http://repository.mut.ac.ke:8080/xmlui/handle/123456789/2935 Tue, 07 Apr 2026 13:11:08 GMT 2026-04-07T13:11:08Z http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6620 Factors influencing availability of tracer essential medicines in selected health facilities in Nyeri County, Kenya Munga, Minai Samuel; Gitau, Tabither Muthoni; Kimani, Lawrence Mirie; Kariuki, Peterson; Ng’etich, Enoch Background: Tracer essential medicines are drugs which fully fulfil a population’s health requirements and ought to be always available allowing for a properly functioning health system all the time. They should be available in the appropriate dosage, adequate amounts and at assured quality at a price that many people and the community can easily afford. Methods: Analytical cross-sectional study design was used. This study utilized a mixed method approach (qualitative, observation and quantitative). Results: The study found out that artemether lumefantrine was the least available drug at 50% in all the sampled facilities with KEMSA cited as the main supplier of tracer essential medicines in these facilities. Policy formulation was done without any involvement of pharmacy in-charges and policies passed at the county management team merely passed onto the staff at the health facilities without their engagement. Conclusions: With the roll out of UHC program, majority of the participants indicated an increase in the availability of essential drugs in Nyeri County hence the government should roll out the program countrywide. Health management and leadership teams in the county needs to engage the pharmacy in-charges during policy making and changes, provide efficient communication in the supply chain system, including proper inventory management systems and to enhance research of drugs and emerging diseases in the county. Fri, 01 Jan 2021 00:00:00 GMT http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6620 2021-01-01T00:00:00Z http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6157 Tintinnabulation of Literary Theory: Traversing Genres to Contemporary Nyongesa, Andrew W. Mon, 01 Jan 2018 00:00:00 GMT http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6157 2018-01-01T00:00:00Z http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6156 Re-centring Mother Earth: Ecological Reading of Contemporary Works of Fiction Nyongesa, Andrew W. As the title, Re-centring Mother Earth: Ecological Reading of Contemporary Works of Fiction suggests, this book seeks to restore the principal influence of Mother Nature in human life. Individual literary critics have demonstrated how literary writers have deliberately presented the impact of Mother Nature on the lives of characters. However, most of them have hardly demonstrated the indispensable role of ecological environment on the political, social and religious attributes of human life. Although most scholars single out human greed and imperialism as the prime causes of historical events such as colonialism, war, slavery and industrialisation, this book extendsit by investigating the influence of Mother Nature in the political, cultural, religious aspects of human life in contemporary novels. This book is close textual analysis of works of fiction from any regions of the globe. The wide scope of choice of texts is deliberate because ecological issues are global and should be given the gravity they deserve in every continent. This study would have used academic and journalistic primary texts, but I choose literary texts because literature has the capacity to speak to hearts rather than minds of audiences. According to Brueggemann (1989): To address the issue of a truth greatly reduced requires us to be poets that speak against a prose world. The terms of that phrase are readily misunderstood. By prose I refer to a world that is organised in settled formulae, so that even pastoral prayers and love letters sound like memos (48) Brueggemann in the line “speak against prose world” suggests that works of art possess certain unconventionality that will invert the homocentric ethos that has constantly relegated Mother Nature. Sat, 01 Jan 2022 00:00:00 GMT http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6156 2022-01-01T00:00:00Z http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6155 Otherness and Pathology: The Fragmented Self and Madness in Contemporary African Fiction Nyongesa, Andrew W.; Makokha, Justus; Murimi, G. Fri, 01 Jan 2021 00:00:00 GMT http://repository.mut.ac.ke:8080/xmlui/handle/123456789/6155 2021-01-01T00:00:00Z