A5082180036- Substance Abuse Treatment and Outcomes
- Cannabis and Cannabinoid Research
- Digital Mental Health Interventions
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Treatment and Access
- Mobile Health and mHealth Applications
- Sleep and related disorders
- Homelessness and Social Issues
- Prenatal Substance Exposure Effects
- Health disparities and outcomes
- Child Abuse and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Pharmacological Effects and Toxicity Studies
- Migration, Health and Trauma
- Community Health and Development
- Health Literacy and Information Accessibility
- Global Public Health Policies and Epidemiology
- Impact of Technology on Adolescents
- Health Policy Implementation Science
- Epilepsy research and treatment
- Global Maternal and Child Health
- Viral Infections and Outbreaks Research
- Poverty, Education, and Child Welfare
Aga Khan University Nairobi
2022-2024
Aga Khan University Hospital Nairobi
2022-2024
University of KwaZulu-Natal
2022-2023
Nairobi Hospital
2018-2022
Mbale Hospital
2020-2022
University of Nairobi
2020-2021
Kenyatta National Hospital
2020-2021
Virginia Commonwealth University
2021
Moi University
2021
Aga Khan University Hospital
2021
Substance use disorders are a major cause of health and social problems worldwide. Research evidence shows strong graded relationship adverse childhood experiences substance in adulthood. This study aimed at determining the prevalence their association with among patients disorders.The used descriptive cross-sectional design. A total 134 aged 18 years above receiving inpatient treatment for were recruited into study. mental state exam was done to rule out active psychopathology. Data on...
Adolescents and young people have been historically understudied populations, previous studies indicate that during epidemics, these especially in low- middle-income countries (LMICs), are at high risk of developing mental disturbances.To identify the existing evidence regarding association health with outbreaks influenza A (H1N1), Zika, Ebola, SARS-CoV-2 virus exposed youth adolescents LMICs.Across 6 databases (Embase, Cochrane Library, PubMed, PsycINFO, Scopus, Web Science), outcomes (aged...
Mental and substance use disorders are a major public health concern globally, with high rates of disability, morbidity, mortality associated these. In low- middle-income countries, such as Kenya, mental is often given low priority, resources for the prevention treatment limited. Adolescence young adulthood critical periods development disorders, many emerging during this time. burden risk factors among adolescents adults not well understood.
Cannabis use during methadone treatment may negatively impact outcomes. The aim of this study was to determine the prevalence and pattern cannabis among patients attending a clinic in Nairobi, Kenya.This retrospective 874 on therapy at maintenance Kenya from December 2014 November 2018. Data sociodemographic characteristics drug patterns based urine screens collected patient files. analyzed using Statistical Package for Social Sciences (SPSS) windows version 23.0.Point 85.8% (95% CI, 83.3 -...
Background There is limited research on the use of digital interventions among individuals with opioid disorders (OUD) in low-and-middle income countries. This study aimed to assess mobile phone ownership, technology and acceptability for treatment OUD Nairobi, Kenya. Methods A cross-sectional was conducted OUD. Structured questionnaires were used collect data socio-demographic clinical characteristics, phones other treatment. Results One hundred eighty participants enrolled comprising 83.3%...
Abstract Background Assessing the experiences of individuals on methadone treatment is essential to help evaluate program’s effectiveness. This study aimed explore patients receiving at a clinic in Nairobi, Kenya. Method employed an exploratory qualitative design. Through purposive sampling, participants were enrolled from attending for least 2 years. Semi-structured individual interviews used collect data substance use and experience before after starting treatment, including benefits...
There is paucity of culturally adapted tools for assessing depression and anxiety in children adolescents low-and middle-income countries. This hinders early detection, provision appropriate acceptable interventions. In a partnership with the University Nairobi, Nairobi County, Kenyatta National Hospital, UNICEF, rapid cultural adaptation three adolescent mental health scales was done, i.e., Revised Children's Anxiety Depression Scale, Patient Health Questionnaire-9 additional UNICEF module...
Abstract Background Opioid use disorder is associated with a huge burden of disease and treatment gap. Delivery psychosocial using digital platforms can bridge the gap to improve access among individuals opioid disorder. The aim this study was assess acceptability, feasibility preliminary efficacy text-message intervention in patients Nairobi, Kenya. Methods A pilot trial conducted at methadone clinic Nairobi. based on cognitive behaviour therapy delivered for six weeks compared control...
Introduction Sexual and Reproductive Health Rights (SRHR) of young people continue to present a high burden remain underinvested. This is more so in low middle-income countries (LMICs), where empirical evidence reveals disruption SRHR maintenance, need for enhancement programmes, resources services during pandemics. Despite the importance subject, there no published review yet combining recent disease outbreaks such as (H1N1/09, Zika, Ebola SARS-COV-2) assess their impact on adolescents...
Digital interventions have been used for psychosocial treatment in substance use disorder but there is limited research on their application Kenya. Determining the acceptability and attitude towards of digital intervention important. The aim this study was to assess healthcare providers at a methadone clinic A descriptive cross-sectional survey carried out among providers. structured self-administered questionnaire collect data sociodemographic variables treatment. Technology acceptance...
Abstract Introduction Opioid use is associated with significant burden of disease. Medications for opioid disorder such as methadone are effective treatments. This study aimed to identify the healthcare provider perspectives on facilitators, barriers and unexplored opportunities toward achieving optimal clinical outcomes clients treatment. Method The conducted at a treatment clinic in Kenya, used an exploratory design explore experiences providing care patients Interviews lasting average...
Background Substance use is a global health concern, with opioids contributing significantly to the disease burden. In Kenya, Medically Assisted Therapy (MAT) programs using methadone have been implemented address opioid disorder. Despite effectiveness of methadone, concurrent other substances remains critical challenge. This study aimed assess substance patterns at enrolment and evaluate prevalence negative urine screens among patients attending MAT clinic tertiary hospital in Kenya....
Background: Mental and substance use disorders prevalence is continuing to rise in Kenya adolescents young adults as demographic transition taking place.Methods: The GBD 2019 estimates are cover all available sources of data estimate the burden mental for at national sub-national levels ages 10-24 years presented here. was estimated with DisMod-MR (version 2.1), a Bayesian meta-regression framework that non-fatal health outcomes by location, age, sex, year ad results were obtained from...
Background: Methadone treatment is one of the opioid substitution therapies (OSTs) used to manage use disorder (OUD). Clients on methadone experience a high attrition rate from OST programs due diverse barriers such as access treatment, modality, transportation, and stigma.Methods: The aim this project explore experiences perspectives clients who had previously dropped out an program. We explorative qualitative design interview 22 participants currently receiving at clinic in small city...
Methadone maintenance treatment is reported as cost-effective in of opioid use disorder. Estimated cost providing methadone varies widely different regions but there no data regarding Kenya. The aim this study was to estimate the at a clinic Nairobi, Kenya from perspective government, implementing partner and clients. Data collected for period February 2017 September 2018 700 enrolled estimated sum salaries, laboratory test, other commodities costs. outcome daily per client. costs are given...
Abstract Background: Cannabis use is common among patients with opioid disorder receiving methadone treatment. Research has shown that cannabis during treatment may impact negatively on outcome. This study aimed at determining the prevalence and pattern of associated socio-demographic characteristics Methods: was a retrospective 984 therapy maintenance clinic in Nairobi, Kenya. Data drug patterns based urine screens collected from patients’ files. analyzed using SPSS for windows version...