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• Research Papers

  Integrated multisectoral approaches to adolescent pregnancy prevention: a case study of the Momentum Tikweze Umoyo Project in Malawi

  Teenage pregnancy has serious health, social, and economic consequences, including increased maternal and neonatal morbidity and mortality, particularly in low-resource settings. In Malawi, high adolescent pregnancy rates are driven by factors such as poverty, limited education, and restricted access to sexual and reproductive health (SRH) services. This case study is based on the USAID-funded Momentum Tikweze Umoyo Project, which implemented a multisectoral intervention aimed at preventing adolescent pregnancies in five districts in Malawi. The approach involved engaging diverse stakeholders,

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• Policy Brief, Research Papers

  ENHANCING HIV SELF-TESTING (HIVST) IN KENYA

  Access to HIV testing services is a significant barrier to achieving the UNAIDS 95-95-95 target, which aims for widespread HIV epidemic control by 2030. Improving access through initiatives like HIV self-testing (HIVST) is crucial to enhance testing uptake. This study explored the implementation and policy dynamics of the HIV self- testing program across community, health facility, regulatory, and quality control levels in Nairobi county, Kenya. Read More
• Research Papers

  Critical Success Factors for Deployment of Primary Health Care Networks and their Impact in Kenya

  Kenya’s shift to Primary Care Networks (PCNs) is more than a health reform; it is a structural transformation. In just four months, 93 Primary Care Networks (PCNs) have been established across 37 counties, bringing care closer to where people live and breaking down the silos between communities and health facilities. Each network, designed around a hub-and-spoke model, rolls out in approximately three weeks at an average cost of USD 34,000.

  The results are already compelling: maternal deaths drop to zero in some pilot areas, while hundreds of new h
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• Research Papers

  Digital tracking of girls exposed to community led alternative rites of passage to prevent female genital mutilation/cutting, and child, early and forced marriages in Kenya: a longitudinal study

  Female genital mutilation/cutting (FGM/C) and child marriage (CEFM) are human rights violations. Over the years, various interventions have been introduced to combat these practices, including the Alternative Rite of Passage (ARP), which offers a meaningful rite of passage without the cut. However, ARPs have been criticized for lacking data on their effectiveness. This study aimed to evaluate the impact of the Community-Led Alternative Rite of Passage (CL-ARP) model on FGM/C, CEFM, and school retention for girls and young women.

  Citizen science (CS) is an emerging approach in public health to harness the collective intelligence of individuals to augment traditional scientific efforts. However, citizens’ viewpoints, especially the hard-to--
  reach population, is lacking in current outbreak-related literature. We aim to understand the awareness, readiness and feasibility of outbreak-related CS, including digitally enabled CS, in low-income and middle-income countries.

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• Research Papers

  Impact of annual community-directed treatment with ivermectin on the incidence of epilepsy in Mvolo, a two-year prospective study

  The potential impact of cumulative community-directed treatment with ivermectin (CDTI) on epilepsy epidemiology in Mvolo County, South Sudan, an onchocerciasis-endemic area with high epilepsy prevalence, was investigated. Annual CDTI was introduced in 2002 in Mvolo, with interruptions in 2016 and 2020.

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• Research Papers

  Mental health issues associated with the management of tuberculosis in Homabay, Busia and Kakamega Counties, Kenya.

  Despite the implementation of patient-centred care, mental health issues remain a significant risk factor and comorbidity for Tuberculosis (TB) disease. Mental health issues being co-morbidities to TB are likely to increase the disease burden of the affected population. This study, therefore, investigated the prevalence and impact of mental health issues in Tuberculosis (TB) patients.

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• Research Papers

  Enablers and barriers to vaccine uptake and handwashing practices to prevent and control COVID-19 in Kenya, Uganda, and Tanzania: a systematic review

  The global emergence of coronavirus disease 2019 (COVID-19) posed unprecedented challenges, jeopardising decades of progress in healthcare systems, education, and poverty eradication. While proven interventions such as handwashing and mass vaccination offer effective means of curbing COVID-19 spread, their uptake needs to be higher, potentially undermining future pandemic control efforts. Our team conducted a systematic review synthesising available evidence of the factors influencing vaccine uptake and handwashing practices in Kenya, Uganda, and Tanzania in the contex

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