Analysis of the Role of Leadership Styles in Managing Change in Organizations. A Case Study of Kenya Tea Development Agency (KTDA)

The importance of leadership in the process of change management is unveiled through studying the current situation, challenges and coming up with possible solution. The study was based on Kenya Tea Development Authority (KTDA). The conceptual framework explores the effects of autocratic, democratic, transactional and transformational leadership styles in change management. A descriptive research design was used with a target population of 45 members of the management team who have worked for KTDA for a period of no less than three years. A structured questionnaire was used as a primary data collection instrument. The conclusion of the study was that autocratic leadership style was the most commonly practiced at KTDA. A possible reason why computerization process failed since the management did not lead by example in the change process. The recommendation is for the management to employ appropriate leadership styles in the adoption of change. Keywords: Change management; leadership styles; transformational leadership styl

Determinants of Neonatal Mortality in Kenya: Evidence From Kenya Demographic Health Surveys, 2008 and 2014

Background: This paper analyses the contribution of socio demographic, neonatal, maternal and health facility related factors to the neonatal mortality in Kenya.  Methods: Data from the Kenya demographic and health survey 2008 and 2014 was analyzed.  Results: Logistic regression showed that in 2008, newborns with a short interval of <2 years (OR=1.938, p=0.000), very small babies, (OR 2.25, p=0.160), low birth weight (OR=6.677, p=0.000), male children (OR=1.243, p=0.028) and neonates not breastfed immediately after birth (OR=2.768, p=0.005) increased the risk of mortality.  In 2014, being born in urban areas (OR=1.323, p=0.028), low birth weight (OR=2.354, p=0.008), birth interval of <2 years (OR=1.549, p=0.028, boys (OR=1.443, 0.014), mothers who did not attend ANC and those who had <3 ANC visits had (OR=4.668, p=0.000) and (OR=1.572, p=0.003) respectively as associated with neonatal mortality.  Conclusion: This paper emphasizes on mother nutrition education, immediate initiation of breast feeding, attending 4 ANC and hospital delivery for better birth outcomes. Key words: Determinants, Neonatal, Mortality, logistic regression, breastfeeding, birth weight DOI: 10.7176/JHMN/65-06 Publication date: August 31st 201

Effect of Pricing of New Coca Cola Soft Drink Products on Sales Performance of Coca- Cola Company in Nyahururu Town

A sales performance review of new soft drinks products introduced by Coca cola in Mount Kenya region, established that only 15% have succeeded, 55% have performed poorly, 17.5% have failed completely and another 12.5% have exhibited an abnormally high artificial growth. However, there is scanty and inconclusive empirical data that would explain this trend of Coca cola products within Nyahururu town in Kenya. The purpose of this study was to examine the effects of price as marketing mix variables of new Coca-Cola soft drinks products on the company’s sales performance in Nyahururu town. The specific objectives included examining the effects of pricing, of new Coca cola soft drinks products on sales performance of the company in Nyahururu town. To achieve these objective, hypotheses was formulated and tested empirically. This study was based on the marketing mix theory by Borden. The study adopted a descriptive research design that gathered both quantitative and qualitative data. The target population comprised of 375 managers and owners of outlets selling Coca cola soft drinks in Nyahururu town. The sample size was 75 which was 20% of the target population as per postulations from Mugenda & Mugenda (2003), which was arrived at through stratified random sampling. Out of this, 73 responded meaning the response rate was 97.3%. The study used a questionnaire to obtain primary data whose validity was enhanced through discussions with the supervisors. Test-retest method was used to achieve reliability during a pilot study conducted in Subukia town. Cronbach’s alpha was used to test the reliability in which 0.789 values was obtained which was acceptable.  Quantitative data was analyzed using the Statistical Package for Social Sciences (SPSS) version 20 computer software and presented in frequencies, percentages, and tables for clarity. Qualitative data was used to supplement interpretation of quantitative data. The study established that pricing of new products had an influence on sales performance of the existing Coca cola products. The, study recommends that the pricing of new products should compare favorably with existing products so as to avoid cannibalization and intra-distribution channel competition. The study has added to the body of knowledge that could benefit students, researchers and academicians interested in this area of study. Keywords: Market Mix Variable, Pricing, Coca Cola, Sales Performance, Product

