Introduction: ninety-two percent of Low Birth Weight(LBW) infants are born in developing countries, 70% Asia and 22% Africa. WHO UNICEF estimate LBW Kenya as11% 6%by 2009 Demographic Health Survey. The same survey estimated to be 5.5% Central Province, Kenya. Data Olkalou hospital indicated that prevalence was high. However, factors giving rise the problem remained unknown.

Maternal mortality continues to be a heavy burden in low and middle income countries where half of all deliveries take place homes without skilled attendance. The study aimed investigate the underlying proximate determinants health facility childbirth rural urban areas three districts Kenya, Tanzania Zambia.A population-based survey was conducted 2007 as part 'REsponse ACcountable priority setting for Trust systems' (REACT) project. Stratified random cluster sampling used data included...

The knowledge on emergency obstetric care (EmOC) is limited in Kenya, where only partial data from sub-national studies exist. EmOC process indicators have also not been integrated into routine health management information system to monitor progress safe motherhood interventions both at national and lower levels of the system. In a country with high maternal mortality burden, implication that decision makers are unaware extent need for life-saving and, therefore, intervene. objective study...

More efforts have been put in place to increase full immunization coverage rates the last decade. Little is known about levels and consequences of delaying or vaccinating children different schedules. Vaccine effectiveness depends on timing its administration, it not optimal if given early, delayed as recommended. Evidence non-specific effects vaccines well documented could be linked sequencing immunization. This paper documents coverage, routine childhood vaccines. The study was conducted...

Khat is an amphetamine like psychostimulant chewed by over 10 million people globally. use thought to increase the risk of psychosis among its chewers. The evidence around this however remains inconclusive stemming from scanty number studies in area and small study sample sizes. We undertook a large household survey determine association between psychotic symptoms khat chewing rural growing population Kenya. For cross-sectional survey, we randomly selected 831 participants aged years above...

Purpose: This study investigated factors influencing adherence to combined antiretroviral therapy (cART) among HIV-infected adolescents in Machakos County, Kenya. Methodology: The applied a mixed-methods approach. Quantitative data from structured questionnaires and medical records, along with qualitative key informant interviews, were analyzed understand the impact of stigma/discrimination, healthcare factors, social support, socio-demographic characteristics on adolescents' cART. Findings:...

Background: Malnutrition is a major public health concern affecting significant number of school age children influencing their health, growth and development, academic performance. Objective: To establish the determinants under nutrition among between 6-12 years in low-income urban community. Design: A cross-sectional descriptive study. Setting: Kawangware peri-urban slum, Nairobi, Kenya. Subjects: Three hundred eighty four aged 6 - 12 years. Results: total 4.5% were wasted, 14.9%...

Pregnancy-related mortality and morbidity in most low middle income countries can be reduced through early recognition of complications, prompt access to care appropriate medical interventions following obstetric emergencies. We used the three delays framework explore barriers emergency (EmOC) services by women who experienced life threatening complications Malindi District, Kenya.A facility-based qualitative study was conducted between November December 2010. In-depth interviews were with...

The rate of unsafe abortions in Kenya has increased from 32 per 1000 women reproductive age 2002 to 48 2012. This is one the highest Sub-Saharan Africa. In 2010, changed its Constitution include a more enabling provision regarding abortion services. Abortion-related stigma been identified as key driver silencing women's ability choice leading seeking abortion. We sought explore abortion-related at community level barrier realizing their rights safe, legal and compare manifestations two...

Introduction: Pregnancy-related mortality and morbidity in most low middle income countries can be reduced through early recognition of complications, prompt access to care appropriate medical interventions following obstetric emergencies. We used the three delays framework explore barriers emergency (EmOC) services by women who experienced life threatening complications Malindi District, Kenya.

Introduction Kenya faces significant challenges related to health worker shortages, low retention rates, and the equitable distribution of Human Resource for Health (HRH). The Ministry (MOH) in has established HRH norms standards that define minimum requirements healthcare providers infrastructure at various levels system. study assessed on progress Universal Coverage (UHC) piloting country. Methods utilized a Convergent-Parallel-Mixed-Methods design, incorporating both quantitative...

The World Health Organization recommends Bacillus Calmette-Guérin (BCG) vaccination against tuberculosis be given at birth. However, in many developing countries, pre-term and low birth weight infants get vaccinated only after they gain the desired weight. In Kenya, ministry of health to immunized time discharge from hospital irrespective their This paper seeks understand effects on timing BCG vaccine. study was conducted two Nairobi urban informal settlements, Korogocho Viwandani which...

