http://repository.tuc.ac.ke:8080/xmlui/handle/123456789/4 2026-04-21T12:07:37Z 2026-04-21T12:07:37Z ONUNGA, JEREMIAH,PAUL,SHARONODONGO,ANYANGO http://repository.tuc.ac.ke:8080/xmlui/handle/123456789/609 2025-05-13T09:28:22Z 2025-01-20T00:00:00Z

HEALTH INFORMATION MANAGEMENT SYSTEM DATA UTILIZATION IN STRATEGIC MANAGEMENT DECISION MAKING IN HOSPITALS: SYSTEMIC REVIEW ONUNGA, JEREMIAH,PAUL,SHARONODONGO,ANYANGO A health information system is a structured effort to systematically collect, store, and share data essential to the effectiveness of a health system, encompassing various health-related functionalities. Gathering, organizing, and analyzing data is crucial to identify the health needs of a population, providing hospital management with insights to allocate resources effectively across the health workforce, essential medications, governance, and service provision. However, although hospitals typically rely on their staff to handle data, these key administrative responsibilities often lack support for using data to make informed decisions, leading to poor service delivery and unnecessary patient referrals. This desktop review explored how hospital management employs the Health Information Management System for strategic decision-making and identified challenges and barriers to leveraging this data. The review sourced materials from three databases, two journal websites, and Google Scholar, using search terms like “Health Management Information System,” “Strategic management,” “Decision-making,” “health data,” and “barriers to data use.” The analysis followed the Preferred Reporting Items for Meta-analysis and Systematic Review, resulting in 35 articles identified, with seven selected for inclusion after evaluation. Findings revealed that hospital management teams seldom use Health Management Information for decision-making, and health workers similarly underutilize this data for critical choices. Technical and organizational factors significantly hinder the use of Health Management Information for strategic decisions aimed at enhancing service delivery. To overcome these obstacles, the review suggests regular supportive supervision, training, capacity building, mentoring on basic health information skills, and improved feedback through collaboration among policymakers and stakeholders. Hospital administrators should promote a culture that values routine health information for evidence-based decisions across all areas by boosting resources, providing tools, computers, skilled staff, and automation, while offering regular refresher training to keep health personnel adept at using the system and emerging technologies. Management should prioritize the value of information and foster leadership to encourage positive attitudes toward its use. This review provides a valuable resource for informing the government about the initiative’s current status and hospital managers’ data management capabilities for relevant programs, while offering researchers ample material for deeper exploration.

2025-01-20T00:00:00Z ONUNGA, JERAMIAH,PAULODONGO http://repository.tuc.ac.ke:8080/xmlui/handle/123456789/608 2025-05-13T09:12:17Z 2025-01-07T00:00:00Z

DIGITAL TRANSFORMATION IN PUBLIC ADMINISTRATION AND DATA-DRIVEN DECISION-MAKING: A REVIEW OF TURKANA COUNTY GOVERNMENT ONUNGA, JERAMIAH,PAULODONGO Digital transformation is increasingly becoming a focal point for organizations and governments worldwide, including Kenya. In Kenya, the 2010 Constitution introduced devolution, decentralizing governance, enabling county-level implementation of government programs, and extending governance to the grassroots. Among the functions devolved to counties is Early Childhood Development and Education (Pre-primary education), aimed at enhancing efficiency, transparency, and accountability in governance. Turkana County, inhabited primarily by the Turkana people with a history of nomadic pastoralism, views Pre-primary education as crucial for initiating academic life. Embracing digital transformation in Pre-primary education implementation represents a significant shift. The study focused on Turkana County Government's strategies for digital transformation in Pre-primary education and identified key objectives: Assessing digital inclusion in public administration in Turkana County; recommending practical implementation of two systems: Turkana Early Childhood Development Education Management Information System and Continuous Database Updating system; and establishing sustainability measures for data-driven decision-making. The study employed a descriptive research design involving observation and desktop review of county online platforms and libraries. Information gathered affirmed the status of digital transformation in Pre-primary education and guided recommendations. Turkana County Government has implemented two digital systems: Turkana Early Childhood Development and Education Management Information System (a website) and Continuous Database Updating System (Data entry and updating system). The website hosts programs and data related to pre-primary education management, including teacher and learner information, infrastructure development, feeding programs, policy updates, and reports on supervision and evaluation of teachers. Recommendations for successful digital transformation included investing in community engagement for program sustainability, strengthening administrative structures, and enhancing digital technology in Pre-primary education. These measures aim to ensure efficient and effective management of Pre-primary education programs. In conclusion, the Turkana County Government's adoption of the two digital systems marks a significant step towards modernizing Pre-primary education management. By following the study's recommendations, Turkana County can achieve enhanced governance and educational outcomes through digital transformation, thereby serving as a model for similar initiatives across Kenya's counties.

