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MINISTRY OF HEALTH IN KENYA

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https://www.readbyqxmd.com/read/28335786/matching-safety-to-access-global-actors-and-pharmacogovernance-in-kenya-a-case-study
#1
Kathy Moscou, Jillian C Kohler
BACKGROUND: The Kenyan government has sought to address inadequacies in its National Pharmaceutical Policy and the Pharmacy and Poisons Board's (PPB) medicines governance by engaging with global actors (e.g. the World Health Organization). Policy actors have influenced the way pharmacovigilance is defined, how challenges are understood and which norms are requisite to address drug safety issues. In this paper, we investigate the relationship between specific modes of engagement among global (exogenous) and domestic actors at the national and sub-national level to identify the positive or negative effect on pharmacovigilance and pharmacogovernance in Kenya...
March 23, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28328966/integration-of-family-planning-services-into-hiv-care-clinics-results-one-year-after-a-cluster-randomized-controlled-trial-in-kenya
#2
Craig R Cohen, Daniel Grossman, Maricianah Onono, Cinthia Blat, Sara J Newmann, Rachel L Burger, Starley B Shade, Norah Bett, Elizabeth A Bukusi
OBJECTIVES: To determine if integration of family planning (FP) and HIV services led to increased use of more effective contraception (i.e. hormonal and permanent methods, and intrauterine devices) and decreased pregnancy rates. DESIGN: Cohort analysis following cluster randomized trial, when the Kenya Ministry of Health led integration of the remaining control (delayed integration) sites and oversaw integrated services at the original intervention (early integration) sites...
2017: PloS One
https://www.readbyqxmd.com/read/28320794/innovative-public-private-partnership-to-target-subsidised-antimalarials-a-study-protocol-for-a-cluster-randomised-controlled-trial-to-evaluate-a-community-intervention-in-western-kenya
#3
Jeremiah Laktabai, Adriane Lesser, Alyssa Platt, Elisa Maffioli, Manoj Mohanan, Diana Menya, Wendy Prudhomme O'Meara, Elizabeth L Turner
INTRODUCTION: There are concerns of inappropriate use of subsidised antimalarials due to the large number of fevers treated in the informal sector with minimal access to diagnostic testing. Targeting antimalarial subsidies to confirmed malaria cases can lead to appropriate, effective therapy. There is evidence that community health volunteers (CHVs) can be trained to safely and correctly use rapid diagnostic tests (RDTs). This study seeks to evaluate the public health impact of targeted antimalarial subsidies delivered through a partnership between CHVs and the private retail sector...
March 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28228160/assessment-of-lymphatic-filariasis-prior-to-re-starting-mass-drug-administration-campaigns-in-coastal-kenya
#4
Sammy M Njenga, Henry M Kanyi, Faith M Mutungi, Collins Okoyo, Hadley S Matendechero, Rachel L Pullan, Katherine E Halliday, Simon J Brooker, C Njeri Wamae, Joyce K Onsongo, Kimberly Y Won
BACKGROUND: Lymphatic filariasis (LF) is a debilitating disease associated with extensive disfigurement and is one of a diverse group of diseases referred to as neglected tropical diseases (NTDs) which mainly occur among the poorest populations. In line with global recommendations to eliminate LF, Kenya launched its LF elimination programme in 2002 with the aim to implement annual mass drug administration (MDA) in order to interrupt LF transmission. However, the programme faced financial and administrative challenges over the years such that sustained annual MDA was not possible...
February 22, 2017: Parasites & Vectors
https://www.readbyqxmd.com/read/28123956/pilot-implementation-of-a-contact-tracing-intervention-for-tuberculosis-case-detection-in-kisumu-county-kenya
#5
T Volkmann, D Okelloh, J Agaya, K Cain, B Ooko, T Malika, D Burton
Leveraging an existing community health strategy, a contact tracing intervention was piloted under routine programmatic conditions at three facilities in Kisumu County, Kenya. Data collected during a 6-month period were compared to existing programmatic data. After implementation of the intervention, we found enhanced programmatic contact tracing practices, noting an increase in the proportions of index cases traced, symptomatic contacts referred, referred contacts presenting to a facility for tuberculosis screening, and eligible contacts started on isoniazid preventive therapy...
