Determinants of Selenium Intake in a High HIV Prevalence Fishing Community in Bondo District, Kenya

OpenAIRE

Samwel Boaz Otieno; Fred Were; Ephantus Kabiru; Kaunda Waza

2016-01-01

A study was done to establish determinants of selenium intake in a high HIV prevalence fishing community in the Pala Bondo district, Kenya. It was established that most of the respondents (61%) were small holder Farmers and Fishermen {χ2 (1, N=386) p

Resistance to benzimidazoles and levamisole in nematode parasites of sheep in Nyandarua district of Kenya

DEFF Research Database (Denmark)

Maingi, N.; Bjørn, H.; Gichohi, V.M.

1998-01-01

The occurrence of anthelmintic resistance on 25 sheep farms in the Nyandarua District of Kenya was investigated, using the faecal egg count reduction test (FECRT), the egg hatch assay (EHA) and a larval development assay (LDA). In the FECRT, resistance to both benzimidazoles (BZs) and levamisole...

Factors associated with health facility childbirth in districts of Kenya, Tanzania and Zambia

DEFF Research Database (Denmark)

Phiri, Selia Ng'anjo; Kiserud, Torvid; Kvåle, Gunnar

2014-01-01

of delivery. Socioeconomic position was measured by employing a construct of educational attainment and wealth index. All analyses were stratified by district and urban-rural residence. RESULTS: There were substantial inter-district differences in proportion of health facility childbirth. Facility childbirth......BACKGROUND: Maternal mortality continues to be a heavy burden in low and middle income countries where half of all deliveries take place in homes without skilled attendance. The study aimed to investigate the underlying and proximate determinants of health facility childbirth in rural and urban...... areas of three districts in Kenya, Tanzania and Zambia. METHODS: A population-based survey was conducted in 2007 as part of the 'REsponse to ACcountable priority setting for Trust in health systems' (REACT) project. Stratified random cluster sampling was used and the data included information on place...

A survey on the knowledge and attitudes of men in Machakos town towards vasectomy.

Science.gov (United States)

Qureshi, Z P; Solomon, M M

1995-01-01

In November and December, 1993, a self-administered questionnaire was distributed to men in the town of Machakos and to nonmedical hospital workers of Machakos General Hospital. The purpose of the study was to assess their knowledge about and attitude towards vasectomy. The majority of men were in the age group of 30-44 years and were married; the hospital group was more educated. The town men perceived the pill to be the best contraceptive method for women in contrast to the hospital group who gave more importance to bilateral tubal ligation. The hospital group also perceived vasectomy as the best method for men. Overall, 53.2% men were aware of the correct procedure of vasectomy, but only 24% had correct knowledge of how the procedure affects masculinity. The knowledge of the procedure among hospital workers was not very different from that of the town group. Recommendations were made to increase information and education to all groups of people through various media.

Studies on the prevalence of leishmanin skin test positivity in the Baringo District, Rift Valley, Kenya

NARCIS (Netherlands)

Schaefer, K. U.; Kurtzhals, J. A.; Kager, P. A.; Gachihi, G. S.; Gramiccia, M.; Kagai, J. M.; Sherwood, J. A.; Muller, A. S.

1994-01-01

The leishmanin skin test (LST) was applied in 26 clusters of an average of 97 individuals in Baringo District, Kenya. These clusters were centered around recent cases of visceral leishmaniasis (VL). Of 2,411 individuals tested, 254 (10.5%, 155 males and 99 females) had a positive reaction. Among

Effects of Drought on Child Health in Marsabit District, Northern Kenya

DEFF Research Database (Denmark)

Bauer, Jan Michael; Mburu, Samuel K.

2017-01-01

This study uses five years of panel data (2009–2013) for Northern Kenya's Marsabit district to analyze the levels and extent of malnutrition among children aged five and under in that area. We measure drought based on the standardized normalized difference vegetation index (NDVI) and assess its...... effect on child health using mid-upper arm circumference (MUAC). The results show that approximately 20 percent of the children in the study area are malnourished and a one standard deviation increase in NDVI z-score decreases the probability of child malnourishment by 12–16 percent. These findings...

Epidemiology and clinical manifestations of visceral and cutaneous leishmaniasis in Baringo District, Rift Valley, Kenya. A literature review

NARCIS (Netherlands)

Schaefer, K. U.; Kurtzhals, J. A.; Sherwood, J. A.; Githure, J. I.; Kager, P. A.; Muller, A. S.

1994-01-01

Visceral leishmaniasis (VL), caused by Leishmania donovani, is endemic in Baringo District, Kenya. The disease has a focal distribution in the dry, hot areas below 1500 metres. Infections may be characterized as follows: 1) asymptomatic, 2) subclinical and self-limiting (not medically identifiable),

Free Primary Education Policy: Coping Strategies in Public Primary Schools in Kakamega South District, Kakamega County, Kenya

Science.gov (United States)

Mulinya, Lidoro Charles; Orodho, John Aluko

2015-01-01

This study examined the challenges of implementing free primary education and copping strategies in public primary schools in Kakamega South District, Kakamega County, Kenya. The study was premised on the demand and supply theory. A descriptive survey research design was adopted. The sample comprised 23 headteachers, 92 teachers and one Ministry…

Sports tourism and perceived socio-economic impact in Kenya: the case of Machakos county

OpenAIRE

Muiruri Njoroge, Joseph; Atieno, Lucy; Vieira Do Nascimento, Daniele

2017-01-01

Purpose – Smaller events have been favoured by many commentators in sports research because mega events have been criticised for failing to have an aggregate positive advantage to local communities, especially in developing countries. On 4th August 2010 Kenya promulgated a new constitution which paved the way for a federal system of government. After three years into this new system of governance, most county governments have embarked on developing sports facilities and promoting sporting eve...

Prevalence for Private Tuition among Parents, Teachers and Pupils in Public Primary Schools in Machakos County

Science.gov (United States)

Kirigwi, Lucy Wambui; Maithya, Redempta

2016-01-01

Private tuition refers to tutoring offered outside mainstream teaching. The study sought to establish the difference in prevalence for private tuition among parents, teachers and pupils in public primary schools in Machakos County. The study employed descriptive survey design. The target populations were all teachers, parents and pupils of public…

Prevalence of Common Mental Disorders in a Rural District of Kenya, and Socio-Demographic Risk Factors

Directory of Open Access Journals (Sweden)

David Kiima

2012-05-01

Full Text Available Association between common mental disorders (CMDs, equity, poverty and socio-economic functioning are relatively well explored in high income countries, but there have been fewer studies in low and middle income countries, despite the considerable burden posed by mental disorders, especially in Africa, and their potential impact on development. This paper reports a population-based epidemiological survey of a rural area in Kenya. A random sample of 2% of all adults living in private households in Maseno, Kisumu District of Nyanza Province, Kenya (50,000 population, were studied. The Clinical Interview Schedule-Revised (CIS-R was used to determine the prevalence of common mental disorders (CMDs. Associations with socio-demographic and economic characteristics were explored. A CMD prevalence of 10.8% was found, with no gender difference. Higher rates of illness were found in those who were of older age and those in poor physical health. We conclude that CMDs are common in Kenya and rates are elevated among people who are older, and those in poor health.

Factors influencing Adoption of Napier Grass in Smallholder Dairy Farming in Kiambu District, Kenya

International Nuclear Information System (INIS)

Irungu, P.; Mbogoh, S.; Staai, S.; Thorpe, W.; Njubi, D.

1999-01-01

Smallholder dairy farming in Kenya accounts for over 70% of the total marketed milk, which amounts to US$400 million at the current exchange rate. Milk production on smallholder dairy farms is usually low. This is mainly attributed to poor nutrition. Planting forages may improve the level of feeding and nutrition and thus raise both farm productivity and overall supply of milk to the growing urban markets. Data from 365 households in Kiambu District were gathered through questionnaire interviews with farmers between June and July 1996 and economic models used to quantitatively evaluate socio-economic and institutional factors postulated to influence the adoption of Napier grass as a forage in the experience and-or channeling interventions thorough dairy co-operative societies and farmer organisations may result in higher adoption rates of dairy cattle fodder. Thus, efforts aimed at promoting planted fodder in other highland areas of Kenya could utilise the results obtained in the present study

Diversity of sunflower pollinators and their effect on seed yield in Makueni District, Eastern Kenya

OpenAIRE

Nderitu, J.; Nyamasyo, G.; Kasina, M.; Oronje, M. L.

2008-01-01

A field experiment was carried out in 2004 and 2005 to identify the diversity of sunflower (Helianthus annuus L.) pollinators and their influence on seed yield in Makueni district, a semi-arid area in Eastern Kenya. Insect flower visitors were recorded, pollen counted from their body and pollination efficiency index for each visitor determined. Seed yield from plots where insect visitors had access to and where they were denied access was compared. The proportional difference of yield from th...

Potential contribution of mangoes to reduction of vitamin A deficiency in Kenya.

Science.gov (United States)

Muoki, Penina N; Makokha, Anselimo O; Onyango, Christine A; Ojijo, Nelson K O

2009-01-01

The β-carotene content of fresh and dried mangoes commonly consumed in Kenya was evaluated and converted to retinol equivalent (RE). Mango fruits of varieties Ngowe, Apple, and Tommy Atkins were harvested at mature green, partially ripe, and ripe stages and their β-carotene content analyzed. The stability of β-carotene in sun dried mangoes was also studied over 6 months under usual marketing conditions used in Kenya. The effect of using simple pretreatment methods prior to drying of mango slices on retention of β-carotene was as well evaluated. In amounts acceptable to children and women, fresh and dried mangoes can supply 50% or more of the daily required retinol equivalent for children and women. Stage of ripeness, variety, postharvest holding temperature, method of drying, and storage time of dried mango slices affected β-carotene content and consequently vitamin A value of the fruits. Apple variety grown in Machakos had the highest β-carotene. It exceeded the daily RE requirements by 11.8% and 21.5% for women and children respectively. Fresh or dried mangoes are a significant provitamin A source and should be included in food-based approaches aiming to reduce vitamin A deficiency.

Rift Valley fever in Kenya: history of epizootics and identification of vulnerable districts.

Science.gov (United States)

Murithi, R M; Munyua, P; Ithondeka, P M; Macharia, J M; Hightower, A; Luman, E T; Breiman, R F; Njenga, M Kariuki

2011-03-01

Since Kenya first reported Rift Valley fever (RVF)-like disease in livestock in 1912, the country has reported the most frequent epizootics of RVF disease. To determine the pattern of disease spread across the country after its introduction in 1912, and to identify regions vulnerable to the periodic epizootics, annual livestock disease records at the Department of Veterinary Services from 1910 to 2007 were analysed in order to document the number and location of RVF-infected livestock herds. A total of 38/69 (55%) administrative districts in the country had reported RVF epizootics by the end of 2007. During the 1912-1950 period, the disease was confined to a district in Rift Valley province that is prone to flooding and where livestock were raised in proximity with wildlife. Between 1951 and 2007, 11 national RVF epizootics were recorded with an average inter-epizootic period of 3·6 years (range 1-7 years); in addition, all epizootics occurred in years when the average annual rainfall increased by more than 50% in the affected districts. Whereas the first two national epizootics in 1951 and 1955 were confined to eight districts in the Rift Valley province, there was a sustained epizootic between 1961 and 1964 that spread the virus to over 30% of the districts across six out of eight provinces. The Western and Nyanza provinces, located on the southwestern region of the country, had never reported RVF infections by 2007. The probability of a district being involved in a national epizootic was fivefold higher (62%) in districts that had previously reported disease compared to districts that had no prior disease activity (11%). These findings suggests that once introduced into certain permissive ecologies, the RVF virus becomes enzootic, making the region vulnerable to periodic epizootics that were probably precipitated by amplification of resident virus associated with heavy rainfall and flooding.

Morphological and Genetic Diversity of Rhizobia Nodulating Cowpea (Vigna unguiculata L. from Agricultural Soils of Lower Eastern Kenya

Directory of Open Access Journals (Sweden)

Damaris K. Ondieki

2017-01-01

Full Text Available Limited nitrogen (N content in the soil is a major challenge to sustainable and high crop production in many developing countries. The nitrogen fixing symbiosis of legumes with rhizobia plays an important role in supplying sufficient N for legumes and subsequent nonleguminous crops. To identify rhizobia strains which are suitable for bioinoculant production, characterization of rhizobia is a prerequisite. The objective of this study was to assess the morphological and genetic diversity of rhizobia that nodulates cowpea in agricultural soils of lower eastern Kenya. Twenty-eight rhizobia isolates were recovered from soil samples collected from farmers’ fields in Machakos, Makueni, and Kitui counties in lower eastern Kenya and characterized based on morphological characteristics. Thirteen representative isolates were selected and characterized using BOX repetitive element PCR fingerprinting. Based on the dendrogram generated from morphological characteristics, the test isolates were distributed into two major clusters at a similarity of 75%. Phylogenetic tree, based on BOX repetitive element PCR, grouped the isolates into two clusters at 90% similarity level. The clustering of the isolates did not show a relationship to the origin of soil samples, although the isolates were genetically diverse. This study is a prerequisite to the selection of suitable cowpea rhizobia to develop bioinoculants for sustainable crop production in Kenya.

Morphological and Genetic Diversity of Rhizobia Nodulating Cowpea (Vigna unguiculata L.) from Agricultural Soils of Lower Eastern Kenya.

Science.gov (United States)

Ondieki, Damaris K; Nyaboga, Evans N; Wagacha, John M; Mwaura, Francis B

2017-01-01

Limited nitrogen (N) content in the soil is a major challenge to sustainable and high crop production in many developing countries. The nitrogen fixing symbiosis of legumes with rhizobia plays an important role in supplying sufficient N for legumes and subsequent nonleguminous crops. To identify rhizobia strains which are suitable for bioinoculant production, characterization of rhizobia is a prerequisite. The objective of this study was to assess the morphological and genetic diversity of rhizobia that nodulates cowpea in agricultural soils of lower eastern Kenya. Twenty-eight rhizobia isolates were recovered from soil samples collected from farmers' fields in Machakos, Makueni, and Kitui counties in lower eastern Kenya and characterized based on morphological characteristics. Thirteen representative isolates were selected and characterized using BOX repetitive element PCR fingerprinting. Based on the dendrogram generated from morphological characteristics, the test isolates were distributed into two major clusters at a similarity of 75%. Phylogenetic tree, based on BOX repetitive element PCR, grouped the isolates into two clusters at 90% similarity level. The clustering of the isolates did not show a relationship to the origin of soil samples, although the isolates were genetically diverse. This study is a prerequisite to the selection of suitable cowpea rhizobia to develop bioinoculants for sustainable crop production in Kenya.

Influence of Teacher Competency on Integration of ICT in Teaching and Learning in Public Secondary Schools in Machakos

Science.gov (United States)

Michael, Felistas Mbithe; Maithya, Redempta; Cheloti, Selpher K.

2016-01-01

This study was set to investigate the influence of teachers' competency on the integration of ICT in teaching and learning in public secondary schools in Machakos County. The study hypothesis was that: There is no significant relationship between teacher competency and the integration of ICT in teaching and learning. The study used a sample of…

The relationship between teacher-related factors and students' attitudes towards secondary school chemistry subject in Bureti district, Kenya

Directory of Open Access Journals (Sweden)

Salome Chepkorir

2014-12-01

Full Text Available This paper examines the relationship between teacher-related factors and student’s attitudes towards Chemistry subject in secondary schools in Kenya. The paper is based on a study conducted in Bureti District in Kericho County, Kenya. This paper highlights issues on the teaching methods used by chemistry teachers, the teachers’ availability to attend to various needs of students on the subject, their use of teaching and learning resources in teaching, teachers’ personal levels of skills and knowledge of the subject matter in Chemistry and the impact of students’ negative attitudes towards Chemistry on teachers’ effectiveness. The research design used in the study was descriptive survey. The target population comprised Form Four students in ten selected secondary schools in Bureti District of Rift Valley Province Kenya. Stratified random sampling technique was used to select the study sample. Schools were selected from the following categories: Girls’ schools, Boys’ schools and Co-educational schools. Simple random sampling was used to select the respondents from Form Four classes as well as a teacher in each school. In all, one hundred and eighty-nine students and ten teachers filled the questionnaires. The data collection instruments were questionnaires based on the Likert scale and document analysis. Data was analyzed descriptively using frequency tables, means and percentages while hypotheses were tested using Analysis of Variance. From the study findings, a number of indicators revealed that there are some factors influencing students’ attitudes towards Chemistry, including lack of successful experiences in Chemistry, poor teaching. It was recommended that science teachers’ should encourage development of positive self-concept of ability among students. Among other recommendations, the study suggests that guidance and counselling of students in schools should be encouraged, to ensure positive attitudes towards and full

Vocal local versus pharmacological treatments for pain management in tubal ligation procedures in rural Kenya: a non-inferiority trial.

Science.gov (United States)

Keogh, Sarah C; Fry, Kenzo; Mbugua, Edwin; Ayallo, Mark; Quinn, Heidi; Otieno, George; Ngo, Thoai D

2014-02-04

Vocal local (VL) is a non-pharmacological pain management technique for gynecological procedures. In Africa, it is usually used in combination with pharmacological analgesics. However, analgesics are associated with side-effects, and can be costly and subject to frequent stock-outs, particularly in remote rural settings. We compared the effectiveness of VL + local anesthesia + analgesics (the standard approach), versus VL + local anesthesia without analgesics, on pain and satisfaction levels for women undergoing tubal ligations in rural Kenya. We conducted a site-randomised non-inferiority trial of 884 women receiving TLs from 40 Marie Stopes mobile outreach sites in Kisii and Machakos Districts. Twenty sites provided VL + local anesthesia + analgesics (control), while 20 offered VL + local anesthesia without additional analgesics (intervention). Pain was measured using a validated 11-point Numeric Rating Scale; satisfaction was measured using 11-point scales. A total of 461 women underwent tubal ligations with VL + local anesthesia, while 423 received tubal ligations with VL + local anesthesia + analgesics. The majority were aged ≥30 years (78%), and had >3 children (99%). In a multivariate analysis, pain during the procedure was not significantly different between the two groups. The pain score after the procedure was significantly lower in the intervention group versus the control group (by 0.40 points; p = 0.041). Satisfaction scores were equally high in both groups; 96% would recommend the procedure to a friend. VL + local anesthesia is as effective as VL + local anesthesia + analgesics for pain management during tubal ligation in rural Kenya. Avoiding analgesics is associated with numerous benefits including cost savings and fewer issues related to the maintenance, procurement and monitoring of restricted opioid drugs, particularly in remote low-resource settings where these systems are weak. Pan-African Clinical Trials Registry PACTR201304000495942.

Community perceptions and response to flood risks in Nyando District, Western Kenya

Directory of Open Access Journals (Sweden)

Hellen Nyakundi

2010-04-01

Full Text Available In Kenya, the ability of local people to resist the impact of disasters has not been given adequate attention. A descriptive cross sectional study sought to investigate community perceptions and responses to flood risks in low and high risk areas of the Nyando District, Western Kenya. A total of 528 households, six government officials and have project managers of Community Based Organizations (CBOs and Non Governmental Organizations (NGOs were interviewed. Additionally, seven Focus Group Discussions(FGDs involving three women, two male and two teacher groups were conducted. Data were analysed using the Statistical Package for the Social Sciences (SPSS Program. The Chi-square test was used to determine associations and di'erences between variables. In the study, 83% of the respondents were aware of Traditional Flood Knowledge (TFK and 80% acknowledged its use. Perception of the risk is influenced by several variables, most notably past experience of major floods and having survived them. Residents in the high risk areas had signfficantly higher levels of awareness and use of traditional flood knowledge. they were more aware of the nature of the flood related health risks they were exposed to and appeared better prepared for future flood risk. They were, however, more dependent on external aid. On the other hand, residents living in the low risk area reported better success with their response mechanisms.

Selling wealth to buy poverty : the process of the individualization of landownership among the Maasai pastoralists of Kajiado district, Kenya, 1890-1990

NARCIS (Netherlands)

Rutten, M.M.E.M.

1992-01-01

This thesis gives an overview of the Maasai livestock economy as it has developed between 1890 and 1990. Particularly, it analyses the processes and policies of land use and landownership of the Maasai pastoral areas in Kajiado district, Kenya, from the arrival of the Europeans until the recent

Availability and Use of Instructional Materials in the Teaching of Conflict and Conflict Resolution in Primary Schools in Nandi North District, Kenya

Science.gov (United States)

Tuimur, Hilda Ng'etich; Chemwei, Bernard

2015-01-01

This paper examines the availability and use of instructional resources necessary for teaching Conflict and Conflict Resolution as a topic in Social Studies subject in primary schools in Nandi North District in Kenya. The study was carried out through descriptive survey. The study population included Social Studies teachers in Kosirai Division of…

The Effects of Rate and Placement of Boma Manure on Maize Yield in Semi-Arid Eastern Kenya

International Nuclear Information System (INIS)

Watiki, J.M.; Gichangi, E.M.; Itabari, J.K.; Karuka, A.M.; Nguluu, S.N.

1999-01-01

A six session study on the response of maize to boma manure was conducted on farmer's field in Wamuyu, Machakos District in the Eastern province of Kenya to; a) determine the yield response of maize to application of boma manure in the 0 -1 00 t ha -1 range, b)evaluate the benefits of banding of boma manure as compared with broadcasting, c)determine the residual response to boma manure application; d)compare the response of boma manure with that of inorganic fertiliser. The soil on the experimental site was a well drained ,dark red, loamy sand with an average of 16.64 mg kg -1 extractable P and 0.065 % total N in the 0 -1 cm depth. Maize grain yield and total dry matter markedly increased with increasing rates of boma manure while placement method and interaction between placement and rate of application effect. A combined analysis indicated that there was no significant increase in grain yield above the rate of 40 t ha -1 of manure. Using inorganic fertiliser at the rate of 20 kg N ha -1 + 20 kg P ha -1 was found to be the best option in terms of economic benefits. The residual effects of the manure were, however, still very evident in the last season, indicating that more benefits would have been obtained from manure over a number of succeeding seasons, especially from the high rates (60 -1 00 t ha -1 )

Production and characterization of wine from mango fruit ( Mangifera ...

African Journals Online (AJOL)

Production and characterization of wine from mango fruit ( Mangifera indica ) varieties in Kenya. ... Six mature and unripe mango fruits were harvested three times from a farm in Katheka Kai Division, Machakos County ... HOW TO USE AJOL.

The Influence of Enterprise Diversification on Household Food Security among Small-Scale Sugarcane Farmers: A Case Study of Muhoroni Division, Nyando District, Kenya

Science.gov (United States)

Muthoni Thuo, Caroline

2011-01-01

This paper examines the levels of household food security and the influence of enterprise diversification on household food security among small-scale sugarcane farmers in Muhoroni division, Nyando District, Kenya. A cross-sectional research design was used in this study. The population consisted of small-scale sugarcane farmers who grow sugarcane…

Diagnostic Survey on Storage Structures and Methods in Maize, Cowpeas and Beans in Kilifi and Kwale Districts of Coastal Kenya

International Nuclear Information System (INIS)

Kega, V.M.; Kamande, M.M; Onyango, J.R

1999-01-01

A study on storage methods and structures for maize and cowpeas was conducted in Kwale and Kilifi Districts of Kenya. Participatory rural appraisal methods were used to identify farmers' constraints and possible interventions. The main method of storage of maize for consumptions in the two districts was in traditional cribs. These two were constructed as platforms above the fireplace in the house. Kilifi farmers stored their seed in stoppered containers while Kwale farmers stored their seed maize on cobs above the fire place. Maize storage losses due to insect pests were between 0% to 40% depending on the strength and the extent of heating regime. Rats also cause major grain losses. Women were responsible for food security and storage of seed. Opportunities for intervention to alleviate losses in the two districts were identified and some will be tested out on farmers' fields

Exploring Niches for Short-Season Grain Legumes in Semi-Arid Eastern Kenya - Coping with the Impacts of Climate Variability.

Science.gov (United States)

Sennhenn, Anne; Njarui, Donald M G; Maass, Brigitte L; Whitbread, Anthony M

2017-01-01

Climate variability is the major risk to agricultural production in semi-arid agroecosystems and the key challenge to sustain farm livelihoods for the 500 million people who inhabit these areas worldwide. Short-season grain legumes have great potential to address this challenge and help to design more resilient and productive farming systems. However, grain legumes display a great diversity and differ widely in growth, development, and resource use efficiency. Three contrasting short season grain legumes common bean ( Phaseolus vulgaris L.), cowpea ( Vigna unguiculata (L.) Walp.] and lablab [ Lablab purpureus (L.) Sweet] were selected to assess their agricultural potential with respect to climate variability and change along the Machakos-Makueni transect in semi-arid Eastern Kenya. This was undertaken using measured data [a water response trial conducted during 2012/13 and 2013/14 in Machakos, Kenya] and simulated data using the Agricultural Production System sIMulator (APSIM). The APSIM crop model was calibrated and validated to simulate growth and development of short-season grain legumes in semi-arid environments. Water use efficiency (WUE) was used as indicator to quantify the production potential. The major traits of adaptation include early flowering and pod and seed set before the onset of terminal drought. Early phenology together with adapted canopy architecture allowed more optimal water use and greater partitioning of dry matter into seed (higher harvest index). While common bean followed a comparatively conservative strategy of minimizing water loss through crop transpiration, the very short development time and compact growth habit limited grain yield to rarely exceed 1,000 kg ha -1 . An advantage of this strategy was relatively stable yields independent of in-crop rainfall or season length across the Machakos-Makueni transect. The growth habit of cowpea in contrast minimized water loss through soil evaporation with rapid ground cover and dry matter

Exploring Niches for Short-Season Grain Legumes in Semi-Arid Eastern Kenya — Coping with the Impacts of Climate Variability

Directory of Open Access Journals (Sweden)

Anne Sennhenn

2017-05-01

Full Text Available Climate variability is the major risk to agricultural production in semi-arid agroecosystems and the key challenge to sustain farm livelihoods for the 500 million people who inhabit these areas worldwide. Short-season grain legumes have great potential to address this challenge and help to design more resilient and productive farming systems. However, grain legumes display a great diversity and differ widely in growth, development, and resource use efficiency. Three contrasting short season grain legumes common bean (Phaseolus vulgaris L., cowpea (Vigna unguiculata (L. Walp.] and lablab [Lablab purpureus (L. Sweet] were selected to assess their agricultural potential with respect to climate variability and change along the Machakos-Makueni transect in semi-arid Eastern Kenya. This was undertaken using measured data [a water response trial conducted during 2012/13 and 2013/14 in Machakos, Kenya] and simulated data using the Agricultural Production System sIMulator (APSIM. The APSIM crop model was calibrated and validated to simulate growth and development of short-season grain legumes in semi-arid environments. Water use efficiency (WUE was used as indicator to quantify the production potential. The major traits of adaptation include early flowering and pod and seed set before the onset of terminal drought. Early phenology together with adapted canopy architecture allowed more optimal water use and greater partitioning of dry matter into seed (higher harvest index. While common bean followed a comparatively conservative strategy of minimizing water loss through crop transpiration, the very short development time and compact growth habit limited grain yield to rarely exceed 1,000 kg ha−1. An advantage of this strategy was relatively stable yields independent of in-crop rainfall or season length across the Machakos-Makueni transect. The growth habit of cowpea in contrast minimized water loss through soil evaporation with rapid ground cover and

Exploring Niches for Short-Season Grain Legumes in Semi-Arid Eastern Kenya — Coping with the Impacts of Climate Variability

Science.gov (United States)

Sennhenn, Anne; Njarui, Donald M. G.; Maass, Brigitte L.; Whitbread, Anthony M.

2017-01-01

Climate variability is the major risk to agricultural production in semi-arid agroecosystems and the key challenge to sustain farm livelihoods for the 500 million people who inhabit these areas worldwide. Short-season grain legumes have great potential to address this challenge and help to design more resilient and productive farming systems. However, grain legumes display a great diversity and differ widely in growth, development, and resource use efficiency. Three contrasting short season grain legumes common bean (Phaseolus vulgaris L.), cowpea (Vigna unguiculata (L.) Walp.] and lablab [Lablab purpureus (L.) Sweet] were selected to assess their agricultural potential with respect to climate variability and change along the Machakos-Makueni transect in semi-arid Eastern Kenya. This was undertaken using measured data [a water response trial conducted during 2012/13 and 2013/14 in Machakos, Kenya] and simulated data using the Agricultural Production System sIMulator (APSIM). The APSIM crop model was calibrated and validated to simulate growth and development of short-season grain legumes in semi-arid environments. Water use efficiency (WUE) was used as indicator to quantify the production potential. The major traits of adaptation include early flowering and pod and seed set before the onset of terminal drought. Early phenology together with adapted canopy architecture allowed more optimal water use and greater partitioning of dry matter into seed (higher harvest index). While common bean followed a comparatively conservative strategy of minimizing water loss through crop transpiration, the very short development time and compact growth habit limited grain yield to rarely exceed 1,000 kg ha−1. An advantage of this strategy was relatively stable yields independent of in-crop rainfall or season length across the Machakos-Makueni transect. The growth habit of cowpea in contrast minimized water loss through soil evaporation with rapid ground cover and dry matter

Characterization of Armillaria isolates from tea (Camellia sinensis) in Kenya

NARCIS (Netherlands)

Otieno, W.; Perez Sierra, A.; Termorshuizen, A.J.

2003-01-01

Armillaria is a primary root rot pathogen of tea (Camellia sinensis) in Kenya. The main species presently described in this country are A. mellea and A. heimii. A survey covering fourteen districts of Kenya was carried out and forty-seven isolates of Armillaria collected. Cultural morphology,

Identification of phlebotomine sandfly bloodmeals from Baringo District, Kenya, by direct enzyme-linked immunosorbent assay (ELISA).

Science.gov (United States)

Ngumbi, P M; Lawyer, P G; Johnson, R N; Kiilu, G; Asiago, C

1992-10-01

Direct enzyme-linked immunosorbent assay (ELISA) was used to identify the sources of bloodmeals in phlebotomine sandflies from Baringo District, Rift Valley Province, Kenya. Some bloodmeals had been stored for over 4 years before being analysed. Among 356 sandflies identified, 62.9% were Phlebotomus martini, 14.8% Sergentomyia antennatus, 10% S.schwetzi, 6% S.clydei, 1.9% S.adleri, 1.6% P.duboscqi, 1.4% S.africanus and 0.8% S.bedfordi. Out of 224 P.martini bloodmeals, host source was identified for 69. The order of host preference for P.martini was: goat 28.5%, rabbit 22.7%, human 8.9% and others 8.9%. Evidence of mixed feeding was shown by four species comprising sixteen specimens, twelve of which were P.martini. The most effective methods for trapping bloodfed P. martini were sticky paper traps in termite hills, followed by light-traps. Of the 224 P.martini trapped, 58.9% were collected with traps in termite hills, and 22.7% with light traps. Roles of the three most popular hosts for P.martini should be investigated to ascertain whether they act as reservoirs in the transmission of Leishmania donovani causing visceral leishmaniasis in Kenya.

Estimating the costs of the vaccine supply chain and service delivery for selected districts in Kenya and Tanzania.

Science.gov (United States)

Mvundura, Mercy; Lorenson, Kristina; Chweya, Amos; Kigadye, Rosemary; Bartholomew, Kathryn; Makame, Mohammed; Lennon, T Patrick; Mwangi, Steven; Kirika, Lydia; Kamau, Peter; Otieno, Abner; Murunga, Peninah; Omurwa, Tom; Dafrossa, Lyimo; Kristensen, Debra

2015-05-28

Having data on the costs of the immunization system can provide decision-makers with information to benchmark the costs when evaluating the impact of new technologies or programmatic innovations. This paper estimated the supply chain and immunization service delivery costs and cost per dose in selected districts in Kenya and Tanzania. We also present operational data describing the supply chain and service delivery points (SDPs). To estimate the supply chain costs, we collected resource-use data for the cold chain, distribution system, and health worker time and per diems paid. We also estimated the service delivery costs, which included the time cost of health workers to provide immunization services, and per diems and transport costs for outreach sessions. Data on the annual quantities of vaccines distributed to each facility, and the occurrence and duration of stockouts were collected from stock registers. These data were collected from the national store, 2 regional and 4 district stores, and 12 SDPs in each country for 2012. Cost per dose for the supply chain and immunization service delivery were estimated. The average annual costs per dose at the SDPs were $0.34 (standard deviation (s.d.) $0.18) for Kenya when including only the vaccine supply chain costs, and $1.33 (s.d. $0.82) when including immunization service delivery costs. In Tanzania, these costs were $0.67 (s.d. $0.35) and $2.82 (s.d. $1.64), respectively. Both countries experienced vaccine stockouts in 2012, bacillus Calmette-Guérin vaccine being more likely to be stocked out in Kenya, and oral poliovirus vaccine in Tanzania. When stockouts happened, they usually lasted for at least one month. Tanzania made investments in 2011 in preparation for planned vaccine introductions, and their supply chain cost per dose is expected to decline with the new vaccine introductions. Immunization service delivery costs are a significant portion of the total costs at the SDPs. Copyright © 2015 Elsevier Ltd. All

Quality Education for the Pastoralist in Public Primary Schools in Kajiado County, Kenya: Case Study of Dupoto-E-Maa Education Project in Kajiado Central District

Science.gov (United States)

Ouda, James Bill; Opiyo, Rose Atieno; Wambiya, Pascal

2015-01-01

Conditions of learning are critical in determining quality of education. There have been real concerns raised by stakeholders regarding the quality of education for pastoralists in public primary schools in Kajiado Central District in Kenya. Interventions have been put in place to address the issue of quality education. One such intervention is…

The Structure of Marine Fish marketing in Kenya: The Case of ...

African Journals Online (AJOL)

The Structure of Marine Fish marketing in Kenya: The Case of Malindi and Kilifi Districts. ... marketing as well as identifies constraints in the marketing system in Malindi and Kilifi districts. ... EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

A national cholera epidemic with high case fatality rates--Kenya 2009.

Science.gov (United States)

Loharikar, Anagha; Briere, Elizabeth; Ope, Maurice; Langat, Daniel; Njeru, Ian; Gathigi, Lucy; Makayotto, Lyndah; Ismail, Abdirizak M; Thuranira, Martin; Abade, Ahmed; Amwayi, Samuel; Omolo, Jared; Oundo, Joe; De Cock, Kevin M; Breiman, Robert F; Ayers, Tracy; Mintz, Eric; O'Reilly, Ciara E

2013-11-01

Cholera remains endemic in sub-Saharan Africa. We characterized the 2009 cholera outbreaks in Kenya and evaluated the response. We analyzed surveillance data and estimated case fatality rates (CFRs). Households in 2 districts, East Pokot (224 cases; CFR = 11.7%) and Turkana South (1493 cases; CFR = 1.0%), were surveyed. We randomly selected 15 villages and 8 households per village in each district. Healthcare workers at 27 health facilities (HFs) were surveyed in both districts. In 2009, cholera outbreaks caused a reported 11 425 cases and 264 deaths in Kenya. Data were available from 44 districts for 6893 (60%) cases. District CFRs ranged from 0% to 14.3%. Surveyed household respondents (n = 240) were aware of cholera (97.5%) and oral rehydration solution (ORS) (87.9%). Cholera deaths were reported more frequently from East Pokot (n = 120) than Turkana South (n = 120) households (20.7% vs. 12.3%). The average travel time to a HF was 31 hours in East Pokot compared with 2 hours in Turkana South. Fewer respondents in East Pokot (9.8%) than in Turkana South (33.9%) stated that ORS was available in their village. ORS or intravenous fluid shortages occurred in 20 (76.9%) surveyed HFs. High CFRs in Kenya are related to healthcare access disparities, including availability of rehydration supplies.

Supporting 'Young Carers' in Kenya

DEFF Research Database (Denmark)

Skovdal, Morten; Campbell, C.; Onyango, V.

2013-01-01

, avoiding engagement with support strategies that could be seen as support of child labour. To challenge this view, and move from policy paralysis to action, we present a study from western Kenya that explores community perceptions of children's work and caregiving as well as opportunities for support....... The study draws on 17 community group conversations and 10 individual interviews, involving 283 members of a Luo community in the Bondo District of western Kenya. We provide a detailed account of how integral children's work is to household survival in the context of poverty, HIV and AIDS as well...

Factors associated with severity of road traffic injuries, Thika, Kenya ...

African Journals Online (AJOL)

Background: Road traffic injuries continue to exert a huge burden on the health care system in Kenya. Few studies on the severity of road traffic injuries have been conducted in Kenya. We carried out a cross-sectional study to determine factors associated with severity of road traffic injuries in a public hospital in Thika district ...

Phytochemical, antimicrobial and antiplasmodial investigations of Terminalia brownii

Science.gov (United States)

The stem bark of Terminalia brownii was collected from Machakos county, Kenya, in November 2011, and identified at the University Herbarium, School of Biological Sciences, University of Nairobi, where a voucher specimen (JM2011/502) was deposited. The stem bark was air dried in shade and pulverized....

Developing a tool to measure health worker motivation in district hospitals in Kenya

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Gilson Lucy

2009-05-01

Full Text Available Abstract Background We wanted to try to account for worker motivation as a key factor that might affect the success of an intervention to improve implementation of health worker practices in eight district hospitals in Kenya. In the absence of available tools, we therefore aimed to develop a tool that could enable a rapid measurement of motivation at baseline and at subsequent points during the 18-month intervention study. Methods After a literature review, a self-administered questionnaire was developed to assess the outcomes and determinants of motivation of Kenyan government hospital staff. The initial questionnaire included 23 questions (from seven underlying constructs related to motivational outcomes that were then used to construct a simpler tool to measure motivation. Parallel qualitative work was undertaken to assess the relevance of the questions chosen and the face validity of the tool. Results Six hundred eighty-four health workers completed the questionnaires at baseline. Reliability analysis and factor analysis were used to produce the simplified motivational index, which consisted of 10 equally-weighted items from three underlying factors. Scores on the 10-item index were closely correlated with scores for the 23-item index, indicating that in future rapid assessments might be based on the 10 questions alone. The 10-item motivation index was also able to identify statistically significant differences in mean health worker motivation scores between the study hospitals (p Conclusion The 10-item score developed may be useful to monitor changes in motivation over time within our study or be used for more extensive rapid assessments of health worker motivation in Kenya.

Publications | Page 220 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Meeting report : Country Project Inception Workshop, 28th February 2012, Garden Hotel,Machakos, Kenya (restricted access) ... and a half years, which focused on the small-scale fishing industry of Trinidad and Tobago with particular emphasis on examining the potential of mobile technology as an enabler of social and.

Effects of legume cover crop and sub-soiling on soil properties and Maize (Zea mays L) growth in semi arid area of Machakos district, Kenya = Efecto del cultivo de cobertua y el subsolado sobre las propiedades del suelo y crecimiento de maiz (Zea mays L.) en la region semi arida de Machakos, Kenia

NARCIS (Netherlands)

Karuma, A.; Gachene, C.K.K.; Gicheru, P.; Mwangombe, A.W.; Mwangi, H.W.; Clavel, D.; Verhagen, A.; Kaufmann, Von R.; Francis, J.; Ekaya, W.

2011-01-01

Low crop yields in the semi arid areas of Kenya have been attributed to, among other factors, low soil fertility, low farm inputs, labour constraints and inappropriate tillage practices that lead to pulverized soils. The aim of this study was to determine the effects of legume cover crops (LCC) on

Small ruminant production in smallholder and pastoral/extensive farming systems in Kenya

NARCIS (Netherlands)

Kosgey, I.S.; Rowlands, G.J.; Arendonk, van J.A.M.; Baker, R.L.

2008-01-01

A survey was conducted by way of personal interviews with 562 respondents comprising 459 farmers and 103 butchers/traders in selected districts in the central and western parts of Kenya, consisting of three predominantly smallholder and four predominantly pastoral/extensive districts. The study

Economic and nutritional conditions at settlement schemes in Coast Province, Kenya

NARCIS (Netherlands)

Hoorweg, J.C.; Niemeijer, R.; Foeken, D.W.J.; Okello, W.; Veerman, W.

1991-01-01

This report is concerned with land distribution and rural development and presents the final results of a survey carried out in 1985-1986 in four settlement schemes: Diani and Ukunda in Kwale District and Roka and Mtwapa in Kilifi District, Coast Province, Kenya. In each scheme 100 households were

Completeness of malaria indicator data reporting via the District Health Information Software 2 in Kenya, 2011-2015.

Science.gov (United States)

Githinji, Sophie; Oyando, Robinson; Malinga, Josephine; Ejersa, Waqo; Soti, David; Rono, Josea; Snow, Robert W; Buff, Ann M; Noor, Abdisalan M

2017-08-17

Health facility-based data reported through routine health information systems form the primary data source for programmatic monitoring and evaluation in most developing countries. The adoption of District Health Information Software (DHIS2) has contributed to improved availability of routine health facility-based data in many low-income countries. An assessment of malaria indicators data reported by health facilities in Kenya during the first 5 years of implementation of DHIS2, from January 2011 to December 2015, was conducted. Data on 19 malaria indicators reported monthly by health facilities were extracted from the online Kenya DHIS2 database. Completeness of reporting was analysed for each of the 19 malaria indicators and expressed as the percentage of data values actually reported over the expected number; all health facilities were expected to report data for each indicator for all 12 months in a year. Malaria indicators data were analysed for 6235 public and 3143 private health facilities. Between 2011 and 2015, completeness of reporting in the public sector increased significantly for confirmed malaria cases across all age categories (26.5-41.9%, p performed and test results were not available in DHIS2 from 2011 to 2014. In 2015, sparse data on microscopy (11.5% for children aged performed were reported in DHIS2 from the private sector. There have been sustained improvements in the completeness of data reported for most key malaria indicators since the adoption of DHIS2 in Kenya in 2011. However, major data gaps were identified for the malaria-test indicator and overall low reporting across all indicators from private health facilities. A package of proven DHIS2 implementation interventions and performance-based incentives should be considered to improve private-sector data reporting.

Vendor-to-vendor education to improve malaria treatment by private drug outlets in Bungoma District, Kenya

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Makama Sammy

2003-05-01

Full Text Available Abstract Background Private outlets are the main suppliers of uncomplicated malaria treatment in Africa. However, they are so numerous that they are difficult for governments to influence and regulate. This study's objective was to evaluate a low-cost outreach education (vendor-to-vendor programme to improve the private sector's compliance with malaria guidelines in Bungoma district, Kenya. The cornerstone of the programme was the district's training of 73 wholesalers who were equipped with customized job aids for distribution to small retailers. Methods Six months after training the wholesalers, the programme was evaluated using mystery shoppers. The shoppers posed as caretakers of sick children needing medication at 252 drug outlets. Afterwards, supervisors assessed the outlets' knowledge, drug stocks, and prices. Results The intervention seems to have had a significant impact on stocking patterns, malaria knowledge and prescribing practices of shops/kiosks, but not consistently on other types of outlets. About 32% of shops receiving job aids prescribed to mystery shoppers the approved first-line drug, sulfadoxine-pyremethamine, as compared to only 3% of the control shops. In the first six months, it is estimated that 500 outlets were reached, at a cost of about $8000. Conclusions Changing private sector knowledge and practices is widely acknowledged to be slow and difficult. The vendor-to-vendor programme seems a feasible district-level strategy for achieving significant improvements in knowledge and practices of shops/kiosks. However, alternate strategies will be needed to influence pharmacies and clinics. Overall, the impact will be only moderate unless national policies and programmes are also introduced.

Screening of Local Bacillus thuringiensis Isolates for Toxicity to ...

African Journals Online (AJOL)

Stem borers are a major source of pre-harvest maize crop losses in Kenya and many Sub- Saharan African countries. This menace needs to be addressed if food security is to be realized in this region. Seven local isolates of Bacillus thuringiensis (Bt) strains were isolated from soils collected from Kakamega and Machakos ...

Determinants of Sexual Activity and Pregnancy among Unmarried Young Women in Urban Kenya: A Cross-Sectional Study.

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Okigbo, Chinelo C; Speizer, Ilene S

2015-01-01

With age of marriage rising in Kenya, the period between onset of puberty and first marriage has increased, resulting in higher rates of premarital sexual activity and pregnancy. We assessed the determinants of sexual activity and pregnancy among young unmarried women in urban Kenya. Baseline data from five urban areas in Kenya (Nairobi, Mombasa, Kisumu, Machakos, and Kakamega) collected in 2010 by the Measurement, Learning & Evaluation project were used. Women aged 15-24 years, who had never been married, and were not living with a male partner at the time of survey (weighted n = 2020) were included. Using weighted, multivariate Cox proportional hazard regression and logistic regression analyses, we assessed factors associated with three outcome measures: time to first sex, time to first pregnancy, and teenage pregnancy. One-half of our sample had ever had sex; the mean age at first sex among the sexually-experienced was 17.7 (± 2.6) years. About 15% had ever been pregnant; mean age at first pregnancy was 18.3 (± 2.2) years. Approximately 11% had a teenage pregnancy. Three-quarters (76%) of those who had ever been pregnant (weighted n = 306) reported the pregnancy was unwanted at the time. Having secondary education was associated with a later time to first sex and first pregnancy. In addition, religion, religiosity, and employment status were associated with time to first sex while city of residence, household size, characteristics of household head, family planning knowledge and misconceptions, and early sexual debut were significantly associated with time to first pregnancy. Education, city of residence, household wealth, early sexual debut, and contraceptive use at sexual debut were associated with teenage pregnancy for those 20-24 years. Understanding risk and protective factors of youth sexual and reproductive health can inform programs to improve young people's long-term potential by avoiding early and unintended pregnancies.

Determinants of Sexual Activity and Pregnancy among Unmarried Young Women in Urban Kenya: A Cross-Sectional Study.

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Chinelo C Okigbo

Full Text Available With age of marriage rising in Kenya, the period between onset of puberty and first marriage has increased, resulting in higher rates of premarital sexual activity and pregnancy. We assessed the determinants of sexual activity and pregnancy among young unmarried women in urban Kenya.Baseline data from five urban areas in Kenya (Nairobi, Mombasa, Kisumu, Machakos, and Kakamega collected in 2010 by the Measurement, Learning & Evaluation project were used. Women aged 15-24 years, who had never been married, and were not living with a male partner at the time of survey (weighted n = 2020 were included. Using weighted, multivariate Cox proportional hazard regression and logistic regression analyses, we assessed factors associated with three outcome measures: time to first sex, time to first pregnancy, and teenage pregnancy.One-half of our sample had ever had sex; the mean age at first sex among the sexually-experienced was 17.7 (± 2.6 years. About 15% had ever been pregnant; mean age at first pregnancy was 18.3 (± 2.2 years. Approximately 11% had a teenage pregnancy. Three-quarters (76% of those who had ever been pregnant (weighted n = 306 reported the pregnancy was unwanted at the time. Having secondary education was associated with a later time to first sex and first pregnancy. In addition, religion, religiosity, and employment status were associated with time to first sex while city of residence, household size, characteristics of household head, family planning knowledge and misconceptions, and early sexual debut were significantly associated with time to first pregnancy. Education, city of residence, household wealth, early sexual debut, and contraceptive use at sexual debut were associated with teenage pregnancy for those 20-24 years.Understanding risk and protective factors of youth sexual and reproductive health can inform programs to improve young people's long-term potential by avoiding early and unintended pregnancies.

Horticultural marketing channels in Kenya : structure and development

NARCIS (Netherlands)

Dijkstra, T.

1997-01-01

This study analyses the structure and development of horticultural marketing channels in Kenya. It is based primarily on a farm survey among some 500 farmers in Nyandarua, Kisii and Taita Taveta Districts and a trade survey of about 750 horticultural traders in 18 different market places.

Developing and Implementing a Pediatric Emergency Care Curriculum for Providers at District Level Hospitals in Sub-Saharan Africa: A Case Study in Kenya

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Colleen Diane Fant

2017-12-01

Full Text Available IntroductionEmergency medicine is a relatively new field in sub-Saharan Africa and dedicated training in pediatric emergency care is limited. While guidelines from the African Federation of Emergency Medicine (AFEM regarding emergency training exist, a core curriculum in pediatric emergency care has not yet been established for providers at the district hospital level.MethodsThe objective of the project was to develop a curriculum for providers with limited training in pediatric emergencies, and contain didactic and simulation components with emphasis on treatment and resuscitation using available resources. A core curriculum for pediatric emergency care was developed using a validated model of medical education curriculum development and through review of existing guidelines and literature. Based on literature review, as well as a review of existent guidelines in pediatric and emergency care, 10 core topics were chosen and agreed upon by experts in the field, including pediatric and emergency care providers in Kenya and the United States. These topics were confirmed to be consistent with the principles of emergency care endorsed by AFEM as well as complimentary to existing Kenyan medical school syllabi. A curriculum based on these 10 core topics was created and subsequently piloted with a group of medical residents and clinical officers at a community hospital in western Kenya.ResultsThe 10 core pediatric topics prioritized were airway management, respiratory distress, thoracic and abdominal trauma, head trauma and cervical spine management, sepsis and shock, endocrine emergencies, altered mental status/toxicology, orthopedic emergencies, burn and wound management, and pediatric advanced life support. The topics were incorporated into a curriculum comprised of ten 1.5-h combined didactic plus low-fidelity simulation modules. Feedback from trainers and participating providers gave high ratings to the ease of information delivery, relevance, and

A multifaceted intervention to improve the quality of care of children in district hospitals in Kenya: a cost-effectiveness analysis.

Science.gov (United States)

Barasa, Edwine W; Ayieko, Philip; Cleary, Susan; English, Mike

2012-01-01

To improve care for children in district hospitals in Kenya, a multifaceted approach employing guidelines, training, supervision, feedback, and facilitation was developed, for brevity called the Emergency Triage and Treatment Plus (ETAT+) strategy. We assessed the cost effectiveness of the ETAT+ strategy, in Kenyan hospitals. Further, we estimate the costs of scaling up the intervention to Kenya nationally and potential cost effectiveness at scale. Our cost-effectiveness analysis from the provider's perspective used data from a previously reported cluster randomized trial comparing the full ETAT+ strategy (n = 4 hospitals) with a partial intervention (n = 4 hospitals). Effectiveness was measured using 14 process measures that capture improvements in quality of care; their average was used as a summary measure of quality. Economic costs of the development and implementation of the intervention were determined (2009 US$). Incremental cost-effectiveness ratios were defined as the incremental cost per percentage improvement in (average) quality of care. Probabilistic sensitivity analysis was used to assess uncertainty. The cost per child admission was US$50.74 (95% CI 49.26-67.06) in intervention hospitals compared to US$31.1 (95% CI 30.67-47.18) in control hospitals. Each percentage improvement in average quality of care cost an additional US$0.79 (95% CI 0.19-2.31) per admitted child. The estimated annual cost of nationally scaling up the full intervention was US$3.6 million, approximately 0.6% of the annual child health budget in Kenya. A "what-if" analysis assuming conservative reductions in mortality suggests the incremental cost per disability adjusted life year (DALY) averted by scaling up would vary between US$39.8 and US$398.3. Improving quality of care at scale nationally with the full ETAT+ strategy may be affordable for low income countries such as Kenya. Resultant plausible reductions in hospital mortality suggest the intervention could be cost

A multifaceted intervention to improve the quality of care of children in district hospitals in Kenya: a cost-effectiveness analysis.

Directory of Open Access Journals (Sweden)

Edwine W Barasa

Full Text Available To improve care for children in district hospitals in Kenya, a multifaceted approach employing guidelines, training, supervision, feedback, and facilitation was developed, for brevity called the Emergency Triage and Treatment Plus (ETAT+ strategy. We assessed the cost effectiveness of the ETAT+ strategy, in Kenyan hospitals. Further, we estimate the costs of scaling up the intervention to Kenya nationally and potential cost effectiveness at scale.Our cost-effectiveness analysis from the provider's perspective used data from a previously reported cluster randomized trial comparing the full ETAT+ strategy (n = 4 hospitals with a partial intervention (n = 4 hospitals. Effectiveness was measured using 14 process measures that capture improvements in quality of care; their average was used as a summary measure of quality. Economic costs of the development and implementation of the intervention were determined (2009 US$. Incremental cost-effectiveness ratios were defined as the incremental cost per percentage improvement in (average quality of care. Probabilistic sensitivity analysis was used to assess uncertainty. The cost per child admission was US$50.74 (95% CI 49.26-67.06 in intervention hospitals compared to US$31.1 (95% CI 30.67-47.18 in control hospitals. Each percentage improvement in average quality of care cost an additional US$0.79 (95% CI 0.19-2.31 per admitted child. The estimated annual cost of nationally scaling up the full intervention was US$3.6 million, approximately 0.6% of the annual child health budget in Kenya. A "what-if" analysis assuming conservative reductions in mortality suggests the incremental cost per disability adjusted life year (DALY averted by scaling up would vary between US$39.8 and US$398.3.Improving quality of care at scale nationally with the full ETAT+ strategy may be affordable for low income countries such as Kenya. Resultant plausible reductions in hospital mortality suggest the intervention could be

Socio-economic and cultural determinants of human african trypanosomiasis at the Kenya - Uganda transboundary.

