Procurement of pharmaceutical drugs plays a crucial role in management of health. It was observed there was lack of some drugs in Narok County Referral Hospital (NCRH) and it caused a strain on the patients. The patients have to buy the prescribed medication from chemists and pharmacies outside the hospital which is very expensive. The availability of drugs is crucial in the functioning of any hospital. For there to be continuity of flow of drugs, their procurement procedure is essential and objectives should be considered in the procurement of pharmaceutical drugs. The objective of this study was to determine the factors affecting the procurement of pharmaceutical drugs in Narok County Referral Hospital. Descriptive crosssectional study was carried out at NCRH. Key personnel strategically positioned to integrate with the procurement process of pharmaceutical drugs were included in the study. Data was collected using semi-structured interviews and later transcribed to notes. Themes were deductively analysed before being presented in prose. The study revealed that the procurement procedures in NCRH followed the recommended guidelines. Major challenges included bureaucracy, poor quantification, inadequate transportation options and lack of skilled personnel. The main factors facing the procurement of drugs in NCRH were inadequate funding resulting in delay in paying the suppliers and poor quantification. The study recommended that checks and measures should be included, thorough auditing to avoid misappropriation of funds and provide accountability and transparency. Inventory management training by government is needed to equip the staff with knowledge and skills on use and management of the various registers and forms for proper quantification.
Despite electronic medical record (EMR) systems being in existence since 1972, it's only recently that governments worldwide have begun to encourage digitalization of medical records (Agency for Healthcare Research and Quality, n.d.). With EMR systems being the current way of hospital management and also delivering healthcare in Kisii Teaching and Referral Hospital (KTRH), there is need for a review of their impact and to understand the challenges faced in their adaptation and use. The objective of the study was to determine the impact of EMR on healthcare delivery in KTRH. A cross-sectional qualitative study was carried out in KTRH among healthcare providers. An interview guide was used to collect data which was coded and analyzed using content analysis. The study revealed that the EMR systems have led to an increase in the productivity of healthcare delivery, better clinical decision making and better collaboration between healthcare providers. The major challenges identified were shortage of funding for the adaptation and utilization of the EMR systems, computer illiteracy among staff and shortage of ICT staff in the facility. The EMR systems in KTRH have had a great impact on health care delivery system by increasing collaboration between personnel, increased productivity of health care providers bringing about patient and provider satisfaction. There is need to increase the amount of funding for the utilization of the systems, to employ more ICT staff and carry out refresher training to the staff so as to increase the benefits of the EMR systems and tackle the shortcomings.
Bipolar causes significant psychosocial morbidity, because it frequently affects patients' relationships with family members and colleagues at work (Vornik& Hirschfeld, 2005). It also leads to increased family burden due to the increased cost of care and need for monitoring and support. This research thus aims to identify the effects that lead to relapse in bipolar patients and inform management interventions that will help reduce the rate of relapse. JustificationThis study is of significance to health workers, informal caregivers, families, colleagues, relatives and friends of those with bipolar so as to create awareness about the effects of bipolar among all those affected. It will also be important to other research as an inclusion to current literature. Research Objectives A. Broad objectiveTo determine effects of bipolar relapse on the patient. B. Specific objectives i.To determine the effects of bipolar on patients' work ii.To determine the effects of bipolar on patients' family iii. To determine the effects of Bipolar on school iv. To determine the effects of bipolar on patients' relationships
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