Aim: To determine the prevalence, socio-demographic, and health system factors influencing the uptake of breast cancer (BC) screening services among women of reproductive age (WRA). Methods: An analytical cross-sectional research design was used which employed mixed-methods approach. Multi-stage and purposive sampling techniques were used to select the study location and to recruit study participants. A semi-structured questionnaire was administered to WRA participants. A subset of respondents took part in the qualitative study. Results: The study sample was 317 WRA. The prevalence of uptake of BC screening services was 10.2%. Being employed (OR=5.6, 95% CI: 1.81-17.47) and earning a high income (OR=4.9, 95% CI: 1.22-19.47) increased the likelihood of uptake of BC screening services. The presence of outreach programs (OR=3.8, 95% CI: 0.07-0.97), reduced screening charges (OR=1.1, 95% CI: 2.22-4.30), reduced distance to the health facilities (OR=3.2, 95% CI: 1.07-9.51), and reduced waiting time (OR=3.3, 95% CI: 0.10-0.96) augmented the odds of uptake of BC screening services. Conclusion: The uptake of BC screening services was low (10.2%). Based on these findings, the government should subsidize screening services for low-income earners and the unemployed. The ministry of health should improve access to BC screening services and reduce waiting period.
Aim: The study aimed to determine the associated factors for occupational injuries at Kigandaini Juakali sector, Thika town, Kenya Method: An occupational injury refers to a physical injury that a worker encounters while working, they include body cuts, burns, body punctures, and body abrasions. An analytical cross-sectional study design was applied. A stratified random sampling method was applied to recruit 260 respondents. Both qualitative and quantitative techniques of data collection were applied, whereby a semi-structured questionnaire, KII, and FGDs were used to collect data. To enhance data quality, Cronbach’s alpha was applied for quantitative data while word cloud was used for qualitative data. Chi-square and logistic regression were applied to determine the degree of association between occupational injuries and associated risk factors. Results: The annual prevalence rate of work-related injuries was (43.5%) and (39.8%) for the past two weeks. Body cuts at 78.8% were the most reported injuries. PPEs in suitable working condition (OR=39, 95%CI=12.73-119.66), whether PPEs were worn properly (OR=59, 95%CI=16.94-209.84), provision of occupational health and safety information (OR=2.5, 95%CI=1.23-5.28), Use of PPEs (OR=8.1, 95%CI=0.037-0.42), presence of safety information boards(OR=3, 95%CI=1.08-8.08) reduced the odds of work-related injuries while poor working condition (OR=2.5, 95%CI=0.19-0.85) increased the odds of having a work-related injury. Conclusion: The study reported a high prevalence of occupational injuries among motor vehicle repair workers. Poor working conditions increased the odds of having an occupational injury while the provision of occupational safety information, presence of safety boards, proper wearing of protective gears, use of full protective gears, use of protective gears in good working condition, and good perception on mandatory use PPEs reduced the odds of having an occupational injury. There is need to safeguard the necessary safety measure which will result to a safer working environment.
Introduction: Globally the World Health Organization (WHO) estimates that up to 334 million people suffer from asthma. In Kenya it is estimated that about 10% of the Kenyan population, or 4 million people, have asthma. Aim: The objective of this study was to assess knowledge, attitude and practices of patients 18-65 on the use of personized asthma action plans in Nyamira County. Methodology: Cross-sectional study design was employed in this research. Participants were selected using systematic sampling. Significant differences in categorical variables were found using the Chi-square and Fisher's Exact Test. The threshold for statistical significance was set at p<0.05. Results: The study sample size was 220 asthma patients. The majority of responders 72.7% were unaware of PAAPs. Concerning attitude, most of participants had a negative attitude about the use of PAAPs, believing that they should only be used by the extremely ill 63.6%. Poor practices were seen among the patients who had access to these tools, with 39.0% checking them at home and 61.0% never checking them at all. Statistically there were significant association between the various patients’ factors influencing use of asthma action plans among adult asthmatic patients with a p = 0. 021. Conclusion: The majority of the patients 76.4% who participated in this research did not use the personalized asthma action plan cards. Additionally, the majority of participants reported poor practices on PAAPs, low levels of awareness, and negative attitudes. To combat the low-level knowledge, negative attitude, and poor practices among asthma patients, the ministry of health should raise awareness about the use of PAAPs.
Background: Globally, 280 million people are estimated to have depression. Depression has been associated with negative treatment outcomes and reduced quality of life. The study aimed to determine the prevalence and correlates of depression among HIV-positive women at Mama Lucy Kibaki hospital in Kenya.Methods: A facility-based cross-sectional analytical study design that employed a mixed-method approach. The study employed systematic random sampling to select 183 HIV-positive women. The patient health questionnaire (PHQ-9) was used to screen for depression. Data analysis used statistical package for social sciences. Chi-square test and logistic regression were used to test and measure association.Results: The prevalence of possible depression was 35.6%. Depression was significantly associated with food insecurity (AOR=8.186, C.I=2.950-22.718), low income (AOR=3.766, CI=1.088-13.030), physical exercise (AOR=64, CI=0.039-0.627), maladaptive coping style (AOR=9.585, CI=3.100-29.634), stressful life event (AOR=47, CI=0.005-0.088), intimate partner violence (AOR=36, CI=0.086-0.857), opportunistic infections (AOR=5.8, CI=0.081-0.366) and side effects of antiretroviral (AOR=7.6, CI=0.029-0.601). Themes from qualitative findings were; low socioeconomic status, stigma and opportunistic infectionsConclusions: The study revealed a high prevalence of depression but they were more likely to be depressed if they were food insecure, had low income, adopted maladaptive coping styles, experienced a stressful event, intimate partner violence, had opportunistic infections and experienced side effects of antiretroviral. Future mental health interventions should focus on these factors in the prevention and management of depression among HIV-positive women.
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