This dissertation examines the attempts by the government of Kenya to develop and implement policies directed toward the problem of urban unemployment. Specifically, this study focuses upon two policy areas directly related to the problem of urban unemployment: education and economic growth. Central to the urban unemployment problem is a potential conflict arising out of a rapidly growing number of school graduates on the one hand, and on the other, the limited opportunities for a sufficient level of employment for this segment of the labor force. An additional element of this study is an examination of the possible consequences of Kenya's external dependency upon the linkages between education, economic growth, and employment opportunities. A consistent theme contained in the development literature is that accelerated development in Third World nations such as Kenya depends upon enlarging the supply of educated and trained manpower. Without such manpower, it is argued, development leadership would be woefully lacking and economic growth would be retarded. On the basis of these assumptions, Kenya, like many other developing countries, has focused its attention on the rapid quantitative expansion of school enrollments from primary school to the university. In recent years, however, the idea that conventional educational expansion is an unmitigated social good and an engine for development has been challenged by the emergence of graduate unemployment. The dynamic rate of economic growth and a forceful campaign of Kenyanization have proven impossible to create sufficient employment to meet the now growing numbers of Kenyan students who feel themselves qualified. In an attempt to resolve this problem, government policies have been directed toward improving the different components of the school system: examinations, curriculum reform, and vocational and technical education. However, the impact of these educational strategies in solving the unemployment problem has been extremely limited by the restricted market for technical and vocational skills in the country. The result of this study suggests that the roots of the unemployment problem are in the structure of the society, and particularly in the failure of the Kenyan economy to industrialize and modernize at a rate that absorbs the labor force. These economic problems are traded to Kenya's continued dependency on external economic assistance, which reduces its ability to determine the course of national development independently. This economic problem is of such a magnitude, it can only be solved by structural adjustments, both internally and externally. The findings of this study confirm the dependency argument.

Background: Cervical cancer is the second most common cause of death from cancer among women in Kenya. Various international studies indicate that the knowledge level of cervical cancer and its predisposing and preventive measures is low among the nurses as well as general population. This study aimed to assess knowledge, practices and attitudes of nurses with regards to cervical cancer screening and preventive measures at two Nairobi hospitals in Kenya. Across-sectional quantitative descriptive study design was used. Convenience sampling method was applied and data were collected from respondents using self-administered questionnaire. About 114 nurses aged 18 years and above participated in the study. The study revealed that nurses have the information about cervical cancer, available screening tests and the purpose of screening. Nurses have the knowledge that cancer screening could detect this cancer at an early stage; however, uptake is low. Cervical screening services were hampered by barriers relating to health care institutions, nurses perception and fear of screening technique, embarrassment, stigma, social influence, financial costs and available sources of information / Health Studies / M.A. (Nursing Science)

Thesis (Ph.D. ( Migration and Displacement))--University of the Witwatersrand, Faculty of Humanities, 2016. / This thesis explores how the Somali diaspora constitutes itself as a collectivity by analysing identity formation processes in an interconnected postmodern world, where migration has become much common than before, where identities are not as certain as they used to be and where a trans- local sense of being connected surpasses fix national borders. I propose the concept of the cosmopolitan refugee in order to explore how Somaliness is constructed in diasporic contexts, based on the interweaving of cosmopolitan, vernacular and national identifications. Moreover, Somaliness cannot be understood today without the influence of Islam, the cosmopolitan and political implications of belonging to the umma and the importance of being seen as a “good Muslim”. Using ethnographic and narrative data, this research takes a gendered approach and moves beyond the prevailing representations of Somali women in the global imagination by presenting alternative discourses and narratives that explore the dynamics of identity constructions these women undergo in relation to cultural, religious and gender practices in the two urban contexts of Nairobi and Johannesburg. These are two interconnected cities for the Somali diaspora that metaphorical operate as a port and as island. Both places are transitional places for Somalis and in both cities the creation of the “little Mogadishus” of Eastleigh, in Nairobi, and Mayfair, in Johannesburg, generates a particular trans-local situation in which collective identity, through the repetition of cultural and religious practices, is able to transform the urban space, at the same time that the implementation of these practices makes these places to be connected between them, to the lost homeland in Somalia and to any other place in the world Somalis inhabit these days. However, due to the bigger Somali population and the historical and geographical links with Somalia, Somalis in Nairobi develop greater feelings of belonging than in Johannesburg, where isolation seems to be the more widespread feeling. Somalis in Nairobi are more exposed to cosmopolitanism due to the relationship they have with the city, the fact that Eastleigh is a point of constant transit and an important commercial hub across the Somali diaspora all around the world, and the presence of Somalis belonging to different backgrounds. In Johannesburg, the Somali population is much smaller and the isolated situation most Somalis find make them use Somaliness as a way of resilience and demarcating difference, resulting in certain vernacular and religious practices being strengthened. In this sense, Nairobi is experienced by Somalis as more cosmopolitan than Johannesburg. Nevertheless in both contexts Somaliness is constructed around a sense of unity based on: a common place of origin and mythical past, a common language, religion and “culture”, implemented in the everyday life by the habitus of cultural and religious practices. This habitus together with a narrative of the nation being constructed in the virtual spaces of Facebook and Instagram creates a strong sense of belonging to an “imagined community”. Somaliness resides not within the boundaries of a nation-state but in a trans-local sense of being connected. / MT2017