Determinants of diarrhea among young children under the age of five in Kenya, evidence from KDHS 2008-09

This paper examines the relative contribution of household, demographic and maternal characteristics to the incidence of diarrhea in young Kenyan children. Data from the Kenya Demographic and Health Survey 2008- 09 was used with a total of 3838 women included in the study. The measure of diarrhea in children was derived from woman’s questionnaire. Logistic regression analysis showed that age of child [AOR, 0.796; 95% CI, 0.559-1.134] and residence of mother [AOR, 0.538; 95% CI, 0.324-0.895] are more likely to influence childhood diarrhea. Higher education level of mother was associated with lower incidence of childhood diarrhea [AOR, 0.187; 95% CI, 0.609-0.573]. Household characteristics that had statistically significant influence on childhood diarrhea included sources of drinking water [AOR, 1.644; 95% CI, 1.040-2.599] and household size [AOR, 1.334; 95% CI, 1.000-1.780]. This paper emphasizes the importance of mothers being literate and access to good quality drinking water sources in reducing childhood diarrhea

Fish and complementary feeding practices for young children: Qualitative research findings from coastal Kenya

This study examines barriers to fish consumption during the complementary feeding period in two coastal counties of Kenya with high rates of child malnutrition. Study findings indicate that young child fish consumption is impacted by factors related to accessibility, food preferences, and caregiver’s knowledge and beliefs about fish during the complementary feeding period. These factors are influenced by prominent community figures such as elder women and health workers, whose own beliefs and understandings are impacted by underlying cultural norms, potentially limiting fish consumption. To our knowledge, this is the first study conducted in the coastal region of Kenya to focus on understanding fish consumption attitudes and beliefs during the complementary feeding phase. Our findings represent a critical first step towards the creation of more effective policies and interventions to address the significant nutritional disparities that exist in the study population

Regulation of medical diagnostics and medical devices in the East African community partner states.

BACKGROUND: Medical devices and in vitro diagnostic tests (IVD) are vital components of health delivery systems but access to these important tools is often limited in Africa. The regulation of health commodities by National Regulatory Authorities is intended to ensure their safety and quality whilst ensuring timely access to beneficial new products. Streamlining and harmonizing regulatory processes may reduce delays and unnecessary expense and improve access to new products. Whereas pharmaceutical products are widely regulated less attention has been placed on the regulation of other health products. A study was undertaken to assess regulation of medical diagnostics and medical devices across Partner States of the East African Community (EAC). METHODS: Data was collected during October 2012 through desk based review of documents and field research, including face to face interviews with the assistance of a structured questionnaire with closed and open ended questions. Key areas addressed were (i) existence and role of National Regulatory Authorities; (ii) policy and legal framework for regulation; (iii) premarket control; (iv) marketing controls; (v) post-marketing control and vigilance; (vi) country capacity for regulation; (vii) country capacity for evaluation studies for IVD and (viii) priorities and capacity building for harmonization in EAC Partner States. RESULTS: Control of medical devices and IVDs in EAC Partner States is largely confined to national disease programmes such as tuberculosis, HIV and malaria. National Regulatory Authorities for pharmaceutical products do not have the capacity to regulate medical devices and in some countries laboratory based organisations are mandated to ensure quality of products used. Some activities to evaluate IVDs are performed in research laboratories but post market surveillance is rare. Training in key areas is considered essential to strengthening regulatory capacity for IVDs and other medical devices. CONCLUSIONS: Regulation of medical devices and in vitro diagnostics has been neglected in EAC Partner States. Regulation is weak across the region, and although the majority of States have a legal mandate to regulate medical devices there is limited capacity to do so. Streamlining regulation in the EAC is seen as a positive aspiration with diagnostic tests considered a priority area for harmonisation

Samaki Salama - Promoting healthy child growth and sustainable fisheries in coastal Kenya: A study protocol

