The East African health research journal最新文献

{"title":"Parasitological Study on Fruits Sold in Huye Complex Market and Rango Local Market in Rwanda.","authors":"Eric Murinda, Ally Dusabimana","doi":"10.24248/eahrj.v8i1.755","DOIUrl":"10.24248/eahrj.v8i1.755","url":null,"abstract":"<p><strong>Background: </strong>Fruits are essential for good health and they form a major component of human diet. They are vital energy contributors that are depended upon all levels of human as food supplement or nutrients. Although they have all these benefits, when there are not handled with good hygiene they can transmit parasitic infections especially intestinal parasitic infections in the world including Rwanda. The study was conducted to determine the parasitological patterns on fruits purchased in \"Huye complex market and Rango local market\" in southern province of Rwanda.</p><p><strong>Objective: </strong>To assess and identify the parasitological patterns on fruits purchased in Huye complex market and Rango local market in Southern Province of Rwanda.</p><p><strong>Methodology: </strong>A cross-sectional study was designed and 188 fruits were sampled from Huye complex market and Rango local market then washed by using normal saline and the suspension was centrifuged and the sedimentation was examined on a microscope. Data was analysed using Statistical Package for Social Sciences (SPSS) version 23.0 and MS Excel.</p><p><strong>Results: </strong>The overall prevalence of all parasites obtained from the fruits was 52.65%, whereby the prevalence of all parasites in Rango local and Huye complex markets was 66.63% and 44.7%, respectively. The frequency of identified parasites' contamination was <i>Ascaris Lumbricoides</i> 44.44%, cysts of <i>Giardia lamblia</i> 24.24%, eggs of <i>Trichuris trichura</i> 10.1%, cysts of <i>Entamoeba coli</i> 17.17% and <i>Entamoeba histolytica</i> 4.04%.</p><p><strong>Conclusion: </strong>The level of fruits contamination by pathogenic parasites remain high, hence regular health education on hygiene of fruit have to be increased to the population and continuous monitoring on sellers of fruits is required.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported Provision of Preconception Care and Associated Factors.","authors":"Everlyne N Morema, Collins Ouma, Robert Egessa, Lydia Nyachiro, Morris Shisanya","doi":"10.24248/eahrj.v8i1.749","DOIUrl":"10.24248/eahrj.v8i1.749","url":null,"abstract":"<p><strong>Background: </strong>Preconception care (PCC) is the provision of health interventions to women and couples before conception occurs and is valuable in promoting healthy maternal, birth, and neonatal health outcomes. In Africa, more so in Kenya, maternal and neonatal health indicators have remained poor. The key constraint limiting progress is the gap between what is needed and what exists in terms of skills and availability of human resources & infrastructures in the face of increased demand. This gap was yet to be measured for PCC in Kenya, more so in Kisumu County.</p><p><strong>Methods: </strong>Using a cross-sectional design, this study specifically sought to determine the rate of self-reported PCC provision and to illustrate how it is influenced by health provider characteristics. Structured interviews were conducted with health providers (n=476) to ascertain their knowledge, perceptions and practice of PCC care. The significance of the differences in means was determined by the Student's t test and linear regression were used to show the relationship between the health provider characteristics and the PCC provision rate.</p><p><strong>Results: </strong>Self-reported PCC provision was estimated at 39%. There was a significant difference in the mean for cadres {nurses (M=70.04, SD=8.951) and non-nurses (M=71.90, SD=8.732); t (473) =-2.23, <i>P=.026</i>)}, years of experience up to 5 years (M=72.04, SD=8.417) and more than 5 years (M=69.89, SD=9.283); t (465) =2.63, <i>P=.009</i>, the mean provision per level (M=60.21, SD=4.902; t (26)=-5.06, <i>P<.001</i>) and type of service (M=69.36, SD=4.924; t (26) =4.63, <i>P<.001</i>). A significant regression model was found, and the model statistics were F (2,464) =5.97, <i>P=.003</i>, R2=.03. Only cadre (b=0.01, t (464) =2.23, <i>P=.026</i>) and years of experience (b=-0.13, t (464) =-2.79, <i>P=.005</i>) were significant determinants of PCC provision. The health workers felt PCC was an important service whose provision was low due to inadequate human capital investment.</p><p><strong>Conclusion: </strong>Self-reported provision of PCC by health workers was relatively low and was influenced by the cadre of health workers and their years of experience. It specifically demonstrated the importance of various aspects of human capital, i.e., knowledge, perceptions, competence and adequacy of training in the provision of this care. Furthermore, it showed that the nursing cadre has a higher probability of providing this care. Investing in on-the-job training for health providers, especially nurses, and providing care in primary health facilities in rural areas can improve PCC service delivery.