Browsing by Author "Kariuki, John G."

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    PublicationOpen Access
    Assessment of Health-Related Quality of Life and its Associated Factors in Family Caregivers of Children with Lymphoma at a National Hospital in Central Malawi
    (International Journal of Medicine and Public Health, 2023-01) Phiri, Patrick GMC.; Odongo, Alfred Owino; Kariuki, John G.
    Background: The health-related quality of life (HRQoL) HRQoL continues to be understudied among family caregivers with chronically ill children especially in developing countries like Malawi. Aim: This study aimed to assess health-related quality of life and determine the socio- demographic factors associated with the health-related quality of life of caregivers of children with lymphoma at a referral hospital in Malawi. Materials and Methods: A cross-sectional study was carried out at a referral hospital in Malawi, and 107 caregivers were recruited. The Medical Outcomes Study Questionnaire 36-Item Short Form was used to collect data which were analysed using SPSS Version 25. Results: All 107 targeted participants were assessed. Both the physical health component and the mental health component mean scores were low (M=50.63, SD=11.86 and M=45.51, SD=11.95, respectively). Time since diagnosis of the child’s cancer accounted for significant differences in both the physical and mental health components’ mean scores (F(2, 104)=5.030, p=0.002 and F(2, 104)=5.030, p=0.006, respectively). The caregivers >41years old, those who were married, those who were employed, and caregivers whose children were diagnosed >12 months were among those more likely to report a better physical health perception compared to those without these characteristics. Conclusion: The health-related quality of life of the caregivers at the referral hospital was severely impaired. The findings suggest that caregivers of children with lymphoma have the potential to develop more serious mental and physical health problems; hence, interventions to mitigate the burden of caring for children with lymphoma are needed
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    PublicationOpen Access
    Assessment of predictors of unskilled delivery among women seeking immunization services in Kitui County, Kenya
    (International Journal Of Community Medicine And Public Health, 2023-11-01) Mbuthia, Zipporah W.; Kariuki, John G.; Kerochi, Atei
    Background:Globally, maternal mortality was the second leading cause of mortality among women of reproductive age in 2016 after HIV/AIDS. In 2017, global and Africa maternal mortality rate (MMR) was 211 and 547 maternal deaths per 100,000 live births respectfully. Unskilled delivery is one of the underlying causes of maternal mortality.Methods:The study assessed the predictors of unskilled delivery among women in Kitui County, Kenya. The facility-based study was cross-sectional with mixed method of data collection. Facilities were selected through simple random sampling and systematic sampling for participants. A structured questionnaire was administered among 380 women seeking immunization services and analysed using Stata. Twelve key informant interviews were conducted and analysed thematically.Results:The level of unskilled delivery was 29.21%. On inferential analysis income [p=0.023], education [p=0.002], ANC visits [p=0.014], birth preparedness (BP) [p=0.042] and maternal complications [p=0.027], time taken to health facility [p=0.030] and quality ofcare [p=0.001] were statistically associated with unskilled delivery, p<0.05, C.I.=95%. On logistic regression low income (AOR=4.8356), low education (AOR=4.3169), few ANC visits [aOR=2.6444], lack of BP [aOR=5.0499], history of maternal and childcomplications [aOR=6.0237], longer time to health facility [aOR=0.1652] and poor quality of care [aOR=0.5615] were positively associated with unskilled delivery.Conclusions:The level of unskilled delivery in Kitui county was 29.21%. Predictors of UBA were low income, low education, fewer ANC visits, lack of BP, history of maternal and child complications, longer time to health facility and poor quality of care.
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    PublicationOpen Access
    Influence of Sociodemographic Characterstis And Level of Awareness on Malaria Disease Resurgence Among The Adults Residents of Isiolo Sub-County in Kenya
    (European Journal of Public Health Studies, 2022) Habane, Fayo Galgalo; Kariuki, John G.; Nyamai, Juma J.
