Health Technologies Impact Towards Resilient Health Systems: An Epistemological Approach at Kenyatta National Hospital, Kenya

Abstract

The project aimed to call to mind the impact of health technologies on strengthening health systems. An epistemological approach case study at Kenyatta National Hospital, Kenya. The investigation deployed a cross-sectional study. A sample total of 263 respondents was calculated using the Krejcie and Morgan formula for the quantitative study. A strict inclusion criterion was used to select respondents from all trained health personnel at Kenyatta National Hospital. The study utilized a questionnaire and a key informant interview guide. Data were analyzed using SPSS version 27, in which associations between predictor and outcome variables were assessed using correlational statistics. Qualitative data were thematically analyzed using response themes and presented verbatim. Consent was sought from all respondents. A total of 263 respondents were engaged in the quantitative study. The study utilized a questionnaire and a key informant interview guide. Before processing quantitative data, the data were cleaned, coded, and keyed into an MS Excel database and analyzed using SPSS version 27. Descriptive statistics were used to describe measures of central tendency and dispersion. Findings were presented using frequency distributions and summary tables. Associations between predictor and outcome variables were assessed using correlational statistics. Of the 263 respondents, 84 (69.2%) had a positive attitude, 29 (10.9%) were uncertain, and 53 (19.9%) had a negative attitude toward the ICT infrastructure being conducive to the growth and expansion of HMIS. KNH has a current and up-to-date ICT infrastructure that demonstrated a moderate positive correlation with HMIS, which has been fully implemented by the hospital (r = 0.41, p < 0.01), suggesting that advanced ICT infrastructure is significantly imperative for HMIS implementation. The study concluded that HIMS is not just automation, but rather a means of augmentation and connection. As an indispensable tool for providing safe, high-quality, and high-productivity healthcare, the study recommended that KNH adopt an HIMS tailored to its clientele and spur a systems-thinking approach among staff for sustained success.