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Cancer is considered to be 3rd leading killer and 2nd among non-communicable diseases in Kenya Mutinda J. (2019). Ferlay, et al (2013) noted there are about 37,000 new cases of cancer annually and annual mortality rate of 28,000. This indicates cancer records rapidly accumulate over time and more resources are needed to collect and manage cancer-related data. KNH/UoN Department of Pathology have for a long time kept their records using a paper-based system. Objective of the study was to review current record keeping system including the process of preserving, storing and retrieving cancer records and the challenges faced, develop a model to guide the archival of locally available cancer paper-records and a web based prototype to preserve and avails this information to a wide range of stakeholders. The study used descriptive research design involving 22 participants. Random sampling technique was used to select respondents among the sampled population. The intervention prototype was developed using the RAD methodology. It was noted that cancer patient data were captured through standard forms/books (86% of the respondents) and stored in standard forms/books (71% of the respondents). 57% stated that identification of record and documenting was done based on LAB number. ICD 10 Coding system was not fully implemented as many forms had old coding format. 77% of the participants stated that the inability to track patient records with ease as a challenge and lack of technology in records management as a potential security bleach and damage of records. Findings presented a strong case for this research study where, upon prototype developed, there was concurrence among the respondents that the developed solution would be of significant to enhance cancer records management in the department and improving the healthcare service delivery process. This model can also be used to preserve other similar medical paper documents.

The gap between blood supply and blood demand is a widening everyday as the population increases and it needs to be bridged. Since the amount blood donated in Kenya is below the world Health Organization’s recommendation (WHO 2015), inter-facility sharing of information relating to blood availability should be enhanced to improve sharing of available donated blood between health facilities. The objective of the research study was to determine the current processes used when sharing blood between health facilities and there challenges and to propose coordination between blood supply and demand among health facilities and blood banks through the use of ICT .The study used descriptive research design and 22 participants (lab technicians and doctors) in different health facilities in Nairobi County participated in the study. Results from the study indicate that in most health facilities (72%) blood demand exceeds blood supply. During emergencies when blood stocks are inadequate, most health facilities (63.6%) source the blood by requesting it from other health facilities and blood banks and mostly making these blood requests through telephone calls. The main challenge faced when using the current mechanisms is the delay in blood supply (40.9%) followed by a challenge of getting the response/feedback on time Based on the findings it was evident that the proposed intervention will be of a great use to bridge the gap of between blood supply and demand and solving the challenges faced when sharing blood during emergencies. Rapid Application Development (RAD) system design AND Service Oriented Architecture (SOA) were applied in developing the ICT intervention. To evaluate the success of the ICT intervention, a survey was conducted in five health facilities (two level 4 and three level 3 health facilities) to evaluate the satisfaction of the health facilities when using the system.