Publications by authors named "Z N Bukania"
Proper nutrition is vital for maintaining good health for all people across their lifespan, especially children and mothers, who are especially vulnerable due to their specific nutrient needs. Despite the necessity of improved nutrition for these groups, some members do not fully meet their recommended daily micronutrient needs, a challenge exacerbated by different socioeconomic, cultural, and communal constraints resulting in malnutrition. Iron deficiency anaemia is a major concern among children and mothers, especially in pastoralist communities, due to poor nutrition and other related factors.
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- - 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.
Many statistical models have been proposed in the literature for the analysis of longitudinal data. One may propose to model two or more correlated longitudinal processes simultaneously, with a goal of understanding their association over time. Joint modeling is then required to carefully study the association structure among the outcomes as well as drawing joint inferences about the different outcomes.
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- 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.
Article Synopsis
- - Cross-over designs in clinical trials allow researchers to compare treatments within the same subjects, providing more precise estimates of efficacy, especially for new drugs.
- - A recent study analyzed a new piecewise linear mixed-effects (PLME) model against traditional models—Grizzle's mixed-effects (GME) and Jones & Kenward's mixed-effects (JKME)—to evaluate their performance in analyzing cross-over trial data.
- - Results indicated that the PLME model outperformed the GME and JKME models in estimating variance-covariance parameters and achieved better model convergence, confirming the hypothesis that high-dose iodine salt significantly lowers diastolic blood pressure (DBP).