Community Health Research Papers/Topics

An Analysis of Adolescents'’ Discursive Construction of Sexuality in Nakuru County, Kenya

This thesis is based on an anlaysis of adolsecents’ discursive construction of sexuality. Its main objective is to gain an understanding of the world of adolescents sexuality. Worldwide, studies on sexual behaviour among adolescents indicate that a significant number of adolescents are becoming sexually active at an early age. Whereas it is true that culture and language use fundamentally influence sexuality by creating and communicating values, norms, and expectations regarding sexual rela...

BIRTH ORDER AND CONDUCT DISORDER OF SECONDARY SCHOOL STUDENTS IN NAKURU MUNICIPALITY, NAKURU COUNTY-KENYA

Abstract/Overview The aim of the study was to establish the relationship of birth order and conduct disorders among secondary school students in Nakuru county, Nakuru municipality, Kenya. This study was conducted for both male and female students. A total of 317 students participated. The study had 51.7% males and 48.3% females. Further, 21.5% were first borns, 58% middle and 20.5% were last borns. Study tools included the questionnaire. The study established a statistically significant rela...

TYPHOID AND CHOLERA CHRONICLES: THEIR DUAL EFFECT ON LIFE EXPECTANCY IN DELTA STATE, NIGERIA

This study investigates Typhoid and Cholera Chronicles: their dual effect on Life Expectancy in Delta state, Nigeria. The Cost of Illness Theory serves as the theoretical framework for this study. Data for the research were primarily gathered through questionnaires administered to 345 respondents. Logistic regression models analyzed using Statistical Package for Social Science (SPSS) v23 were employed to test the relationship between the predictors: namely Typhoid (TYR), and Cholera (CHR)...

IODINE IN DRINKING WATER IN THE NORTHERN REGION OF GHANA: ITS RELATIONSHIP TO IODINE DEFICIENCY DISORDERS

Iodine (I) levels in various water sources of the Northern Region of Ghana are related to the underlying geology: the Basement Complex and the Voltaian sediments, and also the occurrence of goitre. Iodine is highest in the underground water(

Prevalence and Factors Associated With the Management of Tungiasis in Ikolomani Sub-County, Kakamega County, Western Kenya

Abstract/Overview Background: Tungiasis is a neglected tropical disease caused by skin penetration by female jigger fleas, predominantly Tunga penetrans, most commonly in resource-limited settings with sub-optimal basic hygiene standards, mainly in developing countries. Objective: We investigated the factors associated with tungiasis management in Ikolomani Sub County, Kakamega County in Western Kenya. Design: Descriptive study using mixed-methods approach, involving clinical observation,...

Adverse Neonatal Complications from Pregnancies Complicated by Gestational Diabetes Mellitus in a Poor Resource Setting, Kenya

Abstract/Overview Gestational diabetes Mellitus (GDM) is a disorder at pregnancy causing insulin intolerance thus contributing to adverse pregnancy outcomes. The aim of this study was to evaluate neonatal outcomes associated with gestational diabetes mellitus among pregnant women with GDM in Kisumu County, Kenya. A case-control study was carried out among 210 pregnant women in Kisumu County. Screening and diagnosis were performed using the 2013 WHO criteria. Data was collected using a che...

Genotypes and Associated Risk Levels of Human Papilloma Virus among Female Patients Attending Rabuor Sub County Hospital, Kisumu

Abstract/Overview Background: Human papillomavirus is the main factor in the etiology of cervical cancer, with over 99.7% of cases being associated with high-risk human papillomavirus infection. Although the majority of HPV infections are asymptomatic and self-limiting, persistent HPV infection can result in genital warts, oropharyngeal cancer, and cervical cancer in women, in addition to various anogenital malignancies and other genital warts in both men and women. Method: This was a cro...

Risk Factors for Gestational Diabetes Mellitus among Pregnant Women Attending Antenatal Clinic in Kisumu City, Western Kenya

Abstract/Overview Background: Globally there is a rapid increase in the prevalence of Gestational diabetes mellitus (GDM) associated with adverse maternal and neonatal outcomes. However, screening for GDM is not part of the standard routine antenatal (ANC) services in Kenya. There is a paucity of data on the factors associated with and predictors of GDM. Therefore, this study sought to determine factors associated with and predictors of GDM among pregnant women in western Kenya. Methods: ...

Home-Based Care Practices and Experiences Influencing Health-Seeking Behaviour among Caregivers of Children Diagnosed with Pneumonia in Endebess Sub-County, Kenya

Abstract/Overview Background Pneumonia continues to be the second leading cause of both morbidity and mortality in children under five years in Kenya. In part, the high burden of the disease arises from delay and inappropriate health-seeking by caregivers. Caregivers delay seeking care at health facilities due to the administration of home-based remedies. Some home remedies may lead to a prolonged hospital stay and, in many cases, result in death. However, little is known about the home-b...

Factors Associated with Pregnancy Occurrence Among Known HIV Positive Women In Rangwe Sub-County, Homa Bay County, Kenya

Abstract/Overview Globally, the proportions of women of reproductive age living with HIV vary between regions, with significantly higher proportions in sub-Saharan Africa. The scale-up of multiple-drug antiretroviral therapy in Africa has changed childbearing dynamics for HIV-positive women, with an impact on pregnancy incidence, although there is little understanding of the factors associated with pregnancy incidence among these women. This descriptive cross-sectional study investigated ...

Determinants of Maternal Health Care Choices among Women in Lunga Lunga Sub County in Kwale County-Kenya

Abstract/Overview Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Provision of safe motherhood is of utmost importance in the reduction of maternal mortality. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. This study explored maternal healthcare choices of expectant mothers in Lunga Lu...

Maternal Health Care Choices among Women in Lunga Lunga Sub County in Kwale County-Kenya

Abstract/Overview Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Provision of safe motherhood is of utmost importance in the reduction of maternal mortality. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. This study explored maternal healthcare choices of expectant mothers in Lunga Lu...

Clinical and Host Related Factors Influencing Prevalence of Tuberculosis in Bumula Sub County, Bungoma County in Kenya

Abstract/Overview Robert Shihuzire Magomere, , Tuberculosis (TB) is an infectious bacterial disease caused by bacillus Mycobacterium tuberculosis. Globally 9.6 million people fell ill with TB and 1.5 million died from the disease in 2014. Bumula Sub-County had 200 patients diagnosed with TB in 2016, with a case notification rate of 454 cases per 100,000 people. The main objective of this study was to establish the clinical and host related factors influencing prevalence of TB in Bumula Su...

Barriers to Access Quality Healthcare Services among Physically Challenged Persons in Gem Sub County, Siaya County

Abstract/Overview Despite the increase in the number of health services provided and Kenya’s commitment to equal access to quality healthcare for all by the year 2030, the physically challenged persons still find difficulty in accessing health services for reasons attributable to health care related factors. This study targeted the physically challenged persons in Gem Sub-county, Kenya. Stratified and systematic random sampling was used to select 108 people with physical disability. Dat...

Perceptions of contraceptives as factors in birth outcomes and menstruation patterns in a rural community in Siaya county, Western Kenya

Abstract/Overview Unmet need for contraception persists in Kenya despite an increase in awareness and availability of family planning services. There is a dearth of information on experiences and perceptions of contraception, specifically related to birth outcomes and menstruation patterns, in western Kenya. The aim of this study was to explore knowledge and perceptions on contraception, menstruation, and birth outcomes. In-depth interviews were conducted with 45 respondents; adolescent g...


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