School of Health Scienceshttp://ir.jooust.ac.ke/handle/123456789/292024-03-28T18:43:17Z2024-03-28T18:43:17ZSero-prevalence of brucellosis in humans and their animals: A linked cross-sectional study in two selected counties in KenyaOgola, EricThumbi, SamuelOsoro, EricMunyua, PeninahOmulo, SylviaMbatha, PeterOchieng, LinusMarwanga, DorisNjeru, IanMbaabu, MuriithiWanyoike, SalomeNjenga, Kariukihttp://ir.jooust.ac.ke/handle/123456789/29572018-11-22T05:47:27Z2014-04-29T00:00:00ZSero-prevalence of brucellosis in humans and their animals: A linked cross-sectional study in two selected counties in Kenya
Ogola, Eric; Thumbi, Samuel; Osoro, Eric; Munyua, Peninah; Omulo, Sylvia; Mbatha, Peter; Ochieng, Linus; Marwanga, Doris; Njeru, Ian; Mbaabu, Muriithi; Wanyoike, Salome; Njenga, Kariuki
ISDS 2013 Conference Abstract
2014-04-29T00:00:00ZReport from MicroResearch 2020 strategic planning meeting.MicroResearchhttp://ir.jooust.ac.ke/handle/123456789/26142018-11-12T05:05:20Z2014-04-24T00:00:00ZReport from MicroResearch 2020 strategic planning meeting.
MicroResearch
2014-04-24T00:00:00ZA workshop report on HIV mHealth synergy and strategy meeting to review emerging evidence-based mHealth interventions and develop a framework for scale-up of these interventionsKaranja, SarahMbuagbaw, LawrenceRitvo, PaulLaw, JudithKyobutungi, CatherineReid, GrahamRam, RaviEstambale, Benson B.Lester, Richardhttp://ir.jooust.ac.ke/handle/123456789/13642018-07-09T13:21:54Z2011-11-11T00:00:00ZA workshop report on HIV mHealth synergy and strategy meeting to review emerging evidence-based mHealth interventions and develop a framework for scale-up of these interventions
Karanja, Sarah; Mbuagbaw, Lawrence; Ritvo, Paul; Law, Judith; Kyobutungi, Catherine; Reid, Graham; Ram, Ravi; Estambale, Benson B.; Lester, Richard
mHealth is a term used to refer to mobile technologies such as personal digital assistants and mobile phones for healthcare. mHealth initiatives to support care and treatment of patients are emerging globally and this workshop brought together researchers, policy makers, information, communication and technology programmers, academics and civil society representatives for one and a half days synergy meeting in Kenya to review regional evidence based mHealth research for HIV care and treatment, review mHealth technologies for adherence and retention interventions in anti-retroviral therapy (ART) programs and develop a framework for scale up of evidence based mHealth interventions. The workshop was held in May 2011 in Nairobi, Kenya and was funded by the Canadian Global Health Research Initiatives (GHRI) and the US Centre for Disease Control and Prevention (CDC). At the end of the workshop participants came up with a framework to guide mHealth initiatives in the region and a plan to work together in scaling up evidence based mHealth interventions. The participants acknowledged the importance of the meeting in setting the pace for strengthening and coordinating mHealth initiatives and unanimously agreed to hold a follow up meeting after three months.
