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4. Trauma Systems in Kenya

Author

Wesson, Hadley K. H., primary, Stevens, Kent A., additional, Bachani, Abdulgafoor M., additional, Mogere, Stephen, additional, Akungah, Daniel, additional, Nyamari, Jackim, additional, Masasabi Wekesa, John, additional, and Hyder, Adnan A., additional

Published
2015
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6. Community perceptions and response to flood risks in Nyando District, Western Kenya

Author

Nyakundi, Hellen, Mogere, Stephen, Mwanzo, Isaac, Yitambe, Andre, Nyakundi, Hellen, Mogere, Stephen, Mwanzo, Isaac, and Yitambe, Andre

Abstract

In Kenya, the ability of local people to resist the impact of disasters has not been given adequate attention. A descriptive cross sectional study sought to investigate community perceptions and responses to flood risks in low and high risk areas of the Nyando District, Western Kenya. A total of 528 households, six government officials and have project managers of Community Based Organizations (CBOs) and Non Governmental Organizations (NGOs) were interviewed. Additionally, seven Focus Group Discussions(FGDs) involving three women, two male and two teacher groups were conducted. Data were analysed using the Statistical Package for the Social Sciences (SPSS) Program. The Chi-square test was used to determine associations and di'erences between variables. In the study, 83% of the respondents were aware of Traditional Flood Knowledge (TFK) and 80% acknowledged its use. Perception of the risk is influenced by several variables, most notably past experience of major floods and having survived them. Residents in the high risk areas had signfficantly higher levels of awareness and use of traditional flood knowledge. they were more aware of the nature of the flood related health risks they were exposed to and appeared better prepared for future flood risk. They were, however, more dependent on external aid. On the other hand, residents living in the low risk area reported better success with their response mechanisms.

Published
2010

9. PARASITEMIA, ANEMIA, AND MALARIAL ANEMIA IN INFANTS AND YOUNG CHILDREN IN A RURAL HOLOENDEMIC PLASMODIUM FALCIPARUM TRANSMISSION AREA

Author

ONG’ECHA, JOHN MICHAEL, primary, LANDIS-LEWIS, ZACHARY, additional, KELLER, CHRISTOPHER C., additional, OTIENO, RICHARD O., additional, ORAGO, ALLOYS S., additional, OGONJI, GEORGE A., additional, PERKINS, DOUGLAS J., additional, MOGERE, STEPHEN, additional, OUMA, COLLINS, additional, WERE, TOM, additional, DAY, RICHARD D., additional, SLINGLUFF, JAMIE L., additional, KAPLAN, SANDRA S., additional, OCHIEL, DANIEL, additional, and VULULE, JOHN M., additional

Published
2006
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10. Parasitemia, anemia, and malarial anemia in infants and young children in a rural holoendemic Plasmodium falciparum transmission area.

Author

Ong'echa JM, Keller CC, Were T, Ouma C, Otieno RO, Landis-Lewis Z, Ochiel D, Slingluff JL, Mogere S, Ogonji GA, Orago AS, Vulule JM, Kaplan SS, Day RD, and Perkins DJ

Subjects
Anemia blood, Anemia epidemiology, Animals, Child, Preschool, Cross-Sectional Studies, Female, Hemoglobins metabolism, Housing, Humans, Infant, Kenya epidemiology, Malaria, Falciparum blood, Malaria, Falciparum epidemiology, Malaria, Falciparum parasitology, Male, Nutritional Status, Parasitemia blood, Parasitemia complications, Parasitemia epidemiology, Rural Population, Social Class, Anemia parasitology, Endemic Diseases, Malaria, Falciparum complications, Parasitemia parasitology, Plasmodium falciparum growth & development
Abstract

Malarial anemia (MA) is a multifactorial disease for which the complex etiological basis is only partially defined. The association of clinical, nutritional, demographic, and socioeconomic factors with parasitemia, anemia, and MA was determined for children presenting at a hospital in a holoendemic area of Plasmodium falciparum transmission in western Kenya. Parasitemia was not associated with malaria disease severity. In univariate logistic regression, fever was significantly associated with parasitemia, and wasting was associated with increased presentation of MA. Caretaker's level of education and occupation were significantly correlated with parasitemia, anemia, and MA. Housing structure was also significantly associated with parasitemia and anemia. Bed net use was protective against parasitemia but not anemia or MA. Multivariate logistic regression models demonstrated that fever, mother's occupation, and bed net use were associated with parasitemia. In the current study, none of the factors were associated with anemia or MA in the multivariate models.

Published
2006

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