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Research Papers
Bridging the policy-action gap: a scoping review of climate-resilient malaria control policies in Kenya and Zambia with recommendations for strengthening the WHO framework
This study examined policy-action gaps in climate-resilient malaria control strategies in Kenya and Zambia, where climate change has intensified malaria risks through altered weather patterns and extended mosquito breeding seasons. Using a systematic literature review guided by the PRISMA model, the study analyzed 19 peer-reviewed articles and policy documents published since 2010. It identified key challenges including weak health infrastructure, inadequate funding, poor integration of climate data, and fragmented stakeholder coordination. The lack of clear implementation metrics and cross-se
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Research Papers
Documenting Lived Experiences of Youths During the COVID-19 Pandemic: Implications for Policy and Program Considerations for Youth in Six Selected Counties, Kenya
This qualitative study explored the lived experiences of adolescents and young adults aged 15–35 across six counties in Kenya during the COVID-19 pandemic, focusing on social, economic, educational, and healthcare impacts. Through 11 focus group discussions and 5 key informant interviews, the study revealed widespread disruptions in relationships, increased gender-based violence, teenage pregnancies, and economic hardships that led to child labor and crime. Educational inequalities worsened due to limited access to virtual learning, while healthcare service disruptions hindered youth-friendl
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Research Papers
Last mile delivery of COVID-19 vaccination to populations aged 15 years and above in Nyeri County, Kenya, March 2021-June 2022
This paper highlights the strategies and interventions that facilitated the successful rollout of COVID-19 vaccination in Nyeri County, Kenya, following the arrival of the AstraZeneca vaccine in March 2021. The county formed a COVID-19 Vaccine Deployment Committee to lead planning and implementation, including capacity building for healthcare workers and expanding vaccination sites from 5 to 17. Despite initial system challenges, outreach efforts and supplemental immunisation activities significantly boosted vaccine uptake. By June 2022, 67.7% of the targeted adult population had received at l
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Research Papers
Sociodemographic determinants of fathers´ acceptance of the human papillomavirus (HPV) vaccine of adolescent girls in Kesses (rural) and Kapseret (urban), Uasin Gishu County, Kenya
This study explored the socio-demographic factors influencing fathers' acceptance of HPV vaccination for their daughters in Kenya, where paternal consent is key due to their role as household decision-makers. Conducted between January and February 2024, it involved 375 fathers of adolescent girls and included both quantitative surveys and qualitative interviews. Findings revealed low vaccine acceptance, with only 36.8% of daughters vaccinated. Most fathers were married and had at least secondary education. Employment status and geographical location significantly influenced vaccine acceptance.
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Research Papers
Seroprevalence and demographic characteristics of SARS-CoV-2-infected residents of Kibera informal settlement during the COVID-19 pandemic in Nairobi, Kenya: a cross-sectional study
This cross-sectional study assessed the prevalence of SARS-CoV-2 antibodies among residents of Kibera informal settlement in Nairobi, Kenya, before widespread vaccination. Conducted between October 2019 and August 2021, it involved 438 participants aged one year and above who were asymptomatic at the time of testing. The study found a high seropositivity rate of 84.5%, with no significant differences across age, sex, or underlying health conditions. The only significant predictor of seropositivity was having experienced COVID-19-like symptoms in the previous 16 months. Despite high exposure, m
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Research Papers
Predictors of Health-Workforce Job Satisfaction in Primary Care Settings: Insights from a Cross-Sectional Multi-Country Study in Eight African Countries
Job satisfaction in sub-Saharan Africa is crucial as it directly impacts employee productivity, retention, and overall economic growth, fostering a motivated workforce that drives regional development. In sub–Saharan Africa, poor remuneration, limited professional development opportunities, and inadequate working conditions impact satisfaction. This study examined job-satisfaction predictors among health workers in primary healthcare settings across eight countries: Ethiopia, Kenya, Malawi, Senegal, South Sudan, Tanzania, Uganda, and Zambia. A cross-sectional study surveyed 1711 health worke
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Research Papers
Determinants of Breast Milk Donation and Use among Postpartum Women at a City Hospital in Nairobi, Kenya
The World Health Organization advocates donor human milk as a superior substitute for newborns unable to obtain their mother’s milk. Calls have been made to scale up human milk banks to provide infants without access to mother’s milk safe donor human milk. This research sought to assess determinants of breast milk donation and the use of donor human milk among postpartum women. Read More >>>
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Research Papers
Mental health and structural injustice:a qualitative investigation of interlockingpatterns of disadvantage among displacedpopulations in Nairobi, Kenya
Urban refugees face systemic disadvantages that significantly impact their mental health and overall wellbeing. Research on refugee mental health often examines risk factors in isolation, overlooking broader systemic patterns. This study applies a structural injustice framework to investigate how interconnected disadvantages shape the mental health of urban refugees. Read More >>>
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