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Recent Submissions

Digital Health Tools And Technologies Dimensions For Equitable Access To Health, Including Universal Health Coverage In Developing Economies
(United States International University-Africa, 2022-10-22) Wambua, Ruth N.
Despite the growing global recognition of digital health’s potential, there remains a lack of comprehensive, context-specific models to guide integrations that support equitable access of health interventions, particularly in resource-limited settings. This chapter draws lessons from Makueni, a resource-limited county in Kenya, where digital health tools and technologies, services, programmes, and information systems influence on equitable access to healthcare was explored to develop and validate a digital health model for equitable access to Universal Health Coverage (UHC). A structured questionnaire with closed-ended questions was employed for data collection, and logistic regression was employed for data analysis. From the study findings, access and availability of digital health interventions, including services, programmes, information systems, and digital health tools and technologies, influence equitable access to healthcare, with demographic factors moderately influencing the relationship between digital health and equitable access to UHC. Generalizable to Kenya and beyond, digital health interventions should align with the target population, for impactful healthcare and acceleration of UHC.
Digital Learning Strategies Within Universities In Developing Countries: A Systematic Literature Review
(International Journal of Research Publications, 2023-01-22) Wambua, Ruth N.
The purpose of this study is to provide a comprehensive systematic literature review of digital learning strategies within universities (institutions of higher learning) in developing countries. Further, the paper seeks to identify gaps for further research, as well as point out future research agenda for digital learning strategies within universities in developing countries. A structured literature review method was used in this study. Journal articles published between year 2011 and 2021 were reviewed to inform this study. A total of 16 articles were identified and reviewed. From the findings, strategies for digital learning are not to be ignored for optimal delivery of digital learning both for the student and for the instructor. Future research should leverage big data produced from the use of the learning platforms and investigate how the incorporation of advanced learning technologies could advance institutional value
Attitude Towards Utilization Of Family Planning Services Among Women Of Reproductive Age Living With Disability In Kajiado County, Kenya
(Int J Community Med Public Heal, 2021-07-17) Makau, Perrista M; Keraka, Margaret N.; Kieru, Jane N.; Matoke, Vincent O.; Okari, Geoffrey M.
ABSTRACT Background: Family planning refers to practices that allow people to control the number of children and determine healthy spacing and timing of births between pregnancies. Approximately 10 percent of the world's population experience some form of disability. Worldwide, the most vulnerable groups include women with disabilities who highly need contraception most. The objective of this study was to assess the nature of attitude associated with utilization of family planning services among women living with disabilities in Kajiado County, Kenya. Methods: A descriptive cross-sectional study design was adopted with both quantitative and qualitative data collection methods applied. The study systematically sampled 316 women living with disability. Additional information was obtained from Focused Group Discussions. Required ethical clearance and permissions were sought prior to the study. Descriptive data and inferential statistics were analyzed through use of SPSS version 20.0. Results from focused group discussions were triangulated with quantitative data as direct quotes. Results: Only 32.0% of women living with disability utilized family planning in Kajiado County. About 61.2% of them had a negative attitude towards family planning. The nature of attitude (p=0.001) was significantly associated with utilization of family planning. Conclusions: The nature of attitude towards family planning among women with disability in Kajiado County was negative. Approximately 6 out of 10 women of reproductive age with disability had a negative attitude towards family planning. There is need to for policy makers and relevant stakeholders to dispel myths, misconceptions and religious beliefs associated with underutilization of family planning thus changing their nature attitude towards family planning
Health System Factors That Influence Health Seeking Behavior Associated With Prostatism among Men above 40 Years in Nyamira County
(The International Journal of Science & Technoledge, 2019-11-30) Matoke, Vincent O.; Keraka, Margaret; Gachau, Albert; Warutere, Peterson
Abstract: Background: Prostatism refers to obstruction of the bladder neck due to an enlargement of the prostate as men ages leading to urinary difficulties. Prostatism symptoms are majorly irritative and obstructive. The obstructive ones include hesitancy, the need to initiate micturition and a weakened urinary stream while the Irritative ones which are usually more troublesome to patients includes urgency, frequency as well as nocturia. This study was cross sectional study which was conducted at Nyamira County. Objective: The study sought to establish Health system factors that influence health seeking behavior associated with Prostatism among men above 40 years in Nyamira County. Materials and methods: The study adopted a descriptive cross-sectional community study design. The study utilized qualitative and quantitative research methods in order to obtain the required information from respondents. Quantitative data collection was done by use of open and closed ended questionnaires while qualitative data was collected through focused group discussions with adult Men. Confidentiality of information collected was observed and consent was sought from the respondents before collecting any form of information from them. A total of 387 respondents from 18 villages representing 3 villages from six sub locations of Nyamira south and Masaba wards that were randomly selected, were interviewed representing 91.7% response rate. The tools that the researcher used included questionnaire, interview schedule, pens and pencils. Descriptive data was analyzed with the aid of the Statistical Package for Social Sciences (SPSS) version 20.0 with the help of Microsoft Excel programme to generate frequency tables, graphs and pie-charts. Inferential statistics was calculated using Chi-Square tests (p=0.005) done at 95% confidence level to determine the linkage between the Variables. Results: The study found that the overall uptake level of Prostatism services was 12.1%. Chi-square analysis revealed significant relationship between cost of screening (0.001), having medical insurance (0.001), reception and quality of care (0.01), distance to health facility (0.001) and uptake of Prostatism services. Conclusion: The study findings revealed a low uptake of prostatism services. The findings of this study will help policy makers, facility administrators and care providers to shape comprehensive healthcare policies and programs targeting Prostatism services. This will help come up with a policy specifically addressing health system factors that affect uptake of prostatism services
Influence of Male Targeted Short Message Service on Uptake of Family Planning Among Spouses in Marsabit County, Kenya
(International Journal of Community Medicine and Public Health, 2024-09-20) Matoke, Vincent O.; Gitonga, Eliphas M.; Owaka, Isaac O.; Okari, Geoffrey M.; Mutabazi, Michel
ABSTRACT Background: Family planning helps in regulating the number of children and determine healthy spacing and timing of births between pregnancies. The global contraceptive prevalence stands at 49.0%, Sub-Saharan Africa at 29.0%, Kenya at 56.9% while in Marsabit County at 5.6%. Male spouse involvement on matters of family planning deserves attention. This study aimed at establishing the influence of male targeted short message service on uptake of family planning among female spouses in Marsabit County, Kenya. Methods: A pre-test and post-test quasi experimental study design was adopted involving randomly selected 220 couples from Laisamis and Moyale sub-counties. Intervention of male targeted short message service was offered to male spouses from Moyale sub-county for a period of 4 months. A questionnaire was used to collect data. Quantitative data analysis was done using SPSS. All the required ethical and logistical considerations followed. Results: At baseline level of uptake was overall 14.3%, control 13.2% and intervention 15.4% while at endline overall 30.2%, control 20.4% and intervention 39.5%. Further results revealed that uptake of family planning was increased by use of short message service. Conclusions: The study concluded that the level of uptake was low but with SMS intervention uptake significantly increased. The Ministry of Health should consider integrating male targeted short message service intervention in provision of family planning services to increase uptake