    Background: This study evaluated the determinants of malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya. The following specific objectives guided this research; to establish the influence of the level of awareness on malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya and to evaluate demographic characteristics influencing malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya. Methods: This was a descriptive study, employing a cross-sectional study design. The researcher used mixed research methodology in this study which employed both qualitative and quantitative methods. Stratified sampling techniques were used for sampling the study respondents. The residents of Isiolo Sub-county, key informant interviewers and NGOs/CBO based focus group discussion constituted the target population. The study respondents were selected from five different wards of Isiolo Sub-county with a Sample size of 392 comprised of 385 respondents randomly selected for quantitative data and 7 key informants and focus group discussion for qualitative data. The study used interview guides to collect data from key informants. Quantitative data were collected using self-administered questionnaires. SPSS version 25.0 was used in quantitative data analysis while qualitative data was analyzed thematically. Results: Respondents experienced malaria resurgence in the study as evidenced by knowledge of malaria disease symptoms, causative agents of malaria disease, mode of transmission, treatment and intervention strategies among others. The study established that all the characteristics considered in this study had some level of influence on the resurgence of malaria disease in the study site. Further, Regression analysis model had a R2 of +0.700, p=0.000 for awareness, and standardized beta co-efficient of +0.593, p=0.000 for demographic, showing statistically significant positive influence on malaria resurgence in Isiolo sub-county. The study Policy makers in Isiolo Sub-county should consider formulating policies that support education for the residents since a big percentage 58% had not attended any form of schooling. The researcher recommended that Policy makers and NGOs/CBOs sought to allocate additional resources in support of educating residents about malaria disease and how to control it.
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    PublicationOpen Access
    Influence of Socioeconomic and Enviromental Characterstics on Malaria Disease Resurgence Among the Adult Residents of Isiolo Sub-County in Kenya
    (European Journal of Public Health Studies, 2022) Habane, Fayo Galgalo; Kariuki, John G.; Nyamai, Juma J.
    This study evaluated the determinants of malaria disease resurgence among the adult residents of Isiolo Sub-County in Kenya. The following specific objectives guided this research; to establish the influence of the level of awareness on malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya.to evaluate demographic characteristics influencing malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya, to investigate socio-economic characteristics influencing malaria disease resurgence among adult residents of Isiolo Sub-county in Kenya.to determine the influence of environmental characteristics on malaria disease resurgence among adult residents of Isiolo Sub-county in Kenya, to assess the influence of malaria disease resurgence interventions on malaria disease resurgence among the adult residents of Isiolo Sub-county in Kenya, This was a descriptive study, employing a cross-sectional study design. The researcher used mixed research methodology in this study which employed both qualitative and quantitative methods. Stratified sampling techniques were used for sampling the study respondents. The residents of Isiolo Subcounty, key informant interviewers and NGOs/CBO based focus group discussion constituted the target population. The study respondents were selected from five different wards of Isiolo Sub-county with a Sample size of 392 comprised of 385 respondents randomly selected for quantitative data and 7 key informants and focus group discussion for qualitative data. The study used interview guides to collect data from key informants. Quantitative data were collected using self-administered questionnaires. SPSS version 25.0 was used in quantitative data analysis while qualitative data was analyzed thematically. The study received 100% response rate almost balance by gender as approximately 55% of respondents were male and 45% were female. Education levels of respondents varied because there were respondents without education while others had attained a tertiary level of education. Respondents experienced malaria resurgence in the study as evidenced by knowledge of malaria disease symptoms, causative agents of malaria disease, mode of transmission, treatment and intervention strategies among others. This study established that all the characteristics considered in this research had some level of influence on the resurgence of malaria disease in the study site as deduced by regression analysis model whose, R2 = 0.453, F- 1.385 = 316.804, P = 0.000 for socioeconomic, Beta- coefficient = 0.410, p=0.000 for an environmental factor, in all p < 0.05 at CI=95%. The study recommends that policymakers in Isiolo Sub-county should consider formulating policies that support education for the residents since a big percentage 58% had not attended any form of schooling. This study concluded that different malaria intervention strategies were implemented in the research site aimed at taming the resurgence of malaria disease but had mixed results. The researcher recommended that Policy makers and NGOs/CBOs sought to allocate additional resources in support of educating residents about malaria disease and how to control it since prevention is usually cheaper than treatment in their intervention programs to curb malaria resurgence in the study area. The researcher also recommended further research on the reasons behind a big percentage of residents of the Isiolo Sub-county not attending or enrolling in a formal school system