Caroline njambi united states international university africa

ACKNOWLEDGEMENTS 
I would like to thank God almighty for His overflowing grace which enabled me to 
complete this project. I acknowledge my project supervisor Nyambegera Morangi (PhD) 
for his wealthy intellectual support, guidance and patience; my mum Susan Wangui for 
her marvelous encouragement and prayers; my sisters Sally Waturi, Catherine Wanjiru 
and Mary Waringa for their prayers, love and encouragement; my special friend Fred 
Mutuku for his moral support and encouragement; my aunt Mary Waturi for her 
consistent inspiration; my friend Gabriel Otieno from USIU Research Department for 
statistical guidance; my boss Jared Oule for his support and understanding when I needed 
to take leave to work on the project and Amref Health Africa in Kenya for allowing me to 
conduct the case study.
Without your prayers, support, encouragement, guidance and patience this study would 
not have been completed. Thank you all for believing in me and supporting my efforts to 
accomplish my dream. God bless you all! 

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DEDICATION 
It is with great humility that I dedicate this work to my late papa and family without 
whose prayers and support I would not have made it this far.

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TABLE OF CONTENTS 
 
 
STUDENT’S DECLARATION ........................................................................................ ii
 
COPYRIGHT ....................................................................................................................iii
 
ABSTRACT ....................................................................................................................... iv
 
ACKNOWLEDGEMENTS ............................................................................................. vi