ABSTRACT The under- fives mortality continues to rise globally at an annual rate of 24% despite efforts to counteract it through vertical programmes. Seven out of ten child deaths are due to diarrhea, acute respiratory infections, measles and malnutrition. Malnutrition and diarrhea morbidity continues to be a public health problem of considerable magnitude in most developing countries. Efforts to combat it focus primarily on preventive and curative health services. The main objective of this ...
ABSTRACT This study sought to establish male partner involvement in preconception care utilization among men in Embakasi East Sub-county, Nairobi City County, Kenya. The study specifically sought to determine the proportion of men involved in preconception care, their knowledge levels, attitude, existence of spousal communication and challenges affecting male partner involvement in preconception care utilization. Most men are the bread winners of their families and sole decision makers; this ...
ABSTRACT Syphilis is an infectious disease caused by the bacterium Treponema palladium. Globally, about 12 million people, majority of whom come from sub-saharan Africa and Asia have suffered from syphilis infections. This study therefore determined the prevalence and the risk factors for occurrence of syphilis among men who sex with men in SWOP/MSM clinic in Nairobi City County. The study adopted l crossectional study design which encompassed use of qualitative and quantitave data collection...
A BSTRACT Quality of care in government public facilities is important for ehnancing patients satisfaction and hence retention of patients in care especially in cases where treatment is life long such as HIV/AIDS. The Kenya Quality Model (KQM) was developed to improve quality and patients satisfaction with care in public hospitals. The purpose of this study was to assess patients‟ satisfaction with HIV/AIDS services at the level 5 comprehensive care centres (CCC). The specific objectives in...
ABSTRACT A partogram is a graphical representation of the fetal status, maternal status and progress of labor. Its proper interpretation assists in early identification of complications which may lead to morbidity and mortality. Health records from selected hospitals in Machakos County in regards to partograph utilization revealed that 60% of the records had a partograph attached with only 40% of them used correctly up to delivery. The study determined the utilization of the partograph in man...
ABSTRACT Type 2 diabetes mellitus (T2DM), is the most common form of diabetes, characterized by disorders of insulin resistance, insulin secretion, obesity, lipid abnormalities, hypertension, and cardiovascular diseases. Physical inactivity and the adoption of sedentary lifestyle often accompanying the transition to modern diet are key factors leading to this condition. The marked increase of Type 2 Diabetes Mellitus (T2DM) necessitates active development and implementation of efficient preve...
ABSTRACT Sexually transmitted infections (STIs) are being increasingly recognized as serious global health problem with impact on individual women and men, their families and communities. They can have severe consequences, including infertility, ectopic pregnancy, chronic pelvic pain, miscarriage, and increased risk of HIV transmission. STIs are the main preventable cause of infertility, particularly in women. The general objective of the study was to establish the determinants of health see...
ABSTRACT Family planning is an important aspect of primary health care. In order to improve the efficacy of available contraceptive methods, it is of importance to identify factors influencing women’s choice of contraception. In Kenya, like many other sub-Saharan countries, prevention of unintended pregnancies among HIV positive women as a strategy for PMTCT has been neglected. This has resulted in a large population of HIV positive women who have a substantial degree of unmet need for fam...
ABSTRACT Active Management of the Third Stage of Labor (AMTSL) is an evidence-based, low-cost intervention focusing prevention of postpartum hemorrhage (PPH) which accounts for over 25% globally and Kenya at 33.9% translating to 510 deaths /100,000 live births. The study aimed at assessing knowledge and competencies of midwives in active management of third stage of labor in health facilities of Meru County. The study adopted a descriptive cross sectional design and utilized stratified rand...
ABSTRACT Malaria is a major public health challenge in Kenya especially among young children and pregnant women. It accounts for 30% of all outpatient attendances, 19% of all admissions and leads to 20% of all deaths in children aged below five years. Despite much effort to fight malaria, the efforts have been undermined by malaria parasites that develop resistance to the commonly available malaria drugs. Since a new antimalarial drug, Artemether - Lumefantrine (AL) was introduced in Kenya i...
ABSTRACT In 2006, Kenya developed and adopted Community Health Strategy as a means of enhancing community access to Healthcare services. Although there has been scientific evidence that community based health approaches are effective in delivering specific health services, there has been little effort to examine the performance of the Kenya’s Community Health Strategy against sanitation indicators. This analytical cross-sectional study was therefore designed to evaluate the effects of Comm...
ABSTRACT Sanitation is a basic necessity that contributes to better human health, dignity and quality of life. The economic and social benefits of sanitation interventions create more time for productive pursuits, higher productivity, better performance at school and work, lower medical costs.Despite Nyeri County ranked by the Ministry of Health as number one county in terms of sanitation coverage, it has 25.4% unimproved sanitation and 0.3 % open defecation. This study was designed to ident...
ABSTRACT The desire to correct the poor implementation of traditional antenatal care (ANC) in developing countries resulted to the adoption of antenatal care model termed as Focused Antenatal Care (FANC). The goal of FANC is to ensure a good outcome for both the baby and mother and prevent complication during pregnancy, labor, delivery and postpartum period. It is characterized by four main focused visits. Studies have shown that Kenya has long suffered from high maternal morbidity and morta...
ABSTRACT Cause of diarrhea is known to have many risk factors. They include unsafe water, lack of water leading to low personal and domestic hygiene, poor water infrastructural and management systems. Contamination of drinking water is known to be a problem in many developing countries. This is even of more concern in high residential low income areas. Nairobi City is not an exception hence this study was conducted in Kasarani to assess diarrhea disease attributed to water, sanitation and hy...
ABSTRACT Vitamin A intake is one of the dietary interventions that support the achievement of nutrition priority outcomes. Inadequate Vitamin A intake leads to its deficiency which causes depressed immune response, impaired movement of iron, poor growth, night blindness and xerophthalmia major public health concerns. Vitamin A deficiency has been addressed through supplementation worldwide to children under the age of 59 months. The purpose of this study was to assess Vitamin A intake and su...