Journal Articles
Permanent URI for this communityhttp://41.89.31.6:4000/handle/123456789/313
Welcome to Journal articles community
Browse
5 results
Search Results
Item Understanding The Socio-Economic Determinants of Family Planning Service Utilization Among Women of Reproductive Age In Eldas Sub-County: A Mixed-Methods Study(KeMU, 2024-06) Mohamed, Sulekha; M’mayi, Consolata; Nyavanga, EuniceThis study investigates the socio-economic factors influencing the utilization of family planning (FP) services among women of reproductive age (15-49 years) in the Eldas sub-county. Utilizing a mixedmethods research approach, quantitative data were collected through structured surveys administered to a representative sample of women. Additionally, qualitative insights were gathered through in-depth interviews with key stakeholders. The findings reveal significant associations between various socioeconomic variables and FP service utilization. Marital status and age emerged as contributors, with women aged 36-45 demonstrating higher utilization rates compared to younger age groups, and widowed women exhibiting greater propensity to utilize FP services compared to their married counterparts. Educational background and employment status were also found to be statistically significant predictors of FP service utilization, with educated and employed women demonstrating higher likelihoods of utilizing FP services. Moreover, the number of children, involvement in polygamous marriages, and discussion about birth control with partners were identified as key factors influencing FP service utilization. These findings underscore the importance of addressing socio-economic disparities and promoting educational and economic empowerment initiatives to enhance FP service utilization among women in the Eldas subcounty. Policy and programmatic interventions targeting these factors are recommended to improve reproductive health outcomes and empower women in making informed decisions about their reproductive health.Item Effect of Health System Factors on Uptake and Utilization Of Linda Mama Initiative in Kajiado North Sub-County, Kenya(International Journal of Social Sciences and Information Technology, 2024-07) Kendagor, Lydia; Nyavanga, Eunice; M’Mayi, ConsolataMaternal mortality continues to pose a significant public health challenge, with over 300,000 women losing their lives annually during childbirth. In response, policymakers have implemented free maternal healthcare services as a crucial policy intervention. In June 2013, the Kenyan Government introduced the Linda Mama healthcare service, exempting maternal services from user fees across all public health facilities. The primary objective was to encourage skilled delivery and ultimately reduce pregnancy-related mortality. Despite these efforts only 26 percent of mothers In Kajiado North Sub-county aged 19 to 40 had enrolled for the Linda Mama service, falling below both the national average of 61.5 percent and the government's target of 100 percent. We conducted a study to investigate the barriers to uptake of the Linda Mama initiative and utilization of services offered under the initiative. The proportion of uptake of Linda Mama Programme, how socio-demographic, knowledge & perceptions and health system factors affect the uptake of the Linda Mama Initiative were the specific objectives. This paper presents findings from a cross-sectional study conducted between 2018 and 2020 in Kajiado North Sub-County, involving 551 participants. Descriptive statistics were employed, alongside the Chi-Square test for inferential statistics. Correlation analysis was used to explore how health system factors have influenced the uptake and utilization of the Linda Mama service. The results reveal that respondents were generally aware of the government's policy on free maternal healthcare. However, significant gaps persist in terms of infrastructure development, the ratio of health workers to patients, timely provision of essential supplies, and the long distances to health facilities. These findings underscore the urgent need for increased investment in infrastructure, as well as financial and human resource allocation to the healthcare sector within County Governments.Item Understanding the Socio-Economic Determinants of Family Planning Service Utilization among Women of Reproductive Age in Eldas Sub-County: A Mixed-Methods Study(Academic Journal of Health Systems and Reform (AJHSR), 2024-06) Sulekha, Mohamed,; M’may, Consolata; Nyavanga, EuniceThis study investigates the socio-economic factors influencing the utilization of family planning (FP) services among women of reproductive age (15-49 years) in the Eldas sub-county. Utilizing a mixed- methods research approach, quantitative data were collected through structured surveys administered to a representative sample of women. Additionally, qualitative insights were gathered through in-depth interviews with key stakeholders. The findings reveal significant associations between various socio- economic variables and FP service utilization. Marital status and age emerged as contributors, with women aged 36-45 demonstrating higher utilization rates compared to younger age groups, and widowed women exhibiting greater propensity to utilize FP services compared to their married counterparts. Educational background and employment status were also found to be statistically significant predictors of FP service utilization, with educated and employed women demonstrating higher likelihoods of utilizing