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Jane Jemeli Rutto

Full Text Available BACKGROUND: Kenya and Uganda have reported different Human African Trypanosomiasis incidences in the past more than three decades, with the latter recording more cases. This cross-sectional study assessed the demographic characteristics, tsetse and trypanosomiasis control practices, socio-economic and cultural risk factors influencing Trypanosoma brucei rhodesiense (T.b.r. infection in Teso and Busia Districts, Western Kenya and Tororo and Busia Districts, Southeast Uganda. A conceptual framework was postulated to explain interactions of various socio-economic, cultural and tsetse control factors that predispose individuals and populations to HAT. METHODS: A cross-sectional household survey was conducted between April and October 2008. Four administrative districts reporting T.b.r and lying adjacent to each other at the international boundary of Kenya and Uganda were purposely selected. Household data collection was carried out in two villages that had experienced HAT and one other village that had no reported HAT case from 1977 to 2008 in each district. A structured questionnaire was administered to 384 randomly selected household heads or their representatives in each country. The percent of respondents giving a specific answer was reported. Secondary data was also obtained on socio-economic and political issues in both countries. RESULTS: Inadequate knowledge on the disease cycle and intervention measures contributed considerable barriers to HAT, and more so in Uganda than in Kenya. Gender-associated socio-cultural practices greatly predisposed individuals to HAT. Pesticides-based crop husbandry in the 1970's reportedly reduced vector population while vegetation of coffee and banana's and livestock husbandry directly increased occurrence of HAT. Livestock husbandry practices in the villages were strong predictors of HAT incidence. The residents in Kenya (6.7% applied chemoprophylaxis and chemotherapeutic controls against trypanosomiasis to a

Rift Valley fever outbreak--Kenya, November 2006-January 2007.

Science.gov (United States)

2007-02-02

In mid-December 2006, several unexplained fatalities associated with fever and generalized bleeding were reported to the Kenya Ministry of Health (KMOH) from Garissa District in North Eastern Province (NEP). By December 20, a total of 11 deaths had been reported. Of serum samples collected from the first 19 patients, Rift Valley fever (RVF) virus RNA or immunoglobulin M (IgM) antibodies against RVF virus were found in samples from 10 patients; all serum specimens were negative for yellow fever, Ebola, Crimean-Congo hemorrhagic fever, and dengue viruses. The outbreak was confirmed by isolation of RVF virus from six of the specimens. Humans can be infected with RVF virus from bites of mosquitoes or other arthropod vectors that have fed on animals infected with RVF virus, or through contact with viremic animals, particularly livestock. Reports of livestock deaths and unexplained animal abortions in NEP provided further evidence of an RVF outbreak. On December 20, an investigation was launched by KMOH, the Kenya Field Epidemiology and Laboratory Training Program (FELTP), the Kenya Medical Research Institute (KEMRI), the Walter Reed Project of the U.S. Army Medical Research Unit, CDC-Kenya's Global Disease Detection Center, and other partners, including the World Health Organization (WHO) and Médecins Sans Frontières (MSF). This report describes the findings from that initial investigation and the control measures taken in response to the RVF outbreak, which spread to multiple additional provinces and districts, resulting in 404 cases with 118 deaths as of January 25, 2007.

Local Perceptions and Responses to Climate Change and Variability: The Case of Laikipia District, Kenya

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Sarah Ayeri Ogalleh

2012-12-01

Full Text Available Agricultural policies in Kenya aim to improve farmers’ livelihoods. With projected climate change, these policies are short of mechanisms that promote farmers’ adaptation. As a result, smallholders are confronted with a variety of challenges including climate change, which hinders their agricultural production. Local knowledge can be instrumental in assisting smallholders to cope with climate change and variability. In this paper, we present empirical evidence that demonstrates local knowledge, perceptions and adaptations to climate change and variability amongst smallholders of Laikipia district of Kenya. A Palmer Drought Severity Index (PDSI calculated for one station is compared with smallholders’ perceptions. Data was collected using qualitative and quantitative methods in Umande and Muhonia sub-locations. Qualitative data included 46 transcripts from focus group discussions and key informant interviews. Quantitative data is derived from 206 interviewees. We analyzed qualitative and quantitative data using Atlas-ti and SPSS respectively. According to smallholders’ perceptions, climatic variability is increasingly changing. Local perceptions include decreasing rainfalls, increasing temperatures, increasing frosts and increasing hunger. The PDSI shows a trend towards severe droughts in the last four decades, which is in accordance with farmers’ perceptions. Smallholders use a combination of coping and adaptation strategies to respond to variability, including, among others, diversification of crop varieties, migration and sale of livestock. Significant relationships exist between drought perceptions and some adaptations such as migration and sale of livestock. Farmers have an in-depth knowledge of climatic variability, which they use to inform their coping and adaptation strategies. Knowledge of climatic perceptions and adaptations are vital entry points for decision makers and policy makers to learn how and where to enhance the

Healthcare priority setting in Kenya

DEFF Research Database (Denmark)

Bukachi, Salome A.; Onyango-Ouma, Washington; Siso, Jared Maaka

2014-01-01

In resource-poor settings, the accountability for reasonableness (A4R) has been identified as an important advance in priority setting that helps to operationalize fair priority setting in specific contexts. The four conditions of A4R are backed by theory, not evidence, that conformance with them...... improves the priority setting decisions. This paper describes the healthcare priority setting processes in Malindi district, Kenya, prior to the implementation of A4R in 2008 and evaluates the process for its conformance with the conditions for A4R. In-depth interviews and focus group discussions with key...... players in the Malindi district health system and a review of key policy documents and national guidelines show that the priority setting process in the district relies heavily on guidelines from the national level, making it more of a vertical, top-down orientation. Multilateral and donor agencies...

Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia

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Sandøy Ingvild

2012-11-01

Full Text Available Abstract Background A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Methods Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. Results At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60% in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. Conclusion As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are

Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia.

Science.gov (United States)

Sandøy, Ingvild Fossgard; Blystad, Astrid; Shayo, Elizabeth H; Makundi, Emmanuel; Michelo, Charles; Zulu, Joseph; Byskov, Jens

2012-11-26

A number of studies from countries with severe HIV epidemics have found gaps in condom availability, even in places where there is a substantial potential for HIV transmission. Although reported condom use has increased in many African countries, there are often big differences by socioeconomic background. The aim of this study was to assess equity aspects of condom availability and uptake in three African districts to evaluate whether condom programmes are given sufficient priority. Data on condom availability and use was examined in one district in Kenya, one in Tanzania and one in Zambia. The study was based on a triangulation of data collection methods in the three study districts: surveys in venues where people meet new sexual partners, population-based surveys and focus group discussions. The data was collected within an overall study on priority setting in health systems. At the time of the survey, condoms were observed in less than half of the high risk venues in two of the three districts and in 60% in the third district. Rural respondents in the population-based surveys perceived condoms to be less available and tended to be less likely to report condom use than urban respondents. Although focus group participants reported that condoms were largely available in their district, they expressed concerns related to the accessibility of free condoms. As late as thirty years into the HIV epidemic there are still important gaps in the availability of condoms in places where people meet new sexual partners in these three African districts. Considering that previous studies have found that improved condom availability and accessibility in high risk places have a potential to increase condom use among people with multiple partners, the present study findings indicate that substantial further efforts should be made to secure that condoms are easily accessible in places where sexual relationships are initiated. Although condom distribution in drinking places has been

Assessment of the biomass related indoor air pollution in Kwale district in Kenya using short term monitoring.

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Majdan, Marek; Svaro, Miroslav; Bodo, Jan; Taylor, Mark; Muendo, Redempta Malinda

2015-09-01

Indoor air pollution remains an important health problem in some countries. Although research data on this issue is available, routine monitoring in affected areas is limited. The aims of this study were to quantify exposure to biomass-related indoor air pollution; assess the respiratory health of subjects; and explore the feasibility of routine monitoring in Kwale district, Kenya. We sampled 125 rural houses using short-term monitoring for levels of CO, CO2 and TSP. Additional exposure information was obtained using a checklist. Respiratory health was also assessed using a questionnaire, and electronic spirometer in 172 inhabitants. The overall median levels of CO in the sampled houses on all study sites ranged from 5.9 (IQR 3-14.5) to 10 (5.5-21.2) mg/m3, levels of CO2 ranged from 774 (IQR 724-846) to 839 (IQR 749-961) mg/m3) and the levels of TSP ranged from 295 (IQR 79-853 to 1384 (IQR 557-3110) µg/m(3) which indicates that safe levels recommended by WHO and USEPA could be exceeded. Relatively high incidences of respiratory illness or symptoms were reported and the spirometry readings suggested impaired lung function in over 80% of respondents. Our results quantify that the use of biomass fuel can give rise to high levels of indoor air pollution. Given that poor lung function contributes to public health problems in rural regions of East Africa, such as Kwale in Kenya, our findings create grounds for more detailed investigations of the problem and may provide motivation for community based interventions.

Determining Methods used in Teaching Geography in Secondary Schools in Rongo District, Kenya

OpenAIRE

Omoro Benjamin; Luke Wakhungu Nato

2014-01-01

This article dealt with methods of teaching Geography in Kenya but also the world over. The importance of Geography in secondary school curriculum cannot be overemphasized. Improving the performance of Geography education is a great societal need in Kenya not only for industrialization of the country as contained in the vision 2030 but also for ensuring food security in the country through practices like land reclamation and irrigation farming The objective of this article was; to find out th...

A five-Stage Socio-Economic Change Model of the Impact of Resettlement Policy on Human Welfare in Semi-Arid Lands of Kenya: A Case Study of Muuni Community in Makueni District

International Nuclear Information System (INIS)

Gitunu, A.M.M.

2002-01-01

This paper discusses relocation stress experienced by an agro-pastoral community of Makueni district during eviction from their former settlement areas thus causing the untold socio-cultural and economic suffering during eviction, transitional, shifting and resettlement stages. The relocation involved three communities formerly settled in Chyulu hills in Makueni district, Kalembwani in Kajiado district and Kibwezi township in Makueni district whose occupation was agro-pastoral production. The relocation was involuntary and unplanned and had adversely disrupted their food-security, socio-cultural and economic welfare. The study of the Muuni community spanned a period of over three years (1996 - 1999). The '5-stage socio-economic change model' studied in this study shows the ensuring adjustment process most likely to be experienced when top-down policy decisions are taken and how this affects farming communities within semi-arid lands of Kenya where involuntary and unplanned resettlement of people takes place

Traditional medicines among the Embu and Mbeere people of Kenya

African Journals Online (AJOL)

Ethnobotanical information and traditional medicines were investigated and documented in Embu and Mbeere districts, Eastern Province of Kenya. Oral interviews were obtained from over 100 herbalists, both men and women aged between 40 and 80 years. All the herbalists interviewed were Christians and had little ...

Risk Management in Smallholder Cattle Farming: A Hypothetical Insurance Approach in Western Kenya

OpenAIRE

Otieno, David Jakinda; Oluoch-Kosura, Willis; Karugia, Joseph Thuo; Drucker, Adam G.; Rege, Edward

2006-01-01

Smallholder cattle farming is an important livelihood strategy in most developing countries like Kenya. However, tropical diseases in Africa often wipe out these valuable assets. This paper focuses on mitigation of cattle disease risks through a hypothetical insurance scheme. The study is based on data from a survey conducted on a purposive sample of 300 smallholder cattle farmers in Kakamega and Siaya districts of Western Kenya. Descriptive measures and a regression model were used in the an...

Exploring Risk Perception and Attitudes to Miscarriage and Congenital Anomaly in Rural Western Kenya

OpenAIRE

Dellicour, Stephanie; Desai, Meghna; Mason, Linda; Odidi, Beatrice; Aol, George; Phillips-Howard, Penelope A.; Laserson, Kayla F.; ter Kuile, Feiko O.

2013-01-01

Background\\ud Understanding the socio-cultural context and perceptions of adverse pregnancy outcomes is important for informing the best approaches for public health programs. This article describes the perceptions, beliefs and health-seeking behaviours of women from rural western Kenya regarding congenital anomalies and miscarriages.\\ud \\ud Methods\\ud Ten focus group discussions (FGDs) were undertaken in a rural district in western Kenya in September 2010. The FGDs included separate groups c...

Capacity Building of a District Education System: Insights from Kenya

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Datta, Dipankar; Phillip, Serene; Verma, Prashant Kumar

2009-01-01

Both (a) in-school factors such as over-focus on academic performance, absence of uniform, and corporal punishment, and (b) out-of school factors such as caring for ailing parents, child labor, etc., hinder participation of orphan and vulnerable children (PVC) in Free Primary Education (FOE) system in Nyasa Province, Kenya. In this context Concern…

Healthcare service providers' and facility administrators' perspectives of the free maternal healthcare services policy in Malindi District, Kenya: a qualitative study.

Science.gov (United States)

Lang'at, Evaline; Mwanri, Lillian

2015-06-27

Globally, there are increasing efforts to improve maternal health outcomes including the reduction in maternal mortality rates. Improved access to skilled care utilisation during pregnancy and delivery has been one of the strategies employed to improve maternal health outcomes. In Kenya, more than half of the women deliver without the assistance of a skilled attendant and this has contributed to high maternal mortality rates. The free maternal healthcare services policy in all public facilities was initiated as a strategy to improve access to skilled care and reduce poor maternal health outcomes. This study aimed to explore the perspectives of the service providers and facility administrators of the free maternal health care service policy that was introduced in Kenya in 2013. A qualitative inquiry using semi-structured one-on-one interviews was conducted in Malindi District, Kenya. The participants included maternal health service providers and facility administrators recruited from five different healthcare facilities. Data were analysed using a thematic framework analysis. Free maternal healthcare service provision was perceived to boost skilled care utilisation during pregnancy and delivery. However, challenges including; delays in the reimbursement of funds by the government to the facilities, stock outs of essential commodities in the facilities to facilitate service provision, increased workload amidst staff shortage and lack of consultation and sensitisation of key stakeholders were perceived as barriers to effective implementation of this policy. Free maternal healthcare services can be one of the strategies to improve a range of maternal health outcomes. However, the implementation of this policy would be more effective if; the healthcare facilities were upgraded, equipped with adequate supplies, funds and staff; the community are continually sensitized on the importance of seeking skilled care during pregnancy and delivery; and inclusivity and

Neonatal tetanus mortality in coastal Kenya

DEFF Research Database (Denmark)

Bjerregaard, P; Steinglass, R; Mutie, D M

1993-01-01

In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 li...... indicates that over the past decade the surveyed area has greatly reduced neonatal and NNT mortality. Possible strategies for accelerated NNT control have been identified by the survey....

Changing household responses to drought in Tharaka, Kenya: vulnerability, persistence and challenge.

Science.gov (United States)

Smucker, Thomas A; Wisner, Ben

2008-06-01

Drought is a recurring challenge to the livelihoods of those living in Tharaka District, Kenya, situated in the semi-arid zone to the east of Mount Kenya, from the lowest slopes of the mountain to the banks of the Tana River. This part of Kenya has been marginal to the economic and political life of Kenya from the colonial period until the present day. A study of more than 30 years of change in how people in Tharaka cope with drought reveals resilience in the face of major macro-level transformations, which include privatisation of landownership, population growth, political decentralisation, increased conflict over natural resources, different market conditions, and environmental shifts. However, the study also shows troubling signs of increased use of drought responses that are incompatible with long-term agrarian livelihoods. Government policy needs to address the challenge of drought under these new macro conditions if sustainable human development is to be achieved.

Accessibility, availability and affordability of anti-malarials in a rural district in Kenya after implementation of a national subsidy scheme

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Simiyu Chrispinus

2011-10-01

Full Text Available Abstract Background Poor access to prompt and effective treatment for malaria contributes to high mortality and severe morbidity. In Kenya, it is estimated that only 12% of children receive anti-malarials for their fever within 24 hours. The first point of care for many fevers is a local medicine retailer, such as a pharmacy or chemist. The role of the medicine retailer as an important distribution point for malaria medicines has been recognized and several different strategies have been used to improve the services that these retailers provide. Despite these efforts, many mothers still purchase ineffective drugs because they are less expensive than effective artemisinin combination therapy (ACT. One strategy that is being piloted in several countries is an international subsidy targeted at anti-malarials supplied through the retail sector. The goal of this strategy is to make ACT as affordable as ineffective alternatives. The programme, called the Affordable Medicines Facility - malaria was rolled out in Kenya in August 2010. Methods In December 2010, the affordability and accessibility of malaria medicines in a rural district in Kenya were evaluated using a complete census of all public and private facilities, chemists, pharmacists, and other malaria medicine retailers within the Webuye Demographic Surveillance Area. Availability, types, and prices of anti-malarials were assessed. There are 13 public or mission facilities and 97 medicine retailers (registered and unregistered. Results The average distance from a home to the nearest public health facility is 2 km, but the average distance to the nearest medicine retailer is half that. Quinine is the most frequently stocked anti-malarial (61% of retailers. More medicine retailers stocked sulphadoxine-pyramethamine (SP; 57% than ACT (44%. Eleven percent of retailers stocked AMFm subsidized artemether-lumefantrine (AL. No retailers had chloroquine in stock and only five were selling artemisinin

High case fatality cholera outbreak in Western Kenya, August 2010 ...

African Journals Online (AJOL)

Introduction: Cholera is a disease caused by the bacterium Vibrio cholera and has been an important public health problem since its first pandemic in 1817. Kenya has had numerous outbreaks of cholera ever since it was first detected there during 1971. In August 2010 an outbreak of cholera occurred in Kuria West District ...

The seroprevalence and seroincidence of dengue virus infection in western Kenya.

Science.gov (United States)

Blaylock, Jason M; Maranich, Ashley; Bauer, Kristen; Nyakoe, Nancy; Waitumbi, John; Martinez, Luis J; Lynch, Julia

2011-09-01

Epidemics of dengue fever have been documented throughout the African continent over the past several decades, however little is known about the prevalence or incidence of dengue virus infection in the absence of an outbreak. No studies have analyzed the prevalence of dengue infection in western Kenya to date. This study describes the seroincidence and seroprevalence of dengue infection in western Kenya. Banked sera obtained from 354 healthy, afebrile children ages 12-47 months from Kisumu District, Kenya, were analyzed for antibodies to dengue virus using an IgG indirect ELISA. We found a seroprevalence of 1.1% (4 of 354 samples) and incidence of 8.5 seroconversions per 1000 persons per year in this study population. This appears to be similar to that previously reported in coastal regions of the country outside of known epidemic periods. Since there has never been a reported dengue epidemic in western Kenya, continued investigation and evaluation in a patient population presenting with fever is necessary to further confirm this finding. Published by Elsevier Ltd.

A Multidimensional Assessment of Children in Conflictual Contexts: The Case of Kenya

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Okech, Jane E. Atieno

2012-01-01

Children in Kenya's Kisumu District Primary Schools (N = 430) completed three measures of trauma. Respondents completed the "My Worst Experience Scale" (MWES; Hyman and Snook 2002) and its supplement, the "School Alienation and Trauma Survey" (SATS; Hyman and Snook 2002), sharing their worst experiences overall and specifically…

Seroepidemiological survey of Neospora caninum and its risk factors in farm dogs in Nakuru district, Kenya

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Tequiero Abuom Okumu

2016-10-01

Full Text Available Aim: The objective of this study was to determine the seroprevalence of Neospora caninum (NC and its risk factors in farm dogs in Kenya. Materials and Methods: As part of a longitudinal study on dairy cattle abortion in 2010 in Kenya, serum samples were collected from 84 dogs in 53 randomly selected dairy cattle farms to determine the seroprevalence and risk factors of seropositivity for NC. Results: 15 (17.9% of the dogs were seropositive to NC antibodies, and at least one seropositive dog was found in 12 (22.6% of the 53 farms. The final multivariable logistic regression model identified free-roaming as the only factor significantly associated with seropositivity (odds ratio=4.48; p=0.03. Conclusion: The findings of this study indicate that canine neosporosis does exist in Kenya and that farmers should restrict their dogs from roaming to reduce the risk of their dogs becoming a reservoir for NC. More studies need to be carried out to determine the reproductive effects of NC on dairy cattle in Kenya.

Determinants of teenage pregnancies: the case of Busia District in Kenya.

Science.gov (United States)

Were, Maureen

2007-07-01

Sub-Saharan Africa has one of the highest levels of teenage pregnancies in the world. In spite of that, there is paucity of empirical research on causes of teenage pregnancies in African countries. This paper investigates the determinants of teenage pregnancies based on a case study of Busia District in Kenya. The data are from a household survey conducted in 1998/1999. Empirical results indicate that girls' education level has significant influence on the probability of teenage birth, with non-schooling adolescents and those with primary school level education being more vulnerable. Among the variables used as proxies for access to sex education, availability of church forums that educate adolescents about sex and family life issues reduce probability of teenage pregnancy. Age is positively related to teenage pregnancies, with older adolescents being more predisposed to pregnancies. Though use of contraceptives is found to have a positive effect, only a small proportion of adolescents were using modern contraceptives and, supply side factors such as quality and availability were not accounted for. Other key factors as outlined by the adolescents themselves include peer pressure and social environment-related factors like inappropriate forms of recreation, which act as rendezvous for pre-marital sex, as well as lack of parental guidance and counselling. Overall, lack of access to education opportunities, sex education and information regarding contraceptives, as well the widespread poverty predispose girls to teenage pregnancies. The problem of teenage pregnancies should be viewed within the broader socio-economic and socio-cultural environment in which the adolescents operate. For instance, lack of parental guidance on issues of sexuality and sex education was reinforced by cultural taboos that inhibit such discussions. Adolescents should be equipped with the relevant knowledge to enable them make informed choices regarding sexual relationships. This should be

Bee interactions with wild flora around organic and conventional coffee farms in Kiambu district, central Kenya

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Mary W. Gikungu

2010-09-01

Full Text Available Flower scarcity outside coffee flowering periods leads to a decline of pollinators’ abundance and diversity possibly through death or migration. The objective of this study was to assess whether other flowering plants within and around coffee farms act as alternative floral resources that may impact on abundance and diversity of pollinators of coffee flowers. Bee pollinators of coffee were assessed and identified for a period of 27 months. Their abundance and diversity were examined within and around organically and conventionally managed coffee farms in Kiambu District in Kenya. This study provides evidence that 42 plant species from 19 families were alternative floral resources for bees that pollinate coffee. Bee pollinators of coffee were observed to visit coffee flowers as well as other flowering plants close by. Significant relationship existed between plant species and bee species richness in the organic farming (R2=0.5918; P<0.0001 and in conventional farming (R2=0.6744; P<0.0001. Therefore in coffee monocultures, presence of other flowering plants should be encouraged to support bee pollinators when coffee is not flowering and to enhance abundance and diversity of bees visiting coffee flowers.

Cost Effectiveness Analysis between Boarding and Day Secondary Students in Kenya

Science.gov (United States)

Jagero, N.; Ayodo, T. M.; Agak, J. A.

2011-01-01

This paper examines the cost effectiveness of educating boarding and day secondary students in Kisumu district in Kenya. The research designs used in this study were descriptive survey and casual comparative designs. The population consisted of five head teachers, 140 form four teachers and 609 form four students. Saturated and systematic random…

Performance of dairy cattle under two different feeding systems, as practiced in Kiambu and Nyandarua district of Central Kenya

International Nuclear Information System (INIS)

Mbugua, P.N.; Gachuiri, C.K.; Wahome, R.G.; Wanyoike, M.M.; Abate, A.; Munyua, S.J.M.; Kamau, J.M.Z.

1999-01-01

A study was carried out in Central Kenya to compare the performance of dairy cattle under two different feeding systems, stall feeding in Kiambu and grazing in Nyandarua. A total of 23 dairy farmers were randomly selected, 11 from the Kiambu district with a total of 61 cows and 12 from Nyandarua district with a total of 102 cows. Data on milk production and reproduction was collected over a period of two years. Stall-fed cattle showed a significantly higher milk yield (P <0.05) than the grazed animals over a 10 month lactation period (3,150 vs 2,299 kg/lactation). In both feeding systems Ayshires performed better than the other breeds. The cross-bred animals compared well with pure-breds in the grazing system. Lactation yield increased with parity for the stall-fed animals while for grazed animals, milk yield declined from the 5th parity onwards. The calving intervals were long for both feeding systems (437 vs 513 days, stall-fed vs grazed, respectively). Services per conception were significantly lower (P <0.05) for stall-fed (1.85 vs 2.36) compared to grazed animals. Calving season did not have any significant effect on milk yield in both feeding systems but animals calving during the wet season, on average, had a slightly higher milk yield. Lactation curves for animals in both feeding systems did not show a distinct peak. Body weight and body condition score varied with the stage of lactation. (author)

An Evaluation of fertiliser Recommendations Obtained From Experimental Settings a Case of smallholder Maize Fertiliser Recommendations in Western Kenya

International Nuclear Information System (INIS)

Mugunieri, G.L.; Nyangito, H.O.; Mose, L.O.

1999-01-01

This study was undertaken to compare maize yield in Kisii and Trans-Nzoia Districts of Western Kenya. Separate yield response functions were established for experimental and farm data and used to undertake an economic analysis of fertiliser used on maize on smallholder farms. For Kisii District, the optimal values obtained in the field management practices between farmers and researchers. Further, based on the farm data results from this district, farmers on average use fertiliser optimally. Therefore as long as these farmers are constrained by their resources such that they can not improve on their management practices, using of Nzoia district, the experimental and farm data optimal levels were not significantly different. this was attributed to the fact that maize production in this region is commercial activity and the level of field management tend to approximate the level at the research station. Therefore farmers in this region can gain from increased use of fertilizers at there current levels of field management. The study concluded that fertiliser rates obtained from experimental data are not suitable for all regions in Kenya

Everyday resilience in district health systems: emerging insights from the front lines in Kenya and South Africa.

Science.gov (United States)

Gilson, Lucy; Barasa, Edwine; Nxumalo, Nonhlanhla; Cleary, Susan; Goudge, Jane; Molyneux, Sassy; Tsofa, Benjamin; Lehmann, Uta

2017-01-01

Recent global crises have brought into sharp relief the absolute necessity of resilient health systems that can recognise and react to societal crises. While such crises focus the global mind, the real work lies, however, in being resilient in the face of routine, multiple challenges. But what are these challenges and what is the work of nurturing everyday resilience in health systems? This paper considers these questions, drawing on long-term, primarily qualitative research conducted in three different district health system settings in Kenya and South Africa, and adopting principles from case study research methodology and meta-synthesis in its analytic approach. The paper presents evidence of the instability and daily disruptions managed at the front lines of the district health system. These include patient complaints, unpredictable staff, compliance demands, organisational instability linked to decentralisation processes and frequently changing, and sometimes unclear, policy imperatives. The paper also identifies managerial responses to these challenges and assesses whether or not they indicate everyday resilience, using two conceptual lenses. From this analysis, we suggest that such resilience seems to arise from the leadership offered by multiple managers, through a combination of strategies that become embedded in relationships and managerial routines, drawing on wider organisational capacities and resources. While stable governance structures and adequate resources do influence everyday resilience, they are not enough to sustain it. Instead, it appears important to nurture the power of leaders across every system to reframe challenges, strengthen their routine practices in ways that encourage mindful staff engagement, and develop social networks within and outside organisations. Further research can build on these insights to deepen understanding.

Effects of Supplementation on Cows With Impaired Fertility in Koibatek and Nakuru Districts Kenya

International Nuclear Information System (INIS)

Lokwaleput, I.; Siamba, D.N.; Onyango, T.A.; Nampaso, J.S.; Sitienei, K.K.; Lang'at, P.K.; Kessei, L.K.

1999-01-01

In a survey conducted in 1996, 82 and 60 cows with impaired fertility were found on 63 and 53 farms in Koibatek District and Bahati division, Nakuru district, respectively. These cows were appraised visually for body condition, and rectal palpation was done to determine the condition of their reproductive organs. The survey revealed that about 50% of the cows were in poor condition; about 60% were in anoestrus, thus indicating the effect of nutrition. Work carried out earlier in Kiambu, Nyandarua and Nakuru districts of Kenya to ascertain factors causing impaired fertility in cows on-farm, showed that management factors and most importantly, nutrition has the greatest effect. These study has therefore confirmed this phenomenon. An on-farm experiment was therefore conducted from mid -November, 1996 to early March, 1997 to determine effects of feeding supplements on the reproduction performance of cows fertility with calving intervals 1.5 years. Thirty six cows on 32 farms in Koibatek were assigned to three treatments: 14 to Dairy meal (DM), 12 to minerals (MIN) and 10 to Dairy meal and minerals (DM+MIN). In Bahati 40 cows, each on a farm were assigned to four treatments: 10 to DM, 10 to MIN , 10 to DM+MIN and 10 to Free grazing (FG). Apart from normal grazing or Stall-feeding, experimental animals were fed daily for 105 days with additional concentrates (DM=2 kg) Dairy meal and/or minerals (MIN: 50 g Maclick super). Freely grazed animals without supplementation acted as controls. Cows were monitored for reproductive events, liveweight changes and milk production. At the start of the experiment, the liveweights of the animals were 356 and 343 kg in Koibatek and Bahati, respectively. During supplemetation, the average liveweights of the cows increased by 18 and 25 kg, while milk production increased by 10 and 5% in Koibatek and Bahati, respectively. These increases were for cows on DM+MIN and were realized during the second month of supplementation. cows on treatments

Effects of HIV/AIDS on the livelihood of banana-farming households in Central Kenya

NARCIS (Netherlands)

Nguthi, F.N.; Niehof, A.

2008-01-01

This paper explores the effects of HIV/AIDS on the livelihoods of banana-farming households in Maragua district, Central Kenya. It is based on the results of a field study carried out during 2004-2005. The study applied the sustainable livelihood approach, using both quantitative and qualitative

Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya

Directory of Open Access Journals (Sweden)

Marsh Vicki

2010-07-01

Full Text Available Abstract Background The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs. Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. Methods The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. Results The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a “resource team”, supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to

Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya.

Science.gov (United States)

Abuya, Timothy; Amin, Abdinasir; Molyneux, Sassy; Akhwale, Willis; Marsh, Vicki; Gilson, Lucy

2010-07-02

The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs). Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a "resource team", supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to implementation difficulties. For effective scaling up of PMR

Use of over-the-counter malaria medicines in children and adults in three districts in Kenya: implications for private medicine retailer interventions.

Science.gov (United States)

Abuya, Timothy O; Mutemi, Wilfred; Karisa, Baya; Ochola, Sam A; Fegan, Greg; Marsh, Vicki

2007-05-10

Global malaria control strategies highlight the need to increase early uptake of effective antimalarials for childhood fevers in endemic settings, based on a presumptive diagnosis of malaria in this age group. Many control programmes identify private medicine sellers as important targets to promote effective early treatment, based on reported widespread inadequate childhood fever treatment practices involving the retail sector. Data on adult use of over-the-counter (OTC) medicines is limited. This study aimed to assess childhood and adult patterns of OTC medicine use to inform national medicine retailer programmes in Kenya and other similar settings. Large-scale cluster randomized surveys of treatment seeking practices and malaria parasite prevalence were conducted for recent fevers in children under five years and recent acute illnesses in adults in three districts in Kenya with differing malaria endemicity. A total of 12, 445 households were visited and data collected on recent illnesses in 11, 505 children and 19, 914 adults. OTC medicines were the most popular first response to fever in children with fever (47.0%; 95% CI 45.5, 48.5) and adults with acute illnesses (56.8%; 95% CI 55.2, 58.3). 36.9% (95% CI 34.7, 39.2) adults and 22.7% (95% CI 20.9, 24.6) children using OTC medicines purchased antimalarials, with similar proportions in low and high endemicity districts. 1.9% (95% CI 0.8, 4.2) adults and 12.1% (95% CI 16.3,34.2) children used multidose antimalarials appropriately. Although the majority of children and adults sought no further treatment, self-referral to a health facility within 72 hours of illness onset was the commonest pattern amongst those seeking further help. In these surveys, OTC medicines were popular first treatments for fever in children or acute illnesses in adults. The proportions using OTC antimalarials were similar in areas of high and low malaria endemicity. In all districts, adults were more likely to self-treat with OTC

Protein-energy malnutrition and the home environment : a study among children in Coast Province, Kenya

NARCIS (Netherlands)

Peters, C.; Niemeijer, R.

1987-01-01

Abr. abstr.: This is an account of a study concerning the occurrence of childhood malnutrition in Kilifi District, Kenya. The socioeconomic characteristics of women with malnourished children who attended Kilifi Family Life Training Centre in the year 1984/1985 were analysed. Next, the possible

Determinants of the place of sell and price of kale for Kiambu, Kenya

NARCIS (Netherlands)

Salasya, B.D.S.; Burger, C.P.J.

2010-01-01

Kale is a major source of cash for many households in Kenya. A study of households in Kiambu district revealed that kale made the highest contribution to household income among the crops. The farmers of Kiambu sell their kale either in Nairobi, at farm gate, or at the local market and fetch

An outbreak of urticarial form of swine erysipelas in a medium-scale piggery in Kiambu District, Kenya : case reoprt

Directory of Open Access Journals (Sweden)

J.K. Wabacha

1998-07-01

Full Text Available This report concerns an outbreak that occurred during July/August 1997. Ten pigs from a herd of 181 pigs in a medium-scale, semi-closed piggery in Kiambu District, Kenya, contracted the clinical disease. The main clinical findings in affected pigs included: fever (40.5-41.8 oC, prostration, inappetence, dog-sitting posture, abortion, erythema and raised, firm to the touch and easily palpated light pink to dark purple diamond-shaped to square/rectangular spots on the skin around the belly and the back. Based on the pathognomonic skin lesions, a clinical diagnosis of swine erysipelas was made. The diagnosis was confirmed by the isolation of Erysipelothrix rhusiopathiae organisms from the blood and skin biopsies taken from the affected pigs. Response to treatment with a combination of procaine penicillin and dihydrostreptomycin at the dosage rate of 20 000 IU/kg body weight (based on procaine penicillin for 3 days was good and all the affected pigs recovered fully. The farm was placed under quarantine to prevent spread of the disease.

Community-based capital cash transfer to support orphans in Western Kenya

DEFF Research Database (Denmark)

Skovdal, Morten; Mwasiaji, W.; Morrison, J.

2008-01-01

Various types of 'cash transfer' are currently receiving much attention as a way of helping orphans and vulnerable children in Africa. Drawing on a qualitative study conducted in Western Kenya, this paper points to the strategy of community-based capital cash transfers (CCCT) as a particularly...... promising method of supporting orphans and carers. Qualitative data were obtained from 15 orphans and 26 caregivers in Bondo District, Kenya, beneficiaries of a CCCT programme run by a partnership between the community, the government social services department and a foreign donor. Our findings suggest...... that the programme not only increased food availability, but also enhanced social capital. Further research is needed to explore the potential of CCCT in supporting orphans and vulnerable children in countries with high orphanhood rates....

Performance of dairy cattle under two different feeding systems, as practiced in Kiambu and Nyandarua district of Central Kenya

Energy Technology Data Exchange (ETDEWEB)

Mbugua, P N; Gachuiri, C K; Wahome, R G; Wanyoike, M M; Abate, A [Department of Animal Production, University of Nairobi (Kenya); Munyua, S J.M. [Department of Clinical Studies, University of Nairobi (Kenya); Kamau, J M.Z. [Department of Animal Physiology, University of Nairobi (Kenya)

1999-07-01

A study was carried out in Central Kenya to compare the performance of dairy cattle under two different feeding systems, stall feeding in Kiambu and grazing in Nyandarua. A total of 23 dairy farmers were randomly selected, 11 from the Kiambu district with a total of 61 cows and 12 from Nyandarua district with a total of 102 cows. Data on milk production and reproduction was collected over a period of two years. Stall-fed cattle showed a significantly higher milk yield (P <0.05) than the grazed animals over a 10 month lactation period (3,150 vs 2,299 kg/lactation). In both feeding systems Ayshires performed better than the other breeds. The cross-bred animals compared well with pure-breds in the grazing system. Lactation yield increased with parity for the stall-fed animals while for grazed animals, milk yield declined from the 5th parity onwards. The calving intervals were long for both feeding systems (437 vs 513 days, stall-fed vs grazed, respectively). Services per conception were significantly lower (P <0.05) for stall-fed (1.85 vs 2.36) compared to grazed animals. Calving season did not have any significant effect on milk yield in both feeding systems but animals calving during the wet season, on average, had a slightly higher milk yield. Lactation curves for animals in both feeding systems did not show a distinct peak. Body weight and body condition score varied with the stage of lactation. (author) 6 refs, 2 figs, 4 tabs

Existence and functionality of emergency obstetric care services at district level in Kenya

DEFF Research Database (Denmark)

Echoka, Elizabeth; Kombe, Yeri; Dubourg, Dominique

2013-01-01

The knowledge on emergency obstetric care (EmOC) is limited in Kenya, where only partial data from sub-national studies exist. The EmOC process indicators have also not been integrated into routine health management information system to monitor progress in safe motherhood interventions both...

Changing concepts of health and illness among children among primary school age in Western Kenya

DEFF Research Database (Denmark)

Onyango Ouma, W.; Jensen, Bjarne Bruun; Aagaard-Hansen, J.

2004-01-01

The article examines changes in children?s concepts of health and illness following an action-oriented health education intervention in Bondo District of Western Kenya. The study is a feasibility study exploring a specific educational approach and it combines elements of health education research...... and learning approaches....

Seasonality in the coastal lowlands of Kenya; Pt. 4/5 : Food consumption and anthropometry

NARCIS (Netherlands)

Foeken, D.W.J.; Klaver, W.; Niemeijer, R.

1991-01-01

This is Part 4/5 of a series concerned with seasonality in the coastal lowlands of Kenya. Household surveys were carried out in six locations in Kwale and Kilifi Districts in 1985-1987. The present report deals with food consumption and the nutritional condition of the study population. Results show

Kericho CLinic-based ART Diagnostic Evaluation (CLADE: design, accrual, and baseline characteristics of a randomized controlled trial conducted in predominately rural, district-level, HIV clinics of Kenya.

Directory of Open Access Journals (Sweden)

Fredrick K Sawe

Full Text Available Prospective clinical trial data regarding routine HIV-1 viral load (VL monitoring of antiretroviral therapy (ART in non-research clinics of Sub-Saharan Africa are needed for policy makers.CLinic-based ART Diagnostic Evaluation (CLADE is a randomized, controlled trial (RCT evaluating feasibility, superiority, and cost-effectiveness of routine VL vs. standard of care (clinical and immunological monitoring in adults initiating dual nucleoside reverse transcriptase inhibitor (NRTI+non-NRTI ART. Participants were randomized (1:1 at 7 predominately rural, non-research, district-level clinics of western Kenya. Descriptive statistics present accrual patterns and baseline cohort characteristics.Over 15 months, 820 adults enrolled at 7 sites with 86-152 enrolled per site. Monthly site enrollment ranged from 2-92 participants. Full (100% informed consent compliance was independently documented. Half (49.9% had HIV diagnosed through voluntary counseling and testing. Study arms were similar: mostly females (57.6% aged 37.6 (SD = 9.0 years with low CD4 (166 [SD = 106] cells/m3. Notable proportions had WHO Stage III or IV disease (28.7%, BMI <18.5 kg/m2 (23.1%, and a history of tuberculosis (5.6% or were receiving tuberculosis treatment (8.2% at ART initiation. In the routine VL arm, 407/409 (99.5% received baseline VL (234,577 SD = 151,055 copies/ml. All participants received lamivudine; 49.8% started zidovudine followed by 38.4% stavudine and 11.8% tenofovir; and, 64.4% received nevirapine as nNRTI (35.6% efavirenz.A RCT can be enrolled successfully in rural, non-research, resource limited, district-level clinics in western Kenya. Many adults presenting for ART have advanced HIV/AIDS, emphasizing the importance of universal HIV testing and linkage-to-care campaigns.ClinicalTrials.gov NCT01791556.

Changing Concepts of Health and Illness among Children of Primary School Age in Western Kenya

Science.gov (United States)

Onyango-Ouma, W.; Aagaard-Hansen, J.; Jensen, B. B.

2004-01-01

This paper examines changes in children's concepts of health and illness following an action-oriented health education intervention in Bondo district of Western Kenya. The study is a feasibility study exploring a specific educational approach, and it combines elements of health education research and anthropological research. Forty primary…

Non-farm employment in rural Kenya : micro-mechanisms influencing food and nutrition of farming households

NARCIS (Netherlands)

Mwadime, R.K.N.

1996-01-01

The study reported here describes the links between non-farm employment and child nutritional status in rural coastal Kenya using a model adapted from an operational model commonly used in nutrition planning. Four studies were conducted in 1994 and 1995 in a community in Kwale district. Three of

Economic Reforms and Cost Efficiency of Coffee Farmers in Central Kenya: A Stochastic-Translog Approach

NARCIS (Netherlands)

Karanja, A.M.; Kuyvenhoven, A.; Moll, H.A.J.

2007-01-01

Work reported in this paper analyses the cost efficiency levels of small-holder coffee farmers in four districts in Central Province, Kenya. The level of efficiency is analysed using a stochastic cost frontier model based on household cross-sectional data collected in 1999 and 2000. The 200 surveyed

Between Tradition and Modernity: Girls' Talk about Sexual Relationships and Violence in Kenya, Ghana and Mozambique

Science.gov (United States)

Parkes, Jenny; Heslop, Jo; Januario, Francisco; Oando, Samwel; Sabaa, Susan

2016-01-01

This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, we argue that although the dichotomy…

Information, Affect and Action: Motivating Reduction of Risk Behaviors for HIV/AIDS in Kenya and Tanzania

Science.gov (United States)

Hardre, Patricia L.; Garcia, Fe; Apamo, Peter; Mutheu, Lucy; Ndege, Monica

2012-01-01

This study reports assessment of motivational and perceptual components of a youth and community AIDS awareness education program, focusing on effectiveness across program sites. The design of this investigation was quasi-experimental, with two intervention districts and one control each, in Kenya and Tanzania. Methods included questionnaires…

Brine shrimp toxicity and antimalarial activity of some plants traditionally used in treatment of malaria in Msambweni district of Kenya.

Science.gov (United States)

Nguta, J M; Mbaria, J M

2013-07-30

In Kenya, most people especially in rural areas use traditional medicine and medicinal plants to treat many diseases including malaria. Malaria is of national concern in Kenya, in view of development of resistant strains of Plasmodium falciparum to drugs especially chloroquine, which had been effective and affordable. There is need for alternative and affordable therapy. Many antimalarial drugs have been derived from medicinal plants and this is evident from the reported antiplasmodial activity. The present study reports on the in vivo antimalarial activity and brine shrimp lethality of five medicinal plants traditionally used to treat malaria in Msambweni district, Kenya. A total of five aqueous crude extracts from different plant parts used in traditional medicine for the treatment of malaria were evaluated for their in vivo antimalarial activity using Plasmodium berghei infected Swiss mice and for their acute toxicity using Brine shrimp lethality test. The screened crude plant extracts suppressed parasitaemia as follows: Azadirachta indica (L) Burm. (Meliaceae), 3.1%; Dichrostachys cinerea (L) Wight et Arn (Mimosaceae), 6.3%; Tamarindus indica L. (Caesalpiniaceae), 25.1%; Acacia seyal Del. (Mimosaceae) 27.8% and Grewia trichocarpa Hochst ex A.Rich (Tiliaceae) 35.8%. In terms of toxicity, A.indica root bark extract had an LC50 of 285.8 µg/ml and was considered moderately toxic. T.indica stem bark extract and G.trichocarpa root extract had an LC50 of 516.4 and 545.8 µg/ml respectively and were considered to be weakly toxic while A.seyal and D.cinerea root extracts had a LC50>1000 µg/ml and were therefore considered to be non toxic. The results indicate that the aqueous extracts of the tested plants when used alone as monotherapy had antimalarial activity which was significantly different from that of chloroquine (P≤0.05). The results also suggest that the anecdotal efficacy of the above plants reported by the study community is related to synergism of

Use of over-the-counter malaria medicines in children and adults in three districts in Kenya: implications for private medicine retailer interventions

Directory of Open Access Journals (Sweden)

Ochola Sam A

2007-05-01

Full Text Available Abstract Background Global malaria control strategies highlight the need to increase early uptake of effective antimalarials for childhood fevers in endemic settings, based on a presumptive diagnosis of malaria in this age group. Many control programmes identify private medicine sellers as important targets to promote effective early treatment, based on reported widespread inadequate childhood fever treatment practices involving the retail sector. Data on adult use of over-the-counter (OTC medicines is limited. This study aimed to assess childhood and adult patterns of OTC medicine use to inform national medicine retailer programmes in Kenya and other similar settings. Methods Large-scale cluster randomized surveys of treatment seeking practices and malaria parasite prevalence were conducted for recent fevers in children under five years and recent acute illnesses in adults in three districts in Kenya with differing malaria endemicity. Results A total of 12, 445 households were visited and data collected on recent illnesses in 11, 505 children and 19, 914 adults. OTC medicines were the most popular first response to fever in children with fever (47.0%; 95% CI 45.5, 48.5 and adults with acute illnesses (56.8%; 95% CI 55.2, 58.3. 36.9% (95% CI 34.7, 39.2 adults and 22.7% (95% CI 20.9, 24.6 children using OTC medicines purchased antimalarials, with similar proportions in low and high endemicity districts. 1.9% (95% CI 0.8, 4.2 adults and 12.1% (95% CI 16.3,34.2 children used multidose antimalarials appropriately. Although the majority of children and adults sought no further treatment, self-referral to a health facility within 72 hours of illness onset was the commonest pattern amongst those seeking further help. Conclusion In these surveys, OTC medicines were popular first treatments for fever in children or acute illnesses in adults. The proportions using OTC antimalarials were similar in areas of high and low malaria endemicity. In all districts

The Swahilization of Kenya`s socio-political culture

OpenAIRE

King`ei, Geoffrey Kitula

2012-01-01

Although it has spread mainly as a lingua franca, Kiswahili, Kenya`s national language, is increasingly becoming the language of intercultural communication. Most interestingly, Kiswahili is catching up as the medium of intra-group conversation in many rural up-country areas in Kenya. Not only do most Kenyan women wear lesos and kangas bearing Kiswahili proverbial sayings but the youth form different language communication almost invariably converse and interact through the medium of share or...

Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya

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Zipporah N. Bukania

2014-01-01

Full Text Available Machakos and Makueni counties in Kenya are associated with historical land degradation, climate change, and food insecurity. Both counties lie in lower midland (LM lower humidity to semiarid (LM4, and semiarid (LM5 agroecological zones (AEZ. We assessed food security, dietary diversity, and nutritional status of children and women. Materials and Methods. A total of 277 woman-child pairs aged 15–46 years and 6–36 months respectively, were recruited from farmer households. Food security and dietary diversity were assessed using standard tools. Weight and height, or length in children, were used for computation of nutritional status. Findings. No significant difference (P>0.05 was observed in food security and dietary diversity score (DDS between LM4 and LM5. Stunting, wasting, and underweight levels among children in LM4 and LM5 were comparable as were BMI scores among women. However, significant associations (P=0.023 were found between severe food insecurity and nutritional status of children but not of their caregivers. Stunting was significantly higher in older children (>2 years and among children whose caregivers were older. Conclusion. Differences in AEZ may not affect dietary diversity and nutritional status of farmer households. Consequently use of DDS may lead to underestimation of food insecurity in semiarid settings.

Stigmatizing attitudes toward mental illness among primary school children in Kenya.

Science.gov (United States)

Ndetei, David M; Mutiso, Victoria; Maraj, Anika; Anderson, Kelly K; Musyimi, Christine; McKenzie, Kwame

2016-01-01

Literature describing stigmatizing attitudes towards people with mental illness by children in the developing world is lacking. Children's mental health issues in the Kenyan context are especially pertinent due to the increased likelihood of exposure to risk factors and the high prevalence of mental disorders. The objective of the current study was to examine socio-demographic factors associated with the endorsement of stigmatizing attitudes towards people with mental illness among Kenyan school children. We analyzed cross-sectional survey data from 4585 primary school-aged children in standards one through seven in the Eastern Province of Kenya. We examined relationships between the endorsement of stigmatizing attitudes and age, gender, district, religion, being in the standard appropriate for one's age, and parental employment status. Stigma scores decreased with increasing age (β = -0.83; 95 % CI = -0.99 to -0.67). Boys had higher stigma scores compared to girls (β = 1.55; 95 % CI = 0.86-2.24). Students from the rural district had higher average stigma scores as compared to those from the peri-urban district (β = 1.14; 95 % CI = 0.44-1.84). Students who were not in the standard appropriate for their age had lower stigma scores than those who were in the standard typical for their age (β = -1.60; 95 % CI = -2.43 to -0.77). Stigmatizing attitudes toward the mentally ill exist among primary school children in Kenya; thus, anti-stigma interventions are needed, and our findings highlight particular subgroups that could be targeted.

A Study of the Relationship between Academic Achievement Motivation and Home Environment among Standard Eight Pupils

Science.gov (United States)

Muola, J. M.

2010-01-01

The objective of this study was to investigate the relationship between academic achievement motivation and home environment among standard eight pupils. The study was carried out on 235 standard eight Kenyan pupils from six urban and rural primary schools randomly selected from Machakos district. Their age ranged between 13 and 17 years. Two…

Mineral content of traditional leafy vegetables from western Kenya

DEFF Research Database (Denmark)

Orech, F.O.; Christensen, Dirk Lund; Larsen, T.

2007-01-01

and diseases. This paper describes the mineral (calcium, iron and zinc) contents in some 54 traditional vegetable species collected from Nyang'oma area of Bondo district, western Kenya. Atomic absorption spectroscopy was used to determine the mineral content. We found that most traditional leafy vegetables......, domesticated and wild, generally contain higher levels of calcium, iron and zinc compared with the introduced varieties such as spinach (Spanacia oleracea), kale (Brassica oleracea var. acephala) and cabbage (Brassica oleracea var. capitata). The results of this study could contribute towards identification...

Assessing Nutrient Intake and Nutrient Status of HIV Seropositive Patients Attending Clinic at Chulaimbo Sub-District Hospital, Kenya

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Agatha Christine Onyango

2012-01-01

Full Text Available Background. Nutritional status is an important determinant of HIV outcomes. Objective. To assess the nutrient intake and nutrient status of HIV seropositive patients attending an AIDS outpatient clinic, to improve the nutritional management of HIV-infected patients. Design. Prospective cohort study. Setting. Comprehensive care clinic in Chulaimbo Sub-District Hospital, Kenya. Subjects. 497 HIV sero-positive adults attending the clinic. Main Outcome Measures. Evaluation of nutrient intake using 24-hour recall, food frequency checklist, and nutrient status using biochemical assessment indicators (haemoglobin, creatinine, serum glutamate pyruvate (SGPT and mean corpuscular volume (MCV. Results. Among the 497 patients recruited (M : F sex ratio: 1.4, mean age: 39 years ± 10.5 y, Generally there was inadequate nutrient intake reported among the HIV patients, except iron (10.49 ± 3.49 mg. All the biochemical assessment indicators were within normal range except for haemoglobin 11.2 g/dL (11.4 ± 2.60 male and 11.2 ± 4.25 female. Conclusions. Given its high frequency, malnutrition should be prevented, detected, monitored, and treated from the early stages of HIV infection among patients attending AIDS clinics in order to improve survival and quality of life.

Maize Cropping Systems Mapping Using RapidEye Observations in Agro-Ecological Landscapes in Kenya.

Science.gov (United States)

Richard, Kyalo; Abdel-Rahman, Elfatih M; Subramanian, Sevgan; Nyasani, Johnson O; Thiel, Michael; Jozani, Hosein; Borgemeister, Christian; Landmann, Tobias

2017-11-03

Cropping systems information on explicit scales is an important but rarely available variable in many crops modeling routines and of utmost importance for understanding pests and disease propagation mechanisms in agro-ecological landscapes. In this study, high spatial and temporal resolution RapidEye bio-temporal data were utilized within a novel 2-step hierarchical random forest (RF) classification approach to map areas of mono- and mixed maize cropping systems. A small-scale maize farming site in Machakos County, Kenya was used as a study site. Within the study site, field data was collected during the satellite acquisition period on general land use/land cover (LULC) and the two cropping systems. Firstly, non-cropland areas were masked out from other land use/land cover using the LULC mapping result. Subsequently an optimized RF model was applied to the cropland layer to map the two cropping systems (2nd classification step). An overall accuracy of 93% was attained for the LULC classification, while the class accuracies (PA: producer's accuracy and UA: user's accuracy) for the two cropping systems were consistently above 85%. We concluded that explicit mapping of different cropping systems is feasible in complex and highly fragmented agro-ecological landscapes if high resolution and multi-temporal satellite data such as 5 m RapidEye data is employed. Further research is needed on the feasibility of using freely available 10-20 m Sentinel-2 data for wide-area assessment of cropping systems as an important variable in numerous crop productivity models.

