Archive : Volume - 6, Issue - 7, Month - July
1 EVALUATION OF SOCIAL-ECONOMIC RETURNS ON INVESTMENT AMONG HOUSEHOLDS BENEFIARIES OF COMMUNITY-LED-TO-TOTAL SANITATION IN BUSIA COUNTY, KENYA
- David Masinde Rocaztle*
- Abstract
- Show Article
-
pdf
- Download : 157
- Google Citation
- Journal DOI : 10.46624/bjmhr.2019.v6.i07.001
- Certificate
Abstract : Background: About 21 million Kenyans use unsanitary or shared latrines while 5.6 million have no latrine at all and defecate in the open. Busia County was among the counties with the lowest (42%) sanitation coverage compared to National level of 49%, with more than half of the population defecating in the open. Diarrheal and cholera were among the top three diseases causing morbidity and mortality in the County, with cholera outbreaks frequently being reported. In December 2012, Kenya government and UNICEF jointly implemented a pilot Community-Led-Total Sanitation Intervention (CLTSI) in Busia County to tame poor sanitation. The CLTSI was to achieve total sanitation among Busia County households through sanitation behavior change. To assure sustainability of sanitation behavior change, there was need to identify the specific attributable value of CLTSI to beneficiaries of Busia County. This study aimed at evaluating the social-economic returns on investment (SROI) among household beneficiaries of CLTSI in Busia County.
Methods: Quasi Experimental Stdy design was used to collect data before(baseline) and after (Outcome) for CLTSI implementation while multi stage-random sampling was used to sample 459 houselds from villages that CLTSI had been implemented and certified to have achieved total sanitation in Busia County. SROI methodology was used to establish Social-economic value added to residents of Busia County by CLTSI.
Results: SROI value added to Busia County residents was KES 1: 10.5 meaning that every KES invested it created a Social-economic value of KEES 10.5 to Busia residents.
Conclusion: That CLTSI should be rolled out Country wide with a view of improving level of sanitation and hygiene.
Keyword : Evaluation, Sanitation, Community Led-To Total Sanitation Intervention, Social-economic Returns on Investment
2 DENTAL CARIES EXPERIENCE AND ASSOCIATED RISK FACTORS AMONG PRE-SCHOOL GOING CHILDREN IN BURETI SUB-COUNTY, KERICHO COUNTY, KENYA
- David Masinde Rocaztle* ,
- JAPHETH C CHERUIYOT
- Abstract
- Show Article
-
pdf
- Download : 154
- Google Citation
- Journal DOI : 10.46624/bjmhr.2019.v6.i07.003
- Certificate
Abstract : Background: Globally, dental caries is one of the most prevalent dental health problem that affects children. Its prevalence in Bureti division is not known.The objectives were to determine dental caries experience, prevalence and risk factors associated with dental caries among pre-school going children of Bureti Sub-County, Kericho County.
Methods: The Study population was all pre-school going children aged 3-6 years. The study utilized cross sectional descriptive design that involved quantitative techniques. The teeth of the children was examined at that point in time by a qualified dentist and also their caregivers/paretns interviewed on oral health hygiene practices. The dmft scores was recorded. A proportionate stratified sampling technique was used to sample schools. Data was analysed using Stata version 12 and data presented in tables and graphs. Chi test was used to test for associations between outcome/dependent variables and independent variables. Regression analysis was done to establish significance of associations among dependent and independent variables.
Results: The mean age of children was 53.22±17.29 months, with boys being majority (51.7%). The child age of starting brushing teeth was 3.5±0.94 years. Majority (63.88%) had dental caries. The mean dmft was 3.54±1.95 with the greatest component being decayed teeth (53.1%). Majority of the children (62.26%) brush teeth with tooth paste and brush at least once weekly (61.73%). The main risk factors for dental caries were mother’s occupation (OR=3.18), Eating of sugary foods (OR=2.49), lack of brushing (OR=3.08), bottle feeding (OR=7.17), and poor social demographics.
Conclusion: The prevalence of dental caries was high (63.88%) and severe (mean dmft=3.54±1.9) which indicate high dental care treatment need. Consumption of sugary foods rich in cariogenic particles, poor social demographics of the caregivers, poor brushing of teeth, bottle feeding (p-value≤0.05) are associated with high dental caries prevalence and dental caries experience.
