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  1. Article ; Online: The fiscal value of human lives lost from coronavirus disease (COVID-19) in China

    Joses M. Kirigia / Rose Nabi Deborah Karimi Muthuri

    BMC Research Notes, Vol 13, Iss 1, Pp 1-

    2020  Volume 5

    Abstract: Abstract Objective According to the WHO coronavirus disease (COVID-19) situation report 35, as of 24th February 2020, there was a total of 77,262 confirmed COVID-19 cases in China. That included 2595 deaths. The specific objective of this study was to ... ...

    Abstract Abstract Objective According to the WHO coronavirus disease (COVID-19) situation report 35, as of 24th February 2020, there was a total of 77,262 confirmed COVID-19 cases in China. That included 2595 deaths. The specific objective of this study was to estimate the fiscal value of human lives lost due to COVID-19 in China as of 24th February 2020. Results The deaths from COVID-19 had a discounted (at 3%) total fiscal value of Int$ 924,346,795 in China. Out of which, 63.2% was borne by people aged 25–49 years, 27.8% by people aged 50–64 years, and 9.0% by people aged 65 years and above. The average fiscal value per death was Int$ 356,203. Re-estimation of the economic model alternately with 5% and 10 discount rates led to a reduction in the expected total fiscal value by 21.3% and 50.4%, respectively. Furthermore, the re-estimation of the economic model using the world’s highest average life expectancy of 87.1 years (which is that of Japanese females), instead of the national life expectancy of 76.4 years, increased the total fiscal value by Int$ 229,456,430 (24.8%).
    Keywords Coronavirus disease ; Fiscal value of human lives ; Non-health gross domestic product ; Medicine ; R ; Biology (General) ; QH301-705.5 ; Science (General) ; Q1-390 ; covid19
    Subject code 950
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: The Monetary Value of Disability-Adjusted Life Years in Kenya in 2017

    Rose Nabi Deborah Karimi Muthuri / Joses Muthuri Kirigia

    SAGE Open, Vol

    2020  Volume 10

    Abstract: All diseases and injuries exert a heavy epidemiological and socioeconomic burden on Kenya. The specific objectives of this study were (a) to estimate the monetary value of disability-adjusted life years (DALYs) from all causes in 2017 with the ongoing ... ...

    Abstract All diseases and injuries exert a heavy epidemiological and socioeconomic burden on Kenya. The specific objectives of this study were (a) to estimate the monetary value of disability-adjusted life years (DALYs) from all causes in 2017 with the ongoing implementation of United Nations sustainable development goal (SDG) 3 and (b) to estimate the reductions in the monetary value of DALYs in Kenya, assuming diseases and injuries related to SDG3 targets are achieved by 2030. A variant of human capital (or net output) analytical framework was applied to value DALYs from 162 diseases and injuries into their monetary equivalents. The 17.9 million DALYs from 162 causes in Kenya in 2017 had a total monetary value of Int$ 67,012,790,388. Approximately 57% of the monetary value of DALYs emanated from communicable, maternal, neonatal, and nutritional diseases; 36% from noncommunicable diseases; and 7% from injuries. We estimate that attainment of the five SDG3 targets would lead to an Int$ 21.5 billion (45%) decrease in the SDG3-related monetary value of DALYs by 2030. There is an urgent need for health policy-makers to use this kind of evidence when advocating among public and private sectors for increased spending on health development.
    Keywords History of scholarship and learning. The humanities ; AZ20-999 ; Social Sciences ; H
    Subject code 332
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Predictors of Health-Related Quality of Life among Healthcare Workers in the Context of Health System Strengthening in Kenya

    Rose Nabi Deborah Karimi Muthuri / Flavia Senkubuge / Charles Hongoro

    Healthcare, Vol 9, Iss 18, p

    2021  Volume 18

    Abstract: Kenya is among the countries with an acute shortage of skilled health workers. There have been recurrent health worker strikes in Kenya due to several issues, some of which directly or indirectly affect their health. The purpose of this study was to ... ...

