A5013171446- Child Nutrition and Water Access
- Global Maternal and Child Health
- Parasites and Host Interactions
- Poverty, Education, and Child Welfare
- Adolescent Sexual and Reproductive Health
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- Viral gastroenteritis research and epidemiology
- Reproductive tract infections research
- Food Security and Health in Diverse Populations
- Parasite Biology and Host Interactions
- Land Rights and Reforms
- Zoonotic diseases and public health
- Agriculture, Land Use, Rural Development
- Agricultural Innovations and Practices
- Hepatitis Viruses Studies and Epidemiology
- Syphilis Diagnosis and Treatment
- Climate Change and Health Impacts
- Income, Poverty, and Inequality
- Innovative Approaches in Technology and Social Development
- Cervical Cancer and HPV Research
- Health, psychology, and well-being
- Substance Abuse Treatment and Outcomes
- Global Health and Surgery
- Global Public Health Policies and Epidemiology
Kenya Medical Research Institute
2011-2024
London School of Hygiene & Tropical Medicine
2024
Maseno University
2014-2019
University of Nairobi
2009
Introduction Intestinal schistosomiasis is widely distributed around Lake Victoria in Kenya where about 16 million people 56 districts are at risk of the infection with over 9.1 infected. Its existence rural settings has been extensively studied compared to urban there limited information disease coupled low level awareness. This study therefore assessed community awareness on existence, signs and symptoms, causes, transmission, control factors for contracting as well attitudes, health...
SUMMARY This cross-sectional study determined the prevalence and distribution of schistosome soil-transmitted helminth (STH) infections among 1,308 children aged 10–18 years in 34 primary schools 8 informal urban settlements Kisumu City, western Kenya. Stool samples were collected examined for eggs Schistosoma mansoni STH (Hookworms, Ascaris lumbricoides Trichuris trichiura ) using Kato-Katz technique. Haematuria was used as a proxy indicator urinary schistosomiasis. Schools water bodies...
The Community Directed Intervention (CDI) strategy has been used to conduct various health interventions in Africa, including control of Neglected Tropical Diseases (NTDs). Although the CDI approach shown good results onchocerciasis and lymphatic filariasis with respect treatment coverage using community drug distributors, its utility schistosomiasis among urban poor is yet be established. Using a longitudinal qualitative study, we explored experiences, opportunities, challenges as well...
Background Soil-transmitted helminthes (STHs) are common human parasitic diseases in most of the developing world particularly Kenya. The ongoing National School-Based Deworming Programme (NSBDP) was launched 2012 and is currently targeting 28 47 endemic Counties. In an effort to improve treatment intervention strategies among Pre-School Age Children (PSAC) attending Early Childhood Development Centres (ECDC), we sought assess parents' knowledge, perceptions practices on worm infection....
The 2012 London declaration which committed to "sustaining, expanding and extending drug access programmes ensure the necessary supply of drugs other interventions help control soil-transmitted helminths (STH) by 2020" has seen many countries in Africa roll out mass administration (MDA) especially among school age children. In Kenya, however, during National school-based deworming exercise, pre-school aged children (PSAC) have treatment at primary schools as teachers are not trained carry...
Trachoma is the leading infectious cause of blindness in world. It commonly found cultural groups with poor hygiene. control includes Surgery, Antibiotics, Facial cleanliness and Environmental Improvement (SAFE). Potentially blinding active trachoma are monitored using trachomatous trichiasis (TT) adults inflammation-follicular (TF) children aged 1-9 years respectively. A cross-sectional study to assess knowledge, practices perceptions its was conducted endemic communities Narok...
Food insecurity is an important underlying driver of HIV risk and vulnerability among adolescents in sub-Saharan Africa. In this region, account for 80% all new infections. The primary purpose analysis to understand perceived mechanisms how a multisectoral agricultural intervention influenced sexual taking HIV-affected southwestern Kenya.We conducted semi-structured, individual interviews with 34 adolescent-caregiver dyads who were participants Adolescent Shamba Maisha (NCT03741634),...
Growing literature has shown heterogenous effects of conditional cash incentives (CCIs) on HIV care retention. The field lacks insights into reasons why impact various patients in different ways-differences that may be due to variations psychological and social mechanisms effect. A deeper understanding patients' perceptions experiences CCIs for retention help clarify these mechanisms. We conducted a qualitative study embedded the ADAPT-R trial (NCT#02338739), sequential multiple assignment...
