Research Papers – Amref Health Africa

The future of diagnostics in Africa Gaps in access to quality diagnostics in Africa, worsened by declining external funding, require focused investments in integrated testing systems, essential diagnostic lists, modern supply chains, digital health, and epidemic-ready infrastructure tailored to local contexts and supported by strong leadership… Read More
Strengthening accountability in strategic health purchasing arrangements for primary health care in Uganda Effective Strategic Health Purchasing (SHP) is pivotal for making progress towards the achievement of Universal Health Coverage (UHC), as we implement Primary Health Care (PHC). This qualitative study examined accountability and SHP arrangements and how they influence PHC performance. Using… Read More
Factors associated with the nutritional status of children (6-30 months old) in home-based and centre-based child care centres in Embakasi East, Nairobi, Kenya Early childhood nutrition is critical for healthy growth, yet this study found that limited caregiver knowledge, poor feeding practices, and inadequate hygiene contribute to malnutrition among children aged 6–30 months in an informal settlement in Nairobi. Using a cross-sectional mixed-methods… Read More
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 examined socio-demographic factors influencing fathers’ acceptance of HPV vaccination for their adolescent daughters in Kenya, where paternal consent is essential but understudied. Using questionnaires from 375 fathers and qualitative interviews with fathers and community health workers, the study… Read More
Prevalence of stress, anxiety, depression, and reported self-esteem among mothers of children with autism spectrum disorder This cross-sectional study assessed the mental health of 246 mothers of children with autism spectrum disorder (ASD), revealing high prevalence rates of psychological distress. Using the DASS‑21 and Rosenberg Self‑Esteem Scale, the study found that 84.1% of mothers experienced depression,… Read More
Aging Alone in the City: Systemic Exclusion, Social Isolation, and Loneliness among Older Refugees in Nairobi, Kenya This study explored the mental health and psychosocial wellbeing of older refugees experiencing protracted urban displacement in Nairobi, Kenya, drawing on focus group discussions with 53 refugees from the DRC, Ethiopia, Somalia, and South Sudan. Using a framework analysis, the… Read More
Association between self-care practices and glycemic control among adults with type 2 diabetes mellitus in Douala, Cameroon: A mixed-methods study This mixed‑methods cross-sectional study assessed how self‑care practices relate to glycemic control among 230 adults with type 2 diabetes attending two hospitals in Douala, Cameroon. Only 21.3% achieved good glycemic control, while most had poor control. Logistic regression showed that… Read More
Determinants of COVID-19 vaccine uptake amongst traders in Wakulima Market, a cross-sectional study in Nairobi City County, Kenya This cross-sectional mixed‑methods study examined factors influencing COVID‑19 vaccine uptake among 353 traders at Wakulima Market in Nairobi, supported by qualitative insights from 30 county health officials. Findings from multiple linear regression showed that contextual, individual, and perceptual factors each… Read More

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Ebola Outbreak in Africa: Strengthening Africa’s Health Security