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Item Level of Awareness and Utilization of Sexual and Reproductive Health Services among Adolescents in Secondary Schools in Turkana South Sub- County, Turkana County, Kenya(International Journal of Professional Practice (IJPP), 2024) Lobolia, William Abong; M’mayi, Consolata; Kyulu, TeresiaAdolescence is a time when teenagers exhibit rapid growth and development that is mainly characterized by emotional, sexual, cognitive, and physical changes. Therefore, when attention is accorded to enlighten them on these changes, they are able to cope amicably. However, there has been persistent reproductive health problems among adolescent secondary school students. The purpose of the study was to examine the level of awareness and utilization of sexual and reproductive health services among adolescents in secondary schools in Turkana South Sub- County, Turkana County, Kenya. The study used descriptive cross-sectional design. The target population was 2,748 male and female adolescents aged 15-19 years attending 14 secondary schools in Turkana South Sub County. Simple random sampling method was used to select 337 respondents, who answered to the questionnaire. The sample was between 10-30% of the population as recommended by Mugenda and Mugenda (2003) for a population below 10,000. Pilot test was conducted on 34 adolescents in Loturerei Mixed Day Secondary School in Turkana central. Cronbach alpha coefficient was used to measure reliability, while construct and content validity were ensured. Descriptive statistics such as frequencies and percentages and inferential statistics such as Chi-square were to analyze the data. Results were presented using tables and explanations. Results indicated that most respondents had little or no knowledge of adolescent sexual reproductive health programs, with only 15.58 percent of the 337 respondents acknowledging to be aware of services offered under the program. The study concluded that referrals from trusted sources, including professionals and peers, were highly effective in encouraging healthcare utilization. However, written materials and school noticeboards had limited impact, suggesting the need for more interactive and targeted awareness strategies. The study, therefore recommended a series of comprehensive awareness campaigns to sensitize adolescents on reproductive health programs and services.Item Proposed Solutions to Address the Challenges of Medical Waste Management in Health Facilities in Kamukunji Sub- County, Nairobi City County, Kenya(Stratford Peer Reviewed Journals and Book Publishing, 2022-03) Mbuvi, Caxton K.; Kyulu, Teresia; Makobu, KimaniMedical waste management in Kenya has been greatly affected by the country's elevated production levels. The majority of medical facilities do not have an extensive medical waste management system, or if they do, they do not handle waste thoroughly, and therefore is detrimental to humans and the environment. This research focuses on health facilities’ management of medical waste in Kamukunji sub-county, assessing the specific problems of medical waste management in that area. This was a study focusing on healthcare workers, their working conditions and habits. This study was an analytical cross-sectional study design. Multistage sampling methods for the selection of 10 health facilities and 141 study participants. The R square was 0.746, indicating that medical waste management was harmed by a lack of funding, insufficient logistics, a lack of disposal sites, and a lack of understanding. This demonstrated a 74.6 percent variance in healthcare waste management due to a lack of funding, insufficient logistical supply, a lack of disposal site, and a lack of awareness. The remaining 25.4% implies that there were additional issues affecting the healthcare waste management systems of the ten health facilities evaluated. By explicitly identifying a given color with a certain category and its accompanying hazard, segregation aids to make waste processing safer. During the research period, Pumwani Maternity Hospital generated the most medical waste (80Kg) and Bahati Health Center generated the least (15Kg). The study concludes that periodic updates in medical waste management are necessary, as is refresher training for healthcare professionals and waste handlers. Additionally, it is advised that each health care facility have a safe and hygienic system in place for the handling, segregation, c collection, storage, transportation, treatment, and disposal of medical waste. All health facilities in Kenya, the study states, should adhere to the National Policy on Injection Safety and Medical Waste Management (2007). The 2007 strategy aims to emphasize the need of advocating for both the support and execution necessary to adequately manage healthcare waste.