurship (IJSSME), 7(2), 246–261. https://sagepublishers.com/index.php/ijssme/article/view/319
Ponnusamy, P., & Sankar, S. (2022). In-Service Training Programmes Related to Inclusive Education: Perspectives of Elementary School Teachers. Voices of Teachers and Teacher Educators, 11(2), 49–56. ttp://ejournals.ncert.gov.in/index.php/vtte/article/view/1908
Rashid, N. (2021). Technical Efficiency of Public Primary Health Care Facilities in Mombasa County [Master's Thesis, University of Nairobi]. Kenya. https://erepository.uonbi.ac.ke/handle/11295/161048
Sansone, D. (2019). Beyond early warning indicators: high school dropout and machine learning. Oxford bulletin of economics and statistics, 81(2), 456–485. https://doi.org/10.1111/obes.12277 DOI: https://doi.org/10.1111/obes.12277
Snell, S. A., & Morris, S. S. (2018). Managing human resources (18th Ed.). Cengage Learning.
Sweed, H. S. (2016). Population ageing-Egypt report. Middle East Journal of Age and Ageing, 13(2), 10–17. http://www.me-jaa.com/dec2016/Egypt.pdf DOI: https://doi.org/10.5742/MEJAA.2016.92881
Tamene, E. H. (2016). Theorizing a conceptual framework. Asian Journal of Educational Research 4(2), 50–56. https://ju.edu.et/education-and-behavioral-science/wp-content/uploads/sites/5/2023/01/theorizing-conceptual-framework.pdf
Tashobya, C. K., Dubourg, D., Ssengooba, F., Speybroeck, N., Macq, J., & Criel, B. (2016). A comparison of hierarchical cluster analysis and league table rankings as methods for analysis and presentation of district health system performance data in Uganda. Health policy and planning, 31(2), 217–228. https://doi.org/10.1093/heapol/czv045 DOI: https://doi.org/10.1093/heapol/czv045
Tesfaye, S., Taye, G., Birhane, E., & van der Zee, S. E. (2019). Observed and model-simulated twenty-first-century hydro-climatic change of Northern Ethiopia. Journal of Hydrology: Regional Studies, 22(1), 100595. https://doi.org/10.1016/j.ejrh.2019.100595 DOI: https://doi.org/10.1016/j.ejrh.2019.100595
Wambugu, P. (2021). Drama Participation as a Strategy in the Management of Discipline among Students in Secondary Schools in Central Region, Kenya [Master's Thesis, KeMU]. Kenya. http://41.89.31.5/bitstream/handle/123456789/1187/
Wamunga, F. M., & Wakhu, D. O. (2021). Enhancing Health-Seeking Behavior: A Case of Khwisero Sub-County, Kakamega County, Kenya. Africa Environmental Review Journal, 4(2), 148–158. http://41.89.164.28/index.php/aerj/article/view/191
Wang, X., Zhang, X., & He, J. (2020). Challenges to the system of reserve medical supplies for public health emergencies: reflections on the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic in China. Bioscience Trends, 14(1), 3–8. https://www.jstage.jst.go.jp/article/bst/14/1/14_2020.01043/_article/-char/ja/ DOI: https://doi.org/10.5582/bst.2020.01043
Yaqoob, I., Salah, K., Jayaraman, R., & Al-Hammadi, Y. (2022). Blockchain for healthcare data management: opportunities, challenges, and future recommendations. Neural Computing and Applications, 34(14), 11475–11490. https://link.springer.com/article/10.1007/s00521-020-05519-w DOI: https://doi.org/10.1007/s00521-020-05519-w