Keyword : Dental Carries, Risk factors, Decayed teeth, Pre-school children
3 POST-NATAL CARE –HEALTH SEEKING BEHAVIOR AMONG WOMEN OF REPRODUCTIVE AGE IN HOMA BAY TOWN
- David Masinde Rocaztle* ,
- GRACE ATIENO AMENYA
- Abstract
- Show Article
-
pdf
- Download : 156
- Google Citation
- Journal DOI : 10.46624/bjmhr.2019.v6.i07.004
- Certificate
Abstract : Background: Postnatal care (PNC) is vital for the life of both mother and child as it reduces both marternal and infant morbidities and mortalities. However, in Kenya, PNC utilization is low (48%) but the cause is not known. Post-natal care –health seeking behavior among women oreproductive age in homa bay town
Methods: A total of 377 mothers having children aged 6-8 weeks old participated in the study in which a community based cross sectional study using quantitative complemented by qualitative methods of data collection was employed. Quantitative data collection involved structured questionnaires administered to mothers proportionately and systematically randomly sampled. Qualitative data was collected through Key informant interview guide from 10 purposively selected health care providers and 11 lead community volunteers (CHVs). The SPSS version 17.0 and Chi square, Logistic regression and odds ratio were used for quantitative data analysis while thematic approach was used to analyse qualitative data to complement the findings.
Results: Majority, 80% understood PNC and utilized such services within 6-8 weeks. About 81% of mother received information from skilled health workers. Majority,80% of women received immunization and was significant (χ² =12.635, p=0.027) to Utilization of PNC. Close 64% of women attended PNC services between two and three times. 67% mothers mentioned haemorrhage as the likely risk after delivery. Main attitude-related reason for low utilization of PNC service was lack of awareness (50.5%) of PNC, experience, expectation and perception that was significant (χ² =11.688, p=0.039) to access to PNC services. Majority who accessed PNC services expected physical examination (49.1%) and immunization of their babies (44.5%) and said the quality was good. On health seeking behaviours, 84% delivered in a health facility and 10.8% delivered home and was significant (χ² =11.354, p=0.003) to utilization of PNC. 89% accessed some form of PNC service was significant (χ² =21.515, p=0.000). There was a gap between knowing and understanding PNC as majority of the respondents had knowledge of PNC but attended twice and late between 4 and 6 weeks for purposes of immunization and sickness (hemorrhage).
Conclusion: The study also revealed that positive attitude regarding reception by health providers, quality of service, expectation, experience and perception of PNC services increased utilization of PNC services.
Keyword : Post-Natal Care, Health seeking Behaviour, Knowledge, attitude, cultural beliefs
4 LESSONS LEARNT AFTER IMPLEMENTATION OF COMMUNITY-LED-TO-TOTAL SANITATION INTERVENTION IN BUSIA COUNTY KENYA
- David Masinde Rocaztle*
- Abstract
- Show Article
-
pdf
- Download : 153
- Google Citation
- Journal DOI : 10.46624/bjmhr.2019.v6.i07.002
- Certificate
Abstract : Background: In December 2012, Kenya government and UNICEF jointly implemented a Community-Led-Total Sanitation Intervention (CLTSI) in Busia County to tame poor sanitation that was at 42% vs 49% National. The CLTSI was to achieve total sanitation among Busia County households through sanitation behavior change. Main aim of the study was to document the lessons learnt after implementation of CLTSI in Busia County. The study focused on the implementation process of the CLTSI to draw experiences. Documenting lessons learnt helped in understanding and improving implementation of CLTSI, accounting for success (or failure) and enhancing best practice of CLTSI management before countrywide rollout.
Methods: Quasi experimental design was used while multi-stage and random sampling was used to sample respondents. A total of 35 (70%) of primary implementers of CLTSI participated in the study Structured questionnaire was used to collect the data.
Results: Findings show that out of 35 facilitators who implemented CLTSI, only 25(71.4%) were trained on the rigours of CLTSI. Duration of training varied from 3 days 10 (28.6%) to 5 days 15 (42.9%) of which more than a half 21(60.0%) CLTSI facilitators felt training was inadequate. Challenges experienced during implementation of CLTSI included: time constraint 24 (68.6%), transport constraint 20(57.1%), inadequate skills 17(48.6%), poor community mobilization 35(100.0%), household illiteracy 29 (82.9%), financial constraint 18 (51.9%).Other reasons included hostile community, poor leadership 32 (91.4%).
Conclusion: For the purposes of rolling up the CLTSI, some lessons learnt could be adopted in order to achieve total sanitation in the country. From our evaluation study, CLTSI was found to have impacted positively to the residents of Busia County.
Keyword : Lessons learnt, Community-Led-To Total Sanitation Intervention
Login
Loading....
