A5076125734- Child Nutrition and Water Access
- Urban and Rural Development Challenges
- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Viral gastroenteritis research and epidemiology
- Food Security and Health in Diverse Populations
- Water Governance and Infrastructure
- Wastewater Treatment and Reuse
- Food Safety and Hygiene
- Vaccine Coverage and Hesitancy
- Social and Economic Development in India
- COVID-19 epidemiological studies
- Health disparities and outcomes
- Zoonotic diseases and public health
- Economic and Environmental Valuation
- Hydropower, Displacement, Environmental Impact
- Virology and Viral Diseases
- Global Health Care Issues
- Homelessness and Social Issues
- Salmonella and Campylobacter epidemiology
- Fecal contamination and water quality
- Urban Agriculture and Sustainability
- COVID-19 Pandemic Impacts
- Global Health and Surgery
- Immune responses and vaccinations
African Population and Health Research Center
2019-2025
Great Lakes University of Kisumu
2017-2024
Stellenbosch University
2013-2019
London School of Hygiene & Tropical Medicine
2019
University of London
2019
University of Iowa
2019
Kenyatta University
2011
Shared facilities are not recognised as improved sanitation due to challenges of maintenance they easily can be avenues for the spread diseases. Thus there is need evaluate quality shared facilities, especially in informal settlements, where commonly used. A facility equated a common good whose management depends on users. If users do work collectively towards keeping clean, it likely that may depreciate lack maintenance. This study examined and used pool resource (CPR) principles examine...
Onsite sanitation, such as pit latrines, is essential to achieving universal access safe outlined in Sustainable Development Goal target 6.2. However, manual emptying for latrines low-income areas often unhygienic, posing health and environmental risks. Enhancing the safety of these services increases costs, yet affordability customers essential. Thus, reducing service costs a key priority. Group-based approach, where emptiers visit multiple toilets consecutively, has potential improve both...
Informal settlements are a common occurrence in developing countries. Each settlement, however, has unique living conditions which require improvement efforts that specifically tailored to the settlement. This study, carried out Kisumu's informal settlements, had two aims: describe and propose areas of within settlements. The study adopted approaches: framework multi-dimensional poverty index. Results indicate deprivation is widespread at individual housing unit level, but served with public...
Unlike most quantitative studies that investigate decision-making on investing in sanitation, this study adopted a qualitative approach to shared sanitation the informal settlements of Kisumu city, Kenya. Using grounded theory approach, landlords and tenants were interviewed identify decisions, individuals involved factors influencing decision-making. The results indicate main decisions are investment, emptying, repair cleaning. Landlords make emptying while cleaning decisions. Absentee less...
Pediatric diarrheal disease remains the second most common cause of preventable illness and death among children under age five, especially in low middle-income countries (LMICs). However, there is limited information regarding role food pathogen transmission LMICs. For this study, we examined frequency enteric occurrence co-occurrence 127 infant weaning foods Kisumu, Kenya, using a multi-pathogen PCR diagnostic tool, assessed household hygiene risk factors for contamination. Bacterial,...
While depression is the most frequent psychiatric disorder among older adults, use of water and sanitation has been associated with both physical psychological adverse outcomes. We investigated associations depressive symptoms adults in Ghana.The study used data from 4,735 participants World Health Organization (WHO) Study on global AGEing adult health (SAGE) Wave 2 aged ≥50 years. Major episode (MDE) was assessed using Mental Survey version Composite International Diagnostic Interview we...
Milk is a common infant food in peri-urban Kenya that can transmit diarrhea-causing enteric pathogens. Little known about how contamination of milk at point purchase and household handling milk-based foods contribute to exposure To compare the prevalence concentrations bacterial indicator organisms pathogens unpackaged, fresh pasteurized, ultra-high temperature (UHT) treated assess influence type used prepare on this food. Paired samples purchased prepared with were obtained from 188...
