Nursing
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Item 2ND YEAR EXAMINATION FOR THE AWARD OF MASTERS OF SCIENCE IN NURSING(Chuka University, 2021-07-23) Chuka, UniversityItem AGHE 242: HUMAN HEALTH(Chuka University, 2023-04-11) Chuka UniversityItem AGHE 242: HUMAN HEALTH(Chuka University, 2023) Chuka UniversityItem Assessment of the Midwives Knowledge on Utilization of Partograph in Management of Labour in Public Health Facilities in Tharaka Nithi County(International Journal of Health Sciences and Research, 2021) Mwari, P. S.; Mukhwana, E. S.; Gitonga, L. K.The World Health Organization (WHO) has recommended Partograph as a labor management tool due to its impact in reducing obstetric labor complications and maternal deaths over the years. This labor management tool is inexpensive and appropriate for use in low-resource settings, particularly in developing countries. Despite the fact that many African countries, including Ethiopia, Kenya, and Nigeria, have adopted the Partograph in labor management, there is little information on midwives' knowledge on the use of the tool in labor management. Understanding of how to use a Partograph is essential for reducing complications and maternal deaths. The purpose of this study was to determine midwives' knowledge on using the Partograph in labor management. The study adopted a cross-sectional survey design. 45 midwives were randomly selected from 16 public health facilities in Tharaka Nithi County. Questionnaires were used to collect data. Focused Group Discussions were also conducted with 77 postnatal mothers who gave birth in the 16 health facilities. The collected data was analyzed using descriptive statistics (means, frequencies, and percentages) and Chi-Square tests. Thematic analysis was used to examine qualitative data. Results showed that 74% of midwives had used Partograph in labor monitoring, while 26% had never used the tool. 60% of the midwives had received Partograph training. Despite not having been trained, some midwives were using the Partograph. Findings revealed inconsistencies in the use of Partograph in labor management. A large proportion of midwives deviated from the WHO's recommended use of Partograph in the first stage of labor. The study recommended that the Tharaka Nithi County government, through the Ministry of Health, invest in Partograph utilization in-service training programs to provide nurses and midwives working in the maternity wing the necessary knowledge and skills for proper Partograph utilization. There is also a need for policy changes in institutions to ensure that nurses use of the Partograph as a strategy for reducing maternal mortality rates, improving motherhood, and labor management in the County.Item COURSE CODE: NURS 227 / NURU 122: MEDICAL PARASITOLOGY(CHUKA UNIVERSITY, 2021-07-13) CHUKA UNIVERSITYItem COURSE CODE: NURS 227/ NURU 122: MEDCICAL PARASITOLOGY(CHUKA UNIVERSITY, 2021-07-07) CHUKA UNIVERSITYItem Determinants of Microbial Contamination of Cooked Foods Hawked in Tharaka Nithi County, Kenya: A Cross-Sectional Study(PanAfriacn Medical Journal, 2022) Muendo, C. M.; Mambo, S.; Kikuvi, G.Introduction: hawking of cooked foods is an important socio-economic activity. However, hawked cooked foods are prone to contamination, especially by pathogenic microorganisms. Methods: this was a cross-sectional study of 151 cooked food hawkers and 151 cooked food samples, one sample each from every respondent. Data was collected through questionnaires, observation checklists, laboratory processes, and key informant interviews. Quantitative data were analyzed using SPSS, while qualitative data were analyzed using the thematic network analysis technique. Results: adjusted multinomial logistic regression revealed increased odds of microbial contamination in cooked foods hawked by persons with primary-level education (adjusted odds ratio) AOR = 9.278, 95% confidence interval (CI) 2.292, 37.548; p = 0.003), persons earning a profit of Ksh. ≤500.00 (AOR = 4.046, 95% CI 1.825, 8.969; p = 0.001), and in areas infested with rodents (AOR = 6.386, 95% CI 1.877, 21.724; p = 0.003). However, cooked foods hawked by males (AOR = 0.338, 95% CI 0.133, 0.856; p = 0.022), persons trained on food safety (AOR = 0.216, 95% CI 0.064, 0.733; p = 0.014), persons wearing outer garments (AOR = 0.399, 95% CI 0.196, 0.812; p = 0.011), and by persons who stored their garbage in a municipal receptacle or a standard dust bin (AOR = 0.13, 95% CI 0.041, 0.410; p = 0.000) recorded reduced risk of contamination. Conclusion: hawker´s characteristics, food handling practices, and the condition of the hawking station are important determinants of microbial contamination of cooked foods hawked in Tharaka Nithi County. Targeted interventions need to be developed and implemented to prevent related foodborne diseases.Item ENHE 121: BASICS IN ENVIRONMENTAL MICROOBIOLOGY(Chuka University, 2019-12-05) Chuka UniversityItem ENHE 151: FOUNDATIONS OF ENVIRONMENTAL HEALTH(Chuka University, 2019-12-05) Chuka UniversityItem Factors Associated with Household Dietary Diversity among Internally Displaced Persons in Nakwamekwei Camp, Kenya(Science and Education Publishing, 2022) Gichunge, C.; Jepkemoi, G.; Mutiso, D.; Das, A.The objective of this study was to assess factors associated with household dietary diversity score (HDDS) among internally displaced persons (IDPs) in Nakwamekwei IDP camp. A total of 159 IDPs aged≥18 years were recruited in this cross-sectional survey. Participants were recruited using systematic