Search the Repository
Welcome to the Umma University Digital Repository. This is a digital service that collects, preserves, and distributes digital material. It facilitates digital preservation and scholarly communication.
Communities in DSpace
Select a community to browse its collections.
- Conferences, workshops and seminar proceeding within Umma University
- PhD Thesis by Staff and Students of Umma University
- University publications
Recent Submissions
Financial Inclusion and Stock Market Developmentin Kenya; ACase of Kajiado County
(Blue Print Academic Publishers, 2024-09-22) Munene, Wanja Agnes; Koech, Alex
The Group of Twenty (G20) recognizes that financial inclusion as a key enabler in the fight against poverty. In effort to alleviating poverty in Kenya, the government identified the stock market as a key avenue in mobilizing resources. The Development of its stock market is thus vital avenue that could be used to mobilize investment funds required for implementation of vision 2030 projects. However, the stock market is contributing less than one percent of growth financing against the government expectation of ten percent. This study therefore, sought to investigate the effect of financial inclusion on stock market development in Kenya. The specific objectives were to determine the effects of access to financial services, usage of financial services, quality of the products and the service delivery on stock market development in Kenya. Using stratified random sampling, a sample size of 482respondents was drawn from a target population.Multiple regression Model was employed in order to determine the relationship between financial inclusion and stock market participation in Kenya. The study found out there was a strong positive relationship between financial access, usage and product quality and stock market development.Also, financial access(β=.061, p<0.05), usage(β=.083, p<0.05)and product quality(β=.476, p<0.05)has a positive and statistically significant effect on stock market development in Kenya.In addition, the study found that most of the responses on advanced financial literacy questions were performed below average indicating low financial literate levels among the respondents.The study recommends that the county government initiate programs that will enhance financial inclusion in the county, this will not only enhance stock market development but also other market sectors.
INVESTIGATION OF DECLINE OF ISLAM IN MUMIAS REGION OF KAKAMEGA COUNTY
(2023-11-19) OMUKABA, OMAR RAMADHAN
Islamic religion first spread into Africa from the Arabian Peninsula during the early seventh century. Today, 40 percent of the African population is Muslims. The East African region consist of a significant number of Muslims particularly along the Indian Ocean coastline. In Kenya, Muslims account to 11 percent of the population (Census, 2019). Islam penetrated to interior of Kenya and stepped its fit in Mumias Western Kenya in late 19th century. Its spread in the region was spearheaded by King Nabongo Mumia of the Wanga kingdom who embraced in its early stage. In early 20th century Christian missionaries invaded the region spreading Christianity which led to weakening of Islam in the region.
This study has investigated the downfall of Islam in Mumias region of Kakamega County,
Kenya. The study aimed to examine the factors behind the decline of Islam in Mumias
region and discuss the efforts of revival. The study was guided by the theory of islamization developed by Bunger (1972) and conflict theory suggested by Marx. The design employed was exploratory and descriptive survey design with a methodology of a mixed method approach during which both qualitative and quantitative data were collected through questionnaires and interview schedules. The quantitative data obtained was analyzed systematically with the help of the SPSS version 21 and presented with the help of frequency tables and percentages. While the qualitative data collected was analyzed and presented thematically in a narrative form. The target population was 399,145 respondents from the entire Mumias region. The researcher used both purposive and simple random sampling to get sample size of 100 respondents for the study. Ethical consideration was a priority by seeking permission from the relevant authority to carry out the study and confidentiality assured to all respondents. The study findings have established several reasons that led to deterioration of Islam in Mumias region such as lack of religious knowledge, learning in missionary sponsored schools, marriage to nonmuslims, poverty among Muslims, Influence from parents and colleagues who are not Muslims or who have
converted from Islam, misconception about Islam, lack of committed and consistent
propagators (Duat) and lack of Islamic institutions like schools and hospitals among others.
The results also indicate that downfall of Islam contributes to reduction of Muslim
followers. There are some efforts put forward to improve the situation like; propagation of
the religion, interreligious dialogues though very little and a few Islamic NGOs that operate in the region among others.
Prevalence, Effect and Management of Cancer Pain at Garissa, Kenya
(IOSR Journal of Nursing and Health Science, 2018-12-25) Affey, Fatuma. A.; Mwenda, Catherine; Too, Wesley; Elmi, Mohamed
High prevalence, negative effect and suboptimal cancer pain management has been reported from resource-limited countries such as Kenya. Precisely, trends of cancer cases are on the increase at Garissa County in Kenya, yet no data exist on the prevalence, effect and management of cancer pain. This study was to examine the prevalence, effect and cancer pain management of adult patients at Garisssa County Referral Hospital. A descriptive cross sectional survey was employed and 94 cancer patients from both outpatient on follow up care and inpatient were recruited to participate. MBPI (Modified Brief Pain Inventory) and ECOG (Eastern Cooperative Oncology Group) tools were used for data collection. Pain Management Index was calculated and significant levels were set at P<0.05 for all tests. Mean age of participants was 50years,
composed of 42(44.7%) male and 52 (55.3%) female. Cancers of Breast and prostate were most prevalent with (25%) female and (14%) male respectively. Prevalence of cancer pain was 78% with majority reporting moderate to severe pain and undertreatment with PIM of (p-value < 0.05). Participants accounting 76.9% male
and 66.7% female reported cancer pain interference with ability to walk and 91% male and 70% female reported that pain interfered with their mood. Male participants reported to experience more psychological, physical and social pain than female participants. A total of 81.9% (77) participants incorrectly utilised WHO analgesic ladders, 65% (61) and 77.6% (73) considered alternative therapy of Quran and Somali herbs respectively for pain management. This study found a high prevalence of cancer pain with negative impact and suboptimal cancer pain management.
