Browsing by Author "Mugo, Judy"

Now showing 1 - 5 of 5
  • No Thumbnail Available
    Item
    Access to reproductive health services by female survivors of sexual gender-based violence: a descriptive cross-sectional study of Nairobi City County, Kenya
    (International Journal of Community Medicine and Public Health, 2024-03) Oredo, Pascal O.; Kimani, Harun M.; Mugo, Judy
    Background: Sixty percent of women globally are exposed to reproductive health problems related to sexual gender based violence. In Kenya, sexual violence is one of the top 10 risk factors for disease burden. The study aimed to determine access to reproductive health services by female survivors of sexual gender-based violence in Nairobi city county, Kenya. Methods: The study adopted descriptive cross-sectional design using pretested questionnaires. Study population was 269 female survivors of sexual gender-based violence. Data was analysed thematically and presented by use of percentages and frequencies distribution tables. Binary logistic regression model was used to determine relationships between dependent and independent variables. Odds ratios were evaluated for significance by considering the 95% confidence interval at p value ≤0.05. Results: Access to reproductive health services by female survivors of sexual gender-based violence was 26%. Service availability for survivors in the facilities had a 3 times likelihood of access sexual, knowledge on failure to seek immediate medical attention had 4 times likelihood to increase access while awareness of the period to have prophylaxis had 4.66 times likelihood to increase access. Services provided to survivor had 39% likelihood to increase access, survivors screened for sexually transmitted disease before admission had 10% more likelihood to access and survivors who received post exposure prophylaxis had 0.62 times likelihood of access to sexual reproductive health services. Conclusions: Availability of comprehensive sexual reproductive health services at the facility and good knowledge would increase access to reproductive health services.
  • Thumbnail Image
    Item
    Adherence To Pulmonary Tuberculosis Treatment In Murang’a County, Kenya
    (International Journal of Current Aspects, 2020) Gitonga, Charles Muthui; Nyamari, Jackim; Mugo, Judy
    Non-adherence to Tuberculosis treatment is a major barrier for TB control programs because incomplete treatment may result in prolonged infectiousness, drug resistance, relapse and death. Successful treatment of TB involves taking anti TB drugs for at least six months as per the doctors advise. Currently, Tuberculosis has become a resurgent public Health problem in developing countries and is the leading cause of death from any single infectious agent. The purpose of the study was to identify factors contributing to non-adherence to TB treatment amongst pulmonary TB patients in Maragua Sub-County of Murang’a County. The objectives included were to determine the social-economic related, healthcare-related, patient-related and disease and medicine related factors associated with non-adherence of TB treatment amongst patients in Murang’a County. The study was guided by the Health Belief model as the theoretical framework. A cross-sectional survey study design was used. Census method was used and all 270 people were considered. Data was collected using a mixed method approach of interview guides, questionnaires and Focus Group Discussions. A total of 270 adult Pulmonary TB patients, amongst whom 59 (47%) were adherents and 67(53%) non adherents with TB treatment, who received treatment in 2017 and had completed treatment, Community Health workers, and Health Personnel in the TB clinic participated in the study. Data was entered to EPI INFO version 3.5.3 and analysed using Statistical Package for Social Sciences (SPSS) version 22. Multiple logistic regressions was used to identify associations and to control potential confounding variables. Chi Square was used to test independence of categorical variables with p value of less than 0.05 at 95% confidence interval being considered significant. Data presentation was done using figures and tables. From the results of the study only the distance taken to collect drugs in the health facility was found to be associated with non-adherence to TB treatment (n=9 ,13%). The study recommends that measures should be undertaken so as to reduce the non-adherence level to TB treatment by ensuring anti-Tb treatment is accessible to patients at the nearest Health facility from their residence. Additionally, the study proposes that the patients should be sensitized on the importance of adherence to TB drug mediction. Interventions with Health promotion initiatives emphasizing the benefits of treatment adherence should be enhanced in the communities by further large scale multicentred studies and that an enabling environment which is conducive for good patient interactions should be created. The study concludes that there are challenges facing adherence of TB treatment which ought to be addressed. The study, suggests that measures to improve drug adherence such as improving health conditions, increasing the availability of drugs and conducting health educations to the patients is essential in minimizing the drug non-adherence to TB drugs.