2011-11-11T00:00:00ZCommunity based alternative ways of nutritional and herbal supplements used by women to manage uterine fibroidsAruwa, SusanOtieno, Andrew OpondoOwino, Francis Rewhttp://ir.jooust.ac.ke/handle/123456789/12582018-05-03T09:58:27Z2016-01-01T00:00:00ZCommunity based alternative ways of nutritional and herbal supplements used by women to manage uterine fibroids
Aruwa, Susan; Otieno, Andrew Opondo; Owino, Francis Rew
In alternative management of fibroids in the community, many plants have been used in traditional herbal medicines in an attempt to treat women with uterine fibroids. The plants and herbal formulations discussed in this study are used to shrink uterine fibroids. Other treatments are used to address abnormal bleeding, uterine cramping, urinary frequency and digestive problems. The herbal remedies are reported to slowly reduce the size of fibroids and control further growth of new ones, thus preventing the occurrence of complications caused by fibroids such as urinary problems, dysmenorrhea, anaemia due to prolonged heavy bleeding and other symptoms associated with it. With alternative therapies, the woman may avoid the surgical operation thus saving money and still continue with daily living activities and most importantly, saves the woman’s fertility. The findings of study will close the existing knowledge gap on fibroid management at community level and provide knowledge on the available options available to women who do not wish to go for conventional methods of fibroid management
2016-01-01T00:00:00ZMonitoring interactions of female anopheles gambiae s.s. giles with insecticide-treated nets using a wind tunnel set-upAmimo, Fred A.Walker, Edwardhttp://ir.jooust.ac.ke/handle/123456789/1842016-11-17T12:32:54Z2015-06-24T00:00:00ZMonitoring interactions of female anopheles gambiae s.s. giles with insecticide-treated nets using a wind tunnel set-up
Amimo, Fred A.; Walker, Edward
Monitoring of interactions of Anopheles gambiae S.S. females with Insecticide Treated Nets (ITNs)was carried out using a wind-tunnel where air flow was controlled, enhancing the ability to characterize the behavioral mechanisms mediating ITN effects in the presence of simulated host cues. Detailed behaviors in a pull-push situation of permethrin- and deltamethrin-impregnated ITNs versus carbon dioxide, lactic acid and body heat source were made. Each female mosquito was introduced in the arena during the last 2 hour of photophase and observed continuously for 30 minutes. Frequencies, durations, and locations of behavior were recorded using the Observer software (Noldus, http:www.noldus). Comparisons for untreated and fully-treated Permanet, and Olyset ITN screens at the upwind end of the wind tunnel were made. When the upwind screen contained Permanet, females on average spent 48% of the total time sitting, of which 26% occurred on the upwind screen. When Olyset was present, females spent 42% of the total time sitting, of which 28% was spent on the upwind screen. The overall transition and kinematic analysis results show neither Permanet nor Olyset diminished the frequency of flying upwind and subsequent behaviors in air flowing over these insecticides implying the absence of repellency
1st JOOUST Scientific Conference
2015-06-24T00:00:00ZPerception of cervical cancer patients on their health related quality of life and palliative care needs in western KenyaAdhiambo, Jane O.http://ir.jooust.ac.ke/handle/123456789/1802016-11-16T07:02:00Z2015-06-24T00:00:00ZPerception of cervical cancer patients on their health related quality of life and palliative care needs in western Kenya
Adhiambo, Jane O.
Cervical cancer is the third most common female cancer worldwide and causes approximately 275,000 deaths annually worldwide, of which 88% occur in low income countries. In Kenya cervical cancer is the leading female cancer in both incidence and mortality rates at 40.1 and 21.8 respectively. Eighty percent of reported cases of cancer in Kenya are diagnosed at advanced stages, leading to many patients who need palliative care services to improve their quality of life. For a long time the focus has been on clinical management of cancers but now Health Related Quality of Life (HRQoL)) is emerging as an important health outcome which requires to be incorporated in the holistic management of patients. There are few studies in Africa that have investigated HRQoL issues. This study set out to determine quality of life and palliative care needs of cervical cancer patients in western Kenya. The study was conducted at Jaramogi Oginga Odinga teaching and referral hospital in western Kenya. Study population was estimated to be 2454 and sample size was 365. A HRQoL assessment tool FACT-Cx Version 4, a structured questionnaire, and in-depth interview guide were used to collect data. Reliability was tested using test-retest and internal consistency was computed using Cronbach's α coefficient while validity was achieved through expert review. Data was analyzed using SPSS version 20. Descriptive statistics, Pearson correlations, chi-square and regression analysis were conducted to examine the relationship between the independent variables and dependent variable. Statistical significance was tested at p ≤ 0.05. The results showed that the mean HRQoL was 35.35 (SD=13.21).More than half of the respondents experienced poor functional and physical wellbeing 221(66.2%) and 201 (60.2%) respectively and no patient experienced good functional and physical wellbeing. While 189(56.6%) experienced fair overall quality of life. There was a statistically significant relationship between cervical cancer stage and physical wellbeing of cervical cancer patients. Regression analysis between age, marital status, level of education and religion was used to determine their influence on overall quality of life. All the independent variables showed positive influence on overall quality of life. Age, level of education and religion had statistically significant relationship with overall quality of life. Only marital status did not have statistically significant relationship with overall quality of life. The study concluded that, cervical cancer patients experience poor functional and physical wellbeing though they do fairly better with emotional and social wellbeing. Therefore, more needs to be done in improving functional and physical wellbeing of these patients.
