Browsing by Author "Ambani, Elizabeth"

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    Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya
    (East African Journal of Health and Science, 2024-08-28) Gitahi, Eunice; Kabue, Priscilla; Ambani, Elizabeth
    Primary health care is instrumental to delivery of quality basic health care services in communities. Its significance lies in ensuring that appropriate basic healthcare services are offered to all who need them competently, fairly and efficiently based on a people-centered approach. The study therefore sought to assess the factors affecting implementation of primary health care services among nurses in level 3 health facilities in Kiambu County, Kenya. This was an analytical cross-sectional study conducted among 141 nurses who worked in level 3 health facilities in Kiambu County and recruited using simple random sampling technique. They responded to a self-administered questionnaire. Data was probed descriptively with measures including proportions along with counts utilizing SPSS version 25.0. Relationships in study attributes were probed with chi-square test at 95% CI with outcomes shown in tables and figures. From the findings, majority (91.5%, n = 129) of the nurses rated the level of implementation of primary health care services in their workstations as sub-optimal. The factors found to strongly correlate with the poor implementation of the primary healthcare services were inadequate number of available healthcare personnel (p = 0.002); poor or low remuneration of healthcare providers (p = < 0.000); poor supply of essential medicine/drugs (p = 0.011); unavailability of essential medical equipment (p = 0.000); poor planning of the PHC programs (p = 0.024); lack of or inadequate support to HCPs from the hospital management (p = 0.013) and significant underfunding of the primary health care services (p = 0.001). Efforts are therefore required on the part of relevant stakeholders in Kiambu County to address the various factors that impede effective delivery of primary health care services
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    Patient-Related Factors Associated with Non-Adherence to Psychotropic Medication among Patients with Mental Disorders attending Clinic Follow-Up at Mathari National Hospital, Nairobi City County, Kenya
    (Journal ofMedicine, Nursing and Public Health, 2025-03) Makau, Ruth Mwikali; Kabue, Priscilla; Ambani, Elizabeth
    Non-adherence to psychotropic medication among persons with mental disorders prevents the sick persons from getting the full advantages of medication which affects them and their families negatively besides putting unnecessary pressure on the already overstretched health care system. Recent research findings show that non-adherence is a worldwide phenomenon among mentally sick persons leading to poorer outcomes such as increased hospital admissions, suicides, and deaths. This study aimed to examine patient-related factors associated with non-adherence to psychotropic medication among patients with mental disorders. This research employed a descriptive cross-sectional design. A total of 230 respondents were identified through simple random sampling in that all patients with a history of missing drug therapy as documented in the clinic notes or observed by the referring clinician were included. The correlation analysis results revealed that economic status and family support had a significant negative association with non-adherence to psychotropic medication. Moreover, side effects, beliefs and perceptions, and comorbidity had a significant positive association with non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. Regression results indicated that comorbidity had a significant positive effect on non-adherence; while family support had a significant negative effect on non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. The families of patients with mental disorders should continually support them in their recovery journey and particularly encourage them to keep taking the treatment as instructed.
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    Social Demographic Factors Affecting the Uptake of Modern Contraceptives Methods among Female Adolescents after the First Birth in Kitui County, Kenya
    (Stratford Peer Reviewed Journals and Book Publishing, 2023-10) Ndambuki, John Kyalo; Kabue, Priscilla; Ambani, Elizabeth
    Globally, adolescents make up 16% of the total population, and 55% of unwanted pregnancies among adolescent’s end in abortion. Africa has the highest number of adolescents (23%). Adolescents in Kenya experience a higher risk of unintended pregnancies than older women, but contraceptive use among them remains very low. Despite various efforts by Kenya's national and county governments and non-governmental organizations to promote abstinence among adolescents, these efforts have not been successful. In light of this, this study sought to assess the prevalence of modern contraceptives and the social demographic factors affecting the uptake of modern contraceptive methods among female adolescents after the first birth in Kitui County, Kenya. The study was conducted in Kitui County and employed a cross-sectional descriptive survey design targeting adolescent girls between 10 and 19 years who had given birth in the last six months. The results showed that the usage of modern contraceptives was generally low (35.2%). However, based on the factors influencing uptake, it was higher among respondents aged 19 years (57.4%) and those with college education (50.0%). Adolescents with a college education were 3.55 times more likely to use modern contraception (AOR=3.55; p=.000) than those with primary school qualifications. The results revealed that age, education, and marital status were determinants of modern contraceptive use among adolescents. The study advocates for increasing the use of modern contraceptives among female adolescents in Kitui County, recognizing that this is a multi-faceted problem that will require concerted efforts by all key stakeholders to provide a wide range of interventions. Such stakeholders include the community, parents, guardians, peers, school teachers and tutors, religious leaders, healthcare practitioners, and policymakers.