Author Guideline
Copyright Form
News Update
Archive List
-
Volume-12
-
Volume-11
- January 2024 Issue 1
- February 2024 Issue 2
- February 2024 Issue 2
- March 2024 Issue 3
- April 2024 Issue 4
- May 2024 Issue 5
- May 2024 Issue 5
- June 2024 Issue 6
- July 2024 Issue 7
- July 2024 Issue 7
- August 2024 Issue 8
- September 2024 Issue 9
- September 2024 Issue 9
- October 2024 Issue 10
- November 2024 Issue 11
- December 2024 Issue 12
-
Volume-10
- January 2023 Issue 1
- January 2023 Issue 1
- February 2023 Issue 2
- March 2023 Issue 3
- March 2023 Issue 3
- April 2023 Issue 4
- April 2023 Issue 4
- May 2023 Issue 5
- May 2023 Issue 5
- May 2023 Issue 5
- June 2023 Issue 6
- June 2023 Issue 6
- July 2023 Issue 7
- July 2023 Issue 7
- August 2023 Issue 8
- August 2023 Issue 8
- September 2023 Issue 9
- October 2023 Issue 10
- November 2023 Issue 11
- December 2023 Issue 12
-
Volume-9
- January 2022 Issue 1
- February 2022 Issue 2
- March 2022 Issue 3
- April 2022 Issue 4
- May 2022 Issue 5
- June 2022 Issue 6
- July 2022 Issue 7
- July 2022 Issue 7
- July 2022 Issue 7
- July 2022 Issue 7
- August 2022 Issue 8
- September 2022 Issue 9
- October 2022 Issue 10
- October 2022 Issue 10
- November 2022 Issue 11
- November 2022 Issue 11
- November 2022 Issue 11
- December 2022 Issue 12
-
Volume-8
- January 2021 Issue 1
- February 2021 Issue 2
- February 2021 Issue 2
- March 2021 Issue 3
- April 2021 Issue 4
- May 2021 Issue 5
- June 2021 Issue 6
- June 2021 Issue 6
- June 2021 Issue 6
- July 2021 Issue 7
- August 2021 Issue 8
- September 2021 Issue 9
- October 2021 Issue 10
- November 2021 Issue 11
- December 2021 Issue 12
-
Volume-7
- January 2020 Issue 1
- January 2020 Issue 1
- February 2020 Issue 2
- March 2020 Issue 3
- March 2020 Issue 3
- March 2020 Issue 3
- April 2020 Issue 4
- April 2020 Issue 4
- May 2020 Issue 5
- May 2020 Issue 5
- May 2020 Issue 5
- June 2020 Issue 6
- June 2020 Issue 6
- June 2020 Issue 6
- July 2020 Issue 7
- August 2020 Issue 8
- September 2020 Issue 9
- October 2020 Issue 10
- November 2020 Issue 11
- December 2020 Issue 12
- December 2020 Issue 12
-
Volume-6
- January 2019 Issue 1
- February 2019 Issue 2
- March 2019 Issue 3
- April 2019 Issue 4
- April 2019 Issue 4
- May 2019 Issue 5
- May 2019 Issue 5
- June 2019 Issue 6
- June 2019 Issue 6
- July 2019 Issue 7
- July 2019 Issue 7
- August 2019 Issue 8
- September 2019 Issue 9
- September 2019 Issue 9
- September 2019 Issue 9
- October 2019 Issue 10
- November 2019 Issue 11
- November 2019 Issue 11
- November 2019 Issue 11
- December 2019 Issue 12
-
Volume-5
- January 2018 Issue 1
- January 2018 Issue 1
- February 2018 Issue 2
- March 2018 Issue 3
- April 2018 Issue 4
- May 2018 Issue 5
- June 2018 Issue 6
- July 2018 Issue 7
- August 2018 Issue 8
- September 2018 Issue 9
- September 2018 Issue 9
- October 2018 Issue 10
- October 2018 Issue 10
- November 2018 Issue 11
- December 2018 Issue 12
- December 2018 Issue 12
-
Volume-4
- January 2017 Issue 1
- February 2017 Issue 2
- February 2017 Issue 2
- March 2017 Issue 3
- April 2017 Issue 4
- April 2017 Issue 4
- May 2017 Issue 5
- June 2017 Issue 6
- June 2017 Issue 6
- June 2017 Issue 6
- June 2017 Issue 6
- July 2017 Issue 7
- August 2017 Issue 8
- August 2017 Issue 8
- September 2017 Issue 9
- October 2017 Issue 10
- November 2017 Issue 11
- December 2017 Issue 12
- December 2017 Issue 12
- December 2017 Issue 12
-
Volume-3
- January 2016 Issue 1
- February 2016 Issue 2
- March 2016 Issue 3
- April 2016 Issue 4
- May 2016 Issue 5
- June 2016 Issue 6
- June 2016 Issue 6
- July 2016 Issue 7
- July 2016 Issue 7
- July 2016 Issue 7
- August 2016 Issue 8
- September 2016 Issue 9
- October 2016 Issue 10
- October 2016 Issue 10
- November 2016 Issue 11
- November 2016 Issue 11
- December 2016 Issue 12
-
Volume-2
-
Volume-1
Statastics
Download of Articles
84,770