2025-01-07T00:00:00Z CHEBOI, JULIANA,PAUL,GEORGE,CHEMININGW'A ,N KIMURTO,,MOSENDA,GANGARAO http://repository.tuc.ac.ke:8080/xmlui/handle/123456789/607 2025-05-13T12:15:20Z 2024-12-07T00:00:00Z

INFLUENCEOF WATER STRESS ON GROWTH AND YIELD.COMPONENTS OF SELECTED PIGEONPEA GENOTYPES CHEBOI, JULIANA,PAUL,GEORGE,CHEMININGW'A ,N KIMURTO,,MOSENDA,GANGARAO Drought and high temperature mostly influence growth and development of pigeonpea, resulting in forced maturity. Though these stresses have a drastic impact on reducing productivity of pigeonpea, limited efforts have been made towards development of pigeonpea genotypes having tolerance to these abiotic stresses. Therefore, this study was carried out to identify pigeonpea genotypes that can tolerate water stress. A greenhouse experiment was conducted at Upper Kabete field station of the University of Nairobi, Kenya, using fifteen selected pigeonpea genotypes based on ICRISAT descriptors. The fifteen plants were grown under drought stress levels of 40% and 80% field capacity (FC) in comparison to non-drought stress (100% FC) condition in a randomized complete block design with a factorial arrangement with three replications. Data was collected on plant growth, physiological and yield attributes. Drought stress reduced 100 seed weight by 14.9 %, number of pods (31.9%) and pod diameter (25%). At the lowest moisture level (40 % FC), drought stress reduced pod weight by 84 %, pod length (2 %), Chlorophyll content (11.9 %) and shell weight (2.4 %). However, reduction of moisture level to 80% FC recorded an increase in pod weight (5.5 %) and pod length (3.4 %) and no significant effect on chlorophyll content and number of seeds per pod. Genotypes ICEAPs 182022, 182014, 182013, 19023 and 86012 performed better in relation to growth and yield despite the increased levels of drought stress. The few identified genotypes can be utilized as potential parents in breeding for drought tolerance.

2024-12-07T00:00:00Z Dushimimana, Constantin,Titus,Margaret,GeorgeMagomere,Hutchinson,Chemining’wa http://repository.tuc.ac.ke:8080/xmlui/handle/123456789/606 2025-05-13T07:59:44Z 2025-02-05T00:00:00Z

EXPLOITING THE POTENTIAL OF AUXINS AND TRANS‑CINNAMIC ACID FOR IN VITRO ROOTING OF MELIA VOLKENSII GÜRKE CLONES Dushimimana, Constantin,Titus,Margaret,GeorgeMagomere,Hutchinson,Chemining’wa The aim of this study was to optimize the in vitro propagation and rooting of elite Melia volkensii Gürke clones. The effects of auxins, trans-cinnamic acid, and silver thiosulfate (STS) were assessed. The genotype response to rooting was tested with the four best treatments on six clones. Melia volkensii shoots were successfully rooted at 98.9% from using a modified woody plant medium supplemented with 3.0 μM indole-3-butyric acid (IBA). The addition of IBA to the medium resulted in an increased number of roots per shoot. The highest average number of roots per shoot was 8 in the media with 2.0 μM IBA without STS, compared to 8.9 roots per shoot in the medium with 3.0 μM IBA and 0.02 M STS. The most effective medium for producing the longest roots was a woody plant medium containing IBA or indole-3-acetic acid. Adding silver thiosulfate to the rooting media reduced shoot callusing during rooting. Compared to other treatments, trans-cinnamic acid induced the development of roots with numerous secondary roots. There was a significant clone effect on rooting. All clones’ maximum numbers of roots were associated with the medium containing 3.0 μM IBA and 0.02 M STS. The findings of this study will enable mass propagation and planting of elite M. volkensii and encourage molecular breeding efforts

2025-02-05T00:00:00Z