影响肯尼亚县政府COVID-19大流行管理的因素评估

C. M. Kimeli, Leiro Solomon Letangule, Oduor James Otieno, Cherono Mercy, Moshong Celestine Chesekut, Yegon Jane Cherotich, Ongwae Michael Angelloh, Mwendwa Titus Kitele, Sharon Jerono, Nancy C Rotich
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引用次数: 0

摘要

Covid-19全球大流行给世界各国政府带来了巨大挑战。它导致死亡人数和疫情激增,对许多国家的公共和私人卫生系统构成挑战,并使许多国家的经济陷入停顿。肯尼亚也不例外,同其他国家一样,它采取了若干战略来防治这一流行病,但同样遭受了同样的命运。几乎没有经验证据可以确定这些策略,特别是县政府的策略是否有效地应对了Covid-19大流行。因此,存在着本研究试图回答的知识鸿沟。正是在这种背景下,本研究试图评估医疗设备和用品、人员和资金在多大程度上影响了肯尼亚县政府对Covid-19大流行的管理。指导这项研究的总体目标是评估影响肯尼亚县政府对Covid-19大流行管理的因素。该研究的具体目标是:确定医疗设备和用品对县政府Covid-19大流行管理的影响程度,确定人力资源使用对县政府Covid-19大流行管理的影响程度,以及确定资金对县政府Covid-19大流行管理的影响程度。芬克的危机管理模型指导了这项研究,该研究回顾了有关新冠肺炎大流行管理中医疗设备和用品、人力资源和资金的实证文献。本研究采用描述性调查研究设计,目标人群为卫生部门的70,500名雇员。本研究采用简单随机抽样作为抽样技术,使用Yamane公式选择100名受访者的样本量。通过问卷调查收集数据。数据进行描述性统计,并使用SPSS进行分析。调查结果显示,79.6%的受访者认为医疗设备和物资对县级政府的疫情管理有很大影响,85%的受访者认为人力资源对县级政府的疫情管理起着关键作用,74.2%的受访者认为资金对县级政府的疫情管理有很大影响。根据调查结果,研究报告建议进行工作人员审计和工作量分析,并开始征聘进程,以改善员额编制;对所有医疗设施的床位容量进行审计,并制定采购计划,根据需要购置更多床位;对工作人员培训进行审计和分析,以确定培训差距并采取必要行动;与社会责任委员会就额外的医务人员津贴进行谈判,最后就应急基金的支出进行快速立法。凝胶:H10;H51;H76;一块;I18文章可视化:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
AN ASSESSMENT OF FACTORS INFLUENCING THE MANAGEMENT OF COVID-19 PANDEMIC AMONG COUNTY GOVERNMENTS IN KENYA
The global pandemic of Covid-19 created dramatic challenges for governments worldwide. It led to skyrocketing numbers of deaths and outbreaks, challenged the public and private health systems of many countries and brought many national economies to a halt. Kenya was not an exception and like other countries used a number of strategies to combat the epidemic but equally suffered the same fate. There is little empirical evidence to determine whether the strategies, especially by the county governments were effective in handling the Covid-19 pandemic. Thereby lies the knowledge gap that this study seeks to answer. It is against this background that this study sought to assess the extent to which medical equipment and supplies, personnel and funding influenced the management of the Covid-19 pandemic by county governments in Kenya. The general objective guiding the study was, to assess the factors influencing the management of the Covid-19 pandemic among county governments in Kenya. The specific objectives of the study were: To determine the extent to which medical equipment and supplies influenced the management of the Covid-19 pandemic in the county governments, to determine the extent to which the use of personnel resources influenced the management of the Covid-19 pandemic in the county governments and to determine the extent to which funding influenced the management of Covid-19 pandemic in the county governments. Fink's crisis management model guided the study, which reviewed the empirical literature on medical equipment and supplies, personnel resources and funding in the management of the Covid-19 pandemic. This study adopted a descriptive survey research design with a target population of 70,500 employees from the health sector. The research used simple random sampling as a sampling technique and a sample size of 100 respondents was selected using the Yamane formula. Data was collected using questionnaires. The data were subjected to descriptive statistics and analyzed using SPSS. Based on the findings, 79.6% of the respondents agreed that medical equipment and supplies greatly influenced the management of the Covid-19 pandemic in the county governments, 85% of the respondents indicated that personnel resources played a critical role in the management of Covid-19 pandemic among the counties and 74.2% of the respondents agreed that funding greatly influenced management of Covid-19 pandemic in county governments. Based on the findings, the study recommended that a staff audit and workload analysis should be undertaken and a recruitment process initiated to improve staffing levels; an audit of bed capacity of all medical facilities be initiated and a procurement plan for the acquisition of additional beds based on needs undertaken; an audit and analysis of staff training be undertaken to identify training gaps and necessary action initiated; negotiate with SRC on additional medical staff allowances and lastly fast-track legislation on the expenditure of emergency funds. JEL: H10; H51; H76; I10; I18  Article visualizations:
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