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Research Papers
Health insurance education strategies for increasing the insured among older population – a quasi experimental study in rural Kenya
The disease burden among the older population in developing countries remains a challenge. This premise is based on the finding that older persons aged 60 years or more are less likely to be insured, and are more vulnerable to ill health and financial problems, especially when they are uninsured .One of the reasons for the high disease burden among the sub-population in Kenya is the low utilization of available health facilities . The baseline results of this study showed that the most mentioned reason (52.2%) for being uninsured among the older population was lack of adequate knowledge on the
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Research Papers
Laboratory testing improves diagnosis and treatment outcomes in primary health care facilities
Cross-sectional study to observe change in diagnosis and treatment made by clinical officers after laboratory testing in outpatients attending six rural health centres in Kenya. To determine if use of basic laboratory tests improves diagnosis and treatment outcomes in outpatients attending rural primary health care facilities. Use of laboratory testing can be readily incorporated into routine clinical practice. On-site refresher training is an effective means of improving the quality of patient care and communication between clinical and laboratory staff. Read More
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Research Papers
Barriers to enrolment into a professional upgrading programme for enrolled nurses in Kenya
Nurses play a key role in the provision of health care. Over 70% of the nurses in Kenya are Enrolled Community Health Nurses (ECHNs). AMREF in partnership with Nursing Council of Kenya and the Ministry of Health pioneered an eLearning Nurse Upgrading Programme. The purpose of this study was to identify barriers that hindered enrolment into the programme. Read More >>>
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Research Papers
Persistently high TB prevalence in Nairobi County neighbourhoods, 2015-2022
A 2022 re-survey of nine Nairobi County neighborhoods revealed a persistently high prevalence of pulmonary tuberculosis (TB), with a weighted estimate of 806 per 100,000 people—showing no significant decline since 2015. Among 6,369 participants, 1,582 submitted sputum samples, and 42 tested positive for TB. Men and individuals aged 45–54 years continued to show the highest prevalence, with men reaching 1,301 per 100,000.The results contrast with trends in other serial surveys that reported declining TB rates, highlighting the need for intensified case-finding and health-seeking behavior in
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Research Papers
Influence of government policies on handwashing and vaccine uptake in Kenya, Uganda, and Tanzania to prevent and control COVID-19: a systematic review.
A systematic review examining government influence on COVID-19 vaccine distribution and handwashing practices in Kenya, Uganda, and Tanzania found that public health policies and communication strategies significantly impacted uptake. Out of 136 studies reviewed, 9 met the inclusion criteria. The review highlights that policy success depends on factors such as safety, efficacy, access to information, and enforcement, emphasizing the need for comprehensive, context-sensitive strategies to improve public health outcomes. Read More
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Research Papers
Behavioral and social predictors of COVID-19 vaccine uptake among persons with disabilities in Kenya
A mixed-methods study conducted in Kenya among 792 persons with disabilities (PWDs) across four counties revealed that only 59% were fully vaccinated against COVID-19, with significantly lower rates among individuals with cognitive (34.2%) and self-care (36.6%) impairments. The study recommends targeted outreach through PWD institutions, localized vaccination campaigns, and leveraging trusted health workers to build vaccine confidence and improve access. Read More >>>
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Research Papers
Use of the Manyatta Model to Promote Uptake of Family Planning in Hard-to-Reach Communities in Samburu County, Kenya
In Samburu County, where the modern Contraceptive Prevalence Rate (mCPR) stands at just 25.4% compared to the national average of 57%, the Delivering Equitable and Sustainable Increase in Family Planning (DESIP) project piloted the Manyatta Model to improve family planning uptake among hard-to-reach communities. Recognizing the region’s patriarchal structure, where men are primary decision-makers in women’s health, the model brought health education directly to homesteads (Manyattas) through Community Health Promoters (CHPs). It employed a structured mobilization strategy known as the Tag-
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Research Papers
Factors Associated with Health Facility-Based Active Tuberculosis Case Finding Yield in Murang’a County, Kenya
An estimated 40% of TB cases in Kenya are undiagnosed and untreated, leading to ongoing transmission in the community. While the introduction of the active case-finding strategy, by the National TB program, has shown improved yield and ensured early detection, health facilities continue to report varying yields. The objective was to assess factors associated with health facility-based active TB case finding yield in Murang’a County. Read More >>>
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