Publications by authors named "A R Okoko"

What are the consequential socio-spatial vulnerabilities of fragmentation in flood risk governance (FRG) functions in Tana River County, Kenya? To answer the question, this paper utilises social differentiation theory to establish types and consequences of such fragmentation. It applies theoretical patterns and processes of social differentiation to expose that FRG diversification could result in fragmentation of FRG functions. The study employs an interview strategy that focuses on governmental and non-governmental FRG actors.

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Background: Case detection is essential for the management of human African trypanosomiasis (HAT), which is caused by i gambiense. Prior to parasitological confirmation, routine screening using the card agglutination test for trypanosomiasis (CATT) is essential. Recently, individual rapid diagnostic tests (RDTs) for the serodiagnosis of HAT have been developed.

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Human African trypanosomiasis (HAT), despite considerable progress in the control, is still occurring in many countries in both west and central African regions. The HAT situation in the Republic of Congo has always been overshadowed by its neighbor the Democratic Republic of Congo where over 60% of all HAT cases occur. In the Republic of Congo, HAT cases have been significantly reduced to about 20 reported cases yearly and the disease is still prevalent in few foci across the country.

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Background: Based on the premise that Africans in rural areas seek health care from traditional healers, this study investigated a collaborative model between traditional healers and the national Human African Trypanosomiasis (HAT) programs across seven endemic foci in seven central African countries by measuring the model's contribution to HAT case finding.

Method: Traditional healers were recruited and trained by health professionals to identify HAT suspects based on its basics signs and symptoms and to refer them to the National Sleeping Sickness Control Program (NSSCP) for testing and confirmatory diagnosis.

Results: 35 traditional healers were recruited and trained, 28 finally participated in this study (80%) and referred 278 HAT suspects, of which 20 (7.

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