Browsing by Author "Odongo, Alfred O."

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    PublicationOpen Access
    Determinants of blood donation among selected tertiary college students in Homa Bay County Kenya
    (International Journal of Community Medicine and Public Health, 2022-02-28) Okuthe, James O.; Odongo, Alfred O.; Muitta, Esther W.
    Background:Globally blood donation rate is low. 31.5 donations per 1000 people in high income countries and 5.0 donations per 1000 people in low-incomecountries. Donors aged 16-25years are ideal target for recruitment efforts. The study aimed to assessdeterminantsof blood donation amongstudents of selected tertiary institutions of Homa Bay County Kenya.Methods:Cross-sectional study using both quantitative andqualitative methods was used to collect data from 424 study participants, three focused group discussions and three key informants between April 2021 and July 2021.Data collection tools included structured questionnaire and interview guide. Data analysed using statistical package for social sciences version 21.0, Pearson’s correlation calculated for reliability. Percentage agreement calculated with values>75%being acceptable. Chi square (χ2) test and logistic regression were used to determine association and strength, while qualitative data coded thematically.Results:Most respondents were male 132(67%)and 93(47%)of respondents were of 19-21years age group. Majority were blood donors 198(54.50%). Reliability result was significant, r (39)=(0.82), p=(0.000) with simple percentage agreement of 78%. The study revealed that sex OR-0.493 p=0.013 and rare blood type, A-(OR) 8.597 p=0.009, and O+ (OR) 2.189 p=0.012 of the students were significant factors associated with blood donationConclusions:Sex and blood type were significant socio-demographic characteristics associated with blood donation
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    PublicationOpen Access
    Factors associated with personal protective equipment use among pesticide handlers in Mwea irrigation Scheme, Kenya
    (International Journal of Community Medicine and Public Health, 2023-07-19) Kinyua, Fredrick G; Odongo, Alfred O.; Nguku, Julius
    Background: Pesticide use among small scale rice farmers has drastically increased over time globally. Evidence shows that majority of pesticide handlers do not regard PPE use during pesticide application, hence low PPE compliance. Methods: This study explored factors associated with PPE use among pesticide handlers in Mwea Irrigation Scheme, Kenya. The study was cross-sectional involving 246 respondents. Results: There was low level of PPE use among pesticide handlers with none using full PPE and only 25.2% using 4- 6 PPE items out of 7 possible items. The most used PPE were trousers (74.4%), long-sleeved shirt/jacket (65.9%) and hat (60.6%). The least worn PPE were gumboots (1.6%), gloves (2.8%) and goggles (9.8%). Chi- square tests of independence revealed that sex, age, crop ownership, pesticide safety training, pesticide application experience, pesticide safety knowledge, attitude towards PPE use, perceived environmental health risk and Perceived PPE importance were significantly associated with PPE use. However, level of education, land tenure status and size of the farm were found not to have any association with PPE use. Conclusions: The results provide insights for future interventions and inform focus areas by health and safety enforcement agencies and policy developers. More training on pesticide safety and PPE use will enhance compliance and promote pesticide handlers’ health
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    PublicationOpen Access
    Medical and obstetric factorsassociatedwith preterm deliveries among women of childbearing age at Pumwani maternity hospital, Nairobi County, Kenya
    (International Journal of Community Medicine and Public Health, 2021-04-27) Mwangi, Daniel K.; Odongo, Alfred O.; Waithaka, Stanley K.
    Background: The rate of pre-term birth (PTB) in Kenya stands at 12.3%. Preterm deliveries are associated with high neonatal mortality and have a huge financial burden on the parents and the government. Prematurity is also associated with chronic diseases like diabetes and hypertension in adult life. The study objective was to determine the medical1and obstetric factors1associated1with preterm deliveries among women of childbearing age (15-49 years) at Pumwani maternity hospital (PMH). Methods: A hospital-based cross-sectional study was conducted among 191 mothers of reproductive age (15-49 years) who delivered at PMH during the study period. Data was collected using a questionnaire and a data abstraction tool. Descriptive statistics were used to summarize categorical variables. Chi-square was used to test for the strengths of associations. Prevalence adjusted odds ratios (PAOR) were used to estimate the strengths of associations. Results: The study found that the association between past pregnancy (p=1.0), history of surgery (p=1.0), medication (p=1.0), urinary tract infection (p=0.453), miscarriage (p=1.0) and chronic disease (p=0.395) and preterm delivery among women of child bearing age (15-49 years) at PMH was not statistically significant. The association between premature delivery (p=0.021), parity (p=0.000), premature rapture of membranes (PROM) (p=0.000), antepartum hemorrhage (APH) (p=0.045), cervical incompetence (p=0.001), pre-eclampsia toxemia (PET) (p=0.000), and placenta abruption complications (p=0.009) and preterm delivery was statistically significant. Conclusions: The association between premature delivery, parity, PROM, APH, cervical incompetence, PET and placenta abruption complications and preterm delivery was statistically significant.
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    PublicationOpen Access
    Risky behavioral factors associated with preterm deliveries among women of childbearing age (15-49 years) at Pumwani Maternity Hospital, Nairobi County, Kenya
    (International Journal of Community Medicine and Public Health, 2021-08-07) Odongo, Alfred O.; Waithaka, Stanley K.; Mwangi, Daniel K.
    Worldwide, pre-term delivery (PTD) or pre-term birth (PTB) is on the rise. World Health Organization (WHO) data shows an increase from 2 million in 1990 to 2.2 million in 2012 with about 60% of the preterm deliveries occurring in developing countries and 12.3% in Kenya. The study objective was to determine risky behavioral factors associated with preterm deliveries 1among women of childbearing age (15-49 years) at Pumwani Maternity Hospital (PMH).Methods:Maternity delivery register (MDR) was used to identify and recruit eligible study participants. A sampling frame constituting of serial numbers assigned to the mothers was made. Data was collected using pretested and structured questionnaire and a data abstraction tool. The statistical package for social sciences (SPSS) version 23 was used to perform statistical analysis. Descriptive statistics were used to summarize categorical variables. Chi-square was used to examine the differences among the categorical variables. Prevalence adjusted odds ratios (PAOR) with their respective 95% confidence interval (CI) was used to estimate the strengths of associations.Results:The study recorded proportional differences among the study variables in their association with preterm deliveries. Among them, 100%, 40%, 22.2% and 17.1% of the mothers who used firewood, charcoal, kerosene and gas/electricity respectively had preterm deliveries.Conclusions:There was no statistically significant association between the study variables (general maternal smoking, maternal smoking during pregnancy, husband smoking, husband smoking during pregnancy, main household type of fuel) and preterm delivery.