Maize Cropping Systems Mapping Using RapidEye Observations in Agro-Ecological Landscapes in Kenya

Directory of Open Access Journals (Sweden)

Kyalo Richard

2017-11-01

Full Text Available Cropping systems information on explicit scales is an important but rarely available variable in many crops modeling routines and of utmost importance for understanding pests and disease propagation mechanisms in agro-ecological landscapes. In this study, high spatial and temporal resolution RapidEye bio-temporal data were utilized within a novel 2-step hierarchical random forest (RF classification approach to map areas of mono- and mixed maize cropping systems. A small-scale maize farming site in Machakos County, Kenya was used as a study site. Within the study site, field data was collected during the satellite acquisition period on general land use/land cover (LULC and the two cropping systems. Firstly, non-cropland areas were masked out from other land use/land cover using the LULC mapping result. Subsequently an optimized RF model was applied to the cropland layer to map the two cropping systems (2nd classification step. An overall accuracy of 93% was attained for the LULC classification, while the class accuracies (PA: producer’s accuracy and UA: user’s accuracy for the two cropping systems were consistently above 85%. We concluded that explicit mapping of different cropping systems is feasible in complex and highly fragmented agro-ecological landscapes if high resolution and multi-temporal satellite data such as 5 m RapidEye data is employed. Further research is needed on the feasibility of using freely available 10–20 m Sentinel-2 data for wide-area assessment of cropping systems as an important variable in numerous crop productivity models.

Is 'Opt-Out HIV Testing' a real option among pregnant women in rural districts in Kenya?

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Wamalwa David

2011-03-01

Full Text Available Abstract Background An 'opt-out' policy of routine HIV counseling and testing (HCT is being implemented across sub-Saharan Africa to expand prevention of mother-to-child transmission (PMTCT. Although the underlying assumption is that pregnant women in rural Africa are able to voluntarily consent to HIV testing, little is known about the reality and whether 'opt-out' HCT leads to higher completion rates of PMTCT. Factors associated with consent to HIV testing under the 'opt-out' approach were investigated through a large cross-sectional study in Kenya. Methods Observations during HIV pre-test information sessions were followed by a cross-sectional survey of 900 pregnant women in three public district hospitals carrying out PMTCT in the Busia district. Women on their first antenatal care (ANC visit during the current pregnancy were interviewed after giving blood for HIV testing but before learning their test results. Descriptive statistics and multivariate regression analysis were performed. Results Of the 900 women participating, 97% tested for HIV. Lack of testing kits was the only reason for women not being tested, i.e. nobody declined HIV testing. Despite the fact that 96% had more than four earlier pregnancies and 37% had been tested for HIV at ANC previously, only 17% of the women surveyed knew that testing was optional. Only 20% of those surveyed felt they could make an informed decision to decline HIV testing. Making an informed decision to decline HIV testing was associated with knowing that testing was optional (OR = 5.44, 95%CI 3.44-8.59, not having a stable relationship with the child's father (OR = 1.76, 95%CI 1.02-3.03, and not having discussed HIV testing with a partner before the ANC visit (OR = 2.64 95%CI 1.79-3.86. Conclusion High coverage of HIV testing appears to be achieved at the cost of pregnant women not understanding that testing is optional. Good quality HIV pre-test information is central to ensure that pregnant women

Entomophagy among the Luo of Kenya: a potential mineral source?

Science.gov (United States)

Christensen, Dirk L; Orech, Francis O; Mungai, Michael N; Larsen, Torben; Friis, Henrik; Aagaard-Hansen, Jens

2006-01-01

Primary objective To determine the iron, zinc, and calcium content in different insects commonly eaten among the Luo of Kenya. Research design A cross-sectional design was chosen for the study in order to determine the insects eaten and their mineral content during a specific season.Methods and procedures Five different insect species were identified and collected with the help of local informants in the Nyang'oma sublocation of the Bondo district in western Kenya, and were analysed for iron, zinc and calcium contents. Main outcomes and results The iron content ranged from 18 to 1562 mg/100 g dry matter, the zinc content from 8 to 25 mg/100 g, and the calcium content from 33 to 341 mg/100 g in five different insects, onyoso mammon (ant), oyala (termite), ogawo (termite), agaor (termite), onjiri mammon (cricket). Conclusions Insect eating could prove to be a valuable measure to combat, especially, iron and zinc deficiency in developing countries.

Ethnoknowledge of Bukusu community on livestock tick prevention and control in Bungoma district, western Kenya

NARCIS (Netherlands)

Wanzala, W.W.; Takken, W.; Mukabana, W.R.; Pala, A.O.; Hassanali, A.

2012-01-01

ETHNOPHARMACOLOGICAL RELEVANCE: To date, nomadic communities in Africa have been the primary focus of ethnoveterinary research. The Bukusu of western Kenya have an interesting history, with nomadic lifestyle in the past before settling down to either arable or mixed arable/pastoral farming systems.

Beyond resource constraints - Exploring the biophysical feasibility of options for the intensification of smallholder crop-livestock systems in Vihiga district, Kenya

NARCIS (Netherlands)

Tittonell, P.A.; Wijk, van M.T.; Herrero, M.; Rufino, M.C.; Ridder, de N.; Giller, K.E.

2009-01-01

During participatory prototyping activities in Vihiga, western Kenya, farmers designed what they considered to be the ideal farm [Waithaka, M.M., Thornton, P.K., Herrero, M., Shepherd, K.D., 2006. Bio-economic evaluation of farmers¿ perceptions of viable farms in western Kenya. Agric. Syst. 90,

Using the unmet obstetric needs indicator to map inequities in life-saving obstetric interventions at the local health care system in Kenya

DEFF Research Database (Denmark)

Echoka, Elizabeth; Dubourg, Dominique; Makokha, Anselimo

2014-01-01

BackgroundDeveloping countries with high maternal mortality need to invest in indicators that not only provide information about how many women are dying, but also where, and what can be done to prevent these deaths. The unmet Obstetric Needs (UONs) concept provides this information. This concept...... was applied at district level in Kenya to assess how many women had UONs and where the women with unmet needs were located.MethodsA facility based retrospective study was conducted in 2010 in Malindi District, Kenya. Data on pregnant women who underwent a major obstetric intervention (MOI) or died...... in facilities that provide comprehensive Emergency Obstetric Care (EmOC) services in 2008 and 2009 were collected. The difference between the number of women who experienced life threatening obstetric complications and those who received care was quantified. The main outcome measures in the study were...

SANREM-CRSP Kenya Brochure

OpenAIRE

Ongugo, Paul O.

2007-01-01

Brochure produced by Kenya research team to explain the SANREM project in Kenya. The brochure discusses the aim, objective, areas of coverage, current work and ways to learn more about the SANREM CRSP activities in Kenya. LTRA-1 (Decentralization Reforms and Property Rights)

Income generation of farm labourers in Trans Nzoia District, Kenya : rural employment and social networks

NARCIS (Netherlands)

Tellegen, N.; Verstrate, L.; Foeken, D.W.J.

1992-01-01

This study, carried out in 1989, is a support study for a larger survey of the nutritional situation in the households of labourers on large farms in Trans Nzoia, Kenya. Three categories were distinguished: permanent labourers, casual labourers living on the farm and casual labourers living off the

Rift Valley fever virus epidemic in Kenya, 2006/2007: the entomologic investigations.

Science.gov (United States)

Sang, Rosemary; Kioko, Elizabeth; Lutomiah, Joel; Warigia, Marion; Ochieng, Caroline; O'Guinn, Monica; Lee, John S; Koka, Hellen; Godsey, Marvin; Hoel, David; Hanafi, Hanafi; Miller, Barry; Schnabel, David; Breiman, Robert F; Richardson, Jason

2010-08-01

In December 2006, Rift Valley fever (RVF) was diagnosed in humans in Garissa Hospital, Kenya and an outbreak reported affecting 11 districts. Entomologic surveillance was performed in four districts to determine the epidemic/epizootic vectors of RVF virus (RVFV). Approximately 297,000 mosquitoes were collected, 164,626 identified to species, 72,058 sorted into 3,003 pools and tested for RVFV by reverse transcription-polymerase chain reaction. Seventy-seven pools representing 10 species tested positive for RVFV, including Aedes mcintoshi/circumluteolus (26 pools), Aedes ochraceus (23 pools), Mansonia uniformis (15 pools); Culex poicilipes, Culex bitaeniorhynchus (3 pools each); Anopheles squamosus, Mansonia africana (2 pools each); Culex quinquefasciatus, Culex univittatus, Aedes pembaensis (1 pool each). Positive Ae. pembaensis, Cx. univittatus, and Cx. bitaeniorhynchus was a first time observation. Species composition, densities, and infection varied among districts supporting hypothesis that different mosquito species serve as epizootic/epidemic vectors of RVFV in diverse ecologies, creating a complex epidemiologic pattern in East Africa.

Destruction and management of Mount Kenya`s forests

Energy Technology Data Exchange (ETDEWEB)

Bussmann, R.W. [Bayreuth Univ. (Germany). Fakultaet fuer Biologie, Chemie und Geowissenschaften

1996-08-01

This article presents data on the destruction of the montane forests on Mount Kenya. The material was obtained during field-work for a phytosociological study in 1992-1994. Special emphasis was given to the observation of regeneration patterns and succession cycles within the different forest communities, with regard to the impact of humans and big game. Although private tree planting is reducing the fuelwood deficit in Kenya, large parts of the 200 000 ha of Mount Kenya`s forests - the largest natural-forest area in the country - are heavily impacted by among other things illegal activities. The wet camphor forests of the south and southeast mountain slopes are being destroyed at an alarming speed, by large-scale selective logging of Ocotea usambarensis and marihuana cultivation. The drier Juniperus procera are also logged, but are even more endangered by the new settlement schemes. The large elephant population does not affect forest regeneration; whereas browsing and chaffing by buffaloes inhibits regeneration of the dry forests, and damages many trees. Suggestions are presented for better management of the forest resources. 12 refs, 1 fig

Modelling internal migration in Kenya: an econometric analysis with limited data.

Science.gov (United States)

Barber, G M; Milne, W J

1988-09-01

"In this paper the determinants of internal migration in Kenya are analyzed on the basis of a human capital model. Explanatory variables included in the specification are both economic (wage rates and employment rates) and noneconomic (for example, population density and educational attainment). Also incorporated are variables which reflect intervening opportunities.... The econometric results show that destination variables are important determinants of internal migration, as is distance between the districts. Further, the variables for the intervening opportunities add significantly to the explanatory power of the model." excerpt

Kenya Veterinarian

African Journals Online (AJOL)

The Kenya Veterinarian is a journal of the Kenya Veterinary Association. It publishes original papers in English, within the whole field of animal science and veterinary medicine and those addressing legal and policy issues related to the veterinary profession. The journal accepts articles and reports in the areas of Anatomy ...

Prevalence and causes of ocular morbidity in Mbeere District, Kenya. Results of a population-based survey.

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Kahaki Kimani

Full Text Available PURPOSE: Ocular morbidity (OM describes any eye disease regardless of resultant visual loss. Ocular morbidity may affect large numbers of people in low income countries and could lead to many episodes of care. However there is limited evidence about the prevalence of ocular morbidity or resulting health-seeking behavior. This study in Mbeere District, Kenya, set out to explore both these issues. METHODS: A cross-sectional household survey was conducted in 2011. Trained teams moved from house to house examining and questioning residents on ocular morbidity and health-seeking behavior. Data were collected on standardized proformas and entered into a database for analysis. RESULTS: 3,691 people were examined (response rate 91.7%. 15.52% (95% CI 13.86-16.92 had at least one ocular morbidity in at least one eye. The leading cause was presbyopia which affected 25.11% (95% CI 22.05-28.45 of participants over 35 and increased with age. Other leading causes of OM were conditions that affected the lens (32.58% and the conjunctiva (31.31%. No association was found between educational attainment or employment and OM. 9.63% (7.87-11.74 self-reported an ocular morbidity in the previous six months and 45.94% (95% CI 37.1-55.04 stated that they had sought treatment for the condition. CONCLUSION: A large number of people were affected by an ocular morbidity in this survey. Most of these people could potentially be managed in their own communities through primary care services (e.g. those with presbyopia. Further work is required to understand the best way of providing an effective, equitable service for ocular morbidity.

Are Health Facility Management Committees in Kenya ready to implement financial management tasks: findings from a nationally representative survey.

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Waweru, Evelyn; Opwora, Antony; Toda, Mitsuru; Fegan, Greg; Edwards, Tansy; Goodman, Catherine; Molyneux, Sassy

2013-10-10

Community participation in peripheral public health facilities has in many countries focused on including community representatives in Health Facility Management Committees (HFMCs). In Kenya, HFMC roles are being expanded with the phased implementation of the Health Sector Services Fund (HSSF). Under HSSF, HFMCs manage facility funds which are dispersed directly from central level into facility bank accounts. We assessed how prepared HFMCs were to undertake this new role in advance of HSSF roll out, and considered the implications for Kenya and other similar settings. Data were collected through a nationally representative sample of 248 public health centres and dispensaries in 24 districts in 2010. Data collection included surveys with in-charges (n = 248), HFMC members (n = 464) and facility users (n = 698), and record reviews. These data were supplemented by semi-structured interviews with district health managers in each district. Some findings supported preparedness of HFMCs to take on their new roles. Most facilities had bank accounts and HFMCs which met regularly. HFMC members and in-charges generally reported positive relationships, and HFMC members expressed high levels of motivation and job satisfaction. Challenges included users' low awareness of HFMCs, lack of training and clarity in roles among HFMCs, and some indications of strained relations with in-charges. Such challenges are likely to be common to many similar settings, and are therefore important considerations for any health facility based initiatives involving HFMCs. Most HFMCs have the basic requirements to operate. However to manage their own budgets effectively and meet their allocated roles in HSSF implementation, greater emphasis is needed on financial management training, targeted supportive supervision, and greater community awareness and participation. Once new budget management roles are fully established, qualitative and quantitative research on how HFMCs are adapting to

Kenya

International Development Research Centre (IDRC) Digital Library (Canada)

Cathy Egan

Les élections générales de 2002 au Kenya, à la suite desquelles un régime notoire pour sa corruption a été remplacé par un gouvernement de coalition désireux d'instaurer une réforme, ont été considérées comme un événement charnière dans l'histoire du pays. Le CRDI, déjà actif au Kenya depuis plus de 30 ans, ...

Role-Play Technique as an Antecedent of Performance in English Language: Evidence from Secondary Schools in Wareng District, Uasin Gishu County, Kenya

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Julius, Kemboi; Osman, Ahmed

2015-01-01

In Kenya, there is a national concern over English language dismal performance over the years in Kenya Certificate of Secondary Education (K.C.S.E). Blame has been put on teachers of English language for relying on techniques that favor them at the expense of their students. This article therefore sought to assess the use of role-play technique as…

Health system challenges to integration of mental health delivery in primary care in Kenya--perspectives of primary care health workers.

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Jenkins, Rachel; Othieno, Caleb; Okeyo, Stephen; Aruwa, Julyan; Kingora, James; Jenkins, Ben

2013-09-30

Health system weaknesses in Africa are broadly well known, constraining progress on reducing the burden of both communicable and non-communicable disease (Afr Health Monitor, Special issue, 2011, 14-24), and the key challenges in leadership, governance, health workforce, medical products, vaccines and technologies, information, finance and service delivery have been well described (Int Arch Med, 2008, 1:27). This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. Two ninety minute focus groups were conducted in Nyanza province, a poor agricultural region of Kenya, with 20 health workers drawn from a randomised controlled trial to evaluate the impact of a mental health training programme for primary care, 10 from the intervention group clinics where staff had received the training programme, and 10 health workers from the control group where staff had not received the training). These focus group discussions suggested that there are a number of generic health system weaknesses in Kenya which impact on the ability of health workers to care for clients with mental health problems and to implement new skills acquired during a mental health continuing professional development training programmes. These weaknesses include the medicine supply, health management information system, district level supervision to primary care clinics, the lack of attention to mental health in the national health sector targets, and especially its absence in district level targets, which results in the exclusion of mental health from such district level supervision as exists, and the lack of awareness in the district management team about mental health. The lack of mental health coverage included in HIV training courses experienced by the health workers was also striking, as was the intensive focus during district supervision on HIV to the detriment of other

Aflatoxin Levels in Locally Grown Maize from Makueni District, Kenya

African Journals Online (AJOL)

Objectives: Investigations were carried out to determine aflatoxin levels in household maize in Makueni District and to correlate aflatoxin levels to maize drying and storage practices. Also, aflatoxin exposure in villages that reported aflatoxicosis cases in 2005 was compared with that in villages that did not report cases to ...

Examining the trajectories of children providing care for adults in rural Kenya

DEFF Research Database (Denmark)

Skovdal, Morten

2011-01-01

whom they have cared for over time and explore the different pathways that lead to their caregiving at different stages of their lives. The study reports on qualitative data collected from 48 caregiving children and 10 adults in the Bondo district of western Kenya in 2007. A multi-method approach...... family and community members for varying periods of time and intensities. Although their living arrangements and life circumstances often gave them little choice but to care, a social recognition of children's capacity to provide care for fragile adults, helped the children construct an identity, which...

Effects of Calf Rearing Package Introduced to Smallholder Dairy Farms in Bahati Division, Nakuru District, Kenya

International Nuclear Information System (INIS)

Lanyasunya, T.P.; Wekesa, F.W.; Sinkeet, S.N.O.; Jong, R.; Udo, H.; Mukisira, E.A.

1999-01-01

A Calf rearing package of Individual (mobile) pens , milk and fodder feeding was introduced on smallholder farms of Bahati Division, Nakuru District, Kenya. The study investigated the effects of changes in Calf rearing practices on calf performance and the responses of the production systems to the investigations. 46 farmers were selected on the basis of their willingness to participate in the study and were allocated to Control (23 and Test (23). both types of farmers were trained but only test farms received building materials and forage seeds. Socio-economic and calf performance data were collected. Calves were supplemented with sweet potato vines (SPV) + Green leaf desmodium (DES) and/or fodder shrubs (FOD) Leucaena leucocephala and Sesbania sesban. Analysis of variance (ANOVA) models and Chi-square test were applied on the data collected. The study revealed that there were variations in off-farm, livestock and crop incomes. The gross Margins (GM) were higher (P < 0.01) for the test than the Control farmers. Calves raised in Test farms Demonstrated higher (P < 0.05) growth rates than those in Control farms (370 versus 307 g/d). Female calves gained (P < 0.05) 57 g/d more than mal calves.Those with assorted farm grown legumes (SPV + FOD) performed better (375 and 417 g/d, respectively) compared to those supplemented with SPV alone or not supplemented (345 and 321 g/d, respectively). Improved calf performance in Test farms suggests that, farm grown forage legumes, could be used as a cheap alternative protein supplement by resource-poor farmers. Calf mortality rates for Control farms (33%) were higher (P < 0.05) than those for Test farms (12.5%). The study concluded that the interventions/measures taken improve the overall performance of calves on-farm

Soil moisture and its consequences under different management in a six year old hedged agroforestry demonstration plot in semi-arid Kenya, for two successive contrasting seasons

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Otengi, S.B.B.; Stigter, C.J.; Ng'anga, J.K.; Liniger, H.

2007-01-01

Hedged agroforestry (AF) demonstration plots with maize/bean intercrops were studied at Matanya in Laikipia district, Kenya, between 1991 and 1995 inclusive, to understand crop yield behaviour due to selected soil moisture conservation methods applicable in semi-arid areas. The treatments were:

Kenya Veterinarian: Submissions

African Journals Online (AJOL)

The Kenya Veterinarian is a peer-reviewed scientific journal published by the Kenya Veterinary Association on research and clinical practice of veterinary medicine. The main ... Three copies must be provided in English, double-spaced, Times New Roman throughout on one side A4 paper with a wide margin all round.

Kenya sõdurid tungisid Somaaliasse

Index Scriptorium Estoniae

2011-01-01

Kenya sõjaväelased tungisid Lõuna-Somaaliasse, et tabada mässulisi, kes on viimastel nädalatel korraldanud Kenyas mitmeid inimrööve. Kenya väed tungisid Lõuna-Somaaliasse päev pärast seda, kui Nairobi kuulutas sõja Al-Qaedaga seostatud äärmusrühmitusele Shabaab

IDRC in Kenya

International Development Research Centre (IDRC) Digital Library (Canada)

Kenya has long been the economic hub of East Africa. IDRC opened a regional office in the country's capital, Nairobi, in 1975. This office now oversees our activities in countries across sub-Saharan Africa and plays an important role in identifying strategic areas of support in Kenya. Poverty remains widespread in the.

Archives: Kenya Veterinarian

African Journals Online (AJOL)

Items 1 - 21 of 21 ... Archives: Kenya Veterinarian. Journal Home > Archives: Kenya Veterinarian. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives. 1 - 21 of 21 Items. 2014. Vol 38, No ...

Payment for antiretroviral drugs is associated with a higher rate of patients lost to follow-up than those offered free-of-charge therapy in Nairobi, Kenya

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Zachariah, R.; van Engelgem, I.; Massaquoi, M.; Kocholla, L.; Manzi, M.; Suleh, A.; Phillips, M.; Borgdorff, M.

2008-01-01

This retrospective analysis of routine programme data from Mbagathi District Hospital, Nairobi, Kenya shows the difference in rates of loss to follow-up between a cohort that paid 500 shillings/month (approximately US$7) for antiretroviral drugs (ART) and one that received medication free of charge.

Perspectives on utilization of community based health information systems in Western Kenya.

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Flora, Otieno Careena; Margaret, Kaseje; Dan, Kaseje

2017-01-01

Health information systems (HIS) are considered fundamental for the efficient delivery of high quality health care. However, a large number of legal and practical constraints influence the design and introduction of such systems. The inability to quantify and analyse situations with credible data and to use data in planning and managing service delivery plagues Africa. Establishing effective information systems and using this data for planning efficient health service delivery is essential to district health systems' performance improvement. Community Health Units in Kenya are central points for community data collection, analysis, dissemination and use. In Kenya, data tend to be collected for reporting purposes and not for decision-making at the point of collection. This paper describes the perspectives of local users on information use in various socio-economic contexts in Kenya. Information for this study was gathered through semi-structured interviews. The interviewees were purposefully selected from various community health units and public health facilities in the study area. The data were organized and analysed manually, grouping them into themes and categories. Information needs of the community included service utilization and health status information. Dialogue was the main way of information utilization in the community. However, health systems and personal challenges impeded proper collection and use of information. The challenges experienced in health information utilization may be overcome by linkages and coordination between the community and the health facilities. The personal challenges can be remedied using a motivational package that includes training of the Community Health Workers.

Energy Diversity and Development in Kenya

Science.gov (United States)

2013-01-01

support for renewable energy development can be seen in Kenya’s efforts to obtain outside funding. Kenya is one of six countries selected by Climate...for Kenya (Nairobi: Repub- lic of Kenya, 2011). 17 Ministry of Energy, Feed-in Tariffs Policy on Wind, Biomass, Small-Hydro, Geothermal, Biogas and

Delivery Practices and Associated Factors among Mothers Seeking Child Welfare Services in Selected Health Facilities in Nyandarua South District, Kenya

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Wanjira Carol

2011-05-01

Full Text Available Abstract Background A measure of the proportion of deliveries assisted by skilled attendants is one of the indicators of progress towards achieving Millennium Development Goal (MDG 5, which aims at improving maternal health. This study aimed at establishing delivery practices and associated factors among mothers seeking child welfare services at selected health facilities in Nyandarua South district, Kenya to determine whether mothers were receiving appropriate delivery care. Methods A hospital-based cross-sectional survey among women who had recently delivered while in the study area was carried out between August and October 2009. Binary Logistic regression was used to identify factors that predicted mothers' delivery practice. Results Among the 409 mothers who participated in the study, 1170 deliveries were reported. Of all the deliveries reported, 51.8% were attended by unskilled birth attendants. Among the deliveries attended by unskilled birth attendants, 38.6% (452/1170 were by neighbors and/or relatives. Traditional Birth Attendants attended 1.5% (17/1170 of the deliveries while in 11.7% (137/1170 of the deliveries were self administered. Mothers who had unskilled birth attendance were more likely to have Conclusion Among the mothers interviewed, utilization of skilled delivery attendance services was still low with a high number of deliveries being attended by unqualified lay persons. There is need to implement cost effective and sustainable measures to improve the quality of maternal health services with an aim of promoting safe delivery and hence reducing maternal mortality.

Kenya Hospices and Palliative Care Association: integrating palliative care in public hospitals in Kenya

OpenAIRE

Ali, Zipporah

2016-01-01

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...

Identification of traditional foods with public health potential for complementary feeding in Western Kenya

DEFF Research Database (Denmark)

Kinyuru, John N,; Konyole, Silvenus O.; Kenji, Glaston M.

2012-01-01

The diversity of traditional foods in Kisumu West District of Western Kenya was assessed with an aim to identify the foods with a potential for complementary feeding. Leaves were the most consumed plant part amongst vegetables, while a few fruits were consumed together with their seeds. Amaranthus...... with nutritional and health benefits as perceived by the locals. Traditional food processing methods such as boiling, fermentation and sun drying were identified. Thus exploitation of the species possessing nutrient, health and processing benefits needs to be explored in complementary feeding....

A Public Lecture Series on Kenya Cities in the 21. Centuary Environment and Development in Kenya

International Nuclear Information System (INIS)

Obudho, R.A.

1999-01-01

Issues of Development planning in Kenya have gained added importance over the last few years in view of the recent political events in the country which have indeed occupied a centre stage within the world community. Surprisingly, however, there has been little published on the problems, experiences, and approaches of spatial and urban development in Kenya from a comparative and comprehensive view. The present volume is intended to help bridge the gap by bringing together a number of original contributions on urbanization and planning Kenya covering an interdisciplinary perspective. The essential focus is on comparative historical analysis of the urbanization process in Kenya, the resulting limitations and problems of urban development, and consequent challenges and responses of development planning. The book Provides a frame work for understanding the nature of Kenya urbanism and urbanization, limitations on that urbanism and urbanization imposed by traditional notions and analytical approaches to it

Fear of being tested for HIV at ANC clinics associated with low uptake of intermittent preventive treatment (IPT) of malaria among pregnant women attending Bondo District Hospital, Western Kenya.

Science.gov (United States)

Sande, John Hafu; Kaseje, Dan; Nyapada, Linet; Owino, Victor O

2010-03-01

Malaria is a major cause of morbidity and mortality in tropical and subtropical regions, affecting mostly the impoverished sections of the population. Pregnant women living in malaria-endemic areas are at higher risk of malaria infection with higher density of parasitaemia than non-pregnant women. The aim of this study was to assess factors affecting the uptake of IPT among women attending antenatal clinics at Bondo District Hospital, Western Kenya. This study was a hospital-based cross-sectional survey among pregnant women attending clinics. Malaria is endemic in Bondo district. Both women from Bondo town (urban) and greater Bondo District (rural) who had been pregnant for at least 35 weeks or had delivered not more than 6 weeks prior to the survey), and had ANC cards were included in the study. The main outcomes were ANC attendance, IPT doses received and client and provider factors. Results showed that women's knowledge on ANC and IPT was high. The uptake of IPT was low among pregnant women with those from urban areas more likely to make more ANC visits and to get more IPT doses than women from the rural areas. ANC attendance was hampered by the fear of being tested for HIV at the clinic. Perceived side effects associated with IPT-SP hindered IPT uptake and were linked to HIV-related symptoms. Negative attitude among health workers towards pregnant women also adversely impacted IPT uptake. Women suggested that IPT drugs be distributed through community health workers instead of the health facility for improved uptake. Retraining of health workers on the administration of IPT, harmonization of health messages, and assessment of alternative community-based IPT distribution channels ought to be urgently considered. More evidence on the influence of HIV pandemic on perceptions and attitudes toward and uptake of other health interventions is urgently needed.

Er Kenya klar til valget?

DEFF Research Database (Denmark)

Laugesen, Henrik

Den 17. januar begyndte nomineringen af Kenyas kommende politikere. De politikere, der efter valget skal lede Østafrikas regionale stormagt frem til 2018. Nomineringsprocessen gav flere forskellige interessante indikationer på Kenyas ”demokratiske parathed” og dermed måske også en god fornemmelse...... af, hvordan det kommende valg i marts vil forløbe. Dette brief kommer med et bud på, om Kenya kan gøre sig fri af de mørke skygger fra valget i 2007....

Modelling the risk of Taenia solium exposure from pork produced in western Kenya.

Science.gov (United States)

Thomas, Lian F; de Glanville, William A; Cook, Elizabeth A J; Bronsvoort, Barend M De C; Handel, Ian; Wamae, Claire N; Kariuki, Samuel; Fèvre, Eric M

2017-02-01

The tapeworm Taenia solium is the parasite responsible for neurocysticercosis, a neglected tropical disease of public health importance, thought to cause approximately 1/3 of epilepsy cases across endemic regions. The consumption of undercooked infected pork perpetuates the parasite's life-cycle through the establishment of adult tapeworm infections in the community. Reducing the risk associated with pork consumption in the developing world is therefore a public health priority. The aim of this study was to estimate the risk of any one pork meal in western Kenya containing a potentially infective T. solium cysticercus at the point of consumption, an aspect of the parasite transmission that has not been estimated before. To estimate this, we used a quantitative food chain risk assessment model built in the @RISK add-on to Microsoft Excel. This model indicates that any one pork meal consumed in western Kenya has a 0.006 (99% Uncertainty Interval (U.I). 0.0002-0.0164) probability of containing at least one viable T. solium cysticercus at the point of consumption and therefore being potentially infectious to humans. This equates to 22,282 (99% U.I. 622-64,134) potentially infective pork meals consumed in the course of one year within Busia District alone. This model indicates a high risk of T. solium infection associated with pork consumption in western Kenya and the work presented here can be built upon to investigate the efficacy of various mitigation strategies for this locality.

Modelling the risk of Taenia solium exposure from pork produced in western Kenya.

Directory of Open Access Journals (Sweden)

Lian F Thomas

2017-02-01

Full Text Available The tapeworm Taenia solium is the parasite responsible for neurocysticercosis, a neglected tropical disease of public health importance, thought to cause approximately 1/3 of epilepsy cases across endemic regions. The consumption of undercooked infected pork perpetuates the parasite's life-cycle through the establishment of adult tapeworm infections in the community. Reducing the risk associated with pork consumption in the developing world is therefore a public health priority. The aim of this study was to estimate the risk of any one pork meal in western Kenya containing a potentially infective T. solium cysticercus at the point of consumption, an aspect of the parasite transmission that has not been estimated before. To estimate this, we used a quantitative food chain risk assessment model built in the @RISK add-on to Microsoft Excel. This model indicates that any one pork meal consumed in western Kenya has a 0.006 (99% Uncertainty Interval (U.I. 0.0002-0.0164 probability of containing at least one viable T. solium cysticercus at the point of consumption and therefore being potentially infectious to humans. This equates to 22,282 (99% U.I. 622-64,134 potentially infective pork meals consumed in the course of one year within Busia District alone. This model indicates a high risk of T. solium infection associated with pork consumption in western Kenya and the work presented here can be built upon to investigate the efficacy of various mitigation strategies for this locality.

Questionnaire Survey on the Occurrence of Risk factors for Toxoplasma gondii infection amongst Farmers in Thika District, Kenya

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Edwin Ogendi

2013-04-01

Full Text Available A survey was conducted to determine the occurrence of risk factors for Toxoplasma gondii infection amongst farmers in Thika District, Kenya. Interviews were conducted in a total of 385 households using a structured questionnaire. The water consumed at household level originated from taps (74.3%, rivers or streams (15.1%, wells (5.4% and boreholes (5.2%. A number of households (46.8% consumed water without boiling or applying any form of treatment. All respondents washed vegetables before cooking, whilst 99.0% washed fruits before eating. Boiled milk was preferred by 99.5% of the farmers. The majority (85.2% consumed beef more often, whilst 1.6% consumed pork. The majority (98.7% consumed thoroughly cooked meat. Meat was preserved by 17% of farmers. Only four farmers (1.2% who practised mixed farming used gloves when handling livestock manure. Five farmers (1.6% reported the occurrence of abortion in ruminants and pigs on their farms within the last two years before the study. Almost half (44.9% of the households owned cats, which were kept mainly as pets (79.8% and for deterring rodents (20.2%. The majority of households (91.3% fed the cats on leftovers, whilst 8.1% fed cats with raw offal. Sixteen households (9.2% provided housing for cats. Only five households (2.8% had litter boxes, but none of the households with litter boxes used gloves when cleaning them out. Disposal of cat faeces was done mainly by women (55.5%. Only one farmer (0.3% had some knowledge about toxoplasmosis, but was not aware of the transmission mechanism. The study highlights the need for public health education to raise awareness of risk factors for toxoplasmosis.

Predictive Factors Associated with Solar Energy Development in Laikipia District Central Kenya

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Oscar Wambuguh

2015-10-01

Full Text Available The abundance of sunlight and the availability affordable solar technologies in many areas far from grid-based electricity has sparked the development of renewable energy technologies (RETs which tap solar radiation energy to provide electricity. A study on solar photovoltaics (SPVs use and utilization took place in the Wiyumiririe Location of Kenya. A purposive randomized convenience sample of 246 households was selected and landowner interviews conducted guided by a questionnaire, followed by field surveys and observations. Although solar energy contributed less than a quarter of total household energy needs, residents specifically associated it with specific developmental initiatives. Correlation and logistic regression model analyses showed that solar power development was closely associated (and thus can be predicted from five main independent variables. The findings of the study allowed the development of a probabilistic model general enough to be applicable elsewhere in the development of alternative energy resources particularly those based on solar input.

Cellular and humoral immune responses in a population from the Baringo District, Kenya to Leishmania promastigote lipophosphoglycan

DEFF Research Database (Denmark)

Kurtzhals, J A; Hey, A S; Theander, T G

1992-01-01

In a cross-sectional house-to-house study in a leishmaniasis-endemic area in Kenya, the cellular and humoral immune response to Leishmania lipophosphoglycan (LPG) was determined. Clinical data, peripheral blood mononuclear cells, and plasma were obtained from 50 individuals over the age of eight...

Becoming a teacher at teacher training colleges in Kenya

DEFF Research Database (Denmark)

Dahl, Kari

Paper presented at International Conference "Health Education and Teacher Training in Kenya" at Sarova Stanley Hotel 8. December 2010, Nairobi, Kenya.......Paper presented at International Conference "Health Education and Teacher Training in Kenya" at Sarova Stanley Hotel 8. December 2010, Nairobi, Kenya....

Kenya Hospices and Palliative Care Association: integrating palliative care in public hospitals in Kenya.

Science.gov (United States)

Ali, Zipporah

2016-01-01

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). The prevalence of HIV is 6.8 (KIAS 2014). Most of these patients will benefit from palliative care services, hence the need to integrate palliative care services in the public healthcare system. The process of integrating palliative care in public hospitals involved advocacy both at the national level and at the institutional level, training of healthcare professionals, and setting up services within the hospitals that we worked with. Technical support was provided to each individual institution as needed. Eleven provincial hospitals across the country have now integrated palliative care services (Palliative Care Units) and are now centres of excellence. Over 220 healthcare providers have been trained, and approximately, over 30,000 patients have benefited from these services. Oral morphine is now available in the hospital palliative care units. As a success of the pilot project, Kenya Hospices and Palliative Care Association (KEHPCA) is now working with the Ministry of Health Kenya to integrate palliative care services in 30 other county hospitals across the country, thus ensuring more availability and access to more patients. Other developing countries can learn from Kenya's successful experience.

Kenya.

Science.gov (United States)

Obura, D O

2001-12-01

The Kenya coast is bathed by the northward-flowing warm waters of the East Africa Coastal Current, located between latitudes 1 and 5 degrees S. With a narrow continental shelf, the coastal marine environments are dominated by coral reefs, seagrass beds and mangroves, with large expanses of sandy substrates where river inputs from Kenya's two largest rivers, the Tana and Athi rivers, prevent the growth of coral reefs. The northern part of the coast is seasonally influenced by upwelling waters of the Somali Current, resulting in lower water temperatures for part of the year. The coast is made up of raised Pleistocene reefs on coastal plains and hills of sedimentary origin, which support native habitats dominated by scrub bush and remnant pockets of the forests that used to cover East Africa and the Congo basin. The marine environment is characterized by warm tropical conditions varying at the surface between 25 degrees C and 31 degrees C during the year, stable salinity regimes, and moderately high nutrient levels from terrestrial runoff and groundwater. The semi-diurnal tidal regime varies from 1.5 to 4 m amplitude from neap to spring tides, creating extensive intertidal platform and rocky-shore communities exposed twice-daily during low tides. Fringing reef crests dominate the whole southern coast and parts of the northern coast towards Somalia, forming a natural barrier to the wave energy from the ocean. Coral reefs form the dominant ecosystem along the majority of the Kenya coast, creating habitats for seagrasses and mangroves in the lagoons and creeks protected by the reef crests. Kenya's marine environment faces a number of threats from the growing coastal human population estimated at just under three million in 2000. Extraction of fish and other resources from the narrow continental shelf, coral reef and mangrove ecosystems increases each year with inadequate monitoring and management structures to protect the resource bases. Coastal development in urban and

Kenya

Energy Technology Data Exchange (ETDEWEB)

Obura, David O. [CORDIO East Africa, Mombassa (Kenya)

2001-07-01

The Kenya coast is bathed by the northward-flowing warm waters of the East Africa Coastal Current, located between latitudes 1 and 5deg S. With a narrow continental shelf, the coastal marine environments are dominated by coral reefs, seagrass beds and mangroves, with large expanses of sandy substrates where river inputs from Kenya's two largest rivers, the Tana and Athi rivers, prevent the growth of coral reefs. The northern part of the coast is seasonally influenced by upwelling waters of the Somali Current, resulting in lower water temperatures for part of the year. The coast is made up of raised Pleistocene reefs on coastal plains and hills of sedimentary origin, which support native habitats dominated by scrub bush and remnant pockets of the forests that used to cover East Africa and the Congo basin. The marine environment is characterised by warm tropical conditions varying at the surface between 25degC and 31degC during the year, stable salinity regimes, and moderately high nutrient levels from terrestrial runoff and groundwater. The semi-diurnal tidal regime varies from 1.5 to 4 m amplitude from neap to spring tides, creating extensive intertidal platform and rocky-shore communities exposed twice-daily during low tides. Fringing reef crests dominate the whole southern coast and parts of the northern coast towards Somalia, forming a natural barrier to the wave energy from the ocean. Coral reefs form the dominant ecosystem along the majority of the Kenya coast, creating habitats for seagrasses and mangroves in the lagoons and creeks protected by the reef crests. Kenya's marine environment faces a number of threats from the growing coastal human population estimated at just under three million in 2000. Extraction of fish and other resources from the narrow continental shelf, coral reef and mangrove ecosystems increases each year with inadequate monitoring and management structures to protect the resource bases. Coastal development in urban and tourist

Multiple virus lineages sharing recent common ancestry were associated with a Large Rift Valley fever outbreak among livestock in Kenya during 2006-2007.

Science.gov (United States)

Bird, Brian H; Githinji, Jane W K; Macharia, Joseph M; Kasiiti, Jacqueline L; Muriithi, Rees M; Gacheru, Stephen G; Musaa, Joseph O; Towner, Jonathan S; Reeder, Serena A; Oliver, Jennifer B; Stevens, Thomas L; Erickson, Bobbie R; Morgan, Laura T; Khristova, Marina L; Hartman, Amy L; Comer, James A; Rollin, Pierre E; Ksiazek, Thomas G; Nichol, Stuart T

2008-11-01

Rift Valley fever (RVF) virus historically has caused widespread and extensive outbreaks of severe human and livestock disease throughout Africa, Madagascar, and the Arabian Peninsula. Following unusually heavy rainfall during the late autumn of 2006, reports of human and animal illness consistent with RVF virus infection emerged across semiarid regions of the Garissa District of northeastern Kenya and southern Somalia. Following initial RVF virus laboratory confirmation, a high-throughput RVF diagnostic facility was established at the Kenyan Central Veterinary Laboratories in Kabete, Kenya, to support the real-time identification of infected livestock and to facilitate outbreak response and control activities. A total of 3,250 specimens from a variety of animal species, including domesticated livestock (cattle, sheep, goats, and camels) and wildlife collected from a total of 55 of 71 Kenyan administrative districts, were tested by molecular and serologic assays. Evidence of RVF infection was found in 9.2% of animals tested and across 23 districts of Kenya, reflecting the large number of affected livestock and the geographic extent of the outbreak. The complete S, M, and/or L genome segment sequence was obtained from a total of 31 RVF virus specimens spanning the entire known outbreak period (December-May) and geographic areas affected by RVF virus activity. Extensive genomic analyses demonstrated the concurrent circulation of multiple virus lineages, gene segment reassortment, and the common ancestry of the 2006/2007 outbreak viruses with those from the 1997-1998 east African RVF outbreak. Evidence of recent increases in genomic diversity and effective population size 2 to 4 years prior to the 2006-2007 outbreak also was found, indicating ongoing RVF virus activity and evolution during the interepizootic/epidemic period. These findings have implications for further studies of basic RVF virus ecology and the design of future surveillance/diagnostic activities, and

A Review of a Successful Unsubsidized Market-Based Rural Solar Development Initiative in Laikipia District, Central Kenya

Directory of Open Access Journals (Sweden)

O. Wambuguh

2013-10-01

Full Text Available The development of renewable energy technologies (RETs in many areas far from grid-based electricity have primarily involved solar photovoltaics (SPVs which tap solar radiation to provide heat, light, hot water, electricity, and cooling for homes, businesses, and industry. A study on RETs took place in the Wiyumiririe Location of Laikipia District (north-central Kenya, a rich agricultural region. To explore this solar initiative in such a remote part of the country, a purposive randomized convenience sample of 246 households was selected and landowner interviews conducted, followed by field visits and observations. Although more than half of the households visited had SPV installations, solar energy was found to contribute only 18% of household estimated total energy needs; most residents still primarily relying on traditional energy sources. Several types of solar panels of different capacities and costs were utilized. Many landowners had at least one or two rooms using solar energy for household lighting, for appliance charging and to power radio and television. Almost all respondents appreciated that solar energy was clean renewable energy that greatly improved household living conditions; gave them some prestige; was easy to use and maintain; and was available year around. Although such significant benefits were associated with SPVs, only about 40% of residents interviewed were somehow satisfied with its development. Respondents expressed specific developmental initiatives that were closely associated with the availability of solar energy. Nevertheless, a number of challenges were raised associated with SPVs primarily investment capital and equipment costs and maintenance. As solutions to capital building will not solely rely on subsidies or individual farmer inputs, strategies must be found to mobilize the essential and tested tools for success including sustainable capital generation, building local institutions and capacities that

New foci of cutaneous leishmaniasis in central Kenya and the Rift Valley.

Science.gov (United States)

Sang, D K; Okelo, G B; Ndegwa, C W; Ashford, R W

1993-01-01

Active case detection and investigations of sandfly resting places in suspected transmission sites of cutaneous leishmaniasis in central Kenya and the Rift Valley resulted in the identification of several foci of the disease in Samburu, Isiolo, Laikipia, Nakuru and Nyandarua districts. The foci occurred in areas ranging from semi-arid lowlands at 400 m altitude to highland plateaux at 2500 m, including the floor of the Rift Valley, and were mostly inhabited by recently settled communities, nomads and migrant charcoal burners. Four species of Phlebotomus, 3 of the subgenus Larroussius (P. pedifer, P. aculeatus and P. guggisbergi) and one Paraphlebotomus (P. saevus) were collected from caves, rock crevices and tree hollows found in river valleys and in lava flows.

A Practitioner’s Perspective on the Kenya I and Kenya II Cases before the ICC

NARCIS (Netherlands)

Mc Gonigle, B.N.

2014-01-01

On 10 September 2013 the International Criminal Court (ICC) began hearing a case against William Ruto, Deputy President of the Republic of Kenya, and Joshua Sang. The related case against the President of Kenya, Uhuru Muigai Kenyatta, was scheduled to begin in November 2013 but has since been

Use of a trypanosomal antigen ELISA to monitor tsetse and trypanosomosis control programmes in Kenya

Energy Technology Data Exchange (ETDEWEB)

Olaho-Mukani, W; Munga, L K; Nyanga` O, J N.M.; Ouma, J O; Masika, P; Okech, G; Ndungu, J M [Kenya Trypanosomiasis Research Inst., Kikuyu (Kenya)

1997-02-01

The capture Antigen-ELISA was used to monitor serum samples originating from three study areas in Kenya. At the Galana ranch the test was used to assess re-invasion of an area previously cleared of Glossina pallidipes. In Busia district the Ag-ELISA is being used to monitor the progress of a tsetse and trypanosomosis control programme. At Taita and Tara ranches the capture Antigen ELISA and the buffy coat technique (BCT) were used to evaluate the efficacy of a commercial Cypermethrin dip for the control of Glossina pallidipes. (author). 3 refs, 4 figs, 2 tabs.

Marketing of Insurance Products in Kenya

OpenAIRE

Adhiambo, Irene

2011-01-01

The purpose of the study is to find out and improve on strategy used in the Marketing of Insurance Products in Kenya; Case of African Merchants Assurance Company Ltd (AMACO). AMACO is one of the 44 insurance firms in Kenya. Among others it is a local incorporated company, which makes a difference in that it is not one of the leading insurance firms in Kenya, which is held by such firms as British-American insurance company. The methodology used is quantitative, qualitative methods, interview ...

Resistance of the predacious mite, euseius kenyae (acari ...

African Journals Online (AJOL)

This study was carried out to assess whether the predacious phytoseiid mite, Euseius kenyae (Swirski and Ragusa), commonly found in major coffee growing regions in Kenya has developed resistance to Chlorpyrifos. Mite populations were collected from coffee farms harbouring E. kenyae and where Chlorpyrifos or other ...

Economic evaluation of delivering Haemophilus influenzae type b vaccine in routine immunization services in Kenya.

Science.gov (United States)

Akumu, Angela Oloo; English, Mike; Scott, J Anthony G; Griffiths, Ulla K

2007-07-01

Haemophilus influenzae type b (Hib) vaccine was introduced into routine immunization services in Kenya in 2001. We aimed to estimate the cost-effectiveness of Hib vaccine delivery. A model was developed to follow the Kenyan 2004 birth cohort until death, with and without Hib vaccine. Incidence of invasive Hib disease was estimated at Kilifi District Hospital and in the surrounding demographic surveillance system in coastal Kenya. National Hib disease incidence was estimated by adjusting incidence observed by passive hospital surveillance using assumptions about access to care. Case fatality rates were also assumed dependent on access to care. A price of US$ 3.65 per dose of pentavalent diphtheria-tetanus-pertussis-hep B-Hib vaccine was used. Multivariate Monte Carlo simulations were performed in order to assess the impact on the cost-effectiveness ratios of uncertainty in parameter values. The introduction of Hib vaccine reduced the estimated incidence of Hib meningitis per 100,000 children aged disability adjusted life year (DALY) and per discounted death averted were US$ 38 (95% confidence interval, CI: 26-63) and US$ 1197 (95% CI: 814-2021) respectively. Most of the uncertainty in the results was due to uncertain access to care parameters. The break-even pentavalent vaccine price--where incremental Hib vaccination costs equal treatment costs averted from Hib disease--was US$ 1.82 per dose. Hib vaccine is a highly cost-effective intervention in Kenya. It would be cost-saving if the vaccine price was below half of its present level.

Marked og produkter i Kenya

DEFF Research Database (Denmark)

Roos, Nanna

2014-01-01

Et forskningsprojekt med dansk deltagelse undersøger, hvordan masseproduktion af insekter kan etableres i Kenya og bidrage med fødevarer til mennesker og protein til husdyrfoder.......Et forskningsprojekt med dansk deltagelse undersøger, hvordan masseproduktion af insekter kan etableres i Kenya og bidrage med fødevarer til mennesker og protein til husdyrfoder....

A Seasonal Air Transport Climatology for Kenya

Science.gov (United States)

Gatebe, C. K.; Tyson, P. D.; Annegarn, H.; Piketh, S.; Helas, G.

1998-01-01

A climatology of air transport to and from Kenya has been developed using kinematic trajectory modeling. Significant months for trajectory analysis have been determined from a classification of synoptic circulation fields. Five-point back and forward trajectory clusters to and from Kenya reveal that the transport corridors to Kenya are clearly bounded and well defined. Air reaching the country originates mainly from the Saharan region and northwestern Indian Ocean of the Arabian Sea in the northern hemisphere and from the Madagascan region of the Indian Ocean in the southern hemisphere. Transport from each of these source regions show distinctive annual cycles related to the northeasterly Asian monsoon and the southeasterly trade wind maximum over Kenya in May. The Saharan transport in the lower troposphere is at a maximum when the subtropical high over northern Africa is strongly developed in the boreal winter. Air reaching Kenya between 700 and 500 hPa is mainly from Sahara and northwest India Ocean flows in the months of January and March, which gives way to southwest Indian Ocean flow in May and November. In contrast, air reaching Kenya at 400 hPa is mainly from southwest Indian Ocean in January and March, which is replaced by Saharan transport in May and November. Transport of air from Kenya is invariant, both spatially and temporally, in the tropical easterlies to the Congo Basin and Atlantic Ocean in comparison to the transport to the country. Recirculation of air has also been observed, but on a limited and often local scale and not to the extent reported in southern Africa.

A serological survey for antibodies against foot-and-mouth disease virus (FMDV) in domestic pigs during outbreaks in Kenya

DEFF Research Database (Denmark)

Wekesa, Sabenzia N.; Namatovu, Alice; Sangula, Abraham K.

2014-01-01

Foot-and-mouth disease (FMD) is endemic in Kenya and has been well studied in cattle, but not in pigs, yet the role of pigs is recognised in FMD-free areas. This study investigated the presence of antibodies against FMD virus (FMDV) in pigs sampled during a countrywide random survey for FMD...... in cattle coinciding with SAT 1 FMDV outbreaks in cattle. A total of 191 serum samples were collected from clinically healthy pigs in 17 districts. Forty-two of the 191 sera were from pigs vaccinated against serotypes O/A/SAT 2 FMDV. Antibodies against FMDV non-structural proteins were found in sera from 30...... neutralisation test (VNT). Due to high degree of agreement between the two ELISAs, it was concluded that positive pigs had been infected with FMDV. Implications of these results for the role of pigs in the epidemiology of FMD in Kenya are discussed, and in-depth studies are recommended....

Using data from a multi-hospital clinical network to explore prevalence of pediatric rickets in Kenya

Science.gov (United States)

Karuri, Stella W.; Murithi, Maureen K.; Irimu, Grace; English, Mike

2017-01-01

Background: Nutritional rickets is a public health concern in developing countries despite tropical climates and a re-emerging issue in developed countries. In this study, we reviewed pediatric admission data from the Clinical Information Network (CIN) to help determine hospital and region based prevalence of rickets in three regions of Kenya (Central Kenya, Western Kenya and Nairobi County). We also examine the association of rickets with other diagnosis, such as malnutrition and pneumonia, and study the effect of rickets on regional hospital stays. Methods: We analyzed discharge records for children aged 1 month to 5 years from county (formerly district) hospitals in the CIN, with admissions from February 1 st 2014 to February 28 th 2015. The strength of the association between rickets and key demographic factors, as well as with malnutrition and pneumonia, was assessed using odds ratios. The Fisher exact test was used to test the significance of the estimated odd ratios. Kaplan-Meier curves were used to analyze length of hospital stays. Results: There was a marked difference in prevalence across the three regions, with Nairobi having the highest number of cases of rickets at a proportion of 4.01%, followed by Central Region at 0.92%. Out of 9756 admissions in the Western Region, there was only one diagnosis of rickets. Malnutrition was associated with rickets; this association varied regionally. Pneumonia was found to be associated with rickets in Central Kenya. Children diagnosed with rickets had longer hospital stays, even when cases of malnutrition and pneumonia were excluded in the analysis. Conclusion: There was marked regional variation in hospital based prevalence of rickets, but in some regions it is a common clinical diagnosis suggesting the need for targeted public health interventions. Factors such as maternal and child nutrition, urbanization and cultural practices might explain these differences. PMID:29062911

Barriers to prompt and effective malaria treatment among the poorest population in Kenya

Directory of Open Access Journals (Sweden)

Okungu Vincent

2010-05-01

Full Text Available Abstract Background Prompt access to effective malaria treatment is central to the success of malaria control worldwide, but few fevers are treated with effective anti-malarials within 24 hours of symptoms onset. The last two decades saw an upsurge of initiatives to improve access to effective malaria treatment in many parts of sub-Saharan Africa. Evidence suggests that the poorest populations remain least likely to seek prompt and effective treatment, but the factors that prevent them from accessing interventions are not well understood. With plans under way to subsidize ACT heavily in Kenya and other parts of Africa, there is urgent need to identify policy actions to promote access among the poor. This paper explores access barriers to effective malaria treatment among the poorest population in four malaria endemic districts in Kenya. Methods The study was conducted in the poorest areas of four malaria endemic districts in Kenya. Multiple data collection methods were applied including: a cross-sectional survey (n = 708 households; 24 focus group discussions; semi-structured interviews with health workers (n = 34; and patient exit interviews (n = 359. Results Multiple factors related to affordability, acceptability and availability interact to influence access to prompt and effective treatment. Regarding affordability, about 40 percent of individuals who self-treated using shop-bought drugs and 42 percent who visited a formal health facility reported not having enough money to pay for treatment, and having to adopt coping strategies including borrowing money and getting treatment on credit in order to access care. Other factors influencing affordability were seasonality of illness and income sources, transport costs, and unofficial payments. Regarding acceptability, the major interrelated factors identified were provider patient relationship, patient expectations, beliefs on illness causation, perceived effectiveness of treatment, distrust in

Nutrient Composition of Locally Available Feedstuffs in Coastal Lowland Kenya

International Nuclear Information System (INIS)

Muringa, R.W; Bimbuzi, S.; Mambo, L.C

1999-01-01

A study was conducted in two districts in coastal Kenya to characterise forages used for dairy cattle feeding. Four trial sites were selected in Kilifi and Kwale where farmers mainly practise mixed farming. Twelve farms were selected in each trial site. In Kilifi district, Bahari and Kaloleni divisions were selected. Farms in Kalolenin were small (less than 3 ha) compared to Bahari, a settlement area where the original land size per plot was 5 ha. In Kwale district, Matuga division had small plots of less than 3 ha each while Msambweni division had bigger plots ranging from 5 to 10 ha. Seven and fourteen of the farmers in Kwale and Kilifi respectively were women. The farms were visited biomonthly from May 1996 to February 1997. During each visit the feeds in use were visited and representative samples collected per division. The samples were analysed for dry matter, crude protein, fibre, ash, phosphorous and Calcium. Results from the evaluation indicate that farmers depended mainly on locally available feedstuffs to feed their dairy cattle. The most abundant feeds were local Panicum, Star grass, Comellina and mixture of various feeds. These were harvested by farmers from either their own farms or from neighbouring farms. Such feeds were shown to be of low quality and required protein supplementation. Most farmers supplemented their milking cows with small quantities of commercial or local maize bran and only a few farmers in Kwale purchased commercial dairy meal. The study recommends that farmers should be encouraged to grow legume forages to supplement dairy cows for increased milk production

Solar home systems in Kenya: unlocking consumer finance

International Nuclear Information System (INIS)

Simm, Ian; Haq, Amir; Widge, V.