random sampling. Socio-demographic, anthropometric measurements, food security, HDDS, physical health, mental health and social support data were collected using a researcher administered questionnaire. Logistic regression model was used to examine associations between HDDS with factors known to affect HDDS. More than half of the population (55%) were underweight. About 66% of the IDPs had low HDDS, and 94% were food insecure. The prevalence of anxiety and depression symptoms was 45% and 77% respectively. In adjusted analyses, participants with anxiety [OR 1.16 (95% CI 1.10-1.28)] and depression [OR 2.30 (95% CI 1.55-3.40)] symptoms had significantly low HDDS. Additionally, each unit decrease in physical score was significantly associated with 57% increased risk of low HDDS [OR 1.57 (95% CI 1.15-2.14)] while each unit increase in social support score was significantly associated with 8% higher HDDS [OR 0.92 (95% CI 0.86, 0.97)]. Socio-demographic and lifestyle factors were not significantly associated with HDDS. Participants with high anxiety and depression symptoms as well as low physical score had low HDDS. Interventions that focus on improving the food security and socioeconomic status of the IDPS should be strengthened as this will lead to improvement of the IDPs overall health.Item Factors Associated with Household Dietary Diversity among Internally Displaced Persons in Nakwamekwei Camp, Kenya.(Science and Education Publishing., 2022) Gichunge, C.; Jepkemoi, G.; Mutiso, D.; Das, A.The objective of this study was to assess factors associated with household dietary diversity score (HDDS) among internally displaced persons (IDPs) in Nakwamekwei IDP camp. A total of 159 IDPs aged≥18 years were recruited in this cross-sectional survey. Participants were recruited using systematic random sampling. Socio-demographic, anthropometric measurements, food security, HDDS, physical health, mental health and social support data were collected using a researcher administered questionnaire. Logistic regression model was used to examine associations between HDDS with factors known to affect HDDS. More than half of the population (55%) were underweight. About 66% of the IDPs had low HDDS, and 94% were food insecure. The prevalence of anxiety and depression symptoms was 45% and 77% respectively. In adjusted analyses, participants with anxiety [OR 1.16 (95% CI 1.10-1.28)] and depression [OR 2.30 (95% CI 1.55-3.40)] symptoms had significantly low HDDS. Additionally, each unit decrease in physical score was significantly associated with 57% increased risk of low HDDS [OR 1.57 (95% CI 1.15-2.14)] while each unit increase in social support score was significantly associated with 8% higher HDDS [OR 0.92 (95% CI 0.86, 0.97)]. Socio-demographic and lifestyle factors were not significantly associated with HDDS. Participants with high anxiety and depression symptoms as well as low physical score had low HDDS. Interventions that focus on improving the food security and socioeconomic status of the IDPS should be strengthened as this will lead to improvement of the IDPs overall health.Item FIRST YEAR EXAMINATION FOR BACHELOR OF PUBLIC HEALTH PUHU151: ENVIRONMENTAL CHEMISTRY 1(Chuka University, 2023) Chuka universityItem Food Safety Practices of Cooked Food Hawkers in Tharaka Nithi County, Kenya(African Journal of Food Science, 2022) Muendo, C. M.; Mambo, S.; Kikuvi, G.Hawking of cooked foods is an important economic activity, especially for low-income earners. However, the trade raises public health concerns particularly due to the likely breaches of food safety standards. Thus, this study investigated the food safety practices of hawkers of cooked foods in Tharaka Nithi County. A cross-sectional study design was used to collect data from 151 respondents using a questionnaire. The other data collection tools included a key informant interview guide and an observation checklist. The mean age of hawkers was 40.25 ± 9.226 years, with 71.5% of them aged between 35 and 59 years. The majority of hawkers were females (77.5%), married (51.7%), had attained secondary level education (55.6%), and earned a daily profit of between Ksh. 501 and 1,000. The hawkers were largely (91.1%) not trained on food safety, did not have a food hygiene license (92.7%), did not wear outer garments (58.9%), and did not have a medical certificate (89.5%). Almost half (54.2%) of the hawkers prepared their foods at home and transported them to hawking sites using public means (52.6%). The majority (86.8%) of hawking sites were makeshift stations and 40.4% of them had reportedly been infested with rodents. Generally, the hawkers did not comply with most of the food safety standards. County government of Tharaka Nithi should therefore design and implement interventions to promote the safety of cooked foods hawked in the county.Item FOURTH YEAR EXAMINATION FOR BACHELOR OF SCIENCE IN NURSING(CHUKA UNIVERSITY, 2021-03-26) CHUKA UNIVERSITYItem HIRM 281: FUNDAMENTALS OF ENTREPRENEURSHIP(chuka university, 2023-04-11) chuka universityItem HIRM 281: FUNDAMENTALS OF ENTREPRENEURSHIP(chuka university, 2023-09-01) chuka universityItem HNDS 821 : RESEARCH METHODS AND SEMINARS(Chuka University, 2023-04-05) Chuka UniversityItem HRIM 113 BASIC LIFE SUPPORT AND EMERGENCY CARE(CHUKA UNIVERSITY, 2021-04-05) CHUKA UNIVERSITYItem HRIM 113: BASIC LIFE SUPPORT AND EMERGENCY CARE(CHUKA UNIVERSITY, 2021-03-24) CHUKA UNIVERSITYItem HRIM 121: EPIDEMIOLOGY FOR HEALTH RECORDS AND INFORMATION MANAGERS I.(Chuka University, 2023) Chuka university