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https://www.readbyqxmd.com/read/28820881/vector-competence-of-populations-of-aedes-aegypti-from-three-distinct-cities-in-kenya-for-chikungunya-virus
#1
Sheila B Agha, Edith Chepkorir, Francis Mulwa, Caroline Tigoi, Samwel Arum, Milehna M Guarido, Peris Ambala, Betty Chelangat, Joel Lutomiah, David P Tchouassi, Michael J Turell, Rosemary Sang
BACKGROUND: In April, 2004, chikungunya virus (CHIKV) re-emerged in Kenya and eventually spread to the islands in the Indian Ocean basin, South-East Asia, and the Americas. The virus, which is often associated with high levels of viremia in humans, is mostly transmitted by the urban vector, Aedes aegypti. The expansion of CHIKV presents a public health challenge both locally and internationally. In this study, we investigated the ability of Ae. aegypti mosquitoes from three distinct cities in Kenya; Mombasa (outbreak prone), Kisumu, and Nairobi (no documented outbreak) to transmit CHIKV...
August 18, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28818075/perspectives-of-basic-wheelchair-users-on-improving-their-access-to-wheelchair-services-in-kenya-and-philippines-a-qualitative-study
#2
Emma Williams, Elizabeth Hurwitz, Immaculate Obaga, Brenda Onguti, Adovich Rivera, Tyrone Reden L Sy, R Lee Kirby, Jamie Noon, Deepti Tanuku, Anthony Gichangi, Eva Bazant
BACKGROUND: The United Nations has called for countries to improve access to mobility devices when needed. The World Health Organization has published guidelines on the provision of manual wheelchairs in less-resourced settings. Yet little is known about the extent to which appropriate wheelchairs are available and provided according to international guidelines. This study's purpose was to describe wheelchair users' experiences receiving services and acquiring wheelchair skills in urban and peri-urban areas of Kenya and the Philippines...
August 17, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28817563/assessment-of-risk-of-dengue-and-yellow-fever-virus-transmission-in-three-major-kenyan-cities-based-on-stegomyia-indices
#3
Sheila B Agha, David P Tchouassi, Armanda D S Bastos, Rosemary Sang
Dengue (DEN) and yellow fever (YF) are re-emerging in East Africa, with contributing drivers to this trend being unplanned urbanization and increasingly adaptable anthropophilic Aedes (Stegomyia) vectors. Entomological risk assessment of these diseases remains scarce for much of East Africa and Kenya even in the dengue fever-prone urban coastal areas. Focusing on major urban cities of Kenya, we compared DEN and YF risk in Kilifi County (DEN-outbreak-prone), and Kisumu and Nairobi Counties (no documented DEN outbreaks)...
August 17, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28815343/assessment-of-macrophyte-heavy-metal-and-nutrient-concentrations-in-the-water-of-the-nairobi-river-kenya
#4
Samwel Maina Njuguna, Xue Yan, Robert Wahiti Gituru, Qingfeng Wang, Jun Wang
Nairobi River tributaries are the main source of the Athi River. The Athi River basin is the fourth largest and important drainage system in Kenya covering 650 km and with a drainage area of 70,000 km(2). Its water is used downstream by about four million people not only for irrigation but also for domestic purposes. However, its industrial, raw sewer, and agricultural pollution is alarming. In order to understand distribution and concentration of heavy metals and nutrients in the water of Nairobi River, 28 water samples were collected in the rainy season (October) of 2015 and dry season (June) of 2016...
August 16, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28809935/effectiveness-of-a-brief-behavioural-intervention-on-psychological-distress-among-women-with-a-history-of-gender-based-violence-in-urban-kenya-a-randomised-clinical-trial
#5
Richard A Bryant, Alison Schafer, Katie S Dawson, Dorothy Anjuri, Caroline Mulili, Lincoln Ndogoni, Phiona Koyiet, Marit Sijbrandij, Jeannette Ulate, Melissa Harper Shehadeh, Dusan Hadzi-Pavlovic, Mark van Ommeren
BACKGROUND: Gender-based violence (GBV) represents a major cause of psychological morbidity worldwide, and particularly in low- and middle-income countries (LMICs). Although there are effective treatments for common mental disorders associated with GBV, they typically require lengthy treatment programs that may limit scaling up in LMICs. The aim of this study was to test the effectiveness of a new 5-session behavioural treatment called Problem Management Plus (PM+) that lay community workers can be taught to deliver...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28806952/socio-cultural-contexts-of-end-of-life-conversations-and-decisions-bereaved-family-cancer-caregivers-retrospective-co-constructions
#6
Jennifer Nyawira Githaiga, Leslie Swartz
BACKGROUND: End-of-life communication becomes increasingly difficult in terminal cancer, which inevitably entails conversations around dying and death. In resource-limited areas, the context of end-of-life communication is usually home-based palliative care comprising mostly women in the family who play critical roles as informal caregivers. This article examined the content and contexts of family end-of-life conversations and decisions based on the retrospective accounts of a sample of bereaved women family cancer caregivers in Nairobi, Kenya...