1st JOOUST Scientific Conference
2015-06-24T00:00:00ZEvaluation of the implementation of community midwifery model of care in Siaya CountyE Syagga, dwinah A.http://ir.jooust.ac.ke/handle/123456789/1782016-11-16T06:35:45Z2015-06-24T00:00:00ZEvaluation of the implementation of community midwifery model of care in Siaya County
E Syagga, dwinah A.
Worldwide, nearly 600 000 women between the ages of 15 and 49 die every year as a result of complications arising from pregnancy and childbirth due to conditions which could be avoided if preventive measures were taken and adequate care were available while many more suffer from serious conditions that can affect them for the rest of their lives. Most of the deaths result from lack of skilled attendance during childbirth. The new Reproductive Health Policy released in October 2007 outlines priority actions for maternal and neonatal health, which includes increasing access to skilled attendance for poor and hard to reach women (NHSSP II). The first edition of the community midwifery guidelines was developed in 2007 and has been revised in order to standardize the implementation of community midwifery services as a strategy for improving skilled attendance in the provision of maternal and new-born health care at the community level. The Model or approach discussed in these guidelines focuses on linking retired or out of work nurse midwives to health facilities and the community and work as a team in improving the quality of Maternal and Neonatal Health in the community. Many nurse midwives working in rural facilities were to be encouraged to provide antenatal, intra-partum and postpartum services. This would mean that a sustainable Community Midwifery model of care should consider the specific communities for purposes of acceptability, hence the need to address the sustainability of the community midwifery model for equitable access to skilled attendance. The objective of the study was to assess the Community Midwifery model of care in Siaya County. The study was carried out in Ugenya, Ugunja, Gem and Siaya sub-Counties of Siaya County, in western Kenya. It was a cross-sectional study that used both quantitative and qualitative data. A convenient sampling method was used to sample the study facilities as well as select the community respondents. It involved skilled attendants in the health care facilities of the primary levels of the health care system providing maternity services, the sub-county public health nurses in charge, the community health workers, the mothers within the community, who were served by the sampled health facilities. The expected outcome was to be a community midwifery model of care that is sustainable and which involves the community at all levels of operation. The study instruments included, mainly, questionnaires, checklists, FGDs and key informant interviews. Data analysis was done using statistical package of social sciences (SPSS). Provisional results so far show that the level of implementation of the model is poor (48%) with some midwives not even aware about its rollout and the presence of the community midwives practicing in the community. However, there is a modification of community involvement in all the four sub-counties. In conclusion the originally intended community midwifery model of care is not practiced in Siaya County.
1st JOOUST Scientific Conference
2015-06-24T00:00:00ZInvestigating knowledge attitude and practice of sexual and reproductive health issuesOchanda, DamarisAmimo, Fred A.Onguru, DanielOntiri, Susanhttp://ir.jooust.ac.ke/handle/123456789/1772017-01-18T13:24:59Z2015-06-24T00:00:00ZInvestigating knowledge attitude and practice of sexual and reproductive health issues
Ochanda, Damaris; Amimo, Fred A.; Onguru, Daniel; Ontiri, Susan
This survey was guided by the millennium development goal on the improvement of maternal health with the overall aim of increasing access to sexual and reproductive health information and services among university students. Specifically, the study was conducted among the Jaramogi Oginga Odinga University of Science and Technology, Main Campus students who were on campus during the period of January to April 2014. The specific objectives of the survey were to investigate the knowledge and attitudes of young university students on sexual and reproductive health, to examine the practice of young university students on sexual and reproductive health, and to investigate factors influencing young university students to seek sexual and reproductive health information and services.Nine Focus Group Discussions were conducted. Each group consisted of 12 to 14 students. Three Key Informant Interviews were conducted with a representative each of Dean of Students, University Health Center, and Janitors. Findings indicated unplanned pregnancies and abortions as common. Among reasons for abortion was the desire to continue with education, stigmatization and single motherhood. Sexual Reproductive Health services were found to be extremely limited at the University Health center. In addition, participants voiced negative attitudes towards the use of the University Health services. It was also apparent that students sought contraceptive and other RH services outside of the university, including at pharmacies, private clinics including Bondo Sub-County Hospital. As an intervention measure, the study proposed strategies including greater and proactive involvement of the University Administration, developing a relationship with other health facilities, sensitization, peer education and outreach.
