Introduction: Children growing up in arid and semi-arid regions of Sub-Saharan Africa (SSA) face heightened risks, often resulting in poor developmental outcomes. In Kenya, the arid and semi-arid lands (ASAL) exhibit the lowest health and developmental indicators among children. Despite these risks, some children grow up successfully and overcome the challenges.
View Article and Find Full Text PDFBackground: Engaging fathers(to-be) can improve maternal, newborn, and child health outcomes. However, father-focused interventions in low-resource settings are under-researched. As part of an integrated early childhood development pilot cluster randomised trial in Nairobi's informal settlements, this study aimed to test the feasibility of a text-only intervention for fathers (SMS4baba) adapted from one developed in Australia (SMS4dads).
View Article and Find Full Text PDFBackground: Evidence is needed to understand factors that influence child development and caregiving experiences, especially in marginalized contexts, to inform the development and implementation of early childhood development (ECD) interventions. This study explores caregiving practices for young children in an urban informal settlement with Kenyans and embedded refugees, and identifies factors shaping these caregiving experiences, to inform the design and development of potentially appropriate ECD interventions.
Methods: A qualitative formative study, which included 14 focus group discussions (n = 125 participants), and 13 key informant interviews was conducted between August and October 2018.
Children in urban informal settlements experience high risks for poor health and development. Understanding health seeking behaviors and childcare patterns of caregivers in urban informal settlements is important for devising effective interventions. This study describes household characteristics and aspects of nurturing care among caregivers of children aged 0-2 years in Dagoretti informal settlement, Nairobi-Kenya.
View Article and Find Full Text PDFMaterials (Basel)
December 2022
Sulfate attack in concrete structures significantly reduces their durability. This article reports the experimental findings on the effects of sodium sulfate on limestone calcined clay cement (LC) in an alternate wet and dry media. The samples underwent wet-dry conditions of 28 cycles.
View Article and Find Full Text PDFBackground: Community engagement is crucial for the design and implementation of community-based early childhood development (ECD) programmes. This paper aims to share key components and learnings of a community engagement process for an integrated ECD intervention. The lessons shared are drawn from a case study of urban informal settlement with embedded refugees in Nairobi, Kenya.
View Article and Find Full Text PDFThe emergence of COVID-19 has profoundly affected mental health, especially among highly vulnerable populations. This study describes mental health issues among caregivers of young children and pregnant women in three urban informal settlements in Kenya during the first pandemic year, and factors associated with poor mental health. A cross-sectional telephone survey was administered to 845 participants.
View Article and Find Full Text PDFOver 250 million children in low- and middle-income countries are at risk of not achieving their fullest developmental potential due to co-occurring risks such as poor nutrition and inadequate learning opportunities. Early intervention programs integrating the aspects of nurturing care, that is, good health, adequate nutrition, safety and security, responsive caregiving, and learning opportunities, may ameliorate against the negative impact of these adverse conditions. This meta-analytic review updates the evidence base of parenting interventions comprising stimulation and responsive caregiving components on developmental outcomes for children under age 2 years in low- and middle-income countries.
View Article and Find Full Text PDFIn this work, the factors controlling the fresh state properties of limestone calcined clay cement (LC) are assessed and compared to Portland and binary cements, extending the scope of previous research by combining rheological measurements with setting time determination and the evaluation of plastic shrinkage by a novel method. Yield stress and elastic modulus are considered indicators for the structural build-up/breakdown process when stress is applied to the system. On the other hand, plastic shrinkage occurs from the mixing to the setting of fresh paste and plays an important role in governing microstructural changes due to settlement and evaporation.
View Article and Find Full Text PDFConventional binders in the particleboards formulation involve use of formaldehyde resins. Epidemiologic studies show that formaldehyde is carcinogenic. Efforts to reduce formaldehyde emissions by use of scavengers has not been proven to reduce the emission.
View Article and Find Full Text PDFMost of concrete structural failures are attributed to poor workmanship and poor engineering designs. Some microorganisms present in sewer systems can degrade the concrete and/or mortar. Concrete failures due to microbial attack has not attracted much attention especially in developing countries such as Kenya.
View Article and Find Full Text PDFThis paper presents the findings of an experimental investigation on optimizing pozzolanic activity of a blend of Rice Husks (RH), Spent Bleaching Earth (SBE) and Broken Bricks (BB) to form pozzolana that would have pozzolanic activity comparable to natural pozzolanas. Four ratios of RH, BB, and SBE were burnt in the Fixed Bed Kiln (FBK). The starting ratio had 20 kg of RH, 0 kg of BB and 4 kg of SBE.
View Article and Find Full Text PDFThe purpose of this study was to introduce the principles of initial hospital assessment and treatment of injured patients, tailored to the facilities and resources available in Nigeria. A 3-day didactic and laboratory course was presented by four trauma surgeons. The didactic session stressed the initial assessment and treatment of injured patients.
View Article and Find Full Text PDFTheor Appl Genet
January 1974
The main purpose of the study was to use the skin allograft reaction as a possible biological tool to estimate genetic diversity (inbreeding) in a population and to determine the relative influence on the B locus blood group locus on variation in graft rejection. In chickens, the B locus is the major histocompatibility system. One outbred and five inbred lines were used in 12 skin grafting experiments.
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