Background. In Malindi, rural populations face challenges in accessing skilled birth services. Consequently, the majority of women deliver at home and only seek help when they have complications. This paper reports part findings from a study conducted to assess health priority setting process its implication on availability, access, use emergency obstetric care services Malindi. Methods . The utilized qualitative methods collect data personnel maternal stakeholders including community...

Introduction: motorcycles continue to be a popular mode of transport in Kenya. However, the related injuries cause significant morbidity and mortality remains major neglected public health issue. This raised crucial need for hospital preparedness managing morbidities reducing mortalities. formed basis this paper which aims document challenges opportunities healthcare system handling motorcycle accidents Kenyan border town Busia County.

Serum ferritin concentration is the preferred biomarker to assess population iron status in absence of inflammation. Interpretation this complicated populations with a high burden infection, however, because inflammation increases serum independently status. We aimed compare estimates Kenyan pregnant women, circulating concentrations adjusted for using newly proposed methods by BRINDA project, or previously adjustment methods. re-analyzed data from women living rural area where malaria...

Non-communicable diseases (NCDs) are a significant global health challenge, contributing to 50% of worldwide morbidity and 63% mortality. The burden is particularly substantial in low—and middle-income countries (LMICs), where 80% NCD-related deaths occur. A quasi-experimental study addressed this challenge from May 2022 March 2023. This utilized non-equivalent pre-and post-test design, with 300 participants the quantitative 70 qualitative. employed multistage cluster random sampling select...

Developing countries with high maternal mortality need to invest in indicators that not only provide information about how many women are dying, but also where, and what can be done prevent these deaths. The unmet Obstetric Needs (UONs) concept provides this information. This was applied at district level Kenya assess had UONs where the needs were located. A facility based retrospective study conducted 2010 Malindi District, Kenya. Data on pregnant who underwent a major obstetric...

Objectives: To compare the levels of abortion stigma in regions with high and low incidence unsafe Kenya to explore whether abortion-related is associated abortion. Study Design: A cross-sectional survey 759 women receiving services private public health facilities two counties located Kenya. Results: Of total respondents, 424 sought postabortion care (PAC), whereas 335 induced Factor analysis revealed a four-factor model for examining individual-level related seeking an The mean scores...

Background The increasing trend of drugs and substances abuse (DSA) by different age groups gender in parts Kenya is not only a socio-economic problem but public health concern. There need to determine prevalence, types patterns DSA order develop all-inclusive long-term strategies prevent manage the within communities. In this study we determined prevalence DSA, being abused risk factors associated with abuse. Methods A descriptive cross-sectional mixed methods was conducted four counties;...

Purpose: Non-communicable diseases (NCDs) are a significant global health challenge, contributing to 50% of worldwide morbidity and 63% mortality. The burden is particularly substantial in low—and middle-income countries (LMICs), where 80% NCD-related deaths occur. This study evaluated barriers challenges effective screening linkages NCDs Nyeri County. Methodology: A quasi-experimental non-equivalent pre-and post-test design was conducted from May 2022 March 2023. employed multistage cluster...

Purpose: Non-communicable diseases (NCDs) are a significant global health challenge, contributing to 50% of worldwide morbidity and 63% mortality. The burden is particularly substantial in low—and middle-income countries (LMICs), where 80% NCD-related deaths occur. This study evaluated barriers challenges effective screening linkages NCDs Nyeri County. Methodology: A quasi-experimental non-equivalent pre-and post-test design was conducted from May 2022 March 2023. employed multistage cluster...

Background: Completion of the full series childhood vaccines on-time is crucial to ensuring greater protection against vaccine-preventable diseases.Aim: To examine determinants complete and vaccination evaluate relationship between patterns severe morbidity outcomes.Subjects methods: Vaccination information from infants in Nairobi Urban Health Demographic Surveillance System was used coverage routine immunisation. Logistic regression identify coverage. Cox model status subsequent morbidity....

Introduction: pregnant women need access to skilled attendance at birth and emergency obstetric care (EmOC) avert maternal deaths. While poor EmOC services may explain the high mortality, inadequate knowledge of providers is also part problem. This forms basis this paper, in a setting where 50.2% deliver health facility but mortality remains 531/100,000 live births, compared national average 362/100,000 Kenya.