Integrating antenatal care (ANC) and HIV may improve uptake retention in services along the prevention of mother-to-child transmission (PMTCT) cascade. This study aimed to determine whether integration into ANC settings improves PMTCT service utilization outcomes.ANC clinics rural Kenya were randomized integrated (6 clinics, 569 women) or nonintegrated 603 services. Intervention provided all services, including highly active antiretroviral therapy (HAART), whereas control but referred women...

Intimate partner violence (IPV) is not only a fundamental violation of human rights but also major public health problem. IPV the most predominant form committed by men against women. Therefore, our study sought to determine prevalence and other moderating factors associated with among these This utilized data from 2014 Kenya Demographic Health Survey (KDHS), nationally representative household-based survey that utilizes two-stage sampling design. Data was weighted analyzed using Stata 12...

Many HIV-positive pregnant women and infants are still not receiving optimal services, preventing the goal of eliminating mother-to-child transmission (MTCT) improving maternal child health overall. A Rapid Results Initiative (RRI) approach was utilized to address key challenges in delivery prevention MTCT (PMTCT) services including highly active antiretroviral therapy (HAART) uptake for infants. The RRI conducted between April June 2011 at 119 facilities five districts Nyanza Province,...

The scale-up of HIV treatment programs has resulted in a reduction HIV-related morbidity and mortality. However, retention patients these remains challenge sub-Saharan Africa. Understanding factors associated with loss to follow-up (LTFU) mortality outcomes is therefore important inform targeted program interventions.

Most neonatal, infant, and child deaths occur in low- middle-income countries (LMICs), where incidence of intimate partner violence (IPV) is highest the world. Despite these facts, research regarding whether two are associated limited. The main objective was to examine associations between IPV amongst East African women risk death among their neonates, infants, children, as well related variables.Analysis conducted on data drawn from Demographic Health Surveys (DHS) by ICF Macro/MEASURE DHS...

Abstract Introduction Retention in HIV care and adherence to antiretroviral therapy (ART) during pregnancy postpartum for women living with (WLWH) are necessary optimize health outcomes infants. The objective of this study was evaluate the impact two evidenced‐based behavioural interventions on retention WLWH Kenya. Methods Mother‐Infant Visit Adherence Treatment Engagement (MOTIVATE) a cluster‐randomized trial enrolling pregnant from December 2015 August 2017. Twenty‐four facilities...

Successful completion and retention throughout the multi-step cascade of prevention mother-to-child HIV transmission (PMTCT) remains difficult to achieve. The Mother Infant Visit Adherence Treatment Engagement study aims evaluate effect mobile text messaging, community-based mentor mothers (cMMs), or both on increasing antiretroviral therapy (ART) adherence, in care, maternal viral load suppression, for mother-infant pairs receiving lifelong ART. This is a cluster randomized, 2 × factorial,...

Background: Many HIV-infected pregnant women identified during antenatal care (ANC) do not enroll in long-term HIV care, resulting deterioration of maternal health and continued risk transmission to infants. Methods: We performed a cluster randomized trial evaluate the effect integrating into ANC clinics rural Kenya. Twelve facilities were provide either integrated services (ANC, prevention mother-to-child transmission, delivered clinic; n = 6 intervention facilities) or standard (including...

<title>Abstract</title> <bold>Background</bold> Video directly observed therapy (VDOT) has been used as an acceptable, cost-effective, client-centered intervention for tuberculosis management. VDOT targeting children (0–14 years) and adolescents (15–19 living with HIV not achieving viral suppression (VS) [i.e., &lt; 1000 copies/ml] was piloted in 73 facilities Kenya. We conducted a feasibility study on the utilization re-suppression rates of clients enrolled VDOT.<bold>Methods</bold> A...

Background: Hypertension is an important modifiable risk factor for cardiovascular disease, which disproportionately impacts racial/ethnic minorities in the US. Currently, Equity Prevention of (EPIPHANY, 2024) a program funded by American Heart Association(AHA) focusing on and engaging Black belt Alabama to mitigate hypertension targeting adults with prehypertension, new strategy reduce prevalence hypertension. This project was meant test hypothesis no difference between two US States...

