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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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Research Papers
Remote Data Verification Under Fragility and Operational Stress: Insights from Somalia During COVID-19
Organizations operating under fragile contexts often struggle to uphold data quality standards due to insecurity, institutional fragmentation, and limited field access. The COVID-19 pandemic intensified these constraints. It suspended the possibility of direct verification and posed critical questions about the integrity of performance oversight. This research investigates whether remote Data Quality Assessments (DQAs) preserved accountability and verification rigor during this period of operational stress Re
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Research Papers
High epilepsy prevalence and excess mortality in onchocerciasis-endemic counties of South Sudan: A call for integrated interventions
Epilepsy is a major health concern in onchocerciasis-endemic regions with intense transmission, where the infection is associated with a high epilepsy burden. This study investigated epilepsy prevalence and mortality in five onchocerciasis-endemic counties of South Sudan, and the association between onchocerciasis transmission and epilepsy, including probable nodding syndrome (pNS) Read More >>>
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