'XANNUN’ NURSING CARE MODEL FOR CANCER PAIN MANAGEMENT AMONG ADULT PATIENTS AT GARISSA COUNTY REFERRAL HOSPITAL (GCRH), KENYA
(2019) AFFEY, FATUMA ADEN
Nursing care models allows concept application of not only the physical treatment of pain but also synthesis the significance of social-cultural practices, psychological and spiritual pain relief. Cancer pain has high prevalence and negative impact on the quality of life of patients at Garissa County due to limited access to healthcare facilities and unique pastoral lifestyle of the community. This necessitated the development of ‗Xannun‘ model of nursing care for holistic pain management that is clinically proficient
and culturally competent.
Phase one of the utilised triangulation method approach to recruit 94 cancer patients, 84 clinical nurses and 15 key informants, while phase two was the actual development and testing of Xannun nursing care model. Various sampling procedures that included random, purposive and snowball and recruit participants voluntarily was done. Modified Brief Pain Inventory (MBPI) tool combined with focus group discussion and Eastern Cooperative Oncology Group (ECOG) performance status was used to obtain data
from participants. The sample population was 188 participants. Cancer patients had a mean age of 51years, with prevalence of pain at 78 % (73) that ranged from moderate to severe. A total of 78 % (66) of clinical nurses had no tool for pain assessment, 83.2 % (70) of them did not know how to utilise WHO analgesic ladder. Majority of patients 82 % (78) were on incorrect WHO analgesic ladder with negative PMI (p-value < 0.05) of under treatment. Majority of patients considered alternative treatment for cancer pain such as Quran recitation and Somali herbs accounting for 65% (61) and 77.6% (73) respectively.
Almost all KI 93% (14) indicated the inadequate availability of pain medication.
Phase two, Delphi survey to gain expert opinion was used. Experts‘ opinion of 80% of respondents agreed that the ‗Xannun‘ nursing model captured the challenges of cancer pain management and 60% of them predicted that the model could be utilised. However, 100% of the experts suggested that the model will bring a positive change, though 90% of them upheld that there will be potential challenges of implementing such a model.
This study found high prevalence of cancer pain, suboptimal pain care, Knowledge deficit among nurses and inaccessibility of pain medication associated with the dynamic of a nomadic lifestyle. Thus, this study recommends the implementation of ―Xannun‖ Nursing Care model at GCRH, for a better approach of cancer pain management.
A MODEL OF NURSING CARE FOR CANCER PAIN MANAGEMENT AMONG ADULT PATIENTS AT GARISSA COUNTY REFERRAL HOSPITAL
(2018-09-01) AFFEY, FATUMA ADEN
Cancer pain is a complex feeling due to sensory and emotional hostile experiences linked with a negative impact on the quality of life of patients. More than 50% of patients with cancer complain of pain hence the need for nursing care model for pain management. Cancer pain in Garissa is a concern due to the limited access to pain management in healthcare facilities. The pastoral lifestyle of the communities exacerbates it.The nursing care model is tailored for such a unique lifestyle in the provision of holistic pain management that is assumed to cultivate care of patients at Garissa County. Phase one was a descriptive exploratory study design. A mixed method approach was utilised to recruit participants that include 94 cancer patients, 84 clinical nurses and 15 critical informants for this study. Various sampling procedures, including random, purposive and snowball sampling were employed to recruit all study participants voluntarily. Modified Brief Pain Inventory (MBPI) tool combined with focus group discussion was used to obtain data from cancer patients. ECOG performance status was also utilised to assess the functional disease progress. Questionnaires were randomly administered to all clinical nurses and Key informants caring for cancer patients to ascertain their knowledge, practice and availability of pain control medications. Descriptive statistics, Chi-square and linear regression, analysed the quantitative information while qualitative data was analysed through the categorisation of themes, a cluster of themes and direct quotes of participants.
The sample population was 188 participants. Cancer patients had mean age 51year with composition of 44.7 % (42) male and 55.3% (52) female. Prevalence of cancer pain was at 78 % (73) with intensity ranging from moderate to severe. A total of 78 % (66) of clinical nurses indicated had no tool for pain assessment, 83.2 %( 70) of them did not know how to utilise WHO analgesic ladder. Majority of patients 82 %( 78) were on incorrect WHO analgesic ladder for pain management with negative PMI (p-value < 0.05) of under treatment. Majority of patients considered alternative treatment for cancer pain such as Quran recitation and Somali herbs accounting for 65% (61) and 77.6% (73) respectively. Almost all KI 93% (14) indicated the inadequate availability of pain medication.
Phase two entailed the development of “Xanuun” nursing care model for pain management and pre-testing of the same from expert opinion and nurse managers GCRH. Findings from experts showed that 80% of respondents agreed that the developed model captured the challenges of cancer pain management and 60% of them predicted that the model could be utilised. However, 100% of the experts suggested that the model will bring a positive change, though 90% of them upheld that there will be potential challenges of implementing such a model.
This study revealed a high prevalence of cancer pain due to under treatment and inaccessibility of pain medication associated with the dynamic of a nomadic lifestyle. The study found limited knowledge and negative attitude among clinical nurses at GCRH. Thus, recommends the need to implement contextual “Xannun” Nursing Care model at GCRH, for a better approach of cancer pain management