2000-01-01

The article reports on the International Finance Corporation's support of projects in Kenya where the funding is being used to enlarge the solar lending of a network of financial organisations which can reach a large number of rural Kenyans. The demand, advantages and potential of photovoltaics and solar systems generally in Kenya are discussed. Kenya's fragile financial institutions are mentioned

Breast-feeding and human immunodeficiency virus infection: assessment of knowledge among clinicians in Kenya.

Science.gov (United States)

Murila, Florence; Obimbo, Moses M; Musoke, Rachel; Tsikhutsu, Isaac; Migiro, Santau; Ogeng'o, Julius

2015-02-01

In Kenya, human immunodeficiency virus (HIV) prevalence ranks among the highest in the world. Approximately 60 000 infections yearly are attributed to vertical transmission including the process of labour and breast-feeding. The vast of the population affected is in the developing world. Clinical officers and nurses play an important role in provision of primary health care to antenatal and postnatal mothers. There are a few studies that have explored the clinicians' knowledge on breast-feeding in the face of HIV and in relation to vertical transmission this being a vital component in prevention of maternal-to-child transmission. The aim of this study was to evaluate clinicians' knowledge on HIV in relation to breast-feeding in Kenya. A cross-sectional survey was conducted to assess knowledge of 161 clinical officers and nurses serving in the maternity and children' wards in various hospitals in Kenya. The participants were derived from all district and provincial referral facilities in Kenya. A preformatted questionnaire containing a series of questions on HIV and breast-feeding was administered to clinicians who were then scored and analyzed. All the 161 participants responded. Majority of clinicians (92%) were knowledgeable regarding prevention of mother-to-child transmission. Regarding HIV and breast-feeding, 49.7% thought expressed breast milk from HIV-positive mothers should be heated before being given. Majority (78.3%) thought breast milk should be given regardless of availability of alternatives. According to 74.5% of the participants, exclusive breast-feeding increased chances of HIV transmission. Two-thirds (66.5%) would recommend breast-feeding for mothers who do not know their HIV status (66.5%). This study observes that a majority of the clinicians have inadequate knowledge on breast-feeding in the face of HIV. There is need to promote training programmes on breast-feeding and transmission of HIV from mother to child. This can be done as in

THE CANOPY EFFECTS OF Prosopis juliflora (DC. AND Acacia tortilis (HAYNE TREES ON HERBACEOUS PLANTS SPECIES AND SOIL PHYSICO-CHEMICAL PROPERTIES IN NJEMPS FLATS, KENYA

Directory of Open Access Journals (Sweden)

Henry C. Kahi

2009-03-01

Full Text Available The canopy effects of an exotic and indigenous tree species on soil properties and understorey herbaceous plant species were investigated on the Njemps Flats, Baringo district, Kenya. Samples of soil and herbaceous plant species were obtained within the canopies of systematically selected P. juliflora (exotic and A. tortilis (indigenous trees, and from adjacent open areas. Standing biomass, frequency and cover of understorey plant species were significantly (P

The oral health knowledge and oral hygiene practices among primary school children age 5-17 years in a rural area of Uasin Gishu district, Kenya.

Science.gov (United States)

Okemwa, K A; Gatongi, P M; Rotich, J K

2010-06-01

To determine the oral health knowledge and oral hygiene practices among school children in the study region This was a descriptive cross-sectional study carried out among primary school going children in Kapsaret Educational division, Uasin-Gishu District, Kenya. A researcher administered questionnaire was used to determine the oral health knowledge and practices in a random sample of 401 students in the period March to June 2002. 92% of the students claimed they brushed their teeth. About 48% brushed at least twice daily. More students (59.1%) reported using the chewing stick compared to those using commercial toothbrushes (p = 0.000).Female students brushed more frequently than their male counterparts (p = 0.000, chi2 = 24.65). 39.9% of the students knew the cause of tooth decay, 48.2% could state at least one method of prevention, while 16.5% knew the importance of teeth. Use of toothpaste was reported by 38.9% of the students. Less than half of the students knew the causes of tooth decay and how to prevent it. Only about half of the students brushed their teeth twice daily with the chewing stick being more frequently used. There is need to increase the oral health knowledge through well Planned school based oral health education programmes in the primary schools. This would hopefully lead to improvement on the oral hygiene practices.

Bed net ownership in Kenya: the impact of 3.4 million free bed nets

Directory of Open Access Journals (Sweden)

Vulule John

2010-06-01

Full Text Available Abstract Background In July and September 2006, 3.4 million long-lasting insecticide-treated bed nets (LLINs were distributed free in a campaign targeting children 0-59 months old (CU5s in the 46 districts with malaria in Kenya. A survey was conducted one month after the distribution to evaluate who received campaign LLINs, who owned insecticide-treated bed nets and other bed nets received through other channels, and how these nets were being used. The feasibility of a distribution strategy aimed at a high-risk target group to meet bed net ownership and usage targets is evaluated. Methods A stratified, two-stage cluster survey sampled districts and enumeration areas with probability proportional to size. Handheld computers (PDAs with attached global positioning systems (GPS were used to develop the sampling frame, guide interviewers back to chosen households, and collect survey data. Results In targeted areas, 67.5% (95% CI: 64.6, 70.3% of all households with CU5s received campaign LLINs. Including previously owned nets, 74.4% (95% CI: 71.8, 77.0% of all households with CU5s had an ITN. Over half of CU5s (51.7%, 95% CI: 48.8, 54.7% slept under an ITN during the previous evening. Nearly forty percent (39.1% of all households received a campaign net, elevating overall household ownership of ITNs to 50.7% (95% CI: 48.4, 52.9%. Conclusions The campaign was successful in reaching the target population, families with CU5s, the risk group most vulnerable to malaria. Targeted distribution strategies will help Kenya approach indicator targets, but will need to be combined with other strategies to achieve desired population coverage levels.

Kenya | Page 30 | CRDI - Centre de recherches pour le ...

International Development Research Centre (IDRC) Digital Library (Canada)

Accueil · Sud du Sahara. Kenya. Kenya. Read more about Toward a Regional Research Agenda on Pharmaceutical Manufacturing and Access to Medicines in Sub-Saharan Africa. Langue English. Read more about Soutien organisationnel de la phase 2 de l'ITT : Kenya Institute for Public Policy Research and Analysis.

The Nexus between environmental knowledge and ecotourism attitude among the local youths in Co-educational Secondary Schools in Bondo Sub-County, Siaya County, Kenya

OpenAIRE

Joshua Otieno WANGA; Patrick Odhiambo HAYOMBE; Pius Ongoro ODUNGA; Fredrick Z.A. ODEDE

2013-01-01

Kenya’s pursuit to be among the top tourism destinations globally require strategic focus as envisaged in Kenya’s Vision 2030 and the Constitution of Kenya 2010. Ecotourism supports environmental conservation as well as generating economic opportunities. It additionally emphasizes benefits to the local community and suggests that the involvement of the residents is important for the effective management of tourism. Bondo district is endowed with vast ecotourism resources yet the residents lav...

Running Head: Education in Kenya | Emenyonu | Lwati: A Journal of ...

African Journals Online (AJOL)

Running Head: Education in Kenya. ... Modern Kenya has been steadily evolving since 1963 when the country attained independence. ... refining traditional values and incorporating them in the goals and objectives of Kenya's modern system ...

Changing Face of Family Planning Funding in Kenya: A Cross ...

African Journals Online (AJOL)

USER

Changing Face of Family Planning Funding in Kenya: A Cross-. Sectional Survey of ... Keywords: Contraception, Expenditure, Budget, Decision-making. Résumé. A mesure ... increasingly receiving attention, including in. Kenya17. In Kenya ...

Implementation of Participatory Forest Management in Kenya

DEFF Research Database (Denmark)

Thygesen, S. H.; Løber, Trine; Skensved, E.M.

2016-01-01

This paper analyzes the distribution of powers before and after the implementation of participatory forest management (PFM) in Kenya. The paper is a case study of the Karima forest in the Central Highlands of Kenya. The study relies primarily on 34 semi-structured interviews with key actors...... of the forest communities and weak downward accountability relations. Finally, it illustrates a planning process, which has weaknesses in participation and inclusiveness. Consequently, the paper suggests three areas for PFM policy reform in Kenya: (i) the role (powers) and function of CFAs; (ii) benefit sharing...

Enhancing biomass energy use in Kenya

International Nuclear Information System (INIS)

Banwell, P.S.; Harriss, R.C.

1992-01-01

This paper argues that in Kenya, environmental and economic factors will favour the continued use of biomass as a primary fuel for household an institutional cooking for the next decade or longer. The paper describes several successful projects which have improved the efficiency of urban charcoal use and of rural woodfuel use. The Kenya Ceramic Jiko, a more efficient version of the traditional charcoal stove, is a model programme sustained by free market competition, artisans participation, and widespread public acceptance. The Maendeleo stove is the best example of a successful rural woodstove project. The performance attributes of the stove, and its promotion through Kenya's largest women's organization, have resulted int he distribution of an estimated 26,000 Maendeleo stoves. Rural stove efficiency will become important as the cash-based economy expands in those areas. Agroforestry will also be critical to an enhanced use of biomass energy in Kenya. Experience to date shows that successful agroforestry programmes will have to be appropriate to local conditions and crops. (author). 25 refs, 2 figs, 3 tabs

A cross-sectional study on schistosomiasis and soil-transmitted helminths in Mbita district, western Kenya using different copromicroscopic techniques

OpenAIRE

Ng?etich, Annette I.; Rawago, Fredrick O.; Jura, Walter G. Z. O.; Mwinzi, Pauline N.; Won, Kimberly Y.; Odiere, Maurice R.

2016-01-01

Background Identification of populations to be targeted for individual treatment and broad-spectrum therapy in schistosomiasis-endemic areas, assessment of therapy efficacy, morbidity, and evaluation of control strategies need to be based on reliable diagnostic tools. Kato-Katz is routinely used and remains the standard diagnostic technique for schistosomiasis, despite its many challenges. This study was conducted in Nyamanga village, Mbita, western Kenya, and evaluated the diagnostic perform...

Standardizing operational vector sampling techniques for measuring malaria transmission intensity: evaluation of six mosquito collection methods in western Kenya.

Science.gov (United States)

Wong, Jacklyn; Bayoh, Nabie; Olang, George; Killeen, Gerry F; Hamel, Mary J; Vulule, John M; Gimnig, John E

2013-04-30

Operational vector sampling methods lack standardization, making quantitative comparisons of malaria transmission across different settings difficult. Human landing catch (HLC) is considered the research gold standard for measuring human-mosquito contact, but is unsuitable for large-scale sampling. This study assessed mosquito catch rates of CDC light trap (CDC-LT), Ifakara tent trap (ITT), window exit trap (WET), pot resting trap (PRT), and box resting trap (BRT) relative to HLC in western Kenya to 1) identify appropriate methods for operational sampling in this region, and 2) contribute to a larger, overarching project comparing standardized evaluations of vector trapping methods across multiple countries. Mosquitoes were collected from June to July 2009 in four districts: Rarieda, Kisumu West, Nyando, and Rachuonyo. In each district, all trapping methods were rotated 10 times through three houses in a 3 × 3 Latin Square design. Anophelines were identified by morphology and females classified as fed or non-fed. Anopheles gambiae s.l. were further identified as Anopheles gambiae s.s. or Anopheles arabiensis by PCR. Relative catch rates were estimated by negative binomial regression. When data were pooled across all four districts, catch rates (relative to HLC indoor) for An. gambiae s.l (95.6% An. arabiensis, 4.4% An. gambiae s.s) were high for HLC outdoor (RR = 1.01), CDC-LT (RR = 1.18), and ITT (RR = 1.39); moderate for WET (RR = 0.52) and PRT outdoor (RR = 0.32); and low for all remaining types of resting traps (PRT indoor, BRT indoor, and BRT outdoor; RR < 0.08 for all). For Anopheles funestus, relative catch rates were high for ITT (RR = 1.21); moderate for HLC outdoor (RR = 0.47), CDC-LT (RR = 0.69), and WET (RR = 0.49); and low for all resting traps (RR < 0.02 for all). At finer geographic scales, however, efficacy of each trap type varied from district to district. ITT, CDC-LT, and WET appear to be effective methods for large-scale vector sampling in

Basing care reforms on evidence: the Kenya health sector costing model.

Science.gov (United States)

Flessa, Steffen; Moeller, Michael; Ensor, Tim; Hornetz, Klaus

2011-05-27

The Government of the Republic of Kenya is in the process of implementing health care reforms. However, poor knowledge about costs of health care services is perceived as a major obstacle towards evidence-based, effective and efficient health care reforms. Against this background, the Ministry of Health of Kenya in cooperation with its development partners conducted a comprehensive costing exercise and subsequently developed the Kenya Health Sector Costing Model in order to fill this data gap. Based on standard methodology of costing of health care services in developing countries, standard questionnaires and analyses were employed in 207 health care facilities representing different trustees (e.g. Government, Faith Based/Nongovernmental, private-for-profit organisations), levels of care and regions (urban, rural). In addition, a total of 1369 patients were randomly selected and asked about their demand-sided costs. A standard step-down costing methodology was applied to calculate the costs per service unit and per diagnosis of the financial year 2006/2007. The total costs of essential health care services in Kenya were calculated as 690 million Euros or 18.65 Euro per capita. 54% were incurred by public sector facilities, 17% by Faith Based and other Nongovernmental facilities and 23% in the private sector. Some 6% of the total cost is due to the overall administration provided directly by the Ministry and its decentralised organs. Around 37% of this cost is absorbed by salaries and 22% by drugs and medical supplies. Generally, costs of lower levels of care are lower than of higher levels, but health centres are an exemption. They have higher costs per service unit than district hospitals. The results of this study signify that the costs of health care services are quite high compared with the Kenyan domestic product, but a major share are fixed costs so that an increasing coverage does not necessarily increase the health care costs proportionally. Instead

Basing care reforms on evidence: The Kenya health sector costing model

Science.gov (United States)

2011-01-01

Background The Government of the Republic of Kenya is in the process of implementing health care reforms. However, poor knowledge about costs of health care services is perceived as a major obstacle towards evidence-based, effective and efficient health care reforms. Against this background, the Ministry of Health of Kenya in cooperation with its development partners conducted a comprehensive costing exercise and subsequently developed the Kenya Health Sector Costing Model in order to fill this data gap. Methods Based on standard methodology of costing of health care services in developing countries, standard questionnaires and analyses were employed in 207 health care facilities representing different trustees (e.g. Government, Faith Based/Nongovernmental, private-for-profit organisations), levels of care and regions (urban, rural). In addition, a total of 1369 patients were randomly selected and asked about their demand-sided costs. A standard step-down costing methodology was applied to calculate the costs per service unit and per diagnosis of the financial year 2006/2007. Results The total costs of essential health care services in Kenya were calculated as 690 million Euros or 18.65 Euro per capita. 54% were incurred by public sector facilities, 17% by Faith Based and other Nongovernmental facilities and 23% in the private sector. Some 6% of the total cost is due to the overall administration provided directly by the Ministry and its decentralised organs. Around 37% of this cost is absorbed by salaries and 22% by drugs and medical supplies. Generally, costs of lower levels of care are lower than of higher levels, but health centres are an exemption. They have higher costs per service unit than district hospitals. Conclusions The results of this study signify that the costs of health care services are quite high compared with the Kenyan domestic product, but a major share are fixed costs so that an increasing coverage does not necessarily increase the health

All projects related to kenya | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Evaluating impacts of gender integration on agriculture and food security outcomes ... Kenya's agricultural labour force; however, gender inequalities often undermine their productivity and ... Region: Canada, Israel, Kenya, India, United States.

Traumatic Brain Injury in Kenya

Directory of Open Access Journals (Sweden)

Benson Kinyanjui

2016-03-01

Full Text Available Kenya has a disproportionately high rate of road traffic accidents each year, many of them resulting in traumatic brain injuries (TBIs. A review of articles written on issues pertaining to the medical treatment of people with TBI in the past 15 years in Kenya indicates a significantly high incidence of TBIs and a high mortality rate. This article reviews the available literature as a first step in exploring the status of rehabilitation of Kenyans with cognitive impairments and other disabilities resulting from TBIs. From this preliminary review, it is apparent that despite TBI being a pervasive public health problem in Kenya, it has not received due attention in the public and private sectors as evidenced by a serious lack of post-acute rehabilitation services for people with TBIs. Implications for this lack of services are discussed and recommendations are made for potential approaches to this problem.

Kenya: Current Conditions and the Challenges Ahead

Science.gov (United States)

2010-12-09

Tree 1 PPK Peoples Party of Kenya Trumpet 1 NLP National Labour Party Bull (Ndume) 1 KADDU Kenya African Democratic Development Union Fruit Basket...15%, Asian, European, and Arab 1% Religions: Protestant 45%, Roman Catholic 33%, indigenous beliefs 10%, Muslim 10%, other 2% Languages: English

Exploring the condom gap: is supply or demand the limiting factor - condom access and use in an urban and a rural setting in Kilifi district, Kenya.

Science.gov (United States)

Papo, Jacqueline K; Bauni, Evasius K; Sanders, Eduard J; Brocklehurst, Peter; Jaffe, Harold W

2011-01-14

to explore the extent of the condom gap, investigating the relative roles of supply-side and demand-side factors in determining condom use. GPS mapping of condom outlets, and population-based survey. an urban and a rural site were selected within the Epidemiological and Demographic Surveillance Site in Kilifi district, Kenya. Potential condom outlets (n = 281) were mapped and surveyed, and questionnaires on condom access and use (n = 630) were administered to a random sample of men and women aged 15-49. Multivariate logistic regression was performed to assess the relative roles of supply-side and demand-side barriers on condom use. the median straight-line distance to free condoms was 18-fold higher in the rural versus urban site. Among sexually active respondents, 42% had ever used a condom, and 23% had used a condom over the past 12 months, with lower levels among rural versus urban respondents (P supply-side or demand-side barriers, compared with individuals experiencing both types of barriers. Despite low levels of usage and the presence of supply-side and demand-side barriers, reported unmet need for condoms was low. there is an urgent need for renewed condom promotion efforts aimed at building demand, in addition to improving physical access, in resource-limited settings with generalized HIV epidemics in sub-Saharan Africa. 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Nutritional Characteristics of Important Dwarf Shrubs and Value of Leucaena leueocephala seeds as Protein Supplement for Goats in Marsabit District, Kenya

International Nuclear Information System (INIS)

Kuria, S.G; Karue, C.N

1999-01-01

A study on the nutritional characteristics of Indigofera spinosa and Duosperma eremophilum dwarf shrubs was carried out in Southwest Marsabit district of Kenya to establish the digestibility intake by goats and their chemical composition for management purposes. The value of Leucaena leucocephala seeds as protein supplement for goats was also tested where three levels, 0 (control), 50 and 100 g/goat/day were used. Intake and digestibility of the shrubs were assessed by difference and conventional methods respectively. Proximate analysis and Van Soest fibre analysis were done for chemical composition. Goats on l. spinosa had 330+ or -34. 5 g/day Dry Matter Intake (DMI) while those on D. eremophilum had 175+or-89.0 g/day. Dry Matter of l. spinosa was 40.3+or-2.9 % digestible while that of D. eremophilum was 45.0+or-6.6 % digestible. Indigofera spinosa contained 8.8 % Crude Protein (CP), 55.4 % Neutral Detergent Fibre (NDF) and 4.1 KCal/gDM energy compared to 7.6 % CP, 29.3 % Neutral Detergent Fibre (NDP) and 3.1 KCal/gDM energy for D. eremophililum. In reference to the controls, DMI increased by 124g and 55g for D. eremophilum and I. spinosa respectively for every 50g increase in L. lecocephala seeds for l. spinosa. From the results it was concluded that in terms of intake, digestibility and CP, both shrubs are medium quality. Leucaena leucocephala seeds are rich in CP (26.0%) and increased both DMI and DMD for the shrubs. It is thus suitable for use as protein supplement in small ruminant feeding especially during the dry season when it will increase intake and digestibility of the shrubs

The Impact of Out-Migration on the Nursing Workforce in Kenya

Science.gov (United States)

Gross, Jessica M; Rogers, Martha F; Teplinskiy, Ilya; Oywer, Elizabeth; Wambua, David; Kamenju, Andrew; Arudo, John; Riley, Patricia L; Higgins, Melinda; Rakuom, Chris; Kiriinya, Rose; Waudo, Agnes

2011-01-01

Objective To examine the impact of out-migration on Kenya's nursing workforce. Study Setting This study analyzed deidentified nursing data from the Kenya Health Workforce Informatics System, collected by the Nursing Council of Kenya and the Department of Nursing in the Ministry of Medical Services. Study Design We analyzed trends in Kenya's nursing workforce from 1999 to 2007, including supply, deployment, and intent to out-migrate, measured by requests for verification of credentials from destination countries. Principle Findings From 1999 to 2007, 6 percent of Kenya's nursing workforce of 41,367 nurses applied to out-migrate. Eighty-five percent of applicants were registered or B.Sc.N. prepared nurses, 49 percent applied within 10 years of their initial registration as a nurse, and 82 percent of first-time applications were for the United States or United Kingdom. For every 4.5 nurses that Kenya adds to its nursing workforce through training, 1 nurse from the workforce applies to out-migrate, potentially reducing by 22 percent Kenya's ability to increase its nursing workforce through training. Conclusions Nurse out-migration depletes Kenya's nursing workforce of its most highly educated nurses, reduces the percentage of younger nurses in an aging nursing stock, decreases Kenya's ability to increase its nursing workforce through training, and represents a substantial economic loss to the country. PMID:21413982

Health education and teacher education in Kenya

DEFF Research Database (Denmark)

Dahl, Kari

2011-01-01

Forskningsseminar på Kenyatta University, Nairobi, key note om sundhedsundervisning og læreruddannelse i Kenya, baseret på post.doc.-forskningsprojekt 2009-2011.......Forskningsseminar på Kenyatta University, Nairobi, key note om sundhedsundervisning og læreruddannelse i Kenya, baseret på post.doc.-forskningsprojekt 2009-2011....

SOTER-based soil parameter estimates for Kenya (ver. 1.0)

NARCIS (Netherlands)

Batjes, N.H.

2013-01-01

This harmonized data set has been derived from the Soil and Terrain Database for Kenya (KENSOTER), at scale 1:1M, compiled by the Kenya Soil Survey. The land surface of the Republic of Kenya - excluding lakes and towns - has been characterized using 397 unique SOTER units corresponding with 623 soil

Assessing the Development of Kenya National Spatial Data

African Journals Online (AJOL)

okuku

Keywords: Spatial data infrastructure, Kenya NSDI, development, .... calculated based on the value of the 16 indicators of SDI readiness (Table 1). .... instance, majority of the staff at Survey of Kenya; the National Mapping Agency are GIS and.

Adolescent Experience of Menstruation in Rural Kenya.

Science.gov (United States)

Secor-Turner, Molly; Schmitz, Kaitlin; Benson, Kristen

2016-01-01

Although menstruation is a universal experience, girls in resource-poor areas face unique challenges related to menstruation management. In Kenya, girls miss nearly 3.5 million learning days per month because of limited access to sanitary products and lack of adequate sanitation. Global priorities to address gender inequality-especially related to education-often do not consider the impact of poverty on gendered experiences, such as menstruation. The aim of the study was to describe the experiences of menstruation from the perspective of adolescent girls living in rural Kenya. Data for this qualitative study were collected through 29 individual interviews with adolescent girls and separate field observations. Descriptive content analysis was used to identify themes reflective of the data from the individual interviews and field notes. Four themes were developed to summarize the data: (a) receiving information about menstruation, (b) experiences of menstruation, (c) menstrual hygiene practices, and (d) social norms and the meaning of menstruation. Findings from this study describe the impact of menstruation on the lives of adolescent girls in rural Kenya. Menstrual hygiene management and its associated challenges may impact girls' academic continuity. Experiences of menstruation also reinforce gender inequality and further marginalize girls in low-income, rural areas of Kenya. Consideration of menstruation is critical to promote health and academic continuity for girls in rural Kenya.

Exploring options for integrated nutrient management in semi-arid tropics using farmer field schools: a case study in Mbeere District, eastern Kenya

NARCIS (Netherlands)

Onduru, D.D.; Preez, Du C.C.; Muchena, F.N.; Gachimbi, L.N.; Jager, de A.

2008-01-01

The farmer field school (FFS) approach was used in semi-arid eastern Kenya in the period 2002–2003 to explore technology options for addressing declining soil fertility and to institute learning processes on integrated nutrient management (INM).
The farmer field school (FFS) approach was used in

Development research in Kenya | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Kenya's 2002 general election, replacing a notoriously corrupt regime with a coalition government committed to reform, was seen as a landmark event in the country's history. IDRC, active in Kenya for some 30 years by then, reacted quickly with a package of projects expressly designed to advance and take advantage of ...

Prospects for nuclear energy in Kenya under vision 2030

International Nuclear Information System (INIS)

Shadrack, A. K.

2012-01-01

Overcoming energy poverty is one of Kenya's greatest challenges. Majority of Kenyans currently have no access to modern energy services and technologies. The challenge is thus to find appropriate and reliable solutions for providing energy sources for social and economic development. This study intends to focus on the development of nuclear power technology under the Kenya 2030 vision. This research project intends to investigate the advancement stages that Kenya has undertaken towards the implementation of nuclear power plants. A background review of nuclear energy in Kenya, and nuclear environments, have been reviewed and projected through the 2030 vision. The study will provide a useful starting point for policy makers interested in the state of the ecosystem

Task shifting for cataract surgery in eastern Africa: productivity and attrition of non-physician cataract surgeons in Kenya, Malawi and Tanzania.

Science.gov (United States)

Eliah, Edson; Lewallen, Susan; Kalua, Khumbo; Courtright, Paul; Gichangi, Michael; Bassett, Ken

2014-01-01

This project examined the surgical productivity and attrition of non-physician cataract surgeons (NPCSs) in Tanzania, Malawi, and Kenya. Baseline (2008-9) data on training, support, and productivity (annual cataract surgery rate) were collected from officially trained NPCSs using mailed questionnaires followed by telephone interviews. Telephone interviews were used to collect follow-up data annually on productivity and semi-annually on attrition. A detailed telephone interview was conducted if a surgeon left his/her post. Data were entered into and analysed using STATA. Among the 135 NPCSs, 129 were enrolled in the study (Kenya 88, Tanzania 38, and Malawi 3) mean age 42 years; average time since completing training 6.6 years. Employment was in District 44%, Regional 24% or mission/ private 32% hospitals. Small incision cataract surgery was practiced by 38% of the NPCSs. The mean cataract surgery rate was 188/year, median 76 (range 0-1700). For 39 (31%) NPCSs their surgical rate was more than 200/year. Approximately 22% in Kenya and 25% in Tanzania had years where the cataract surgical rate was zero. About 11% of the surgeons had no support staff. High quality training is necessary but not sufficient to result in cataract surgical activity that meets population needs and maintains surgical skill. Needed are supporting institutions and staff, functioning equipment and programs to recruit and transport patients.

the inception of a doctors union in Kenya

African Journals Online (AJOL)

raoul

2012-01-25

Jan 25, 2012 ... of the Kenyan health sector and improve health services in Kenya. ... that up to three quarters of doctors will have left the government payroll three .... dispensation in Kenya which brought along a strong bill of rights, giving ...

Mastitogenic bacteria isolated from dairy cows in Kenya and their antimicrobial sensitivity

Directory of Open Access Journals (Sweden)

George K. Gitau

2014-02-01

Full Text Available There is limited epidemiological knowledge on udder health in Kenyan dairy cattle that would aid in a pro-active approach towards mastitis prevention. The study objectives were: (1 to investigate the prevalence and distribution of clinical and subclinical mastitis in dairy cattle in Mukurwe-ini and Nakuru Districts, Kenya, and (2 to determine the antibacterial sensitivity of the organisms causing bovine mastitis in these districts. The study involved field-screening of milk samples from 241 dairy cows on 128 farms by use of the California Mastitis Test (CMT and, if CMT-positive, followed by bacteriological culture of the major causative agents and their respective antibiotic sensitivity to eight commonly used antibiotics. All participating farms were visited twice during the study period. The results obtained during the first and second visits showed the prevalence of clinical mastitis to be very low: 0.9% and 0.5%, respectively; 56.0% and 65.0% of cows were CMT-positive on at least one quarter and 49.6% and 58.7% of cows were culture-positive, respectively. There was no significant difference in mastitis prevalence between Nakuru and Mukurwe-ini districts (p > 0.10. Staphylococcus aureus was isolated in 68.0% and 77.0% of samples during the first and second visits, respectively. Other frequently isolated agents included Streptococcus agalactiae, and other Streptococcus spp., S. aureus and S. agalactiae were most sensitive to gentamycin and norfloxacin, and least sensitive to cotrimazole and ampicillin. Knowing the prevalence of mastitogenic organisms and their antibiotic sensitivities could improve treatment efficacy and cow longevity.

Information Communication and Technology for Water Resource Management and Food Security in Kenya: A Case Study of Kericho and Uasin Gishu Districts

Science.gov (United States)

Omboto, P. I.; Macharia, J.; Mbagaya, Grace; Standa, F. N.

2011-01-01

Recent reports on Kenya have indicated food insecurity and destruction of water catchments as serious problems facing the country. Despite the tremendous strides in Information and Communication Technology (ICT), the country has not taken advantage of the technology to improve food security by effectively managing her water resources. A survey on…

Ethnobotanical study of medicinal plants used by Sabaots of Mt. Elgon Kenya.

Science.gov (United States)

Okello, S V; Nyunja, R O; Netondo, G W; Onyango, J C

2009-10-15

Though the majority of people in Kenya and at Kopsiro Division in particular, rely on ethnomedicinal plant species to manage human ailments, the indigenous knowledge largely remains undocumented. Therefore, an ethnobotanical study was conducted on medicinal plant species used to manage human ailments at Kopsiro Division Mt. Elgon District Kenya. The objectives were to identify and document plants traditionally used for medicinal therapy by the Sabaots, to find out the method used for preparing and administering the drugs and to find out the conservation practices for the medicinal plants. Observations and semi-structured interviews were used to gather ethnobotanical data. 107 plants belonging to 56 families were identified and reported to be of medicinal value to the locals. Roots (47.3%) were the most frequently used parts of the plant followed by the bark (23.35%) then leaves (22.75%). The whole plant (1.8%), seed (1.2%), fruit (1.2%), sap (1.2%), flower (0.6%) and wood (0.6%) are least used in that order. The study revealed other hitherto undocumented medicinal plant species that may be new records for treating various ailments. Traditional medicine in Kopsiro division offers cheap, accessible and convenient remedy that suits the traditional lifestyle of the local community in comparison to the conventional medicine. Most medicinal plant species reported in this study were found to be under threat and this calls for urgent conservation measures so as to maximize the sustainable use of these vital resources in the study area.

Innovation and Financial Inclusion in Kenya

DEFF Research Database (Denmark)

Omanga, Josphat; Dreyer, Johannes Kabderian

2017-01-01

This chapter analyzes the role of financial innovation and mobile phone technologies to financial inclusion in Kenya. In order to do so, a case study on M-PESA is conducted, the leading mobile service of money transfers in Africa, which is offered by Safaricom. M-PESA services are cheap and easy...... suggests that M-PESA services can be considered a type of disruptive innovation that promotes financial inclusion and wealth growth in Kenya....

Basic Education from Early Childhood: Impacts of Free Primary Education and Subsidized Secondary Education on Public ECDE Centers in Nyahururu District, Kenya

Science.gov (United States)

Mwangi, Peter Murage; Serem, T. D. K.

2013-01-01

Kenya must invest more in education to realize her vision 2030. The government commitment to Education for All's goal has been expressed through provision of basic education in pre-primary, primary and secondary school levels. To this end, the government introduced two kitties; Free Primary Education in 2003 and Subsidized Secondary Education in…

Kiswahili kama Nyenzo ya Maendeleo Nchini Kenya | Mukuthuria ...

African Journals Online (AJOL)

Ukuzaji na uendelezaji wa Kiswahili kama lugha ya taifa nchini Kenya ni lengo la taifa ambalo bado halijapewa kipaumbele kinachostahili. Hata hivyo, tangu Kenya ilipojinyakulia uhuru, matumizi ya lugha hii yamepevuka kinyume na matarajio ya wengi, kiasi kwamba, kwa sasa, mchango wake katika kufanikisha ...

Situational Analysis of Leishmaniases Research in Kenya | Tinui ...

African Journals Online (AJOL)

Since 1980, the Kenya Medical Research Institute (KEMRI) has spearheaded research on leishmaniases research in Kenya focusing on various aspects including characterization of Leishmania species, biology, and ecology of sand fly vectors, development of biological strategiesF for sand fly control, identification of ...

THE EFFECT OF INTRODUCED FORAGE LEGUMES ON IMPROVEMENT OF SOIL FERTILITY IN NATURAL PASTURES OF SEMI-ARID RANGELANDS OF KAJIADO DISTRICT, KENYA

Directory of Open Access Journals (Sweden)

Peter N Macharia

2010-11-01

Full Text Available A two phase study was carried out from 2002 to 2005 in the semi-arid rangelands of Kajiado District, Kenya to determine the effect of introduced forage legumes on soil fertility improvement of natural pastures. During legume evaluation phase, Neonotonia wightii (Glycine, Macroptilium atropurpureum (Siratro, Lablab purpureus cv. Rongai (Dolichos, Mucuna pruriens (Velvet bean and Stylosanthes scabra var. Seca (Stylo were screened for adaptability and growth performance under the semi-arid conditions for two years. Results of soil analysis showed there were significant increases in soil pH (4.92 to 5.36, organic carbon (1.17 to 2.57% , nitrogen (0.17 to 0.22% and potassium (1.23 to 1.68 me% probably due to the large amounts of organic residues produced by the legumes (particularly Glycine, Siratro and Stylo which are perennials. The calcium content decreased significantly from 7.97 to 4.50 me% (which was attributed to plant uptake while the decrease of phosphorus was not significant. During the second phase of study for 1½ years Glycine, Siratro and Stylo were integrated into natural pastures. The results showed that only the soil pH significantly increased from 5.23 to 5.31 while all the other nutrients decreased results, which were attributed to production of less organic residues by the legumes compared to the residues produced during the legume evaluation phase. The study concluded that Glycine, Siratro and Stylo were capable of improving the soil fertility of semi-arid natural pastures only if the respective dry matter production was 10.31, 7.81 and 3.52 tha-1, amounts which were able to produce large amounts of organic residues. Â

Adult population as potential reservoir of NTD infections in rural villages of Kwale district, Coastal Kenya: implications for preventive chemotherapy interventions policy.

Science.gov (United States)

Njenga, Sammy M; Mwandawiro, Charles S; Muniu, Erastus; Mwanje, Mariam T; Haji, Fatma M; Bockarie, Moses J

2011-09-14

Neglected tropical diseases (NTDs) are major public health problems in developing countries where they contribute to suffering of populations living in poor settings. As part of a research project started in September 2009 in Kwale district, Coast Region, Kenya, a baseline cross-sectional survey was conducted in 5 rural villages to provide information on the status of NTDs, including urinary schistosomiasis, soil-transmitted helminthiasis (STH), and lymphatic filariasis. This paper presents the results of a parasitological investigation among adults in the study villages. A total of 599 adults in the 5 study villages were tested for NTD infections in urine, stool and blood. The presence of Schistosoma haematobium infection was determined by the urine filtration method. The presence of STH in stool was determined by Kato-Katz method while filarial antigenaemia was determined using immunochromatographic (ICT) test. The study revealed high prevalence of hookworm (41.7%) and schistosomiasis (18.2%) infections among adults in the study villages. Of the 599 individuals examined, 50.1% had one or more helminthic infections. There was low level of polyparasitism with helminthic NTDs in the study population with 9.5% and 1.7% of the participants having two and three infections, respectively. In the current study, hookworm and schistosomiasis infections were identified as important infections among adults living in areas of high endemicity for these infections. Thus, if this section of the population is left untreated it may remain an important potential reservoir and a source of re-infection for school-age children treated in school deworming programmes. Therefore, there is a need to design novel strategies for preventive chemotherapy interventions that could allow inclusion of adults in an effort to reduce force of infection in high endemic communities.

Factors affecting time of access of in-patient care at Webuye District hospital, Kenya

Directory of Open Access Journals (Sweden)

Maxwell M. Lodenyo

2016-10-01

Conclusion: Ten-year increment in age, perception of a supernatural cause of illness(predisposing factors, having an illness that is considered bearable and belief in the effectiveness of treatment offered in-hospital (need factors affect time of access of in-patient healthcare services in the community served by Webuye District hospital and should inform interventions geared towards improving access.

THE REPRISAL ATTACKS BY AL-SHABAAB AGAINST KENYA

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E.O.S.ODHIAMBO

2013-10-01

Full Text Available The incursion of Kenya Defence Forces (KDF into Somalia was met by a series of threats from the Al-Shabaab that it would increase the attacks against Kenya if the troops were not withdrawn. The capture of Kismayu by KDF has weakened the nerve of Al-Shabaab but has not eliminated the imminent danger of a substantive terror attack. Since the incursion by KDF, Kenya has succumbed to a sequence of grenade and Improvised Explosive Devices attacks, roadside bombs, landmines and raids by fighters using small arms and light weapons and Rocket Propelled Grenades against Kenyans mostly in North Eastern, Coastal and Nairobi counties, marking the resurgence of terrorism in the country. We argue that Kenya is more vulnerable to Al-Shabaab terrorists attack than before the KDF incursion by citing the frequencies of reprisal attacks from October 2011 to January 2013. Hence, our troops should be withdrawn and deployed within our boundary.

The Role of Agro-Veterinary Shops in Animal Health Services, Information and Technology Delivery in Kenya

International Nuclear Information System (INIS)

Ngotho, R.N.

2002-01-01

With the withdrawal of animal health services by the government of Kenya, 'private' delivery has become increasingly important, especially in urban and per-urban settings. Rural agri- business shops ('dukas') are situated everywhere in the country and areas devoid of veterinarians due to poor establishment of private practice as in the ASALs, they have mushroomed to address the delivery vacuum. Four participatory approaches were used in a study to gauge the perceptions of stakeholders on the role of 'dukas' in delivery of animal health services, technologies and information. Rapid rural appraisals were carried out in three representative districts of Kenya to obtain perceptions in farmers' group settings. Semi-structured interviews of key informants endeavoured to tease out opinions of the professionals on the service and information delivery mode they considered to be most effective and sustainable. Shop exit surveys targeting individual consumers sought to assess what livestock keepers had to say on a one to one basis regarding the agro-veterinary shops. Two consensus-building workshop meetings for stakeholders were held to help crystallise recommendations and develop guidelines and support mechanisms for future duka involvements in AHSD. In this paper, the main stakeholders' perspectives and highlights from stakeholders' consensus-building workshops are also presented. In conclusion the role of the dukas is discussed impartially

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Introduction. Mwingi and Kyuso districts are located in the semi-arid zone V region of Kenya with annual rainfall of less than 400 mm. The biggest town of the districts is Mwingi town and it is located about 170km east of Kenya's capital city Nairobi. The two districts are agro-climatically placed into arid and semiarid zones ...

Kenya | Page 38 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Home · South of Sahara. Kenya. Kenya. Read more about Effects of Radio on Perception of Agricultural Biotechnology in Africa. Language English. Read more about Effets des émissions radiophoniques sur la perception de la biotechnologie agricole en Afrique. Language French. Read more about Les droits des ...

ability in Large Scale Land Acquisitions in Kenya

International Development Research Centre (IDRC) Digital Library (Canada)

Corey Piccioni

Kenya's national planning strategy, Vision 2030. Agri- culture, natural resource exploitation, and infrastruc- ... sitions due to high levels of poverty and unclear or in- secure land tenure rights in Kenya. Inadequate social ... lease to a private company over the expansive Yala. Swamp to undertake large-scale irrigation farming.

Prevalence of age-related macular degeneration in Nakuru, Kenya: a cross-sectional population-based study.

Directory of Open Access Journals (Sweden)

Wanjiku Mathenge

Full Text Available Diseases of the posterior segment of the eye, including age-related macular degeneration (AMD, have recently been recognised as the leading or second leading cause of blindness in several African countries. However, prevalence of AMD alone has not been assessed. We hypothesized that AMD is an important cause of visual impairment among elderly people in Nakuru, Kenya, and therefore sought to assess the prevalence and predictors of AMD in a diverse adult Kenyan population.In a population-based cross-sectional survey in the Nakuru District of Kenya, 100 clusters of 50 people 50 y of age or older were selected by probability-proportional-to-size sampling between 26 January 2007 and 11 November 2008. Households within clusters were selected through compact segment sampling. All participants underwent a standardised interview and comprehensive eye examination, including dilated slit lamp examination by an ophthalmologist and digital retinal photography. Images were graded for the presence and severity of AMD lesions following a modified version of the International Classification and Grading System for Age-Related Maculopathy. Comparison was made between slit lamp biomicroscopy (SLB and photographic grading. Of 4,381 participants, fundus photographs were gradable for 3,304 persons (75.4%, and SLB was completed for 4,312 (98%. Early and late AMD prevalence were 11.2% and 1.2%, respectively, among participants graded on images. Prevalence of AMD by SLB was 6.7% and 0.7% for early and late AMD, respectively. SLB underdiagnosed AMD relative to photographic grading by a factor of 1.7. After controlling for age, women had a higher prevalence of early AMD than men (odds ratio 1.5; 95% CI, 1.2-1.9. Overall prevalence rose significantly with each decade of age. We estimate that, in Kenya, 283,900 to 362,800 people 50 y and older have early AMD and 25,200 to 50,500 have late AMD, based on population estimates in 2007.AMD is an important cause of visual

Attitudes of serodiscordant couples towards antiretroviral-based HIV prevention strategies in Kenya: a qualitative study.

Science.gov (United States)

Fowler, Nikola; Arkell, Paul; Abouyannis, Michael; James, Catherine; Roberts, Lesley

2014-01-01

Transmission in serodiscordant couples (SDCs) accounts for approximately half of all new HIV infections, both in Kenya and the wider sub-Saharan region (1). With evidence to suggest inconsistent condom use within this population (2), the World Health Organization has recommended two new methods of HIV prevention for SDCs: Treatment as Prevention (TasP) and Pre-Exposure Prophylaxis (PrEP). However, there has been little research about the attitudes of SDCs towards these strategies (3, 4); knowledge that is paramount for successfully predicting the acceptability and efficacy of each method, as well as for informing decisions regarding HIV policy changes in Kenya. An exploratory, qualitative study was conducted in the Muhoroni constituency of Nyando district, Kenya from January to March 2013. Purposive sampling was predominately used to recruit 21 HIV-positive and 17 HIV-negative individuals in a serodiscordant relationship from four hospitals and health centres. During face-to-face semi-structured interviews, topic guides were used to elicit information about participants' attitudes and preferences towards TasP and PrEP. Collected data underwent framework analysis, allowing the development of overarching categories, sub-themes and inductive interpretation. The majority of participants, irrespective of gender and HIV status, found TasP more acceptable than PrEP. A key factor influencing this decision was HIV-negative participants' limited motivation to take and adhere to antiretrovirals (ARVs), primarily due to a predominantly external health locus of control, a lack of cultural acceptance of prophylactic medication and concerns about side effects. In addition to this, the likely health improvements TasP offers HIV-positive partners, as well as the attitude that the sick individual should be the first to receive HIV medication, also contributed to this conclusion. Issues of risk compensation were raised, with some HIV-negative partners indicating a desire to stop

Kenya | Page 46 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Kenya. Read more about Dynamique du marché du travail en temps de crise - le cas de l'Afrique. Language French. Read more about Labour Market Dynamics in Times of Crisis: Evidence from Africa. Language English. Read more about Participation des jeunes femmes à la vie politique au Kenya. Language French.

Agriculture and development in Africa: the case of Kenya.

Science.gov (United States)

Hyden, G

1987-01-01

The Government of Kenya has successfully developed macroeconomic policies that overcome constraints in the domestic and international environments and have a relatively well-functioning public sector. At present, the major challenge facing Kenya concerns the ability of the government to improve agricultural productivity given the weakness of its research services and peasant resistance to development. The response to the 1984 drought indicates that the Government of Kenya has the formal structures in place to deal with emergencies, yet the absence of reliable statistics on grain production, marketing, and on-farm storage led to serious miscalculations of the severity of the drought. Government of Kenya has been reluctant to experiment with institutional forms that reduce the opportunity for direct political control, especially over agricultural marketing. Privatization of the grain trade or the establishment of cooperatively owned local dairies has been proposed but rejected as too risky. New policies and concerted action, at both the government and community levels, tend to be in response to threat or hardship rather than a result of a dynamic strategy. Given this tendency to avoid experimentation with alternative political forms, socioeconomic development in Kenya may be limited in the years ahead.

On-site comprehensive curriculum to teach reproductive health to female adolescents in Kenya.

Science.gov (United States)

Gaughran, Margaret; Asgary, Ramin

2014-04-01

Rates of sexually transmitted infections (STIs) and unplanned pregnancy are high in Kenya, and limited reproductive health education exists in schools. We designed and implemented a 6-week reproductive health curriculum in Laikipia District, Kenya, in 2011, which included didactic sessions, educational games, and open discussions. We applied a mixed quantitative and qualitative methods to evaluate this curriculum including a comprehensive 35-item survey to assess pre- and post-training knowledge, attitudes, and practices of female teenagers regarding STIs/HIV and family planning using paired t-test as well as complementary focus groups (n=42) and individual interviews (n=20). Average age for 42 female teenagers was 16.5 (± 1.31) years. Pre-test questionnaires revealed lack of knowledge about different types of STIs, specifically chlamydia, but adequate knowledge of basic contraception including abstinence and condom use. By the conclusion of the study, we observed improvement in following educational domains: general knowledge of HIV/AIDS (85% ± 7.5% to 94% ± 5.6%) (pmasturbation and its perceived consequences, and issues surrounding female circumcision. Important misconceptions and gaps in reproductive practices were identified and addressed using a mixed methods approach. Despite prior basic knowledge and positive attitudes on STI prevention and family planning, complementary teaching approaches were instrumental in improving overall knowledge of STIs other than HIV as well as family planning. The curriculum was feasible, well received, and achieved its educational goals.

Using data from a multi-hospital clinical network to explore prevalence of pediatric rickets in Kenya [version 1; referees: 2 approved

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Stella W. Karuri

2017-08-01

Full Text Available Background: Nutritional rickets is a public health concern in developing countries despite tropical climates and a re-emerging issue in developed countries. In this study, we reviewed pediatric admission data from the Clinical Information Network (CIN to help determine hospital and region based prevalence of rickets in three regions of Kenya (Central Kenya, Western Kenya and Nairobi County. We also examine the association of rickets with other diagnosis, such as malnutrition and pneumonia, and study the effect of rickets on regional hospital stays. Methods: We analyzed discharge records for children aged 1 month to 5 years from county (formerly district hospitals in the CIN, with admissions from February 1st 2014 to February 28th 2015. The strength of the association between rickets and key demographic factors, as well as with malnutrition and pneumonia, was assessed using odds ratios. The Fisher exact test was used to test the significance of the estimated odd ratios. Kaplan-Meier curves were used to analyze length of hospital stays. Results: There was a marked difference in prevalence across the three regions, with Nairobi having the highest number of cases of rickets at a proportion of 4.01%, followed by Central Region at 0.92%. Out of 9756 admissions in the Western Region, there was only one diagnosis of rickets. Malnutrition was associated with rickets; this association varied regionally. Pneumonia was found to be associated with rickets in Central Kenya. Children diagnosed with rickets had longer hospital stays, even when cases of malnutrition and pneumonia were excluded in the analysis. Conclusion: There was marked regional variation in hospital based prevalence of rickets, but in some regions it is a common clinical diagnosis suggesting the need for targeted public health interventions. Factors such as maternal and child nutrition, urbanization and cultural practices might explain these differences.

Using data from a multi-hospital clinical network to explore prevalence of pediatric rickets in Kenya [version 2; referees: 2 approved

Directory of Open Access Journals (Sweden)

Stella W. Karuri

2017-11-01

Full Text Available Background: Nutritional rickets is a public health concern in developing countries despite tropical climates and a re-emerging issue in developed countries. In this study, we reviewed pediatric admission data from the Clinical Information Network (CIN to help determine hospital and region based prevalence of rickets in three regions of Kenya (Central Kenya, Western Kenya and Nairobi County. We also examine the association of rickets with other diagnosis, such as malnutrition and pneumonia, and study the effect of rickets on regional hospital stays. Methods: We analyzed discharge records for children aged 1 month to 5 years from county (formerly district hospitals in the CIN, with admissions from February 1st 2014 to February 28th 2015. The strength of the association between rickets and key demographic factors, as well as with malnutrition and pneumonia, was assessed using odds ratios. The Fisher exact test was used to test the significance of the estimated odd ratios. Kaplan-Meier curves were used to analyze length of hospital stays. Results: There was a marked difference in prevalence across the three regions, with Nairobi having the highest number of cases of rickets at a proportion of 4.01%, followed by Central Region at 0.92%. Out of 9756 admissions in the Western Region, there was only one diagnosis of rickets. Malnutrition was associated with rickets; this association varied regionally. Pneumonia was found to be associated with rickets in Central Kenya. Children diagnosed with rickets had longer hospital stays, even when cases of malnutrition and pneumonia were excluded in the analysis. Conclusion: There was marked regional variation in hospital based prevalence of rickets, but in some regions it is a common clinical diagnosis suggesting the need for targeted public health interventions. Factors such as maternal and child nutrition, urbanization and cultural practices might explain these differences.

Evaluating the impact of social franchising on family planning use in Kenya

OpenAIRE

Chakraborty, Nirali M.; Mbondo, Mwende; Wanderi, Joyce

2016-01-01

Background In Kenya, as in many low-income countries, the private sector is an important component of health service delivery and of providing access to preventive and curative health services. The Tunza Social Franchise Network, operated by Population Services Kenya, is Kenya?s largest network of private providers, comprising 329 clinics. Franchised clinics are only one source of family planning (FP), and this study seeks to understand whether access to a franchise increases the overall use ...

Employment Challenges in Kenya | Omolo | African Journal of ...

African Journals Online (AJOL)

Kenya's employment challenge is manifested in terms of a 12.7 per cent open unemployment rate, 21 per cent underemployment and a working poor estimated at 46 per cent of the employed. ... To reverse the trend in slow employment growth, Kenya must focus on ensuring high and sustained economic growth. In addition ...

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International Development Research Centre (IDRC) Digital Library (Canada)

Kenya. Read more about Initiative de renforcement des capacités de recherche en santé au Kenya et au Malawi - phase de démarrage. Language French. Read more about Understanding Obstacles to Peace in the Great Lakes Region : Actors, Interests and Strategies. Language English. Read more about Comprendre les ...

Nuclear Medicine Practice in Kenya

International Nuclear Information System (INIS)

Ndrirangu, T.T.

2017-01-01

Nuclear medicine is a medical specialty that relies on the use of nuclear technology in the diagnosis and treatment (therapy) of diseases. Nuclear medicine uses the principle that a certain radiopharmaceutical (tracer) will at a certain point in time have a preferential uptake by a particular body, tissue or cell. Unlike other radiation applications for medical use, nuclear medicine uses open (unsealed) sources of radiation. The tracer is introduced into the body of the patient through several routes (oral, intravenous, percutaneous, intradermally, inhalation, intracapsular etc) and s/he becomes the source of radiation. Early diagnosis of diseases coupled with associated timely therapeutic intervention will lead to better prognosis. In a country with an estimated population of 42 million in 2017, Kenya has only two (2) nuclear medicine facilities (units) that is Kenyatta National Hospital - Public facility and Aga Khan University Hospital which is a Private facility. Being a relatively new medical discipline in Kenya, several measures have been taken by the clinical nuclear medicine team to create awareness at various levels. Kenya does not manufacture radiopharmaceuticals. We therefore have to import them from abroad and this makes them quite expensive, and the process demanding. There is no local training in nuclear medicine and staff have to be sent abroad for training, making this quite expensive and cumbersome and the IAEA has been complimenting in this area. With concerted effort by all stakeholders at the individual, national and international level, it is possible for Kenya to effectively sustain clinical nuclear medicine service not only as a diagnostic tool in many disease entities, but also play an increasingly important role in therapy

Adapting agriculture to climate change in Kenya: household strategies and determinants.