FP services. Moreover, the number of children, involvement in polygamous marriages, and discussion about birth control with partners were identified as key factors influencing FP service utilization. These findings underscore the importance of addressing socio-economic disparities and promoting educational and economic empowerment initiatives to enhance FP service utilization among women in the Eldas sub- county. Policy and programmatic interventions targeting these factors are recommended to improve reproductive health outcomes and empower women in making informed decisions about their reproductive health.Item Association between Family History and Hypertension among the Patients in Nairobi:(Stratford Peer Reviewed Journals & books, 2021-11) Oirere, Moseti; Nyavanga, Eunice; Gisemba, BeatriceHypertension is an important public health issue globally. With the global prevalence of hypertension being 40%, Africa ranks the highest with a prevalence of 46%. The high burden in developing countries is attributable to the high levels of risk factors. In Kenya, 20-30% of adults had hypertension in 2013. However, there is little information on the prevalence of hypertension and its association with family history as its risk factor among adult patients seeking medical care in Nairobi. The primary goal of this study was to determine the association between family history and hypertension among adult patients at Mbagathi Hospital. Fisher's formula was used to determine the sample size which was composed of 384 respondents while systematic random sampling was used to select the study participants. The study adopted a cross-sectional, descriptive study design. Data collection included the use of a questionnaire that included both open and closed-ended questions given to each participant with each being allowed to exercise informed consent before responding to questions. Descriptive statistics mainly means and percentages were used to analyze data. Inferences were made using the chi-square statistic. Statistical significance was set at P <05. Patients with hypertensive parents had a high prevalence of hypertension (42.2%). A significant connection between family history and hypertension (p=0.017) was discovered using a statistical chi-square test while 69.9% of the participants had a family member who had hypertension. Family history was an associated risk factor for hypertension; respondents who had a family member with hypertension and mostly those with a hypertensive mother were more likely to be hypertensive.Item Socio Cultural and Regimen Related Factors Influencing Adherence to Antiretroviral Therapy Among Youth (15-24 Years) in Selected Health Facilities in Nyeri County.(International Journal For Research In Health Sciences And Nursing, 2020-10) Irakoze, Huguette; Nyavanga, Eunice; Juma, RoseThe number of youths living with HIV is rising globally. In Nyeri County, the prevalence of HIV is reported to be 5.1% and viral load suppression is 77.1%. Adherence continues to pose a serious challenge among the youth receiving antiretroviral therapy; barriers include dosing schedules, pill burden stigma, denial, lack of social support and drug adverse side effect. The study aimed at assessing the socio cultural and regimen related factors influencing adherence to antiretroviral therapy among youth (15-24 Years) in selected health facilities in Nyeri County. A descriptive cross sectional research design was adopted, 227 young people (15-24 years) living with HIV on antiretroviral therapy for more than 6 months were selected from Karatina district hospital, Nyeri referral hospital, and Tumutumu PCEA. Study sites were purposive sampled and the participants were sampled using probability proportionate to size. Quantitative data was collected using structured questionnaires while qualitative data was collected from two focused group discussion (FGD). Qualitative data was analysed using both descriptive and inferential statistical techniques, qualitative data was analyzed using thematic analysis approach. From the results, 115 were females while males were 112. Majority (159) were between the ages of 18-24 years, 215 were single with 155 having attained secondary school education. Most (221) had started medication before 15 years of age. Many (153) were virally suppressed, 135 were supported by the family and community, 96 had not experienced stigma and 151 had not denied their HIV infection status. Community, friends and family support, stigma, denial were significantly associated adherence to ART (<0.05). Regimen related results depicted that (61.8%) took 2 pills per day, 22.4 % more than 2 pills while 15.8 % took only one pill. Further, 29.1 % felt the drug burden while 18.5% reported side effects from the treatment. The number of pills per day was shown to be significantly associated with adherence (p=0.04). The study recommends concerted effort between the patients, family, community, health care providers and policymakers in Nyeri County to reduce stigma and denial. School management should create an enabling environment to help students take drugs regularly and privately. The Ministry of Education to develop strategies and guidelines as part of school-based support systems for HIV infected youth. Acceptance of status and disclosure necessitates good preparation through counselling and support to navigate ongoing challenges due to the lifelong treatment of the HIV. The county needs to strengthen Operation Triple Zero strategy in order to realize 90-90-90 UNAID targets.