Health Service utilization

In order to improve efficiency in health service delivery in Kenya, the Ministry of Health has developed structures through inter-sectoral collaboration at various levels. Despite efforts by the government and key stakeholders to improve health sector, utilization of health services still remains a major challenge. The purpose of the study was to investigate
factors that influence utilization of health services in Homa Bay County,

Kenya. The study employed survey design and focused on health beneficiaries, District Health Management Team and other key health stakeholders, and used both quantitative and qualitative data. Quantitative data was collected through household interviews of 384 respondents and qualitative data was generated through Key Informant Interviews of 16
respondents. The study reveals that health financing, service delivery, quality, accessibility and equity influence utilization of health services in Homa Bay County. It is for these reasons that the study recommends that the government should allocate adequate budget towards health services, avail
adequate trained health workers, and improve infrastructure in health facilities as well as drugs and other supplies. There is also need for further research on cultural factors influencing utilization of health services.

The anabolic growth of dot.com—with third-generation network license auctions as the grand finale—implied a series of large investments in mobile technology. Without new products and services utilizing this infrastructure (m-services), however, these investments may never be recouped, and today there is no sure sign of demand for these new nomadic applications in the market. This paper shows how actors in the m-services value network coordinate their efforts to bring such applications to the marketplace. It shows their risk averse and locally optimizing strategies, which theoretically are very different from the current fascination in Information Systems with disruptive innovation. This paper illustrates the need for a theory of ordinary innovation in nomadic and ubiquitous computing.

The Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial is a randomized, controlled, single-masked trial designed to determine whether cognitive training interventions (memory, reasoning, and speed of information processing), which have previously been found to be successful at improving mental abilities under laboratory or small-scale field conditions, can affect cognitively based measures of daily functioning. Enrollment began during

Most of the family planning services are being provided free of cost in Nepal however the rate of service utilization appearsunsatisfactory. This paper aims to assess the factors that are associated with non-useof family planning servicesamong currently married women of reproductive age.The data for this paper are extracted from theNepal Demographic and Health Survey (NDHS), 2016.Altogether 9875 currently married women of reproductive age wereincluded in this analysis. Bivariate and multivariate analysis were performed to explore the association of socio-demographic characteristics with non-use of contraceptives. Almost a half of the sampled currently married women (47%) were non-users of contraception. Married women aged below25 years(aOR=2.07, 95% CI 1.75-2.44) and aged 25 to 34 year (aOR=1.15, 95% CI 1.02-1.29)were more likely to not to use contraceptives compared to women aged 35 or above years. Janajati were less likely to be non-user of contraception compared to Brahmin/Chhetri (aOR=0.73, 95% CI 0.64-0.83). Muslim women were less likely to use contraception (aOR= 2.45, 95% CI 1.9-3.2) compared to Hindu women.Likewise, women who did not work currently were more likely to not use contraceptives compared to currently working women (aOR=1.47, 95% CI 1.32-1.63).Similarly, poor women were less likely to not use contraception compared to rich women (aOR=1.15, 95% CI 1.01-1.32).Similarly, women who had no autonomy were more likely to be non-user of contraceptive (aOR=1.16, 95%CI 1.01-1.32) than those how had high autonomy. Women who had not heard family planning message from TV in last few months were more likely to not use contraceptives (aOR=1.16, 95%CI 1.02-1.31) than those who had heardafter controlling other socioeconomic variables. Women aged less than 25 years, Muslim women, currently not working and having poor wealth status, having no autonomy in household decision making, who did not watch FP message in TVwere more likely to not use contraceptive methods compared to their counterparts.Thus, family-planning-related interventions need to be more focused among younger aged women, women having no or less autonomy in decision making, poor and jobless women and Muslim women. Furthermore, women empowerment initiatives (employment opportunities) tied up with family planning programs would be beneficial to increase contraceptive uptake among married women of reproductive age.