Abstract Introduction Community‐based mentor mothers (cMMs) are women living with HIV who provide peer support to pregnant/postpartum (PWLWH) enhance antiretroviral therapy (ART) adherence, retention in care and prevent perinatal transmission of HIV. The goal this study was explore the experiences, perceptions, mechanisms health impact cMMs on PWLWH Kenya from perspective cMMs. Methods We conducted a prospective mixed‐methods southwestern 2015–2018. In qualitative phase, we completed...
Between 1990 and 2015, Kenya had a 0.9% annual reduction in maternal mortality, one of the lowest reductions globally. This slow decline was linked to relatively low utilization delivery services. We designed mobile phone-enhanced 24-hour transport navigation system coupled with personalized interactive gestation-based text messages (MAccess) address child health service utilization. The primary purpose this analysis is explore ways which pregnant postnatal women made decisions regarding...
Soil transmitted helminthes (STH) are significant health problems among school-age children. In Kenya's coastal region, the prevalence pre-school age children (PSAC) ranges from 27.8 to 66.7 %. Whereas some pre-schools as far 7 km nearest primary schools, National School-Based Deworming Programme (NSBDP) requires teachers walk with schools for deworming by trained school teachers. The long distances may contribute in making drug delivery ineffective and unsustainable.To assess teachers'...
Climate change is associated with adverse mental and emotional health outcomes. Social economic factors are well-known drivers of health, yet comparatively few studies examine the social pathways through which climate affects health. There additionally a lack research on in sub-Saharan Africa. This qualitative study aimed to identify potential impacts wellbeing, focusing vulnerable population Kenyan smallholder farmers living HIV. We conducted in-depth, semi-structured interviews forty...
In Kenya, the National School-Based Deworming Programme (NSBDP) for soil-transmitted helminthes and schistosomiasis in prioritized areas has been going on since year 2012. By 2013 over 6 million School Age Children (SAC) had treated. A community sensitization supplement containing key messages answers to frequently asked questions was developed as a guiding tool. Awareness creation methods used include county meetings, stakeholder forums, town criers posters. To assess local stakeholders'...
Private sector medicine outlets are an important provider of health services across the developing world, and untapped means distributing selling vaccines outside childhood immunization programs. The present study assessed viability (chemists pharmacies) as potential channels for sale vaccines. To evaluate outlet model, we partnered with nine urban rural communities in western Kenya to sell a nurse-administered typhoid vaccine. Purchasers were surveyed reveal market demographic...
Few studies have addressed the reasons for substance use in Kenya, with most focusing on prevalence rates school-based and general population samples. None been carried out among people already using drugs. This study, based five samples of drug users, aimed to identify patterns factors contributing consequences use; compare socio-demographic characteristics; document help-seeking behaviours abusers as well their family social dynamics. Active or former (N =1,420) were interviewed a...
Addressing undernutrition requires strategies that remove barriers to health for all. We adapted an intervention from the 'UPAVAN' trial a mobile (m-UPAVAN) during COVID-19 pandemic in rural Odisha, India. In UPAVAN, women's groups viewed and discussed participatory videos on nutrition-specific nutrition-sensitive agricultural (NSA) topics. m-UPAVAN, weekly audios same topics were disseminated via WhatsApp interactive voice response system. assessed feasibility, acceptability, equity of...
Background Despite the recognised links between food insecurity and parenting, few studies have evaluated perceived impacts of livelihood or security interventions on parental practices, intra-household functioning, adolescent behaviour psychosocial outcomes in HIV-affected households sub-Saharan Africa. Aims The study aimed to understand effects parenting practices how this was experienced by both girls (aged 13–19 years) their caregivers rural Kenya. Method We conducted semi-structured,...
Primary school teachers are key stakeholders in the success of school-based deworming activity as they responsible for drug administration and provision health education to School-Age Children (SAC). In Kenya, National School-Based Deworming Programme (NSBDP) control soil-transmitted helminths schistosomiasis was initiated year 2012 prioritised areas. By 2013, over 6 million SAC had been treated. The present study sought assess teachers' perceptions experiences an effort improve programme...
Background: Primary school teachers are key stakeholders in the success of school-based deworming activity as they responsible for drug administration and provision health education to School-Age Children (SAC). In Kenya, National School-Based Deworming Programme (NSBDP) control soil-transmitted helminths schistosomiasis was initiated year 2012 prioritised areas. By 2013, over 6 million SAC had been treated. The present study sought assess teachers’ perceptions experiences an effort improve...