Research Papers – Page 2 – Amref Health Africa

Process evaluation of enhanced community health system activities to improve detection and management of acute malnutrition in Samburu County, Kenya This qualitative process evaluation examined the implementation of an enhanced community health systems programme for acute malnutrition management in Samburu County, Kenya. Findings showed that training, mentorship, improved reporting tools, and savings and loan associations strengthened the knowledge, confidence, motivation,… Read More
Influence of age and sex on length of stay among COVID-19 patients at Kenyatta National Hospital Infectious Disease Unit, Kenya This retrospective cohort study of 558 COVID-19 patients admitted to Kenyatta National Hospital’s Infectious Disease Unit during the first pandemic wave found a median hospital stay of 7.5 days. While older age was associated with higher mortality, neither age nor… Read More
SARS-CoV-2 antibody response among people living with HIV: Insights from a serological study in Kenya This secondary analysis of a cross-sectional serological survey among 4,031 people living with HIV (PLHIV) in Kenya found that full COVID-19 vaccination and viral suppression were strongly associated with higher SARS-CoV-2 antibody responses. Individuals who were fully vaccinated were over… Read More
Prevalence of depression, anxiety, and stress and associated risk factors among young adults in Mathare slums, Nairobi County, Kenya This cross-sectional study among 404 young adults (18–29 years) in Mathare slums, Nairobi, found high levels of mental health challenges, with anxiety affecting 43.1% of participants and depression and stress each affecting 32.2%. Mental health outcomes were significantly associated with… Read More
Midwives’ competence and confidence in Kenya: A sequential explanatory study design This mixed-methods study examined midwives’ competence and confidence in Kenya and found that direct-entry diploma midwives and those working in tertiary hospitals reported higher competency, particularly in labour and childbirth care. Key factors influencing competency included quality of training, mentorship,… Read More
Leveraging remnant viral load samples for SARS-CoV-2 antibody seroprevalence trends among PLHIV in Kenya, February 2021–October 2022: a cross-sectional surveillance survey From March 2020 to November 2022, Kenya had seven COVID-19 waves with over 339,000 cases and nearly 5,700 deaths. Vaccination started in March 2021, and by October 2022, about a third of the population had at least one dose. Of… Read More
Leveraging remnant viral load samples for SARS- CoV- 2 antibody seroprevalence trends among PLHIV in Kenya, February 2021–October 2022: a cross- sectional surveillance survey A nationwide surveillance study in Kenya assessed SARS‑CoV‑2 antibody prevalence among people living with HIV (PLHIV) on ART using remnant viral load samples collected between February 2021 and October 2022. Results showed a sharp increase in seroprevalence from 16.1% to… Read More
Strategic Health Purchasing as an Enabler of Health Systems Resilience in Fragile States: Evidence from South Sudan This brief calls for strengthening governance, aligning SHP with realistic national priorities, reforming provider payment and contracting mechanisms, bolstering data systems, and mobilising domestic resources to reduce donor dependency even as the country prioritises making progress towards achieving Universal Health… Read More

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Ebola Outbreak in Africa: Strengthening Africa’s Health Security