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Issue DateTitleAuthor(s)
2024Psycho- economic factors, digitalization and pay as you earn tax compliance among small and medium enterprises in Thika town, KenyaBett, Milka Chebet
2024Moderating effect of social norms on the determinants of turnover tax compliance among small and medium enterprises in Kariokor market in Nairobi, KenyaKandagor, Victor Kipkosiom
2024Tax structure, tax service quality and value added tax Compliance among small and medium enterprises in Westlands Subcounty, Nairobi, KenyaKirwa, Davies Kipkosgei
2024Custom reforms, institutional capacity and customs Revenue collection at Busia and Malaba Border Posts, KenyaKiplimo, Elvis
2025Evaluation of the utilization of instructional resources By secondary school teachers in teaching of Geography in Ugunja Sub-County, Siaya County KenyaOtieno, Erick Ouma
2024-10Challenges Facing Children Reintegration in Uasin Gishu County, KenyaAbuya, Willice O.; Onsarigo, Thomas Gisemba; Adeli, Scholastica; Ochieng, Felix
2023-06Does Corporate Social Responsibility (CSR) Actually Develop Mining Communities? An Examination of CSR Programmes in Kenya’s Mining SectorAbuya, Willice O.
2025Kenya's Foreign PolicyKurgat, Paul Kibiwott; Were, Edmond Maloba; Okoth, Pontian Godfrey
2025-05-13Factors associated with inappropriate blood transfusion among obstetric patients at Moi Teaching and Referral Hospital, Eldoret Kenya C. Biwot P.K. Tonui B.J. Locho J. Odunga Abstract Objectives: To determine the blood transfusion rate, identify the indications for blood transfusion and assess the appropriateness of blood transfusion among obstetric patients at Moi Teaching and Referral Hospital, (MTRH) Eldoret. Methods: This was a hospital based cross-sectional study. Pregnant women from 28 weeks of gestation to 6 weeks postpartum, who received transfusion of blood and blood products, were included in the study. A total of 228 participants were enrolled in the study. Results: The blood transfusion rate among obstetric patients at Moi Teaching and Referral Hospital was 3.82%. Obstetric hemorrhage accounted for 72% of all indications for transfusion of blood and blood products, while anemia in pregnancy explained 28% of indications. The commonest indication for transfusion of blood and blood products was uterine atony at 34.2%, followed by genital tract trauma at 14.5% and anemia in pregnancy at 14.0%. Postpartum anemia and retained placenta accounted for 13.2% and 11.4% respectively. HELLP syndrome (6.1%), placental abruption (4.8%), secondary post-partum haemorrhage (3.1%), placenta Previa (2.2%) and uterine rupture (1.8%) accounted for the remainder of the cases. Overall, 37.3% of blood transfusions were inappropriate, with pre- transfusion hemoglobin level and referral status being significantly associated. Conclusions: The blood transfusion rate among obstetric patients at Moi Teaching and Referral Hospital was 3.82%. Uterine atony was the most common obstetric indication for blood transfusion at 34.2%. Only 37.3% of blood transfusions were inappropriate as per the Kenya National Blood Transfusion Services (KNBTS) blood transfusion guidelines. Patients who had been referred from other facilities and those with a pretransfusion hemoglobin level above 7g/ dL were more likely to receive an inappropriate blood transfusion.Biwot, C; Tonui, P.K; Locho, B.J.; Odunga, J.
2024-09-30Readiness of primary healthcare and community markets for joint delivery of cardiovascular disease prevention services in Kenya: an observational feasibility study of health kiosks in markets (HEKIMAKaduka, Lydia; Olale, Joanna; Mutai, Joseph; Christelle, Elia; Mbuka, Jaymima; Ochieng, Rodgers; Oyugi, Boniface; Oduor, Chrispine; O’Keeffe, Majella; Boulding, Harriet; Murdoch, Jamie; Parmar, Divya; Kokwaro, Gilbert; Ogola, Elijah; Cruickshank, John Kennedy; Muniu, Erastus; Harding, Seeromanie

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