Browsing by Author "Okenyoru, Douglas S."

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Association between attitude and menstrual hygiene management practices among adolescent girls with disabilities in selected schools in Wajir County, Kenya
    (International Journal of Community Medicine and Public Health, 2024-09) Jama, Abdiwahit A.; Mutisya, Redempta K.; Njuguna, Christine W.; Matoke, Vincent O.; Okenyoru, Douglas S.
    Background: Menstruation is the recurrent peeling of the uterine lining that occurs monthly on girls and women of the reproductive age. Many adolescent girls in African countries have poor knowledge regarding menstruation and this is even worse among menstruating girls with disabilities who are faced with a greater challenge as they require private and specific sanitation facilities. The study focused on establishing the association between attitude and menstrual hygiene management practices among adolescent girls with disabilities in selected schools in Wajir County. Methods: A descriptive cross-sectional design was adopted. Census method was used to select respondents where 101 were interviewed. Pretested questionnaires were used to collect data. All necessary research approvals from relevant institutions were obtained as well as consent and assent sought from respondents and guardians where applicable. Data was managed using SPSS version 22.0 software. Results: Most 88.1% of the respondents did not practice menstrual hygiene management. Further results revealed that 98.9% of those who had negative attitude had not practiced menstrual hygiene management. There was a significant statistical association between nature of attitude and practice of MHM (χ2=11.009, p*=0.029). Conclusions: About 9 out of 10 adolescents with disabilities in Wajir County did not practice menstrual hygiene management. The nature of attitude towards menstrual hygiene management was significantly associated with practice. The study recommended provision of free sanitary pads by relevant stakeholders to all girls who are living with disabilities and provision of enough washrooms to address privacy issues
  • Thumbnail Image
    Item
    nfluence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County, Kenya
    (Medip Academy, 2024-09-20) Matoke, Vincent O.; Gitonga, Eliphas M.; Owaka, Isaac O.; Okari, Geoffrey M.; Mutabazi, Michel; Ogutu, Gideon M.; Odhiambo, Felix B.; Anyika, Daniel K.; Salima, Ruth; Okenyoru, Douglas S.
    Background:Family planning services helps the individuals or couples to regulate the number and determine healthy spacing and timing of pregnancies. Globally, contraceptive prevalence stands at 49.0%, Sub-Saharan Africa at 29.0%, Kenya at 56.9% and Marsabit County at 5.6%. Some of the reasons given for low uptake include low knowledge level, negative attitude and lack of male involvement on family planning matters. This study aimed at establishing the influence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County.Methods:A pre-test and post-test quasi experimental study design was adopted involving randomly selected 220 couples from Laisamis (control group) and Moyale (intervention group) sub-counties. Intervention of male targeted short message service was offered weekly to male spouses from Moyale sub-county. A questionnaire was used to collect data. Data analysis was done using SPSS. All the required ethical and logistical considerations were adhered to accordingly.Results:Male targeted short message service increased level of knowledge significantly (OR 4.173, p=0.001), changed nature of attitude (OR 2.7335, p=0.004) and male involvement in family planning (OR 4.4306, p=0.001).Conclusions:The study concluded male targeted SMS intervention increased level of knowledge, attitude changed and males were involved. The County government of Marsabit should engage opinion leaders in family planning to help in educating and changing the attitude of the men towards family planning.Keywords: Attitude, Family planning, Knowledge,Male targeted short message service1Department of Environmental and Occupational Health, School of Health Sciences, Kenyatta University, Nairobi, Kenya2Department of Community Health and Development, Faculty of Science, The Catholic University of Eastern Africa, Nairobi, Kenya3Department of Family Medicine, Community Health and Epidemiology, School of Health Sciences, Kenyatta University,Nairobi, Kenya4Department of Health Management and Informatics, School of Health Sciences, Kenyatta University,Nairobi, Kenya5Department of Health Systems Management and Development, School of Public Health, Amref International University,Nairobi, KenyaReceived:09 August 2024Revised:18 September 2024Accepted:20 September 2024*Correspondence:Dr.Vincent O. Matoke,E-mail: omwengavincent96@yahoo.comCopyright:© the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20243274
  • Thumbnail Image
    Item
    Socio-Demographic Factors Influencing Abortion Practices among Women Attending Mbagathi Hospital, Nairobi County, Kenya
    (International Journal of Community Medicine and Public Health, 2024-09) Okenyoru, Douglas S.; Matoke, Vincent; Wekesa, Claire; Murugi, Lucy; Odhiambo, Felix; Kemboi, Sharon J.
    Background: Abortion is a global health concern with complex implications, particularly in countries like Kenya, where legal restrictions coexist with prevalent unsafe practices. Despite Kenya's high maternal mortality ratio linked to unsafe abortions, little research has explored the socio-demographic factors influencing this issue. This study investigates these dynamics among women at Mbagathi Hospital in Nairobi County, emphasizing the pressing need for targeted interventions within the legal framework. Methods: A descriptive cross-sectional study was employed. This study focused on women aged 18–49, utilizing a census approach at Mbagathi Hospital's gynecology clinic. The study aimed for 100% precision, resulting in 49 respondents chosen through the purposive sampling method among women aged 18–49 with a history of abortions. Abortion practices were identified as safe and unsafe, and data was collected through a well-structured questionnaire and analyzed using statistical package for the social sciences (SPSS) 22.0. The data was presented in tables and pie charts. Results: The study revealed an unsafe abortion rate of 38.8%. The predictors of abortion practices based on sociodemographic factors were; age (AOR=6.170, p=0.002), marital status (married; AOR=0.438, p=0.025; divorced/widowed/separated; AOR=0.063, p=0.001) and number of children (AOR=0.379, p=0.007). Conclusions: This study revealed that the socio-demographic factors that predicted abortion practices were; age (AOR=6.170, p=0.002), marital status (married; AOR=0.438, p=0.025; divorced/widowed/separated; AOR=0.063, p=0.001) and number of children (AOR=0.379, p=0.007)