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MINISTRY OF HEALTH IN KENYA

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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
#1
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
#2
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...
December 1, 2016: 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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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...
July 25, 2016: Parasites & Vectors
https://www.readbyqxmd.com/read/27418654/navigating-institutional-complexity-in-the-health-sector-lessons-from-tobacco-control-in-kenya
#9
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
#10
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
#11
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
#12
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
https://www.readbyqxmd.com/read/26942109/joining-forces-to-overcome-cancer-the-kenya-cancer-research-and-control-stakeholder-program
#13
Hillary Topazian, Mishka Cira, Sanford M Dawsey, Joseph Kibachio, Lillian Kocholla, Mary Wangai, Jack Welch, Makeda J Williams, Kalina Duncan, Annette Galassi
BACKGROUND: Cancer is the third leading cause of mortality in Kenya, accounting for 7% of annual deaths. The Kenyan Ministry of Health (MOH) is committed to reducing cancer mortality, as evidenced by policies such as the National Cancer Control Strategy (2011-2016). There are many Kenyan and international organizations devoted to this task; however, coordination is lacking among stakeholders, resulting in inefficient and overlapping expenditure of resources. METHODS: The MOH and the NCI Center for Global Health collaboratively executed a two day workshop to improve coordination among government, NGO, and private organizations...
March 1, 2016: Journal of Cancer Policy
https://www.readbyqxmd.com/read/26925910/analysis-of-universal-health-coverage-and-equity-on-health-care-in-kenya
#14
Timothy Chrispinus Okech, Steve Ltumbesi Lelegwe
Kenya has made progress towards universal health coverage as evidenced in the various policy initiatives and reforms that have been implemented in the country since independence. The purpose of this analysis was to critically review the various initiatives that the government of Kenya has over the years initiated towards the realization of Universal Health Care (UHC) and how this has impacted on health equity. The paper relied heavly on secondary sources of information although primary data data was collected...
2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/26913925/the-revolving-fund-pharmacy-model-backing-up-the-ministry-of-health-supply-chain-in-western-kenya
#15
Imran Manji, Simon M Manyara, Beatrice Jakait, William Ogallo, Isabel C Hagedorn, Stephanie Lukas, Eunice J Kosgei, Sonak D Pastakia
OBJECTIVES: A pressing challenge in low and middle-income countries (LMIC) is inadequate access to essential medicines, especially for chronic diseases. The Revolving Fund Pharmacy (RFP) model is an initiative to provide high-quality medications consistently to patients, using revenues generated from the sale of medications to sustainably resupply medications. This article describes the utilization of RFPs developed by the Academic Model Providing Access to Healthcare (AMPATH) with the aim of stimulating the implementation of similar models elsewhere to ensure sustainable access to quality and affordable medications in similar LMIC settings...
October 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/26862631/adherence-to-pneumonia-guidelines-for-children-2-59-months-at-garrisa-provincial-general-hospital
#16
C M Mutinda, F E Onyango, E Maleche-Obimbo, R Kumar, D Wamalwa, F Were, B Osano, P Mburugu
BACKGROUND: Clinical Practice Guidelines for childhood illnesses including pneumonia in Kenya are contained in the Ministry of Health Basic Paediatric Protocols. In the presence of a cough and/ or difficulty in breathing and increased respiratory rate for age, pneumonia is diagnosed. In addition to these the presence of lower chest wall indrawing denotes severe pneumonia; The presence of cyanosis, inability to drink/ breastfeed, grunting, level of consciousness using the AVPU scale less than A in addition to the aforementioned is classified as very severe pneumonia...
January 2014: East African Medical Journal
https://www.readbyqxmd.com/read/26820494/notes-from-the-field-ongoing-cholera-outbreak-kenya-2014-2016
#17
Githuka George, Jacob Rotich, Hudson Kigen, Kiama Catherine, Bonface Waweru, Waqo Boru, Tura Galgalo, Jane Githuku, Mark Obonyo, Kathryn Curran, Rupa Narra, Samuel J Crowe, Ciara E O'Reilly, Daniel Macharia, Joel Montgomery, John Neatherlin, Kevin M De Cock, Sara Lowther, Zeinab Gura, Daniel Langat, Ian Njeru, Jackson Kioko, Nicholas Muraguri
On January 6, 2015, a man aged 40 years was admitted to Kenyatta National Hospital in Nairobi, Kenya, with acute watery diarrhea. The patient was found to be infected with toxigenic Vibrio cholerae serogroup O1, serotype Inaba. A subsequent review of surveillance reports identified four patients in Nairobi County during the preceding month who met either of the Kenya Ministry of Health suspected cholera case definitions: 1) severe dehydration or death from acute watery diarrhea (more than four episodes in 12 hours) in a patient aged ≥5 years, or 2) acute watery diarrhea in a patient aged ≥2 years in an area where there was an outbreak of cholera...
2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/26753130/attaining-iso-15189-accreditation-through-slmta-a-journey-by-kenya-s-national-hiv-reference-laboratory
#18
Thomas Gachuki, Risper Sewe, Jane Mwangi, David Turgeon, Mary Garcia, Elizabeth T Luman, Mamo Umuro
BACKGROUND: The National HIV Reference Laboratory (NHRL) serves as Kenya's referral HIV laboratory, offering specialised testing and external quality assessment, as well as operating the national HIV serology proficiency scheme. In 2010, the Kenya Ministry of Health established a goal for NHRL to achieve international accreditation. OBJECTIVES: This study chronicles the journey that NHRL took in pursuit of accreditation, along with the challenges and lessons learned...
2014: African Journal of Laboratory Medicine
https://www.readbyqxmd.com/read/26537610/do-academic-knowledge-brokers-exist-using-social-network-analysis-to-explore-academic-research-to-policy-networks-from-six-schools-of-public-health-in-kenya
#19
Nasreen S Jessani, Marc G Boulay, Sara C Bennett
The potential for academic research institutions to facilitate knowledge exchange and influence evidence-informed decision-making has been gaining ground. Schools of public health (SPHs) may play a key knowledge brokering role-serving as agencies of and for development. Understanding academic-policymaker networks can facilitate the enhancement of links between policymakers and academic faculty at SPHs, as well as assist in identifying academic knowledge brokers (KBs). Using a census approach, we administered a sociometric survey to academic faculty across six SPHs in Kenya to construct academic-policymaker networks...
June 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/26530237/feasibility-of-an-innovative-electronic-mobile-system-to-assist-health-workers-to-collect-accurate-complete-and-timely-data-in-a-malaria-control-programme-in-a-remote-setting-in-kenya
#20
David O Soti, Stephen N Kinoti, Ahmeddin H Omar, John Logedi, Teresa K Mwendwa, Zahra Hirji, Santiago Ferro
BACKGROUND: The cornerstone of decision making aimed at improving health services is accurate and timely health information. The Ministry of Public Health and Sanitation in Kenya decided to pilot feasibility of Fionet, an innovation that integrates diagnostics, data capture and cloud services, in its malaria control programme to demonstrate usability and feasibility by primary level workers in a remote setting in Kenya. METHODS: Eleven sites comprising one sub-district hospital, ten health centres and dispensaries were selected in three districts of Kisumu County to participate...
2015: Malaria Journal
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