Lack of sanitation facilities is a common occurrence in informal settlements that are most developing countries. One challenge with provision these the cost and financing sanitation. This study aimed at estimating sanitation, investigating social economic dynamics within Kisumu’s hinder uptake facilities. Primary data was collected from residents settlements, using logistic hedonic regression analysis, we identify characteristics facilities, estimate as revealed rental prices. Our finds...
Improved sanitation for all is a daunting task low-income countries, and shared toilets often provide an alternative to private household most urban residents. This study sought better understanding of the existing barriers opportunities improved management sanitation. The used focus group discussions in-depth interviews with 70 users (landlords tenants) in Kumasi, Ghana assess “high-quality” commonly toilet facilities were dry toilets—Kumasi Ventilated Pit latrine latrines; flush...
Residents of informal settlements in developing countries are faced with various challenges, including a lack household sanitation facilities, which leads to use alternative methods such as open defecation. The facilities and consequent improper necessitated the introduction communal way increasing access facilities. However, little is known about their effectiveness, particularly Africa’s settlements. This study used number quantitative qualitative assess determinants Kisumu, city Kenya....
ABSTRACT Shared sanitation is not currently accepted within the international normative definitions of “basic” or “safely managed” sanitation. We argue that pro-poor government strategies and investment plans must include high-quality shared as an intermediate step in some densely populated urban areas. User experience be considered establishing definition high quality. call for additional research on effective interventions to reach these quality standards development rigorous measures...
Objectives The aim of this study was to test whether household environmental hygiene and behavioural conditions moderated associations between diarrhoea enteric pathogen detection in infants 5 months age Kenya sources, including latrine access, domestic animal co-habitation public food sources. Design Cross-sectional utilising enrolment survey data households participating the Safe Start cluster-randomised controlled trial . Setting Kisumu, Kenya. Participants A total 898 caregivers with...
Food contamination during weaning and complementary feeding can result in high diarrheal incidence among infants. Caregiver practices are important determinants of exposure to foodborne pathogens, therefore play a role reduction infant food contamination. Through qualitative approach, we used the Trials Improved Practices methodology design hygiene intervention low-income settlement Kisumu city Kenya. These settlements host large portion city’s population faced with disease burden....
Abstract Background The sharing of sanitation facilities is a common practice in low-income areas sub-Saharan Africa. However, shared currently categorized as limited service, and may therefore not count towards meeting the global goals. These are often only option available for most residents settlements, improving their cleanliness overall management key to reducing open defecation risk disease. This study sought investigate barriers opportunities improved settlements Kisumu city, Kenya....
Introduction Despite many institutions gaining access to improved water sanitation and hygiene (WASH) services, childcare centres in informal settlements have low poor condition of WASH services. It is imperative understand how existing actors social networks operate the sector Nairobi’s settlements. Objective To empirically map different within influence provision adequate quality water, services Methods This was a qualitative study. We conducted an ethnographic study using governance...
Objective: The main causes of mortality and morbidity in Mandera are conditions related to inadequate water sanitation such as diarrhoea, which has led malnutrition among children under five years. This paper highlights the sources district identifies risk factors associated with diarrhoeal these children.Methods: A cross sectional descriptive study was carried out within district, specifically Khalalio, Central, Malkamari Hareri divisions, respondents being caregivers from households where...
Slums are faced with several challenges including lack of sanitation facilities. This is further compounded by the difficulty in determining an appropriate technology due to challenging living conditions. An should, among others, consider conditions each settlement as well views slum residents. Through interviews and participatory discussions, residents slums Kisumu city identified technologies they preferred, reasons for or against these technologies. These responses were pointers...
Complementary food hygiene is important to reduce infant exposures enteric pathogens; however, interventions improve in low- and middle-income countries often ignore the larger context which childcare occurs. In this study, we explore on observational qualitative information regarding an informal community Kenya. Our findings demonstrate that behaviors associated with contamination, such as hand feeding storing for extended periods, are determined largely by social economic realities of...