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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
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
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
Impact of the COVID-19 pandemic and policy response on access to and utilization of reproductive, maternal, child and adolescent health services in Kenya, Uganda and Zambia.
A cross-sectional qualitative study conducted in Kenya, Uganda, and Zambia assessed how the COVID-19 pandemic and related policy responses affected access to and utilization of reproductive, maternal, child, and adolescent health services. Through 63 in-depth interviews with women of reproductive age, frontline health workers, and government representatives, the study found that services such as antenatal care, delivery, family planning, and immunization were most disrupted. Despite some mitigation efforts, the findings highlight the urgent need to strengthen health systems, particularly suppl
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Research Papers
Equity in Covid 19 – Mitigation and Policy responses in Africa
At the onset of the pandemic, many African governments acted quickly to suppress the virus through various public health measures, including lockdowns, mobilizing healthcare resources and designing responses to support the economy and the population. There were, however, significant variations in the severity and type of measures taken, as well as their accessibility and impacts. Equity was not a given and, therefore, important questions have been raised about who benefitted and who were left unprotected from the interventions, particularly those designed to protect income and basic services?
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Research Papers
Laboratory Professionals in Africa: The Backbone of Quality Diagnostics
Laboratories have historically been under supported in developing country health systems resulting in poor quality diagnosis and inadequate disease surveillance.In this paper we present a number of strategies to address these problems based on the outcomes from a literature review and case studies conducted in four African countries. Improved registration and human resource planning are required to establish the scale of the problem and to develop country specific strategies to address skills shortages Read More
