Browsing by Author "Bett, Sarah"

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    Determinants of Measles Vaccine Uptake among Mothers of Children between 9 and 24 Months in Narok North Subcounty
    (Stratford Peer Reviewed Journals and Book Publishing, 2023-05) Kiplagat, Alice; Bett, Sarah; Masika, Jacob
    The low uptake of measles vaccines in Kenya is a noticeable public health problem. Therefore, the study assessed the determinants of low uptake and hesitancy of measles vaccination among mothers of children aged 9 – 24 months in Narok North Sub-County, Narok. Cross-sectional quantitative study was done. The study was conducted in four purposively selected health centers in Narok North Sub-County. A structured and pretested questionnaire was used to collect data from 100 mothers. The multistage sampling method was used in this study to select the mothers who participated in the current study. The data were analysed descriptively. Additionally, Pearson’s chi-square, Kruskal-Wallis H, and logistic regression tests were conducted to determine the significance of the relationships and associations between the determinants and MCV uptake. A total of 69(69%) of the children (N =100) who had qualified for the first dose of measles vaccines (MCV1) had received the vaccines, while 31(31%) had not. Thirteen (26.5%) of the children (n = 49) who had qualified for the second dose of measles vaccine (MCV2) had received the vaccine, while 36(73.5%) did not. The significant maternal determinants of MCV uptake included; maternal age (p = .019) and maternal level of education (p = .030). The significant child’s determinants were birth order (p = .032) and place of birth (p = .001). The significant socioeconomic factors included; low socioeconomic background (p = .004) and cultural and religious issues (p = .003). The significant healthcare determinants included distance from the health facility (p = .020) and availability of vaccines in the health center (p = .000). Measles vaccine uptake was very low compared to the World Health Organization (WHO) recommended coverage rate of >95%. Thus, there is a need to provide health education and information to mothers or caregivers on measles vaccine uptake.
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    Healthcare Worker Related Determinants of Adherence to Integrated Management of Newborn and Childhood Illnesses Guidelines for Childhood Pneumonia in Level 3 Hospitals in Nairobi City County, Kenya
    (IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2025-03) Mumo, Magdaline Maureen Nduku; Bett, Sarah; Jacob Masika
    Background: In Kenya, the basic level for implementing the Integrated Management of Newborn and Childhood Illness (IMNCI) guidelines is the level 3 health facilities. However, grim statistics denote possible gaps in implementation of IMNCI guidelines on pneumonia among healthcare providers working in the country’s primary health care facilities. This is also affirmed by various surveys on the INMCI implementation in Kenya which noted that implementation of IMNCI strategy remained highly inadequate in the country. To address this implementation gap, the ministry of health in Kenya has been embarking on an increased rollout of revised IMNCI guidelines. Despite the roll-out of the revised IMNCI guidelines across health care facilities, the determinants for the adherence to the pneumonia IMNCI guidelines in the county’s level 3 health facilities are unclear. This necessitates the current study that sought to determine the healthcare worker related factors influencing adherence to IMNCI guidelines for childhood pneumonia in Level 3 health facilities in Nairobi City County. Materials and Methods: This study utilized an analytical cross-sectional research design. the location for the study was Level 3 health facilities in Nairobi City County constituted the study site. The target population for the study was 443 healthcare workers (295 nurses and 148 clinical officers) attending to infants/young children. The sample size for the study was 65 respondents, comprising of 44 nurses and 21 clinical officers. The research instrument used in this study was a self-administered/self-reported questionnaire. Data from the questionnaires was quantitative in nature and were analyzed using descriptive statistics. This included frequencies and percentages. Further, assessment of how the study’s explanatory and explained variables related was undertaken with chi-square test at 95% confidence-interval with p values ≤ 0.05 denoting existence of a statistically significant association between the study variables. The study’s outcomes were presented as figures and tables. The analytical software utilized was SPSS v.25. Results: The healthcare worker related factors found to have a statistically significant association with adherence to the IMNCI guidelines on management of pneumonia were education level of the healthcare workers (χ2 = 15.27, p = 0.002); years spent in caring for under-fives (χ2 = 8.81, p = 0.032); interaction with sick children (χ2 = 11.07, p = 0.032); training on the IMNCI guidelines (χ2 = 9.20, p = 0.02); being aware of and knowledgeable of the IMNCI guidelines (χ2 = 14.45, p < 0.0001); and attitude towards the IMNCI guidelines on pneumonia (χ2 = 16.63, p < 0.0001). Conclusion: Majority of the healthcare workers working in level 3 health facilities in Nairobi City County adhered to the IMNCI guidelines on management of childhood pneumonia. From the results education level of the healthcare workers, years spent in caring for under-fives, interaction with sick children, training on the IMNCI guidelines, being aware of and knowledgeable of the IMNCI guidelines and attitude towards the IMNCI guidelines on pneumonia were the healthcare worker related factors that influenced adherence to the IMNCI guidelines on pneumonia among healthcare workers in level 3 health facilities in Nairobi City County