Science.gov (United States)

Bryan, Elizabeth; Ringler, Claudia; Okoba, Barrack; Roncoli, Carla; Silvestri, Silvia; Herrero, Mario

2013-01-15

Countries in Sub-Saharan Africa are particularly vulnerable to climate change, given dependence on agricultural production and limited adaptive capacity. Based on farm household and Participatory Rural Appraisal data collected from districts in various agroecological zones in Kenya, this paper examines farmers' perceptions of climate change, ongoing adaptation measures, and factors influencing farmers' decisions to adapt. The results show that households face considerable challenges in adapting to climate change. While many households have made small adjustments to their farming practices in response to climate change (in particular, changing planting decisions), few households are able to make more costly investments, for example in agroforestry or irrigation, although there is a desire to invest in such measures. This emphasizes the need for greater investments in rural and agricultural development to support the ability of households to make strategic, long-term decisions that affect their future well-being. Copyright © 2012 Elsevier Ltd. All rights reserved.

Institutional Support : Institute for Economic Affairs (IEA-Kenya ...

International Development Research Centre (IDRC) Digital Library (Canada)

IEA-Kenya is an independent organization that uses research to inform its policy advocacy work, relying on a small team of in-house staff and a large set of external ... This grant from IDRC's Think Tank Initiative (TTI) will allow IEA-Kenya to strengthen its governance structure, managerial capacity, research skills and staff ...

ÉTUDE DE CAS – Kenya : Paludisme et agriculture au Kenya ...

International Development Research Centre (IDRC) Digital Library (Canada)

11 janv. 2011 ... ... au Kenya, des chercheurs du Centre international de recherche sur la .... Les membres de l'équipe ont amorcé leur collaboration par la définition des ... Mutero est, à bon droit, chargé de la coordination de SIMA, qui loge au ...

Community radio and peace-building in Kenya

DEFF Research Database (Denmark)

Gustafsson, Jessica

2016-01-01

and interviews with community radio practitioners conducted between 2007 and 2013, and addresses the following questions: How do the community radio stations work during elections – times of increased tensions? How do they discourage ethnic violence in their community? How is participation used in order to bring......In December 2007, violence broke out after the disputed general election in Kenya, which resulted in the death of 1100 Kenyans and left more than 660,000 displaced. Reports criticised media, especially vernacular media, for inflating the violence by using hate speech and incitement to violence......, and suggested that Kenya would benefit from more community media to prevent history from repeating itself. This article focuses on how Koch FM and Pamoja FM, two community radio stations in Nairobi, Kenya, worked during the 2007–08 tumult and 2013 general election. The article is based on observations...

Documenting human rights violations against sex workers in Kenya.

Science.gov (United States)

Lukera, MaryFrances

2007-12-01

The human rights of sex workers are an increasing concern for prominent women's rights organizations such as the Federation of Women Lawyers (FIDA). As FIDA-Kenya's MaryFrances Lukera writes, documenting human rights abuses against sex workers is critical to responding to Kenya's HIV epidemic.

The Effect of Taxpayer Education on Tax Compliance in Kenya.( a case study of SME's in Nairobi Central Business District)

OpenAIRE

Gitaru, Kelvin

2017-01-01

Tax is a very important aspect in any country. Revenue collected from taxes enables a country to provide services for its citizens and also development of its economy. However, Kenya does not collect as much revenue as it should. SMEs in particular have the potential of generating a lot of revenue for the government but this is not the case. This poses a significant problem to the government and the country’s growth as a whole. Therefore, this study aimed at assessing the effect of taxpayer e...

Effect of streaming by gender on student achievement in mathematics in secondary schools in Kenya

Directory of Open Access Journals (Sweden)

Joseph Bosire

2008-11-01

Full Text Available We present findings of a study carried out to determine the effect of streaming by gender on secondary school students' achievement in mathematics. In the study we analysed achievement scores on national examinations results for the years 1999 to 2001 of a sample of 1 489 candidates in four secondary schools in Nakuru District, Kenya. Raw data were analysed statistically and the hypotheses tested. Generally, the results indicated that streaming based on gender improved overall student achievement in mathematics and especially that of girls. Although further studies are needed to incorporate this result into official policy, there are strong indications that streaming by gender may be a useful class environment as an intervention towards improving the performance of girls in mathematics in co-educational schools.

Nutritional and health challenges of pastoralist populations in Kenya ...

African Journals Online (AJOL)

This paper examines nutritional and health challenges facing pastoralists who inhabit fragile rangelands and are one of the most nutritionally vulnerable population groups in Kenya. The review is based on a synthesis of literature on pastoralist food security, nutrition and health status and livelihoods in Kenya's rangelands.

Orthopaedic training in Kenya

African Journals Online (AJOL)

Background: Orthopaedic training in Kenya, like in other East, central and .... quite a number of good facilities that would train an ... provide a forum for exchange of ideas and training. (2,3) ... administrators purely interested in service provision,.

Empirical Evidence from Kenya

African Journals Online (AJOL)

FIRST LADY

2011-01-18

Jan 18, 2011 ... Empirical results reveal that consumption of sugar in. Kenya varies ... experiences in trade in different regions of the world. Some studies ... To assess the relationship between domestic sugar retail prices and sugar sales in ...

traits and resistance to maize streak virus disease in kenya

African Journals Online (AJOL)

African Crop Science Journal, Vol. 14. No. 4, pp. ... Kenya Agricultural Research Institute, Muguga-South, P.O. Box 30148, Nairobi, Kenya .... streak disease has been identified in various maize recycling and development of pure-lines at.

Assessment of community led total sanitation uptake in rural Kenya

African Journals Online (AJOL)

K. N. Ogendo, Bsc, MPH, Living goods Nairobi, Kenya,Ministry of Health, Environmental Health ... led drive to set up pit latrines in rural kenya with an aim of promoting sustainable ... Development and Sustainable Development goals lay.

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Accueil · Sud du Sahara. Kenya. Kenya. Read more about Effects of Radio on Perception of Agricultural Biotechnology in Africa. Langue English. Read more about Effets des émissions radiophoniques sur la perception de la biotechnologie agricole en Afrique. Langue French. Read more about Les droits des ...

Food consumption and food prices in Kenya : a review

NARCIS (Netherlands)

Meilink, H.A.

1987-01-01

Abr. sum.: This report reviews government policies concerning consumer food prices in Kenya. In respect of official food pricing, Kenya can be said to pursue a 'cheap food' policy. It was found that most foods falling under price control measures showed less price increases than the average rate of

A field survey for the seroprevalence of Theileria equi and Babesia caballi in donkeys from Nuu Division, Kenya.

Science.gov (United States)

Oduori, David O; Onyango, Solomon C; Kimari, Joseph N; MacLeod, Ewan T

2015-07-01

Equine piroplasmosis is one of the most significant tick-borne disease of equids. The prevalence of this disease in donkeys of semi-arid Kenya remains largely unexplored. The primary objective of this study was to demonstrate the extent to which donkeys in Nuu division, Kenya have been exposed to the haemoprotozoans Babesia caballi and Theileria equi, the causative agents of equine piroplasmosis. The study also assessed the effect of age and sex on seroprevalence. A stratified sampling approach was used and three hundred and fourteen donkeys were sampled across nine sub-locations in Nuu division, Mwingi district. Serodiagnosis was via competitive inhibition enzyme linked immunosorbent assays (cELISA). The seroprevalence of T. equi was 81.2% (95% CI: 76.4-85.4). There was no significant difference in sub-location seropositivity, gender seropositivity or age related seropositivity. Antibodies against B. caballi were not detected (95% CI: 0-1.2). Findings from this study suggest that T. equi infection is endemic in Nuu division, Mwingi where it exists in a state of endemic stability. Existence of the infection should be communicated to animal health practitioners and donkey owning communities in the area. Copyright © 2015 Elsevier GmbH. All rights reserved.

Nutritional diversity of leafy amaranth species grown in Kenya ...

African Journals Online (AJOL)

Objectives: Despite the availability of many species of amaranth in Kenya, there is inadequate information on their nutritional diversity and how they can be best used in mitigation of malnutrition. Hence, this study was aimed at investigating the nutritional diversity of five leafy amaranth species grown in Kenya. Methodology ...

Hydro-climatic trends and water resource management implications based on multi-scale data for the Lake Victoria region, Kenya

International Nuclear Information System (INIS)

Koutsouris, A J; Destouni, G; Jarsjoe, J; Lyon, S W

2010-01-01

Unreliable rainfall may be a main cause of poverty in rural areas, such as the Kisumu district by Lake Victoria in Kenya. Climate change may further increase the negative effects of rainfall uncertainty. These effects could be mitigated to some extent through improved and adaptive water resource management and planning, which relies on our interpretations and projections of the coupled hydro-climatic system behaviour and its development trends. In order to identify and quantify the main differences and consistencies among such hydro-climatic assessments, this study investigates trends and exemplifies their use for important water management decisions for the Lake Victoria drainage basin (LVDB), based on local scale data for the Orongo village in the Kisumu district, and regional scale data for the whole LVDB. Results show low correlation between locally and regionally observed hydro-climatic trends, and large differences, which in turn affects assessments of important water resource management parameters. However, both data scales converge in indicating that observed local and regional hydrological discharge trends are primarily driven by local and regional water use and land use changes.

Sun-dried cowpeas and amaranth leaves recipe improves β-carotene and retinol levels in serum and hemoglobin concentration among preschool children.

Science.gov (United States)

Nawiri, Mildred P; Nyambaka, Hudson; Murungi, Jane I

2013-03-01

Vitamin A deficiency (VAD) and anemia are major challenges among children and expecting and lactating mothers in developing countries. Intervention with locally available dark green leafy vegetables (DGLV) is more sustainable to eradicate VAD, being cost-effective and readily adaptable to local communities. DGLV contain high levels of iron and β-carotene (BC) and therefore useful in fighting VAD and anemia. Since DGLVs are season-dependent sun-drying enables their availability during low seasons. However, their contribution to the bioavailability of BC and the improvement of hemoglobin are not well understood. The study therefore investigated the effect of consuming cooked recipe consisting of sun-dried amaranth and cowpea leaves on the levels of BC, retinol, and hemoglobin in preschool children from Machakos District, a semiarid region in Kenya. Vegetables were purchased from local vegetable market, with some sun-dried in an open shade. Levels of BC and retinol in serum and BC in fresh and processed vegetables were determined by a HPLC method and hemoglobin using a portable Hemocue Analyzer. All-trans-BC levels in uncooked fresh cowpea and amaranth leaves were 806.0 μg/g and 599.0 μg/g dry matter, respectively, while the dehydration and cooking processes retained the β-carotene levels at over 60 %. Consumption of the dehydrated vegetables significantly improved both serum BC and retinol levels (p < 0.05), while the baseline hemoglobin levels improved by 4.6 %. The study has shown that intervention with locally available sun-dried vegetables improves the bioavailability of BC, retinol, and hemoglobin levels among preschool children.

Integrated community-directed intervention for schistosomiasis and soil transmitted helminths in western Kenya – a pilot study

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Mwinzi Pauline NM

2012-08-01

Full Text Available Abstract Background Schistosome and soil-transmitted helminth (STH infections are recognized as major global public health problems, causing severe and subtle morbidity, including significant educational and nutritional effects in children. Although effective and safe drugs are available, ensuring access to these drugs by all those at risk of schistosomiasis and STHs is still a challenge. Community-directed intervention (CDI has been used successfully for mass distribution of drugs for other diseases such as onchocerciasis and lymphatic filariasis. A national control programme is yet to be instituted in Kenya and evidence for cost-effective strategies for reaching most affected communities is needed. This study evaluated the effectiveness and feasibility of the CDI strategy in the control of schistosomiasis and STHs, in East Uyoma location, Rarieda district, a community of western Kenya that is highly endemic for both infections. Results Pre-treatment prevalence of S. mansoni averaged 17.4% (range 5-43% in the entire location. Treatment coverage in different villages ranged from 54.19 to 96.6% by community drug distributor (CDD records. Assessment from a household survey showed coverage of 52.3 -91.9% while the proportion of homesteads (home compounds covered ranged from 54.9-98.5%. Six months after one round of drug distribution, the prevalence levels of S. mansoni, hookworm and Trichuris trichura infections were reduced by 33.2%, 69.4% and 42.6% respectively. Conclusions This study shows that CDI is an accepted and effective strategy in the mass treatment of schistosomiasis and STH infections in resource constrained communities in Kenya and may be useful in similar communities elsewhere. A controlled trial comparing CDI and school based mass drug administration to demonstarte their relative advantages is ongoing.

Institutional Support : Kenya Institute for Public Policy Research and ...

International Development Research Centre (IDRC) Digital Library (Canada)

In 2006 the Government of Kenya passed an Act of Parliament making the Kenya Institute for Public Policy Research and Analysis (KIPPRA) the government's lead socioeconomic research institute. The Act exerts enormous demands on KIPPRA at a time when it is trying to recover from the senior staff turnover suffered in ...

Accounting Systems in Small and Micro Enterprises in Kenya ...

African Journals Online (AJOL)

For a long time in Kenya, the practices and principles of accounting have been viewed to be for use by corporate and other formally structured organizations. This paper seeks to investigate what accounting means to small and micro traders in Kenya, by reviewing the practices and principles they use in running their ...

Air pollution in Kenya

International Nuclear Information System (INIS)

Karue, J.; Kinyua, A.M.

1994-01-01

This work will look into PM-10 particulate matter collected from Nairobi City, Kenya (metropolitan city) and the remote forest on Mount Kenya (Timau Hills 3,875 m) for background monitoring. Previous work was done along the roadside, where total suspended particulate matter was collected and zinc, lead, and bromine were identified as highly enriched elements. The nine elements analyzed by EDXRF were found to account for 20% of the total mass. In this work we hope to account for more mass by including AAS and ion chromatography in the analytical methods. Indoor (industrial) samples will also be collected using Personal Samplers with a PM-10 Cyclone Head. Receptor modelling will be done taking into account the indoor data. Variations of the data with seasons and changes in weather will be analyzed. The background data will be used to assess long-range transfer of particulate. (author). 12 refs, 1 fig

Kenya | Page 57 | CRDI - Centre de recherches pour le ...

International Development Research Centre (IDRC) Digital Library (Canada)

The devastating drought that gripped much of East Africa in 2009 was one of the worst in living memory. But in the arid and semi-arid lands of Northern Kenya, drought is no stranger. Since 1993, Kenya has declared six national disasters because of drought. Read more about Reducing vulnerability among pastoralists in ...

The estimated incidence of induced abortion in Kenya: a cross-sectional study.

Science.gov (United States)

Mohamed, Shukri F; Izugbara, Chimaraoke; Moore, Ann M; Mutua, Michael; Kimani-Murage, Elizabeth W; Ziraba, Abdhalah K; Bankole, Akinrinola; Singh, Susheela D; Egesa, Caroline

2015-08-21

The recently promulgated 2010 constitution of Kenya permits abortion when the life or health of the woman is in danger. Yet broad uncertainty remains about the interpretation of the law. Unsafe abortion remains a leading cause of maternal morbidity and mortality in Kenya. The current study aimed to determine the incidence of induced abortion in Kenya in 2012. The incidence of induced abortion in Kenya in 2012 was estimated using the Abortion Incidence Complications Methodology (AICM) along with the Prospective Morbidity Survey (PMS). Data were collected through three surveys, (i) Health Facilities Survey (HFS), (ii) Prospective Morbidity Survey (PMS), and (iii) Health Professionals Survey (HPS). A total of 328 facilities participated in the HFS, 326 participated in the PMS, and 124 key informants participated in the HPS. Abortion numbers, rates, ratios and unintended pregnancy rates were calculated for Kenya as a whole and for five geographical regions. In 2012, an estimated 464,000 induced abortions occurred in Kenya. This translates into an abortion rate of 48 per 1,000 women aged 15-49, and an abortion ratio of 30 per 100 live births. About 120,000 women received care for complications of induced abortion in health facilities. About half (49%) of all pregnancies in Kenya were unintended and 41% of unintended pregnancies ended in an abortion. This study provides the first nationally-representative estimates of the incidence of induced abortion in Kenya. An urgent need exists for improving facilities' capacity to provide safe abortion care to the fullest extent of the law. All efforts should be made to address underlying factors to reduce risk of unsafe abortion.

Suggestions for the Improvement of Environmental Radiation Monitoring in Kenya

International Nuclear Information System (INIS)

Shadrack, A. K.

2012-01-01

Environmental radiation monitoring in Kenya was started in 1990 following the 1979 Three Mile Island and the 1986 Chernobyl nuclear power plants accidents. The main purpose was to measure the radioactivity of foodstuffs imported from oversees and to carry out environmental radiation monitoring of soil, rock, water and air sample to check for contamination. Through environmental radiation monitoring, the Food and Environmental Monitoring Section (FEM) of the Kenya Radiation Protection Board (RPB) works to protect the public and environment from hazards associated with ionizing radiation. The purpose of this paper was to highlight suggestions for the improvement of environmental radiation monitoring in Kenya with respect to protecting the public and the environment against undue radiation risk by ensuring that potential exposures are kept As Low As Reasonably Achievable (ALARA). The suggestions for improvement will serve as a guideline for the strengthening of environmental radiation monitoring program in Kenya

Media Concentration and the Coverage of the 2013 General Election in Kenya: Democracy at the Crossroads

Directory of Open Access Journals (Sweden)

Francis Simiyu Tome

2013-07-01

Full Text Available This research explores the relationship between journalistic freedom and media concentration in Kenya through the lens of the propaganda model (Baker, 2007. The research is based on two features of the 2013 General Election in Kenya: (1 a survey of the publics’ confidence in the conduct of journalists during the 2013 General election in Kenya and (2 a survey of journalists` perceptions of influence of media ownership on journalistic independence in Kenya. This research concludes that an increase in media concentration in Kenya has led to the shrinking of the democratic space. 71 percent of the surveyed Journalists believe media diversity in Kenya is at risk whilst 69 percent believe that viewpoint discrimination is occasioned by unhealthy Media Ownership trends in Kenya. The research also indicates that the perceived climate of distrust dogging the mainstream media in Kenya has seen the public turn to citizen journalism as an alternative source of information. This survey raises further questions about future implications for journalistic independence given the dominance of media concentration in Kenya.

Development of NPP Safety Requirements into Kenya's Grid Codes

Energy Technology Data Exchange (ETDEWEB)

Ndirangu, Nguni James; Koo, Chang Choong [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

2015-10-15

As presently drafted, Kenya's grid codes do not contain any NPP requirements. Through case studies of selected grid codes, this paper will study frequency, voltage and fault ride through requirements for NPP connection and operation, and offer recommendation of how these requirements can be incorporated in the Kenya's grid codes. Voltage and frequency excursions in Kenya's grid are notably frequently outside the generic requirement and the values observed by the German and UK grid codes. Kenya's grid codes require continuous operation for ±10% of nominal voltage and 45.0 to 52Hz on the grid which poses safety issues for an NPP. Considering stringent NPP connection to grid and operational safety requirements, and the importance of the TSO to NPP safety, more elaborate requirements need to be documented in the Kenya's grid codes. UK and Germany have a history of meeting high standards of nuclear safety and it is therefore recommended that format like the one in Table 1 to 3 should be adopted. Kenya's Grid code considering NPP should have: • Strict rules for voltage variation, that is, -5% to +10% of the nominal voltage • Strict rules for frequency variation, that is, 48Hz to 52Hz of the nominal frequencyand.

Development of NPP Safety Requirements into Kenya's Grid Codes

International Nuclear Information System (INIS)

Ndirangu, Nguni James; Koo, Chang Choong

2015-01-01

As presently drafted, Kenya's grid codes do not contain any NPP requirements. Through case studies of selected grid codes, this paper will study frequency, voltage and fault ride through requirements for NPP connection and operation, and offer recommendation of how these requirements can be incorporated in the Kenya's grid codes. Voltage and frequency excursions in Kenya's grid are notably frequently outside the generic requirement and the values observed by the German and UK grid codes. Kenya's grid codes require continuous operation for ±10% of nominal voltage and 45.0 to 52Hz on the grid which poses safety issues for an NPP. Considering stringent NPP connection to grid and operational safety requirements, and the importance of the TSO to NPP safety, more elaborate requirements need to be documented in the Kenya's grid codes. UK and Germany have a history of meeting high standards of nuclear safety and it is therefore recommended that format like the one in Table 1 to 3 should be adopted. Kenya's Grid code considering NPP should have: • Strict rules for voltage variation, that is, -5% to +10% of the nominal voltage • Strict rules for frequency variation, that is, 48Hz to 52Hz of the nominal frequencyand

Helmet wearing in Kenya: prevalence, knowledge, attitude, practice and implications.

Science.gov (United States)

Bachani, A M; Hung, Y W; Mogere, S; Akunga, D; Nyamari, J; Hyder, A A

2017-03-01

In light of the increasing prevalence of motorcycles on Kenyan roads, there is a need to address the safety of individuals using this mode of transport. Helmet use has been proven to be effective in preventing head injuries and fatalities in the event of a crash. This study aims to understand the prevalence of helmet use as well as knowledge, attitudes, and practices in two districts in Kenya over a 5-year period (2010-2014). Observational studies on helmet use at randomly selected locations throughout each district were done every quarter to estimate the prevalence of helmet use. Roadside knowledge, attitude, and practice (KAP) surveys were done two times a year in each district. Helmet use among motorcycle drivers and passengers in Thika and Naivasha was assessed through systematic observations at randomly selected locations in the two districts between August 2010 and December 2014. Roadside KAP surveys were administered in both sites to motorcyclists in areas where they stopped, including motorcycle bays, petrol stations and rest areas near the helmet observation sites. Secondary analysis of trauma registries was also used. Negative binomial regressions were used to assess trends of helmet wearing among motorcyclists over time, and logistic regressions were used to analyze associated risk factors as well as association with health outcomes among those admitted to the four hospitals. A total of 256,851 motorcycles were observed in the two target districts during the study period. Overall, prevalence of helmet use among motorcycle drivers in Thika and Naivasha across all periods was 35.12% (95% confidence interval [CI]: 34.87%-35.38%) and 37.42% (95% CI: 37.15%-37.69%) respectively. Prevalence of helmet wearing remained similar after the passage of a traffic amendment bill. These results were not statistically significant in either Thika or in Naivasha. Data from the KAP survey showed that respondents recognized the life-saving effect of wearing a helmet, but

Strategic Environmental Assessment of the Kenya Forests Act 2005

OpenAIRE

World Bank

2007-01-01

Forest in Kenya is an important source of livelihood, environmental services, and economic growth. In November of 2005 the Government of Kenya (GOK) ratified a new Forests Act. The act contains many innovative provisions to correct previous shortcomings, including a strong emphasis on partnerships, the engagement of local communities, and promotion of private investment. The purpose of the...

Kenya : tous les projets | Page 12 | CRDI - Centre de recherches ...

International Development Research Centre (IDRC) Digital Library (Canada)

Région: China, Far East Asia, India, Kenya, North and Central America, Panama, Peru, South America, North of Sahara, South of Sahara, Central Asia, South Asia. Programme: Agriculture et ... Sujet: HEALTH SURVEYS, HEALTH STATISTICS, MATERNAL MORTALITY, MATERNAL AND CHILD HEALTH. Région: Kenya ...

Forests and competing land uses in Kenya

Science.gov (United States)

Allaway, James; Cox, Pamela M. J.

1989-03-01

Indigenous forests in Kenya, as in other developing countries, are under heavy pressure from competing agricultural land uses and from unsustainable cutting. The problem in Kenya is compounded by high population growth rates and an agriculturally based economy, which, even with efforts to control birth rates and industrialize, will persist into the next century. Both ecological and economic consequences of these pressures need to be considered in land-use decision making for land and forest management to be effective. This paper presents one way to combine ecological and economic considerations. The status of principal forest areas in Kenya is summarized and competing land uses compared on the basis of ecological functions and economic analysis. Replacement uses do not match the ecological functions of forest, although established stands of tree crops (forest plantations, fuel wood, tea) can have roughly comparable effects on soil and water resources. Indigenous forests have high, although difficult to estimate, economic benefits from tourism and protection of downstream agricultural productivity. Economic returns from competing land uses range widely, with tea having the highest and fuel wood plantations having returns comparable to some annual crops and dairying. Consideration of ecological and economic factors together suggests some trade-offs for improving land allocation decisions and several management opportunities for increasing benefits or reducing costs from particular land uses. The evaluation also suggests a general strategy for forest land management in Kenya.

Human Rhinovirus B and C Genomes from Rural Coastal Kenya

NARCIS (Netherlands)

Agoti, Charles N.; Kiyuka, Patience K.; Kamau, Everlyn; Munywoki, Patrick K.; Bett, Anne; van der Hoek, Lia; Kellam, Paul; Nokes, D. James; Cotten, Matthew

2016-01-01

Primer-independent agnostic deep sequencing was used to generate three human rhinovirus (HRV) B genomes and one HRV C genome from samples collected in a household respiratory survey in rural coastal Kenya. The study provides the first rhinovirus genomes from Kenya and will help improve the

The fertility decline in Kenya.

Science.gov (United States)

Robinson, W C; Harbison, S F

1995-01-01

In Sub-Saharan Africa Kenya is a prime example of a country experiencing a rapid decline in fertility and greater contraceptive prevalence. These changes have occurred since 1980 when fertility was high at 8.0 children per woman. In 1993 the total fertility rate (TFR) was 5.4, and the growth rate declined to about 2.0%. This transition is swifter than any country in contemporary Asia or historical Europe. The likely projection for Kenya is attainment of replacement level fertility during the 2020s and a leveling of population at about 100 million persons. Fertility has declined the most in urban areas and central and eastern regions. Bongaarts' proximate determinants (TFR, total marital fertility rate, total natural marital fertility rate, and total fecundity) are reduced to the proportion of currently married women using contraception, the proportion in lactational nonfecund status, and the proportion currently married. Actual fertility change is accounted for by total fertility change of 3.0 children. Lactational infecundability accounts for 0.5 potential births, and changes in marital fertility account for 1.0 reduced births per woman. About 70% of fertility reduction is accounted for by contraception and abortion. During 1977-78 80% of fertility control was due to lactational nonfecundity, 10% to nonmarriage, and 10% to contraception. In 1993 lactational nonfecundity accounted for 50% of the reduction, nonmarriage for 20%, and abortion about 30%. Future fertility is expected to be dependent on contraceptive prevalence. Kenya has experienced the Coale paradigm of preconditions necessary for demographic transition (willing, ready, and able). High fertility in Africa is not intractable. Creating the change in attitudes that leads to readiness is linked to education, health, and exposure to modernizing media and urban lifestyles. The public sector family planning program in Kenya has created the opportunity for access and availability of contraception. The key

Nuclear Medicine Practice in Kenya

International Nuclear Information System (INIS)

Ndirangu, T.D.

2017-01-01

Nuclear medicine is a medical specialty that relies on the use of nuclear technology in the diagnosis and treatment (therapy) of diseases. Nuclear medicine uses the principle that a certain radiopharmaceutical (tracer) will at a certain point in time have a preferential uptake by a particular body, tissue or cell. This uptake is then imaged by the use of detectors mounted in gamma cameras or PET (positron emission tomography) devices.. Unlike other radiation applications for medical use, nuclear medicine uses open (unsealed) sources of radiation. In a country with an estimated population of 48 million in 2017, Kenya has only two (2) nuclear medicine facilities (units). Being a relatively new medical discipline in Kenya, several measures have been taken by the clinical nuclear medicine team to create awareness at various levels

7 CFR 319.56-45 - Shelled garden peas from Kenya.

Science.gov (United States)

2010-01-01

... phytosanitary certificate of inspection issued by the national plant protection organization of Kenya bearing... 7 Agriculture 5 2010-01-01 2010-01-01 false Shelled garden peas from Kenya. 319.56-45 Section 319.56-45 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH...

The Right to Education for Children in Domestic Labour: Empirical Evidence from Kenya

Science.gov (United States)

Munene, Ishmael I.; Ruto, Sara J.

2010-02-01

Since 1948, various UN conventions have recognised basic education as a human right. Yet this right continues to be denied to many child labourers across the world. This articles draws on the results of a study examining how children in domestic labour in Kenya access and participate in education. Three issues were explored: (1) the correlates of child domestic labourers; (2) their working conditions and contexts; and (3) the right to education. Interviews and group discussions held in one city and two rural districts elicited data from 91 child domestic labourers and 84 adults. The results indicated that child labour was both poverty-induced and adult-initiated, and that children worked in hazardous environments characterised by economic exploitation. Most did not attend school; those who did had to contend with a rigid school structure and an authoritarian class environment. Children in domestic labour often skipped school, and their participation in classes was low.

UROLITHIASIS IN NAIROBI, KENYA

African Journals Online (AJOL)

2010-10-01

Oct 1, 2010 ... of Human Anatomy, Kenyatta University, P. O. Box 43844-00100, Nairobi, Kenya. Request ... Management: Fourty seven had laser or pneumatic lithotripsy while four had stone removal by .... for ureteroscopy in our resource poor setting and compares ... A. J., (Eds) Campbell's Urology.7th Ed Philadelphia:.

Kenya Veterinarian - Vol 27 (2004)

African Journals Online (AJOL)

Testing for Antibodies to Brucella abortus in Milk From Consumers and Market Agents in Kenya Using Milk Ring Test and Enzyme .... Differential production of immune parameters by mouse strains that differ in their susceptibility to ...

Prosopis pods as human food, with special reference to Kenya ...

African Journals Online (AJOL)

The first documented introduction of Prosopis in Kenya was in 1973, since when it has spread widely, adversely affecting natural habitats, rangelands and cultivated areas. P. juliflora is the most common naturalised species in Kenya, but P. pallida also occurs. In contrast to their undesirable effects as invasive weeds, many ...

Determinants of under-five mortality in rural and urban Kenya.

Science.gov (United States)

Ettarh, R R; Kimani, J

2012-01-01

The disparity in under-five year-old mortality rates between rural and urban areas in Kenya (also reported in other in sub-Saharan African countries), is a critical national concern. The objective of this study was to investigate the influence of geographical location and maternal factors on the likelihood of mortality among under-five children in rural and urban areas in Kenya. Data from the 2008-2009 Kenya Demographic and Health Survey were used to determine mortality among under-five children (n=16,162) in rural and urban areas in the 5 years preceding the survey. Multivariate analysis was used to compare the influence of key risk factors in rural and urban areas. Overall, the likelihood of death among under-five children in the rural areas was significantly higher than that in the urban areas (ppoverty was a key predictor for mortality in the rural areas, but the influence of breastfeeding was similar in the two areas. The likelihood of under-five mortality was significantly higher in the rural areas of Coast, Nyanza and Western Provinces than in Central Province. The study shows that the determinants of under-five mortality differ in rural and urban areas in Kenya. Innovative and targeted strategies are required to address rural poverty and province-specific sociocultural factors in order to improve child survival in rural Kenya.

[Pediatric case series in an ophthalmic camp in Turkana (Kenya)].

Science.gov (United States)

Noval, S; Cabrejas, L; Jarrín, E; Ruiz-Guerrero, M; Ciancas, E

2013-12-01

Turkana is the largest district in Kenya, situated in the Northwest of the country. It features a semi-nomadic population of 850,000. Around 60% of population lives below the poverty threshold. The ratio of doctors is 1:75,000 inhabitants. Five ophthalmologists took part in the last deployment in November. Local staff had previously selected the patients from the rural areas, as well as in Lodwar, the capital of the district. Of the 371 patients who attended the clinic, 128 required surgery. To describe the pediatric population attended to in the last «Turkana Eye Project» Camp. Description of the ophthalmic pathologies of the children seen in the clinic in this surgical camp, and the diagnostic and therapeutic options according to the limitations of the environment. Of the 371 patients, 54 were younger than 15 years old (14.5%). Four children had surgery (3.25% of the 128 patients). In 2 more cases surgery was the indicated but not performed. Therefore, of the total of 54 cases, 6 could be considered as surgical (11.1%), and 17 suffered ophthalmic problems other than refraction defects, or mild ocular surface pathologies: traumatic cataracts, neuropathies, impetigo, exophthalmos, retinal dystrophies, dermoid cysts, or nyctalopia. The etiology was traumatic in four of the 17 children (23.5%). Surgical camps are increasing in the developing countries. They are usually focused on particular pathologies, such as cataracts or trachoma. Our case series shows the importance of pediatric teams and the need to be prepared to face complex pediatric pathologies. Copyright © 2012 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

Towards a Practical Proposal for Multilingualism in Education in Kenya

Science.gov (United States)

Oduor, Jane A. N.

2015-01-01

This article proposes multilingualism in education, where indigenous languages are used alongside English as the media of instruction in schools to eventually promote their use in Kenya. It begins by stating Kenya's language policy in education. It then states the responses given by some primary and secondary school teachers who were interviewed…

Benefits of family planning: an assessment of women's knowledge in rural Western Kenya.

Science.gov (United States)

Mutombo, Namuunda; Bakibinga, Pauline; Mukiira, Carol; Kamande, Eva

2014-03-18

The last two decades have seen an increase in literature reporting an increase in knowledge and use of contraceptives among individuals and couples in Kenya, as in the rest of Africa, but there is a dearth of information regarding knowledge about benefits of family planning (FP) in Kenya. To assess the factors associated with knowledge about the benefits of FP for women and children, among women in rural Western Kenya. Data are drawn from the Packard Western Kenya Project Baseline Survey, which collected data from rural women (aged 15-49 years). Ordinal regression was used on 923 women to determine levels of knowledge and associated factors regarding benefits of FP. Women in rural Western Kenya have low levels of knowledge about benefits of FP and are more knowledgeable about benefits for the mother rather than for the child. Only age, spousal communication and type of contraceptive method used are significant. Women's level of knowledge about benefits of FP is quite low and may be one of the reasons why fertility is still high in Western Kenya. Therefore, FP programmes need to focus on increasing women's knowledge about the benefits of FP in this region.

I Kenya bliver lærergerningen et kald

DEFF Research Database (Denmark)

Henriksen, Carsten

2017-01-01

Når unge i Kenya starter på læreruddannelsen, ønsker de færreste af dem at blive lærer. Men i løbet af uddannelsen bliver profession og personlig identitet vævet sammen.......Når unge i Kenya starter på læreruddannelsen, ønsker de færreste af dem at blive lærer. Men i løbet af uddannelsen bliver profession og personlig identitet vævet sammen....

ÉTUDE DE CAS – Kenya : Paludisme et agriculture au Kenya ...

International Development Research Centre (IDRC) Digital Library (Canada)

11 janv. 2011 ... Dans le miroitement du chaud soleil de midi, il reste plutôt à l'ombre d'un arbre à discuter du plus grave problème de santé qui frappe son village : le ... au Kenya, des chercheurs du Centre international de recherche sur la physiologie des insectes et l'écologie (ICIPE) et de l'Institut international de gestion ...

Genotypic variability in sesame mutant lines in Kenya | Ong'injo ...

African Journals Online (AJOL)

Sesame (Sesamum indicum L) is one of the major oil crops with potential for production by small- scale holders in the marginal agro-ecological zones of Kenya. Variability studies on yield and yield components of sesame mutant lines now in M7generation was carried out in two locations for two seasons in Kenya.

Assessing the ability of health information systems in hospitals to support evidence-informed decisions in Kenya

Directory of Open Access Journals (Sweden)

Elesban Kihuba

2014-07-01

Full Text Available Background: Hospital management information systems (HMIS is a key component of national health information systems (HIS, and actions required of hospital management to support information generation in Kenya are articulated in specific policy documents. We conducted an evaluation of core functions of data generation and reporting within hospitals in Kenya to facilitate interpretation of national reports and to provide guidance on key areas requiring improvement to support data use in decision making. Design: The survey was a cross-sectional, cluster sample study conducted in 22 hospitals in Kenya. The statistical analysis was descriptive with adjustment for clustering. Results: Most of the HMIS departments complied with formal guidance to develop departmental plans. However, only a few (3/22 had carried out a data quality audit in the 12 months prior to the survey. On average 3% (range 1–8% of the total hospital income was allocated to the HMIS departments. About half of the records officer positions were filled and about half (13/22 of hospitals had implemented some form of electronic health record largely focused on improving patient billing and not linked to the district HIS. Completeness of manual patient registers varied, being 90% (95% CI 80.1–99.3%, 75.8% (95% CI 68.7–82.8%, and 58% (95% CI 50.4–65.1% in maternal child health clinic, maternity, and pediatric wards, respectively. Vital events notification rates were low with 25.7, 42.6, and 71.3% of neonatal deaths, infant deaths, and live births recorded, respectively. Routine hospital reports suggested slight over-reporting of live births and under-reporting of fresh stillbirths and neonatal deaths. Conclusions: Study findings indicate that the HMIS does not deliver quality data. Significant constraints exist in data quality assurance, supervisory support, data infrastructure in respect to information and communications technology application, human resources, financial

Influenza-associated disease burden in Kenya: a systematic review of literature.

NARCIS (Netherlands)

Emukule, G.O.; Paget, J.; Velden, K. van der; Mott, J.A.

2015-01-01

Background: In Kenya data on the burden of influenza disease are needed to inform influenza control policies. Methods: We conducted a systematic review of published data describing the influenza disease burden in Kenya using surveillance data collected until December 2013. We included studies with

Coffee berry disease in Kenya

NARCIS (Netherlands)

Vermeulen, H.

1979-01-01

Data are presented on research in Kenya in 1964 - 1969 on anatomical, mycological, epidemiological, chemical control and cultural aspects of coffee berry disease, Colletotrichum coffeanum Noack, of Coffea arabica L. The pathogen causes flower and berry

An Assessment Of Gender And Energy In Kenya The Underlying Issues

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Rosemary Malonza

2015-08-01

Full Text Available Abstract Despite concerted efforts by the government and non-state actors to improve access to modern energy resources and services in Kenya womens energy needs have remained largely unrecognized in most national policies planning processes and development efforts. This has led to negative implications on their health education and livelihoods. This study employed desk review research design in analyzing secondary data. The study found that Kenya has made some progress in gender and energy with specific policies and strategies. However low implementation has slowed down the progress. The study concludes that Kenya is yet to achieve gender and energy goals.

The Effect of Indoor Residual Spraying on the Prevalence of Malaria Parasite Infection, Clinical Malaria and Anemia in an Area of Perennial Transmission and Moderate Coverage of Insecticide Treated Nets in Western Kenya.

Directory of Open Access Journals (Sweden)

John E Gimnig

Full Text Available Insecticide treated nets (ITNs and indoor residual spraying (IRS have been scaled up for malaria prevention in sub-Saharan Africa. However, there are few studies on the benefit of implementing IRS in areas with moderate to high coverage of ITNs. We evaluated the impact of an IRS program on malaria related outcomes in western Kenya, an area of intense perennial malaria transmission and moderate ITN coverage (55-65% use of any net the previous night.The Kenya Division of Malaria Control, with support from the US President's Malaria Initiative, conducted IRS in one lowland endemic district with moderate coverage of ITNs. Surveys were conducted in the IRS district and a neighboring district before IRS, after one round of IRS in July-Sept 2008 and after a second round of IRS in April-May 2009. IRS was conducted with pyrethroid insecticides. At each survey, 30 clusters were selected for sampling and within each cluster, 12 compounds were randomly selected. The primary outcomes measured in all residents of selected compounds included malaria parasitemia, clinical malaria (P. falciparum infection plus history of fever and anemia (Hb<8 of all residents in randomly selected compounds. At each survey round, individuals from the IRS district were matched to those from the non-IRS district using propensity scores and multivariate logistic regression models were constructed based on the matched dataset.At baseline and after one round of IRS, there were no differences between the two districts in the prevalence of malaria parasitemia, clinical malaria or anemia. After two rounds of IRS, the prevalence of malaria parasitemia was 6.4% in the IRS district compared to 16.7% in the comparison district (OR = 0.36, 95% CI = 0.22-0.59, p<0.001. The prevalence of clinical malaria was also lower in the IRS district (1.8% vs. 4.9%, OR = 0.37, 95% CI = 0.20-0.68, p = 0.001. The prevalence of anemia was lower in the IRS district but only in children under 5 years of age (2

Honey and Beekeeping among the Okiek of Mariashoni, Mau Forest Escarpment, Nakuru District, Kenya

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Ilaria Micheli

2013-12-01

Full Text Available Gli Okiek (Nilotico meridionale - Kalenjin sono un gruppo di cacciatori-raccoglitori stanziati negli altipiani del Mau Forest Escarpment in Kenya. Fin dall’antichità le loro attività principali sono state la caccia e la raccolta, in special modo quella del miele. Dopo aver rappresentato per secoli il bene di scambio più prezioso con le vicine popolazioni di agricoltori e pastori Nandi e Maasai di cui gli Okiek erano definiti Dorobo, ovvero servitori, il miele rimane a tutt’oggi l’elemento nutrizionale più ricco della loro dieta. Nel lontano 1955 Huntingford scriveva che il miele per gli Okiek rappresentava qualcosa di sacro, esattamente come il latte di vacca per i Nandi ed altri gruppi pastorali nilotici. Tracce di questo valore sacro si ritrovano ancora oggi nella cultura materiale degli Okiek legata alla raccolta e al consumo (domestico e rituale del miele. In questo articolo, basato su dati raccolti durante una ricerca sul campo nella regione di Mariashoni tra gennaio e febbraio 2013, cercherò di dare conto dei saperi tecnici, linguistici e culturali legati alle attività dell’apicoltura tra gli Okiek. In breve tratterò della conoscenza delle api e dei loro cicli vitali, del valore del miele nelle attività quotidiane, delle tecniche di costruzione delle arnie tradizionali e delle tecniche di raccolta e conservazione del miele. L’articolo è accompagnato da un lessico culturale e da una serie di tavole illustrative.

Poverty dynamics, income inequality and vulnerability to shocks in rural Kenya

NARCIS (Netherlands)

Radeny, M.A.O.

2011-01-01

Persistent poverty remains a huge challenge in Sub-Saharan Africa. In Kenya, official statistics indicate that the incidence of rural poverty was 49% in 2005/2006. This study uses different approaches and data sources to explore temporal and spatial dimensions of rural welfare in Kenya. The

Musculoskeletal imaging insight 2015: Kenya

International Nuclear Information System (INIS)

Stevens, Kathryn J.; Mutiso, Kavulani; Sconfienza, Luca Maria; Monu, Johnny

2016-01-01

Over the past 6 years the International Skeletal Society (ISS) outreach programs have become popular amongst the various radiology organizations in sub-Saharan Africa. So much so that that the ISS outreach is now routinely expected to participate in many of the international radiology conferences in that part of the world. The organizational planning for an outreach visit to Kenya took place over a 3-year period. Eventually a double-headed event; the seventh and eighth sub-Saharan outreach efforts were organized in Nairobi and in Mombasa, Kenya. The Nairobi outreach was an educational course on musculoskeletal imaging at the University of Nairobi and the Aga Khan University in Nairobi from 26 to 28 May 2015. The Mombasa outreach was organized in collaboration with the African Society of Radiology (ASR) at their annual meeting in Mombasa from 30 May to 2 June 2015. (orig.)

Musculoskeletal imaging insight 2015: Kenya

Energy Technology Data Exchange (ETDEWEB)

Stevens, Kathryn J. [Stanford University School of Medicine, Department of Radiology, Stanford, CA (United States); Mutiso, Kavulani [Aga Khan University Hospital, Department of Radiology, Nairobi (Kenya); Sconfienza, Luca Maria [University of Milan, Department of Biomedical Sciences for Health, Milan (Italy); IRCCS Istituto Ortopedico Galeazzi, Unit of Radiology, Milan (Italy); Monu, Johnny [University of Rochester Medical Center, Rochester, NY (United States)

2016-07-15

Over the past 6 years the International Skeletal Society (ISS) outreach programs have become popular amongst the various radiology organizations in sub-Saharan Africa. So much so that that the ISS outreach is now routinely expected to participate in many of the international radiology conferences in that part of the world. The organizational planning for an outreach visit to Kenya took place over a 3-year period. Eventually a double-headed event; the seventh and eighth sub-Saharan outreach efforts were organized in Nairobi and in Mombasa, Kenya. The Nairobi outreach was an educational course on musculoskeletal imaging at the University of Nairobi and the Aga Khan University in Nairobi from 26 to 28 May 2015. The Mombasa outreach was organized in collaboration with the African Society of Radiology (ASR) at their annual meeting in Mombasa from 30 May to 2 June 2015. (orig.)

An increase in the burden of neonatal admissions to a rural district hospital in Kenya over 19 years

Directory of Open Access Journals (Sweden)

Marsh Kevin

2010-10-01

Full Text Available Abstract Background Most of the global neonatal deaths occur in developing nations, mostly in rural homes. Many of the newborns who receive formal medical care are treated in rural district hospitals and other peripheral health centres. However there are no published studies demonstrating trends in neonatal admissions and outcome in rural health care facilities in resource poor regions. Such information is critical in planning public health interventions. In this study we therefore aimed at describing the pattern of neonatal admissions to a Kenyan rural district hospital and their outcome over a 19 year period, examining clinical indicators of inpatient neonatal mortality and also trends in utilization of a rural hospital for deliveries. Methods Prospectively collected data on neonates is compared to non-neonatal paediatric (≤ 5 years old admissions and deliveries' in the maternity unit at Kilifi District Hospital from January 1st 1990 up to December 31st 2008, to document the pattern of neonatal admissions, deliveries and changes in inpatient deaths. Trends were examined using time series models with likelihood ratios utilised to identify indicators of inpatient neonatal death. Results The proportion of neonatal admissions of the total paediatric ≤ 5 years admissions significantly increased from 11% in 1990 to 20% by 2008 (trend 0.83 (95% confidence interval 0.45 -1.21. Most of the increase in burden was from neonates born in hospital and very young neonates aged 7 mmol/l predicted inpatient neonatal death with a sensitivity of 81% and a specificity of 68%. Conclusions There is clear evidence of increasing burden in neonatal admissions at a rural district hospital in contrast to reducing numbers of non-neonatal paediatrics' admissions aged ≤ 5years. Though the inpatient case fatality for all admissions aged ≤ 5 years declined significantly, neonates now comprise close to 60% of all inpatient deaths. Simple indicators may identify

A Review of the Marine Fish Resources Research in Kenya and ...

African Journals Online (AJOL)

A Review of the Marine Fish Resources Research in Kenya and influence on Management. ... Western Indian Ocean Journal of Marine Science ... This is a fisheries research and management review paper, and analyzes the research work on fish resources and its usefulness to management of fish resources in Kenya.

(via/vili) in khwisero, western kenya

African Journals Online (AJOL)

2013-10-10

Oct 10, 2013 ... KHWISERO, WESTERN KENYA: LESSON FROM THE FIELD AFFECTING POLICY AND PRACTICE. S. K. Ngichabe ... In SSA, cervical cancer affects mostly women in .... inaccessible to the lower socio-economic population.

Providing palliative care to patients with cancer: Addressing the needs in Kenya

Directory of Open Access Journals (Sweden)

Pam Malloy

2017-01-01

Full Text Available Cancer is the third highest cause of death in Kenya, preceded by infectious and cardiovascular diseases, and in most cases, diagnosed in later stages. Nurses are the primary caregivers, assessing and managing these patients in the clinic, in inpatient settings, and in rural and remote communities. While cancer rates remain high, the burden to the patient, the caregiver, and society as a whole continues to rise. Kenya's poverty complicates cancer even further. Many Kenyans are unaware of cancer's signs and symptoms, and limited diagnostic and treatment centers are available. Despite these barriers, there is still hope and help for those in Kenya, who suffer from cancer. The World Health Organization has stated that palliative care is a basic human right and nurses providing this care in Kenya are making efforts to support cancer patients' ongoing needs, in order to promote compassionate palliative care and prevent suffering. The purpose of this paper is to address the palliative care needs of patients with cancer in Kenya by providing education to nurses and influencing health-care policy and education at micro and macro levels. A case study weaved throughout will highlight these issues.

Community Environment and Education of Girls: The Case of Communities in Marsabit County, Kenya

Science.gov (United States)

Muyaka, Jafred

2018-01-01

The study sought to investigate the role of the community in inhibiting girls' access and participation in formal education in Marsabit County-Kenya. As one of the marginalized counties in Kenya, the county had among the highest rate of illiteracy in Kenya with 68 per cent of residents with no formal education. The study involved a total of 128…

The policy-practice gap: describing discordances between regulation on paper and real-life practices among specialized drug shops in Kenya.

Science.gov (United States)

Wafula, Francis; Abuya, Timothy; Amin, Abdinasir; Goodman, Catherine

2014-09-16

Specialized drug shops (SDSs) are popular in Sub-Saharan Africa because they provide convenient access to medicines. There is increasing interest in how policymakers can work with them, but little knowledge on how their operation relates to regulatory frameworks. This study sought to describe characteristics and predictors of regulatory practices among SDSs in Kenya. The regulatory framework governing the Kenya pharmaceutical sector was mapped, and a list of regulations selected for inclusion in a survey questionnaire. An SDS census was conducted, and survey data collected from 213 SDSs from two districts in Western Kenya. The majority of SDSs did not comply with regulations, with only 12% having a refrigerator and 22% having a separate dispensing area for instance. Additionally, less than half had at least one staff with pharmacy qualification (46%), with less than a third of all interviewed operators knowing the name of the law governing pharmacy.Regulatory infringement was more common among SDSs in rural locations; those that did not have staff with pharmacy qualifications; and those whose operator did not know the name of the pharmacy law. Compliance was not significantly associated with the frequency of inspections, with over 80% of both rural and urban SDSs reporting an inspection in the past year. While compliance was low overall, it was particularly poor among SDSs operating in rural locations, and those that did not have staff with pharmacy qualification. This suggested the need for policy to introduce levels of practice in recognition of the variations in resource availability. Under such a system, rural SDSs operating in low-resource setting, and selling a limited range of medicines, may be exempted from certain regulatory requirements, as long as their scope of practice is limited to certain essential services only. Future research should also explore why regulatory compliance is poor despite regular inspections.

New records of Lichen-forming Fungi from Kenya | Kirika | Journal of ...

African Journals Online (AJOL)

Diversity of tropical lichen-forming fungi, especially crustose lichens is currently poorly known. Since lichens are important bioindicators of air pollution, forest health, and climate change, we addressed the lichen diversity in Kenya. Our study focused on the diversity of lichen-forming fungi in the Mount Kenya montane forests ...

The Contribution of the Secondary School Curriculum to Peace in Kenya

Science.gov (United States)

Chiriswa, Andika Patrick; Thinguri, Ruth

2015-01-01

The Kenya Government recognizes the role of peace in socio economic development as emphasized in the national anthem while the national goals of education endeavour to promote national unity, sustainable development, peace, respect for diversity, and international consciousness among others. The Kenya vision 2030 underscores the need for peace and…

Mental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations.

Science.gov (United States)

Kiima, David; Jenkins, Rachel

2010-06-28

Although most donor and development agency attention is focussed on communicable diseases in Kenya, the importance of non-communicable diseases including mental health and mental illness is increasingly apparent, both in their own right and because of their influence on health, education and social goals. Mental illness is common but the specialist service is extremely sparse and primary care is struggling to cope with major health demands. Non health sectors e.g. education, prisons, police, community development, gender and children, regional administration and local government have significant concerns about mental health, but general health programmes have been surprisingly slow to appreciate the significance of mental health for physical health targets. Despite a people centred post colonial health delivery system, poverty and global social changes have seriously undermined equity. This project sought to meet these challenges, aiming to introduce sustainable mental health policy and implementation across the country, within the context of extremely scarce resources. A multi-faceted and comprehensive programme which combined situation appraisal to inform planning, sustained intersectoral policy dialogue at national and regional level; establishment of a health sector system for coordination, supervision and training of at each level (national, regional, district and primary care); development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at national, regional, district and local levels; public education; and integration of mental health into health management systems. The programme has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, annual operational plans, mental health policy guidelines to accompany the general health policy, tobacco

Orthobunyavirus antibodies among humans in selected parts of the Rift Valley and northeastern Kenya.

Science.gov (United States)

Odhiambo, Collins; Venter, Marietjie; Swanepoel, Robert; Sang, Rosemary

2015-05-01

Ngari, Bunyamwera, Ilesha, and Germiston viruses are among the mosquito-borne human pathogens in the Orthobunyavirus genus, family Bunyaviridae, associated with febrile illness. Although the four orthobunyaviruses have been isolated from mosquito and/or tick vectors sampled from different geographic regions in Kenya, little is known of human exposure in such areas. We conducted a serologic investigation to determine whether orthobunyaviruses commonly infect humans in Kenya. Orthobunyavirus-specific antibodies were detected by plaque reduction neutralization tests in 89 (25.8%) of 345 persons tested. Multivariable analysis revealed age and residence in northeastern Kenya as risk factors. Implementation of acute febrile illness surveillance in northeastern Kenya will help to detect such infections.