    Abstract Kenya is among the countries with an acute shortage of skilled health workers. There have been recurrent health worker strikes in Kenya due to several issues, some of which directly or indirectly affect their health. The purpose of this study was to investigate the predictors of health-related quality of life (HRQOL) among healthcare workers in public and mission hospitals in Meru County, Kenya. A cross-sectional study design was undertaken among 553 healthcare workers across 24 hospitals in Meru County. The participants completed the EuroQol-five dimension-five level (EQ-5D-5L) instrument, which measures health status across five dimensions and the overall self-assessment of health status on a visual analogue scale (EQ-VAS). Approximately 66.55% of the healthcare workers reported no problems (i.e., 11,111) across the five dimensions. The six predictors of HRQOL among the healthcare workers were hospital ownership ( p < 0.05), age ( p < 0.05), income ( p < 0.01), availability of water for handwashing ( p < 0.05), presence of risk in using a toilet facility ( p < 0.05), and overall safety of hospital work environment ( p < 0.05). Personal, job-related attributes and work environment characteristics are significant predictors of healthcare workers HRQOL. Thus, these factors ought to be considered by health policymakers and managers when developing and implementing policies and programs aimed at promoting HRQOL among healthcare workers.
    Keywords health-related quality of life ; health measurement ; work environment ; healthcare workers ; health systems ; Medicine ; R
    Subject code 360 ; 300
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Senior Managers’ Experience with Health, Happiness, and Motivation in Hospitals and the Perceived Impact on Health Systems

    Rose Nabi Deborah Karimi Muthuri / Flavia Senkubuge / Charles Hongoro

    Healthcare, Vol 9, Iss 350, p

    The Case of Meru County, Kenya

    2021  Volume 350

    Abstract: Hospitals play a significant role in health systems. Studies among the health workforce have revealed their experiences with mental health challenges. In comparison, there is limited literature on their positive mental health. The purpose of this study ... ...

    Abstract Hospitals play a significant role in health systems. Studies among the health workforce have revealed their experiences with mental health challenges. In comparison, there is limited literature on their positive mental health. The purpose of this study was to explore senior managers’ experiences with health status, happiness, and motivation in hospitals and the perceived impact on the health system in Kenya. This qualitative study applied a phenomenological research design. Senior managers within the hospital management teams were selected using purposive sampling. Semi-structured interviews were carried out among senior managers across eleven hospitals in Meru County, Kenya. Among the eleven participants 63.6% were female and 36.4%, were male and the mean age was 44.5 years. The audio-taped data were transcribed and analyzed using Colaizzi’s phenomenological approach. The five themes revealed were: (1) Happiness in the health system; (2) Health status in the health system; (3) Motivation in the health system; (4) Challenges in the health system; (5) Possible solutions to the challenges in the health system. This study revealed the positive and negative impact of the three domains, challenges, and solutions, from the senior managers’ perspective. Healthy, happy, and motivated senior managers and healthcare workers are more responsive and perform better. Policy interventions and programs promoting happiness, health status, and motivation are necessary for strengthening the health workforce and health system.
    Keywords happiness ; health ; motivation ; senior managers ; hospitals ; healthcare workers ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Determinants of happiness among healthcare professionals between 2009 and 2019

    Rose Nabi Deborah Karimi Muthuri / Flavia Senkubuge / Charles Hongoro

    Humanities & Social Sciences Communications, Vol 7, Iss 1, Pp 1-

    a systematic review

    2020  Volume 14

    Abstract: Abstract Happiness is characterized by experiencing positive emotions while simultaneously perceiving one’s life as meaningful and worthwhile. Research on the mental health of healthcare professionals usually focuses on psychopathology as opposed to the ... ...

    Abstract Abstract Happiness is characterized by experiencing positive emotions while simultaneously perceiving one’s life as meaningful and worthwhile. Research on the mental health of healthcare professionals usually focuses on psychopathology as opposed to the positive aspects of mental health. Thus, the purpose of this study is to examine recent literature on individual-level and organization-level determinants of healthcare professionals happiness. The EBSCOhost, PubMed, Scopus, and Web of Science databases were searched for articles published between 2009 and 2019 that focused on happiness among healthcare professionals. Based on the eligibility criteria, both quantitative and qualitative studies were selected for this systematic review. The final review included a total of 18 studies. The main measures of healthcare professionals happiness in cross-sectional and intervention studies were self-report measures, and the main measures of happiness in qualitative studies were interviews. Multiple determinants of healthcare professionals happiness were identified in this systematic review. The interplay between individual-level and organization-level determinants collectively contributes to the happiness of healthcare professionals. Existing evidence highlights the importance of healthcare professionals happiness in the strengthening of the healthcare workforce and healthcare systems. This review also highlights the importance of health policy makers, health authorities and healthcare professionals in creating and effectively implementing policies and strategies to increase healthcare professionals happiness. Future similar studies should use large and more heterogeneous samples of healthcare professionals from various settings to generate contextually relevant and robust evidence regarding methods to enhance healthcare professionals happiness and ultimately the performance of health systems globally.
    Keywords History of scholarship and learning. The humanities ; AZ20-999 ; Social Sciences ; H
    Subject code 360
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher Springer Nature
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: An Investigation of Healthcare Professionals’ Motivation in Public and Mission Hospitals in Meru County, Kenya

