Browsing by Author "Otieno, George"

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    Household and Community - Based Factors Associated with Universal Coverage of Insecticide - Treated Nets (ITNs). Results from a Cross - Sectional Malaria Survey in Vihiga County, Kenya
    (IJSR, 2024-09) Odipo, Jacob Owiti; Otieno, George; Yoos, Aliso; Wanjau, Grace
    Background: Insecticide - treated nets (ITNs) are an essential tool for preventing the spread of malaria. An adequate number of ITNs in households increases the probability of its use. Unfortunately, it's still unclear what factors prevent households from achieving universal coverage of ITNs despite the free mass net distribution every three years. This paper explored the household and community - based factors associated with universal ITN coverage in Vihiga County, Kenya. Methods: A cross - sectional survey was conducted among households in Vihiga County. Households were enrolled through multistage sampling and data was collected through structured questionnaire. Universal coverage was defined as the proportion of households with at least one ITN for every two people. Bivariable analysis was conducted using the chi - square test while determinants of universal coverage of ITNs and usage were assessed using multivariable logistic regression at a statistical significance of P - value<0.05 and 95% confidence interval. Results: The study revealed that 262 (59.55%) had achieved universal coverage. Factors associated with universal coverage included household head marital status (P=0.04), ease in setting up the ITN (P=0.011). Household head married/ living with their partners also had a three times better likelihood of ITNs use (OR=3.46.95%CI= 1.47 - 8.17). Education level was not significant in the attainment of universal net coverage. Conclusion: Only 59.55% of households had attained universal ITN coverage against the global target of at least 80%. Free mass net campaigns should be encouraged with more focus on single household heads or those staying alone. Additionally, a replacement framework of destroyed ITNs should be considered in order to maintain universal ITN coverage
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    Study of Utilization of Electronic Medical Records in Health Service Provision at the HIV Comprehensive Care Centers in Kiambu County, Kenya
    (International Journal of Advances in Scientific Research and Engineering (ijasre), 2024-08) Mwangi, Caroline Gathoni; Otieno, George; Oyore, John Paul
    An electronic medical record system (EMR) is a digital record of health-related data for individual patients, maintained by authorized providers. Complete and timely information is crucial for informing public health decisions and improving health service delivery, particularly for HIV/AIDS. This study assessed the utilization of EMR systems in HIV comprehensive care centers in Kiambu County, Kenya. Specifically, it examined the association and predictive influence of infrastructure, technical factors, and perceived usefulness on EMR utilization. The research adopted a descriptive cross-sectional design and applied stratified random sampling to categorize 38 health facilities based on their level of care. A sample size of 186 participants was proportionally allocated to the various strata, and data was collected through questionnaires. Analysis using SPSS version 25.0 involved Chi-square tests to examine associations between variables and logistic regression analysis to assess predictive influences. The results revealed that infrastructure (χ²=24.23, p<0.05), technical factors (χ²=62.93, p<0.05), and perceived usefulness (χ²=38.55, p<0.05) had significant associations with EMR utilization and had positive predictive influences. The study concluded that upscaling EMR utilization in HIV care clinics requires a multifaceted approach. It recommended that the County Government of Kiambu implement comprehensive training programs for EMR users, increase funding for EMR infrastructure, strengthen routine maintenance of ICT equipment, and engage ICT staff at the facility level to provide on-site support and troubleshoot the systems