  • Thumbnail Image
    Item
    Determinants of Post Caesarean Section Wound Sepsis among Postnatal Mothers at Kenyatta National Hospital, Nairobi City County, Kenya
    (Kenyatta University, 2019-09) Chelimo, Agneta; Arodi, Washington; Makworo, Drusilla; Mugo, Judy
  • Thumbnail Image
    Item
    Utilization of Female Condoms among Women Living with Human Immunodeficiency Virus (HIV) in Murang’a County, Kenya
    (European Journal of Medical and Health Sciences, 2024-04) Ndwiga, Dorothy Njoki; Mugo, Judy; Nyang’echi, Edna; Mathenge, John
    To prevent the risk of transmission of the Human Immune Deficiency Virus (HIV) and other sexually transmitted infections (STIs), as well as achieve family planning targets, the use of Female Condom, a women-initiated method, has been prioritized across the globe. Nevertheless, knowledge regarding the utilization of Female Condoms among HIVpositive women remains inconclusive. The main objective of this study was to determine the utilization of Female Condoms (FC) among HIV-positive women in Murang’a County, Kenya. Method: This study adopted a cross-sectional analytical survey design. A total of 204 women living with HIV (WLHIV) were recruited in the study. Multi-stage sampling was conducted to get three participating sub-counties and three clinics. Systematic sampling and purposive sampling techniques were used to select WLHIV. Structured questionnaires, interview schedules and focus group discussions were used to collect data. Descriptive and inferential statistics were generated using Statistical Package for Social Sciences (SPSS) version 25.0. The statistical significance of the association between categorical variables was determined using Pearson’s Chi-square test. The level of significance was fixed at a P-value of 0.05 level of significance (p ≤ 0.05). Results: 38.8% of the respondents were aged 31–40 years (Mean = 3.11; SD = 1.004). 42.2% of study participants had attained secondary education (mean = 2.05; SD = 0.899). FC use was low at 17.6% among the women living with HIV. There was a statistically significant association between the age of the respondents and the view that FC has the potential to prevent unwanted pregnancy (p = 0.002; χ2 = 17.246; df = 4). The relationship between marital status and “ever heard about FC” (p = 0.042; χ2 = 32.529; df = 5), “ever seen an FC” (p = 0.048; χ2 = 34.982; df = 5), “FC has a potential to prevent unwanted pregnancy” (p = 0.006; χ2 = 23.079; df = 5) was significant. Married women who were revealed to have seen FC were significantly associated with the current use of the FC (p = 0.001; χ2 = 12.852; df = 1). 26.5% of the participants put on FC as a measure to prevent HIV during sexual activities. Most married women did not know whether their sexual partner does not like them to use FC when having sex compared to separated, cohabiting, divorced or single WLHIV (p = 0.034; χ2 = 7.949; df = 10). Conclusion: The relatively high knowledge among WLHIV does not translate to the use of FC for appropriate and consistent utilization of the device
  • Thumbnail Image
    Item
    Utilization of sexual reproductive health services among public service vehicle operators in Nairobi City County, Kenya
    (International Journal of Community Medicie and Public Health, 2023) Oenga, Davis; Mugo, Judy; Kiplalom, Rosebella
    Background: Public service vehicle operators and owners are a susceptible demographic in need of specialized treatments due to their high vulnerability to these problems. The primary purpose of this research was to learn on the utilization of sexual reproductive health services (SRH) among public service vehicle (PSV) operators in Nairobi County use sexual and reproductive health care services. Methods: A descriptive cross-sectional study design was adopted for the study. The research approach used both qualitative and quantitative techniques. Operators at bus terminals made up the bulk of the research population. The Cochran's formula was used to precisely estimate a sample's contribution to a population, and the sampling estimate had a variance (margin of error) of 0.5. Results: The logistic regression model results showed that, after controlling for demographics, female PSV operators were 97% more likely to use SRH services on at least four separate occasions than their male counterparts (95% CI (0.21 to 0.96), p=0.015). When controlling for age, marital status, and education, PSV operators from universities are 75% more likely to use SRH services than those from primary schools (95% CI (1.12 to 0.75), p=0.001), and those from secondary schools are 68% more likely to use SRH services than those from primary schools (95% CI (0.241 to 0.679), p=0.004). Conclusions: This study concluded that, the utilization of SRH services among PSV is at 36.6%, married PSV operators utilize sexual reproductive health services was more than unmarried PSV operators. Age, level of education and employment status are determinants to utilization of the selected sexual reproductive health services.