December 21, 2016: Public Health Action
https://www.readbyqxmd.com/read/28066878/safety-and-effectiveness-of-sodium-stibogluconate-and-paromomycin-combination-for-the-treatment-of-visceral-leishmaniasis-in-eastern-africa-results-from-a-pharmacovigilance-programme
#6
Robert Kimutai, Ahmed M Musa, Simon Njoroge, Raymond Omollo, Fabiana Alves, Asrat Hailu, Eltahir A G Khalil, Ermias Diro, Peninah Soipei, Brima Musa, Khalid Salman, Koert Ritmeijer, Francois Chappuis, Juma Rashid, Rezika Mohammed, Asfaw Jameneh, Eyasu Makonnen, Joseph Olobo, Lawrence Okello, Patrick Sagaki, Nathalie Strub, Sally Ellis, Jorge Alvar, Manica Balasegaram, Emilie Alirol, Monique Wasunna
INTRODUCTION: In 2010, WHO recommended a new first-line treatment for visceral leishmaniasis (VL) in Eastern Africa. The new treatment, a combination of intravenous (IV) or intramuscular (IM) sodium stibogluconate (SSG) and IM paromomycin (PM) was an improvement over SSG monotherapy, the previous first-line VL treatment in the region. To monitor the new treatment's safety and effectiveness in routine clinical practice a pharmacovigilance (PV) programme was developed. METHODS: A prospective PV cohort was developed...
March 2017: Clinical Drug Investigation
https://www.readbyqxmd.com/read/27940522/quality-management-where-is-the-evidence-developing-an-indicator-based-approach-in-kenya
#7
Helen Prytherch, Maureen Nafula, Charles Kandie, Marc Brodowski, Irmgard Marx, Sandy Kubaj, Irene Omogi, Alexia Zurkuhlen, Claudia Herrler, Katja Goetz, Joachim Szecsenyi, Michael Marx
INTRODUCTION: The 2030 Sustainable Development Agenda emphasizes the importance of quality of care in the drive to achieve universal health coverage. Despite recent progress, challenges in service delivery, efficiency and resource utilization in the health sector remain. OBJECTIVE: The Ministry of Health Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end, the European Practice Assessment (EPA) was adapted to the area of Reproductive and Maternal and Neonatal Health...
December 8, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27936146/performance-of-clinical-screening-algorithms-for-tuberculosis-intensified-case-finding-among-people-living-with-hiv-in-western-kenya
#8
Surbhi Modi, Joseph S Cavanaugh, Ray W Shiraishi, Heather L Alexander, Kimberly D McCarthy, Barbara Burmen, Hellen Muttai, Chad M Heilig, Allyn K Nakashima, Kevin P Cain
OBJECTIVE: To assess the performance of symptom-based screening for tuberculosis (TB), alone and with chest radiography among people living with HIV (PLHIV), including pregnant women, in Western Kenya. DESIGN: Prospective cohort study. METHODS: PLHIV from 15 randomly-selected HIV clinics were screened with three clinical algorithms [World Health Organization (WHO), Ministry of Health (MOH), and "Improving Diagnosis of TB in HIV-infected persons" (ID-TB/HIV) study], underwent chest radiography (unless pregnant), and provided two or more sputum specimens for smear microscopy, liquid culture, and Xpert MTB/RIF...
2016: PloS One
https://www.readbyqxmd.com/read/27919397/a-national-standards-based-assessment-on-functionality-of-electronic-medical-records-systems-used-in-kenyan-public-sector-health-facilities
#9
REVIEW
Samuel Kang'a, Nancy Puttkammer, Steven Wanyee, Davies Kimanga, Jason Madrano, Veronica Muthee, Patrick Odawo, Anjali Sharma, Tom Oluoch, Katherine Robinson, James Kwach, William B Lober
BACKGROUND: Variations in the functionality, content and form of electronic medical record systems (EMRs) challenge national roll-out of these systems as part of a national strategy to monitor HIV response. To enforce the EMRs minimum requirements for delivery of quality HIV services, the Kenya Ministry of Health (MoH) developed EMRs standards and guidelines. The standards guided the recommendation of EMRs that met a preset threshold for national roll-out. METHODS: Using a standards-based checklist, six review teams formed by the MoH EMRs Technical Working Group rated a total of 17 unique EMRs in 28 heath facilities selected by individual owners for their optimal EMR implementation...
