Browsing by Author "Ogweno, Gordon"
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Item Activation in Cancer Survivorship in Kenya: Results of a Cluster-Randomized Trial(Journal of Clinical Nursing & Reports, 2024-07) Mchidi, Nebert K.; Oyore, John P.; Ogweno, GordonIntroduction: Kenya’s cancer situation, as in the rest of the developing world, is marred by treatment access deficiencies arising from multiple foci in the continuum of health care that make survival difficult. These challenges, stemming from patient, service, and service provider points of view, place the patient at an increasing need for continuous support through the survivorship. This study, aimed at improving the patient’s knowledge, skills, and confidence in self-care; and has been conceptualized as activation. Data on patient activation have demonstrated the positive influence of activation on different survivorship outcomes, including symptom management, adherence, and improved quality of life. In Kenya, there is a dearth of data on the utility of SMS interventions to shape patient activation, particularly for cancer. Methods: This multisite study evaluated the effectiveness of mobile phone SMS support on patient activation among adult cancer patients in Kenya. Specifically, the study sought to determine the influence of individual factors and the intervention on patient activation. Data were collected using questionnaires. Ethical approval was obtained from the Kenyatta University Ethics Review Committee and various Hospital Ethics Review Boards. A permit to conduct the study was obtained from the National Commission for Science, Technology, and Innovation (NACOSTI), while consent was obtained from individual participants. A DSMB was formed to address any SAE of the study. Results: The mean age of the participants was 52.9 ±12.9 years. Most of the participants reported delayed initiation of cancer treatment. Furthermore, the majority, 56.9% (n = 230), of the participants were activated in care. The majority of 95.7% (n-=220) of those activated in care were in the intervention arm and this was statistically significant (χ²dd = 326.550, p=<0.001). Conclusions: the SMS support intervention has shown superiority in influencing patient activation and several demographic factors have a significant influence on patient activation. There is a need to redesign the initiation of cancer treatment to prevent delayed initiation of treatment.Item Conundrum of Chemical Thromboprophylaxis in Surgery And Trauma(2013-10-09) Ogweno, GordonItem Epithelial and membrane transport(2013-10-09) Ogweno, GordonItem Evolving Paradigms in Trauma Induced Coagulopathy: Crystalloid Haemodilution And Acidosis Revisited(2013-10-09) Ogweno, GordonItem Fluids and Blood Transfusion practice in Surgery(2013-10-09) Ogweno, GordonItem Herbal medicines and blood clotting in the Perioperative settings(2013-10-09) Ogweno, GordonItem Homeostasis of body fluids(2013-10-09) Ogweno, GordonItem Human Research Ethics: Focus On HIV/AIDS Research and Kenyan Perspectives(2013-10-09) Ogweno, GordonItem Introduction to medical physiology(2013-10-09) Ogweno, GordonItem Neuro critical Care: Focus on Cerebral Oedema(2013-10-09) Ogweno, GordonItem Perspectives of Healthcare Workers on Chemotherapy Treatment in Selected Facilities in Kenya(International Journal of Community Medicine and Public Health, 2024-03) Mchidi, Nebert; Oyore, John; Ogweno, GordonHealthcare workers are better placed to recognize the drivers of the cancer health care experience by patients, an important ingredient in shaping the realization of the third pillar of the Kenya National Cancer Control Strategy. To adequately assess health systems and identify bottlenecks in cancer care, a triumvirate of factors including patient, health system, and health workforce need to be considered. For context, Kenya’s health ministry reports that 70-80% of cancer patients in Kenya are diagnosed at an advanced stage of the disease, a pointer to a gap in the detection and linkage of cancer patients to care. With increasing cancer incidence, cancer treatment centres will experience increased patient loads and will be overwhelmed in addressing individualized patient needs. Health workers can offer information on what the cancer care situation is currently like, and lessons drawn from their experience used to create adequate health systems. An adequate health system has been fashioned as one that not only address patients' needs but also generates adequate information needed to inform the transformation of those systems in line with the goals contemplated in quality healthcare. The aim of this study was to explore (i) the perspectives of health workers on the characteristics of cancer patients seen in treatment facilities and (ii) the capacity of cancer treatment facilities in the management of cancer. A key informant approach using semi-structured interviews was carried out with sampled respondents consisting of health workers (n=12) in selected facilities who were providing outpatient chemotherapy treatment. Data analysis involved transcribing the interviews into first-person narratives and then analysed using the three-dimensional framework. Subsequently, thematic analysis was applied to generate themes. Data analysis generated three main themes: characteristics of patients receiving chemotherapy treatment, capacity of the facility to manage cancer patients, and factors that hinder effective cancer care provision. Cancer care in Kenya is impeded by poverty, staff shortages, and lack of adequate cancer care. There is a need to reorient cancer care with an emphasis on integrated cancer care delivery modalities.Item Physicochemical transport systems(2013-10-09) Ogweno, GordonItem Voluntary Medical Male Circumcision Services and Related Psychosocial Factors among Men in Kenya(IJTMRPH, 2024-08) Lokorio, Ekidor Ateyo; Mwanzo, Isaac; Ogweno, GordonBackground and Objective: Voluntary medical male circumcision (VMMC) has been popularized over the years as a public health intervention geared toward reducing HIV infection. Turkana County, inhabited mainly by traditionally uncircumcised communities with a high prevalence of HIV at 4%, has however only achieved between 5% and 10%, which is below the national average of VMMC strategic target. This study, therefore, sought to determine the association between the uptake of VMMC and associated factors amongst adult men. Methods: This cross-sectional study was carried out in Loima, Turkana Central and Turkana North sub-counties, with a sample size of 434 adult men. Data was collected using both quantitative and qualitative tools. Statistical package for the Social Science version 22 was used to analyze quantitative data, whereas qualitative data was analyzed thematically. Results: Of the 374 male participants in the study, 79.9% had undergone circumcision, 77.0% were aged 18– 35 years, 94.1% were Christians, 44.7% were unemployed and 54.8% were married. The overall mean scores of responses for psychosocial and socioeconomic factors were 3.602 (positive) and 2.894 (negative), respectively. The study found that only psychological factors were significant predictors of embracing VMMC. Conclusion and Implications for Translation: Psychosocial and socioeconomic factors have a significant influence on the uptake of VMMC among male participants in Turkana County. Therefore, there is a need to address these factors when designing interventions to improve VMMC uptake in the county