9th Annual Conference Kabarak University 2019http://ir.kabarak.ac.ke/handle/123456789/6112024-03-29T13:14:14Z2024-03-29T13:14:14ZDoctors’ Training and Knowledge in End of Life Care: Case Study of Three Mission Hospitals in KenyaMung'ara, Davidhttp://ir.kabarak.ac.ke/handle/123456789/3512021-07-09T08:47:34Z2019-10-16T00:00:00ZDoctors’ Training and Knowledge in End of Life Care: Case Study of Three Mission Hospitals in Kenya
Mung'ara, David
There is an increasing number of people in Kenya with life limiting illnesses who require
palliative and end of life care. In developed countries such care is often given in a hospice
or at home by palliative service professionals. In Kenya, there are limited such resources
and therefore this care frequently ends up being offered by inpatient healthcare
professionals spear-headed by doctors. To assess doctors’ previous training and current
knowledge in end of life care, a descriptive cross-sectional survey utilizing a questionnaire
was administered to doctors working in three mission hospitals in Kenya. Nearly half of the
doctors had never received any form of undergraduate training in end of life care. Those
clinicians who had received more intensive end of life care training appeared to have a
greater knowledge of end of life care management. Curriculum reviewers should
incorporate end of life care as part of training for all doctors.
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2019-10-16T00:00:00ZThe factors impeding Clean Development Mechanism (CDM) implementation and carbon emissions reductions and energy management in relation to climate change and sustainable development in Africa.Koskei, EdnahKitetu, Jacksonhttp://ir.kabarak.ac.ke/handle/123456789/3412024-03-23T05:14:41Z2019-10-16T00:00:00ZThe factors impeding Clean Development Mechanism (CDM) implementation and carbon emissions reductions and energy management in relation to climate change and sustainable development in Africa.
Koskei, Ednah; Kitetu, Jackson
The paper focuses on experimentally researched information on factors that are an impediment to
the implementation of clean development mechanism, the effects and solutions on carbon
emissions reduction and energy management initiatives for sustainable development in relation
to climate change in Africa. The objectives are to identify some countries in Africa where
experimental studies have been done on factors which hinter implementation of CDM and the
research methods, results, findings obtained and application in providing solutions on the way
forward for implementation of CDM in Africa., to highlight the impacts of the failure and or
success to implement the clean development mechanism on carbon emissions reductions and
energy management in relation to climate change and sustainable development in Africa and to
suggest solutions that can be used to accelerate the implementation of CDM in Africa. The
methods used to collect data in both Kenya and Burkina Faso studies were questionnaires,
interviews and workshops, whereas SPSS computer package method was used to analyze the
data. CDM is a tool provided by Kyoto Protocol in 1997 established by United Nations
Framework convention on Climate Change, that ensures all parties (developed & Developing
Countries) of the Protocol benefit from the project activities designed to reduction of greenhouse
gases in to the earth’s atmosphere. The findings of the studies done in Kenya, and Burkina Faso
show the following factors to be hindering implementation of CDM:- policy barriers, project
financing gaps, institutional barriers and gaps, lack of information and knowledge on CDM,
government bureaucracy, corruption, limited resources and insecurity due to terrorism attacks.
The solutions proposed for Burkina Faso and Kenya are given as- introduce efficient
carbonization techniques, enhance community participation, create a black and white lists for
approving CDM projects, promote in-country expert capacity building in CDM projects and
provide tax incentives to CDM investors.
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2019-10-16T00:00:00ZInfluence Of Polythene Bag Alternatives On Compliance To Environmental Legislation On Polythene Bag Ban In Rongai Sub-County, Nakuru County, KenyaKoros, Victor KipkemboiKitetu, Jackson JohnKebenei, Sella J.http://ir.kabarak.ac.ke/handle/123456789/3402024-03-23T05:47:26Z2019-10-16T00:00:00ZInfluence Of Polythene Bag Alternatives On Compliance To Environmental Legislation On Polythene Bag Ban In Rongai Sub-County, Nakuru County, Kenya
Koros, Victor Kipkemboi; Kitetu, Jackson John; Kebenei, Sella J.
