- Global Maternal and Child Health
- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- Child Nutrition and Water Access
- HIV, Drug Use, Sexual Risk
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Sex work and related issues
- COVID-19 epidemiological studies
- Global Health and Epidemiology
- Quality and Safety in Healthcare
- Census and Population Estimation
- Vaccine Coverage and Hesitancy
- Nursing Diagnosis and Documentation
- Machine Learning in Healthcare
- Data Quality and Management
- Adolescent Sexual and Reproductive Health
- Emergency and Acute Care Studies
- Artificial Intelligence in Healthcare
- Data-Driven Disease Surveillance
- Medical Coding and Health Information
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Telemedicine and Telehealth Implementation
- Poverty, Education, and Child Welfare
Kenyatta University
2015-2024
Health & Life (Taiwan)
2023
Nyanza Reproductive Health Society
2021
Children's Hospital of Philadelphia
2009-2020
Kenya Medical Research Institute
2020
Jomo Kenyatta University of Agriculture and Technology
2020
International University of Health and Welfare
2005-2008
Abstract Copy number variants (CNVs) are suggested to have a widespread impact on the human genome and phenotypes. To understand role of CNVs across diseases, we examine CNV genomic landscape 100,028 unrelated individuals European ancestry, using SNP CGH array datasets. We observe an average burden ~650 kb, identifying total 11,314 deletion, 5625 duplication, 2746 homozygous deletion regions (CNVRs). In all, 13.7% unreported, 58.6% overlap with at least one gene, 32.8% interrupt coding...
Chronic kidney disease (CKD) is a global public health problem. All care professionals need to be knowledgeable and competent in nutrition as it applies promotion, prevention treatment of acute chronic diseases. Nutrition intervention an important component optimizing diet among CKD patients. However, there limited information on the knowledge management healthcare workers Dar es Salaam Tanzania. This study assessed knowledge, attitudes current practices patients with selected hospitals....
Abstract Background A Cross-sectional Rapid Situational Assessment of People Who Inject Drug (PWIDs) applying Respondent Driven sampling techniques (RDS) was used to recruit subjects/participants in a study aimed at assessing HIV prevalence and risk behaviors among injecting drug users Nairobi Coastal regions Kenya. There is paucity data information on use sub-Saharan Africa there sufficient evidence existence the environment for development growth use. Past studies PWID its association AIDS...
This study examines the effect of three factors: information technology (IT) skills healthcare workers, present status computerisation in their organisations, and workers' attitudes on diffusion electronic medical records (EMRs) environment. Data were obtained from a self-questionnaire distributed to 390 workers. The finds that respondents need an expanded EMR capability include decision support systems reminder systems, is heavily influenced by However, targeted training workers needed...
Focused Antenatal Care (FANC) is crucial to improving maternal and infant health. Despite the Government of Kenya' efforts reduce neonatal morbidities mortalities, these conditions prevail in Murunga. The current study examined how individual, organizational, policy factors influence utilization focused antenatal care services amongst women Gatanga sub-county, Murang'a County, Kenya. cross-sectional survey data was collected between June July 2019 from three sampled wards. A structured...
Vocal local (VL) is a non-pharmacological pain management technique for gynecological procedures. In Africa, it usually used in combination with pharmacological analgesics. However, analgesics are associated side-effects, and can be costly subject to frequent stock-outs, particularly remote rural settings. We compared the effectiveness of VL + anesthesia (the standard approach), versus without analgesics, on satisfaction levels women undergoing tubal ligations Kenya.We conducted...
cholera is a significant public health concern among displaced populations. Oral vaccines are safe and can effectively be used as an adjunct to prevent in settings with limited access water sanitation. Results from this study inform future consideration for vaccination at Kakuma Kalobeyei.a descriptive cross-sectional of cases refugee camp Kalobeyei integrated settlement was carried out between May 2017 2018 (one year). Data were extracted the medical records line lists treatment centres.the...