August 14, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28798272/perspectives-of-screening-eligible-women-and-male-partners-on-benefits-of-and-barriers-to-treatment-for-precancerous-lesions-and-cervical-cancer-in-kenya
#7
Kathleen R Ragan, Natasha Buchanan Lunsford, Judith Lee Smith, Mona Saraiya, Millicent Aketch
BACKGROUND: Cervical cancer is the leading cause of female cancer mortality in Kenya. Kenya's National Cervical Cancer Prevention Program Strategic Plan outlines efforts to reduce the burden; however, treatment services remain limited. This study identified male and female perspectives regarding benefits, facilitators, and barriers to treatment for precancerous lesions and cervical cancer. MATERIALS AND METHODS: Ten focus groups were conducted in Nairobi and Nyanza in 2014 with females aged 25-49 years (n = 60) and male partners (n = 40)...
August 10, 2017: Oncologist
https://www.readbyqxmd.com/read/28769737/assessment-of-nurses-interventions-in-the-management-of-clinical-alarms-in-the-critical-care-unit-kenyatta-national-hospital-a-cross-sectional-study
#8
Lucy W Meng'anyi, Lilian A Omondi, Margaret N Muiva
BACKGROUND: Alarms in the critical areas are an important component of most of the machines as they alert nurses on the change in the patients' condition. Most patients in the critical care units cannot speak for themselves hence cannot pinpoint when their condition changes. It is therefore important to assess the nurses' interventions when managing clinical alarms. The purpose of this study was to assess interventions employed by nurses in the management of clinical alarms in the care of patients in the Critical Care Unit (CCU), Kenyatta National Hospital (KNH)...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28767714/hiv-associated-mortality-in-the-era-of-antiretroviral-therapy-scale-up-nairobi-kenya-2015
#9
Peter W Young, Andrea A Kim, Joyce Wamicwe, Lilly Nyagah, Catherine Kiama, John Stover, Johansen Oduor, Emily A Rogena, Edwin Walong, Emily Zielinski-Gutierrez, Andrew Imbwaga, Martin Sirengo, Timothy A Kellogg, Kevin M De Cock
BACKGROUND: Declines in HIV prevalence and increases in antiretroviral treatment coverage have been documented in Kenya, but population-level mortality associated with HIV has not been directly measured. In urban areas where a majority of deaths pass through mortuaries, mortuary-based studies have the potential to contribute to our understanding of excess mortality among HIV-infected persons. We used results from a cross-sectional mortuary-based HIV surveillance study to estimate the association between HIV and mortality for Nairobi, the capital city of Kenya...
2017: PloS One
https://www.readbyqxmd.com/read/28766753/to-keep-this-disease-from-killing-you-cultural-competence-consonance-and-health-among-hiv-positive-women-in-kenya
#10
Toni Copeland
The HIV/AIDS crisis continues in sub-Saharan Africa, where nearly 70% of infections are found. Despite recent efforts to supply antiretroviral therapy to those infected, most are not receiving medication and are forced to rely on self-management to remain healthy. In Kenya, many of those infected are women living in extreme poverty. This article presents the findings of research among poor women in Nairobi that examined the relationship between knowledge of a cultural model of self-managing HIV/AIDS, cultural consonance, and health...
