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Recent Submissions
Experiences in Care Given During Child Birth at a Referral Hospital in Kenya
(Global Journal of Biology, Agriculture & Health Sciences, 2016-03) Kabo, J. W.; Karani, A.; Oyieke, J; Wakoli, A. B.; Cheruiyot, B.
The fifth Millennium development Goal (MDG) calls for a reduction in the maternal mortality ratio (MMR) by 75%
between 1990 and 2015, with a key indicator being the proportion of births attended to by skilled health personnel,
(United Nations, 2007). In Kenya the MMR is 400 and has made insufficient progress towards improving maternal
health, (UNICEF, WHO, World Bank, 2013). According to KDHS (2014), the proportion of skilled birth attendance is
46.5%, while in Kenya it is 62% against an MDG target of 90%. According to Zaers S., et al., (2008), prior experience in
delivery care by skilled attendants affects their subsequent use of these services. In Africa little research has been carried
out on the experiences of mothers in facility-based delivery care. This study was therefore set to describe the experiences
of women during labour and delivery at a referral hospital in Kenya
This was a cross sectional descriptive study that focused on experiences of delivery care by postnatal mothers at a
referral hospital in Kenya. Systematic random sampling from a sampling frame of 327 was employed to recruit post-natal
mothers who delivered in labour ward and four postnatal wards. A total of 109 participants were recruited into the study.
Views and experiences of recently delivered women were elicited using a five-point Likert scale questionnaire focusing
on four dimensions of participants’ intrapartum experience. Data was analyzed using ANOVA. Research results were
presented in frequency distribution tables, graphs and charts. P-values were used to determine the statistical significance
of the results obtained.
Most participants (87.7%) agreed that they were treated with respect, accorded privacy and asked to consent, prior
to the initiation of the procedures. A single aspect of communication, namely health provider explanation of health status
with understandable terms was poorly rated (mean 1.8 to 2.2) as was the level of genuine interest in patient well-being
(mean = 1.7 to 2.0) which was significant in the study. Most participant (n = 102(93.6%) said they would recommend
delivery services at KNH to friends or family, although 6% of them said they would not recommend.
Majority of the participants had a positive experience of quality in delivery care. This was evidenced by the fact that
majority of then stated that they would come to deliver in the same institution again or recommend a relative or friend.
Aspects of care such as health providers communicating to clients in understandable terms and showing genuine interest
in patients wellbeing was rated poorly.
Institutional factors such as inadequate space and shortage of staff were also noted to be significantly contributing to
negative experience of delivery care in the study
EXCLUSIVE BREASTFEEDING PRACTICE: ITS IMPLICATION ON NUTRITION STATUS, GROWTH AND MORBIDITY PATTERN AMONG INFANTS AGED 0-6 MONTHS
(Global Journal of Biology, Agriculture & Health Sciences, 2024-03) Ayisi, R. K.; Wakoli, A. B.
Breast-feeding is an important determinant of a child’s nutritional status that eventually influences his/her growth and
development. This study sought to assess the exclusive breastfeeding rate and determine its association with nutrition status,
growth and morbidity pattern among infants aged 0-6 months in a peri urban settlement of Kangemi-Nairobi County, Kenya.
A descriptive cross-sectional study was conducted. A random sample of 334 infants was studied. Data collection tools and
methods included a semi-structured questionnaire and anthropometric measurements. A chi-square test was used to find
associations at a significance level of 0.05. Findings showed that over a half (52.7%) of study infants were girls and almost a
half (47.3%) were boys. The mean age was 3±1.8 months. The exclusive breastfeeding rate was 45.5% and it was associated
with growth and stunting (9.3%) among study infants. Wasting (3.1%), underweight (4.5%) and morbidity pattern were not
related with exclusive breastfeeding.
DETERMINANTS OF EXCLUSIVE BREASTFEEDING FOR SIX MONTHS IN A PERI URBAN SETTLEMENT OF KANGEMI: A QUALITATIVE APPROACH.