Background: One in five young children globally suffer the consequences of stunted growth and development and millions experience deficiencies in zinc, iron, iodine, vitamins A and B12, nutrients found bioavailable in fish foods. Small-scale fisheries have the potential to generate income and augment fish consumption while being environmentally sustainable if appropriately managed. However, those engaged in small-scale fisheries are often marginalized, poor, and malnourished. The Samaki Salama project seeks to better understand and address these challenges through a three-arm, longitudinal matched cluster study which evaluates the impact of an integrated nutrition social marketing and modified fishing trap intervention. Methods: here will be 400 small-scale fisher households enrolled from Kilifi County, Kenya and residing in communities matched on location (rural), livelihoods, and child nutritional status. The sample will include mothers and other caregivers, children 6–60 months, and fishers in the family. Applying a cluster design, the matched communities will be divided into three groups: (1) control (n = 200); (2) multi-component nutrition social marketing intervention to fishers, mothers, and health workers (n = 100); and (3) multi-component nutrition social marketing intervention plus modified fishing traps and training (n = 100). Primary outcomes include child growth, fish food intakes, and fisheries yield of mature fish. Secondary outcomes are diet diversity, child diarrheal morbidity, and fisheries revenue. A process evaluation will be used to monitor and ensure fidelity of intervention delivery. Discussion: This study builds on a growing body of literature illustrating the effectiveness of nutrition focused social marketing campaigns to promote active engagement of participants, high compliance to the intervention, and sustained behavior change. The second intervention element of modified fishing traps that allow immature fish to escape enables participants to act on the messaging they receive and promotes sustainable fishing through increased harvest efficiency and reduced catch of immature fish. The integrated approach of the Samaki Salama intervention provides an example of how to leverage multiple disciplines to address key challenges to human and environmental health and illustrates a pathway for scaling study innovations to other small-scale fisheries systems

What's normal? Oligosaccharide concentrations and profiles in milk produced by healthy women vary geographically.

Background: Human milk is a complex fluid comprised of myriad substances, with one of the most abundant substances being a group of complex carbohydrates referred to as human milk oligosaccharides (HMOs). There has been some evidence that HMO profiles differ in populations, but few studies have rigorously explored this variability.Objectives: We tested the hypothesis that HMO profiles differ in diverse populations of healthy women. Next, we examined relations between HMO and maternal anthropometric and reproductive indexes and indirectly examined whether differences were likely related to genetic or environmental variations.Design: In this cross-sectional, observational study, milk was collected from a total of 410 healthy, breastfeeding women in 11 international cohorts and analyzed for HMOs by using high-performance liquid chromatography.Results: There was an effect of the cohort (P 4 times higher in milk collected in Sweden than in milk collected in rural Gambia (mean ± SEM: 473 ± 55 compared with 103 ± 16 nmol/mL, respectively; P < 0.05), and disialyllacto-N-tetraose (DSLNT) concentrations ranged from 216 ± 14 nmol/mL (in Sweden) to 870 ± 68 nmol/mL (in rural Gambia) (P < 0.05). Maternal age, time postpartum, weight, and body mass index were all correlated with several HMOs, and multiple differences in HMOs [e.g., lacto-N-neotetrose and DSLNT] were shown between ethnically similar (and likely genetically similar) populations who were living in different locations, which suggests that the environment may play a role in regulating the synthesis of HMOs.Conclusions: The results of this study support our hypothesis that normal HMO concentrations and profiles vary geographically, even in healthy women. Targeted genomic analyses are required to determine whether these differences are due at least in part to genetic variation. A careful examination of sociocultural, behavioral, and environmental factors is needed to determine their roles in this regard. This study was registered at clinicaltrials.gov as NCT02670278

Managing emerging fisheries of the North Kenya Banks in the context of environmental change

The North Kenya Banks have long been considered an important emerging fishery with the potential to spur economic growth for local fishing communities. As a regionally important extension to the otherwise narrow East African continental shelf, the North Kenya Banks remain under studied with implications for efforts to develop a sustainable fisheries management strategy. The local marine ecosystem is known to be strongly influenced by wind driven upwelling processes with seasonal variability driven by the changing monsoon seasons being of particular importance. Nevertheless, the Western Indian Ocean is warming due to anthropogenic climate change with evidence indicating reduced ocean productivity in future. How the ecosystem of the North Kenya Banks will respond is currently uncertain but is of great importance due to the significance of coastal fishery resources to coastal communities, and growing Blue Economy initiatives to exploit the North Kenya Banks fisheries more widely. There is, however, limited knowledge of the processes influencing productivity over the North Kenya Banks regions and currently there is no management plan in place to sustainably manage the fishery resources. Here, information about the North Kenya Banks fisheries are examined in relation to environmental processes and threats from climate change impacts with suggestions for future research and management directions