January 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27918334/challenges-of-anesthesia-in-low-and-middle-income-countries-a-cross-sectional-survey-of-access-to-safe-obstetric-anesthesia-in-east-africa
#10
Isabella Epiu, Jossy Verel Bahe Tindimwebwa, Cephas Mijumbi, Thomas M Chokwe, Edwin Lugazia, Francois Ndarugirire, Theogene Twagirumugabe, Gerald Dubowitz
BACKGROUND: The United Nations 2015 Millennium Development Goals targeted a 75% reduction in maternal mortality. However, in spite of this goal, the number of maternal deaths per 100,000 live births remains unacceptably high across Sub-Saharan Africa. Because many of these deaths could likely be averted with access to safe surgery, including cesarean delivery, we set out to assess the capacity to provide safe anesthetic care for mothers in the main referral hospitals in East Africa. METHODS: A cross-sectional survey was conducted at 5 main referral hospitals in East Africa: Uganda, Kenya, Tanzania, Rwanda, and Burundi...
January 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27872120/large-scale-implementation-of-disease-control-programmes-a-cost-effectiveness-analysis-of-long-lasting-insecticide-treated-bed-net-distribution-channels-in-a-malaria-endemic-area-of-western-kenya-a-study-protocol
#11
Elvis Gama, Vincent Were, Peter Ouma, Meghna Desai, Louis Niessen, Ann M Buff, Simon Kariuki
INTRODUCTION: Historically, Kenya has used various distribution models for long-lasting insecticide-treated bed nets (LLINs) with variable results in population coverage. The models presently vary widely in scale, target population and strategy. There is limited information to determine the best combination of distribution models, which will lead to sustained high coverage and are operationally efficient and cost-effective. Standardised cost information is needed in combination with programme effectiveness estimates to judge the efficiency of LLIN distribution models and options for improvement in implementing malaria control programmes...
November 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27800111/understanding-abortion-related-stigma-and-incidence-of-unsafe-abortion-experiences-from-community-members-in-machakos-and-trans-nzoia-counties-kenya
#12
Erick Kiprotich Yegon, Peter Mwaniki Kabanya, Elizabeth Echoka, Joachim Osur
INTRODUCTION: The rate of unsafe abortions in Kenya has increased from 32 per 1000 women of reproductive age in 2002 to 48 per 1000 women in 2012. This is one of the highest in Sub-Saharan Africa. In 2010, Kenya changed its Constitution to include a more enabling provision regarding the provision of abortion services. Abortion-related stigma has been identified as a key driver in silencing women's ability to reproductive choice leading to seeking to unsafe abortion. We sought to explore abortion-related stigma at the community level as a barrier to women realizing their rights to a safe, legal abortion and compare manifestations of abortion stigma at two communities from regions with high and low incidence of unsafe abortion...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27600526/enteric-pathogens-and-factors-associated-with-acute-bloody-diarrhoea-kenya
#13
Charles Njuguna, Ian Njeru, Elizabeth Mgamb, Daniel Langat, Anselimo Makokha, Dismas Ongore, Evan Mathenge, Samuel Kariuki
BACKGROUND: Shigellosis is the major cause of bloody diarrhoea worldwide and is endemic in most developing countries. In Kenya, bloody diarrhoea is reported weekly as part of priority diseases under Integrated Disease Surveillance and Response System (IDSR) in the Ministry of Health. METHODS: We conducted a case control study with 805 participants (284 cases and 521 controls) between January and December 2012 in Kilifi and Nairobi Counties. Kilifi County is largely a rural population whereas Nairobi County is largely urban...
2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27563350/kenya-hospices-and-palliative-care-association-integrating-palliative-care-in-public-hospitals-in-kenya
#14
Zipporah Ali
BACKGROUND: In Kenya, cancers as a disease group rank third as a cause of death after infectious and cardiovascular diseases. It is estimated that the annual incidence of cancer is about 37,000 new cases with an annual mortality of 28,000 cases (Kenya National Cancer Control Strategy 2010). The incidence of non-communicable diseases accounts for more than 50% of total hospital admissions and over 55% of hospital deaths (Kenya National Strategy for the Prevention and Control of Non Communicable Diseases 2015-2020)...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27515450/working-towards-safer-surgery-in-africa-a-survey-of-utilization-of-the-who-safe-surgical-checklist-at-the-main-referral-hospitals-in-east-africa
#15
Isabella Epiu, Jossy Verel Bahe Tindimwebwa, Cephas Mijumbi, Francois Ndarugirire, Theogene Twagirumugabe, Edwin Rwebusiga Lugazia, Gerald Dubowitz, Thomas M Chokwe
BACKGROUND: Mortality from anaesthesia and surgery in many countries in Sub-Saharan Africa remain at levels last seen in high-income countries 70 years ago. With many factors contributing to these poor outcomes, the World Health Organization (WHO) launched the "Safe Surgery Saves Lives" campaign in 2007. This program included the design and implementation of the "Surgical Safety Checklist", incorporating ten essential objectives for safe surgery. We set out to determine the knowledge of and attitudes towards the use of the WHO checklist for surgical patients in national referral hospitals in East Africa...
