Publications by authors named "Dickens S O Aduda"
Background: Tuberculosis program effectiveness is majorly measured by disease severity and treatment response without integrating patient perspectives. Yet, it's a critical dimension in clinical decision-making that enhances health worker-patient interactions and increases individuals' sustained engagement with treatment, thereby benefiting the people affected and the wider public by mitigating the infection risk. This study assessed the lived experiences of persons affected by tuberculosis who were on treatment in Nairobi County, Kenya.
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- The study aimed to assess survival rates and identify factors related to mortality in tuberculosis (TB) patients in Vihiga County, finding a notable mortality rate of 15% among 291 patients examined.
- Using statistical methods like Kaplan-Meier for survival probability and Cox proportional hazard model for predictors, key risk factors included comorbidities, severe illness, HIV infection, and smoking, significantly affecting mortality rates.
- Results indicated a higher death rate in HIV-positive patients (27%) compared to HIV-negative ones (9%), highlighting the urgent need for targeted interventions and better healthcare management for these vulnerable groups.
Background: Despite robust Tuberculosis (TB) program with effective chemotherapy and high coverage, treatment interruption remains a serious problem. Interrupting TB treatment means that patients remain infectious for longer time and are at risk of developing drug resistance and death. This study was conducted to identify and describe predictors of TB treatment interruption.
View Article and Find Full Text PDFBackground: Globally, pneumonia accounted for 16% of deaths among children under 5 years of age and was one of the major causes of death overall in 2018. Kenya is ranked among the top 15 countries with regard to pneumonia prevalence and contributed approximately 74% of the world's annual pneumonia cases in 2018. Unfortunately, less than 50% of children with pneumonia receive appropriate antibiotics for treatment.
View Article and Find Full Text PDFBackground: Human resource capacity is vital to the scale-up of voluntary medical male circumcision (VMMC) services. VMMC providers are at risk of "burnout" from performing a single task repeatedly in a high volume work environment that produces long work hours and intense work effort.
Methods And Findings: The Systematic Monitoring of the Voluntary Medical Male Circumcision Scale-up (SYMMACS) surveyed VMMC providers in Kenya, South Africa, Tanzania, and Zimbabwe in 2011 (n = 357) and 2012 (n = 591).
Objectives: To identify by type and sensitivity to drugs the bacteria found in ears of school-going children with chronic otitis media in Garissa district.
Study Design: This was a descriptive prevalence study of CSOM bacterial flora in eligible ears conducted among a cohort of children attending public and private primary as well as Islamic religious schools, screened for chronic ear discharge in Garissa district, Kenya. Procedure and bacteriological techniques: We used sterile swab-sticks to collect a specimen of the discharge from eligible ears of consenting pupils at the induction stage of the zinc supplementation trial for treatment of chronic suppurative otitis media conducted between January and July 2010.