ABSTRACT Nursing services are undergoing many changes due to technological changes, increased health demand and morbidities due to non-communicable disease, malnutrition and maternal health complication. This trend necessitates regular review of curriculum to address all emerging issues. The study evaluated CBET curriculum in improving nurse students’ knowledge and skill in Zanzibar Nursing Training Institution. It, specifically, sought to assess the level of knowledge among nurse stu...
ABSTRACT Background: Injecting drug use has created a major international public health problem where on average 6 million people are injecting drugs worldwide. This study aimed to explore the potential of bridging the HIV infection from injection drug users (IDUs) through sexual networks to the general population in Zanzibar. Seek to understand the interplay between injection drug use, sexual behavior and the epidemiological shift in the transmission of HIV infection between key population ...
ABSTRACT Kenya has seen a drastic growth in nursing education sector recording high rates of enrolment of students to training while their performance in Nursing Council of Kenya (NCK) examination remained variable. This study investigated performance of BSc nursing students in NCK examinations by determining student characteristics, examining institutional characteristics and analyzing regulatory body characteristics in relation to performance. NCK identified it as priority area of research....
ABSTRACT It is estimated that nearly 300,000 women die from pregnancy related complications and childbirth. Globally 34% of deliveries take place without skilled birth attendant. In Kenya more than 50% of deliveries are conducted by unskilled persons. These high indices of maternal mortality are reason for launching incentive use and digital programme in Kakamega County commonly known as “Oparanya care services”. Despite the commitment provided by the county government in resource allocat...
ABSTRACT Breast-feeding lays the foundation for healthy growth and child development. Despite the documented benefits of exclusively breast-feeding, studies have found that several predictors influence the duration of breast-feeding and few researches have assessed the predictors of exclusive breast-feeding among women informal employment in Kenya. The objective of this study was to determine the predictors of exclusive breast-feeding among mothers in formal employment attending child welfare...
ABSTRACT Tuberculosis (TB) contributes 2.7% of total Disability Adjusted Life Years (DALY) in low income countries. It is also the leading infectious cause of mortality and morbidity in these countries. Kenya is one of the countries with the highest burden of tuberculosis globally. The country still has poor treatment outcomes in a significant number of patients. These poor treatment outcomes have been considerably linked to TB treatment adherence problems. The study area, Kisumu East sub-Cou...
ABSTRACT The loss to follow up (LTFU) has reversed the successful strengthening of antiretroviral therapy (ART) programmes globally. The factors associated with the LTFU still remain a challenge to many countries, becoming a critical barrier to effective scaleup of HIV services. Kenya is one of the four HIV high burden countries in Africa (alongside Mozambique and Uganda) with the retention rate of about 81% which is below the set 90%. The HIV prevalence in the country is at 5.9% with 29% adu...
ABSTRACT The global burden of Diabetes is increasing. It is estimated by the year 2035 over 592 million people in the world will suffer from Diabetes. In Kenya, the prevalence of Diabetes is 4.56% while about 14% have impaired glucose metabolism. Since Diabetes is a complex disease affecting all areas of a person’s life, management by the patient remains central to the control and reduction of short term and long term complications. Diabetes self-management is a process in which the knowled...
ABSTRACT The global burden of Diabetes is increasing. It is estimated by the year 2035 over 592 million people in the world will suffer from Diabetes. In Kenya, the prevalence of Diabetes is 4.56% while about 14% have impaired glucose metabolism. Since Diabetes is a complex disease affecting all areas of a person’s life, management by the patient remains central to the control and reduction of short term and long term complications. Diabetes self-management is a process in which the knowled...
ABSTRACT Strong preferences are revealed when patients fail to utilize their nearby facilities and seek health care services at another facility. Bypassing rates for childbirth has been documented in literature and it ranges between 30% and 70 %. At Moi Teaching and Referral Hospital similar observation is made with majority of the women delivering at the facility having bypassed their nearby county health facilities. Thus, the current study sought to identify the individual and health facili...
ABSTRACT End Stage Renal Disease (ESRD) is a global public health problem. Moi Teaching and Referral Hospital (MTRH) has over 200 hemodialysis patients with nearly 2/3rd struggling with dietary and fluid adherence. This study assessed determinants of diet and fluid adherence among ERSD undergoing hemodialysis at MTRH. A quantitative cross-sectional study design was conducted from 1st April to 16th May 2018. A sample size of 145 participants who were on HD twice weekly were conveniently recrui...
Abstract Background: There has been a marked increase in people with disability all over the world including Tanzania. Consequently, the psychiatric disabled people are not healthily maintained, become apathetic, have difficult in trouble coping, are discriminated against, are not integrated into local communities, and most of them face massive unemployment. To address this condition of psychiatric disability, the Tanzanian government established Mirembe psychiatric hospital and Hombolo reh...
xii ABSTRACT Introduction- Ethical issues have emerged in the recent years as a major component of health care for the critically ill patients, who are vulnerable and totally depend on the caregiver, optimally the nurse working in the critical care unit. As a result nurses working in the Critical Care Units are faced with ethical dilemmas on a day to day basis in the course of executing their duties. Ethical dilemmas have therefore become one of the priority concerns in the nursing profession...
ABSTRACT Nursing education forms the basis of professional existence, development and sustainable future. The purpose of this study was to establish how nurse educators adapted to increased instructional workload, how they were self-sufficient in performing, and how they would sustain instructional roles in diploma nursing training in colleges within Meru. The target population was fifty two nurse educators who were all invited to participate. Forty six nurse educators participated in the stu...