Video directly observed therapy (VDOT) has been used as an acceptable, cost-effective, client-centered intervention for tuberculosis management. VDOT targeting children (0-14 years) and adolescents (15-19 living with HIV (CALHIV) not achieving viral suppression (VS) [i.e., < 1000 copies/ml] was piloted in 73 facilities Kenya. We conducted a feasibility study on the utilization re-suppression rates of clients enrolled VDOT. A review data from 223 virally unsuppressed aged between 0-19 years...

e18502 Background: Acute leukaemias-acute myeloid leukaemia (AML) and acute lymphoblastic (ALL) usually carry poor prognosis. Myelodysplastic neoplasms (MDNs) run variable courses. Depending on the risk category some tend to terminally transform into AML. Known factors include exposure radiation, tobacco, chemotherapy certain chemicals; age, rare congenital diseases, blood disorders, family history. Though rare, apparent upsurge in number of cases 2012 locally necessitated this study....

Despite the availability of efficacious prevention mother-to-child transmission (PMTCT) interventions and improved access to preventive services in many developing countries, vertical HIV persists. A matched case–control study HIV-exposed infants between January June 2012 was conducted at 20 clinics Kenya. Cases were HIV-infected controls exposed, uninfected infants. Conditional logistic regression analysis determine characteristics associated with infection. Forty-five cases 45 compared....

The aim of this study was to identify factors associated with prevention mother-to-child transmission (PMTCT) in an area Kenya widely accessible free PMTCT services. A matched case-control conducted at 31 public facilities western Kenya. HIV-infected mothers infants aged 6 weeks months were interviewed and medical charts reviewed. Cases a definitive diagnosis HIV. Controls testing HIV negative. controls 1:3 ratio on socio-demographic factors. Fifty cases 135 enrolled. Conditional (matched)...

Sexual autonomy empowers women to set boundaries, take control of their bodies, prevent sexually transmitted diseases and avoid unplanned pregnancy. A woman's ability negotiate safer sex is crucial for her survival that child. among East African vital the elimination deaths neonates, infants, children. The aim our study was explore association sexual on neonatal, infant, child mortality.This a secondary analysis demographic health survey (DHS) data reproductive age (15-49 years) in five...

Integrated community case management (iCCM) programs that train lay health workers (CHWs) in the diagnosis and treatment of diarrhea, malaria, pneumonia have been increasingly adopted throughout sub-Saharan Africa to provide services areas where accessibility formal public sector is low. One important aspect successful iCCM acceptability utilization provided by CHWs. To understand perceptions quality care an intervention western Kenya, we used Primary Care Assessment Survey compare caregiver...

In Kenya, cervical cancer is the second most common among women; almost half of all women with invasive are diagnosed at a late stage. Few aware symptoms and risk factors that its precursor lesions detectable through screening thus seek treatment when an advanced The study explored influence awareness on stage diagnosis in patients attending Kenyatta National Hospital.A cross-sectional survey was adapted to obtain socio-demographic information, knowledge from 361 histological conveniently...

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...

SETTING: One hundred high TB burden facilities in nine counties Kenya. OBJECTIVES: 1) To increase uptake of preventive therapy (TPT) among child contacts aged &lt;5 years, and 2) to diagnosis children &lt;15 years presenting health for routine care. DESIGN: For objective 1, a clinic-based contact management strategy incorporating transport/healthcare cost reimbursement, monitoring evaluation tools, healthcare worker education was utilized. 2, community screeners were established pediatric...

Abstract In June 2022, a pool of five mosquitoes that were morphologically classified as Anopheles gambiae and caught in Kisumu (Kenya) tested for blood-meal analysis. Of the 19.6% (11/56) amplicon sequence variants assigned to mosquito species using basic local alignment search tool (BLAST), one had 15 hits matching stephensi .

Retention of patients who did not initiate antiretroviral therapy (ART) has been persistently low compared to those initiated ART. Understanding the temporal trends in clinical outcomes prior ART initiation may inform interventions targeting do immediately after diagnosis.A retrospective cohort analysis known HIV-infected from healthcare facilities Central Kenya was done investigate characteristics, retention, and mortality outcomes. The data were sourced Comprehensive Care Clinic Patient...