Kenya; Ex Post Assessment of Longer-Term Program Engagement

OpenAIRE

International Monetary Fund

2008-01-01

This paper discusses key findings of the Ex Post Assessment (EPA) of Longer-Term Program Engagement paper for Kenya. This EPA focuses on 1993–2007, when Kenya was engaged in four successive IMF arrangements. Macroeconomic policy design was broadly appropriate, and implementation was generally sound. Growth slowed in the 1990s, but picked up after the 2002 elections, reflecting buoyant global conditions, structural reforms, and a surge of private capital inflows. Monetary policies were complic...

Determinants of Secondary School Learners Performance in Christian Religious Education in Lelan Sub County, Kenya

Science.gov (United States)

Akaranga, Stephen; Simiyu, Patrick Cheben

2016-01-01

In Kenya, Christian Religious Education is taught and examined by the Kenya National Examinations Council in the Kenya Certificate of Secondary Education at the end of the four years of Secondary Education cycle. The teaching of this subject in Secondary Schools ensures that learners are offered an opportunity to develop morally and spiritually…

A field key to upload Kenya grasses | Agnew | Journal of East ...

African Journals Online (AJOL)

The species of Gramineae (Poaceae) that have been recorded in a delimited area of central and western Kenya are listed and keys are provided for their identification. The area is bounded by the 1000 m contour except in the southern Rift Valley where the Kenya/Tanzania boundary encorporates lower altitudes. For every ...

The Prevailing Nursing Culture in Private Hospitals in Kenya and its ...

African Journals Online (AJOL)

high income countries but little is known on Africa countries and Kenya in particular. Therefore, the purpose of this study was to explore the organizational culture prevalent in private hospitals in Kenya and describe factors that are hitherto unknown on nurses' turnover. The results have the potential to both enhance the work.

Kenya AIDS Vaccine Initiative (KAVI) : un centre d'excellence en ...

International Development Research Centre (IDRC) Digital Library (Canada)

Ce projet est une initiative conjointe de l'Université de Nairobi, au Kenya, et des universités du Manitoba et de Toronto, au Canada. L'objectif : faire de la Kenya AIDS Vaccine Initiative (KAVI) un centre d'excellence pour la formation aux essais de vaccins contre le VIH et à d'autres essais en matière de prévention à ...

Procedural pain in neonatal units in Kenya.

Science.gov (United States)

Kyololo, O'Brien Munyao; Stevens, Bonnie; Gastaldo, Denise; Gisore, Peter

2014-11-01

To determine the nature and frequency of painful procedures and procedural pain management practices in neonatal units in Kenya. Cross-sectional survey. Level I and level II neonatal units in Kenya. Ninety-five term and preterm neonates from seven neonatal units. Medical records of neonates admitted for at least 24 h were reviewed to determine the nature and frequency of painful procedures performed in the 24 h period preceding data collection (6:00 to 6:00) as well as the pain management interventions (eg, morphine, breastfeeding, skin-to-skin contact, containment, non-nutritive sucking) that accompanied each procedure. Neonates experienced a total of 404 painful procedures over a 24 h period (mean=4.3, SD 2.0; range 1-12); 270 tissue-damaging (mean=2.85, SD 1.1; range 1-6) and 134 non-tissue-damaging procedures (mean=1.41, SD 1.2; range 0-6). Peripheral cannula insertion (27%) and intramuscular injections (22%) were the most common painful procedures. Ventilated neonates and neonates admitted in level II neonatal units had a higher number of painful procedures than those admitted in level I units (mean 4.76 vs 2.96). Only one procedure had a pain intensity score documented; and none had been performed with any form of analgesia. Neonates in Kenya were exposed to numerous tissue-damaging and non-tissue-damaging procedures without any form of analgesia. Our findings suggest that education is needed on how to assess and manage procedural pain in neonatal units in Kenya. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

NODC Report: Kenya

OpenAIRE

2000-01-01

The Kenya National Oceanographic Data Center (KeNODC) began operating in January 1997. The first set of activities included identification of staff members and setting up of office infrastructure. Amidst all this, the Center conducted the first planning mission in March 1997 to set out priorities for action. Foremost were the duty allocations among the four staff members designated by KMFRI. This has been followed by a familiarization of a number of IODE policy documents and manuals for op...

Language in education and the role of applied linguistics in Kenya ...

African Journals Online (AJOL)

Language in education and the role of applied linguistics in Kenya. ... Several problems that Africa and Kenya in particular, faces are closely tied to the language of education. What is the nature of ... Although no solutions are suggested to these problems, a list of questions is formulated for the applied linguist to research on.

The incidence, aetiology and outcome of acute seizures in children admitted to a rural Kenyan district hospital

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Maitland Kathryn

2008-02-01

Full Text Available Abstract Background Acute seizures are a common cause of paediatric admissions to hospitals in resource poor countries and a risk factor for neurological and cognitive impairment and epilepsy. We determined the incidence, aetiological factors and the immediate outcome of seizures in a rural malaria endemic area in coastal Kenya. Methods We recruited all children with and without seizures, aged 0–13 years and admitted to Kilifi District hospital over 2 years from 1st December 2004 to 30th November 2006. Only incident admissions from a defined area were included. Patients with epilepsy were excluded. The population denominator, the number of children in the community on 30th November 2005 (study midpoint, was modelled from a census data. Results Seizures were reported in 900/4,921(18.3% incident admissions and at least 98 had status epilepticus. The incidence of acute seizures in children 0–13 years was 425 (95%CI 386, 466 per 100,000/year and was 879 (95%CI 795, 968 per 100,000/year in children Conclusion There is a high incidence of acute seizures in children living in this malaria endemic area of Kenya. The most important causes are diseases that are preventable with available public health programs.

The Situation Analysis Study of the family planning program in Kenya.

Science.gov (United States)

Miller, R A; Ndhlovu, L; Gachara, M M; Fisher, A A

1991-01-01

A new, relatively "quick and clean" operations research approach called a "situation analysis" was developed for examining the strengths and weaknesses of the family planning program of Kenya. Field research teams visited a stratified random sample of 99 of the Ministry of Health's approximately 775 service delivery points. Observation techniques and interviewing were used to collect information on program components and on the quality of care provided to new family planning clients during the observation day. As late as 1986, the Kenya program was rated "weak" and "poor" in the international literature. The Kenya Situation Analysis Study found a functioning, integrated maternal and child health/family planning program serving large numbers of clients, with an emphasis on oral contraceptives and Depo-Provera (and an underemphasis on permanent methods). Although a number of program problems were revealed by the study, overall, in terms of performance, a rating of "moderate" is suggested as more appropriate for Kenya's national family planning program today. In terms of the quality of care, a "moderate to moderate-high" rating is suggested.

Prediction of Prosopis species invasion in Kenya using geographical information system techniques

NARCIS (Netherlands)

Muturi, G.M.; Mohren, G.M.J.; Kimani, J.N.

2010-01-01

Tree species from Prosopis genus were widely planted for rehabilitation of degraded drylands of Kenya. However, they have invaded riverine ecosystems where they cause negative socio-economic and ecological impacts. GIS was used to estimate the reverine area threatened by Prosopis invasion in Kenya.

Camel Diseases and Conditions in a Non-traditional Camel Keeping Area: A case study of Kajiado District With Special Emphasis on Trypanosomiasis

International Nuclear Information System (INIS)

Chemuliti, J.K.

2002-01-01

Camels in Kenya are raised in the lowlands of Semi-arid to arid areas of Northern Kenya. Some NGO's (PHI and Farm Africa) introduced some camels into the wetter Southern rangelands of Kenya, specifically in Kajiado in 1989. There is no information so far on the productivity of these animals in this new environment. The objective of this study was to collect data on disease and conditions in Kajiado district with special emphasis on trypanosomosis. Twenty-four herds of camels in three divisions of Kajiado, comprising of 324 animals, were clinically examined and blood as well as faecal samples collected for laboratory examination for haemoparasites, anaemia and helminths as well as other infections and ectoparasites. The mean trypanosome point prevalence was 7.2% although Magadi had the biggest prevalence of 26.4%, while the central division had the least, 1.3% PCV values were proportion to magnitude of infection. T. brucei/T. evansi were shown to be present in varying degrees. Tick infestation comprised of Boophilus, Rhipicephalus and Hyalomma in about 53% of the camels. Helminth infection was observed in about 51% of the camels comprising mainly Haemonchus, Trichosrongylus, Strongyloides and Oesophagostomum. There were also cases of Abscesses, diarrhoea, mange eye infections, wounds and mastitis. It was concluded that new management strategies for the camel in southern rangelands is desirable to counter possible new diseases as well as other challenges of productivity

Farmers Participatory Research in the Evaluation of Maize Crop Residues for Improved Dairy Cattle Production in Eastern Kenya

International Nuclear Information System (INIS)

Kiruiro, E.M.; Kariuki, I.W.; Kang'ara, J.; Ouma, O.

1999-01-01

Informal and formal surveys, and participatory rural appraisal conducted within the coffee land-use system of Embu District in Eastern Kenya identified feed shortage as a major constraint to increased dairy production on small holder farms. To address this constraint, a two-year (1996-1998) on-farm research project involving 20 farms in Manyatta division, Embu District was initiated with broad objectives of developing components technologies that would use maize crop residues. This was due to the recognition of the fact that the greatest potential for improving field availability would be in the exploitation of crop residues, especially those derived from maize, the main staple crop in the region. Based on these reality appropriate technologies that would offer viable offers for the use of crop residues were identified and discussed during workshops and meetings with farmers. Component technologies considered included drying of maize leaves after defoliation and post-harvest storage methods for dry maize stover. this paper discussed the results of the participatory research in context of farmers' involvement in the technology development, testing, evaluation and promotion. The study demonstrated that involving farmers in all stages of the research process, enhanced their interest and participation in the testing and subsequent adoption of appropriate technologies

The geomorphology of Southeast Kenya

NARCIS (Netherlands)

Oosterom, A.P.

1988-01-01

A geomorphological map of an area of 66 500 km ² in the southeastern part of Kenya has been prepared. In the littoral zone eight major terrace levels occurring between the present shore and approximately 160 m +MSL have been described. Analysis of radiometric datings and

Factors influencing place of delivery for women in Kenya: an analysis of the Kenya demographic and health survey, 2008/2009

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Kitui John

2013-02-01

Full Text Available Abstract Background Maternal mortality in Kenya increased from 380/100000 live births to 530/100000 live births between 1990 and 2008. Skilled assistance during childbirth is central to reducing maternal mortality yet the proportion of deliveries taking place in health facilities where such assistance can reliably be provided has remained below 50% since the early 1990s. We use the 2008/2009 Kenya Demographic and Health Survey data to describe the factors that determine where women deliver in Kenya and to explore reasons given for home delivery. Methods Data on place of delivery, reasons for home delivery, and a range of potential explanatory factors were collected by interviewer-led questionnaire on 3977 women and augmented with distance from the nearest health facility estimated using health facility Global Positioning System (GPS co-ordinates. Predictors of whether the woman’s most recent delivery was in a health facility were explored in an exploratory risk factor analysis using multiple logistic regression. The main reasons given by the woman for home delivery were also examined. Results Living in urban areas, being wealthy, more educated, using antenatal care services optimally and lower parity strongly predicted where women delivered, and so did region, ethnicity, and type of facilities used. Wealth and rural/urban residence were independently related. The effect of distance from a health facility was not significant after controlling for other variables. Women most commonly cited distance and/or lack of transport as reasons for not delivering in a health facility but over 60% gave other reasons including 20.5% who considered health facility delivery unnecessary, 18% who cited abrupt delivery as the main reason and 11% who cited high cost. Conclusion Physical access to health facilities through distance and/or lack of transport, and economic considerations are important barriers for women to delivering in a health facility in Kenya

Predicting mortality among hospitalized children with respiratory illness in Western Kenya, 2009-2012.

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Gideon O Emukule

Full Text Available BACKGROUND: Pediatric respiratory disease is a major cause of morbidity and mortality in the developing world. We evaluated a modified respiratory index of severity in children (mRISC scoring system as a standard tool to identify children at greater risk of death from respiratory illness in Kenya. MATERIALS AND METHODS: We analyzed data from children <5 years old who were hospitalized with respiratory illness at Siaya District Hospital from 2009-2012. We used a multivariable logistic regression model to identify patient characteristics predictive for in-hospital mortality. Model discrimination was evaluated using the concordance statistic. Using bootstrap samples, we re-estimated the coefficients and the optimism of the model. The mRISC score for each child was developed by adding up the points assigned to each factor associated with mortality based on the coefficients in the multivariable model. RESULTS: We analyzed data from 3,581 children hospitalized with respiratory illness; including 218 (6% who died. Low weight-for-age [adjusted odds ratio (aOR = 2.1; 95% CI 1.3-3.2], very low weight-for-age (aOR = 3.8; 95% CI 2.7-5.4, caretaker-reported history of unconsciousness (aOR = 2.3; 95% CI 1.6-3.4, inability to drink or breastfeed (aOR = 1.8; 95% CI 1.2-2.8, chest wall in-drawing (aOR = 2.2; 95% CI 1.5-3.1, and being not fully conscious on physical exam (aOR = 8.0; 95% CI 5.1-12.6 were independently associated with mortality. The positive predictive value for mortality increased with increasing mRISC scores. CONCLUSIONS: A modified RISC scoring system based on a set of easily measurable clinical features at admission was able to identify children at greater risk of death from respiratory illness in Kenya.

Occupational exposure to ionizing radiation in Kenya

International Nuclear Information System (INIS)

Shadrack, Anthony Kiti

2008-01-01

Full text: This project is based on studies of radiation doses received by radiation workers from sample of radiation facilities in Nairobi, Kenya, using TLD badges. Radiation doses received by workers during performance of a few types of radiological exposures and application of sealed and unsealed radionuclides have been measured at a number of x ray departments (diagnostic radiology), radiotherapy and nuclear medicine and training and research. Radiation dose measurements were based on thermoluminescence dosimetry (TLD) techniques, using the laboratory facilities of the National Radiation Protection Laboratory (NRPL) at KNH, in Nairobi, Kenya. Evaluation of doses from TLD badges exposed to X-rays and radioisotopes are discussed. Nuclear medicine recorded the highest dose as compared to Radiotherapy, Training and research and Diagnostic radiology. Age and gender have no relation with dose absorption. Yearly average dose seems to have been reducing from 2002 to 2005, representing an improvement in radiation protection. Overall, the results show that radiation workers in Kenya are working under safe environments since the doses received are within acceptable limits of radiation protection. The data presented in this research provides a database, which should serve as a useful reference for comparison with similar studies in the future. (author)

Monument of nature? An ethnography of the world heritage of Mt. Kenya

NARCIS (Netherlands)

Akker, van den M.L.

2016-01-01

This dissertation examines the World Heritage status of Mt. Kenya, an alpine area in Central Kenya. The mountain joined the World Heritage List in 1997 and in 2013 the original designation expanded to cover a larger area. Both events were formulated exclusively in natural scientific language. This

Does anti-malarial drug knowledge predict anti-malarial dispensing practice in drug outlets? A survey of medicine retailers in western Kenya

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Rusk Andria

2012-08-01

Full Text Available Abstract Background Malaria is a major cause of morbidity and mortality in Kenya, where it is the fifth leading cause of death in both children and adults. Effectively managing malaria is dependent upon appropriate treatment. In Kenya, between 17 to 83 percent of febrile individuals first seek treatment for febrile illness over the counter from medicine retailers. Understanding medicine retailer knowledge and behaviour in treating suspected malaria and dispensing anti-malarials is crucial. Methods To investigate medicine retailer knowledge about anti-malarials and their dispensing practices, a survey was conducted of all retail drug outlets that sell anti-malarial medications and serve residents of the Webuye Health and Demographic Surveillance Site in the Bungoma East District of western Kenya. Results Most of the medicine retailers surveyed (65% were able to identify artemether-lumefantrine (AL as the Kenyan Ministry of Health recommended first-line anti-malarial therapy for uncomplicated malaria. Retailers who correctly identified this treatment were also more likely to recommend AL to adult and paediatric customers. However, the proportion of medicine retailers who recommend the correct treatment is disappointingly low. Only 48% would recommend AL to adults, and 37% would recommend it to children. It was discovered that customer demand has an influence on retailer behaviour. Retailer training and education were found to be correlated with anti-malarial drug knowledge, which in turn is correlated with dispensing practices. Medicine retailer behaviour, including patient referral practice and dispensing practices, are also correlated with knowledge of the first-line anti-malarial medication. The Kenya Ministry of Health guidelines were found to influence retailer drug stocking and dispensing behaviours. Conclusion Most medicine retailers could identify the recommended first-line treatment for uncomplicated malaria, but the percentage that could

Urban farmers in Nakuru, Kenya

NARCIS (Netherlands)

Foeken, D.W.J.; Owuor, S.

2000-01-01

The present report contains the result of a general survey, carried out in June-July 1999, on farming practices performed by the inhabitants of Nakuru town, Kenya. The two major objectives of the survey were: 1) to collect basic data on farming by the Nakuru townspeople and 2) to provide the

Physiologic specialization of Puccinia graminis f. sp. tritici in Kenya in 2011

Science.gov (United States)

A total of 12 collections of Puccinia graminis f. sp. tritici were obtained from Kenya during 2011. Collections were made around Mount Kenya and in wheat growing areas southwest towards Nakuru in the Rift Valley. Four collections were made from the international stem rust screening nursery in Njoro....

Changing communication ecologies in rural, peri-urban and urban Kenya

DEFF Research Database (Denmark)

Nielsen, Poul Erik; Gustafsson, Jessica

2017-01-01

This article aims to discuss changing media ecologies in rural, peri-urban and urban Kenya. The article is based on a comprehensive baseline study of 800 households carried out in October 2014 in Uasin Gishu County, Kenya. The survey recorded media access and use and civic engagement as well...... as demographic data. The findings suggest that media ecologies in rural, peri-urban as well as urban Kenya have undergone dramatic changes. The much hyped and unprecedented spread of mobile telephony has taken place simultaneously with the introduction of or increased access to radio and television including...... satellite television. Different emerging communication ecologies can be identified often with radio providing a solid foundation and in different ways combined with television and mobile phones. Even though mobile ownership, for example, has increased in all segments and areas, gender inequalities...

Verbal autopsy as a tool for identifying children dying of sickle cell disease: a validation study conducted in Kilifi district, Kenya

Science.gov (United States)

2014-01-01

Background Sickle cell disease (SCD) is common in many parts of sub-Saharan Africa (SSA), where it is associated with high early mortality. In the absence of newborn screening, most deaths among children with SCD go unrecognized and unrecorded. As a result, SCD does not receive the attention it deserves as a leading cause of death among children in SSA. In the current study, we explored the potential utility of verbal autopsy (VA) as a tool for attributing underlying cause of death (COD) in children to SCD. Methods We used the 2007 WHO Sample Vital Registration with Verbal Autopsy (SAVVY) VA tool to determine COD among child residents of the Kilifi Health and Demographic Surveillance System (KHDSS), Kenya, who died between January 2008 and April 2011. VAs were coded both by physician review (physician coded verbal autopsy, PCVA) using COD categories based on the WHO International Classification of Diseases 10th Edition (ICD-10) and by using the InterVA-4 probabilistic model after extracting data according to the 2012 WHO VA standard. Both of these methods were validated against one of two gold standards: hospital ICD-10 physician-assigned COD for children who died in Kilifi District Hospital (KDH) and, where available, laboratory confirmed SCD status for those who died in the community. Results Overall, 6% and 5% of deaths were attributed to SCD on the basis of PCVA and the InterVA-4 model, respectively. Of the total deaths, 22% occurred in hospital, where the agreement coefficient (AC1) for SCD between PCVA and hospital physician diagnosis was 95.5%, and agreement between InterVA-4 and hospital physician diagnosis was 96.9%. Confirmatory laboratory evidence of SCD status was available for 15% of deaths, in which the AC1 against PCVA was 87.5%. Conclusions Other recent studies and provisional data from this study, outlining the importance of SCD as a cause of death in children in many parts of the developing world, contributed to the inclusion of specific SCD

Structural Violence: Moving beyond ethnicity towards and understanding of electoral violence in kenya

DEFF Research Database (Denmark)

Owiso, Michael Omondi

2018-01-01

Ethnicity has come to be widely used as an explanation to electoral violence in Kenya. Research on electoral violence has been limited to electoral related violence in relation to the manipulation of the multi-ethnic composition of the country by the political elite. In light of this, this study......, but at the same time expose the disconnect in electoral violence studies. The study is based on desk research and digs into books, journals, memoirs, newspapers and official government documents to unearth the underlying structure of Kenya (the actors, institutions, cultural hegemony, history and ideologies...... wishes to move beyond this otherwise simplistic view of electoral conflict in Kenya and relate these occurrences to the wider problem that the country faces. Taking a structural view, this contribution seeks to join other studies that have emphasized the structural causes of conflict in Kenya...

Kenya at a Crossroads: Hopes and Fears Concerning the Development of Oil and Gas Reserves

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Patricia I. Vasquez

2013-11-01

Full Text Available Kenya is expected to become a hydrocarbon producer and an oil export hub in the coming years and if properly managed, oil and gas could provide Kenya with a unique opportunity to cement the path towards sustainable economic growth that the country engaged in a few years ago. However, mismanagement of the newly found oil and gas reserves will not only deprive the East African nation of a chance to prosper, but could spur renewed conflict. Kenya recently engaged in deep institutional reforms through the adoption of ‘Devolution’, aimed at addressing the country’s most severe governance weaknesses. The combination of oil and gas revenues, improved governance and a peaceful context could set the stage for Kenya to leave behind its old woes of corruption, political patronage, ethnic rivalries and violence. It is a challenging endeavor and Kenya will encounter many stumbling blocks on the way, as the brutal terrorist attack of September 2013 in a Nairobi shopping mall reminded us. This article analyzes the potential for Kenya to engage in sound management of its nascent hydrocarbon industry and the dangers if the country fails to do so.

Inventory of greenhouse gas(GH G) emission and sinks in Kenya

International Nuclear Information System (INIS)

Mbuthi, P.N.; King'uyu, S.M.; Moenga, O.O.

1998-01-01

The Government of Kenya carried out studies on impacts of climate change in 1995, within the framework of Kenya Country Study on Climate Change Project. An inventory of greenhouse gas emission from various activities such as energy, industry, agriculture, urban waste, landuse and forestry was compiled. Each of the five sectoral chapters includes methods used in analysis, data sources, results and recommendations

Old and new ways: family planning in Kenya.

Science.gov (United States)

Antarsh, L

1989-04-01

Kenya has the highest fertility rate in the world. The average woman has 8 children. Further, urban areas attract people from rural areas leaving fewer people to farm the finite land or raise cattle. Therefore a reduced need for children to partake in agricultural activities exists. Nevertheless many barriers to family planning continue in Kenya. Family planning services are scarce especially in rural areas. Husbands must agree to their wives undergoing voluntary sterilization by going to the clinic to sign a consent form. Children are highly valued. Succession of the generations is important. The higher a woman's fertility the more valuable she is to husband. The continuance of legal polygamy fosters competition among a man's wives to have many sons with the 1 having the most being his most prized wife. In spite of these obstacles, the president of Kenya promotes family planning through his speeches and requires the Ministry of Health (MOH) to provide family planning services at all government hospitals. Moreover, church hospitals also provide family planning services. Additionally, articles that cover teenage pregnancy and family planning programs appear in daily newspapers. The MOH and the National Council on Population and Development are organizing a network of government and nongovernment organizations that provide family planning services to the public. A sample of these organizations include the Family Planning Association of Kenya, an influential women's organization (Mandeleo ya Wanawake), and several church organizations. The Association for Voluntary Surgical Contraception's regional office has promoted minilaparotomies under local anesthesia since 1986. They are now used in maternal and child health programs in government hospitals, mission hospitals, and in several family planning clinics.

Situational Analysis of Leishmaniases Research in Kenya ...

African Journals Online (AJOL)

kemrilib

leishmaniasis, as currently conducted in Kenya with sodium stibogluconate, is ... to intermittent drug exposure [80-83], the isolation of ... general, these vaccination protocols elicited ..... hybridization with non-radioactive probes. Parasitology ...

MOLECULAR CHARACTERIZATION AND IDENTIFICATION OF BIOCONTROL ISOLATES OF TRICHODERMA HARZIANUM FROM EMBU DISTRICT, KENYA

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Elizabeth M Siameto

2010-10-01

Full Text Available Species in the genus Trichoderma are important as commercial source of several enzymes, biofungicides, and growth promoters. The most common biological control agents of the genus are strains of T. harzianum, T .viride and T. viriens. In this study, sixteen selected isolates of T. harzianum from different land use types in Embu, Kenya were tested for anatogonistic action against five soil borne phytopathogenic fungi (Rhizoctonia solani, Pythium sp, Fusarium graminearum, F. oxysporum f. sp phaseoli and F. oxysporum f. sp Lycopersici using dual culture assay and through production of non-volatile inhibitors. Seven isolates were further characterized using RAPD-PCR procedure to determine genetic variability. All T. harzianum isolates had considerable antagonistic effect on mycelial growth of the pathogens in dual cultures compared to the controls. Maximum inhibition occurred in Pythium sp-055E interaction (73%.The culture filtrates obtained from Czapek’s liquid medium reduced the dry weight (mg of the mycelia significantly while those from the potato dextrose broth showed minimum inhibition growth. Pythium sp was inhibited the most compared to other pathogens. Genetic similarities generated using Jaccard’s coefficient of similarity ranged from 0.231 between isolates 055E and 011E to 0.857 between isolates 010E and 015E. The technique of RAPD was efficient in demonstrating the DNA polymorphism in the isolates of T. harzianum tested showing intraspecific genetic variability. Since all T. harzianum isolates evaluated were effective in controlling colony growth of the soil borne pathogens both in dual cultures and in culture filtrates they should be tried as a broad spectrum biological control agent in the greenhouse and under field conditions.

Cost-effectiveness of rotavirus vaccination in Kenya and Uganda.

Science.gov (United States)

Sigei, Charles; Odaga, John; Mvundura, Mercy; Madrid, Yvette; Clark, Andrew David

2015-05-07

Rotavirus vaccines have the potential to prevent a substantial amount of life-threatening gastroenteritis in young African children. This paper presents the results of prospective cost-effectiveness analyses for rotavirus vaccine introduction for Kenya and Uganda. In each country, a national consultant worked with a national technical working group to identify appropriate data and validate study results. Secondary data on demographics, disease burden, health utilization, and costs were used to populate the TRIVAC cost-effectiveness model. The baseline analysis assumed an initial vaccine price of $0.20 per dose, corresponding to Gavi, the Vaccine Alliance stipulated copay for low-income countries. The incremental cost-effectiveness of a 2-dose rotavirus vaccination schedule was evaluated for 20 successive birth cohorts from the government perspective in both countries, and from the societal perspective in Uganda. Between 2014 and 2033, rotavirus vaccination can avert approximately 60,935 and 216,454 undiscounted deaths and hospital admissions respectively in children under 5 years in Kenya. In Uganda, the respective number of undiscounted deaths and hospital admission averted is 70,236 and 329,779 between 2016 and 2035. Over the 20-year period, the discounted vaccine program costs are around US$ 80 million in Kenya and US$ 60 million in Uganda. Discounted government health service costs avoided are US$ 30 million in Kenya and US$ 10 million in Uganda (or US$ 18 million including household costs). The cost per disability-adjusted life-year (DALY) averted from a government perspective is US$ 38 in Kenya and US$ 34 in Uganda (US$ 29 from a societal perspective). Rotavirus vaccine introduction is highly cost-effective in both countries in a range of plausible 'what-if' scenarios. The involvement of national experts improves the quality of data used, is likely to increase acceptability of the results in decision-making, and can contribute to strengthened national

Market Design for Rapid Demand Response - The Case of Kenya

OpenAIRE

Kurt Nielsen; Tseganesh Wubale Tamirat

2014-01-01

We suggest a market design for rapid demand response in electricity markets. The solution consists of remotely controlled switches, meters, forecasting models as well as a flexible auction market to set prices and select endusers job by job. The auction market motivates truth-telling and makes it simple to involve the endusers in advance and to activate demand response immediately. The collective solution is analyzed and economic simulations are conducted for the case of Kenya. Kenya has been...

PASTORALISTS NON‐RESPONSIVENESS TO LIVESTOCK MARKETS IN EAST POKOT, KENYA

OpenAIRE

Vincent, Ng’eno; Korir, M.K.; Nyangweso, P.M.; Kipsat, Mary J.; Lagat, B.K.

2010-01-01

One of the major challenges facing the state‐owned Kenya Meat Commission (KMC) in Kenya has been the inadequate supply of quality live animals for meat processing. It has been observed that the live animal throughput is inadequate and, as a result the existing meat processing facilities operate at less than 50% of their operational capacities. This has increased the fixed costs of operation thereby decreasing the export abattoirs competitiveness in the domestic and export markets. Overcoming ...

Prevalence of metabolic syndrome among an urban population in Kenya.

Science.gov (United States)

Kaduka, Lydia U; Kombe, Yeri; Kenya, Eucharia; Kuria, Elizabeth; Bore, John K; Bukania, Zipporah N; Mwangi, Moses

2012-04-01

Developing countries are undergoing an epidemiologic transition accompanied by increasing burden of cardiovascular disease (CVD) linked to urbanization and lifestyle modifications. Metabolic syndrome is a cluster of CVD risk factors whose extent in Kenya remains unknown. The aim of this study was to determine the prevalence of metabolic syndrome and factors associated with its occurrence among an urban population in Kenya. This was a household cross-sectional survey comprising 539 adults (aged ≥18 years) living in Nairobi, drawn from 30 clusters across five socioeconomic classes. Measurements included waist circumference, HDL cholesterol, triacylglycerides (TAGs), fasting glucose, and blood pressure. The prevalence of metabolic syndrome was 34.6% and was higher in women than in men (40.2 vs. 29%; P Kenya. The Kenyan government needs to create awareness, develop prevention strategies, and strengthen the health care system to accommodate screening and management of CVDs.

Conflict in Time, Petrified in Space: Kenya-Somalia Border Geopolitical Conflicts

Science.gov (United States)

2017-06-01

Distribution is unlimited. 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) In response to Kenyan citizens ’ growing uneasiness with regard to...Kenyan citizens ’ growing uneasiness with regard to the cross- border violence from Somalia-based terrorists, the government of Kenya has begun to...85 x THIS PAGE INTENTIONALLY LEFT BLANK xi LIST OF TABLES Table 1. Al Shabaab’s Influence on Terrorism in Kenya

Capacity Development of Youth in Geospatial Tools for Addressing Climate Change in Kenya

Science.gov (United States)

Mubea, K.; Kasera, K.; Maina, C.

2017-12-01

SERVIR E&SA builds on the institutional partnerships and networks in Eastern and Southern Africa together with the network and partnerships associated with USAID country missions in the region. The RCMRD Space Challenge was meant to equip students from high/secondary schools and primary schools within Kenya and beyond with the necessary skills and awareness in relation to environmental degradation, climate change and its drivers. Furthermore, this contributes to the achievement of Sustainable Development Goals (SDGs), developing the youth in Science, Technology, Engineering and Math (STEM) and ultimately contributing to capacity building of the youth with the objective of promoting sustainable development. RCMRD partnered with GLOBE Program Kenya, 4-H Kenya and Esri Eastern Africa in this endeavor. The challenge involved students from seven schools analyzing data from automatic weather stations and plotting the results against other location of schools. The students were required to use TAHMO Automatic Weather Stations (AWS) normalized atmospheric data provided by GLOBE, TAHMO and RCMRD. The three parameters, humidity, precipitation and temperature were found to be very closely related. The students generated graphs that were obtained from the normalized data for the five climatic zones in Kenya. Nasokol Girls School located at Kishaunet in West Pokot County (Kenya) emerged the winners followed by St. Scholastica Catholic Primary School in Nairobi, and Moi Forces Academy Nairobi. The students were urged to utilize the knowledge acquired to address challenges related to climate change. RCMRD Space Challenge will be held annually in Kenya in collaboration with partners.

Steps towards Nuclear Power Regulator in Kenya

International Nuclear Information System (INIS)

Gatebe, E.

2017-01-01

The first radiation protection law in Kenya was passed in 1948 and it was referred to as the''Radiological Protection Ordinance -1948''. The ordinance established the Radiological Protection Board (RPB). The current law is the Radiation Protection Act, Cap 243.that was amended in 2014. To regulate the peaceful use of atomic energy through provision of nuclear safety and security culture for the protection of persons, society and the environment against radiation. The Establishment of Nuclear Electricity Project Committee in 2010 is Predecessor of KNEB (2012). Whose mandate among others: Assist in coming up with a legalisation and regulatory framework for support of nuclear power. Human resource development for support of Nuclear Power programme. The country hosted Integrated Nuclear Infrastructure Review (INIR) and Integrated Regulatory Review Service (IRRS) Missions in 2015 and 2016 respectively to addressed legal and regulatory framework. A Multi-agency cooperation has resulted to the Nuclear Regulatory Bill. The Government has been sponsoring 15 students annually for post graduate studies in Nuclear Science at University of Nairobi. IAEA has been a great partner in the development of Kenya's nuclear regulatory regime; It is expected that in the next two years, Kenya will have the core capacity for regulating a nuclear power program. The Bill has taken into consideration suggestions and recommendation of the INIR & IRRS Missions, and comments from the office of Legal Affairs-IAEA and local stakeholders

Characteristics of Rural Poultry Production in Different Agroecological Zones in Kenya

International Nuclear Information System (INIS)

Ndegwa, J.M.; Kimani, C.W.; Siamba, D.A.; Mukisira, E.A.; Jong, R.

1999-01-01

A cross-sectional was conducted to establish the characteristics of rural poultry production in Nyandarua, Nakuru and Laikipia districts of Kenya. Sites of diverse agroecological zones (AEZ) in the 3 district were selected, thus Ol Kalou in Nyandarua, Njoro in Nakuru and Ng'arua in Laikipia. Each site was divided into 4 clusters according to AEZ and land size. Systematic sampling techniques were applied to select farmers. A checklist was then used to collect the baseline information for every household. The study revealed that the average flock size was 17.3 chicken with Ng'arua region demonstrating the largest flock size of 21 chickens. The purpose of rearing indigenous chicken were stated as home consumption and sale of eggs and meat, hatching eggs, and as gifts.Farmers in Ng'arua region reported the highest sale of eggs and chicken meat. the average number of broodings per year, number of eggs laid before a chicken becomes broody, eggs set for hatching and hatchability was 2.5, 16.5, 11.1 and 84.2%, respectively. The average chick mortality reported by farmers in te first eight weeks was 47.9%. Disease especially Newcastle, were cited as the main cause of mortality. Farmers did not commonly practice selection for genetic improvement, but occasionally they purchased a cock or hen to control inbreeding. In all the 3 regions, 78.4% of the respondents indicated that women took greater responsibility and decision making in the production of indigenous chicken; 54.8% of farmers used different herbs to treat and control diseases. Conventional vaccination,disinfection and deworming rarely practiced. On most farms, chickens were left to scavenge around the homestead, often they were supplemented with kitchen leftovers and a handful of grains. The survey results demonstrated that there was potential for improving rural poultry production through interventions using appropriate technologies that are currently on-shelf

Equatorial Paleointensities from Kenya and the Well-behaved Geocentric Axial Dipole

Science.gov (United States)

Wang, H.; Kent, D. V.

2017-12-01

A previous study of Plio-Pleistocene lavas from the equatorial Galapagos Islands (latitude 1ºS) that used an adjustment for multidomain (MD) effects [Wang and Kent, 2013 G-cubed] obtained a mean paleointensity of 21.6 ± 11.0 µT (1σ, same in the following) from 27 lava flows [Wang et al., 2015 PNAS]. This is about half of the present-day value. Here, in a pilot study to check this result, we utilized previously thermally demagnetized specimens of Plio-Pleistocene lavas from the Mt. Kenya region (latitude 0º) and fresh specimens from the Loiyangalani region (latitude 3ºN) of Kenya that were previously studied for paleosecular variation [Opdyke et al., 2010 G-cubed] for paleointensity studies. We selected 2-3 specimens from each of 30 lava sites from Mt. Kenya region and 31 lava sites from Loiyangalani region with coherent directions and not exhibiting any indications of having been struck by severe lightning. Rock magnetic data show that the main magnetization carriers are fine-grained pseudo-single-domain magnetite with saturation remanence to saturation magnetization ratios (Mr/Ms) ranging from 0.05 to 0.60 [Opdyke et al., 2010, G-cubed]. Our preliminary MD-adjusted paleointensity results (Loiyangalani specimens with tTRM thermal alteration check [Wang and Kent, 2013 G-cubed]; Mt. Kenya specimens with an alternate thermal alteration check) show that the overall mean values are 15.3 ± 5.7 µT for the Mt. Kenya region (from 7 lava flows) and 16.4 ± 5.2 µT for the Loiyangalani region (from 8 lava flows). Along with paleointensities from Antarctica (latitude 78ºS, 33.4 ± 13.9 µT from 38 lava flows) [Lawrence et al., 2009 G-cubed], Iceland (latitude 64ºN, 37.7 ± 14.2 µT from 10 lava flows) [Cromwell et al., 2015 JGR] and Galapagos [Wang et al., 2015 PNAS], our preliminary Kenya lava results support a geocentric axial dipole (GAD) model of the time-averaged field in both direction (tan[inclination] = 2×tan[latitude]) and paleointensity (equatorial

Determinants of health insurance ownership among women in Kenya: evidence from the 2008–09 Kenya demographic and health survey

Science.gov (United States)

2014-01-01

Background The Government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into a universal health coverage program. The objective of this study was to examine the determinants associated with health insurance ownership among women in Kenya. Methods Data came from the 2008–09 Kenya Demographic and Health Survey, a nationally representative survey. The sample comprised 8,435 women aged 15–49 years. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristics of the sample and to identify factors associated with health insurance ownership. Results Being employed in the formal sector, being married, exposure to the mass media, having secondary education or higher, residing in households in the middle or rich wealth index categories and residing in a female-headed household were associated with having health insurance. However, region of residence was associated with a lower likelihood of having insurance coverage. Women residing in Central (OR = 0.4; p insured compared to their counterparts in Nairobi province. Conclusions As the Kenyan government transforms the NHIF into a universal health program, it is important to implement a program that will increase equity and access to health care services among the poor and vulnerable groups. PMID:24678655

The relation of female circumcision to sexual behavior in Kenya and Nigeria.

Science.gov (United States)

Mpofu, Sibonginkosi; Odimegwu, Clifford; De Wet, Nicole; Adedini, Sunday; Akinyemi, Joshua

2017-08-01

One of the reasons for the perpetuation of female circumcision is that it controls female sexuality. In this study, the authors examined the relationship between female circumcision and the sexual behavior of women in Kenya and Nigeria. Data on women who were aware of circumcision and were circumcised were extracted from the Kenya Demographic and Health Survey of 2008-09 as well as the Nigeria Demographic and Health Survey of 2008. The sample size was 7,344 for Kenya and 16,294 for Nigeria. The outcome variables were age at first intercourse and total lifetime number of sexual partners. The study hypothesis was that women who were circumcised were less likely to have initiated sex early and to have only one sex partner. Cox proportional hazards regression and Poisson regression were used to examine the relations of female circumcision and other selected variables to sexual behavior. No association was observed between female circumcision and the outcomes for sexual behavior of women in Kenya and Nigeria. The argument of sexual chastity is insufficient to sustain the perpetuation of female circumcision.

Exploring risk perception and attitudes to miscarriage and congenital anomaly in rural Western Kenya.

Directory of Open Access Journals (Sweden)

Stephanie Dellicour

Full Text Available Understanding the socio-cultural context and perceptions of adverse pregnancy outcomes is important for informing the best approaches for public health programs. This article describes the perceptions, beliefs and health-seeking behaviours of women from rural western Kenya regarding congenital anomalies and miscarriages.Ten focus group discussions (FGDs were undertaken in a rural district in western Kenya in September 2010. The FGDs included separate groups consisting of adult women of childbearing age, adolescent girls, recently pregnant women, traditional birth attendants and mothers of children with a birth defect. Participants were selected purposively. A deductive thematic framework approach using the questions from the FGD guides was used to analyse the transcripts.There was substantial overlap between perceived causes of miscarriages and congenital anomalies and these were broadly categorized into two groups: biomedical and cultural. The biomedical causes included medications, illnesses, physical and emotional stresses, as well as hereditary causes. Cultural beliefs mostly related to the breaking of a taboo or not following cultural norms. Mothers were often stigmatised and blamed following miscarriage, or the birth of a child with a congenital anomaly. Often, women did not seek care following miscarriage unless there was a complication. Most reported that children with a congenital anomaly were neglected either because of lack of knowledge of where care could be sought or because these children brought shame to the family and were hidden from society.The local explanatory model of miscarriage and congenital anomalies covered many perceived causes within biomedical and cultural beliefs. Some of these fuelled stigmatisation and blame of the mother. Understanding of these beliefs, improving access to information about the possible causes of adverse outcomes, and greater collaboration between traditional healers and healthcare providers may

Habitat stability and occurrences of malaria vector larvae in western Kenya highlands

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Atieli Harrysone

2009-10-01

Full Text Available Abstract Background Although the occurrence of malaria vector larvae in the valleys of western Kenya highlands is well documented, knowledge of larval habitats in the uphill sites is lacking. Given that most inhabitants of the highlands actually dwell in the uphill regions, it is important to develop understanding of mosquito breeding habitat stability in these sites in order to determine their potential for larval control. Methods A total of 128 potential larval habitats were identified in hilltops and along the seasonal streams in the Sigalagala area of Kakamega district, western Kenya. Water availability in the habitats was followed up daily from August 3, 2006 to February 23, 2007. A habitat is defined as stable when it remains aquatic continuously for at least 12 d. Mosquito larvae were observed weekly. Frequencies of aquatic, stable and larvae positive habitats were compared between the hilltop and seasonal stream area using χ2-test. Factors affecting the presence/absence of Anopheles gambiae larvae in the highlands were determined using multiple logistic regression analysis. Results Topography significantly affected habitat availability and stability. The occurrence of aquatic habitats in the hilltop was more sporadic than in the stream area. The percentage of habitat occurrences that were classified as stable during the rainy season is 48.76% and 80.79% respectively for the hilltop and stream area. Corresponding frequencies of larvae positive habitats were 0% in the hilltop and 5.91% in the stream area. After the rainy season, only 23.42% of habitat occurrences were stable and 0.01% larvae positive habitats were found in the hilltops, whereas 89.75% of occurrences remained stable in the stream area resulting in a frequency of 12.21% larvae positive habitats. The logistic regression analysis confirmed the association between habitat stability and larval occurrence and indicated that habitat surface area was negatively affecting the

Country Immunization Information System Assessments - Kenya, 2015 and Ghana, 2016.

Science.gov (United States)

Scott, Colleen; Clarke, Kristie E N; Grevendonk, Jan; Dolan, Samantha B; Ahmed, Hussein Osman; Kamau, Peter; Ademba, Peter Aswani; Osadebe, Lynda; Bonsu, George; Opare, Joseph; Diamenu, Stanley; Amenuvegbe, Gregory; Quaye, Pamela; Osei-Sarpong, Fred; Abotsi, Francis; Ankrah, Joseph Dwomor; MacNeil, Adam

2017-11-10

The collection, analysis, and use of data to measure and improve immunization program performance are priorities for the World Health Organization (WHO), global partners, and national immunization programs (NIPs). High quality data are essential for evidence-based decision-making to support successful NIPs. Consistent recording and reporting practices, optimal access to and use of health information systems, and rigorous interpretation and use of data for decision-making are characteristics of high-quality immunization information systems. In 2015 and 2016, immunization information system assessments (IISAs) were conducted in Kenya and Ghana using a new WHO and CDC assessment methodology designed to identify root causes of immunization data quality problems and facilitate development of plans for improvement. Data quality challenges common to both countries included low confidence in facility-level target population data (Kenya = 50%, Ghana = 53%) and poor data concordance between child registers and facility tally sheets (Kenya = 0%, Ghana = 3%). In Kenya, systemic challenges included limited supportive supervision and lack of resources to access electronic reporting systems; in Ghana, challenges included a poorly defined subdistrict administrative level. Data quality improvement plans (DQIPs) based on assessment findings are being implemented in both countries. IISAs can help countries identify and address root causes of poor immunization data to provide a stronger evidence base for future investments in immunization programs.

Multiple cardiovascular risk factors in Kenya: evidence from a health and demographic surveillance system using the WHO STEPwise approach to chronic disease risk factor surveillance.

Science.gov (United States)

Bloomfield, Gerald S; Mwangi, Ann; Chege, Patrick; Simiyu, Chrispinus J; Aswa, Daniel F; Odhiambo, David; Obala, Andrew A; Ayuo, Paul; Khwa-Otsyula, Barasa O

2013-09-01

To describe the distribution of cardiovascular risk factors in western Kenya using a Health and Demographic Surveillance System (HDSS). Population based survey of residents in an HDSS. Webuye Division in Bungoma East District, Western Province of Kenya. 4037 adults ≥ 18 years of age. Home based survey using the WHO STEPwise approach to chronic disease risk factor surveillance. Self-report of high blood pressure, high blood sugar, tobacco use, alcohol use, physical activity, and fruit/vegetable intake. The median age of the population was 35 years (IQR 26-50). Less than 6% of the population reported high blood pressure or blood sugar. Tobacco and alcohol use were reported in 7% and 16% of the population, respectively. The majority of the population (93%) was physically active. The average number of days per week that participants reported intake of fruits (3.1 ± 0.1) or vegetables (1.6 ± 0.1) was low. In multiple logistic regression analyses, women were more likely to report a history of high blood pressure (OR 2.72, 95% CI 1.9 to 3.9), less likely to report using tobacco (OR 0.08, 95% CI 0.06 to 0.11), less likely to report alcohol use (OR 0.18, 95% CI 0.15 to 0.21) or eat ≥ 5 servings per day of fruits or vegetables (OR 0.87, 95% CI 0.76 to 0.99) compared to men. The most common cardiovascular risk factors in peri-urban western Kenya are tobacco use, alcohol use, and inadequate intake of fruits and vegetables. Our data reveal locally relevant subgroup differences that could inform future prevention efforts.

Implementation of repeat HIV testing during pregnancy in southwestern Kenya: progress and missed opportunities.

Science.gov (United States)

Rogers, Anna J; Akama, Eliud; Weke, Elly; Blackburn, Justin; Owino, George; Bukusi, Elizabeth A; Oyaro, Patrick; Kwena, Zachary A; Cohen, Craig R; Turan, Janet M

2017-12-01

Repeat HIV testing during the late antenatal period is crucial to identify and initiate treatment for pregnant women with incident HIV infection to prevent perinatal HIV transmission and keep mothers alive. In 2012, the Kenya Ministry of Health adopted international guidelines suggesting that pregnant women be offered retesting three months after an initial negative HIV test. Our objectives were to determine the current rate of antenatal repeat HIV testing; identify successes, missed opportunities and factors associated with retesting; and estimate the incidence of HIV during pregnancy. Retrospective analysis of longitudinal data was conducted for a cohort of 2145 women attending antenatal care clinic at a large district hospital in southwestern Kenya. Data were abstracted from registers for all women who attended the clinic from the years 2011 to 2014. Although 90.2% of women first came to clinic prior to their third trimester and 27.5% had at least four clinic visits, 58.0% of all women went to delivery without a retest. Missed opportunities for retesting included not returning to clinic at all, not returning when eligible, or late gestational age (>28 weeks) at first clinic visit making them ineligible for retesting (accounting for 14.2%, 26.8% and 9.6% of all clinic attendees respectively); and failure to be retested even when eligible at one or more visits (accounting for 73.2% of eligible returnees). Being unmarried and aged 20 or younger was associated with an increase in mean gestational age of first visit by 2.52 weeks (95% CI: 1.56, 3.48) and a 2.59 increased odds (95% CI: 1.90, 3.54) of failing to return to clinic, compared to those who were married and over 20 years of age. On retest, two women tested HIV positive, suggesting an incidence rate of 4.4 per 100 person-years. After adjusting for potential confounders, only later year of last menstrual period (2013 vs. 2012 and 2011) was associated with retesting. Adoption of retesting guidelines in 2012

The Prevalence of Alcohol Abuse among Egerton University Students in Njoro-Kenya

Science.gov (United States)

Boitt, Richard Kimuge

2016-01-01

The main objective of higher institutions of learning in Kenya is to provide education and growth experiences for its students but alcohol abuse has continued to be a problem in the university campuses that is slowing down their progress and the Kenya vision 2030 that envisages a healthy population free from the impact of alcohol abuse through the…

THE ROLE OF HOTELS IN THE CONSUMPTION OF CULTURAL TOURISM IN KENYA

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Joseph A K. WADAWI

2009-12-01

Full Text Available Tourism is Kenya's leading foreign exchange earner, yielding the country over US$500m annually. The industry contributes over 10% of the GDP to the national economy. However, considering that the industry experienced a slump over the period 1994-2003, there are challenges on how to sustain the current tempo of growth in the midst of growing competition, especially in wildlife-based tourism. There is a general feeling that the tourism industry in Kenya needs to avoid over reliance on wildlife and diversify its tourism product base. The industry stakeholders (led by the government are seeking means and strategies of differentiating the tourism product offering in order to become a destination of choice in international markets. It is with the foregoing in mind that this study focused on investigating the possibility of incorporating cultural tourism as a means of augmenting and diversifying Kenya's tourism product. This is in view of the fact that the country has a vast ethnic diversity with a total of 42 cultural groupings.These groups spice up Kenya's heritage with various cultural attractions including music, food, dress, architecture, artifacts, dances, language, religious monuments, prayer and worship, family, government and leadership. The question that the research wanted to answer is how the hotels could contribute to the development of cultural tourism in Kenya. Being a key component and beneficiaries of improved performance in tourism, hotels, have a crucial role to play in shaping the nature of the cultural tourism product offering. The study established that many hotels have taken various specific measures in support of cultural tourism including: architectural designs and layouts that depict the surrounding culture; incorporation of local culture in branding and naming of facilities; inclusion of traditional tastes and choices in food; selection of staff uniform based on traditional designs and colours; emphasis on cultural uniqueness

Evolution of family medicine in Kenya (1990s to date): a case study

African Journals Online (AJOL)

PM Chege

1999-08-26

Aug 26, 1999 ... aDepartment of Family Medicine, Moi University College of Health, Eldoret, Kenya. bDepartment ... The challenges include the lack of Kenyan teachers of the programme and the introduction ... in the establishment of FM departments in medical schools in .... Kenya Commission for Higher Education (CHE).

The Kenya Coast in national perspective

NARCIS (Netherlands)

Meilink, H.A.; Hoorweg, J.; Foeken, D.W.J.; Obudho, R.A.

2000-01-01

This chapter provides a concise review of the process of regional development and the concomitant growing regional inequalities in Kenya. By focusing on Coast Province, it aims to verify statements which stress that the province has gradually moved to a marginal position in Kenyan society. Examining

Preparing for major incidents in Kenya

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B.W. Wachira*

2013-12-01

This report provides a review of some of the major incidents in Kenya for the period 2000–2012, with the hope of highlighting the importance of developing an integrated and well-trained Ambulance and Fire and Rescue service appropriate for the local health care system.

Policy environment for prevention, control and management of cardiovascular diseases in primary health care in Kenya.

Science.gov (United States)

Asiki, Gershim; Shao, Shuai; Wainana, Carol; Khayeka-Wandabwa, Christopher; Haregu, Tilahun N; Juma, Pamela A; Mohammed, Shukri; Wambui, David; Gong, Enying; Yan, Lijing L; Kyobutungi, Catherine

2018-05-09

In Kenya, cardiovascular diseases (CVDs) accounted for more than 10% of total deaths and 4% of total Disability-Adjusted Life Years (DALYs) in 2015 with a steady increase over the past decade. The main objective of this paper was to review the existing policies and their content in relation to prevention, control and management of CVDs at primary health care (PHC) level in Kenya. A targeted document search in Google engine using keywords "Kenya national policy on cardiovascular diseases" and "Kenya national policy on non-communicable diseases (NCDs)" was conducted in addition to key informant interviews with Kenyan policy makers. Relevant regional and international policy documents were also included. The contents of documents identified were reviewed to assess how well they aligned with global health policies on CVD prevention, control and management. Thematic content analysis of the key informant interviews was also conducted to supplement the document reviews. A total of 17 documents were reviewed and three key informants interviewed. Besides the Tobacco Control Act (2007), all policy documents for CVD prevention, control and management were developed after 2013. The national policies were preceded by global initiatives and guidelines and were similar in content with the global policies. The Kenya health policy (2014-2030), The Kenya Health Sector Strategic and Investment Plan (2014-2018) and the Kenya National Strategy for the Prevention and Control of Non-communicable diseases (2015-2020) had strategies on NCDs including CVDs. Other policy documents for behavioral risk factors (The Tobacco Control Act 2007, Alcoholic Drinks Control (Licensing) Regulations (2010)) were available. The National Nutrition Action Plan (2012-2017) was available as a draft. Although Kenya has a tiered health care system comprising primary healthcare, integration of CVD prevention and control at PHC level was not explicitly mentioned in the policy documents. This review revealed

Increased fairness in priority setting processes within the health sector: the case of Kapiri-Mposhi District, Zambia.