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    Institutional Factors Affecting Timely Referral and Safe Transport of Neonates in Makueni County Referral Hospital, Kenya
    (EdinBurg, 2024-09) Iluka, Francisca Nduku; Bett, Sarah; Barako, Talaso
    Purpose: Internationally, 2.5 million babies lose their lives before first 28 days of life, many of the deaths occur in underdeveloped countries and a third occur on day one of life. According to the World Health Organization, many infant deaths are preventable by simple interventions. Some of the early interventions are proper preparedness and early identification of danger signs, timely referral, and safe transport of sick newborns to ensure reductions in newborn deaths. The purpose of this study was to identify institutional factors that affect timely referral and safe transport of neonates in Makueni County Referral Hospital. Methodology: The study employed an analytic cross-sectional study design. The researcher collected data from 50 primary caregivers or the mothers. The researcher used a self-administered questionnaire, document reviews of the patients’ files, and a structured data checklist. Patients condition on admission was obtained from the patient’s file. The researcher analyzed the data quantitatively using the Statistical Package for Social Sciences version 26 (SPSS V26). Results: According to the study findings, institutional characteristics highlight several significant factors associated with the likelihood of timely referral and safe transport during a referral. Patients who did not receive stabilization treatment were found to be more prone to experiencing a lack of timeliness and safe transport during referral (P=0.004), patients who did not undergo vital signs monitoring were 9.25 times more prone to experiencing delays and unsafe transportation (P = 0.035). The results suggest that patients with a response time exceeding 2 hours were more likely to face a lack of timeliness and safe transport during referral (P=0.032). The availability of an ambulance emerged as a significant factor, with 59.5% (25) reporting waiting for an ambulance as the reason for the delay. Conclusion: The study concludes that institutional factors influenced safe transport and timely referral including stabilization treatment, vital signs monitoring, response time for referral, and the availability of an ambulance. The study recommends that ambulances should be availed timely, in adequate numbers, and be equipped with the necessary drugs and equipment so that in the event of a problem, the healthcare provider can intervene appropriately. Also, hospitals should be supplied with all the necessary equipment and drugs to aid in stabilization of patients.
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    Utilization of Reflective Practice by Nurses Working in the Critical Care Units at a Level Six Hospital in Kenya
    (eviewed International Jour-nal of Medicine, Nursing & Public Health, 2024-07) Samoita, Lillian Nyanduko; Bett, Sarah; Meng’anyi, lucy Wankuru; Gachuiri, Grace
    This study aimed to investigate the Utilization of Reflective practice among nurses in the critical care units (CCUs) at Kenyatta National Hospital (KNH). The specific objectives of the study weredetermining the practice of reflection,the perception towards utilization of reflective practice,the relationshipbetween nurse characteristics, and facility associatedfactorsand utilization of reflective practice.Across sectional quantitative study was conducted with 154 sampled respondents. A structured self-administered questionnairewas used for data collection. Statistical Package for Social Sciences (SPSS) version 25.0 was utilized for data analysis, incorporating Logisticregression and Chi-square tests to evaluate relationships.Formal training in reflective practice was strongly associated with increased utilization, as those who received training had a utilization rate of (92.6%), while those without training had a utilization rate of (47%). Nurses who indicated that their nursing practice had been altered by engaging in reflection demonstrated a greater utilization rate (68.2%) in comparison to those who did not report any such modification. Majority (88.2%) of the respondents reported they did not have a designated space for reflective practice, (76.3%) lacked supportive institutional policies,(80.8%) missed opportunities for training, and (68.7%) experienced workload related obstacles.The study underscores the importance of promoting formal training in reflective practice, establishing supportiveinstitutionalpolicies, and providing dedicated spaces for reflection among CCN