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"58-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urogenital Infections Among Women Attending Mwingi Hospital, Kitui County, Kenya: Safeguarding Antibiotics Through Microbiological Diagnosis.","authors":"Christine Musungi Mbuvi, Boniface Nzioki Musila, Anthony Kebira Nyamache","doi":"10.24248/eahrj.v8i1.754","DOIUrl":"10.24248/eahrj.v8i1.754","url":null,"abstract":"<p><strong>Background: </strong>Urogenital infections pose a considerable public health threat, as almost half of women will experience urinary and reproductive system infections at some point in their lives. However, the urogenital infection burden is often not clear in some regions. Nevertheless, the misuse of antimicrobial agents, including self-prescription, has increased widespread antimicrobial resistance, limiting treatment benefits. Therefore, this study aimed to identify the various urogenital infections, associated risk factors, and profile the bacterial isolates, and assess their antibiotic resistance among women attending Mwingi Hospital.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 322 women aged between the ages of 15 to 44 years. Urine and high vaginal swabs were collected from all participants and analyzed within 6 hours. Microscopic examination on wet mounts was done, bacterial isolation was done and those with significant growth were confirmed and subjected to antimicrobial susceptibility testing using specific media. Descriptive statistics were used in expressing the infection frequencies and antimicrobial resistance. Odds ratios were used to determine the risk of urogenital infection. The level of significance was considered at a P value of less than 0.05.</p><p><strong>Results: </strong>Among the 322 women, 45.3% (146) had a urogenital infection, with bacteria being the primary cause (26.4%). The infections included UTI (22.7%), <i>Candidiasis</i> (15.2%), <i>Trichomoniasis</i> (3.7%), <i>Gonorrhea</i> (2.5%), and <i>Bacterial vaginitis</i> (1.2%). Antibiotic use was 32.9%, with only 2.8% receiving a microbiological diagnosis before antibiotic use. The overall antibiotic resistance was 53%, with the lowest resistance observed against penicillin and combinations (31.4%) and 3rd Cephalosporins (39.4%). The highest resistance was observed against nalidixic acid (74.8%) and cotrimoxazole (62.6%).</p><p><strong>Conclusion: </strong>Women attending Mwingi Hospital are commonly affected by various urogenital infections. Antibiotic use without microbiological diagnosis was observed. Among the antibiotics tested, 3^rd generation cephalosporins and penicillin combination agents were noted as the most effective in treating bacterial urogenital infections, while nalidixic acid and cotrimoxazole were ineffective. Improved diagnosis and targeted treatments are necessary to prevent further development of antibiotic resistance.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity and Morphological Characteristics of Anaemia Among 6 to 59 Months Old Children in Temeke, Dar es Salaam-Tanzania: Clinics Based Cross Sectional Analysis.","authors":"Salha Ally Omary, Florence Salvatory Kalabamu, Maulidi Rashidi Fataki, Shani Shamsi Salum, Ummulkheir Hamid Mohamed, Joseph Gasper Kimaro, Kelvin Melkizedeck Leshabari","doi":"10.24248/eahrj.v8i2.780","DOIUrl":"https://doi.org/10.24248/eahrj.v8i2.780","url":null,"abstract":"<p><strong>Background: </strong>Anaemia is a global public health indicator of both poor nutrition and poor health. Besides, it stands as a silent signal of mal-aligned health system across the entire human lifespan. Globally, the importance of anaemia is most pronounced among children. This study was conceived to assess severity and morphological characteristics of anaemia among children aged from 6 to 59 months old in Temeke, Dar es Salaam, Tanzania.</p><p><strong>Methods: </strong>We designed a cross sectional, clinics-based analytical study. Children aged 6 to 59 months with anaemia were the target population. Severity and morphological characteristics of anaemia were the main outcome variables. Data were collected using a pre-designed questionnaire. Data were summarised using median and inter-quartile range (continuous variables) or frequency and proportions (categorical variables). Chi-square tests were applied to assess association between categorical variables. Alpha level of 5% was used as a limit of type 1 error in findings. Written informed consent was sought from mother of each child prior to inclusion into the study.