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Research Papers
Prevalence and associated determinants of oral health conditions among sicklers aged 10-18 in Western Kenya
Sickle Cell Disease (SCD) contributes substantially to oral health problems among children in Kisumu County, where a cross-sectional study of 355 children aged 10–18 years found high rates of dental caries (40%) and plaque (98%), with most lesions untreated and nearly 70% exhibiting moderate to severe plaque. Limited dental care emerged as a major issue: 79.4% had never visited a dentist, only 6.2% had received professional cleaning, and 89.6% faced barriers such as cost and inaccessibility. Caries were significantly associated with poor facility access and personal motivation for oral healt
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Research Papers
An exploration of clinical learning experiences of higher diploma nursing students at a tertiary referral hospital in Kenya
This study explored the clinical learning experiences of Higher Diploma nursing students at Kenyatta National Hospital, Kenya, aiming to understand challenges in translating theoretical knowledge into practice. Using a qualitative approach, the research identified three main thematic areas influencing student learning: personal challenges, inconsistent institutional support, and a challenging clinical learning environment. The study concludes that enhancing clinical learning requires tailored support systems, structured mentorship, and learner-centered policies to address these interconnected
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Research Papers
Patient and institutional-related barriers to the uptake of anticoagulation service at Moi Teaching and Referral Hospital, Eldoret, Kenya
This study at Moi Teaching and Referral Hospital (MTRH), Kenya, assessed patient and institutional-related barriers to the uptake of anticoagulation services. The research identified significant gaps in patient knowledge which contributed to high rates of non- adherence and poor therapeutic INR maintenance. Institutional challenges included a lack of structured patient education programs, limited patient engagement tools and inadequate time for clinicians. The study concludes that improving anticoagulation outcomes requires strengthening patient education, better INR monitoring awareness, and
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Research Papers
HIV knowledge and its influence on prevention practices among females aged 15-24 years in Kisumu East Sub-County, Kenya
This study conducted in Kisumu East Sub-County, Kenya, assessed the HIV knowledge and its influence on prevention practices among females aged 15-24 years, a group disproportionately affected by the epidemic. The research determined that while knowledge levels were generally moderate to high, a significant knowledge-behavior gap existed, evidenced by the insufficient translation of awareness into safe practices like abstinence or consistent condom use. The study concludes that simple knowledge dissemination is inadequate; effective prevention must integrate peer-led education, behavioral suppo
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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 in the Kibera informal settlement in Nairobi, Kenya, before widespread vaccination. The study recruited 438 residents and found a high exposure rate, with 84.5% of participants testing positive for SARS-CoV-2 antibodies. The study concluded that high exposure to the virus with limited morbidity was found, supporting similar reports from other informal settlements. Read More >>>
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Research Papers
The socio-cultural aspects of sexual medicine: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024)
This narrative review explores how cultural, historical, religious, legal, and societal factors shape sexual practices and influence clinical care in sexual medicine. Focusing on female genital mutilation/cutting, penile circumcision, and unconsummated marriages, the study highlights the complex interplay between socio-cultural norms and sexual health outcomes. Through extensive literature review and expert discussion, the authors emphasize the importance of patient empowerment, respect for self-determination, and the need for culturally sensitive clinical approaches. The paper advocates for c
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Research Papers
The Vaccine Trust Framework: mixed-method development of a tool for understanding and quantifying trust in health systems and vaccines
This study developed and validated a contextually grounded Vaccine Trust Framework to better understand and measure trust in vaccines across low- and middle-income countries. Using an exploratory sequential mixed-methods approach, ethnographic research in Nigeria, Kenya, and Pakistan informed the creation of a framework encompassing four domains—health system promise, health system delivery, vaccine promise, and vaccine delivery—across 15 measurable dimensions. A nationally representative survey of caregivers in Kenya and Pakistan confirmed the framework’s validity, showing strong associ
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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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