The objectives were; assessing the influence of county government security planning, staff training, provision management resources and attitude on management. study was guided by Security Management Theory. adopted mixed methodology thus applied concurrent triangulation design. target population comprised 176 officers 384 totaling to 960 respondents from which a sample 282 were obtained using ...

Citizen-science databases have been used to develop species distribution models (SDMs), although many taxa may be only georeferenced to county. It is tacitly assumed that SDMs built from county-scale data should be less precise than those built with more accurate localities, but the extent of the bias is currently unknown. Our aims in this study were to illustrate the effects of using county-sc...

OBJECTIVE This study aimed to investigate prescription patterns and influencing factors in Chinese county hospitals. METHODS Prescription quality was evaluated by five indicators proposed by WHO/INRUD. A questionnaire for doctors was designed by our research group. All internists, surgeons, obstetricians, gynecologists and pediatricians from 10 county hospitals in Anhui province were asked to...

OBJECTIVE To assess the effectiveness of a clinic-based pediatric literacy intervention on a multilingual population. BACKGROUND Clinic-based literacy interventions are effective among English- and Spanish-speaking children. No data exist for multilingual populations. SETTING Pediatric clinic in an urban county hospital. Design/Methods. Reading practices of 2 cross-sectional groups were ass...

This paper describes and evaluates the budgeting and planning processes in public hospitals in Kenya. We used a qualitative case study approach to examine these processes in two hospitals in Kenya. We collected data by in-depth interviews of national level policy makers, hospital managers, and frontline practitioners in the case study hospitals (n = 72), a review of documents, and non-participa...

BACKGROUND In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functio...