For school libraries to sufficiently contribute to better information skills’ development and creation of a culture of lifelong learning among students, they require backing through well articulated policies both at national and individual school level. This study investigated the prevailing status of school libraries in public secondary schools in Nairobi County, Kenya. Using a survey research design, with a response rate of 68% for school principals and 66% for school librarians, this study established that although the majority of the schools had school libraries, these were individual schools’ efforts. There were no government policies on school libraries and most of the schools lacked explicit library policies. Additionally, they had not embraced contemporary trends in technology and the major impediment was lack of financial support. The study concluded that school libraries in Nairobi County were inadequately resourced and supported and recommended that the government of Kenya should come up with national policies that will entrench school libraries in the education system. / Information Science / MA (Information Science)

For school libraries to sufficiently contribute to better information skills’ development and creation of a culture of lifelong learning among students, they require backing through well articulated policies both at national and individual school level. This study investigated the prevailing status of school libraries in public secondary schools in Nairobi County, Kenya. Using a survey research design, with a response rate of 68% for school principals and 66% for school librarians, this study established that although the majority of the schools had school libraries, these were individual schools’ efforts. There were no government policies on school libraries and most of the schools lacked explicit library policies. Additionally, they had not embraced contemporary trends in technology and the major impediment was lack of financial support. The study concluded that school libraries in Nairobi County were inadequately resourced and supported and recommended that the government of Kenya should come up with national policies that will entrench school libraries in the education system. / Information Science / M.A. (Information Science)

Unplanned extubation is premature removal of endotracheal tube, is an adverse event; which can either, be accidental during a nursing procedure or self deliberate by the patient. The AACN Synergy Model for Patient Care was used as conceptual model for this study. A retrospective descriptive design revealed that over a period of two years, 327 patients admitted to the intensive care unit require intubation of which 40.4% were self-deliberate extubation and 59.4% accidental extubation. Of the accidental extubated patients, 29.8% had physical restrains, 57.6% received sedation, 43.9% had analgesic infusion and 38.9% were on neuromuscular blockade. A means Glasco Coma Scale was 9.4 and 56% of the patients were reported as being. Most patients (89.9%) required re-intubation. The findings also revealed that 49.1% of the nurses who cared for the patients when the extubation occured had one patient at the time. Also, 84.2% of nurses had 0-6 years of nursing experience and 74% of nurses had less than five years of ICU experience. / Health Studies / M.A. (Health Studies)

Unplanned extubation is premature removal of endotracheal tube, is an adverse event; which can either, be accidental during a nursing procedure or self deliberate by the patient. The AACN Synergy Model for Patient Care was used as conceptual model for this study. A retrospective descriptive design revealed that over a period of two years, 327 patients admitted to the intensive care unit require intubation of which 40.4% were self-deliberate extubation and 59.4% accidental extubation. Of the accidental extubated patients, 29.8% had physical restrains, 57.6% received sedation, 43.9% had analgesic infusion and 38.9% were on neuromuscular blockade. A means Glasco Coma Scale was 9.4 and 56% of the patients were reported as being. Most patients (89.9%) required re-intubation. The findings also revealed that 49.1% of the nurses who cared for the patients when the extubation occured had one patient at the time. Also, 84.2% of nurses had 0-6 years of nursing experience and 74% of nurses had less than five years of ICU experience. / Health Studies / M.A. (Health Studies)