SHS Publications 2019

Determinants of Adherence To Guidelines To Exclusive Breast Feeding Among Mothers Of Infants Aged – 6 Months Attending Mch Clinic At Kisumu County Hospital.

2021-10-15T17:09:45Z

Determinants of Adherence To Guidelines To Exclusive Breast Feeding Among Mothers Of Infants Aged – 6 Months Attending Mch Clinic At Kisumu County Hospital. Njeru, S. K

Chemotherapeutic Activities of Selected Medicinal Plant Extracts Used in Management of AIDS-Related Opportunistic Infections in The Lake Victoria Basin of Kenya.

2021-10-15T17:07:58Z

Chemotherapeutic Activities of Selected Medicinal Plant Extracts Used in Management of AIDS-Related Opportunistic Infections in The Lake Victoria Basin of Kenya. Kinuthia, N. S.,; Munde, O. N; Odhiambo, E.; Were, S. O.,; Guyah, B.,; Aduma, P.R The current management of HIV is highly active antiretroviral therapy (HAART), which has challenges such as toxicity, emergence of drug resistance, and mutations. This has led to quest for alternative medicine from plants which have been explored for their antimicrobial activities, cytotoxicity, and anti-proliferative properties. The chemotherapeutic components of plant preparations in Lake Victoria Basin (LVB) of Kenya has not been fully determined. This the study determined the potential antimicrobial proper- ties, cytotoxicity and anti-proliferative effects of Piptadeniastrum africanum (bark), Chaemacrista nigricans (leaves), Kigelia africana (fruit), and Centella asiatica (leaves) extracts used in the management of HIV/AIDS opportunistic infections in LVB. Methods: Twenty-four hours old cultures of S. aureus, E. coli, and C. albicans, were used to investigate the antimicrobial properties of the plant extracts. Morphological changes in CCRF-CEM cell lines and use of MTT assay were used to investigate the cytotoxicity and antiproliferative level of plant extracts. Results:S. aureus (df = 3, P = 0.019), E. coli (df = 3, P = 0.017) and C. albicans (df = 3, P = 0.017). The plant extracts showed antiproliferative effect on CCRF-CEM cells within 72 hours treatment period (P. africanum R2=0.9962, P=0.0019, C. nigricans R2=0.9935, P = 0.0032, K. africana R2 = 0.9706, P = 0.0148, C. asiatica R2 = 0.9954, P = 0.0023). Conclusion: - tions caused by bacteria and fungi, even at high concentrations without cytotoxicity. Therefore, this study provides evidence-based information on the chemotherapeutic va

valuation of The Determinants of Clinical Medicine Training Outcomes In Western Kenya.

2021-10-15T16:50:43Z

valuation of The Determinants of Clinical Medicine Training Outcomes In Western Kenya. Njeru, S. K.; Adoka, S. O. Study Objective: To analyze the learner – lecturer / instructor interaction process within the context of theory learned during training put into clinical / medical practice. This was in order to generate limitation in both the teaching institutions that address Clinical Medicine training outcomes. Study Design: Across- sectional study Study Setting: This study was carried out in Lake Basin Region of Kenya. The area includes Kisumu and its surrounding counties of Vihiga and Nandi. Study Subjects / Participants: Sixty six (66) Clinical Medicine students from various MTIs in Lake Basin Region of Kenya, 58 health workers, 3 heads of departments from KMTCs, 5 heads of departments in the clinical placement sites that was visited for this study and 4 lecturers of MTIs. Study Results: Analysis from observations of student / lecturer / infrastructure / leadership / linkage engagements were obvious and more so the absence of libraries in all RHTCs. In both the county Hospital and the referral Hospital (JOOTRH) there were libraries which were inaccessible to Clinical Medicine students. There were linkages and networking processes in all the training health facilities that were used as clinical placement sites. This was evident in the many students who were present from different MTIs in Kenya. Students for clinical placements came from all MTIs in Kenya among who were all KMTCs, EPH - International Journal of Medical and Health Science ISSN: 2456 - 6063 Volume-5 | Issue-10 | October,2019 48 GLUK, Uzima University College, Mt Kenya University, Moi University and others. There were evident interactions in many ways both academically and socially, and with the presence of ICT services, these students were linked together nationally regionally and internationally Study Conclusion: This study therefore provides a tool to guide MTIs and clinical placement sites in Kenya on the best practice in linking theory based learning with clinical practice in achieving quality, competent, effective, and efficient Clinical Medicine training

Correlation of unsafe abortion and HIV Seropositive status among Women of reproductive age in a National Referral Hospital in Kenya

2022-01-18T06:29:33Z

Correlation of unsafe abortion and HIV Seropositive status among Women of reproductive age in a National Referral Hospital in Kenya Njuguna, D. W; Ong’any, A. A.,; Murigi, M.; Kerubo, C. ntroduction: Unsafe abortion is a leading cause of maternal morbidity and mortality in Kenya. In the developing world approximately 35 million people live with HIV/AIDS. The aim of this study was to establish the correlation between unsafe abortion and HIV seropositive status. Methods: This was a cross sectional study. Participants were selected using simple random sampling. Data was collected using a self-administered questionnaire and analyzed using SPSS version 21.0. at a statistical threshold of p<0.05. Findings: Seventy-two women of reproductive age participated in the study. Proportion of unsafe abortion was high among respondents aged 20 years. Among 33% of the participants who had ever been pregnant, 66% procured an unsafe abortion. The study depicted an association between knowledge of HIV status and the participants decision to procure unsafe abortion (p=0.0023). Similarly, women who had ever had an abortion in their previous pregnancies were more likely to procure an abortion on learning their HIV seropositive status (OR- 8.504, p=< 0.0001). Conclusion: HIV seropositive status influences women’s decision to procure unsafe abortion. Therefore, there is need for improved access to sexual and reproductive health services within the four-pronged context of elimination of Mother to Child Transmission(eMTCT). KEYWORDS