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...
ABSTRACT The study determined the socio demographic differences in multiple risk taking behaviour patterns among secondary school adolescents in Enugu urban. Six (6) objectives and five (5) hypotheses were set to guide the study. Relevant literatures were reviewed to enhance the theoretical background of the study. Descriptive survey design was adopted for the study. A sample size of 422 respondents, who met the inclusion criteria, was used for the study. A convenience sampling technique was ...
ABSTRACT Several authorities and researchers have carried out studies around academic performance of students. The reviewed works showed that academic performance of students have been an issue of concern to all stakeholders in the field of education. It was noted from the reviewed works that there are several interacting factors to academic performance which study habit is one of them. The purpose of the study was to assess the relationship between study habit and the academic performance of...
Abstract The difficulties encountered in out of pocket financing of healthcare have compelled the introduction of pre paid health insurance in many countries, including Nigeria. This is borne 2 out of a universal and equitable healthcare cover as a fundamental human right. This initiative works on pooling of resources. This study assessed the utilization of National Health Insurance Scheme among healthcare providers working at University of Nigeria Teaching Hospital, Ituku-Ozalla. Descriptive...
Abstract Chronic illness is the term used to describe diseases which have non-reversible pathological condition that cannot be corrected by medical intervention. Examples include sickle cell disease, cancer, Aids, bronchial asthma among others. Many children are affected by chronic illness and cared for in the homes. The diagnosis of chronic illness in a child evokes a lot of influences on the dynamics of both immediate and extended families. This study investigated the influence of a child�...