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...
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...
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...
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...
TABLE OF CONTENTS DECLARATION .......................................................................................................... ii DEDICATION ............................................................................................................. iii ACKNOWLEDGEMENTS ......................................................................................... iv TABLE OF CONTENTS ..............................................................................................v LIST OF ...
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...
ABSTRACT Asymptomatic bacteriuria in pregnancy is associated with risk of preterm birth and pyelonephritis if untreated. The apparent decline in immunity of pregnant women appears to promote the growth of both commensal and non-commensal microorganisms. Women with asymptomatic bacteria in the early pregnancy develop symptomatic bacteriuria later in pregnancy. The incidence of antibiotic resistance has been steadily increasing over the past few years resulting in limitation of therapeutic...
ABSTRACT Open defecation refers to defecating in bushes, fields, water bodies and other places that are open. Across the world, approximately 1 billion people are practicing open defecation. This is worse in sub-Saharan Africa where about 215 million people defecate in the open. In Kenya, an estimated 5.6 million people practice defecation in the open. The introduction of Community Led Total Sanitation strategy by the Ministry of Health has not achieved its goal of improved sanitation and hyg...
ABSTRACT Malaria, a preventable disease, caused by a protozoan parasite, accounts for about 300-500million clinical cases and two million deaths world-wide annually. Ninety per cent of this occurs in countries south of the Sahara. It is responsible for about 25% of all childhood mortality. It is estimated that at least 50% of the population will have at least one attack of malaria in a year. It is one of largest contributor to disease burden in Nigeria. There were two million cases of malaria...
ABSTRACT It is estimated that Kenya has 1.6 million people living with HIV and 88,000 new adult infections annually. The country has adult HIV prevalence rate of between 5.6 - 7.2% and incidence rate of 0.4 – 0.7%. Recent studies on HIV disclosure among adult sexual partners revealed HIV 70-80% disclosure rates. A number of studies on HIV and AIDS have been undertaken in Kenya. However, determinants of disclosure among persons living with HIV remain unclear. The objective of this study was ...
ABSTRACT Slaughterhouses and meat processing plants are known to potentially pose significant threats to worker’s safety and health due to the hazardous conditions involving animals, tools and dangerous machines used in the meat industry.The main objective of this study was to investigate the safety of workers in slaughterhouses and meat processing plants in Nairobi City County. The specific objectives were to determine the level of compliance of various categories of slaughterhouses and p...
ABSTRACT Health Information Management System is a system that entails collecting, processing, reporting and using health information and knowledge to influence decision making.AMREF facility provides services in urban informal settlements where Health Information Management System is used.The objective of the study was to determine factors that influence utilization of the HIMS in the AMREF- Kibera facility.It further sought to establish the current status of the HIMS in place in the Kibera...
ABSTRACT Overweight and obesity are reported to be increasing worldwide and currently constituting a public health problem. The consequences of these include hypertension, diabetes mellitus, hyper-lipidemia, coronary artery diseases and some cancers. The reports from several regions of the world concerning overweight/obesity among children and adolescents are not consistent. In Nigeria there is no current national figure on overweight/obesity in the adult or children. The main objective of t...
ABSTRACT The activity of the oil prospecting companies in the study area is mainly that of crude oil extraction from the subsurface. As a result of these petroleum activities, there is a continuous destruction of aquatic lives – flora and fauna destabilizing the entire aquatic eco-system. This study was focused on the impact of oil spillage on the water quality. Different physico-chemical parameters were analyzed, including Temperature, Taste, Colour, Odour, Total Dissolved Solid, Conducti...