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Research Papers
Knowledge, attitudes and practices of traditional birth attendants in pastoralist communities of Laikipia and Samburu counties, Kenya
In rural Kenya, semi-nomadic pastoralist communities are underserved by the formal health system, experience high maternal and neonatal mortality, and rely primarily on TBAs for delivery care, despite Government proscription of TBA-assisted births. This study examined the knowledge, attitude and practices of TBAs serving these communities to assess the potential for collaboration between TBAs and SBAs. Read More >>>
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Research Papers
Walking Together: Towards a Collaborative Model for Maternal Health Care in Pastoralist Communities of Laikipia and Samburu, Kenya
In response to low uptake of skilled birth attendance in pastoralist areas, a collaborative model was developed in Laikipia and Samburu, integrating traditional birth attendants (TBAs) with skilled birth attendants (SBAs) to improve maternal care. Through community engagement and research, the model promotes shared roles in antenatal and postnatal care, respectful maternity practices, and facility redesigns to better serve local needs, aiming to enhance safety and ease the transition to SBA-led births. Read More
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Research Papers
Intersections between climate change and female genital mutilation among the Maasai of Kajiado County, Kenya
This study explored how climate change affects gender norms and the practice of Female Genital Mutilation (FGM) among the Maasai in Kajiado County, Kenya. Findings show that climate-induced poverty has deepened gender inequalities, leading to increased FGM and child marriages as survival strategies. The study highlights the need for intersectional, context-sensitive approaches to FGM interventions that consider social, economic, and environmental factors. Read More
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Research Papers
Management of Psychosocial and Sexual Complains Among Cancer Patients in the African Context: A scoping review
This paper addresses the critical gap in specialized psychosocial and sexual therapies for cancer patients within the African context. It aims to identify deficiencies in healthcare providers' capacities to manage these aspects of cancer care and proposes an algorithm tailored to African settings. Through a scoping review conducted across multiple databases from January 2000 to March 2021, six studies were identified that met the eligibility criteria. These studies were analyzed to chart psychosocial and sexual complications associated with cancer and its treatment, highlighting the need for c
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Research Papers
Mental Distress and Human Rights Violations During COVID-19: A Rapid Review of the Evidence Informing Rights, Mental Health Needs, and Public Policy Around Vulnerable Populations
COVID-19 prevention and mitigation efforts were abrupt and challenging for most countries with the protracted lockdown straining socioeconomic activities. Marginalized groups and individuals are particularly vulnerable to adverse effects of the pandemic such as human rights abuses and violations which can lead to psychological distress. In this review, we focus on mental distress and disturbances that have emanated due to human rights restrictions and violations amidst the pandemic. We underscore how mental health is both directly impacted by the force of pandemic and
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Research Papers
Factors influencing place of delivery for pastoralist women in Kenya
Kenya’s high maternal mortality ratio can be partly explained by the low proportion of women delivering in health facilities attended by skilled birth attendants (SBAs). Many women continue to give birth at home attended by family members or traditional birth attendants (TBAs). This is particularly true for pastoralist women in Laikipia and Samburu counties, Kenya. This paper investigates the socio-demographic factors and cultural beliefs and practices that influence place of delivery for these pastoralist women. Authors: Tanya Caulfield, Pamela Onyo, Abbey Byrne, John Nduba, Josephat
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Research Papers
Association between stage at diagnosis and knowledge on cervical cancer among patients in a Kenyan tertiary hospital
In Kenya, cervical cancer is the second most common cancer among women; almost half of all women with invasive cervical cancer are diagnosed at a late stage. Few women are aware of the symptoms and risk factors of cervical cancer and that its precursor lesions are detectable through screening thus most women seek treatment when the cancer is at an advanced stage. The study explored the influence of cervical cancer awareness on stage at diagnosis in patients attending Kenyatta National Hospital. Authors: Kabura Wamburu, Josephat Nyagero, Kevin Owuor, Naftali Busakhala <
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Research Papers
Facility factors influencing utilization of active management of third stage of labour among skilled birth attendants in Kiambu County, Kenya
Post-Partum Hemorrhage (PPH) accounts for 34% of maternal deaths in Kenya. Active management of third stage of labour (AMTSL) is a World Health Organization and Ministry of Health of Kenya approved protocol for reducing maternal mortality and morbidity arising from postpartum hemorrhage. Kiambu County in Kenya records an average of six maternal deaths per month, out of which, two are due to PPH. This paper analyses how facility factors influence utilization of this protocol in Kiambu County. Authors: Muiruri Felarmine, Osur Joachim, Okello Agina Read More