    Rose Nabi Deborah Karimi Muthuri / Flavia Senkubuge / Charles Hongoro

    Healthcare, Vol 8, Iss 530, p

    2020  Volume 530

    Abstract: Strengthening health systems in developing countries such as Kenya is required to achieve the third United Nations’ Sustainable Development Goal of health for all, at all ages. However, Kenya is experiencing a “brain drain” and a critical shortage of ... ...

    Abstract Strengthening health systems in developing countries such as Kenya is required to achieve the third United Nations’ Sustainable Development Goal of health for all, at all ages. However, Kenya is experiencing a “brain drain” and a critical shortage of healthcare professionals. There is a need to identify the factors that motivate healthcare workers to work in the health sector in rural and marginalized areas. This cross-sectional study aims to investigate the factors associated with the level and types of motivation among healthcare professionals in public and mission hospitals in Meru county, Kenya. Data were collected from 24 public and mission hospitals using a self-administered structured questionnaire. A total of 553 healthcare professionals participated in this study; 78.48% from public hospitals and 21.52% from mission hospitals. Hospital ownership was statistically nonsignificant in healthcare professionals’ overall motivation ( p > 0.05). The results showed that sociodemographic and work-environment factors explained 29.95% of the variation in overall motivation scores among participants. Findings indicate there are more similarities than disparities among healthcare professionals’ motivation factors, regardless of hospital ownership; therefore, motivation strategies should be developed and applied in both public and private not-for-profit hospitals to ensure an effective healthcare workforce and strengthen healthcare systems in Kenya.
    Keywords motivation ; healthcare professionals ; self-determination theory ; health systems strengthening ; Kenya ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Determinants of Motivation among Healthcare Workers in the East African Community between 2009–2019

    Rose Nabi Deborah Karimi Muthuri / Flavia Senkubuge / Charles Hongoro

    Healthcare, Vol 8, Iss 164, p

    A Systematic Review

    2020  Volume 164

    Abstract: Healthcare workers are an essential element in the functionality of the health system. However, the health workforce impact on health systems tends to be overlooked. Countries within the Sub-Saharan region such as the six in the East African Community ( ... ...

    Abstract Healthcare workers are an essential element in the functionality of the health system. However, the health workforce impact on health systems tends to be overlooked. Countries within the Sub-Saharan region such as the six in the East African Community (EAC) have weak and sub-optimally functioning health systems. As countries globally aim to attain Universal Health Coverage and the Sustainable Development Goal 3, it is crucial that the significant role of the health workforce in this achievement is recognized. In this systematic review, we aimed to synthesise the determinants of motivation as reported by healthcare workers in the EAC between 2009 and 2019. A systematic search was performed using four databases, namely Cochrane library, EBSCOhost, ProQuest and PubMed. The eligible articles were selected and reviewed based on the authors’ selection criteria. A total of 30 studies were eligible for review. All six countries that are part of the EAC were represented in this systematic review. Determinants as reported by healthcare workers in six countries were synthesised. Individual-level-, organizational/structural- and societal-level determinants were reported, thus revealing the roles of the healthcare worker, health facilities and the government in terms of health systems and the community or society at large in promoting healthcare workers’ motivation. Monetary and non-monetary determinants of healthcare workers’ motivation reported are crucial for informing healthcare worker motivation policy and health workforce strengthening in East Africa.
    Keywords motivation ; healthcare workers ; health systems ; health workforce strengthening ; East Africa ; Medicine ; R
    Subject code 306 ; 360
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: The monetary value of human lives lost through Ebola virus disease in the Democratic Republic of Congo in 2019

    Joses M. Kirigia / Rose Nabi Deborah Karimi Muthuri / Newton Gitonga Muthuri

    BMC Public Health, Vol 19, Iss 1, Pp 1-

    2019  Volume 9

    Abstract: Abstract Background Between 8 May 2018 and 27 May 2019, cumulatively there were 1286 deaths from Ebola Virus Disease (EVD) in the Democratic Republic of Congo (DRC). The objective of this study was to estimate the monetary value of human lives lost ... ...