</p><p><strong>Results: </strong>We successfully recruited and analysed 250 children. Participants median age was 17.5 (IQR: 9 - 34) months (females, n=112, 44.8%). Point prevalence of anaemia (Hb<12 g/dL) was 66.8%. Among anemic children (n=167), about 19%, 63% and 18% had mild, moderate and severe anaemia respectively. A direct linear association between MCV and MCHC was observed among anemic children (n=167, Spearman's rank ´Y= 0.86, <i>P=.000</i>). There was a significant association between prevalence and severity of anaemia among studied children (LR χ² (corrected) = 229.5, df=3). Majority (n=121, 72%) of the studied children had normocytic normochromic anaemia.</p><p><strong>Conclusion: </strong>Majority of under-fives in attendance at outpatient clinics in Temeke were anemic. Normochromic normocytic anaemia was the most prevalent variant of anaemia in this study population.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 2","pages":"188-194"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Knowledge, Attitude and Practice on Schistosomiasis in Pujini Shehia, Pemba Island, Tanzania: A Blueprint for Planning Community-based Interventions.","authors":"Salma Khamis Rajab, Jared Sylivester Bakuza","doi":"10.24248/eahrj.v8i1.742","DOIUrl":"10.24248/eahrj.v8i1.742","url":null,"abstract":"<p><strong>Background: </strong>Lack of insight into the community's knowledge, attitude and practice (KAP) regarding schistosomiasis stands as a significant obstacle in controlling the disease in endemic regions. Understanding communities' KAP is crucial for designing and implementing appropriate disease control measures. The present study was conducted to assess community's KAP on shistosomiasis in Pujini, Pemba.</p><p><strong>Methods: </strong>A total of 328 respondents aged 7 to 79 years were selected from schools and the general community using systematic random sampling method. Data collection was conducted using questionnaires, face-to-face interviews and Focus Group Discussion (FGD) to capture communities' KAP and personal experiences and participants' demographic characteristics.</p><p><strong>Results: </strong>Most participants demonstrated awareness of schistosomiasis, including its transmission, symptoms and preventive measures, although they struggled to distinguish between urogenital and intestinal schistosomiasis. The majority displayed positive attitudes toward the disease, yet over half of them (59.1%) believed that the disease could not re-occur after initial treatment. Notably, older people were significantly less knowledgeable than their younger counterparts (ƴ² = 41.982, df = 5, <i>p = <.05</i>) while farmers were also significantly more knowledgeable than other occupational groups like fishermen, livestock keepers and house wives (ƴ² = 36.194, df = 4, <i>p = .003</i>).</p><p><strong>Conclusion: </strong>Community's knowledge about schistosomiasis decreased with increasing age likely due to low levels of education among adults and their poor attendance to health education meetings and campaigns. Despite positive attitudes and awareness toward schistosomiasis, a significant portion of the population continue to be engaged in risky activities such as water contact and poor sanitation practices. Efforts to enhance knowledge, foster positive attitudes, and encourage good practices remains crucial for the successful control and eventual elimination of schistosomiasis.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare-Associated Infections in a Tertiary Care Hospital: Significance of Patient Referral Practices.","authors":"Agapiti H Chuwa","doi":"10.24248/eahrj.v8i1.756","DOIUrl":"10.24248/eahrj.v8i1.756","url":null,"abstract":"<p><strong>Introduction: </strong>Nosocomial infections, also known as healthcare-associated infections (HCAIs), are infections that a patient acquires while receiving healthcare services within 48 hours of admission to hospital. In high income countries, an average of 7% of hospitalised patients acquire a nosocomial infection. In low and middle income countries, however, prevalence rates can be as high as 30%. This is due to limited resources and supplies for infection control, inadequate training and lack of compliance with infection prevention and control regulations.</p><p><strong>Methods: </strong>A cross-sectional, hospital based study was conducted among patients admitted to a tertiary care facility in Tanzania. A semi-structured questionnaire was used to collect information from 134 patients in different wards. Correlation and multivariate regression analyses were performed to determine the association between the independent variables, i.e. chronic illness, invasive procedures, use of antibiotics and referral status, and the dependent variable, i.e. new symptom, and their level of significance. The significance level was set at <i>P≤ .05</i>.