Science.gov (United States)

Zulu, Joseph M; Michelo, Charles; Msoni, Carol; Hurtig, Anna-Karin; Byskov, Jens; Blystad, Astrid

2014-02-18

The challenge of priority setting (PS) in health care within contexts of severe resource limitations has continued to receive attention. Accountability for Reasonableness (AFR) has emerged as a useful framework to guide the implementation of PS processes. In 2006, the AFR approach to enhance legitimate and fair PS was introduced by researchers and decision makers within the health sector in the EU funded research project entitled 'Response to Accountable priority setting for Trust in health systems' (REACT). The project aimed to strengthen fairness and accountability in the PS processes of health systems at district level in Zambia, Tanzania and Kenya. This paper focuses on local perceptions and practices of fair PS (baseline study) as well as at the evolution of such perceptions and practices in PS following an AFR based intervention (evaluation study), carried out at district level in Kapiri-Mposhi District in Zambia. Data was collected using in depth interviews (IDIs), focus group discussions (FGDs) and review of documents from national to district level. The study population for this paper consisted of health related stakeholders employed in the district administration, in non-governmental organizations (NGO) and in health facilities. During the baseline study, concepts of legitimacy and fairness in PS processes were found to be grounded in local values of equity and impartiality. Government and other organizational strategies strongly supported devolution of PS and decision making procedures. However, important gaps were identified in terms of experiences of stakeholder involvement and fairness in PS processes in practice. The evaluation study revealed that a transformation of the views and methods regarding fairness in PS processes was ongoing in the study district, which was partly attributed to the AFR based intervention. The study findings suggest that increased attention was given to fairness in PS processes at district level. The changes were linked to a

Q Fever, Scrub Typhus, and Rickettsial Diseases in Children, Kenya, 2011-2012.

Science.gov (United States)

Maina, Alice N; Farris, Christina M; Odhiambo, Antony; Jiang, Ju; Laktabai, Jeremiah; Armstrong, Janice; Holland, Thomas; Richards, Allen L; O'Meara, Wendy P

2016-05-01

To increase knowledge of undifferentiated fevers in Kenya, we tested paired serum samples from febrile children in western Kenya for antibodies against pathogens increasingly recognized to cause febrile illness in Africa. Of patients assessed, 8.9%, 22.4%, 1.1%, and 3.6% had enhanced seroreactivity to Coxiella burnetii, spotted fever group rickettsiae, typhus group rickettsiae, and scrub typhus group orientiae, respectively.

Council Districts

Data.gov (United States)

Town of Cary, North Carolina — View the location of the Town of Cary’s four Town Council districts.Please note that one district, District A, is split into two geo-spatial areas. One area is in...

Influence of Examinations Oriented Approaches on Quality Education in Primary Schools in Kenya

Science.gov (United States)

Mackatiani, Caleb Imbova

2017-01-01

This paper provides a critical appraisal of the influence of examinations oriented approaches on quality education in primary schools in Kenya. The purpose of the study was to determine effects of examination oriented teaching approaches on learning achievement among primary school pupils in Kakamega County, Kenya. It explored the assumptions…

Morphological Characterization and Determination of Aflatoxin-Production Potentials of Aspergillus flavus Isolated from Maize and Soil in Kenya

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Matome Gabriel Thathana

2017-09-01

Full Text Available This study aimed at morphologically identifying Aspergillus flavus in soil and maize and at determining their aflatoxin-producing potentials. Five hundred and fourteen isolates obtained from maize and soil in Kenya were cultivated on Czapeck Dox Agar, Malt Extract Agar, Sabouraud Dextrose Agar, Potato Dextrose Agar, and Rose-Bengal Chloramphenicol Agar. Isolates were identified using macro-morphological characteristics. Micromorphological characteristics were determined using slide cultures. Aflatoxin production was determined by direct visual determination of the UV fluorescence of colonies on Coconut Agar Medium, Yeast Extract Sucrose agar, and Yeast Extract Cyclodextrin Sodium Deoxycholate agar and by Thin Layer Chromatography. Forty-three presumptive A. flavus isolates were identified; aflatoxin was detected in 23% of the isolates by UV fluorescence screening and in 30% by Thin-Layer Chromatography (TLC. The aflatoxins produced were: aflatoxin B1 (AFB1, aflatoxin B2 (AFB2, and aflatoxin G1 (AFG1; some isolates produced only AFB1, whereas others produced either AFB1 and AFB2 or AFB1 and AFG1. The highest incidence of A. flavus (63% and aflatoxin production (28% was recorded in samples from Makueni District. Isolates from Uasin Gishu (21% and Nyeri (5% were non-aflatoxigenic. Bungoma District recorded 11% positive isolates of which 2% were aflatoxin producers. The occurrence of aflatoxin-producing A. flavus emphasises the need for measures to eliminate their presence in food crops.

Mental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations

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Jenkins Rachel

2010-06-01

Full Text Available Abstract Background Although most donor and development agency attention is focussed on communicable diseases in Kenya, the importance of non-communicable diseases including mental health and mental illness is increasingly apparent, both in their own right and because of their influence on health, education and social goals. Mental illness is common but the specialist service is extremely sparse and primary care is struggling to cope with major health demands. Non health sectors e.g. education, prisons, police, community development, gender and children, regional administration and local government have significant concerns about mental health, but general health programmes have been surprisingly slow to appreciate the significance of mental health for physical health targets. Despite a people centred post colonial health delivery system, poverty and global social changes have seriously undermined equity. This project sought to meet these challenges, aiming to introduce sustainable mental health policy and implementation across the country, within the context of extremely scarce resources. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning, sustained intersectoral policy dialogue at national and regional level; establishment of a health sector system for coordination, supervision and training of at each level (national, regional, district and primary care; development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at national, regional, district and local levels; public education; and integration of mental health into health management systems. Results The programme has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, annual operational plans, mental health policy guidelines

Educational Marginalization: Examining Challenges and Possibilities for Improving Educational Outcomes in Northeastern Kenya

Science.gov (United States)

Okilwa, Nathern S. A.

2015-01-01

As a developing country in sub-Saharan Africa, Kenya has fared comparatively well in educating its young people. The new constitution of Kenya and various acts of parliament identify education as a fundamental human right and mandates the government to provide basic education for all. Consistent with the government's "Vision 2030," most…

Vascular flora of Kenya, based on the Flora of Tropical East Africa

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Yadong Zhou

2017-11-01

Full Text Available Kenya, an African country with major higher plant diversity, has a corresponding diversity of plant associations, because of the wide geographic distribution, diverse climatic conditions and soil types. In this article, all vascular plants of Kenya were counted based on the completed "Flora of Tropical East Africa (FTEA", and all families and genera were revised using recent molecular systematics research, forming a "Synoptic List of Families and Genera of Kenyan Vascular Plants (SLFGKVP". In total, there are 225 families, 1538 genera and 6293 indigenous species and and 62 families, 302 genera and 588 exotic species in Kenya. The Fabaceae with 98 genera and 576 Species is the largest family. Two of the seven plant distribution regions of Kenya, K4 and K7 are the most species-richest areas with regard to both total and endemic species, with 3375 and 3191 total species and 174 and 185 endemic species in K4 and K7 respectively. While, K3 and K5 have the highest density of both total and endemic species. K1 has the lowest density of total species, and K2 has the lowest density of endemic species.

The cost of health professionals' brain drain in Kenya

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Gbary Akpa

2006-07-01

Full Text Available Abstract Background Past attempts to estimate the cost of migration were limited to education costs only and did not include the lost returns from investment. The objectives of this study were: (i to estimate the financial cost of emigration of Kenyan doctors to the United Kingdom (UK and the United States of America (USA; (ii to estimate the financial cost of emigration of nurses to seven OECD countries (Canada, Denmark, Finland, Ireland, Portugal, UK, USA; and (iii to describe other losses from brain drain. Methods The costs of primary, secondary, medical and nursing schools were estimated in 2005. The cost information used in this study was obtained from one non-profit primary and secondary school and one public university in Kenya. The cost estimates represent unsubsidized cost. The loss incurred by Kenya through emigration was obtained by compounding the cost of educating a medical doctor and a nurse over the period between the average age of emigration (30 years and the age of retirement (62 years in recipient countries. Results The total cost of educating a single medical doctor from primary school to university is US$ 65,997; and for every doctor who emigrates, a country loses about US$ 517,931 worth of returns from investment. The total cost of educating one nurse from primary school to college of health sciences is US$ 43,180; and for every nurse that emigrates, a country loses about US$ 338,868 worth of returns from investment. Conclusion Developed countries continue to deprive Kenya of millions of dollars worth of investments embodied in her human resources for health. If the current trend of poaching of scarce human resources for health (and other professionals from Kenya is not curtailed, the chances of achieving the Millennium Development Goals would remain bleak. Such continued plunder of investments embodied in human resources contributes to further underdevelopment of Kenya and to keeping a majority of her people in the vicious

Expanding Kenya's protected areas under the Convention on Biological Diversity to maximize coverage of plant diversity.

Science.gov (United States)

Scherer, Laura; Curran, Michael; Alvarez, Miguel

2017-04-01

Biodiversity is highly valuable and critically threatened by anthropogenic degradation of the natural environment. In response, governments have pledged enhanced protected-area coverage, which requires scarce biological data to identify conservation priorities. To assist this effort, we mapped conservation priorities in Kenya based on maximizing alpha (species richness) and beta diversity (species turnover) of plant communities while minimizing economic costs. We used plant-cover percentages from vegetation surveys of over 2000 plots to build separate models for each type of diversity. Opportunity and management costs were based on literature data and interviews with conservation organizations. Species richness was predicted to be highest in a belt from Lake Turkana through Mount Kenya and in a belt parallel to the coast, and species turnover was predicted to be highest in western Kenya and along the coast. Our results suggest the expanding reserve network should focus on the coast and northeastern provinces of Kenya, where new biological surveys would also fill biological data gaps. Meeting the Convention on Biological Diversity target of 17% terrestrial coverage by 2020 would increase representation of Kenya's plant communities by 75%. However, this would require about 50 times more funds than Kenya has received thus far from the Global Environment Facility. © 2016 Society for Conservation Biology.

Epidemiology of Cervical Squamous Intraepithelial Lesions in HIV ...

African Journals Online (AJOL)

AJRH Managing Editor

Kenya. A cross sectional study was conducted in a hospital in Central Kenya, Kiambu district. The study ... were widowed. About 642 (92.6%) of the HIV infected women were in follow-up period of ≥ 1 year. ... Although some studies suggest.

The value chain for seed and ware potatoes in Kenya: Opportunities for development

NARCIS (Netherlands)

Janssens, S.R.M.; Wiersema, S.G.; Goos, H.J.Th.; wiersma, W.

2013-01-01

In Kenya potato is an important food crop, second after maize. Potatoes are grown on 128,000 ha per year with average yields of about 8 tonnes per ha. The yield is far below its po-tential and should be improved to enhance food security. Of all potato growers in Kenya, 98% are characterised as

Working Paper 151 - The Dynamics of Inflation in Ethiopia and Kenya

OpenAIRE

Dick Durevall; Bo Sjö

2012-01-01

This study provides an assessment of the main drivers of inflation in Ethiopia and Kenya by developing single-equation error correction models for the Consumer Price Index in each country. This approach takes into account a number of potential sources of the recent surge in inflation, including excess money supply, exchange rates, food and non-food world prices, world energy prices and domestic agricultural supply shocks. We find that the inflation rates in both Ethiopia and Kenya are driven ...

Radiation Protection of the Young Patient: Kenya perspective

International Nuclear Information System (INIS)

Wambani, S.

2015-01-01

The human body anatomy and health issues are universal. Radionuclide and ionizing radiation are used in a variety of techniques in research, primary and secondary healthcare. One out of every five patients attending a hospital in Kenya benefits from some type of nuclear procedure. In 2013 over 3.5 million Kenyans benefited from nuclear applications in medicine. The radiographer patient workload is 189,300 examinations while that of each radiologist approximately 325,000 per year. There is need for catalyzed effort in the transition to the state-of-the-art nuclear techniques/equipment to Kenya and development of quality assurance program in diagnostic and therapeutic radiology. Develop the manpower/human resource and Policies that lower expenses and increase availability of nuclear techniques in medicine

The Impact of Drug Trafficking on Informal Security Actors in Kenya

Directory of Open Access Journals (Sweden)

Moritz Schuberth

2014-01-01

Full Text Available The Kenyan state is currently under pressure from two sides: First, numerous non-state armed groups have taken over the provision of security in areas where the state is practically absent. Second, drug-trafficking organizations are gaining ground as the country is increasingly being used as a major transit hub for narcotics. This article investigates the relationship between drug trafficking and informal security provision in Kenya and draws analogies from comparable experiences in Latin America and West Africa. Field research in Kenya has demonstrated that profit-oriented, informal security actors in Mombasa work for drug lords, while their counterparts in Nairobi are more likely to be hired by politicians. Moreover, faith-based vigilante groups in both cities appear to be less susceptible to external manipulation by drug traffickers. The article concludes by considering the potential consequences of an expansion of the drug trade in Kenya.

The seismicity related to the southern part of the Kenya Rift

Science.gov (United States)

Hollnack, D.; Stangl, R.

1998-04-01

In 1990 the Geology Department of the University of Nairobi started to build up a seismological network for Kenya, which has been operating since 1993. In this paper the actual state of this seismological network is described. Additionally, the first results on the seismic activity in the southern part of Kenya and adjacent areas between October 1993 and August 1996 are presented and are compared with historical data. Out of more than 2000 recorded local earthquakes 435 could be localised within the study area with local magnitudes of up to 5. The distribution of the events shows three areas of prominent seismicity: the Rift Valley between Nakuru and northern Tanzania; the area northeast of Kilimanjaro; and the Nyanza Rift in western Kenya. In a first attempt to assess the seismic hazard for the study area, a seismic energy map for the period of observation is given.

Protecting livelihoods, boosting food security in Kenya | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2015-05-21

May 21, 2015 ... Protecting livelihoods, boosting food security in Kenya ... livestock fodder, with important outcomes for household food security. ... and all counties have since committed funding toward scaling up successful technologies.

Major incidents in Kenya: the case for emergency services development and training.

Science.gov (United States)

Wachira, Benjamin W; Smith, Wayne

2013-04-01

Kenya's major incidents profile is dominated by droughts, floods, fires, terrorism, poisoning, collapsed buildings, accidents in the transport sector and disease/epidemics. With no integrated emergency services and a lack of resources, many incidents in Kenya escalate to such an extent that they become major incidents. Lack of specific training of emergency services personnel to respond to major incidents, poor coordination of major incident management activities, and a lack of standard operational procedures and emergency operation plans have all been shown to expose victims to increased morbidity and mortality. This report provides a review of some of the major incidents in Kenya for the period 2000-2012, with the hope of highlighting the importance of developing an integrated and well-trained Ambulance and Fire and Rescue service appropriate for the local health care system.

Kenya's Climate Change Action Plan. Low Carbon Climate Resilient Development Pathway

Energy Technology Data Exchange (ETDEWEB)

Murphy, D.; Sawyer, D.; Stiebert, S.; McFatridge, S. [International Institute for Sustainable Development IISD, Winnipeg, Manitoba (Canada); Wuertenberger, L.; Van Tilburg, X.; Hekkenberg, M. [Energy research Centre of the Netherlands ECN, Policy Studies, Amsterdam (Netherlands); Owino, T.; Battye, W. [ClimateCare, Nairobi (Kenya); Mutia, T. [Regional Institute for Social Enterprise Kenya RISE, Nairobi (Kenya); Olum, P. [Climate Change Consultant (Kenya)

2012-12-15

Kenya Vision 2030 - the long-term development blueprint for the country - aims to transform Kenya into 'a newly industrialising, middle-income country providing a high quality of life to all its citizens in a clean and secure environment'. A low carbon climate resilient development pathway, as set out in this Climate Change Action Plan, can help meet Vision 2030 goals through actions that address both sustainable development and climate change. This pathway can also help the Government achieve the Millennium Development Goals and other internationally agreed development goals without compromising the environment and its natural resources. As Kenya realizes its development aspirations, there will be gains and risks. A growing population and economy with migration to cities will mean increases in greenhouse gas (GHG) emissions. Resulting environmental and social conditions, including increased competition over resources, could intensify vulnerability to climate risks. Transitioning to a low carbon climate resilient development pathway can address future risks thereby improving Kenya's ability to prosper under a changing climate while reducing the emissions intensity of a growing economy. Moving forward on the 2010 National Climate Change Response Strategy will help Kenya transition to a low carbon climate resilient development pathway that puts people and livelihoods at the forefront. The strategy recognized the importance of climate change and development, and this Climate Change Action Plan is the logical next step. A yearlong multistakeholder participatory process involving the public sector, private sector and civil society resulted in this Action Plan that identifies priority climate change actions for Kenya for the short, medium and long term. The Government of Kenya takes climate change and its impact on development seriously. Climate change is considered a crosscutting issue that will be mainstreamed in the planning process both at the national

Kenya develops tool to predict malaria | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

2010-10-13

Oct 13, 2010 ... In collaboration with scientists from the Kenya Meteorological Department and the International Centre ... a scientific model that uses weather predictions, information about the reproductive mechanisms of ... Related articles ...

The Molecular Epidemiology of Malaria in Western Kenya

National Research Council Canada - National Science Library

Amon, Joseph

2002-01-01

...) Plasmodium falciparum growth dynamics. The first two research topics were examined in a cohort of 248 males recruited from three highly endemic villages in western Kenya where severe malaria anemia is common...

Redisplacement Rates after Reduction and Cast Immobilization of ...

African Journals Online (AJOL)

Kapenguria district hospital 2- Department of orthopaedic surgery, Univesity of Nairobi. Correspondence: Dr. Daniel Ojuka, Kapenguria district hospital, P.O. Box 63 - 30600,. Kapenguria, Kenya. E-mail: dkinyuru@yahoo.com. Background.

Global warming and livestock husbandry in Kenya. Impacts and adaptations

International Nuclear Information System (INIS)

Kabubo-Mariara, Jane

2009-01-01

This paper examines the economic impact of climate change on livestock production in Kenya. We estimate a Ricardian model of net livestock incomes and further estimate the marginal impacts of climate change. We also simulate the impact of different climate scenarios on livestock incomes. The Ricardian results show that livestock production in Kenya is highly sensitive to climate change and that there is a non-linear relationship between climate change and livestock productivity. The estimated marginal impacts suggest modest gains from rising temperatures and losses from increased precipitation. The predictions from atmospheric ocean general circulation models suggest that livestock farmers in Kenya are likely to incur heavy losses from global warming. The highest and lowest losses are predicted from the Hadley Centre Coupled model (HADCM) and Parallel Climate Model (PCM) respectively, based on the Intergovernmental Panel on Climate Change A2 Special Report on Emissions Scenarios. The paper concludes that in the long term, climate change is likely to lead to increased poverty, vulnerability and loss of livelihoods. Several policy interventions are recommended to counter this impact. (author)

Global warming and livestock husbandry in Kenya. Impacts and adaptations

Energy Technology Data Exchange (ETDEWEB)

Kabubo-Mariara, Jane [School of Economics, University of Nairobi, P.O. Box 30197, 00100, Nairobi (Kenya)

2009-05-15

This paper examines the economic impact of climate change on livestock production in Kenya. We estimate a Ricardian model of net livestock incomes and further estimate the marginal impacts of climate change. We also simulate the impact of different climate scenarios on livestock incomes. The Ricardian results show that livestock production in Kenya is highly sensitive to climate change and that there is a non-linear relationship between climate change and livestock productivity. The estimated marginal impacts suggest modest gains from rising temperatures and losses from increased precipitation. The predictions from atmospheric ocean general circulation models suggest that livestock farmers in Kenya are likely to incur heavy losses from global warming. The highest and lowest losses are predicted from the Hadley Centre Coupled model (HADCM) and Parallel Climate Model (PCM) respectively, based on the Intergovernmental Panel on Climate Change A2 Special Report on Emissions Scenarios. The paper concludes that in the long term, climate change is likely to lead to increased poverty, vulnerability and loss of livelihoods. Several policy interventions are recommended to counter this impact. (author)

Public by Day, Private by Night: Examining the Private Lives of Kenya's Public Universities

Science.gov (United States)

Wangenge-Ouma, Gerald

2012-01-01

This article examines the emergence of the public university in Kenya as a key provider of private higher education, characterised mainly by the phenomenon of the "private public university student." It probes the broader socio-economic reforms circumscribing the privatisation of Kenya's public universities and the local and global…

Farm household allocative efficiency : a multi-dimensional perspective on labour use in Western Kenya

NARCIS (Netherlands)

Kamau, M.

2007-01-01

The economy in western Kenya, like most of the other regions in Kenya is agriculture based with smallholder farm households forming the bulk of the population. While all smallholder households engage in agricultural production to meet their food and cash needs, income earned outside the farm forms a

HIV mortality in urban slums of Nairobi, Kenya 2003-2010: a period effect analysis

NARCIS (Netherlands)

Oti, Samuel Oji; Mutua, Michael; Mgomella, George S.; Egondi, Thaddaeus; Ezeh, Alex; Kyobutungi, Catherine

2013-01-01

It has been almost a decade since HIV was declared a national disaster in Kenya. Antiretroviral therapy (ART) provision has been a mainstay of HIV treatment efforts globally. In Kenya, the government started ART provision in 2003 with significantly scale-up after 2006. This study aims to demonstrate

The Challenges Facing Small-Scale Women Entrepreneurs: A Case of Kenya

OpenAIRE

Fridah Muriungi Mwobobia

2012-01-01

The study sought to identify the challenges facing small scale women entrepreneurs in Kenya and initiatives put in place to counter the challenges. The study employed desktop research. MSEs Baseline survey, recorded that 612,848 women in Micro and Small Enterprises (MSEs) in Kenya, accounting for 47.4 per cent of all those in MSEs. The study showed that women tended to operate enterprises associated with traditional women¡¯s roles, such as hairstyling. The small and micro enterprises (SMEs) p...

Determinants of Foreign Direct Investment Inflows in Kenya

African Journals Online (AJOL)

Nneka Umera-Okeke

DISCIPLINARY ... Key Words: Foreign Direct Investments, Determinants, Inflows, Kenya. Introduction. Foreign Direct Investments .... Previous FDI inflows are also expected to influence current FDI inflows hence the need to include them in the model.

Catastrophic health expenditure and its determinants in Kenya slum communities.

Science.gov (United States)

Buigut, Steven; Ettarh, Remare; Amendah, Djesika D

2015-05-14

In Kenya, where 60 to 80% of the urban residents live in informal settlements (frequently referred to as slums), out-of-pocket (OOP) payments account for more than a third of national health expenditures. However, little is known on the extent to which these OOP payments are associated with personal or household financial catastrophe in the slums. This paper seeks to examine the incidence and determinants of catastrophic health expenditure among urban slum communities in Kenya. We use a unique dataset on informal settlement residents in Kenya and various approaches that relate households OOP payments for healthcare to total expenditures adjusted for subsistence, or income. We classified households whose OOP was in excess of a predefined threshold as facing catastrophic health expenditures (CHE), and identified the determinants of CHE using multivariate logistic regression analysis. The results indicate that the proportion of households facing CHE varies widely between 1.52% and 28.38% depending on the method and the threshold used. A core set of variables were found to be key determinants of CHE. The number of working adults in a household and membership in a social safety net appear to reduce the risk of catastrophic expenditure. Conversely, seeking care in a public or private hospital increases the risk of CHE. This study suggests that a substantial proportion of residents of informal settlements in Kenya face CHE and would likely forgo health care they need but cannot afford. Mechanisms that pool risk and cost (insurance) are needed to protect slum residents from CHE and improve equity in health care access and payment.

WinFood data from Kenya and Cambodia: Constraints on field procedures

International Nuclear Information System (INIS)

Owino, Victor; Omollo, Selina; Konyole, Silvenus; Skau, Jutta; Roos, Nanna; Friis, Henrik; Michaelsen, Kim

2014-01-01

Background: The broad aim of the Winfoods Project was to alleviate childhood malnutrition via utilisation of traditional foods (by incorporating edible termites and spiders in complementary food (CF) formulations in Kenya and Cambodia, respectively). The efficacy of the developed CF on stunting, lean mass accrual, lipid profile, haemoglobin, iron and zinc status and gross motor development was assessed in a 9-month intervention comparing the CF with CSB+ (Kenya) and CSB++ (Cambodia). We aim to highlight methodological difficulties associated with the assessment of lean mass (LM) and blood nutritional indictors (BNI). Methodology: In a randomized controlled design, infants received Winfoods for 9 months from 6-15 months of age. LM accrual and BNI (lipid profile, iron and zinc status) were measured cross-sectionally at 9 and 15 months of age, respectively. To determine LM infants were dosed with 3g deuterium oxide [D2O] (0.5g/Kg body weight) in Kenya or 7g nested D2O both at 6 and 15 months of age in Cambodia. Saliva was collected from each infant before the oral administration of the dose (baseline sample) and then at [1-hour and 3-hours in Kenya or 2-hour and 3-hours –Cambodia] after administration. D2O enrichment in saliva was determined by Fourier Transformed Infrared Spectrophotometry locally in Kenya. For Cambodia, samples were exported to Bangalore, India for lean mass analysis. To determine blood indicators, 3ml blood was drawn by venipuncture. Hemoglobin concentration was measured using a Hemocue machine. Whole blood portion was used for determination of lipid profile in Canada. Serum was used for Fe, Zn status assay in Germany. Results: In Kenya, the food ration was depleted way before the subsequent visit due to food insecurity. Intervention was associated with family planning by a section of the community. High rate of loss to follow up was attributed to relocation for family reunion and household conflicts. Cambodian ethics review committee (ERC) had

Predicting stem borer density in maize using RapidEye data and generalized linear models

Science.gov (United States)

Abdel-Rahman, Elfatih M.; Landmann, Tobias; Kyalo, Richard; Ong'amo, George; Mwalusepo, Sizah; Sulieman, Saad; Ru, Bruno Le

2017-05-01

Average maize yield in eastern Africa is 2.03 t ha-1 as compared to global average of 6.06 t ha-1 due to biotic and abiotic constraints. Amongst the biotic production constraints in Africa, stem borers are the most injurious. In eastern Africa, maize yield losses due to stem borers are currently estimated between 12% and 21% of the total production. The objective of the present study was to explore the possibility of RapidEye spectral data to assess stem borer larva densities in maize fields in two study sites in Kenya. RapidEye images were acquired for the Bomet (western Kenya) test site on the 9th of December 2014 and on 27th of January 2015, and for Machakos (eastern Kenya) a RapidEye image was acquired on the 3rd of January 2015. Five RapidEye spectral bands as well as 30 spectral vegetation indices (SVIs) were utilized to predict per field maize stem borer larva densities using generalized linear models (GLMs), assuming Poisson ('Po') and negative binomial ('NB') distributions. Root mean square error (RMSE) and ratio prediction to deviation (RPD) statistics were used to assess the models performance using a leave-one-out cross-validation approach. The Zero-inflated NB ('ZINB') models outperformed the 'NB' models and stem borer larva densities could only be predicted during the mid growing season in December and early January in both study sites, respectively (RMSE = 0.69-1.06 and RPD = 8.25-19.57). Overall, all models performed similar when all the 30 SVIs (non-nested) and only the significant (nested) SVIs were used. The models developed could improve decision making regarding controlling maize stem borers within integrated pest management (IPM) interventions.

Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management.

Science.gov (United States)

Waters, Keith P; Zuber, Alexandra; Willy, Rankesh M; Kiriinya, Rose N; Waudo, Agnes N; Oluoch, Tom; Kimani, Francis M; Riley, Patricia L

2013-09-01

Countries worldwide are challenged by health worker shortages, skill mix imbalances, and maldistribution. Human resources information systems (HRIS) are used to monitor and address these health workforce issues, but global understanding of such systems is minimal and baseline information regarding their scope and capability is practically non-existent. The Kenya Health Workforce Information System (KHWIS) has been identified as a promising example of a functioning HRIS. The objective of this paper is to document the impact of KHWIS data on human resources policy, planning and management. Sources for this study included semi-structured interviews with senior officials at Kenya's Ministry of Medical Services (MOMS), Ministry of Public Health and Sanitation (MOPHS), the Department of Nursing within MOMS, the Nursing Council of Kenya, Kenya Medical Practitioners and Dentists Board, Kenya's Clinical Officers Council, and Kenya Medical Laboratory Technicians and Technologists Board. Additionally, quantitative data were extracted from KHWIS databases to supplement the interviews. Health sector policy documents were retrieved from MOMS and MOPHS websites, and reviewed to assess whether they documented any changes to policy and practice as having been impacted by KHWIS data. Interviews with Kenyan government and regulatory officials cited health workforce data provided by KHWIS influenced policy, regulation, and management. Policy changes include extension of Kenya's age of mandatory civil service retirement from 55 to 60 years. Data retrieved from KHWIS document increased relicensing of professional nurses, midwives, medical practitioners and dentists, and interviewees reported this improved compliance raised professional regulatory body revenues. The review of Government records revealed few references to KHWIS; however, documentation specifically cited the KHWIS as having improved the availability of human resources for health information regarding workforce planning

Women Education and Economic Development in Kenya: Implications for Curriculum Development and Implementation Processes

Science.gov (United States)

Syomwene, Anne; Kindiki, Jonah Nyaga

2015-01-01

This paper is a discussion of the relationship between women education and sustainable economic development in Kenya and its implications for curriculum development and implementation processes. The argument advanced in this paper is that the solution to the development problems in Kenya and other developing nations lies on women education.…

Protecting livelihoods, boosting food security in Kenya | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2015-05-21

May 21, 2015 ... Protecting livelihoods, boosting food security in Kenya ... America, and the Caribbean with funds from the Government of Canada's fast-start financing. ... Water management and food security in vulnerable regions of China.

Elided Populations: A Baseline Survey on Human Trafficking in Kenya

DEFF Research Database (Denmark)

Owiso, Michael

2017-01-01

-regional, as well as inter-regional trafficking, is available. This study seeks to build synergy in the counter-trafficking efforts in Kenya. In so doing it aims to in the overall identify gaps in combating and responding to human trafficking and offer programmatic recommendations/suggestions particularly for IRC......Trafficking in persons is a crime. It is gaining momentum in the continent and particularly in Kenya and also attracting the attention of actors who are working to combat it. This focus shows the multiplicity of actors working together to prosecute, prevent and protect. Evidence of both intra...

Breeding program for indigenous chicken in Kenya

NARCIS (Netherlands)

Ngeno, K.

2015-01-01

Abstract

Ngeno, K. (2015). Breeding program for indigenous chicken in Kenya. Analysis of diversity in indigenous chicken populations. PhD thesis, Wageningen University, the Netherlands

The objective of this research was to generate knowledge required for the

Management of Posterior Urethral Valves in Rural Kenya

African Journals Online (AJOL)

Management of Posterior Urethral Valves in Rural. Kenya .... Antwi S. Audit of Posterior Urethral Valve (PUV) in Children at ... Community Paediatrics Committee, Infectious. Diseases ... Effect of Circumcision on Risk of Urinary Tract. Infection in ...

Assessing reading fluency in Kenya: Oral or silent assessment?

Science.gov (United States)

Piper, Benjamin; Zuilkowski, Stephanie Simmons

2015-04-01

In recent years, the Education for All movement has focused more intensely on the quality of education, rather than simply provision. Many recent and current education quality interventions focus on literacy, which is the core skill required for further academic success. Despite this focus on the quality of literacy instruction in developing countries, little rigorous research has been conducted on critical issues of assessment. This analysis, which uses data from the Primary Math and Reading Initiative (PRIMR) in Kenya, aims to begin filling this gap by addressing a key assessment issue - should literacy assessments in Kenya be administered orally or silently? The authors compared second-grade students' scores on oral and silent reading tasks of the Early Grade Reading Assessment (EGRA) in Kiswahili and English, and found no statistically significant differences in either language. They did, however, find oral reading rates to be more strongly related to reading comprehension scores. Oral assessment has another benefit for programme evaluators - it allows for the collection of data on student errors, and therefore the calculation of words read correctly per minute, as opposed to simply words read per minute. The authors therefore recommend that, in Kenya and in similar contexts, student reading fluency be assessed via oral rather than silent assessment.

Kenya studies its schools to identify obstacles for girls. Education and gender.

Science.gov (United States)

Harel, K

1997-01-01

Interviews were conducted with almost 800 adolescents and their parents in 3 districts representing the range of school experience in Kenya. Researchers also visited 36 primary schools attended by more than 80% of the adolescents sampled, holding interviews with teachers and students, documenting facilities, observing interactions, and compiling measures of performance. Boys were seen bullying girls outside of classrooms, teasing them and blocking their movements. In focus group discussions, boys and girls reported that boys routinely grab girls' breasts, while teachers ignore the abuse. Teachers described girls as stupid and lazy, with both male and female teachers who expressed a preference for teaching one sex or the other preferring boys. The teachers more often allocated menial chores to girls and teaching tasks to boys. Even in schools in which girls performed almost as well as boys on exams, teachers awarded twice as many prizes to boys. The teachers created a context in which girls perform poorly. When the girls do in fact fail to achieve, teachers' prejudices are simply reinforced. On the other hand, schools at which girls performed better on exams had more female teachers who presumably served as role models. Also, girls in schools with more female students scored higher on the final, nationwide exam.

Assessment of productive employment policies in Kenya

NARCIS (Netherlands)

Kamau, P.; Kinyanjui, B.; Akinyoade, A.; Mukoko, C.

2018-01-01

This paper documents and assesses productive employment policies in Kenya. The main objective being to reflect on the current state of affairs, identify constraints and gaps among these policies. The paper is mainly based on desk-top research which reviews available literature and policy papers on

Information seeking and communication behaviour of Kenya ...

African Journals Online (AJOL)

The paper discusses the findings of a study which sought insight into engineer's information seeking and communication behaviour at Kenya Railways Corporation. The study employed a user centered approach to information seeking and use unlike many past studies which were system centered. It focused broadly and ...

Rainfed Rice Production and there Germplasm Development in Kenya

International Nuclear Information System (INIS)

Onyango, J.C.; Onyango, M.O.A.

1999-01-01

Rice (Oryza Sativa L.) has been grown in Kenya for several centuries and during this time has been locally selected by farmers for adaptation in the dry climate of Kenya highlands and coastal region. this history of selection by farmers has led to the concentration of genetic information for performance under drought conditions in locally-adapted rice types. Since water availability affects many processes in plants, drought tolerance is a complex character and due to the complex nature of the drought tolerance limited progress has been made in breeding for drought tolerance using simple screening methods. To produce drought tolerant cultivars, characters can used as parents in a breeding program, this is a two step process. Obviously, the root system is central to drought tolerance. The root system must be able to remove water efficiently from soils with low moisture and withstand the dynamics of soil during drought conditions will prevent stomata closure and maximise photosynthesis which is essential for high crop production. Over 365 cultivars of rainfed rice have been identified in Kenya and can be used in the two step process as source material for identifying characters related to drought tolerance and as parental lines. To advance the first step, research was conducted to identify drought tolerance characters in rainfed cultivars from Kenya. The study had a total of 580 mm of rainfall which was below the mean precipitation requirement of 750 mm. The drought sensitive variety IR20 was compared with drought tolerant IR52 and five KR (Kenya Rice) KR21, KR22, KR35,KR108 and KR135 cultivars. Plant biomass, plant height, leaf area, leaf length, protein: chlorophyll content ratio and grain yield were affected by limiting water availability and differences between cultivars were noted. The protein to chlorophyll ratio in leaves in the KR. cultivars increase from 18.4 to 28.0 as water deficient increases from -0.8 mpa to -1.4 Mpa allowing these cultivars to maintain

Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya.

Directory of Open Access Journals (Sweden)

Nicholas E Burger

Full Text Available BACKGROUND: Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Africa, but private providers are often poorly integrated into the health system. Efforts to improve health systems performance will need to include the private sector and increase its contributions to national health goals. However, the literature on constraints private health care providers face is limited. METHODOLOGY/PRINCIPAL FINDINGS: We analyze data from a survey of private health facilities in Kenya and Ghana to evaluate growth constraints facing private providers. A significant portion of facilities (Ghana: 62 percent; Kenya: 40 percent report limited access to finance as the most significant barrier they face; only a small minority of facilities report using formal credit institutions to finance day to day operations (Ghana: 6 percent; Kenya: 11 percent. Other important barriers include corruption, crime, limited demand for goods and services, and poor public infrastructure. Most facilities have paper-based rather than electronic systems for patient records (Ghana: 30 percent; Kenya: 22 percent, accounting (Ghana: 45 percent; Kenya: 27 percent, and inventory control (Ghana: 41 percent; Kenya: 24 percent. A majority of clinics in both countries report undertaking activities to improve provider skills and to monitor the level and quality of care they provide. However, only a minority of pharmacies report undertaking such activities. CONCLUSIONS/SIGNIFICANCE: The results suggest that improved access to finance and improving business processes especially among pharmacies would support improved contributions by private health facilities. These strategies might be complementary if providers are more able to take advantage of increased access to

Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya.

Science.gov (United States)

Burger, Nicholas E; Kopf, Daniel; Spreng, Connor P; Yoong, Joanne; Sood, Neeraj

2012-01-01

Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Africa), but private providers are often poorly integrated into the health system. Efforts to improve health systems performance will need to include the private sector and increase its contributions to national health goals. However, the literature on constraints private health care providers face is limited. We analyze data from a survey of private health facilities in Kenya and Ghana to evaluate growth constraints facing private providers. A significant portion of facilities (Ghana: 62 percent; Kenya: 40 percent) report limited access to finance as the most significant barrier they face; only a small minority of facilities report using formal credit institutions to finance day to day operations (Ghana: 6 percent; Kenya: 11 percent). Other important barriers include corruption, crime, limited demand for goods and services, and poor public infrastructure. Most facilities have paper-based rather than electronic systems for patient records (Ghana: 30 percent; Kenya: 22 percent), accounting (Ghana: 45 percent; Kenya: 27 percent), and inventory control (Ghana: 41 percent; Kenya: 24 percent). A majority of clinics in both countries report undertaking activities to improve provider skills and to monitor the level and quality of care they provide. However, only a minority of pharmacies report undertaking such activities. The results suggest that improved access to finance and improving business processes especially among pharmacies would support improved contributions by private health facilities. These strategies might be complementary if providers are more able to take advantage of increased access to finance when they have the business processes in place for operating a successful business

76 FR 16700 - Importation of French Beans and Runner Beans From the Republic of Kenya Into the United States

Science.gov (United States)

2011-03-25

.... APHIS-2010-0101] RIN 0579-AD39 Importation of French Beans and Runner Beans From the Republic of Kenya... French beans and runner beans from the Republic of Kenya into the United States. As a condition of entry... French beans and runner beans from the Republic of Kenya into the United States while continuing to...

Au Kenya, des oiseaux nuisent à une culture adaptée au climat ...

International Development Research Centre (IDRC) Digital Library (Canada)

23 août 2013 ... KITUI, Kenya (Thomson Reuters Foundation) – Le gadam, une variété de sorgho à croissance rapide résistante à la sécheresse, a été introduit au Kenya comme solution d'adaptation aux changements climatiques. Or, il se trouve que le gadam comporte un inconvénient imprévu : les oiseaux sauvages ...

Creating a sustainable culture of quality through the SLMTA programme in a district hospital laboratory in Kenya

Directory of Open Access Journals (Sweden)

Phidelis M. Maruti

2014-09-01

Objectives: To describe how the SLMTA programme and enhanced quality interventions changed the culture and management style at BDHL and instilled a quality system designed to sustain progress for years to come. Methods: SLMTA implementation followed the standard three-workshop series, mentorship site visits and audits. In order to build sustainability of progress, BDHL integrated quality improvement processes into its daily operations. The lab undertook a process of changing its internal culture to align all hospital stakeholders – including upper management, clinicians, laboratory staff and maintenance staff – to the mission of sustainable quality practices at BDHL. Results: After 16 months in the SLMTA programme, BDHL improved from zero stars (38% to four stars (89%. Over a period of two to three years, external quality assessment results improved from 47% to 87%; staff punctuality increased from 49% to 82%; clinician complaints decreased from 83% to 16; rejection rates decreased from 12% to 3%; and annual equipment repairs decreased from 40 to 15. Twelve months later the laboratory scored three stars (81% in an external surveillance audit conducted by Kenya Accreditation Service (KENAS. Conclusion: Management buy-in, staff participation, use of progress-monitoring tools and feedback systems, as well as incorporation of improvement processes into routine daily activities, were vital in developing and sustaining a culture of quality improvement.

Sugarcane in vitro culture technology: Opportunities for Kenya's ...

African Journals Online (AJOL)

sunny t

exchange annually and contributes to tax revenues to the ... Kenya‟s sugar production (MT) and consumption 1991-2011 (Source: World Bank estimates based on Kenya Sugar ..... selective agent (e.g. incorporation of a fungal culture filtrate) ...

Serosurvey of Coxiella burnetii (Q fever) in Dromedary Camels (Camelus dromedarius) in Laikipia County, Kenya.

Science.gov (United States)

Browne, A S; Fèvre, E M; Kinnaird, M; Muloi, D M; Wang, C A; Larsen, P S; O'Brien, T; Deem, S L

2017-11-01

Dromedary camels (Camelus dromedarius) are an important protein source for people in semi-arid and arid regions of Africa. In Kenya, camel populations have grown dramatically in the past few decades resulting in the potential for increased disease transmission between humans and camels. An estimated four million Kenyans drink unpasteurized camel milk, which poses a disease risk. We evaluated the seroprevalence of a significant zoonotic pathogen, Coxiella burnetii (Q fever), among 334 camels from nine herds in Laikipia County, Kenya. Serum testing revealed 18.6% positive seroprevalence of Coxiella burnetii (n = 344). Increasing camel age was positively associated with C. burnetii seroprevalence (OR = 5.36). Our study confirmed that camels living in Laikipia County, Kenya, have been exposed to the zoonotic pathogen, C. burnetii. Further research to evaluate the role of camels in disease transmission to other livestock, wildlife and humans in Kenya should be conducted. © 2017 The Authors. Zoonoses and Public Health Published by Blackwell Verlag GmbH.

The prevalence of violence against women in elections in Kenya: Experiences from 2017

DEFF Research Database (Denmark)

Owiso, Michael Omondi; Mbulwa, Faith

2018-01-01

in elections, traces the prevalence and outcomes of violence against women in the 2017 electoral process in Kenya and suggests possible measures/actions to help mitigate these problems. Data for this contribution was collected between March and August of 2017. Primary data include on one-on-one conversations......Women constitute slightly more than half the population of Kenya. As such they therefore contribute to the process of nation building profoundly by playing critical roles in society. Participation in the electoral process as voters, candidates, election observers, election officials, party agents......, activists, mobilizers and so on is therefore of crucial importance to the processes of nation-building. It is a role enshrined in the Constitution of Kenya 2010. Women have however been persistently denied this opportunity. This paper examines the conceptual perspectives of violence against women...

A study on the geophylogeny of clinical and environmental Vibrio cholerae in Kenya.

Directory of Open Access Journals (Sweden)

John Kiiru

Full Text Available Cholera remains a significant public health challenge in many sub-Saharan countries including Kenya. We have performed a combination of phylogenetic and phenotypic analysis based on whole genome DNA sequences derived from 40 environmental and 57 clinical V. cholerae from different regions of Kenya isolated between 2005 and 2010. Some environmental and all clinical isolates mapped back onto wave three of the monophyletic seventh pandemic V. cholerae El Tor phylogeny but other environmental isolates were phylogenetically very distinct. Thus, the genomes of the Kenyan V. cholerae O1 El Tor isolates are clonally related to other El Tor V. cholerae isolated elsewhere in the world and similarly harbour antibiotic resistance-associated STX elements. Further, the Kenyan O1 El Tor isolates fall into two distinct clades that may have entered Kenya independently.

Kenya National Presentation on Nuclear Power Infrastructure Evaluation

International Nuclear Information System (INIS)

Kinyanjui, B

2010-01-01

Kenya will factored 1200MW of nuclear energy in the period 2022-2023 of the national Least Cost Power Development Plan and 4200MW by 2030. A national nuclear power programme is now at inception. The National Economic and Social Council endorsed adoption of the nuclear programme in April 2010. Electricity demand is expected to rise from the current 1200 MW to over 15000 MW by 2030. The achievement of the Vision 2030 requires affordable and stable electricity tariffs. Formation of a Nuclear Power Committee to study and initially promote the development of the nuclear power program will be established e.g. Nuclear Power Committee - Kenyan version of Nuclear Energy Programme Implementing Organization formed. The Nuclear Power Committee is expected to precede formation of the NEPIO. There was proposal to review of current laws –e.g. Energy Act, Radiation Protection Act, Environmental Management and Control Act, Penal Code, etc. Potential sites proposed along the Indian Ocean Coastal areas, near Lake Victoria and the central region near the main national hydropower plants, based on power grid layout and water bodies. Kenya is in Phase 1 of milestones- Consideration before a decision is taken to start a NPP. Capacity Building towards Development of a Nuclear Power Programme (NPP) in Kenya is underway. To implement the national least cost power development plan so as to increase the capacity from current 1,300MW to 18,000MW by 2030 to support achievement of the ‘Vision 2030’

An Exploration of Life Skills Programme on Pre-School Children in Embu West, Kenya

Science.gov (United States)

Gatumu, Jane Ciumwari; Kathuri, Wilfred Njeru

2018-01-01

The Life Skills Programme, which is one of the newest programmes in the Kenya Preschool educational system was explored to establish the impact it had on the lives of preschool children in Embu West, Kenya. A primary school that is perceived as having well-disciplined children was purposively selected. The sample consisted of 39 students, 43…

Socio-Demographic Factors Associated with Alcohol Abuse among Egerton University Students in Njoro-Kenya

Science.gov (United States)

Boitt, Richard Kimuge; Boitt, Monicah Lydia; Othieno, Caleb; Obondo, Anne

2016-01-01

The main objective of higher institutions of learning in Kenya is to provide education and growth experiences for its students but alcohol abuse has continued to be a problem in the university campuses that is slowing down their progress and the Kenya vision 2030 that envisages a healthy population free from the impact of alcohol abuse through the…

(Boda boda) riders in Bungoma Town, Kenya

African Journals Online (AJOL)

Even stationary bikes can cause trauma to the blood supply to the penis, resulting in Erectile Dysfunction. Objective: To evaluate the effects of long term bicycle riding on erectile function among bicycle taxi (bodaboda) riders in Bungoma town. Design: A cross-sectional comparative study. Setting: Bungoma County, Kenya.

Reducing vulnerability among pastoralists in Northern Kenya

International Development Research Centre (IDRC) Digital Library (Canada)

CCAA

vulnerability among pastoralist communities in Mandera and Turkana in Northern Kenya, led by the Kenyan NGO ... to understand how people have experienced droughts and other ... norms and gender roles may make them more or less vulnerable, ... and see direct impacts on the resources they depend on for their.

Congenital malformations among newborns in Kenya | Muga ...

African Journals Online (AJOL)

Therefore, a study was conducted to determine the patterns and incidence of congenital malformations at birth in newborns in Kenya and thereby analyze associated predisposing factors in their mothers. This single cross-sectional ... followed by malformations of the central nervous system (28.6%). Polydactyl was the most ...

Survey of postharvest handling, preservation and processing ...

African Journals Online (AJOL)

Survey of postharvest handling, preservation and processing practices along the camel milk chain in Isiolo district, Kenya. ... Despite the important contribution of camel milk to food security for pastoralists in Kenya, little is known about the postharvest handling, preservation and processing practices. In this study, existing ...

Concentrations, distribution, sources and risk assessment of organohalogenated contaminants in soils from Kenya, Eastern Africa

International Nuclear Information System (INIS)

Sun, Hongwei; Qi, Yueling; Zhang, Di; Li, Qing X.; Wang, Jun

2016-01-01

The organohalogenated contaminants (OCs) including 12 organochlorine pesticides (OCPs), 7 indicator polychlorinated biphenyls (PCBs) and 7 polybrominated diphenyl ethers (PBDEs) were determined in soils collected from Kenya, Eastern Africa. The total OCPs fell in the range of n.d–49.74 μg kg"−"1 dry weight (dw), which was dominated by DDTs and endosulfan. Identification of pollution sources indicated new input of DDTs for malaria control in Kenya. The total PCBs ranged from n.d. to 55.49 μg kg"−"1 dw, dominated by penta- and hexa-PCBs, probably associated with the leakage of obsolete transformer oil. The soils were less contaminated by PBDEs, ranging from 0.19 to 35.64 μg kg"−"1 dw. The predominant PBDE congeners were penta-, tri- or tetra-BDEs, varying among different sampling sites. Risk assessment indicated potential human health risks posed by OCs in soils from Kenya, with PCBs as the most contributing pollutants. The local authorities are recommended to make best efforts on management of OC pollution, particularly from DDTs and PCBs to meet the requirement of Stockholm Convention. - Highlights: • The first report on organohalogen contaminants (OCs) in soils from Kenya. • OCs including OCPs, PCBs and PBDEs were determined simultaneously. • Sources of OCPs, PCBs and PBDEs emission were identified. • Human health risk posed by OCs in soil from Kenya were assessed. • Measures for OCs management were suggested for local authority. - The soils from Kenya were heavily polluted by organohalogenated contaminants (OCs). New input of DDTs probably occurred. Among all OCs, PCBs were predominant.

District heating in Switzerland

International Nuclear Information System (INIS)

Herzog, F.

1991-01-01

District heating has been used in Switzerland for more than 50 years. Its share of the heat market is less than 3% today. An analysis of the use of district heating in various European countries shows that a high share of district heating in the heat market is always dependent on ideal conditions for its use. Market prospects and possible future developments in the use of district heating in Switzerland are described in this paper. The main Swiss producers and distributors of district heating are members of the Association of District Heating Producers and Distributors. This association supports the installation of district heating facilities where ecological, energetical and economic aspects indicate that district heating would be a good solution. (author) 2 tabs., 6 refs

Kenya | Page 55 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

maturing, drought-tolerant sorghum variety introduced in Kenya as a solution for farmers trying to adapt to changing climate conditions, turns out to have an unexpected drawback – wild birds are eating it just before it can be harvested.

Blaming the Environment: Ethnic Violence and the Political Economy of Displacement in Kenya

OpenAIRE

Kagwanja, Peter

2002-01-01

Within the context of historical and political economy, this paper examines the link between environmental stress and the contemporary problems of ethnic violence and forced migrations, specifically internal displacement in Kenya. It examines the various theoretical links to political and ethnic persecution which cause displacement and environmental stress. Examining the historical antecedents of the phenomenon of displacement in Kenya, the paper argues that environmental stress per se cannot...

Developing a National-Level Concept Dictionary for EHR Implementations in Kenya.

Science.gov (United States)

Keny, Aggrey; Wanyee, Steven; Kwaro, Daniel; Mulwa, Edwin; Were, Martin C

2015-01-01

The increasing adoption of Electronic Health Records (EHR) by developing countries comes with the need to develop common terminology standards to assure semantic interoperability. In Kenya, where the Ministry of Health has rolled out an EHR at 646 sites, several challenges have emerged including variable dictionaries across implementations, inability to easily share data across systems, lack of expertise in dictionary management, lack of central coordination and custody of a terminology service, inadequately defined policies and processes, insufficient infrastructure, among others. A Concept Working Group was constituted to address these challenges. The country settled on a common Kenya data dictionary, initially derived as a subset of the Columbia International eHealth Laboratory (CIEL)/Millennium Villages Project (MVP) dictionary. The initial dictionary scope largely focuses on clinical needs. Processes and policies around dictionary management are being guided by the framework developed by Bakhshi-Raiez et al. Technical and infrastructure-based approaches are also underway to streamline workflow for dictionary management and distribution across implementations. Kenya's approach on comprehensive common dictionary can serve as a model for other countries in similar settings.

Food and nutrition security: challenges of post-harvest handling in Kenya.

Science.gov (United States)

Kimiywe, J

2015-11-01

Presently, close to 1 billion people suffer from hunger and food insecurity. Statistics in Kenya indicates that over 10 million people suffer from chronic food insecurity and poor nutrition, 2-4 million people require emergency food assistance at any given time with nearly 30 % of Kenya's children being undernourished, 35 % stunted while micro-nutrient deficiency is wide spread. Key among the challenges contributing to inadequate foods include lack of certified seeds, seasonal production (rain-fed), high post-harvest losses and wastages, poor transportation, low value additions which reduce their market competitiveness. The present paper examines some of the underlying causes for high food wastage experience in Kenya and the associated challenges in addressing these problems. The paper also provides an overview of some of the basic solutions that have been recommended by various stakeholders. However, in spite of the recent efforts made to mitigate food wastage, there is still an urgent need to address these gaps through participatory, innovative community based interventions that will create resilience to climate change and enhance livelihoods of smallholder farmers in diverse ecosystems.

Kenya-Malawi Health Research Capacity Strengthening Initiative ...

