ABSTRACT About 17,000 children below five years of age die each day across the world, 99% occur in developing nations with 50% accounted for by Sub-Saharan Africa (SSA). Kenya’s high under-five mortality rate (U5MR) at 52 deaths per 1,000 live births won’t scale down without solving the high under-five mortality (U5M) in rural areas. Despite Karemo Sub-County in Siaya County having relatively good access to public and private health facilities, it nevertheless exhibit U5MR of 184 deaths p...
ABSTRACT In Kenya, surface water bodies are the final destination for most pollutants. Western and Nyanza Regions in close proximity to Lake Victoria are characterized by inadequate sanitation services, chronic water shortages and poor water quality where only 8% have access to safe water. Unsanitary conditions are associated with scarcity of clean and potable water consequently leading to diarrheal diseases that plague residents. The microbiological quality of drinking water and risk factors...
ABSTRACT Improper child-feeding practices directly affect the nutritional status of under-fives and ultimately impact on their survival. Improving child-feeding practices of under- fives is critical to their overall health and developmental milestones. In 2001, the World Health Organization (WHO) recommended exclusive breastfeeding for 180 days a change from the previous proposal to introduce complementary foods at four to six months. Luanda Sub-County experiences massive population explosion...
ABSTRACT Intestinal schistosomiasis caused by Schistosoma mansoni remains a major public health problem responsible for morbidity and mortality in sub-Saharan Africa despite availability of control programs. It is estimated that more than 6 million people in Kenya are suffering from schistosomiasis. Several species of Biomphalaria snails are obligatory intermediate hosts for transmission of S. mansoni. Mbita sub-county in Homa Bay County is one of the regions along the Lake Victoria basin in ...
ABSTRACT Infection prevention and control is not only crucial in protecting patients, health care workers and visitors in health care settings from health care associated infections which are protracted cause of morbidity and mortality but also in preparation and response to communicable disease crisis. Despite the high burden of health care associated infections and need for enhanced prevention and control of these infections in Vihiga Sub County, factors influencing infection prevention and...
Table of contents Acknowledgement vii Declaration viii Abstract ix Chapter 1: Introduction and Background of the Study 1.1 Introduction 1 1.2 Background Overview of Strategic Planning Process in the Public Service of Namibia 1 1.3 Benefits of Strategic Planning 3 1.4 Statement of the Research Problem 3 1.5 Research Aim 4 1.6 Research Objectives 4 1.7 Research Questions 5 1.8 Significance of the Study 5 1.9 Structure of the Dissertation 6 1.10 Conclusion 6 Chapter 2: Literature Review 2.1 Intr...
ABSTRACT Delay is one of the major problems in Zimbabwe construction industry. Delays lead to many negative effects such as disputes between clients and contractors, increased cost, loss of productivity and revenue and termination of contract. The aim of this research was to investigate the challenges faced in construction project completions and find ways to minimize the project delays. A case study method was adopted for this research through primary data and secondary data. The data coll...
ABSTRACT Cardiovascular disease (CVD) causes 30% of deaths globally and has been reported to be on the increase in sub-Saharan Africa. Medications prescribed for CVD are largely an ongoing lifetime commitment aimed to preserve optimal heart function for as long as possible and as a result patients must adhere to their prescription. However, prescription adherence is influenced to a large part by prescription awareness, which is having information about prescribed drugs and their side effects ...
ABSTRACT Community Led Total Sanitation (CLTS) is an innovative way to achieve communities free from open defecation. Globally 1.1 billion people still practice open defecation and are at risk of diarrhea resulting in 2 million deaths annually. In Kenya 75.7 % population lack improved sanitation facilities and of these, 17.1% experience diarrhea cases. In Siaya diarrheal diseases are ranked third among the top ten diseases. Boro Division with latrine coverage 55%. However, there is still limi...
The Exploration Of Barriers To Uptake Of Hiv Counseling And Testing By Adult Tuberculosis Patients Attending Dots Clinic In Imo State
ABSTRACT Infant survival refers to a state of continuing to live or exist within the first year of life despite the difficult conditions, such as unhygienic conditions and infant complications. One of the significant indicators of infant survival is a country’s infant mortality rate (IMR). According to UNICEF report of 2016, the global IMR is estimated at 32 per 1000 live births. In Sub-Saharan Africa the IMR is estimated at 58 per 1000 live births, whereas in Ethiopia it’s estimated at 4...
TABLE OF CONTENTS ABSTRACT ......................................................................................................................... ii TABLE OF CONTENTS .................................................................................................... iii LIST OF FIGURES ............................................................................................................ vi LIST OF APPENDICES ..............................................................................
ABSTRACT The growing volume of household solid waste is a concern for public health. The world population in 2016 was 7.3 Million people with a growth rate of 1.14%. This has resulted to increase in consumption rate with a direct effect in the generation of household solid waste. The estimated quantity of Municipal Solid Waste generated worldwide is 1.7–1.9 billion metric tons per year, with 1.2kg/capita/day. In sub-Saharan Africa, generated solid waste is approximately 62 million tons per ...
ABSTRACT Quality is the ability to deliver services that satisfy the consumer’s needs whereas service quality is the ability to meet or exceed customer expectations, providing quality healthcare is an ethical obligation of all healthcare providers and receiving quality care is a right of all patients. Kenya has witnessed general deterioration in health indicators due to rapid population growth, child nutrition problems, poverty, HIV/AIDS, acute respiratory infections, malaria, diarrhea, and...
ABSTRACT Human Immunodeficiency Virus (HIV) is still a global challenge, with the bulk of infection in children being in sub-Saharan Africa. Six thousand six hundred and thirteen (6,613) new infections were reported in Kenya in 2015. In Kisumu County, HIV prevalence (19.9%) is 3.4 times higher than the national (5.9%). Prevention of Mother to Child Transmission (PMTCT) coverage in the County is low (60%) with 19.7% children infected in 2015. In 2016, only 3,369 infants were less than 2 months...