(European International Journal of Science and Technology, 2016-12) Robert Kangwana Ayisi; Faith Thuita; Erastus Njeru; Albert Burudi Wakoli
Exclusive breastfeeding for six months is the most effective preventive intervention for ensuring child
survival. However, uptake of exclusive breastfeeding remains a challenge. This study aimed at investigating
factors that enable some mothers to practise exclusive breastfeeding for six months successfully. The study
was conducted in Kangemi of Nairobi city county, Kenya. It utilized qualitative methods to elicit information
from participants. These were focus group discussions, key informant interviews and case studies to explore
on factors that enabled them to exclusively breastfeed for the recommended six months. Data were analysed
using Atlas-Ti program. The study findings showed that, support from health care providers, community
health workers and significant others like husband and mothers in-law promoted the practice of exclusive
breastfeeding. Further, availability of the mother, modification of work pattern and self-determination were
key to the success of exclusive breastfeeding.
ADEQUACY OF POSTNATAL CARE EDUCATION GIVEN TO MOTHERS PRE DISCHARGE IN HEALTH FACILITIES IN NAIROBI COUNTY
(ADEQUACY OF POSTNATAL CARE EDUCATION GIVEN TO MOTHERS PRE DISCHARGE IN HEALTH FACILITIES IN NAIROBI COUNTY, 2016-05) Immaculate Wambui Kamau; Peter K. Njoroge; Joyce Olenja; Albert Burudi Wakoli
Appropriate care for mother and newborn during postnatal period is vital to preventing complications and
deaths that occur immediately after child birth. This study investigated adequacy of postnatal education
provided by health workers to postpartum mothers prior to discharge in various health facilities in Nairobi
County. A descriptive cross-sectional study was used. A sample of 422 mothers was selected from 18 health
facilities. Semi-structured questionnaires were used for data collection. The Test of Functional Health
Literacy in Adults (TOFHLA) was used to determine adequacy of knowledge. Chi-square test was used to
find associations at a significance level of 0.05. From the study findings, less than a half (49%) of mothers
had adequate knowledge. Evaluation of knowledge on components of postnatal care education indicated
mothers’ knowledge on breast feeding components as highest with a mean of 74.8±28.7 and knowledge on
baby care components as lowest with a mean 54±11.
Integrated Resistivity Techniques for Groundwater Potential Evaluation in Matuu, Machakos County, Kenya.
(Journal of Multidisciplinary Engineering Science and Technology (JMEST), 2016-01) Odero Evance O.; K’Orowe Maurice O; Githiri John G; Munyithya James
In order to evaluate groundwater
potential of Matuu-Kilango area an understanding of its
subsurface formations and associated geo-electric
parameters was critical alongside delineation of faults
and fractures which are groundwater conduits. Earlier
use of geological reconnaissance report only or none at
all in siting boreholes has led to recorded cases of
borehole failure in Matuu. Integrated resistivity survey
involving Wenner and Schlumberger array techniques
was applied over a 25 square kilometre area with an aim
of locating groundwater aquifer and the associated
characteristic and geometry. Control resistivity
measurement was conducted adjacent to existing
boreholes to synchronize resistivity results with
borehole logging report. Qualitative interpretation
involving generation of contour maps for resistivity
values from Wenner array was attempted and an
anomalous low resistivity zone was observed at the
western part of Matuu-Kilango area. Inversion results
from vertical electrical soundings were obtained using
IPI2Win software giving three to four layered geo
electrical sections having the inferred aquiferous layer
in between resistive black top soil and hard gneiss
basement. Fractured/faulted zone was identified to the
west of Matuu-Kilango area with the inferred aquifer
existing at about 100 meters depth having general
orientation of South-East to North-West and an average
width of 1500 meters. Along the faulted zone were
prevalent increasing values of transverse resistance as
well as longitudinal conductance calculated from
resistivity sounding results, an indication of availability
of groundwater resource.