    Abstract Abstract Background Between 8 May 2018 and 27 May 2019, cumulatively there were 1286 deaths from Ebola Virus Disease (EVD) in the Democratic Republic of Congo (DRC). The objective of this study was to estimate the monetary value of human lives lost through EVD in DRC. Methods Human capital approach was applied to monetarily value years of life lost due to premature deaths from EVD. The future losses were discounted to their present values at 3% discount rate. The model was reanalysed using 5 and 10% discount rates. The analysis was done alternately using the average life expectancies for DRC, the world, and the Japanese females to assess the effect on the monetary value of years of life lost (MVYLL). Results The 1286 deaths resulted in a total MVYLL of Int$17,761,539 assuming 3% discount rate and DRC life expectancy of 60.5 years. The average monetary value per EVD death was of Int$13,801. About 44.7 and 48.6% of the total MVYLL was borne by children aged below 9 years and adults aged between 15 years and 59 years, respectively. Re-estimation of the algorithm with average life expectancies of the world (both sexes) and Japanese females, holding discount rate constant at 3%, increased the MVYLL by Int$ 3,667,085 (20.6%) and Int$ 7,508,498 (42.3%), respectively. The application of discount rates of 5 and 10%, holding life expectancy constant at 60.5 years, reduced the MVYLL by Int$ 4,252,785 (− 23.9%) and Int$ 9,658,195 (− 54.4%) respectively. Conclusion The EVD outbreak in DRC led to a considerable MVYLL. There is an urgent need for DRC government and development partners to disburse adequate resources to strengthen the national health system and other systems that address social determinants of health to end recurrence of EVD outbreaks.
    Keywords Ebola virus disease (EVD) deaths ; Human capital ; Monetary value of life ; Years of life lost ; Gross domestic product ; Democratic Republic of Congo (DRC) ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2019-09-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: The discounted value of human lives lost due to COVID-19 in France [version 1; peer review

    Joses Muthuri Kirigia / Rose Nabi Deborah Karimi Muthuri / Lenity Honesty Kainyu Nkanata / Newton Gitonga Muthuri

    F1000Research, Vol

    2 approved]

    2020  Volume 9

    Abstract: Background: This study estimates the total discounted value of human lives lost (TDVHL) due to COVID-19 in France as of 14 September 2020. Methods: The human capital approach (HCA) model was used to estimate the TDVHL of the 30,916 human lives lost due ... ...

    Abstract Background: This study estimates the total discounted value of human lives lost (TDVHL) due to COVID-19 in France as of 14 September 2020. Methods: The human capital approach (HCA) model was used to estimate the TDVHL of the 30,916 human lives lost due to COVID-19 in France; i.e., assuming a discount rate of 3% and the national average life expectancy at birth of 83.13 years. To test the robustness of the estimated TDVHL, the model was rerun (a) using 5% and 10% discount rates, while holding the French average life expectancy constant; and (b) consecutively substituting national life expectancy with the world average life expectancy of 73.2 years and the world highest life expectancy of 88.17 years. Results: The human lives lost had a TDVHL of Int$10,492,290,194, and an average value of Int$339,381 per human life lost. Rerun of the HCA model with 5% and 10% discount rates decreased TDVHL by Int$1,304,764,602 (12.4%) and Int$3,506,938,312 (33%), respectively. Re-calculation of the model with the world average life expectancy decreased the TDVHL by Int$7,750,187,267 (73.87%). Contrastingly, re-estimation of the model with the world’s highest life expectancy augmented TDVHL by Int$3,744,263,463 (35.7%). Conclusions: The average discounted economic value per human life lost due to COVID-19 of Int$339,381 is 8-fold the France gross domestic product per person. Such evidence constitutes an additional argument for health policy makers when making a case for increased investment to optimise France’s International Health Regulation capacities and coverage of essential health services, and safely managed water and sanitation services.
    Keywords Medicine ; R ; Science ; Q
    Subject code 170 ; 360
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher F1000 Research Ltd
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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