RP-Department of Environmental Health

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Browsing RP-Department of Environmental Health by Author "Keraka, Margaret"

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    Assessment of the Knowledge on Pre Conception Care among Women of Reproductive Age in Ruiru Sub-County, Kiambu County, Kenya
    (International Peer Reviewed Journal and Book Publishing, 2018) Chepngetich, Joyce; Keraka, Margaret; Njagi, Joan
    Purpose: The study aimed at determining the knowledge on pre conception care among women of reproductive age in Ruiru Sub-County, Kiambu County. Materials and methods: Descriptive cross-sectional study design was used with a target population of 65,045 women of reproductive age, para one and above in Ruiru sub-county. Simple random sampling method was used to select study participants. A total of 384 women of reproductive age took part in the study. A semi-structured interviewer-administered questionnaire was used to collect data and Focused Discussion groups. Quantitative data from the questionnaire was checked daily for completeness and coded for appropriate computer entry. Thematic content analysis was done for Qualitative data from the FGDs and triangulated during discussion. Thereafter, data was analyzed using SPSS version 20.0 statistical package. Univariate and bivariate data analysis were involved. Chi-square was used to determine the significance of associations between variables. Data finding were then presented using tables, pie charts and bar graphs. Results: There is low level of knowledge on preconception care services among the study participants with a larger proportion who have never heard about the services and not able to name the components of preconception care and the main source of information was obtained from the health workers in the hospitals. Recommendations: Health education of women of reproductive age on preconception care services, its components and importance in the health facilities and institutions of higher learning so that they can have the knowledge on preconception care services hence increasing its utilization. This is because the utilization of preconception care services is influenced by the level of education, occupation and age.
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    Associated factors with Puerperal Sepsis among Reproductive Age Women in Nandi County, Kenya
    (Mashhad University of Medical Sciences, 2017) Chepchirchir, Maritim Violet; Nyamari, Jackim; Keraka, Margaret
    Background & aim: Studies have shown that puerperal sepsis is a major cause of maternal morbidity and the second cause of maternal mortality in the developing world. This study aimed to determine the incidence and management of puerperal sepsis among the women of reproductive age (i.e., 15-49 years) attending to two hospitals in Nandi County, Kenya. Methods: This descriptive, cross-sectional study was conducted on 215 women who were diagnosed with puerperal sepsis and referred to two hospitals in Nandi County. Four health care providers in charge of these patients were also included in the study. The sampling was performed using the purposive sampling technique. The data were collected using a structured interview administered by the researcher. Data analysis was performed through SPSS version 20 using the Chi-square test and logistic regression. Results: According to the results of the study, there was a statistically significant relationship between antenatal care attendance and labor duration (OR=0.35, 95% CI: 0.15-0.80). The mothers who had a short labor were 0.35 times more likely to have attended health care facilities to receive antenatal care as compared to those with a long labor. In addition, the food availability showed a significant relationship with duration of labor (OR=5, 95% CI: 1.8-14.28). The mothers with adequate food were five times more likely to experience a short labor compared to those with food shortage. The results also revealed that there was a lack of knowledge on the etiology of infection in the area under investigation. Moreover, the health care facilities were short of the adequate prerequisites to perform puerperal sepsis awareness both in the clinics and community. Conclusion: The findings of the present study underscored the necessity of supplying funds by the Ministry of Health to raise the individuals’ awareness on puerperal sepsis and provide them with hygiene education in the investigated area. The integration of hygiene education and puerperal sepsis awareness into antenatal care services should be performed as a strategy to prevent and control the infection.