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In the last ten years, researchers have pointed out the development of new ideas of innovation in manufacturing enterprises. Among the most explored approaches to innovation is constant interaction with customers. The study was anchored on the General Theory of Innovation (GTI). The target population was senior managers of all the 710 manufacturing companies in Nairobi and the surrounding areas. To determine the sample size, the statistical formula suggested by Mugenda and Mugenda (2003) and Saunders et al. (2009) was used to arrive at a sample size of 274. The researcher employed a stratified simple random sampling technique based on the sub-sector of manufacturing enterprises. Data were collected through a structured open and closed-ended questionnaire. Before embarking on data collection, the instruments were piloted to ensure they were valid and reliable. The study established a positive relationship between marketing advancement and performance (β =0.712, p-value=0.00<0.05). The study recommended that managers of manufacturing enterprises in Kenya ought to endeavor to enhance their online presence, specifically on social network platforms, to improve better customer responsiveness towards complaints and compliments of their products. Policymakers such as the government of Kenya should provide a better trading environment, especially on dumping cheap substandard products in the market to enhance the performance of local manufacturing enterprises.

Abstract:Adherence to antiretroviral therapy is a major predictor of the survival of individuals living with HIV/AIDS. Appropriate use of antiretroviral (ARV's) has improved the health of many human immunodeficiency virus (HIV) positive individuals. The effectiveness of HIV treatment depends on sustenance of high levels of adherence to ARV; however, ARV regimens are often complicated and can be affected by varying dosing schedules, failing to have proper dietary requirements and patients developing adverse effects. The objective of this study was to determine therapy and health system related factors influencing adherence to Anti-retroviral drugs among adult HIV/ AIDS patients in Embu County Teaching and Referral Hospital Comprehensive Care Clinic. The study applied cross sectional descriptive design with stratified random sampling used to obtain relative proportion of male and female adult respondents in the sample population. 332 HIV positive patients were chosen from a total of 1694 patients who were active in ART for more than one year. A semi-structured interview schedules was used to obtain patients view on various dimension or ART services at the facility. ART adherence was at 48.2%. There was significant association between adherence to ART treatment and the type of drug a respondent was in with AZT, ddl, NFV having the highest proportion of sub-optimal adherence to treatment while respondents on D4T, 3TC, NVP had the lowest proportion of sub-optimal adherence to treatment. Convenience of the facilities for people with chronic ailments and waiting time at the facilities were reported to be good (73.0%) and excellent (75.3%) respectively.