Medical & Health Sciences

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Medical & Health Sciences Research Papers/Topics

Diabetes Awareness and Risk Reduction Behaviors among Pre-Diabetic Patients in Busia County, Western Kenya

Abstract/Overview One-third of people with pre-diabetic condition progress to type 2 diabetes within five years. However, with adequate knowledge on diabetes risk reduction behaviors, progression to diabetes can be controlled. We therefore recruited 220 suspected cases of pre-diabetic patients at Busia County Referral Hospital assessed their knowledge, and adaption of risk reduction behavior. A cross-sectional study design and a systematic sampling approach were used. The findings show th...

Uptake of Preconception Care Services among Women of Reproductive Age at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu

Abstract/Overview Preconception care involves the provision of health interventions to women and couples before conception and aims at improving their health status, reducing behaviors, individual and environmental factors that contribute to poor maternal and child health outcomes. It has potential to further reduce global maternal and child mortality and morbidity, especially in low-income countries where the highest burden of pregnancy-related deaths and disability occurs. Most often, p...

Factors Influencing Preconception Care Services Among Women of Reproductive Age at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu

Abstract/Overview Preconception care involves the provision of health interventions to women and couples before conception and aims at improving their health status, reducing behaviors, individual and environmental factors that contribute to poor maternal and child health outcomes. It has potential to further reduce global maternal and child mortality and morbidity, especially in low-income countries where the highest burden of pregnancy-related deaths and disability occurs. Most often, p...

Supply Chain Resilience and Service Delivery of Public Health Care Facilities in Western Region Kenya

Abstract Supply chain management is a crucial activity that entails overseeing the movement of materials from the source, throughput, to the end consumer. However, in this endeavour, there are increased instances of uncertainties, i.e., speeds of delivery, flexibility, and environmental factors that affect the services rendered to the end consumer. This drives the concept of supply chain resilience as the ability of an organization to cope with stress from any factors in its environment and ...

Effect of socio-economic factors on malaria prevalence in a Peri-urban setting in Vihiga County, Western Kenya Highlands

Abstract Background: Malaria is the leading cause of mortality in sub-Saharan Africa. Objective: The study assessed the effect of socio-economic factors on high malaria prevalence in a peri-urban setting in Vihiga County, Western Kenya highlands aimed at strengthening implementation of cost-effective malaria control strategies at household level. Method: A longitudinal study was carried out in the study area from December 2019 to November 2020. From patients who presented themselves at Mba...

The Moderating Role of Procurement Governance on the Relationship between Supply Chain Agility and Service Delivery of the Public Health Care Sector in the County Governments of Western Regio

Abstract Supply Chain Management is a crucial activity that entails overseeing the movement of materials form the source, throughput, to the end consumer. However, in this endeavour, there are increased instances of uncertainties i.e. speeds of delivery, flexibility and environmental factors that affect the services rendered to the end consumer. This drives the concept of supply chain agility which focuses on the speeds of response to any changes in the consumer demands. The healthcare secto...

Determinants of Maternal Health Care Choices among Women in Lunga Lunga Sub County in Kwale County-Kenya

Abstract/Overview Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Provision of safe motherhood is of utmost importance in the reduction of maternal mortality. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. This study explored maternal healthcare choices of expectant mothers in Lunga Lu...

Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya

Abstract/Overview Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was ...

A Qualitative Exploration of Factors Associated with COVID-19 Vaccine Uptake and Hesitancy in Selected Rural Communities in Kenya

Abstract Purpose: The post-pandemic management of COVID-19 infections and any emergent outbreaks is because this endemic disease remains a public health concern. Vaccine hesitancy may continue to hamper efforts to respond to any new disease outbreaks and future epidemics. This qualitative study aimed to explore the factors influencing COVID-19 vaccine acceptance and hesitancy in Kenya to gain deeper insights into this issue. Methods: This study was implemented in western Kenya using key info...

Maternal Health Care Choices among Women in Lunga Lunga Sub County in Kwale County-Kenya

Abstract/Overview Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Provision of safe motherhood is of utmost importance in the reduction of maternal mortality. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. This study explored maternal healthcare choices of expectant mothers in Lunga Lu...

Iron Deficiency is Prevalent among HIV-Infected Kenyan Adults and is Better Measured by Soluble Transferrin Receptor than Ferritin

Abstract/Overview Iron deficiency (ID) and human immunodeficiency virus (HIV) infection frequently coexist. Little data exist on ID in HIV-infected individuals, partly because the iron marker ferritin is altered by inflammation common in HIV infection. We measured iron biomarkers (ferritin, soluble transferrin receptor [sTfR], hepcidin) and red cell indices (hemoglobin, mean corpuscular volume [MCV]) in newly diagnosed, antiretroviral therapy-naive, HIV-infected (N = 138) and uninfected (...

Clinical and Host Related Factors Influencing Prevalence of Tuberculosis in Bumula Sub County, Bungoma County in Kenya

Abstract/Overview Robert Shihuzire Magomere, , Tuberculosis (TB) is an infectious bacterial disease caused by bacillus Mycobacterium tuberculosis. Globally 9.6 million people fell ill with TB and 1.5 million died from the disease in 2014. Bumula Sub-County had 200 patients diagnosed with TB in 2016, with a case notification rate of 454 cases per 100,000 people. The main objective of this study was to establish the clinical and host related factors influencing prevalence of TB in Bumula Su...

Influence of Health Service Provider Competency on Utilization of Universal Health Coverage in Seme Sub-County, Kisumu County, Kenya

Abstract/Overview Health workers competency is very critical in realization of quality health care which is a major pillar of Universal Health Coverage. This study assessed the influence of healthcare provider competency on Universal Health Coverage utilization in Seme Sub County, Kisumu County. The study targeted community households and health facility managers. The health facilities were stratified according to their tiers and randomly sampled. The catchment population was stratified b...

Barriers to Access Quality Healthcare Services among Physically Challenged Persons in Gem Sub County, Siaya County

Abstract/Overview Despite the increase in the number of health services provided and Kenya’s commitment to equal access to quality healthcare for all by the year 2030, the physically challenged persons still find difficulty in accessing health services for reasons attributable to health care related factors. This study targeted the physically challenged persons in Gem Sub-county, Kenya. Stratified and systematic random sampling was used to select 108 people with physical disability. Dat...

Determinants of Mother-To-Child HIV Transmission among HIV Exposed Infants in Siaya County, Kenya

Abstract/Overview In Kenya, approximately 3.3% to 4% of infants born annually are exposed to HIV due to lack of PMTCT interventions. Factors associated with mother – to – child HIV transmission as not been adequately investigated in Kenya. The study aim was to investigate factors associated with mother – to – child HIV transmission (MTCT) among HIV exposed infants in Siaya County. A retrospective cohort study design was adopted. Data involving 179 HIV exposed infants and their HIV...


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