Public Health Research Papers/Topics

Nutritional status of people who inject drugs in Coastal Kenya: a cross-sectional study

Abstract Introduction Despite documentation on injection drug use (IDU) in Kenya, the nutritional status of people who inject drugs (PWIDs) is under-explored. Elsewhere studies report under-nutrition among PWIDs which is attributed to food insecurity; competing priorities between drugs and food supply; chaotic lifestyle; reduced food intake; substance use induced malnutrition due to inflammation and comorbidities. Methods This was a cross-sectional study that sought to assess the nutritional...

Social Impact of Dental Caries on Adult Patients in Bungoma County, Kenya

Abstract Dental caries manifests itself through the existence of a hole in the hard tissue of teeth, and it has a brown or black colour. Untreated dental caries causes a lot of challenges such as toothache and eventually tooth loss resulting in swelling, inability to eat or swallow, inability to open jaw or talk, difficulty in breathing and low self-esteem as a result of the bad breath from cavity. The outcome of the social effect of dental caries is the inability to pronounce or talk, inabi...

Evaluation of Government Programs in Mitigating Drug and Substance Abuse in Kilifi and Mombasa Counties, Kenya

Abstract The issue of drug and substance abuse has become a major concern in Kenya, particularly in the coastal region. In response, the government has implemented various programs to mitigate the problem. The objective of this paper was to evaluate the government's programs for mitigating drug and substance abuse in the Kilifi and Mombasa Counties of thecoastal region of Kenya.Social learning theory and functionalism theory served as the study's guiding principles. The study was further und...

Influence of Organizational Culture on Public Health Service Delivery in County Governments in Western Kenya Region

Abstract Poor health service delivery has been linked to the devolution of health services, with some health workers walking off the job due to inadequate pay and unsafe working conditions. This research aimed at establishing the influence of organizational culture on public health service delivery in County Governments in Western Kenya Region, Taking a positivist approach, the study was anchored on Organizational Culture Theory. Descriptive survey and causal-comparative research designs wer...

Hygiene Practices and Early Childhood Development in the East Asia-Pacific Region: A Cross-Sectional Analysis

Abstract Poor hygiene might be a risk factor for early childhood development (ECD). This study investigated the associations of three hygiene practices (‘wash hands before a meal,’ ‘wash hands after going to the toilet,’ and ‘brush teeth’), separately and combined, with ECD. Six thousand six hundred ninety-seven children (4 [0.8] years) from the East Asia-Pacific Early Child Development Scales validation study were included in this cross-sectional analysis. The hygiene variables ...

Bed net use and malaria treatment-seeking behavior in artisanal gold mining and sugarcane growing areas of Western Kenya highlands

Abstract Provision of the bed net in Sub-Saharan Africa has substantially resulted in the decrease in malaria incidences in the region. However, malaria still ravages these regions causing significant deaths. This situation has been attributed to socio-economic inequalities that reduce access to the net, failure to seek treatment, and poor antimalarial drug use. Information about these factors in malaria control in Western Kenya highlands is not clearly documented. This study sought to find ...

Draft Genome Sequences of Two Staphylococcus warneri Clinical Isolates, Strains SMA0023-04 (UGA3) and SMA0670-05 (UGA28), from Siaya County Referral Hospital, Siaya, Kenya.

Abstract We report the complete draft genome sequences of two Staphylococcus warneri clinical isolates, strains SMA0023-04 (UGA3) and SMA0670-05 (UGA28), each of which contains one chromosome and at least one plasmid. Isolate SMA0023-04 (UGA3) contains tetracycline efflux major facilitator superfamily (MFS) transporter (tetK), macrolide resistance (msrC and mphC), and beta-lactamase (blaZ) genes on its plasmids.

The diagnostic accuracy of Th1 (IFN-γ, TNF-α, and IL-2) and Th2 (IL-4, IL-6 and IL-10) cytokines response in AFB microscopy smear negative PTB- HIV co-infected patients

Abstract Acid Fast Bacilli (AFB) microscopy smear remains the most widely used laboratory diagnostic technique for Pulmonary Tuberculosis (PTB) in low-and-middle income countries. Although it is highly specific, the sensitivity varies between 20–80% in immune-competent people, with only 50% case detection among HIV/TB co-infected patients, hence the need to determine the diagnostic accuracy of Th1 and Th2 cytokine response in AFB microscopy smear negative PTB-HIV co-infected patients. A to...

Prevalence and predictors of receipt of weight loss advice among a nationally representative sample of overweight and obese Kenyans

Abstract Background: As Kenya continues to experience rapid development and urbanization, growing evidence shows an increas- ing prevalence of non-communicable diseases (NCDs) and overweight and obese citizens. Objectives: This study sought to explore the extent to which Kenyan overweight and obese participants reported receiving advice from physicians or health care providers to lose weight and to identify demographic characteristics associated with receipt of weight loss advice. Methods: D...

Human immunodeficiency Virus (HIV) type 1 genetic diversity in HIV individuals on antiretrorival therapy in a cross sectional study conducted in Teso, Western Kenya

Abstract Introduction: high HIV-1 infection rates and genetic diversity especially in African population pose significant challenges in HIV-1 clinical management and drug design and development. HIV-1 is a major health challenge in Kenya and causes mortality and morbidity in the country as well as straining the healthcare system and the economy. This study sought to identify HIV-1 genetic subtypes circulating in Teso, Western Kenya which borders the Republic of Uganda. Methods: a cross-secti...

Phenotypic and Genotypic Antibiotic Resistant diarrheagenic Escherichia coli pathotypes isolated from Children with Diarrhea in Nairobi City, Kenya

Abstract Background: The marked genome plasticity of diarrheagenic Escherichia coli promotes emergence of pathotypes displaying unique phenotypic and genotypic resistance. This study examined phenotypic and genotypic antibiotic resistant diarrheagenic Escherichia coli pathotypes among children in Nairobi City, Kenya. Methods: In a cross-sectional study, diarrheagenic Escherichia coli pathotypes were isolated from stool samples and their phenotypic and genotypic resistance against eight antim...

Vital relations in the metaphors of Covid-19 in Lukabaras

Abstract Since the emergence of Covid-19 pandemic in late 2019, the metaphorical framing of this respiratory disease also known as the Corona Virus, has been manifested variedly in different social contexts and discourses. The pandemic offered an opportunity to explore the cultural framing of abstract concepts through conceptual mappings. Hence, the purpose of this article was to examine the extent to which vital relations accounted for the metaphors of Covid-19 pandemic in Lukabaras, a Bant...

Influence of Participative Leadership Style on Public Health Service Delivery in County Governments in the

Abstract Poor health service delivery has been linked to the devolution of health services, with some health workers walking off the job due to inadequate pay and unsafe working conditions. This research aimed at establishing the influence of participative leadership style on public health service delivery by county governments in the Western Kenya region. Taking a positivist approach, the study was anchored on participative leadership theory. Descriptive survey and causal-comparative resear...

Knowledge and Attitude of Health Managers Towards the Annual Health Sector Planning and Budgeting Process in Bungoma County, Kenya

Abstract The focus of health planning and budgeting is to identify priorities that, in turn, guide budgetary allocations aimed at improving health outcomes. The shift towards decentralization has necessitated reforms in the planning and budgeting processes. These reforms encompass the enactment of legislation, the formulation of process guidelines, and the utilization of program-based budgeting (PBB). Despite the institutionalization of these reforms, healthcare administrators continue to en...


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