Archives-July 2023

The purpose of the study was to examine the influence of monitoring and evaluation of stakeholder participation on implementation of infrastructure projects in public secondary school in Kakamega County, Kenya. The target population was principals, Board of Management chairpersons, Parents Association chairpersons and Sub County Education officers. Stratified sampling and purposive sampling technique were used to select respondents. A sample size of 316 respondents was selected comprising of 101 principals, 101 Board of Management chairpersons, 101 Parents Association chairpersons and 13 Sub County Education officers. Primary data was collected from the respondents using questionnaires and interview schedule. Qualitative data was analyzed qualitatively using content analysis based on meanings and implications emanating from respondent’s information. Data from questionnaires was analyzed using both descriptive and inferential statistical methods. Descriptive statistics consisted of frequencies, percentages, mean, and standard deviation. Inferential statistics consisted linear and multiple regression analysis. Based on the multiple regression model, the coefficient of determination (R squared) of .392, showing that 39.2% of the variation in monitoring and evaluation was explained by implementation of infrastructure projects. The study concludes that monitoring and evaluation of stakeholder participation, monitoring and evaluation of financial resource, monitoring and evaluation of human capacity, monitoring and evaluation of time allocation and monitoring and evaluation of public accountability had a significant influence on implementation of infrastructure projects in public secondary school in Kakamega County. The study recommended that schools should ensure that all the stakeholders are involved in the M&E of school projects. The study also recommends that there should be clear allocation of finances for M&E, staff hiring, staff training, equipment, environment setting, project supervision and the budgeting of financial resources by stakeholders.

There are currently one billion overweight and obese people in the globe. The frequency of obesity has sharply increased worldwide. For the healthcare system, this results in extremely high expenses. Due to the poor compliance characteristic of adolescents, dietary restrictions and meticulous programmed to change their lifestyle are frequently ineffectual in managing the specific group of patients. In order to address obesity, a number of strategies, including medical treatments and surgical procedures, have been developed. Some people say they would like to lose weight surgically or are able to do so. Many people view bariatric surgery as risky and think that maintaining their current weight is safer than having the procedure. There are several novel laparoscopic and endoscopic procedures available to help with weight loss, with intragastrical balloons among the most recent developments. The weight loss achieved with the balloon is an opportunity to lower the surgical and anesthesiologic consequences resulting from bariatric surgery in super-obese individuals with various comorbidities. A novel swallow able intragastrical balloon has been tested for safety and efficacy in reducing excess weight. Utilizing intragastrical balloons, the review's major focus is on helping patients lose weight while improving their co-morbidities.