1st JOOUST Scientific Conference
2015-06-24T00:00:00ZDiversity and distribution of mosquitoes transmitting malaria and rift valley fever in Baringo County, KenyaOndiba, I, M.Oyieke, FOng’amo, G.Njaanake, K.Estambale, Benson B.http://ir.jooust.ac.ke/handle/123456789/1762018-06-12T13:59:25Z2015-06-24T00:00:00ZDiversity and distribution of mosquitoes transmitting malaria and rift valley fever in Baringo County, Kenya
Ondiba, I, M.; Oyieke, F; Ong’amo, G.; Njaanake, K.; Estambale, Benson B.
Vector borne diseases, like malaria and Rift Valley Fever (RVF), have been linked to climate change. They are transmitted to humans and animals by pathogen-infected mosquitoes. The distribution and population dynamics of these mosquitoes are affected by climatic factors. It is, therefore, important to monitor changes in diversity and distribution of these vectors with the aim of preventing outbreaks of vector-borne diseases.The study was conducted in Baringo County of Kenya. Twenty four sampling sites spread across three sub counties were identified and sampled monthly. Standard dipper and pipette were used to sample mosquito larvae from habitats. Adult mosquitoes were collected outdoors by CDC light trap and indoors by pyrethrum spray catch method. Taxonomic keys were used to identify species morphologically under dissecting microscope. An. gambiae, An. funestus and An. pharoensis previously reported as vectors of malaria in Baringo were collected from different sampling sites within the study area. Three Aedesspecies which transmit arboviruses were represented by immature forms of Ae. taylori, Ae. aegypti and Ae. africanus from high and low altitude zones. Adults of Mansonia uniformis; vectors of RVF virus were mainly collected from low altitude zone. It can be concluded that the presence of Anopheles speciesacross all study zones indicates that entire county is at risk of malaria. Aedes species and Mansonia uniformis from lowlands around L. Baringo show potential transmission of viruses in case of RVF outbreak. These vectors should, therefore, be screened for pathogens to determine their infection status and establish the danger posed to humans and livestock.
1st JOOUST Scientific Conference
2015-06-24T00:00:00ZBirth preparedness among women attending antenatal care clinic in health facilities within Bureti Sub County of Kericho county, KenyaKerubo, Omari P.Yaw, AfraneOuma, Peterhttp://ir.jooust.ac.ke/handle/123456789/1752016-11-16T06:03:13Z2015-06-24T00:00:00ZBirth preparedness among women attending antenatal care clinic in health facilities within Bureti Sub County of Kericho county, Kenya
Kerubo, Omari P.; Yaw, Afrane; Ouma, Peter
Maternal mortality remains a major public health problem in Kenya with 488 deaths per 100,000 live births. Birth preparedness and complication readiness is one of the recommended strategies by the major global initiatives and implemented by the Kenyan government to reduce maternal mortality. It is the process of planning for normal birth and anticipating the actions needed in case of an emergency during pregnancy, delivery and post-partum period. Little is known about the status of Birth Preparedness of pregnant women in Kenya especially those in rural regions. The study aimed at assessing Birth Preparedness and Complication Readiness and the associated factors among women attending antenatal care clinic (ANC) at health facilities within Bureti Sub County. A facility based cross sectional study was carried out among pregnant women attending health facilities within the Sub County. Results from 149 respondents showed that large proportion of the women 70.5 % (n=105) were prepared for birth while 90.6% (n=135) reported readiness for complications. Majority of the respondents 87.9% (n= 139) had identified a place of delivery, 72.5 % (n=108) knew the expected date of delivery. Only 4.7% of the respondents were able to mention at least two danger signs in all the three phases namely pregnancy, delivery, and post-partum. Vaginal bleeding was most mentioned danger sign in all the three phases. Women who recognized vaginal bleeding as a danger sign in pregnancy were 3 times more likely to be prepared for birth than those who did not know (OR=3.00, p=0.004). Knowledge of vaginal bleeding was also associated with complication readiness (OR=3.47, p=0.046). The study revealed that a greater proportion of women attending ANC clinic within Bureti Sub County were well prepared for birth and ready for obstetric complications. However, the low awareness of obstetric danger signs may lead to the first and second delays in seeking health care during obstetric emergencies. It is important therefore to intensify ANC health education on obstetric danger signs to all women attending ANC irrespective of their demographic characteristics.
1st JOOUST Scientific Conference
2015-06-24T00:00:00Z