International Development Research Centre (IDRC) Digital Library (Canada)

This grant will support the creation of two task forces in Kenya and Malawi, respectively, to articulate nationally owned and strategies for an effective health research system in each country. The idea is to enhance the capacity of health research institutions to generate new scientific knowledge, and health policymaking ...

A new species of dwarf gecko in the genus Lygodactylus (squamata: Gekkonidae) from central Kenya.

Science.gov (United States)

Malonza, Patrick K; Granthon, Carolina; Williams, Dean A

2016-01-08

A new species of Lygodactylus gecko (L. wojnowskii sp. nov.) is described from the vicinity of Chogoria Town on the eastern lower slopes of Mt. Kenya in central Kenya. A phylogeny based on mitochondrial and nuclear DNA shows that the proposed new taxon is distinct within the Lygodactylus picturatus group and is the sister lineage to L. mombasicus and L. kimhowelli. It is morphologically very similar to both L. mombasicus and L. keniensis but its dorsal coloration and pattern is different. Its dorsum is grey with dark stripes while its head has black and white stripes that form a Y-shaped mark. While the male throat pattern is similar to that of L. mombasicus, that of the female is like that of females and some males of Lygodactylus keniensis. Lygodactylus wojnowskii sp. nov. has a higher number of post-postmental scales (6) than do its close relatives (5). The new species is distributed on the lower slopes of mid-altitude areas on eastern Mt. Kenya, but it may occur in other areas at similar elevations in central Kenya. It is associated with short, scattered trees within agricultural areas. It has not yet been recorded within the protected Chogoria forest block of Mt. Kenya forest. It is likely present in Mwea National Reserve as it occurs in nearby areas.

Development aid and the diffusion of technology: Improved cookstoves in Kenya and Rwanda

International Nuclear Information System (INIS)

Tigabu, Aschalew; Berkhout, Frans; Beukering, Pieter van

2017-01-01

This paper analyses the role of official development assistance (ODA) in the evolution of Technological Innovation Systems (TISs) of improved cookstoves in Kenya and Rwanda. Functionally balanced TISs are central to the diffusion of new technologies and practices. We find that ODA has significantly influenced major innovation activities related to improved cookstoves in both Kenya and Rwanda over the last 30 years. However, donors’ funding has been focused mainly on the development and diffusion of technical knowledge. We find that this pattern of ODA support has not fostered balanced and effective Technology Innovation Systems, and that this has contributed to the failure to achieve widespread diffusion of improved cookstoves. We develop a quasi-evolutionary model for the long-term and systematic ODA support of innovation systems to build sustainable renewable energy TISs in developing countries. - Highlights: • We report the role of aid in the evolution of cookstove innovation systems in Kenya and Rwanda. • We show that aid was mainly focused on two functions over time, overlooking other functions • Aid has failed to foster the development of balanced innovation systems in the studied cases. • This is associated with low level of diffusion of improved cookstoves in Kenya and Rwanda. • A conceptual proposal for effective aid interventions is provided.

Organizational Cultural Factors Hindering Women Ascending to Top Management Positions in Public Universities in Kenya: A Case of Moi University

Science.gov (United States)

Makori, Rebecca S.; Onyango, Maria; Attyang, Judith Miguda; Bantu, Edward; Onderi, Peter Omae

2016-01-01

It is observed that the major setback to economic development in Kenya is stagnation in industrial development. To overcome these, Kenya plans to be a middle level income nation by the year 2030. These plans are to be realized through "Vision 2030." To achieve these goals, Kenya requires gender mainstreamed team of highly skilled workers…

The Pedagogical Readiness of Instructors towards Achieving Integration of ICT's in TVET Institutions in Kenya

Science.gov (United States)

Maina, Tirus Muya; Ogalo, James; Mwai, Naomi

2016-01-01

This paper points to the necessity to conduct research on the pedagogical readiness of instructors towards achieving integration of ICT's in Technical and Vocational Education and Training (TVET) institutions in Kenya. Research on the integration of ICTs in teaching and learning in TVET institution in Kenya have been done to improve the learning…

Determinants of urban job attainment in Kenya across time : Education and quality of jobs by gender

NARCIS (Netherlands)

W.R. Wamuthenya (Wambui Rose)

2010-01-01

textabstractKenya has experienced a sharp decline in formal sector employment and a corresponding increase in informal sector employment. This paper examines the role played by various factors in influencing the sorting of individuals into different sectors of employment in urban Kenya. It examines

Surgical treatment of an umbilical hernia in a free-ranging sub-adult African elephant in Samburu National Reserve, Kenya

OpenAIRE

Kaitho, Titus; Mijele,Dominic; Njoroge,Michael

2015-01-01

Domnic Mijele, Michael Njoroge, Titus Kaitho Veterinary Services Department, Species Conservation and Management Division, Kenya Wildlife Service, Nairobi, Kenya Abstract: A 10-year-old male African elephant (Loxodonta africana) at Samburu National Reserve in Northern Kenya, weighing approximately 1,600 kg, presented with an umbilical hernia in October 2013. Umbilical herniorrhaphy was carried out under field conditions. Anesthesia was induced and maintained using etorphine hydrochloride for...

All projects related to kenya | Page 12 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

Region: Kenya, Malawi, North of Sahara, South of Sahara, United Kingdom ... Civil Society Participation in the Governance of Educational Systems ... opportunity to investigate questions of women's space and citizenship in the state process.

Sharing Special Education Strategies in Rural Kenya

Science.gov (United States)

Shamberger, Cynthia T.

2014-01-01

As a former special education teacher at the elementary, middle and high school levels, many unique and complex learning situations were encountered. The author, who was a junior faculty member on her initial trip to Kenya, experienced a very challenging, yet rewarding, learning opportunity with teachers gathered in a community located in rural…

Corruption and Entrepreneurship in Kenya | Ngunjiri | Journal of ...

African Journals Online (AJOL)

This paper examines the impact of corruption on entrepreneurship in Kenya. The findings indicate that when formal institutions are inefficient corruption which subverts these institutions is beneficial in terms of economic development. Conversely, where formal institutions are relatively efficient, corruption is detrimental.

Neonatal tetanus prevention programme in Kenya: Successes and ...

African Journals Online (AJOL)

Objective: To review the disease process, and success and controversies associated with neonatal tetanus control in Kenya. Data sources: Medline search on published articles in journals, books and national/ international agency reports. Data selection: Relevant literature from peer-reviewed scientific papers, international ...

('fingerponds\\') in the wetlands of Lake Victoria, Kenya

African Journals Online (AJOL)

The potential effect on ecosystem integrity of the use of natural wetlands for seasonal wetland fishponds ('fingerponds\\'), integrated with vegetable production for livelihood demands, was evaluated using experimental sites at Lake Victoria, Kenya. Soluble reactive phosphorous and total phosphorus, ammonium, nitrate and ...

Trails in Academic and Administrative Leadership in Kenya

African Journals Online (AJOL)

origins of Kenya Education Network, The African Institute for Capacity Development, ... Michieka's mission is to transform JKCAT into a science and technology-based public university which involves lobbying the agenda; staff recruitment ... with external funders like the Japan International Cooperation Agency; representing ...

Kenya | Page 22 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Read more about Determination of Mucosal Secretory Factors that Influence Susceptibility to HIV Infection Among Female Sex Workers in Kenya. Language English. Read more about From Data to Development: Exploring the Emerging Impact of Open Government Data in Developing Countries. Language English.

Mungiki, Vernacular Organization and Political Society in Kenya

DEFF Research Database (Denmark)

Frederiksen, Bodil Folke

2010-01-01

of Mungiki have been recruited by political leaders and functioned as violent militia; concurrently, it seeks representation in formal and parliamentary politics. The organization is distinct from ‘respectable’ segments of Kenya's civil society who participate in NGO activities and mainstream churches...

Kenya | Page 47 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Read more about Determination of Mucosal Secretory Factors that Influence Susceptibility to HIV Infection Among Female Sex Workers in Kenya. Language English. Read more about From Data to Development: Exploring the Emerging Impact of Open Government Data in Developing Countries. Language English.

Assessing the Development of Kenya National Spatial Data

African Journals Online (AJOL)

okuku

Keywords: Spatial data infrastructure, Kenya NSDI, development, assessment, ... of a nation can be used for; network survey of coordinates, waterways, ... to European community (INSPIRE) at the European national, regional and .... Digitisation efforts were spearheaded by the joint cooperation of JICA (Japan international.

Human Infection with Rickettsia felis, Kenya

Science.gov (United States)

2010-07-01

Human Infection with Rickettsia felis, Kenya Allen L. Richards, Ju Jiang, Sylvia Omulo, Ryan Dare, Khalif Abdirah~a~, P:bdile Ali, Shanaaz K...infection with obligate intracellular rickettsiae , which are transmitted to humans by arthropod vectors (e.g., lice, fleas, ticks, and mites... Rickettsiae are associated with arthropods for a least a part of their life cycle and are passed to other arthropods by transovarial transmission or

Communication for HIV/AIDS prevention in Kenya: social-cultural considerations.

Science.gov (United States)

Muturi, Nancy

2005-01-01

The acquired immune deficiency syndrome (AIDS) epidemic is spreading fast in Africa in spite of the various efforts and resources put in place to prevent it. In Kenya, reproductive health programs have used the mass media and other communication interventions to inform and educate the public about the disease and to promote behavior change and healthy sexual practices. This effort has led to a discrepancy between awareness and behavioral change among people of reproductive age. In this article I examine the discrepancy in Kenya from a communications perspective addressing social cultural and related factors contributing to the lack of change in behavior and sexual practices. I draw on the theoretical framework of Grunig's model of excellence in communication, the importance of understanding and relationship building between programs and their stakeholders. Data were gathered qualitatively using focus groups and in-depth interviews among men and women in rural Kenya. Key findings indicate that although awareness of sexually transmitted diseases (STDs) including human immunodeficiency virus (HIV)/AIDS is high in Kenya, a majority of the population, particularly those in the rural communities, lack understanding of the communicated messages. They also lack the knowledge of other ways of transmitting HIV particularly among those not sexually involved. Cultural beliefs, values, norms, and myths have played a role in the rapidly increasing epidemic in the rural communities and yet HIV/AIDS communication programs have not addressed these factors adequately. I conclude that successful behavior change communication must include strategies that focus on increasing understanding of the communicated messages and understanding of the audience through application of appropriate methodologies. Building a relationship with the audience or stakeholders through dialogues and two-way symmetrical communication contributes toward this understanding and the maintenance of the newly

Inventory of Used, Disused, Waste and Disposed Sources in Kenya

Energy Technology Data Exchange (ETDEWEB)

Kiti, S; Keter, J [Radiation Protection Board (RPBI), Kisumu (Kenya); Kinyua, R [Jomo Kenyatta University of Agriculture and Technology (JKUAT), Thika (Kenya)

2010-09-15

Kenya is committed to the peaceful applications of sealed and unsealed radioactive sources in medicine, industry, agriculture and training and research in order to achieve socioeconomic development. There are 4 nuclear medicine centers, 3 industrial radiotherapy facilities, 2 gamma irradiator facilities, one linear accelerator, 2 high dose radiation (HDR) Brachytherapy units, 5 industrial radiography units and many training and research facilities in the country that posses radioactive sources. The Kenya Radiation Protection Board is a Regulatory body established under Cap 243 of the Laws of Kenya cited as the Radiation Protection Act which provides for the protection of the public and radiation workers from dangers arising from materials capable of producing ionizing radiation. The mission of the Board is to accelerate, regulate and expand the contribution of nuclear and irradiation technology to the Kenyan economy through promotion of nuclear and radiation safety culture. The use of radioactive material requires an adequate established inventory. The objective of this project is to establish and maintain a national inventory of sealed and unsealed radioactive sources in Kenya. A national inventory was done by sending a questionnaire and personal communication as well thorough countrywide inspection surveys by Radiation Protection Officers from the regulatory body where lead pot containers were carried in case of disposal of a disused source or spent source. Advanced survey meters and automes radiation meters were used for radiation safety work, alarm meters were used to detect the threshold and source identifiers were used to identify unknown sources and their activities. A total of 130 radioactive sources (34 used, 20 disused, 39 waste and 37 disposed) including their JPEG images were identified and a national inventory established. Co-60 recorded the highest activity of 11,000 Ci followed by Cs-137 with 400 Ci and Ir-192 with 40 Ci. An updated inventory for the

The state of emergency care in the Republic of Kenya

Directory of Open Access Journals (Sweden)

Benjamin Wachira

2011-12-01

Full Text Available Approximately 580,000 km2 in size, the Republic of Kenya is as big as Botswana but only half the size of countries like South Africa, Mali, and Angola. Kenya is comprised of eight provinces: Central, Coast, Eastern, Nairobi, North Eastern, Nyanza, Rift Valley, and Western. The 2009 census revealed a population of over 38 million people, with a population density of approximately 66 persons per square kilometre. Majority of the population (68% lives in rural areas, as compared with the sub-Saharan African average of approximately 62%. With a gross domestic product (GDP per capita of US $1,600 in 2010, Kenya is considered a low-income country—with 50% of the population living below the poverty line. HIV/AIDS disproportionately affects the country’s mortality and morbidity. Although its prevalence is higher than the regional average at 6.3% for people ages 15–49 years, it is much lower than many other sub-Saharan African countries. In addition to HIV/AIDS, tuberculosis, malaria, and diarrheal diseases are major killers. The burden of communicable diseases is high, with malaria as the leading cause of morbidity (30%, followed by respiratory diseases (24.5%. Malaria prevalence is 14%, and HIV prevalence is 7.4%, with a higher rate in women (8.5% compared to men (5.6%. The non-communicable disease burden is also on the rise with diabetes prevalence at 3.3%, a threefold increase over the last 10 years. Mental health issues and road traffic injuries are also on the rise. Thirteen percent of school-age children aged 13–15 years are active cigarette smokers. These put Kenya in the company of other low-income countries predicted by the World Health Organization (WHO to face the “double hump” burden of communicable and chronic disease over the next several decades.

What's up in Kenya? (Besides population).

Science.gov (United States)

Yinger, N; Carty, W

1987-11-01

There are some indications that things are changing in Kenya, a nation with 1 of the world's fastest growing populations. Kenya's population will increase from the present 22.4 million to 44.8 million in the next 18 years if the 3.9% annual population growth rate remains constant. The government has renewed its campaign to increase awareness of the relationship between population growth and economic progress. There is not much progress to report as yet. Contraceptive prevalence is increasing slowly and now stands at 20% of eligible women. The government family planning program has been only minimally effective in recruiting or keeping family planning clients, but some smaller scale, private family planning programs demonstrate that Kenyans are receptive to family planning if they have access to appropriate and well-operated services. The key to the successful community-based program at Chogoria Hospital has been the use of the tradition of self-help. The original targets of the Family Planning Private Sector Project (FPPS), funded by the US Agency for International Development (USAID), have been met, and the new goals are for a total of 50 subprojects and 50,000 acceptors. The strategy of FPPS is to convince a company, plantation, para-state organization, private clinic, or school that its social and economic interests would be served by adopting a strong family planning program. The project then trains health clinic staff, and programs are designed to carry out the individual projects. Workers are educated about the economic and health benefits of smaller families and provided with appropriate information, contraceptives, and followup services. After 2 years of support, FPPS leaves the projects to the companies to operate and finance on a permanent basis. This approach works because Kenya has 1 of the largest and most socially responsible nongovernmental sectors in Africa. Project such as Chogoria and FPPS show that many Kenyans recognize the health and economic

Genetic variability and population structure of Plasmodium falciparum parasite populations from different malaria ecological regions of Kenya.

Science.gov (United States)

Ingasia, Luicer A; Cheruiyot, Jelagat; Okoth, Sheila Akinyi; Andagalu, Ben; Kamau, Edwin

2016-04-01

Transmission intensity, movement of human and vector hosts, biogeographical features, and malaria control measures are some of the important factors that determine Plasmodium falciparum parasite genetic variability and population structure. Kenya has different malaria ecologies which might require different disease intervention methods. Refined parasite population genetic studies are critical for informing malaria control and elimination strategies. This study describes the genetic diversity and population structure of P. falciparum parasites from the different malaria ecological zones in Kenya. Twelve multi-locus microsatellite (MS) loci previously described were genotyped in 225 P. falciparum isolates collected between 2012 and 2013 from five sites; three in lowland endemic regions (Kisumu, Kombewa, and Malindi) and two in highland, epidemic regions (Kisii and Kericho). Parasites from the lowland endemic and highland epidemic regions of western Kenya had high genetic diversity compared to coastal lowland endemic region of Kenya [Malindi]. The Kenyan parasites had a mean genetic differentiation index (FST) of 0.072 (p=0.011). The multi-locus genetic analysis of the 12 MS revealed all the parasites had unique haplotypes. Significant linkage disequilibrium (LD) was observed in all the five parasite populations. Kisumu had the most significant index of association values (0.16; pKenya after introduction of the artemether-lumefantrine is important in refining the spread of drug resistant strains and malaria transmission for more effective control and eventual elimination of malaria in Kenya. Copyright © 2015. Published by Elsevier B.V.

Teachers’ Perceptions on the Use of African Languages in the Curriculum: A Case Study of Schools in Kenya, East Africa

Directory of Open Access Journals (Sweden)

Martin C. Njoroge

2011-08-01

Full Text Available In order to revitalize African languages and advocate for their use as media of instruction in Kenyan schools, it is important to investigate and document the teachers’ attitude towards the use of these languages in teaching. The research on which this paper is based set forth to explore teachers’ perceptions on the use of the mother tongue as the language of instruction in Kenya, East Africa. Six schools out of 54 public schools in the Gatundu district were randomly sampled. 32 teachers of Grades 1-3 were interviewed to find out the actual practices in their classrooms, the challenges they faced, and the perceptions they held in relation to the use of the mother tongue in their teaching. The data were qualitatively analyzed and the emergent findings support the claim that the use of learners’ mother tongue is beneficial to learners. In addition, the paper discusses the findings and proposes recommendations for pedagogy.

Serotype and genetic diversity of human rhinovirus strains that circulated in Kenya in 2008.

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Milanoi, Sylvia; Ongus, Juliette R; Gachara, George; Coldren, Rodney; Bulimo, Wallace

2016-05-01

Human rhinoviruses (HRVs) are a well-established cause of the common cold and recent studies indicated that they may be associated with severe acute respiratory illnesses (SARIs) like pneumonia, asthma, and bronchiolitis. Despite global studies on the genetic diversity of the virus, the serotype diversity of these viruses across diverse geographic regions in Kenya has not been characterized. This study sought to characterize the serotype diversity of HRV strains that circulated in Kenya in 2008. A total of 517 archived nasopharyngeal samples collected in a previous respiratory virus surveillance program across Kenya in 2008 were selected. Participants enrolled were outpatients who presented with influenza-like (ILI) symptoms. Real-time RT-PCR was employed for preliminary HRV detection. HRV-positive samples were amplified using RT-PCR and thereafter the nucleotide sequences of the amplicons were determined followed by phylogenetic analysis. Twenty-five percent of the samples tested positive for HRV. Phylogenetic analysis revealed that the Kenyan HRVs clustered into three main species comprising HRV-A (54%), HRV-B (12%), and HRV-C (35%). Overall, 20 different serotypes were identified. Intrastrain sequence homology among the Kenyan strains ranged from 58% to 100% at the nucleotide level and 55% to 100% at the amino acid level. These results show that a wide range of HRV serotypes with different levels of nucleotide variation were present in Kenya. Furthermore, our data show that HRVs contributed substantially to influenza-like illness in Kenya in 2008. © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

Occurrence, diversity and pattern of damage of Oplostomus species (Coleoptera: Scarabaeidae), honey bee pests in Kenya

Science.gov (United States)

Several arthropod pests including the hive beetles Aethina tumida and Oplostomus haroldi and the ectoparasite Varroa destructor have recently been identified as associated with honey bee colonies in Kenya. Here, we report the first documentation of O. fuligineus in Kenya, a related scarab of O. haro...

Infection of cattle in Kenya with Brucella abortus biovar 3 and Brucella melitensis biovar 1 genotypes

NARCIS (Netherlands)

Muendo, Esther N.; Mbatha, Peter M.; Macharia, Joseph; Abdoel, Theresia H.; Janszen, Paul V.; Pastoor, Rob; Smits, Henk L.

2012-01-01

Brucella melitensis biovar 1 was isolated from bovine milk samples from a herd in central Kenya, and Brucella abortus biovar 3 was isolated from aborted fetus materials and vaginal discharge fluids from cattle in central and eastern provinces of Kenya. All infections including those with B.

Influence of Integrated Use of Inorganic fertiliser and Organic manures on Bacterial Wilt Incidence (WI) and Tuber Yield in Potato Production Systems in Southern Slopes of Mt. Kenya

International Nuclear Information System (INIS)

Mriithi, L.M.

2002-01-01

Bacterial wilt (BW) caused by Ralstonia solanacearum is one of the most damaging of potato (Solanum tuberosum L.) in Kenya and worldwide. In Kenya Potato tuber yield losses due to BW infection are estimated at 50-100%. Low soil fertility is also one of the most important constraints limiting potato production in central Kenya highlands. Farmers tackle this problem through use of inorganic fertilisers and organic manures, both of which amend the soil environment to influence bacterial wilt development. Undecomposed organic manures can also introduce the pathogen into a clean field. Between short rains 1999 and 2000, 10 on-farm researcher/farmer-designed and farmer-managed trials were done at Kianjuki catchment in Embu District. The objective was to use farmers' participatory research approach and select the most suitable organic and inorganic fertiliser combination(s) with lowest BWI and acceptable usable tuber yields. And also demonstrate use of some components of integrated disease management methods in reduction of disease incidence and spread. Seven treatments were proposed, presented to the farmers for discussion and the most relevant four were selected for evaluation . A newly released potato variety 'Asante' was planted during the short-rains 1999 and long rains 2000. BWI didn't;t result in significant differences between treatments but the tuber yields were significantly different in short-rains 1999 and 2000. During short-rains 2000, both BWI and tuber yields and unusable tubers differed significantly between treatments. The results confirmed that use of well-decomposed manures or manures from pathogen-free areas can be used in combination with inorganic fertilisers to improve soil fertility and potato tuber yields in smallholder farm without influencing BWI. Use of certified seed tubers in pathogen free fields and following recommendation field sanitation measures, resulted in apparently bacterial wilt free crop

National Food Strategy: Kenya’s Approach to the Problem of Feeding the Nation

Science.gov (United States)

1990-02-01

UK Malawi Unilever , UK Nigeria *This may only indicate basic processing necessary to preserve the crop. OILS, FATS, MARGARINE, COOKING OILS: East...Asiatic Co., Denmark N/A Lesieur, France Senegal Lonrho, UK Nigeria Unilever , UK/Nld Cameroon, Ghana, Gabon, Kenya, Malawi, Nigeria, Zaire, Zimbabwe FRUIT...Senegal Unilever , UK/Nid Kenya, Zimbabwe SUGAR: Tate & Lyle, UK Nigeria, Zambia, Zimbabwe Lonrho, UK** Malawi, Mauritius, Swaziland Booker McConnell, UK

Electrification for “Under Grid” households in Rural Kenya

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Kenneth Lee

2016-06-01

Full Text Available In Sub-Saharan Africa, 600 million people live without electricity. Despite ambitions of governments and donors to invest in rural electrification, decisions about how to extend electricity access are being made in the absence of rigorous evidence. In this paper, we present high-resolution spatial data on electrification rates in rural Kenya in order to quantify and visualize energy poverty in a novel way. Using our dataset of 20,000 geo-tagged structures in Western Kenya, we provide descriptive evidence that electrification rates remain very low despite significant investments in nearby grid infrastructure. This pattern holds across time and for both poor and relatively well-off households and businesses. We argue that if governments wish to leverage existing infrastructure and economies of scale, subsidies and new approaches to financing connections are necessary.

Empowerment Zones and Enterprise Districts - MDC_CommunityDevelopmentDistrict

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Community Development Districts (CDDs) are special taxing districts or local units of special-purpose government. A CDD may charge separate non-ad valorem special...

Child Labor and School Attendance in Kenya

Science.gov (United States)

Moyi, Peter

2011-01-01

Sub-Saharan Africa has the highest incidence of child labor in the world and estimates show that it continues to grow. This paper examines the causes and magnitude of child labor in Kenya. Unlike previous studies that examined child labor as only an economic activity, this paper includes household chores. Including household chores is important…

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International Development Research Centre (IDRC) Digital Library (Canada)

Una Hakika: Scaling Digital Solutions for Conflict Management in Kenya and Burma. Project. Reducing ... Total Funding: CA$ 699,474.00. Improving high quality, equitable maternal health services in Malawi (IMCHA). Project. Malawi has high ...

Monitoring spatial-temporal variability of aerosol over Kenya ...

African Journals Online (AJOL)

This study sought to investigate the spatial and temporal variations of aerosols over Kenya based on Moderate Resolution Imaging Spectroradiometer (MODIS) satellite sensor Aerosol Optical Depth (AOD) data for the period between 2001 and 2012. A Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) ...

Kenya | Page 44 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Kenya's population is becoming increasingly urban; more than half of Nairobi's residents live in informal settlements (slums) plagued by cramped living conditions ... Organization (WHO) projects that NCDs such as cancer, diabetes, hypertension, and cardiovascular disease will be the most common cause of death in Africa.

Inequity in costs of seeking sexual and reproductive health services in India and Kenya.

Science.gov (United States)

Haghparast-Bidgoli, Hassan; Pulkki-Brännström, Anni-Maria; Lafort, Yves; Beksinska, Mags; Rambally, Letitia; Roy, Anuradha; Reza-Paul, Sushena; Ombidi, Wilkister; Gichangi, Peter; Skordis-Worrall, Jolene

2015-09-15

This study aims to assess inequity in expenditure on sexual and reproductive health (SRH) services in India and Kenya. In addition, this analysis aims to measure the extent to which payments are catastrophic and to explore coping mechanisms used to finance health spending. Data for this study were collected as a part of the situational analysis for the "Diagonal Interventions to Fast Forward Enhanced Reproductive Health" (DIFFER) project, a multi-country project with fieldwork sites in three African sites; Mombasa (Kenya), Durban (South Africa) and Tete (Mozambique), and Mysore in India. Information on access to SRH services, the direct costs of seeking care and a range of socio-economic variables were obtained through structured exit interviews with female SRH service users in Mysore (India) and Mombasa (Kenya) (n = 250). The costs of seeking care were analysed by household income quintile (as a measure of socio-economic status). The Kakwani index and quintile ratios are used as measures of inequitable spending. Catastrophic spending on SRH services was calculated using the threshold of 10% of total household income. The results showed that spending on SRH services was highly regressive in both sites, with lower income households spending a higher percentage of their income on seeking care, compared to households with a higher income. Spending on SRH as a percentage of household income ranged from 0.02 to 6.2% and 0.03-7.5% in India and Kenya, respectively. There was a statistically significant difference in the proportion of spending on SRH services across income quintiles in both settings. In India, the poorest households spent two times, and in Kenya ten times, more on seeking care than the least poor households. The most common coping mechanisms in India and Kenya were "receiving [money] from partner or household members" (69%) and "using own savings or regular income" (44%), respectively. Highly regressive spending on SRH services highlights the heavier

The effect of facility-based antiretroviral therapy programs on outpatient services in Kenya and Uganda.

Science.gov (United States)

Wollum, Alexandra; Dansereau, Emily; Fullman, Nancy; Achan, Jane; Bannon, Kelsey A; Burstein, Roy; Conner, Ruben O; DeCenso, Brendan; Gasasira, Anne; Haakenstad, Annie; Hanlon, Michael; Ikilezi, Gloria; Kisia, Caroline; Levine, Aubrey J; Masters, Samuel H; Njuguna, Pamela; Okiro, Emelda A; Odeny, Thomas A; Allen Roberts, D; Gakidou, Emmanuela; Duber, Herbert C

2017-08-16

Considerable debate exists concerning the effects of antiretroviral therapy (ART) service scale-up on non-HIV services and overall health system performance in sub-Saharan Africa. In this study, we examined whether ART services affected trends in non-ART outpatient department (OPD) visits in Kenya and Uganda. Using a nationally representative sample of health facilities in Kenya and Uganda, we estimated the effect of ART programs on OPD visits from 2007 to 2012. We modeled the annual percent change in non-ART OPD visits using hierarchical mixed-effects linear regressions, controlling for a range of facility characteristics. We used four different constructs of ART services to capture the different ways in which the presence, growth, overall, and relative size of ART programs may affect non-ART OPD services. Our final sample included 321 health facilities (140 in Kenya and 181 in Uganda). On average, OPD and ART visits increased steadily in Kenya and Uganda between 2007 and 2012. For facilities where ART services were not offered, the average annual increase in OPD visits was 4·2% in Kenya and 13·5% in Uganda. Among facilities that provided ART services, we found average annual OPD volume increases of 7·2% in Kenya and 5·6% in Uganda, with simultaneous annual increases of 13·7% and 12·5% in ART volumes. We did not find a statistically significant relationship between annual changes in OPD services and the presence, growth, overall, or relative size of ART services. However, in a subgroup analysis, we found that Ugandan hospitals that offered ART services had statistically significantly less growth in OPD visits than Ugandan hospitals that did not provide ART services. Our findings suggest that ART services in Kenya and Uganda did not have a statistically significant deleterious effects on OPD services between 2007 and 2012, although subgroup analyses indicate variation by facility type. Our findings are encouraging, particularly given recent recommendations

Reproductive health issues in rural Western Kenya

Directory of Open Access Journals (Sweden)

Ouma Peter

2008-03-01

Full Text Available Abstract Background We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs and high prevalence of HIV (15%. Methods We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured. Results Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin Conclusion In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.

Socioeconomic constraints to sustainable cocoyam production in the ...

African Journals Online (AJOL)

Cocoyam production has the potential of significantly improving the food security status and income levels of farmers in the Lake Victoria region. The study covered various areas of the three East African states, Kenya, Uganda and Tanzania as follows: Kisumu, Kakamega and Siaya districts in Kenya; Bukoba in Tanzania; ...

District nurse training

OpenAIRE

Elliott, Arnold; Freeling, Paul; Owen, John

1980-01-01

Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.

THE IMPACT OF MICROCREDIT ON WOMENOWNED SMALL AND MEDIUM ENTERPRISES: EVIDENCE FROM KENYA

OpenAIRE

Clemencia Osa Ouma; Charles M. Rambo

2013-01-01

Microcredit is a crucial tool for economic empowerment of women. In Kenya, the microcredit industry has supported more than 3 million small and medium enterprises for close to 30 years. Kenya Women Finance Trust is a leading microcredit institution dealing exclusively with financing needs of women. However, whether the services provided by the institution have spurred growth among women-owned enterprises remains undocumented. The objective of this study was to assess the effect of access to m...

Getting "Entangled": A Focus on the Hotel and Hospitality Curriculum Implementation in Public Universities in Kenya

Science.gov (United States)

Mukolwe, Eunice; Cheloti, Isabela Mapelu

2016-01-01

Universities play a critical role in achieving Kenya Vision 2030 and the sustainable development goals. The demand for university education in Kenya has significantly increased and continues to swell. Many secondary school graduates and the working class look for opportunities to pursue university education, yet the process of curriculum…

Molecular characterization of human coronaviruses and their circulation dynamics in Kenya, 2009-2012.

Science.gov (United States)

Sipulwa, Lenata A; Ongus, Juliette R; Coldren, Rodney L; Bulimo, Wallace D

2016-02-01

Human Coronaviruses (HCoV) are a common cause of respiratory illnesses and are responsible for considerable morbidity and hospitalization across all age groups especially in individuals with compromised immunity. There are six known species of HCoV: HCoV-229E, HCoV-NL63, HCoV-HKU1, HCoV-OC43, MERS-CoV and SARS-HCoV. Although studies have shown evidence of global distribution of HCoVs, there is limited information on their presence and distribution in Kenya. HCoV strains that circulated in Kenya were retrospectively diagnosed and molecularly characterized. A total of 417 nasopharyngeal specimens obtained between January 2009 and December 2012 from around Kenya were analyzed by a real time RT-PCR using HCoV-specific primers. HCoV-positive specimens were subsequently inoculated onto monolayers of LL-CMK2 cells. The isolated viruses were characterized by RT-PCR amplification and sequencing of the partial polymerase (pol) gene. The prevalence of HCoV infection was as follows: out of the 417 specimens, 35 (8.4 %) were positive for HCoV, comprising 10 (2.4 %) HCoV-NL63, 12 (2.9 %) HCoV-OC43, 9 (2.1 %) HCoV-HKU1, and 4 (1 %) HCoV-229E. The Kenyan HCoV strains displayed high sequence homology to the prototypes and contemporaneous strains. Evolution analysis showed that the Kenyan HCoV-OC43 and HCoV-NL63 isolates were under purifying selection. Phylogenetic evolutionary analyses confirmed the identities of three HCoV-HKU1, five HCoV-NL63, eight HCoV-OC43 and three HCoV-229E. There were yearly variations in the prevalence and circulation patterns of individual HCoVs in Kenya. This paper reports on the first molecular characterization of human Coronaviruses in Kenya, which play an important role in causing acute respiratory infections among children.

Leveraging technology to reduce health inequities in Kenya | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2016-11-22

Nov 22, 2016 ... The three-year study, titled Addressing health inequities in Kenya: Potential and ... through applied research capacity building in e-health (SEARCH) program. ... For example, MoH was involved from project formulation and ...

LINGUISTIC REALITIES IN KENYA: A PRELIMINARY SURVEY

African Journals Online (AJOL)

Amitabh@1234

Kenya is a boon for a field linguist but misinformed politicians and education policy ... to date. Language realities have been observed in this study from a temporal lens of .... The knowledge of a language of international currency is not a curse, and it is ... But the colonial mind-sets of the people worked against the growth.

SUICIDE AMONG UNIVERSITY STUDENTS IN KENYA: CAUSES ...

African Journals Online (AJOL)

Suicide is against the law in Kenya. The existence of suicide phenomena in the society is a major issue that needs to be looked into with a lot of concern, and creating effective preventative measure is a matter of urgency. Knowledge concerning suicide is largely limited. The majority of people in the society treat suicide ...

Impact of Structural Adjustment Programmes on National Food Security in Kenya

International Nuclear Information System (INIS)

Oduol, A.B.

2002-01-01

Per capita food production in sub-Saharan Africa including Kenya has been declining over the past three decades.Despite the available efforts made by the governments in sub-Saharan Africa, food insecurity remains one of the most crucial issues.In Kenya, agriculture accounts for about 26 per cent of overall GDP, 60 per cent of foreign exchange earnings and employs about 70 per cent of the rural population. Agriculture therefore remains the main source of food security for a majority of Kenya's population. Kenya has been going through nearly a decade of transition in agriculture whereby the role of the state in production and marketing has been reduced allowing the public sector institutions to concentrate on doing a narrow range of tasks better. However concerns has arisen as to wether this transformation from state-led model of service provision to that of the private sector would result in the vibrant growth in agricultural production that was experienced in the 1960s and early 1970s. This study sought to determine the impact of policy reforms on national food security with a major focus on agricultural production of rural farmers in Kenya. The study also aimed at suggesting posssible recommendations to improve agricultural production while taking into consideration the fiscal constraint faced by the the country. By using descriptive analysis to compare changes in production of maize, coffee and tea as well as in the food security situation before and after policy reforms, the study revealed that maize production had declined in the post-reform period. Although the total contribution of tea and coffee to total agricultural export had increased in the pos-reform period, production of coffee showed a downward trend unlike that of tea. The results further revealed that food production had deteriorated in the post-reform period while dependence on food imports and food aid had increased. In conclusion, the structural adjustment programmes coupled with organisational

Public Policy and the Management of Higher Education in Sub-Saharan Africa: The Case of Kenya.

Science.gov (United States)

Gray, Kenneth R.; Credle, Sid Howard

1996-01-01

Examines Kenya's policy concerning growth and development of higher education over the last 20 years. Concludes that Kenya has problems of infrastructure quality and physical plant similar to those of other Sub-Saharan African countries, that resource allocation policies are inconsistent, and that expansion should be guided by popular demand for…

Catastrophic Health Expenditure and Household Impoverishment: a case of NCDs prevalence in Kenya

Directory of Open Access Journals (Sweden)

Daniel Mwai

2016-03-01

Full Text Available Introduction and problem: Non-Communicable Diseases (NCDs have become one of the leading causes of morbidity and mortality in Kenya. Their claim on financial and time resources adversely affects household welfare. Health care cost for NCDs in Kenya is predominantly paid by households as OOP. Health expenditure on NCD stands at 6.2% of Total Health Expenditure which is 0.4 % of the total gross domestic product of the country. This expenditure scenario could have implications on household welfare through catastrophic expenditure in Kenya. Most studies done on catastrophic expenditure in Kenya have not looked at the effect of NCD on poverty. Methodology: The paper has investigated the determinants of catastrophic health spending in a household with special focus on the NCDs. It has also investigated the effect of catastrophic expenditure on household welfare.A National household level survey data on expenditure and utilization is used. Controlling for endogeneity, the results revealed that NCDs and communicable diseases contribute significantly to the likelihood of a household incurring catastrophic expenditure. Results: Although all types of sicknesses have negative effects on household welfare, NCDs have more severe impacts on impoverishment. Policy wise, government and development partners should put in place a health financing plan entailing health insurance and resource pooling as a mean towards social protection. Key words:  Non-Communicable Diseases (NCD, Catastrophic Health Expenditure, endogeneity Impoverishment

Food consumption and nutrition in the Kenya Coast

NARCIS (Netherlands)

Klaver, W.; Mwadime, R.K.N.

1998-01-01

For a sizeable portion of Kenya's coastal population food security is not assured. Furthermore, the current food pattern, which relies heavily on maize and cassava, is lacking in dietary quality and variety. This results in nutritional problems among the population which are partly hidden, but which

Kenya | Page 30 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

Read more about Toward a Regional Research Agenda on Pharmaceutical Manufacturing and Access to Medicines in Sub-Saharan Africa. Language English. Read more about Soutien organisationnel de la phase 2 de l'ITT : Kenya Institute for Public Policy Research and Analysis. Language French. Read more about ...

Orthopaedic training in Kenya | Mulimba | East African Orthopaedic ...

African Journals Online (AJOL)

Objective: To do a survey of the current orthopaedic specialists in Kenya's training since their first medical degrees. Determine the duration, facilities and methods of training. Methods: A number of doctors trained under different arrangements were identified, interviewed and where curriculum was available this was read.

Governance of tourism conservation partnerships: lessons from Kenya

NARCIS (Netherlands)

Nthiga, R.W.

2014-01-01

Governance of Tourism Conservation Partnerships: Lessons from Kenya

Rita Wairimu Nthiga

Since the 19th century nature conservation in Eastern Africa has evolved in different stages. Initial interventions emerged as a result of the decline and potential extinction of

The Challenges of Urban Management in Kenya | Akatch ...

African Journals Online (AJOL)

In Kenya the issue of regional and municipal management has been a thorny issue since independence. Soon after independence in 1963, the KANU Government bowing to pressures from KADU introduced Majimbo constitution that emphasised region-led administrative management as opposed to the unitary system of ...

Macrofauna Settlement on Pearl Oyster Collectors in Kenya ...

African Journals Online (AJOL)

Key words: Pearl oysters, seed collection, macrofauna, bivalves, settlement, monsoon seasons,. Kenya .... have shown that pearl oyster settlement is higher within calm ...... collectors in the Timor Sea, Northern Australia. J. Shellfish ... systems. Aquaculture, 189: 375-388. Urban, H.J. (2000b): Culture potential of the pearl.

Tackling community undernutrition at Lake Bogoria, Kenya: The ...

African Journals Online (AJOL)

Undernutrition remains a major public health concern for many developing nations, particularly in sub-Saharan Africa. In Kenya, undernutrition affects a substantial portion of the Kenyan population, especially children and those living in rural areas. Local and sustainable means of addressing undernutrition is still lacking in ...

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International Development Research Centre (IDRC) Digital Library (Canada)

Topic: PARTICIPATORY RESEARCH, Natural Resources, RESOURCES MANAGEMENT, GEOGRAPHIC INFORMATION SYSTEMS, LAND USE, Food security. Region: North of Sahara, South of Sahara, Benin, Kenya, Malawi, Rwanda, Senegal, Tunisia. Program: Climate Change. Total Funding: CA$ 1,486,000.00.

Detention in Kenya: risks for refugees and asylum seekers

OpenAIRE

Lucy Kiama; Dennis Likule

2013-01-01

Refugees and asylum seekers detained in Kenya risk multiple convictions and protracted detention due to poor coordination between immigration officials, police and prison officers, coupled with lack of interpreters and low levels of knowledge among government officers.

An Agricultural Product E-Business System: Case of Khat E-business in Kenya

OpenAIRE

Solomon Mwanjele MWAGHA, Hilda Kangai Ntong‟ondu

2014-01-01

With the consistent increase in level of economic constrains which was as a result of the rapidly increasing travelling costs in Kenya among others, businessmen are eager to come up with various ways to cub financial problems. The night travel ban had really caused a tactic problem to business men in Kenya. People used to travel during the night, perform their activities during the day and go back again over night. The development of (Agribusiness Products E-businesses System) APEBS enabled t...

Farmer Field School on Nutrient Management.

NARCIS (Netherlands)

Onduru, D.; Muchena, F.N.; Gachimbi, L.N.; Jager, de A.

2003-01-01

In Kenya Integrated Nutrient Management (INM) is being used to make the best use of local resources and to optimise the effects of external inputs. In Mbeere, a district that lies in the dryland area of Eastern Kenya the Farmer Field School (FFS) has been in operation during one season and work is

Effects of Murran System's Indigenous Knowledge on Maasai ...

African Journals Online (AJOL)

Kenyan Maasai is a pastoral society that lives in arid and semi-arid lands across the Kenya — Tanzania border. The society has a barracks-like institution called the Murran system where male youths are formally trained in preparation for community life. The study was conducted among the Maasai of Narok District, Kenya.

Genital infections and syndromic diagnosis among HIV-infected women in HIV care programmes in Kenya.

Science.gov (United States)

Djomand, Gaston; Gao, Hongjiang; Singa, Benson; Hornston, Sureyya; Bennett, Eddas; Odek, James; McClelland, R Scott; John-Stewart, Grace; Bock, Naomi

2016-01-01

Control of genital infections remains challenging in most regions. Despite advocacy by the World Health Organization for syndromic case management, there are limited data on the syndromic approach, especially in HIV care settings. This study compared the syndromic approach with laboratory diagnosis among women in HIV care in Kenya. A mobile team visited 39 large HIV care programmes in Kenya and enrolled participants using population-proportionate sampling. Participants provided behavioural and clinical data with genital and blood specimens for lab testing. Among 1063 women, 68.4% had been on antiretroviral therapy >1 year; 58.9% were using cotrimoxazole prophylaxis; 51 % had CD4+T-lymphocytes Kenya have high rates of vaginal infections. Syndromic diagnosis was a poor predictor of those infections. © The Author(s) 2015.

All projects related to kenya | Page 8 | IDRC - International ...

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The Institute of Policy Analysis and Research (IPAR), Kenya, is a 15-year-old ... increase work and educational achievement, and promote economic growth. ... Policy researchers have a key role to play in insuring that economic growth and ...

All projects related to Kenya | Page 13 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

2009-11-05

Start Date: November 5, 2009. End Date: October 26, 2013. Topic: PESTICIDE RESIDUES, WATER POLLUTION, HEALTH HAZARDS, HEALTH SURVEYS, ENVIRONMENTAL HEALTH, WATER RESOURCES, WATER MANAGEMENT. Region: Kenya, North of Sahara, South of Sahara. Program: Food, Environment, and ...

All projects related to Kenya | Page 15 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

2009-11-05

Start Date: November 5, 2009. End Date: October 26, 2013. Topic: PESTICIDE RESIDUES, WATER POLLUTION, HEALTH HAZARDS, HEALTH SURVEYS, ENVIRONMENTAL HEALTH, WATER RESOURCES, WATER MANAGEMENT. Region: Kenya, North of Sahara, South of Sahara. Program: Food, Environment, and ...

Maize production in the central Kenya highlands using cattle ...

African Journals Online (AJOL)

Mo

effective in the production of maize, compared to singular application of manures (5 t ha-1) and mineral fertilizer alone applied at rates below ...... A Handbook of Methods, 2nd. Edition. ... Manure management in the Kenya highlands: Practices.

Digitized Ethnic Hate Speech: Understanding Effects of Digital Media Hate Speech on Citizen Journalism in Kenya

Science.gov (United States)

Kimotho, Stephen Gichuhi; Nyaga, Rahab Njeri

2016-01-01

Ethnicity in Kenya permeates all spheres of life. However, it is in politics that ethnicity is most visible. Election time in Kenya often leads to ethnic competition and hatred, often expressed through various media. Ethnic hate speech characterized the 2007 general elections in party rallies and through text messages, emails, posters and…

Gender Factor in Decision Making: Challenges Facing Women Leadership Development in Primary Schools' Management in Kenya

Science.gov (United States)

Choge, Jepkemboi Ruth

2015-01-01

The degree of attention given to women leadership in Education in Kenya has increased considerably in the recent years especially after the government introduced the affirmative action for both girls and women in education and employment in support of Millennium Development Goals, World Conventions, the Kenya Vision 2030 blue print for economic…

Maize Cob Rot in Kenya and Its Association with Stalk Borer Damage

International Nuclear Information System (INIS)

Ajanga, S.I.

2002-01-01

Cob rots are a major cause of crop loss in areas such as western Kenya that experience prolonged rainfall during the period of crop maturation. Cob rot fungi cause spoilage of the grain and some of them produce mycotoxins which can pose a health risk to humans and animals consuming foods prepared from contaminate grain. survey conducted in western Kenya in 1998 showed that cob rot incidence exceeded 20%. In the following year when rainfall was greater around the harvest period, cob rot fungi affected 68% of cobs. in 1998 stalk borer larvae (mainly Busseola fusca) damaged 20% of the cobs and there was a strong correlation (R= 0.87) between cob rot incidence and borer damage. In 1999 almost half of the cobs sampled showed evidence of borer damage. The result indicate that the high cob rot incidence in this pert of Kenya is due to stalk bore damage, which predisposes the cobs to fungal infection, and that management of the borer would greatly decrease cob rot incidence

Comparative efficacy of existing surveillance tools for Aedes aegypti in Western Kenya.

Science.gov (United States)

Yalwala, Sancto; Clark, Jeffrey; Oullo, David; Ngonga, Daniel; Abuom, David; Wanja, Elizabeth; Bast, Joshua

2015-12-01

All traditional surveillance techniques for Aedes aegypti have been developed for the cosmopolitan domestic subspecies Ae. aegypti aegypti, and not the sylvatic subspecies, Ae. aegypti formosus. The predominant form in Western Kenya is Ae. aegypti formosus that is rarely associated with human habitations but is linked to transmission of sylvatic dengue virus strains. We compared five surveillance methods for their effectiveness in sampling Ae. aegypti formosus with the goal of determining a sustainable surveillance strategy in Kenya. The methods included larval and pupal surveys, oviposition trapping, BG-Sentinel trapping, resting boxes, and backpack aspirations. Larval and pupal surveys collected the highest number of Ae. aegypti formosus (51.3%), followed by oviposition traps (45.7%), BG-Sentinel traps (3.0%), and zero collected with either backpack aspiration or resting box collections. No Ae. aegypti formosus larvae or pupae were found indoors. The results indicate that oviposition traps and outdoor larval and pupal surveys were better surveillance methods for Ae. aegypti formosus in Western Kenya. © 2015 The Society for Vector Ecology.

What has driven the decline of infant mortality in Kenya in the 2000s?

Science.gov (United States)

Demombynes, Gabriel; Trommlerová, Sofia Karina

2016-05-01

Substantial declines in early childhood mortality have taken place in many countries in Sub-Saharan Africa. Kenya's infant mortality rate fell by 7.6 percent per year between 2003 and 2008, the fastest rate of decline among the 20 countries in the region for which recent Demographic and Health Survey (DHS) data are available. The average rate of decline across all 20 countries was 3.6 percent per year. Among the possible causes of the observed decline in Kenya is a large-scale campaign to distribute insecticide-treated bednets (ITN) which started in 2004. A Oaxaca-Blinder decomposition using DHS data shows that the increased ownership of bednets in endemic malaria zones explains 79 percent of the decline in infant mortality. Although the Oaxaca-Blinder method cannot identify causal effects, given the wide evidence basis showing that ITN usage can reduce malaria prevalence and the huge surge in ITN ownership in Kenya, it is likely that the decomposition results reflect at least in part a causal effect. The widespread ownership of ITNs in areas of Kenya where malaria is rare suggests that better targeting of ITN provision could improve the cost-effectiveness of such programs. Copyright © 2016. Published by Elsevier B.V.

Girls' Attitudes Towards Science in Kenya

Science.gov (United States)

Chetcuti, Deborah A.; Kioko, Beriter

2012-07-01

This study investigated girls' attitudes towards science in Kenya. It was carried out with 120 girls from four secondary schools in the Eastern province of Kenya. These were an urban single-sex (SS) and co-educational (Co-Ed) school and a rural SS and Co-Ed school. Different schools were chosen in order to explore whether there are any differences in attitudes in SS and Co-Ed schools and in schools in rural and urban areas. The methodology included the use of both questionnaires and focus group interviews. The main aim was to gain insight into the extent and depth of students' attitudes towards science. The findings of the study showed that the majority of Kenyan girls who participated in the study have a favourable attitude towards science. Girls in SS schools were found to have a more favourable attitude than those in Co-Ed schools, while girls in rural area schools were found to find science more relevant than those in urban schools. It emerged from this study that the attitudes of Kenyan girls are influenced by their perceptions of the relevance of science, enjoyment of studying science, perceptions of the suitability of science for a career, and their perceptions of subject difficulty.

Debt financing structure within the state-owned corporations in Kenya

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Micah Odhiambo Nyamita

2015-05-01

Full Text Available The current public sector financial management reforms agenda within the state-owned corporations in Kenya aimed at integrating and aligning their performance to vision 2030, has not yet achieved the traction required. This study, therefore, examined the different types of debt financing strategies applied by the various state-owned corporations in Kenya, in comparison to those applied by state-owned corporations from developed and developing economies. The study specifically revealed that private debt financing, through bank loans and payables is commonly used amongst Kenyan state-owned corporations. While, most state-owned corporations from developed and developing economies, such as in America, Europe, Asia and South Africa, use public debt financing, through financial securities, traded in both domestic and international capital markets.

Protecting livelihoods, boosting food security in Kenya | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

Switching to Sudan grass for livestock fodder will increase food security in Kenya Farmers learned new techniques for producing livestock fodder, with important outcomes for household food security. ... The company provided drip kits to 300 farmers in Tana River for chilli production (through loans of US$74 per kit).

All projects related to Kenya | Page 9 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

Home · What we do / Regions and countries / Kenya ... Poor understanding of policy processes tends to reduce the value of research results and the ... Although birth and death rates are still relatively high in Africa, African populations display ...

The Emergence of Hospital Accreditation Programs in East Africa: Lessons from Uganda, Kenya, and Tanzania

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Jeffrey Lane

2014-01-01

Full Text Available The objective of this manuscript was to examine existing hospital accreditation systems in three East African countries (Uganda, Kenya and Tanzania, assess attitudes and opinions of key stakeholders regarding hospital accreditation systems in the region, and identify lessons regarding sustainable and effective implementation of hospital accreditation systems in resource-limited countries. National hospital accreditation systems were found in Kenya and Tanzania. Uganda’s accreditation system, known as Yellow Star, had been suspended. Attitudes and opinions of key stakeholders almost unanimously supported the idea of establishing new national hospital accreditation programs, but opinions differed regarding whether that system should be operated by the government or a private independent organization. Our analysis supports the following lessons regarding accreditation systems in the region: (1 self-funding mechanisms are critical to long-term success; (2 external assessments occurred more frequently in our focus countries than accreditation systems in developed countries; (3 Kenya has established framework for providing financial incentives to highly performing hospitals, but these links need to be strengthened; and (4 automatic accreditation of governmental health facilities in Kenya and Tanzania illustrate the potential hazard of public authorities overseeing accreditation programs.

The Emergence of Hospital Accreditation Programs in East Africa: Lessons from Uganda, Kenya, and Tanzania

Directory of Open Access Journals (Sweden)

Jeffrey Lane

2014-03-01

Full Text Available The objective of this manuscript was to examine existing hospital accreditation systems in three East African countries (Uganda, Kenya and Tanzania, assess attitudes and opinions of key stakeholders regarding hospital accreditation systems in the region, and identify lessons regarding sustainable and effective implementation of hospital accreditation systems in resource-limited countries. National hospital accreditation systems were found in Kenya and Tanzania. Uganda’s accreditation system, known as Yellow Star, had been suspended. Attitudes and opinions of key stakeholders almost unanimously supported the idea of establishing new national hospital accreditation programs, but opinions differed regarding whether that system should be operated by the government or a private independent organization. Our analysis supports the following lessons regarding accreditation systems in the region: (1 self--‐funding mechanisms are critical to long-term success; (2 external assessments occurred more frequently in our focus countries than accreditation systems in developed countries; (3 Kenya has established framework for providing financial incentives to highly performing hospitals, but these links need to be strengthened; and (4 automatic accreditation of governmental health facilities in Kenya and Tanzania illustrate the potential hazard of public authorities overseeing accreditation programs.