2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/27457129/monitoring-the-impact-of-a-national-school-based-deworming-programme-on-soil-transmitted-helminths-in-kenya-the-first-three-years-2012-2014
#16
Collins Okoyo, Birgit Nikolay, Jimmy Kihara, Elses Simiyu, Joshua V Garn, Mathew C Freeman, Mariam T Mwanje, Dunstan A Mukoko, Simon J Brooker, Rachel L Pullan, Sammy M Njenga, Charles S Mwandawiro
BACKGROUND: In 2012, the Kenyan Ministries of Health and of Education began a programme to deworm all school-age children living in areas at high risk of soil-transmitted helminths (STH) and schistosome infections. The impact of this school-based mass drug administration (MDA) programme in Kenya is monitored by the Kenya Medical Research Institute (KEMRI) as part of a five-year (2012-2017) study. This article focuses on the impact of MDA on STH infections and presents the overall achieved reductions from baseline to mid-term, as well as yearly patterns of reductions and subsequent re-infections per school community...
2016: Parasites & Vectors
https://www.readbyqxmd.com/read/27418654/navigating-institutional-complexity-in-the-health-sector-lessons-from-tobacco-control-in-kenya
#17
Raphael Lencucha, Peter Magati, Jeffrey Drope
INTRODUCTION:  This research examines the institutional dynamics of tobacco control following the establishment of Kenya's 2007 landmark tobacco control legislation. Our analysis focuses specifically on coordination challenges within the health sector. METHODS:  We conducted semi-structured interviews with key informants (n = 17) involved in tobacco regulation and control in Kenya. We recruited participants from different offices and sectors of government and non-governmental organizations...
December 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27303581/factors-associated-with-adequate-weekly-reporting-for-disease-surveillance-data-among-health-facilities-in-nairobi-county-kenya-2013
#18
Athman Juma Mwatondo, Zipporah Ng'ang'a, Caroline Maina, Lyndah Makayotto, Moses Mwangi, Ian Njeru, Wences Arvelo
INTRODUCTION: Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a cross-sectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. METHODS: Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27139446/improving-capture-of-vaccine-history-case-study-from-an-evaluation-of-10-valent-pneumococcal-conjugate-vaccine-introduction-in-kenya
#19
Aaron M Harris, George Aol, Dominic Ouma, Godfrey Bigogo, Joel M Montgomery, Cynthia G Whitney, Robert F Breiman, Lindsay Kim
With the accelerated introduction of new vaccines in low-income settings, understanding immunization program performance is critical. We sought to improve immunization history acquisition from Ministry of Health vaccination cards during a vaccine impact study of 10-valent pneumococcal conjugate vaccine on pneumococcal carriage among young children in Kenya in 2012 and 2013. We captured immunization history in a low proportion of study participants in 2012 using vaccination cards. To overcome this challenge, we implemented a household-based reminder system in 2013 using community health workers (CHWs), and increased the retrieval of vaccine cards from 62% in 2012 to 89% in 2013 (P < 0...
June 1, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27062608/people-centred-health-systems-a-bottom-up-approach-where-theory-meets-empery
#20
Joachim P Sturmberg, Alice Njoroge
BACKGROUND AND METHODS: Health systems are complex and constantly adapt to changing demands. These complex-adaptive characteristics are rarely considered in the current bureaucratic top-down approaches to health system reforms aimed to constrain demand and expenditure growth. The economic focus fails to address the needs of patients, providers and communities, and ultimately results in declining effectiveness and efficiency of the health care system as well as the health of the wider community...
April 8, 2016: Journal of Evaluation in Clinical Practice
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