Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya.

Background: Estimating accessibility gaps to essential health interventions helps to allocate and prioritize health resources. Access to blood transfusion represents an important emergency health requirement. Here, we develop geo-spatial models of accessibility and competition to blood transfusion services in Bungoma County, Western Kenya.

Influence of global climate on freshwater changes in Africa's largest endorheic basin using multi-scaled indicators.

The poor investments in gauge measurements for hydro-climatic research in Africa has necessitated the need to investigate how decision makers can leverage on sophisticated space-borne measurements to improve knowledge on surface water hydrology that can feed directly into water accounting processes, and risk assessment from extreme droughts and its impacts. To demonstrate such potential, a suite of satellite earth observations (Sentinel-2, altimetry, Landsat, GRACE, and TRMM) and model data are combined with the standardized precipitation evapotranspiration index to assess the impacts of global climate on freshwater dynamics over the LCB (Lake Chad basin), Africa's largest endorheic basin. As shown in the results of this study, the significant relationship of climate modes (AMO; r=0.

Geographical accessibility in assessing bypassing behaviour for inpatient neonatal care, Bungoma County-Kenya.

Background: Neonatal mortality rate in Kenya continues to be unacceptably high. In reducing newborn deaths, inequality in access to care and quality care have been identified as current barriers. Contributing to these barriers are the bypassing behaviour and geographical access which leads to delay in seeking newborn care.

Modelling the impacts of global multi-scale climatic drivers on hydro-climatic extremes (1901-2014) over the Congo basin.

The knowledge of interactions between oceanic and atmospheric processes and associated influence on drought episodes is a key step toward designing robust measure that could support government and institutional measures for drought preparedness to promote region-specific drought risk-management policy solutions. This has become necessary for the Congo basin where the preponderance of evidence from few case studies shows long-term drying and hydro-climatic extremes attributed to perturbations of the nearby oceans. In this study, statistical relationships are developed between observed standardised precipitation index (SPI) and global sea surface temperature using principal component analysis as a regularization tool prior to the implementation of a canonical scheme.

Exploring evapotranspiration dynamics over Sub-Sahara Africa (2000-2014).

Monitoring changes in evapotranspiration (ET) is useful in the management of water resources in irrigated agricultural landscapes and in the assessment of crop stress and vegetation conditions of drought-vulnerable regions. Information on the impacts of climate variability on ET dynamics is profitable in developing water management adaptation strategies. Such impacts, however, are generally unreported and not conclusively determined in some regions.

Univariate and multivariate spatial models of health facility utilisation for childhood fevers in an area on the coast of Kenya.

Background: Precise quantification of health service utilisation is important for the estimation of disease burden and allocation of health resources. Current approaches to mapping health facility utilisation rely on spatial accessibility alone as the predictor. However, other spatially varying social, demographic and economic factors may affect the use of health services.