Publications by authors named "Pirirei Sankei"
Background: Diabetic ketoacidosis (DKA) is a common emergency associated with significant morbidity and mortality in low resource settings. Prompt diagnosis and correct management improves outcomes. To improve clinician knowledge and confidence in DKA management, we designed a novel curriculum for training local clinicians in a low-resource setting.
View Article and Find Full Text PDFIn Kenya, persons insufficiently engaged in HIV Testing Services (HTS) are often treated in emergency departments (ED). There are limited data from healthcare workers on ED-HTS. A qualitative study was completed to understand challenges and facilitators for ED-HTS and HIV self-testing (HIVST).
View Article and Find Full Text PDFArticle Synopsis
- The study focuses on the HEATED program implemented in the emergency department at Kenyatta National Hospital in Nairobi, aimed at improving HIV testing services among high-risk populations.
- It utilized a multi-faceted approach involving training, reorganization of resources, and advocacy to enhance HIV care integration in emergency settings.
- Preliminary results showed an increase in HIV testing rates among emergency department patients, rising from 16.7% before implementation to a higher percentage post-implementation.
Background: Interpersonal violence is a significant contributor to global morbidity, and affects young adults, particularly males. In Kenya, injuries, including those from interpersonal violence, are a leading cause of emergency department (ED) visits.
Objective: This study aims to evaluate the frequency, demographics, and types of injuries caused by interpersonal and intimate partner violence among patients presenting to the Kenyatta National Hospital (KNH) ED in Nairobi, Kenya.
Article Synopsis
- - The HEATED program in Nairobi, Kenya, aims to improve HIV testing in emergency departments for underserved populations, including key and priority populations vulnerable to HIV.
- - A quasi-experimental study showed a significant increase in HIV testing services, with provider reach going from 16.7% to 23.0% and patient testing rising from 5.7% to 62.3% after program implementation.
- - The training of 151 clinical staff and increased availability of self-test kits contributed to a 62.9% rise in the provision of HIV self-test kits post-implementation, indicating a successful integration of testing services within the emergency care setting.