</p><p><strong>Results: </strong>A total of 134 patients participated in the study. Of the total number, 61% (n=82) of the patients were male and 43% (n=57) were referrals from other institutions. Fifteen percent (n=21) of the surveyed patients reported a new symptom. There was a positive correlation between referral status and invasive procedure with the occurrence of a new symptom. Multivariate analysis identified 'referral status' as an independent significant factor positively associated with healthcare-associated infetions (<i>P=.041</i>).</p><p><strong>Conclusions: </strong>The results indicate a prevalence of 15.7% of healthcare-associated infections, which is unacceptably high for a tertiary care facility. Referral status was independently and significantly associated with HCAI. Improving patient referral patterns and hospital infection control can significantly reduce the risk of healthcare-associated infections.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude, and Practice Towards Child Immunisation Among Mothers Attending Magu District Hospital, Mwanza.","authors":"Pendo Ndaki, Madeline Kinyonga, Stanley Mwita","doi":"10.24248/eahrj.v8i1.752","DOIUrl":"10.24248/eahrj.v8i1.752","url":null,"abstract":"<p><strong>Background: </strong>Vaccines are administered to help the body develop immunity against a disease. A mother's understanding of the importance, safety, and benefits of vaccines can positively influence her decision to adhere to the recommended immunisation schedule. This study aimed to assess the knowledge, attitudes, and practices of mothers attending Magu District Hospital in Mwanza, Tanzania, towards child immunisation.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 216 mothers between April and May 2021. A convenient sampling technique was used to recruit mothers who consented to participate in this study. An interviewer-administered semi-structured questionnaire was used. The coded data were analysed using STATA Version 15.</p><p><strong>Results: </strong>About a quarter (27.3%) of respondents had good knowledge, while 64.8% showed positive attitudes towards child vaccination. Vaccine-preventable diseases that were commonly known by study participants were measles (90.7%) and poliomyelitis (81.9%). The majority of mothers (84.3%) would recommend others to vaccinate their children. About half of the children (50.9%) were fully immunized, while over a quarter (26.4%) of their children experienced side effects.</p><p><strong>Conclusion: </strong>The knowledge of mothers about vaccination was found to be inadequate, while the majority showed positive attitudes towards child immunisation. Only half of their children were fully immunized. The practice and knowledge of mothers on child immunisation should be enhanced by health education, awareness campaigns, and health promotion interventions.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 1","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Acceptance of COVID-19 Vaccine: A Community-Based Cross-Sectional Study Among Residents of Jinja District Eastern Uganda.","authors":"Hawa Mutesi, Nurhan Meydan Acimis","doi":"10.24248/eahrj.v8i2.786","DOIUrl":"https://doi.org/10.24248/eahrj.v8i2.786","url":null,"abstract":"<p><strong>Background: </strong>Despite the existence of other public health interventions, vaccination remains a cornerstone in the fight against pandemics. COVID-19 has led to loss of many lives, global economic deteriorations, and unemployment, hence the call for urgent interventions which includes introduction of COVID-19 vaccines.</p><p><strong>Aim: </strong>The study aimed to assess the level of knowledge and acceptance of COVID-19 vaccine among residents of Jinja District, Eastern Uganda.</p><p><strong>Method: </strong>A population-based descriptive cross-sectional study was conducted among 210 participants from Jinja District between 8^th and 21^st October 2021. Data was collected using a structured questionnaire and analysed using IBM SPSS version 26.</p><p><strong>Results: </strong>45.2% of the participants had adequate level of knowledge with a 56.2% COVID-19 vaccine acceptability rate. Highly educated participants were most likely to have adequate knowledge of COVID-19 vaccine than the lowly educated ones (OR= 2.64; 95% CI; 1.32-5.26, P= .006). Having a high level of education (OR=2.7; 95% CI; 1.38-5.10, P= .004) was significantly associated with vaccine acceptability. Farmers and students were less likely to accept COVID-19 vaccine.</p><p><strong>Conclusion: </strong>The general population of Jinja District demonstrated a low level of adequate knowledge and acceptance towards COVID-19 vaccine. There is need for more public awareness campaigns on the topic using radio and television as means of communication.