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Your search keyword '"Gideon O. Emukule"' showing total 3 results
Start Over Author "Gideon O. Emukule" Journal bmc public health
3 results on '"Gideon O. Emukule"'

1. Healthcare-seeking behavior for respiratory illnesses in Kenya: implications for burden of disease estimation

Author

Gideon O. Emukule, Eric Osoro, Bryan O. Nyawanda, Isaac Ngere, Daniel Macharia, Godfrey Bigogo, Nancy A. Otieno, Sandra S. Chaves, M. Kariuki Njenga, and Marc-Alain Widdowson

Subjects
Behavior, Burden, Healthcare seeking, Healthcare utilization, Kakamega, Marsabit, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Understanding healthcare-seeking patterns for respiratory illness can help improve estimation of disease burden and target public health interventions to control acute respiratory disease in Kenya. Methods We conducted a cross-sectional survey to determine healthcare utilization patterns for acute respiratory illness (ARI) and severe pneumonia in four diverse counties representing urban, peri-urban, rural mixed farmers, and rural pastoralist communities in Kenya using a two-stage (sub-locations then households) cluster sampling procedure. Healthcare seeking behavior for ARI episodes in the last 14 days, and severe pneumonia in the last 12 months was evaluated. Severe pneumonia was defined as reported cough and difficulty breathing for > 2 days and report of hospitalization or recommendation for hospitalization, or a danger sign (unable to breastfeed/drink, vomiting everything, convulsions, unconscious) for children

Published
2023
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2. The cost of influenza-associated hospitalizations and outpatient visits in Kenya

Author

Gideon O. Emukule, Linus K. Ndegwa, Michael L. Washington, John W. Paget, Jazmin Duque, Sandra S. Chaves, Nancy A. Otieno, Kabura Wamburu, Irene W. Ndigirigi, Philip M. Muthoka, Koos van der Velden, and Joshua A. Mott

Subjects
Economic burden, Cost, Cost-per-episode, Hospitalization, Influenza, Kenya, Public aspects of medicine, RA1-1270
Abstract

Abstract Background We estimated the cost-per-episode and the annual economic burden associated with influenza in Kenya. Methods From July 2013–August 2014, we recruited patients with severe acute respiratory illness (SARI) or influenza-like illness (ILI) associated with laboratory-confirmed influenza from 5 health facilities. A structured questionnaire was used to collect direct costs (medications, laboratory investigations, hospital bed fees, hospital management costs, transportation) and indirect costs (productivity losses) associated with an episode of influenza. We used published incidence of laboratory-confirmed influenza associated with SARI and ILI, and the national population census data from 2014, to estimate the annual national number of influenza-associated hospitalizations and outpatient visits and calculated the annual economic burden by multiplying cases by the mean cost. Results We enrolled 275 patients (105 inpatients and 170 outpatients). The mean cost-per-episode of influenza was US$117.86 (standard deviation [SD], 88.04) among inpatients; US$114.25 (SD, 90.03) for children

Published
2019
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3. Assessing parents’ knowledge and attitudes towards seasonal influenza vaccination of children before and after a seasonal influenza vaccination effectiveness study in low-income urban and rural Kenya, 2010–2011

Author

Gideon O. Emukule, Philip Muthoka, Mark A. Katz, Emmaculate Lebo, Nancy A. Otieno, Robert F. Breiman, Geoffrey Arunga, Joshua M. Wong, David Mutonga, and Prisca A. Oria

Subjects
Adult, Male, Parents, Rural Population, medicine.medical_specialty, Pediatrics, Health Knowledge, Attitudes, Practice, Urban Population, Influenza vaccine, Cross-sectional study, Population, Child Health Services, Surveys and Questionnaires, Epidemiology, Influenza, Human, medicine, Humans, education, Child, Seasonal influenza, Children, education.field_of_study, business.industry, Public health, Vaccination, Public Health, Environmental and Occupational Health, Infant, Low-income, Focus group, Kenya, Cross-Sectional Studies, Attitude, Influenza Vaccines, Parent, Child, Preschool, Female, Seasons, Biostatistics, business, Demography, Research Article
Abstract

Background Influenza vaccine is rarely used in Kenya, and little is known about attitudes towards the vaccine. From June-September 2010, free seasonal influenza vaccine was offered to children between 6 months and 10 years old in two Population-Based Infectious Disease Surveillance (PBIDS) sites. This survey assessed attitudes about influenza, uptake of the vaccine and experiences with childhood influenza vaccination. Methods We administered a questionnaire and held focus group discussions with parents of children of enrollment age in the two sites before and after first year of the vaccine campaign. For pre-vaccination focus group discussions, we randomly selected mothers and fathers who had an eligible child from the PBIDS database to participate. For the post-vaccination focus group discussions we stratified parents whose children were eligible for vaccination into fully vaccinated, partially vaccinated and non-vaccinated groups. Results Overall, 5284 and 5755 people completed pre and post-vaccination questionnaires, respectively, in Kibera and Lwak. From pre-vaccination questionnaire results, among parents who were planning on vaccinating their children, 2219 (77.6%) in Kibera and 1780 (89.6%) in Lwak said the main reason was to protect the children from seasonal influenza. In the pre-vaccination discussions, no parent had heard of the seasonal influenza vaccine. At the end of the vaccine campaign, of 18,652 eligible children, 5,817 (31.2%) were fully vaccinated, 2,073 (11.1%) were partially vaccinated and, 10,762 (57.7%) were not vaccinated. In focus group discussions, parents who declined vaccine were concerned about vaccine safety or believed seasonal influenza illness was not severe enough to warrant vaccination. Parents who declined the vaccine were mainly too busy [251(25%) in Kibera and 95 (10.5%) in Lwak], or their child was away during the vaccination period [199(19.8%) in Kibera; 94(10.4%) in Lwak]. Conclusion If influenza vaccine were to be introduced more broadly in Kenya, effective health messaging will be needed on vaccine side effects and frequency and potential severity of influenza infection.

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