August 2, 2017: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28729309/the-role-of-a-decision-support-smartphone-application-in-enhancing-community-health-volunteers-effectiveness-to-improve-maternal-and-newborn-outcomes-in-nairobi-kenya-quasi-experimental-research-protocol
#11
Pauline Bakibinga, Eva Kamande, Milka Omuya, Abdhalah K Ziraba, Catherine Kyobutungi
INTRODUCTION: Improving maternal and newborn survival remains major aspirations for many countries in the Global South. Slum settlements, a result of rapid urbanisation in many developing countries including Kenya, exhibit high levels of maternal and neonatal mortality. There are limited referral mechanisms for sick neonates and their mothers from the community to healthcare facilities with ability to provide adequate care. In this study, we specifically plan to develop and assess the added value of having community health volunteers (CHVs) use smartphones to identify and track mothers and children in a bid to reduce pregnancy-related complications and newborn deaths in the urban slums of Kamukunji subcounty in Nairobi, Kenya...
July 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28725164/cost-effectiveness-of-cervical-cancer-screening-and-preventative-cryotherapy-at-an-hiv-treatment-clinic-in-kenya
#12
Marita R Zimmermann, Elisabeth Vodicka, Joseph B Babigumira, Timothy Okech, Nelly Mugo, Samah Sakr, Louis P Garrison, Michael H Chung
OBJECTIVE: This study evaluated the potential cost-effectiveness of cervical cancer screening in HIV treatment clinics in Nairobi, Kenya. METHODS: A Markov model was used to project health outcomes and costs of cervical cancer screening and cryotherapy at an HIV clinic in Kenya using cryotherapy without screening, visual inspection with acetic acid (VIA), Papanicolaou smear (Pap), and testing for human papillomavirus (HPV). Direct and indirect medical and non-medical costs were examined from societal and clinic perspectives...
2017: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/28718712/comparison-of-domains-of-self-reported-physical-activity-between-kenyan-adult-urban-slum-dwellers-and-national-estimates
#13
Hilde E Groot, Stella K Muthuri
BACKGROUND: Non-communicable diseases (NCDs) - largely the result of modifiable behavioral risks such as physical inactivity that gradually develop into physiological risks - are a main cause of morbidity and mortality worldwide. In Kenya, a nationally representative STEPwise survey of risk factors for NCDs established that 10.8% of Kenyans accumulated low levels of total physical activity. OBJECTIVES: The goal of our analyses was to compare domains of self-reported physical activity in two Nairobi slums to national estimates...
2017: Global Health Action
https://www.readbyqxmd.com/read/28716067/molecular-characterization-of-group-a-rotaviruses-in-mukuru-slums-kenya-detection-of-novel-strains-circulating-in-children-below-5%C3%A2-years-of-age
#14
Joshua Ndung'u Gikonyo, James Nyangao, Cecilia Mbae, Carlene Sang, Eliud Njagi, Joseph Ngeranwa, Mathew Esona, Mapaseka L Seheri, Grace W Gitau, Kedra Raini, Samuel Kariuki
BACKGROUND: Gastroenteritis is a public health concern due to high morbidity and mortality among children. Rotaviruses are the leading etiological agents of severe gastroenteritis in children and accounts for more than half a million deaths per year in Africa. The study aimed at investigating the rotavirus genotypes that were circulating in children aged 5 years and below in and around Mukuru slums in Nairobi County Kenya. METHODS: A purposive cross sectional sampling method was applied where 166 samples were collected from children below 5 years of age and taken to Kenya Medical Research Institute virology laboratory...
July 17, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28713807/the-development-of-a-postgraduate-orthopaedic-manual-therapy-residency-program-in-nairobi-kenya
#15
Shala Cunningham, Richard Jackson, Daniel Kangutu Muli, Joni McFelea
INTRODUCTION: There are very few opportunities for long-term, comprehensive postgraduate education in developing countries because of fiscal and human resource constraints. Therefore, physiotherapists have little opportunity following graduation to advance their skills through the improvement of clinical reasoning and treatment planning and application. BACKGROUND: To address the need for sustainable advanced instruction in physiotherapy within the country, a postgraduate Residency program was initiated in Nairobi, Kenya in 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28705100/barriers-to-postpartum-contraception-differences-among-women-based-on-parity-and-future-fertility-desires
#16
Sirina Keesara, Pamela A Juma, Cynthia C Harper, Sara J Newmann
Timely use of contraception in the postpartum year is critical for pregnancy spacing, which protects a mother's health and improves her ability to care for children. This qualitative study explored contraceptive decision-making among postpartum women in Nairobi, Kenya, with a focus on accounts of how women overcame barriers to postpartum contraceptive use. Focus groups (n = 61) and in-depth interviews (n = 30) explored experiences, barriers and actual use of postpartum contraception. Data were analysed using framework analysis, a method that organises qualitative data into themes and then interprets the data by mapping participant characteristics to these themes...