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 2","pages":"235-244"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisectoral and Inclusive Strategies for Improving Pregnant Adolescents' and Teenage Mothers' Access and Utilisation of Sexual and Reproductive Health Services in Kenya.","authors":"Claudia Robbiati, Rose Olayo, Rose Opiyo, Esther Waduu, Andrew Chemoiywo, Gloria Nacca, Alessia Ranghiasci, Silvia Declich, Maria Grazia Dente","doi":"10.24248/eahrj.v8i3.797","DOIUrl":"10.24248/eahrj.v8i3.797","url":null,"abstract":"<p><strong>Background: </strong>Adolescent girls between 15 and 19 years of age make up just over one-fifth of the women of Kenya, and they account for 14% of all births. This study explored barriers to access and utilization of sexual and reproductive health services (SRH) for pregnant adolescents and teenage mothers in Kakamega County (Kenya).</p><p><strong>Methods: </strong>The qualitative study included a desk review, interviews and focus group discussions and a validation workshop with the engaged stakeholders to produce a framework for action.</p><p><strong>Results: </strong>The main barriers emerged in the following domains: acceptability (stigma and socio-cultural influences, negative healthcare workers attitude, lack of privacy and confidentiality), accessibility (distance to the health facility, costs for transport and drugs, opening times), availability (lack of staff, drugs and equipment, low coverage of SRH services specific for adolescents), contact/use (lack of information about SRH services offered), effectiveness (poor collaboration between all the relevant sectors and stakeholders, lack of adequate financing, no inclusion of adolescent perspectives in the policy-making process, lack of reliable data). Moreover, COVID-19 starkly impacted access and utilization of the services.</p><p><strong>Conclusion: </strong>A pathway to impact framework was coproduced building on the findings of the research to guide decision-makers in Kakamega and Kenya to improve access and utilization of SRH services for adolescents and especially pregnant girls and teenage mothers. Crucially, a multisector and multistakeholder approach including adolescent voices, could support the effectiveness of SRH services for adolescent girls.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 3","pages":"380-386"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological and Occupational Factors Associated with Depression Among Healthcare Providers During the COVID - 19 Pandemic in A Regional Referral Hospital in Kisumu County.","authors":"Jared Makori Bundi, Moses Poipoi, Everlyne Nyanchera Morema","doi":"10.24248/eahrj.v8i3.798","DOIUrl":"10.24248/eahrj.v8i3.798","url":null,"abstract":"<p><strong>Background: </strong>Corona Virus Disease of 2019 (COVID-19) spread across the globe, causing distress among various populations, including healthcare providers. This disease has had an unparalleled effect on the world's economic situation, livelihood, mental and physical well-being across the globe.The study aimed to determine the prevalence of depression and identify the occupational and psychological factors associated with depression among health care providers during the COVID-19 pandemic in a regional referral hospital in Kisumu County.</p><p><strong>Methods: </strong>We conducted a hospital-based cross-sectional study at JOOTRH where a total of 202 respondents participated in the study. The survey questionnaire consisted of four components: demographic factors, occupational factors, and psychological factors. Depression was measured using the 9-item Patient Health Questionnaire (PHQ-9). Data was analysed using the statistical package for Social Science version 28. Pearson chi-square was used to determine the occupational and psychological factors associated with depression during the COVID-19 pandemic at <i>p ≤.05</i>.</p><p><strong>Results: </strong>The overall prevalence of depression was at 57.4%. The occupational and psychological factors associated with depression among healthcare providers during the COVID-19 pandemic included being over 30 years old, married, having over 6 years of work experience, COVID-19 training, having an irregular work schedule, lacking psychological support services, and facing stigma.</p><p><strong>Conclusion: </strong>The study findings revealed a considerable proportion of depressive symptoms among health providers during the COVID-19 pandemic at JOOTRH. Older age, being married, more years of work experience, previous exposure to pandemic, having COVID-19 training, and irregular work schedule, experience of stigma, and lack of psychological support were significantly associated with depression.</p>","PeriodicalId":74991,"journal":{"name":"The East African health research journal","volume":"8 3","pages":"296-304"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}