Browsing by Author "Muchiri, Karega"

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    Partnership in Improving Quality of Obstetric Fistula Care: A Family Systems Perspective
    (Kenyatta University, 2017) Muchiri, Karega
    Literature review reveals that women in treatment for obstetric fistula commonly present with various psychological symptoms including depression, shame, diminished self-esteem, post-traumatic stress, somatic complaints, avoidant and resignation coping and, resentment. This is as a result of the familial as well as social dynamics inherent in the course of recovery. These dynamics include, among others, abandonment, discrimination, social ostracism and marginalization. Family Systems approaches postulate that change in one part of the system, leads to change in the whole system. Obstetric fistula thus leads to unhealthy functioning in the family system in different forms including disrupted marital relationship and limited social support. The knowledge gap that the study sought to investigate related to specific family focused systemic interventions either applied during intervention or proposed as part of the continuum of care in the treatment of Obstetric fistula. The study employed a systematic review of studies conducted on treatment and care of Obstetric Fistula patients. This review revealed a gap in systemic family focused interventions, by public health practitioners and other relevant stakeholders, geared towards restoring healthy family functioning, despite evidence that resuming social roles as wives and mothers was found to be a predominantly positive rehabilitation experience. This paper proposes a partnership between psychologists and public health practitioners in implementing family systems focused interventions aimed at restoring healthy family functioning and thus improving the quality of continuum of care among Obstetric Fistula patients
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    Relationship between Perceived Parental Involvement and Treatment Adherence among Adolescent Substance Use Disorder Patients in Rehabilitation Centers in Kiambu County, Kenya
    (African Journal of Alcohol & Drug Abuse, 2023-12-31) Kabogo, Sharon; Muchiri, Karega
    Adolescent substance use is a concern to families, schools, psychologists, and society at large as it hampers the ability to achieve personal and national goals. Despite efforts to provide quality treatment to adolescent substance users, there is scarce information on how parenting influences treatment dynamics. The purpose of the study was to determine the relationship between perceived parental involvement and treatment adherence among adolescent substance use disorder patients in selected rehabilitation centers in Kiambu County. Based on attachment theory, the study utilized a correlational survey design to establish the significance of the relationship between the study variables. The population targeted was 72 adolescents undergoing treatment in various rehabilitation centers in Kiambu County. Multistage sampling was used to obtain the sample. A questionnaire developed by the researcher was used to collect quantitative data. Descriptive statistics were used to analyze demographic factors, levels of adherence to treatment and perceived parental involvement. Correlations between perceived parental involvement and adherence to treatment were established using Spearman’s Rank correlation coefficient. The study found that adolescents rated maternal involvement (p= 0.024) higher than paternal involvement (p= -0.080). There was a markedly weak relationship between perceived parental involvement and adherence to treatment among adolescents (p= -0.034). The study recommends more research into the current forms of parental involvement that facilities have adopted while treating in-patient adolescent SUD clients.
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    Relationship Between Perceived Parental Nurturance and Problem Behaviours among Secondary School Students in Selected Counties in Kenya.
    (2013-08-01) Muchiri, Karega
    Despite the heavy investment in education that the Kenyan Government makes each year, problem behaviours amongst adolescent students continue to affect the goals of effective training and skill building among many young Kenyans and thus undermining efforts at poverty alleviation and wealth creation in the country. This is because problem behaviours lead to lost class and study time as students spend much time and energy completing punishments and suspensions as opposed to learning. Behaviour problems sometimes also lead to expulsion from school. Attempts at reducing problem behaviours have included setting up committees and task forces to investigate their causes and make recommendations on the same. Studies on behaviour problems among adolescents especially in Kenya have focused mainly on the influence of parental affection on adolescent behaviour, adolescent-parent relationships, parental controls, and parenting styles. However, there was a general absence of data on the role of parental nurturance in the behaviour of adolescents. To fill this gap in knowledge, the current study sought to investigate the relationship between perceived parental nurturance and problem behaviours amongst the adolescent students in selected counties in Kenya. A correlational research design was used to test the hypothesis that perceived parental nurturance is significantly related to problem behaviour among adolescent students. Proportionate stratified sampling was used to obtain a sample of 714 students in five counties (in two former provinces) in Kenya. Problem Behaviour was assessed using a self-rating Problem Behaviour Scale. Parental Nurturance was assessed using and the Parental Nurturance Scale developed by Buri, Kirchner and Walsh (1987). The findings revealed high perceived parental nurturance scores for both male and female students as well as low occurrence of problem behaviours. The study also found that widowed fathers were perceived as the most nurturing parents. The study also found that there was a higher occurrence of internalizing problem behaviours compared to externalizing problem behaviours. Spearman Rank Correlation was used to test the relationship between perceived parental nurturance and problem behaviour while one way ANOVA and t-test were used to test for differences across demographic variables in parental nurturance and problem behaviour. The findings revealed that there were no significant differences in perceived parental nurturance with regard to sex and provinces. There were significant differences however, across marital status. The findings also revealed no significant differences in problem behaviour between the provinces, parental level of education and parental marital status. The study found a significant negatively correlated relationship between perceived parental nurturance and problem behaviour among the adolescent students. Based on the findings, it was suggested that in developing policies for school management, the possible influence of parents on the behaviour of adolescent students be given more serious consideration. It was also suggested that when addressing problem behaviour issues in schools, educators should pay more attention to the relationship between perceived parental nurturance and problem behaviour. This is to avoid focusing on correcting problem behaviours without considering the possible influence of parental dynamics.