Browsing by Author "Onsongo, Lister"

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    Determinants of Cancer Prevention Behaviours among Farmers using Pesticides in Laikipia County, Kenya
    (Reviewed International Journal of Medicine, Nursing & Public Health, 2024-10) Taiku, Anne W.; Onsongo, Lister; Elizabeth, Ambani
    Cancer is the second leading cause of death worldwide with an average of nine million deaths per year. Available studies have shown a rise in cancer cases from exposure to environmental agents such as pesticides and fertilizers. Despite multiple studies on cancer, empirical evidence on the role of personal protection against exposure to pesticides is lacking especially in the local context. To provide local evidence of personal protection among famers this study sought to establish determinants of cancer preventative behaviors among rural farmers in Laikipia County, Kenya. The objectives of the study were to assess the personal protection practices among farmers, establish demographic characteristics associated with and personal protection practices, determine the association between knowledge and personal protection practices and establish the association between attitude and personal protection practices. A descriptive analytical cross-sectional survey was used in this study. The study targeted small-scale farmers. A sample of 196 farmers was selected using Slovins’ formula. The study employed simple random sampling to choose participants. The data was collected using a structured questionnaire that was administered by the researcher. The study instruments were pretested in Isiolo County, Kenya, for a preliminary evaluation. Data was analyzed using descriptive statistics such as frequencies and percentages. Chi-square tests were also carried out to determine the association between the variables. Logistic regression was also carried out to establish determinants of cancer preventative behaviors. Statistical Package for the Social Sciences version28wasused for analysis. The results showed that majority of the respondents 88.3% (n=173) had poor personal protection practices. Slightly above half 67.3% (n=132) of the respondents were knowledgeable on personal protection. In addition, majority of the respondents 75% (n=147) had a negative attitude towards personal protection. Chi-square analysis showed that age (p<0.01), level of education (p<0.01), land size (p<0.01) and crops grown (p<0.01) were statistically significant. Age (p < 0.001), level of education (p < 0.001), land size (p < 0.001) and attitude (p < 0.001) were predictors in the regression analysis. The study concluded that personal protection practices among farmers using pesticide are poor. Personal protection practices associated with demographic characteristics, knowledge and attitude. The researcher recommended that the county government of Laikipia ought to provide farmers with access to personal protective equipment. In addition, there is a need for targeted education and awareness campaigns to improve knowledge of personal protection practices among farmers.
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    Determinants of Quality of Hemodialysis Services in Selected County Dialysis Centers in Nyanza Region, Kenya
    (IJSMR, 2024-09) Nyabaro, Doreen; Githemo, Grace; Onsongo, Lister
    Background: Hemodialysis is a common management intervention in chronic kidney and End-Stage Renal Disease patients. Despite the increase in utilization of maintenance hemodialysis in low and medium-income countries, there needs to be more efforts to assess the quality of hemodialysis services. Objective: To evaluate the quality of hemodialysis services at selected county dialysis centres. Methodology: A cross-sectional descriptive study was used. Proportionate sampling was used with a sample size of 118 patients on hemodialysis. Chi squares test was used to determine the association between variables while binary logistic regression analysis was used to determine predictors of quality hemodialysis services. Results: Fifty-six percent of the participants perceived the quality of hemodialysis services as good. Gender, education level, co-morbidities, admission due to side effects, social support, waiting time, education before dialysis session, and satisfaction with care were associated with the quality of hemodialysis services. Moreover, being male (AOR =3.75, 95%CI: 1.11 – 12.64, p =0.033), having secondary level education (AOR =2.31, 95%CI: 1.41 – 4.97, p =0.046), having been admitted due to side effects since the beginning of hemodialysis sessions (AOR =0.22, 95%CI:0.15 – 0.86, p<0.001), having received social support from family and friends (AOR =11.49, 95%CI: 1.79 -73.95, p =0.010) and not waiting longer to be allocated a H.D. (AOR = 0.21, 95%CI: 0.05 – 0.93, p =0.041) as predictors of quality of hemodialysis services: Conclusion and recommendation: The quality of hemodialysis services in selected centres is slightly above average. Increased health education, training more staff on the needs of patients, and reviewing appointment period based on the number of machines available is essential to improve the quality of hemodialysis services.