July 14, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28674934/improvement-of-the-bag-mediated-filtration-system-for-sampling-wastewater-and-wastewater-impacted-waters
#17
Christine Susan Fagnant, Liliana Margarita Sánchez-Gonzalez, Nicolette A Zhou, Jill Christin Falman, Michael Eisenstein, Dylan Guelig, Byron Ockerman, Yifei Guan, Alexandra Lynn Kossik, Yarrow S Linden, Nicola Koren Beck, Robyn Wilmouth, Evans Komen, Benlick Mwangi, James Nyangao, Jeffry H Shirai, Igor Novosselov, Peter Borus, David S Boyle, John Scott Meschke
Environmental surveillance of poliovirus (PV) plays an important role in the global program for eradication of wild PV. The bag-mediated filtration system (BMFS) was first developed in 2014 and enhances PV surveillance when compared to the two-phase grab method currently recommended by the World Health Organization (WHO). In this study, the BMFS design was improved and tested for its usability in wastewater and wastewater-impacted surface waters in Nairobi, Kenya. Modifications made to the BMFS included the size, color, and shape of the collection bags, the filter housing used, and the device used to elute the samples from the filters...
July 3, 2017: Food and Environmental Virology
https://www.readbyqxmd.com/read/28665882/continuous-quality-improvement-intervention-for-adolescent-and-young-adult-hiv-testing-services-in-kenya-improves-hiv-knowledge
#18
Anjuli D Wagner, Cyrus Mugo, Shay Bluemer-Miroite, Peter M Mutiti, Dalton C Wamalwa, David Bukusi, Jillian Neary, Irene N Njuguna, Gabrielle O'Malley, Grace C John-Stewart, Jennifer A Slyker, Pamela K Kohler
OBJECTIVES: To determine whether continuous quality improvement (CQI) improves quality of HIV testing services for adolescents and young adults (AYA). DESIGN: CQI was introduced at two HIV testing settings: Youth Centre and Voluntary Counseling and Testing (VCT) Center, at a national referral hospital in Nairobi, Kenya. METHODS: Primary outcomes were AYA satisfaction with HIV testing services, intent to return, and accurate HIV prevention and transmission knowledge...
July 1, 2017: AIDS
https://www.readbyqxmd.com/read/28665879/-at-our-age-we-would-like-to-do-things-the-way-we-want-a-qualitative-study-of-adolescent-hiv-testing-services-in-kenya
#19
Kate S Wilson, Kristin M Beima-Sofie, Helen Moraa, Anjuli D Wagner, Cyrus Mugo, Peter M Mutiti, Dalton Wamalwa, David Bukusi, Grace C John-Stewart, Jennifer A Slyker, Pamela K Kohler, Gabrielle O'Malley
OBJECTIVES: Adolescents in Africa have low HIV testing rates. Better understanding of adolescent, provider, and caregiver experiences in high-burden countries such as Kenya could improve adolescent HIV testing programs. DESIGN: We conducted 16 qualitative interviews with HIV-positive and HIV-negative adolescents (13-18 years) and six focus group discussions with Healthcare workers (HCWs) and caregivers of adolescents in Nairobi, Kenya. METHODS: Semi-structured interviews and focus groups were recorded and transcribed...
July 1, 2017: AIDS
https://www.readbyqxmd.com/read/28639512/the-relationship-between-nairobi-adolescents-media-use-and-their-sexual-beliefs-and-attitudes
#20
Ann Neville Miller, William Kinnally, Hellen Maleche, Nancy Achieng' Booker
Adolescents in sub-Saharan Africa are at risk for contracting HIV. Although media campaigns have educated the population as a whole, few studies are available about the time sub-Saharan African youth spend listening to and viewing sexual messages via the entertainment and informational media. The goals of this project were: 1) to investigate what programming Nairobi adolescents access; and 2) to investigate the association between frequency of access and level of focus on physical relationships with adolescents' perceptions of descriptive norms of peer sexual behaviour, and their attitudes regarding men as sex driven, women as sex objects, and dating as a sport...
June 22, 2017: African Journal of AIDS Research: AJAR
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