Read by QxMD icon Read


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
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
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
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
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...
July 14, 2016: Health Policy and Planning
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
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
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
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
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
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
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
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
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
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
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
Katja Goetz, Michael Marx, Irmgard Marx, Marc Brodowski, Maureen Nafula, Helen Prytherch, Irene K E Omogi Awour, Joachim Szecsenyi
BACKGROUND: Job satisfaction and working atmosphere are important for optimal health care delivery. The study aimed to document working atmosphere and job satisfaction of health care professionals in Kenya and to explore associations between job satisfaction, staff characteristics, and working atmosphere. METHODS: Data from the integrated quality management system (IQMS) for the health sector in Kenya were used. Job satisfaction was measured with 10 items and with additional 5 items adapted to job situation in Kenya...
2015: BioMed Research International
Sheba Nakacubo Gitta, Allan Mwesiga, Raoul Kamadjeu
Biennially, trainees and graduates of Field Epidemiology and Laboratory Training Programs (FELTPs) are presented with a platform to share investigations and projects undertaken during their two-year training in Applied Epidemiology. The African Field Epidemiology Network (AFENET) Scientific Conference, is a perfect opportunity for public health professionals from various sectors and organizations to come together to discuss issues that impact on public health in Africa. This year's conference was organized by the Ethiopian Health and Nutrition Research Institute in collaboration with the Ethiopia Ministry of Health, Ethiopian Public Health Association (EPHA), Ethiopia Field Epidemiology Training Program (EFETP), Addis Ababa University (AAU), Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET) and AFENET...
2015: Pan African Medical Journal
P Wenzel Geissler
Since the Second World War, the Kenyan city of Kisumu has been an important site of medical research and public health interventions - on malaria and other vector-borne diseases, and lately on HIV and related infections. This article compares the work and lives of two generations of local workers in public health research, each central to science in the city at their time: staff of the Ministry of Health's Division of Vector Borne Disease (DVBD) in the decades after independence, and temporary employees of the Kenyan Medical Research Institute (KEMRI) in its collaboration with the US government's Centers for Disease Control and Prevention (CDC) in the early twenty-first century...
November 2013: Africa: Journal of the International Institute of African Languages and Cultures
Linda Chokotho, Kathryn H Jacobsen, David Burgess, Mohamed Labib, Grace Le, Christopher B D Lavy, Hemant Pandit
BACKGROUND: Trauma and road traffic accidents are predicted to increase significantly in the next decade in low-income and middle-income countries. The College of Surgeons of East, Central, and Southern Africa (COSECSA) covers Ethiopia, Kenya, Tanzania, Uganda, Rwanda, Burundi, Mozambique, Malawi, Zimbabwe, and Zambia. Ministry of Health websites for these ten countries show that 992 hospitals are covering an estimated 318 million people. METHODS: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was used with added questions relevant to trauma and orthopaedic care...
April 27, 2015: Lancet
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"