We got 200 search results
-
Research Papers
Fintechs’ Future in Kenya: Does Social Influence Matter?
This study explores how social influence affects the continued use of Fintech mobile money lending apps in Kenya. Analyzing data from 342 users through structural equation modeling, it finds that social influence significantly impacts perceived security, satisfaction, and ongoing usage. It also enhances the positive effects of perceived security and usefulness on satisfaction and continued use. Ultimately, users are likely to keep using these apps if they find them secure, useful, and satisfying. Read Mor
Read More -
Research Papers
Are Mentorship and Training the Key in Provision of Emergency Obstetric and New-Born Care (EmONC) Services? A Formative Evaluation of Pre and Post in Samburu County, Kenya
This study assessed the impact of mentorship and training on improving the delivery of Basic and Comprehensive Emergency Obstetric and Newborn Care (BEmONC and CeMONC) services in Samburu County, Kenya, where maternal and stillbirth rates remain high. A one-week training for health workers across 29 facilities was followed by mentorship, supervision, and monthly meetings. Post-intervention results showed significant improvements in clinical practices, including increased use of partographs (from 52% to 98.1%), better management of newborn infections, and enhanced capacity to perform cesarean s
Read More -
Research Papers
Implementation of community case management of malaria in malaria endemic counties of western Kenya: are community health volunteers up to the task in diagnosing malaria?
This study evaluated the effectiveness of community health volunteers (CHVs) in diagnosing malaria using rapid diagnostic tests (RDTs) under Kenya’s Community Case Management of malaria (CCMm) strategy. Conducted in four malaria-endemic counties with a 27% prevalence rate, the study compared 200 RDT results from CHVs with those from experienced medical laboratory technicians (MLTs), using microscopy as a reference. The findings showed a high level of agreement (kappa score of 0.89) between CHVs and MLTs, with CHVs achieving 95% sensitivity and 94% specificity. These results affirm that CHVs
Read More -
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
Read More -
Research Papers
Analysing 3429 digital supervisory interactions between Community Health Workers in Uganda and Kenya: the development, testing and validation of an open access predictive machine learning web app
This study explored the use of artificial intelligence to support supervision of Community Health Workers (CHWs) through a machine learning web application called CHW supervisor, which was designed to automatically code instant messages exchanged between CHWs and their supervisors. Developed using 2,187 messages from Uganda and validated on 1,242 messages from Kenya, the app’s performance was compared to human coders. While human coders showed high agreement (88–95%, Cohen’s kappa 0.7–0.91), the app achieved moderate accuracy (73–78%, kappa 0.51–0.56). The findings highlight that
Read More -
Research Papers
COVID-19 vaccine hesitancy: Vaccination intention and attitudes of community health volunteers in Kenya
This study assessed COVID-19 vaccination intentions among community health volunteers (CHVs) in four Kenyan counties—two urban (Mombasa, Nairobi) and two rural (Kajiado, Trans-Nzoia). It found a high overall intention to vaccinate at 81%, though vaccine hesitancy remained at 19%, with county-level variation ranging from 10.2% to 44.6%. Key factors influencing vaccination intention included trust in vaccine manufacturers and the Ministry of Health, belief in vaccine safety, and confidence in government risk management. The findings highlight that contextual, individual, and vaccine-spe
Read More -
Research Papers
Highlighting a Digital Platform to Assess Young People Needs: Reaching and Engaging Adolescents and Young Adults for Care Continuum in Health Project (REACH)
This study describes the development and pilot testing of the REACH-AYA digital survey app, designed to identify protective and risk behaviors among young people (ages 10–24) in Nairobi, Kenya. Using a user-inclusive, five-step design thinking process, the app featured 98 skip-logic-enabled questions across 10 behavioral and psychosocial domains. A pilot with 33 youth informed refinements, and the app was later launched via social media, reaching 1,101 users—of whom 80% completed the survey. The study demonstrates the feasibility and effectiveness of user-centered digital tools in enga
Read More -
Research Papers
Voices from the Youth in Kenya Addressing Mental Health Gaps and Recommendations
This study focused on identifying mental health challenges faced by adolescents and young people (AYP) in Kenya and developing actionable recommendations to address them. Through an AYP-led meeting involving 41 participants—including Ministry of Health officials, academics, and implementing partners—key challenges were categorized into three themes: legislative, service provider/Ministry of Health, and individual-level factors. Recommendations included expanding insurance coverage, enhancing community health interventions, creating adolescent-friendly spaces, training youth champions, impl
Read More