Diabetes remains a major global public health challenge, thus the need for better methods managing diabetes. Machine learning could provide reliable solutions to early detection and management of This study conducted experiments compare number selected machine approaches determine their suitability diabetes in primary care setting. A retrospective was using EHR dataset confirmed cases collected during routine at Nairobi Hospital. Institutional ethical approvals were obtained, data retrieved...
Background: Effective management of today’s health systems depends on the critical use data for policy-making, planning, monitoring services, and making decisions. The has been limited faced with inadequacy hence vital decisions often relying political opportunism, donor demand, infrequently repeated national studies which are insensitive to changes occurring over a shorter timescale. Objective: This study was designed identify determinants utilization routine decision by care providers in...
Abstract Background: The COVID-19 pandemic has had a major impact on the capacity of health systems to continue delivery essential services. While around world are being challenged by increasing demand for care patients, it is critical all other services including sexual reproductive Countries expected ensure optimal balance between fighting and maintenance like health. purpose this report was assess document continuity with focus safe abortion, post abortion family planning during COVID -19...
Background: Risky sexual behaviors such as concurrency, networks (fish for sex exchange) and unprotected sex, have been reported the main cause of STIs/HIV infections among fisher folks. Behavioural change mechanisms condom use, abstinence are some interventions used in prevention HIV/AIDS spread Kenya.Methods: This was a follow up study on three tie quasi-experimental involving 246 randomly selected folks Mbita Usenge along Lake Victoria. The had phases. baseline, intervention endline....
Previous large-scale genome-wide association studies in adult populations have implicated ∽100 loci determining high-density lipoprotein cholesterol (HDL-C), low-density cholesterol, or triglyceride levels. However, whether these also contribute to variations of lipid traits pediatric remain unknown. Here we assayed a population Philadelphia children by single nucleotide polymorphism arrays, and performed analysis on ascertained from measurements stored electronic medical records. We...
Background: Risky sexual behaviors such as concurrency, networks (fish for sex exchange) and unprotected sex, have been reported the main cause of sexually transmitted diseases (STIs) /HIV infections among fisher folks. Behavioral change mechanisms condom use abstinence are some interventions used in prevention HIV/AIDS spread Kenya. increase risk contracting STIs including HIV/AIDSMethods: This was a cross-sectional descriptive study involving 246 randomly selected folks Mbita- Usenge along...
Kenya has since independence struggled to restructure its health system provide services entire population especially in outbreak responses. The last decade seen the country witness disease outbreaks across i.e. Rift Valley fever June 2018, and Chikungunya Dengue Mombasa February 2018. This exposed country's lack of preparedness handling at grass root level. Outbreak incidences tend prevail community level before a public action is established, with situation becoming dire lower tier...
Background: Self-referral to higher-level hospitals by women seeking skilled birth attendance services reflects in part their non-adherence established referral pathways. This choice results an inappropriate utilization of resources within health system. The Kenya Health Sector Referral Strategy aims at optimising the and access facilities. aim this study was determine prevalence factors associated with self-referral among Marsabit County between 1st 31st Oct 2019.Methods: A cross-sectional...
globally, the rate of maternal mortality is unacceptably high with Kenya recording a 362 death per 100,000 live births. Even so, only 62% women deliver under skilled health care. The government introduced Free Maternity Services (FMS) to all delivering in public facilities as way increasing facility-based deliveries. Despite this, intervention, facility deliveries Machakos County are still low. This study aimed identify hindrances and enablers FMS program County.it was cross-sectional...
Background: Female genital mutilation (FGM), is a social traditional practice performed by cutting parts of the external female genitalia. Garissa county in north eastern Kenya has highest prevalence FGM at 94%. This practise was illegalised 2011. The aim study to assess successes anti-FGM programs County.Methods: cross sectional involving 108 participants both genders and different age groups. Questionnaires were used data collection. Obtained analyzed using SPSS version 25. Chi square...