Lizah Nyawira
Biographic Data
| ID | 7145161 |
|---|---|
| NAME | Lizah Nyawira |
| GIVEN NAMES | Lizah |
| FAMILY NAME | Nyawira |
| SIGNATURE | NYAWIRA L |
| AFFILIATIONS | Kenya Medical Research Institute |
| ORCID | 0000-0002-9287-4586 |
| VERIFIED | Yes |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 7 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2021 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
Health worker unemployment in countries with critical health worker shortages
INTRODUCTION: There have been increasing concerns about the overproduction of the health workforce in low- and middle-income countries, leading to unemployment, even as recent literature and country reports point to concurrent shortages based on population health needs. This paradox underscores the need for analyses that synthesise and reconcile these contrasting phenomena. METHODS: This is a rapid review of evidence of unemployment for countries…
Predictors of Health-Workforce Job Satisfaction in Primary Care Settings
Job satisfaction in sub-Saharan Africa is crucial as it directly impacts employee productivity, retention, and overall economic growth, fostering a motivated workforce that drives regional development. In sub-Saharan Africa, poor remuneration, limited professional development opportunities, and inadequate working conditions impact satisfaction. This study examined job-satisfaction predictors among health workers in primary healthcare settings acr…
Operational Costs and Revenue Dynamics of Repurposing a Public Hospital into a Covid-19 Isolation Centre in Kenya
Isolation facilities are essential to pandemic response, yet the economic trade-offs of repurposing existing hospitals remain poorly characterised. This study quantifies both the operational costs and the revenue foregone from converting Tigoni Level 4 Hospital (TL4H) into Kiambu County's sole COVID-19 isolation centre. Our study focused on estimating recurrent and labour costs, considering only capital costs incurred during the study period. We …
Budget monitoring, accountability practices and their influence on the efficiency of county health systems in Kenya
Public Finance Management (PFM) practices influence the attainment of health system goals. PFM processes are implemented within the budget cycle which entails the formulation, execution, and monitoring of government budgets. Budget monitoring and accountability actors, structures, and processes are important in improving the efficiency of health systems. This study examined how the budget monitoring and accountability processes influence the effi…
The autonomy of public health facilities in decentralised contexts
The financing of public health facilities influences their performance. A key feature that defines health facility financing is the degree of financial autonomy. Understanding the factors that influence public health facility financial autonomy is pertinent to developing strategies to addressing challenges that arise from constrained autonomy. In this paper, we apply a complexity lens to draw on a body of research that we have conducted in Kenya …
High impact health service interventions for attainment of UHC in Africa
African countries have prioritized the attainment of targets relating to Universal Health Coverage (UHC), Health Security (HSE) and Coverage of Health Determinants (CHD)to attain their health goals. Given resource constraints, it is important to prioritize implementation of health service interventions with the highest impact. This is important to be identified across age cohorts and public health functions of health promotion, disease prevention…
Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya
Efficiency gains is a potential strategy to expand Kenya’s fiscal space for health. We explored health sector stakeholders’ understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We conducted a qualitative cross-sectional study and collected data using three focus group discussions during a stakeholder engagement workshop. Workshop participants included health sector stake…
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Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya
Efficiency gains is a potential strategy to expand Kenya’s fiscal space for health. We explored health sector stakeholders’ understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We conducted a qualitative cross-sectional study and collected data using three focus group discussions during a stakeholder engagement workshop. Workshop participants included health sector stake…
The autonomy of public health facilities in decentralised contexts
The financing of public health facilities influences their performance. A key feature that defines health facility financing is the degree of financial autonomy. Understanding the factors that influence public health facility financial autonomy is pertinent to developing strategies to addressing challenges that arise from constrained autonomy. In this paper, we apply a complexity lens to draw on a body of research that we have conducted in Kenya …
High impact health service interventions for attainment of UHC in Africa
African countries have prioritized the attainment of targets relating to Universal Health Coverage (UHC), Health Security (HSE) and Coverage of Health Determinants (CHD)to attain their health goals. Given resource constraints, it is important to prioritize implementation of health service interventions with the highest impact. This is important to be identified across age cohorts and public health functions of health promotion, disease prevention…
Budget monitoring, accountability practices and their influence on the efficiency of county health systems in Kenya
Public Finance Management (PFM) practices influence the attainment of health system goals. PFM processes are implemented within the budget cycle which entails the formulation, execution, and monitoring of government budgets. Budget monitoring and accountability actors, structures, and processes are important in improving the efficiency of health systems. This study examined how the budget monitoring and accountability processes influence the effi…
Health worker unemployment in countries with critical health worker shortages
INTRODUCTION: There have been increasing concerns about the overproduction of the health workforce in low- and middle-income countries, leading to unemployment, even as recent literature and country reports point to concurrent shortages based on population health needs. This paradox underscores the need for analyses that synthesise and reconcile these contrasting phenomena. METHODS: This is a rapid review of evidence of unemployment for countries…
Predictors of Health-Workforce Job Satisfaction in Primary Care Settings
Job satisfaction in sub-Saharan Africa is crucial as it directly impacts employee productivity, retention, and overall economic growth, fostering a motivated workforce that drives regional development. In sub-Saharan Africa, poor remuneration, limited professional development opportunities, and inadequate working conditions impact satisfaction. This study examined job-satisfaction predictors among health workers in primary healthcare settings acr…
Operational Costs and Revenue Dynamics of Repurposing a Public Hospital into a Covid-19 Isolation Centre in Kenya
Isolation facilities are essential to pandemic response, yet the economic trade-offs of repurposing existing hospitals remain poorly characterised. This study quantifies both the operational costs and the revenue foregone from converting Tigoni Level 4 Hospital (TL4H) into Kiambu County's sole COVID-19 isolation centre. Our study focused on estimating recurrent and labour costs, considering only capital costs incurred during the study period. We …
Global Maternal and Child Health (5 works) · Healthcare Systems and Reforms (5 works) · Business (4 works) · Medicine (4 works) · Nursing (3 works) · Political science (3 works) · Public health (3 works) · Public relations (3 works) · Economics (2 works) · Environmental health (2 works)