Medical & Health Sciences

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Sexual Abuse Of Children: A Study Of Primary School Pupils In Nakuru Municipality, Kenya

ABSTRACT The problem of sexual exploitation of children has become a major global concern. In the recent past, cases of sexual abuse among children have increased in Kenya. The aim of this study was to determine the prevalence, knowledge, forms, effects and remedial measures of child sexual abuse among primary school pupils in Nakuru Municipality. A cross-sectional research design, involving a multistage cluster sampling technique, was used to get 259 pupils from six primary schools in Nakur...

Behavioural, environmental, socioeconomic and demographic determinants of diarrhoea morbidity among children under 5 years in migori county, kenya.

ABSTRACT Globally, there are 2.5 billion cases of diarrhoea among under fives every year. In 2015, diarrhoea caused 9% of deaths among under fives worldwide. In Africa, there are 696 million cases of diarrhoea among under fives every year. About 46%deaths among under fives in Africa are attributed to diarrhoea. In Kenya, diarrhoea accounted for 20% of deaths among under fives in 2011 causing 38,802 deaths. In Migori County, diarrhoea is a major cause of morbidity and mortality, yet the inter...

Ecosystem Services In Climate Change Adaptation Projects In The Least Developed Countries Of West Africa

ABSTRACT  Ecosystems are largely dependent on the prevailing climatic conditions. The ever changing climate across the world has necessitated climate change adaptation projects as a coping mechanism to the adverse effects of climate change. The main objective of the study was to assess ecosystem services in climate change adaptation projects in the least developed countries of West Africa. Specifically, the study sought to; (i) assess the ecosystems changes in the Least Developed Countries o...

Nutritional Management Of Childhood Diarrhoea In Korogocho Informal Settlement Nairobi City County, Kenya

ABSTRACT Diarrhoea is the second leading cause of death in children under five years old worldwide. Nearly one in five children deaths – about 1.5 million each year is due to diarrhea. Diarrhea is the third most common cause of mortality and morbidity in Kenya, with a case fatality of up to 21 percent causing approximately 9 percent of deaths in children less than five years of age. The primary focus of diarrheal disease control programs has been on improved case management through the pro...

Determinants Of Health Facility Consultation For Acute Respiratory Infection Among Children Under Five Years In Githunguri Sub – County, Kiambu County, Kenya

Abstract There were an estimated 5.9 million deaths among children under five years in 2015, with infectious diseases accounting for almost half (51.8%) of these deaths. Pneumonia was the leading cause of infectious deaths, with 60% cases concentrated in 10 countries in Sub-Saharan Africa and South Asia. In 2014, pneumonia was the leading cause of death among children under five years in Kenya. Kenya is one of the countries that have not yet adopted community management of pneumonia as recom...

Barriers To The Uptake Of Cataract Surgical Services In Merti Division, Isiolo, Kenya.

ABSTRACT The immense burden of blindness is prevalent in rural communities of developing countries, which are characterized by a high backlog of unoperated cataract and increasing incidence of cataract due to the ageing population. The factors that hinder people from accessing such sight-restoring services remain a major challenge for all eyecare professionals with a public health perspective. A cross-sectional descriptive study was carried out in all the six locations of Merti Division in J...

Neonatal Sepsis, Cytokines And The Associated Factors In Patients Admitted In Nakuru County Referral Hospital, Kenya

ABSTRACT Neonatal infections mostly sepsis and meningitis currently cause about 4.9 million deaths annually in developing countries. According to World Health Organization (WHO) estimates, there are about 5 million neonatal deaths that occur in the world per year due to sepsis, with 98% occurring in developing countries. Neonatal sepsis is the leading cause of neonatal mortality in Nakuru County Referral Hospital (NCRH) according to the hospital records, yet no study has been done in the hos...

An Assessment Of Knowledge, Attitude And Practice On Abortion Among Female Patients In Nairobi: A Case Study Of Kenyatta National Hospital And Marie Stopes Clinic.

ABSTRACT Abortion is a social stigmatizing and ostracization issue as well as an important reproductive health problem associated with high morbidity and mortality. Each year 3.7 million pregnancies are terminated in Africa, with 200,000 deaths occurring from complications associated with unsafe abortions. In Kenya abortion is illegal. Women carry out abortions using unsafe methods and therefore suffer post-abortal complications. No documented studies have been carried out to determine knowl...

Assessing The Level Of Readiness For Computerized Health Management Information System Among Nurses In Kenyatta National Hospital, Nairobi, Kenya

ABSTRACT Healthcare Organizations are now in the process of implementing computerized health management health information system (CHMIS) with a hope that they will improve on safety, efficiency and effectiveness of patient healthcare (Ammenwerth, 2004). More specifically, due to advances of technologies, the adoption of CHMIS is growing rapidly. CHMIS are believed to offer significant benefits in improving patient health care delivery (Thompson, 2005). Health care Organizations implement CH...

Prevalence And Factors Associated With Brucellosis Among Community Members In Mandera County, Kenya

ABSTRACT Brucellosis is an infectious debilitating, acute or sub-acute febrile illness usually marked by an intermittent or remittent fever accompanied by malaise, anorexia and prostration, and which, in the absence of specific treatment, may persist for weeks or months. The aim of this study was to determine the prevalence and factors associated with brucellosis among community members in Mandera East Sub-County, Mandera County. The study was descriptive cross sectional study which collecte...

Influence Of Socio-Cultural And Health System Factors On Partner Participation In Labour And Delivery At Nyeri County Referral Hospital

ABSTRACT There are enormous benefits accruing from spousal support during childbirth including emotional comfort, improved family communication, bonding, pain relief without analgesia and positive birth experience. Unfortunately, in low income countries like Kenya which are known to be patriarchal male dominated societies where pregnancy and child birth is regarded as exclusively women's affairs, partner participation in labor and delivery remains acutely low. The purpose of this study was to...

Self Medication With Antibiotics Prior To Seeking Treatment Among Adult Patients Attending Outpatient Department At Gatundu Sub-County Hospital, Kiambu County, Kenya

ABSTRACT Self-medication encompasses the use of the medicines by the users for self perceived health problems or the continuing use of medications formally prescribed earlier. The scope of the definition includes treatment of family members especially to minors and elderly. Self-medication with antibiotics is a global problem, the prevalence rates are high all over the world, up to 68% in European countries while much higher in the developing countries with rates going as high as 92% in the a...

Effects Of Different Feeding Options On Infants Born To Hiv Positive Mothers In Nakuru Municipality, Kenya

TABLE OF CONTENTS DECLARATION .......................................................................................................... ii DEDICATION ............................................................................................................. iii ACKNOWLEDGEMENTS ......................................................................................... iv TABLE OF CONTENTS ..............................................................................................v LIST OF ...

Care-Giver Factors Associated With Adherence To Antiretroviral Therapy In Hiv Infected Children: A Case Of Thika District Hospital In Kenya

ABSTRACT Survival of children with AIDS has increased considerably with the use of effective antiretroviral drugs, but the benefits of this therapy are limited by the difficulty of adherence to the treatment. This cross-sectional study was aimed at estimating the prevalence of adherence to antiretrovirals and identifying the associated caregiver factors affecting adherence among children resident in Thika town. Two hundred child caregivers were interviewed. The 24 Hour Recall Interview techni...


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