Polythene bags have been preferred for packaging purposes because they are light in weight,
cheap and resistant to degradation. Despite the benefits, poor disposal of polythene causes
degradation and pollution of soil, water, land and air resources leading to health problems and
Climate change. Furthermore, polythene kills the wild game, livestock and aquatic organisms.
These problems led to the introduction of legislation in 2017 banning polythene bags of less than
30 microns. Reports of availability of these polythene bags and emergence of poor quality
alternatives in Kenya indicate lack of compliance to this environmental Legislation. Therefore,
the objective of this study was to determine the influence of polythene bags alternatives on the
extent of compliance to environmental legislation on polythene bag ban in Rongai sub-county,
Nakuru County, Kenya and to recommend possible solutions. The descriptive research design
was used in the study. A sample size of 259 respondents was selected using proportionate
stratified random sampling from a target population of 18,377 households and 580 traders and
purposively selected 6 Key informants. Instruments used included Piloted questionnaires (0.74
Polythene bags have been preferred for packaging purposes because they are light in weight,
cheap and resistant to degradation. Despite the benefits, poor disposal of polythene causes
degradation and pollution of soil, water, land and air resources leading to health problems and
Climate change. Furthermore, polythene kills the wild game, livestock and aquatic organisms.
These problems led to the introduction of legislation in 2017 banning polythene bags of less than
30 microns. Reports of availability of these polythene bags and emergence of poor quality
alternatives in Kenya indicate lack of compliance to this environmental Legislation. Therefore,
the objective of this study was to determine the influence of polythene bags alternatives on the
extent of compliance to environmental legislation on polythene bag ban in Rongai sub-county,
Nakuru County, Kenya and to recommend possible solutions. The descriptive research design
was used in the study. A sample size of 259 respondents was selected using proportionate
stratified random sampling from a target population of 18,377 households and 580 traders and
purposively selected 6 Key informants. Instruments used included Piloted questionnaires (0.74
Cronbach’s alpha level), focus group discussions Observation and photography. Data analysis
was done using SPSS version 20. Percentages were used in descriptive statistic while Chi-square
at 5% level of significance ((=0.05) was used in the inferential statistic. Results indicated that
50% of respondents use propylene bags which was attributed to the lack of alternatives by the
majority significantly agreeing (p<.0001). This study is important in the reforms of
Environmental policy, promotion of awareness and compliance of this legislation in Kenya.
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2019-10-16T00:00:00ZManagement of Flash Floods in Marigat Sub County, Baringo County, KenyaKiptim, Julius KipkemoiEliud, MichuraKoskei, Ednahhttp://ir.kabarak.ac.ke/handle/123456789/3392024-03-23T05:58:54Z2019-10-16T00:00:00ZManagement of Flash Floods in Marigat Sub County, Baringo County, Kenya
Kiptim, Julius Kipkemoi; Eliud, Michura; Koskei, Ednah
Flash flood is a natural disaster that occurs due to the sudden onset of rainfall that causes runoff
waters from high altitude areas to low altitude area. This runoff waters leads to loss of lives,
destruction of property, and environment; a problem experienced by residents of Marigat Sub-
County. The purpose of the study was to investigate the management strategies of flash floods in
Marigat Sub-County. The study used descriptive research management practices of flash floods
on qualitative and quantitative methods. The target population of the study area was 120,263
people with 24,893 households. Purposive sampling method for three locations which
wereIlng’arua, Ng’ambo and Salabaniexperiencing flash floods with a population of 13,885
translating to 3168 households, from which a sample size of 355 respondents was obtained.
Stratified proportionate random sampling method was used to select household heads for the
survey. Purposive sampling method was used to identify key informants from the selected
locations and one disaster management officer. Primary and secondary data were used. The
questionnaire, key informants interview schedules, and observations were used to collect data.
The validity of the study was achieved through the construction of relevant instruments to the
objectives of the study. To ensure reliability, piloting of the questionnaire was done and results
obtained were 0.76 Cronbach's alpha level. Collected data were coded and analyzed using the
SPSS software, where descriptive and inferential statistics were generated to test the study
hypothesis. The findings of this study will be beneficial to Baringo County and the Kenyan
government in the management of flash floods and the achievement of sustainable development
goals in which the residents of Marigat sub-county are direct beneficiaries.
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2019-10-16T00:00:00Z