Publications by authors named "Nyandieka L"

Article Synopsis
  • - The study explores men's unique barriers to accessing healthcare services under Universal Health Coverage (UHC) in Kenya, highlighting socio-cultural and economic factors that influence their healthcare-seeking behaviors.
  • - Through 30 focus group discussions with 296 men across 12 counties, three main themes emerged regarding men's perspectives: experiences with healthcare access, the impact of socio-cultural beliefs, and their desires for healthcare systems.
  • - Findings indicate that issues such as masculinity norms, financial constraints, lack of male-friendly services, and limited health literacy create a disconnect between men's needs and the current healthcare system, complicating their ability to receive necessary care.
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Article Synopsis
  • Kenya is struggling with health worker shortages and uneven distribution of healthcare resources, prompting the Ministry of Health to set standards for healthcare providers and infrastructure.
  • A study was conducted to evaluate the effects of Universal Health Coverage (UHC) pilot programs on Human Resource for Health (HRH) using a mix of quantitative and qualitative methods across different counties.
  • Data collection involved a detailed assessment of available healthcare resources and staff at health facilities using specific tools, with findings analyzed statistically to compare UHC pilot counties with non-UHC ones.
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Background: Dietary Diversity (DD) is an important component of Infant and Young Child Nutrition (IYCN). Globally, it is recommended that children aged 6-23 months be fed on diverse diets as a public health measure in curbing malnutrition. In Kenya, stunting rates among children below the age of five years is 26% and diversifying of diets is still sub-optimal.

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Background: In Kenya, health service delivery and access to health care remains a challenge for vulnerable populations, particularly pregnant women and children below five years. The aim of this study, therefore, was to determine the positivity rate of Plasmodium falciparum parasites in pregnant women and children below five years of age seeking healthcare services at the rural health facilities of Kwale and Siaya counties as well as their access and uptake of malaria control integrated services, like antenatal care (ANC), offered in those facilities.

Methods: Cluster random sampling method was used to select pregnant women and children below five years receiving maternal and child health services using two cross-sectional surveys conducted in eleven rural health facilities in two malaria endemic counties in western and coastal regions of Kenya.

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Community-based nutritional intervention to improve the practice of dietary diversity and child nutrition by community health workers (CHWs) involving Nyumba Kumi as small neighborhood units (SNUs) in communities has not yet been explored. This study was conducted in two villages in rural Kenya between 2018 and 2019. In total, 662 participants (control vs.

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Introduction: In spite of the critical role of Emergency Obstetric Care in treating complications arising from pregnancy and childbirth, very few facilities are equipped in Kenya to offer this service. In Malindi, availability of EmOC services does not meet the UN recommended levels of at least one comprehensive and four basic EmOC facilities per 500,000 populations. This study was conducted to assess priority setting process and its implication on availability, access and use of EmOC services at the district level.

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Article Synopsis
  • The study looks at how a fair decision-making process, called Accountability for Reasonableness (AFR), helps different districts agree on health priorities in Kenya, Tanzania, and Zambia.
  • Researchers worked with local health teams to test and improve the use of AFR to make sure decisions were fair.
  • Overall, the approach helped communities get more involved in health decisions and made them feel more in control, despite having limited resources.
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  • Pregnant women in Malindi District, Kenya, face serious delays when they have complications during pregnancy, which can lead to death or health issues.
  • The study showed that before women even reach the hospital, they often don't prepare properly for childbirth or recognize danger signs.
  • To improve the situation, it's important for healthcare services to understand these delays and help women make quicker decisions and get to the hospital faster.
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Part of the assertion that any survey researcher can make about the validity of their results needs to contain an analysis of questions and their responses from the respondent's viewpoint. Claims concerning the validity, reliability and sensitivity of health-related quality of life measures tend to be based on the quantitative approach of psychometrics, which fails to identify when respondents: misinterpret questions; do not recall the information requested; or give answers that present themselves in a better or worse light. The paper presents some approaches to pre-testing and piloting survey questionnaires to check the interpretation of survey questions, using illustrations from the KENQOL project.

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It is vital that surveys are well managed for results to be reliable and meaningful. Poorly managed surveys can result in falsified, lost or incomplete data. Good management requires time to plan and think about all those involved in the process of the survey: the respondents, interviewers, supervisors, coders and the wider community.

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