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Article ; Online: Challenges Faced by Mothers Practicing Kangaroo Mother Care (KMC) in a Resource-Limited Setting During the COVID-19 Pandemic: Insights From the Voices of Mothers of Preterm Babies and Their Suggested Solutions.

Afande Mukhola, Beatrice / Kivuti-Bitok, Lucy W / Chepchirchir, Angeline

2023 Volume 10, Page(s) 2333794X231213472

Abstract: ... ...

Abstract	Objectives
Language	English
Publishing date	2023-11-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2785531-4
ISSN	2333-794X ; 2333-794X
ISSN (online)	2333-794X
ISSN	2333-794X
DOI	10.1177/2333794X231213472
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: The health and economic impact and cost effectiveness of interventions for the prevention and control of overweight and obesity in Kenya: a stakeholder engaged modelling study.

Wanjau, Mary Njeri / Kivuti-Bitok, Lucy W / Aminde, Leopold N / Veerman, J Lennert

Cost effectiveness and resource allocation : C/E

2023 Volume 21, Issue 1, Page(s) 69

Abstract: Background: The global increase in mean body mass index has resulted in a substantial increase of non-communicable diseases (NCDs), including in many low- and middle-income countries such as Kenya. This paper assesses four interventions for the ... ...

Abstract	Background: The global increase in mean body mass index has resulted in a substantial increase of non-communicable diseases (NCDs), including in many low- and middle-income countries such as Kenya. This paper assesses four interventions for the prevention and control of overweight and obesity in Kenya to determine their potential health and economic impact and cost effectiveness. Methods: We reviewed the literature to identify evidence of effect, determine the intervention costs, disease costs and total healthcare costs. We used a proportional multistate life table model to quantify the potential impacts on health conditions and healthcare costs, modelling the 2019 Kenya population over their remaining lifetime. Considering a health system perspective, two interventions were assessed for cost-effectiveness. In addition, we used the Human Capital Approach to estimate productivity gains. Results: Over the lifetime of the 2019 population, impacts were estimated at 203,266 health-adjusted life years (HALYs) (95% uncertainty interval [UI] 163,752 - 249,621) for a 20% tax on sugar-sweetened beverages, 151,718 HALYs (95% UI 55,257 - 250,412) for mandatory kilojoule menu labelling, 3.7 million HALYs (95% UI 2,661,365-4,789,915) for a change in consumption levels related to supermarket food purchase patterns and 13.1 million HALYs (95% UI 11,404,317 - 15,152,341) for a change in national consumption back to the 1975 average levels of energy intake. This translates to 4, 3, 73 and 261 HALYs per 1,000 persons. Lifetime healthcare cost savings were approximately United States Dollar (USD) 0.14 billion (USD 3 per capita), USD 0.08 billion (USD 2 per capita), USD 1.9 billion (USD 38 per capita) and USD 6.2 billion (USD 124 per capita), respectively. Lifetime productivity gains were approximately USD 1.8 billion, USD 1.2 billion, USD 28 billion and USD 92 billion. Both the 20% tax on sugar sweetened beverages and the mandatory kilojoule menu labelling were assessed for cost effectiveness and found dominant (health promoting and cost-saving). Conclusion: All interventions evaluated yielded substantive health gains and economic benefits and should be considered for implementation in Kenya.
Language	English
Publishing date	2023-09-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2119372-1
ISSN	1478-7547
ISSN	1478-7547
DOI	10.1186/s12962-023-00467-3
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Psychological experiences of caregivers of adolescents diagnosed with substance use disorder attending a youth centre in a low-resource setting.

Njoki, Lydia Nyaga / Mageto, Irene G / Kivuti-Bitok, Lucy W

International journal of mental health nursing

2021 Volume 31, Issue 2, Page(s) 390–399

Abstract: Caregivers, whether a biological parent, adoptive parent, or a relative such as a grandparent, of adolescent with substance use disorder (SUD) undergo immense psychological and social strains, as they have to deal with substance habituated issues arising ...

Abstract	Caregivers, whether a biological parent, adoptive parent, or a relative such as a grandparent, of adolescent with substance use disorder (SUD) undergo immense psychological and social strains, as they have to deal with substance habituated issues arising from their adolescent child. Caregivers often encounter many untold experiences while parenting adolescents on substance use. However, there is limited documentation of such experiences. A remarkable proportion of research has focused on adolescent substance use and the experiences of adolescents, whereas little attention has been paid to caregivers. This study explored the psychological experiences of caregivers of adolescents diagnosed with SUD. This was a qualitative study based on in-depth interviews with 18 caregivers of adolescents with SUD conducted at a Youth Centre located in a national referral hospital and focused on the caregivers' psychological experiences. Data collected through in-depth interviews were transcribed and thematically coded. Recurrent themes were analysed and reported. The study identified several themes in the experiences of caregivers of adolescents with SUDs. The main psychological experience was stress, whereas lasting psychological effects as well as difficult social outcomes as a result of substance use by the adolescent child were also identified. This study revealed the complex landscape of psychological turmoil that the caregivers have to navigate while caring for an adolescent diagnosed with SUD.
MeSH term(s)	Adolescent ; Caregivers/psychology ; Child ; Humans ; Parenting ; Parents/psychology ; Qualitative Research ; Substance-Related Disorders/psychology
Language	English
Publishing date	2021-12-21
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2076760-2
ISSN	1447-0349 ; 1445-8330
ISSN (online)	1447-0349
ISSN	1445-8330
DOI	10.1111/inm.12967
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The health and economic impact and cost effectiveness of interventions for the prevention and control of overweight and obesity in Kenya

Mary Njeri Wanjau / Lucy W. Kivuti-Bitok / Leopold N. Aminde / J. Lennert Veerman

Cost Effectiveness and Resource Allocation, Vol 21, Iss 1, Pp 1-

a stakeholder engaged modelling study

2023 Volume 21

Abstract: Abstract Background The global increase in mean body mass index has resulted in a substantial increase of non-communicable diseases (NCDs), including in many low- and middle-income countries such as Kenya. This paper assesses four interventions for the ... ...

Abstract	Abstract Background The global increase in mean body mass index has resulted in a substantial increase of non-communicable diseases (NCDs), including in many low- and middle-income countries such as Kenya. This paper assesses four interventions for the prevention and control of overweight and obesity in Kenya to determine their potential health and economic impact and cost effectiveness. Methods We reviewed the literature to identify evidence of effect, determine the intervention costs, disease costs and total healthcare costs. We used a proportional multistate life table model to quantify the potential impacts on health conditions and healthcare costs, modelling the 2019 Kenya population over their remaining lifetime. Considering a health system perspective, two interventions were assessed for cost-effectiveness. In addition, we used the Human Capital Approach to estimate productivity gains. Results Over the lifetime of the 2019 population, impacts were estimated at 203,266 health-adjusted life years (HALYs) (95% uncertainty interval [UI] 163,752 − 249,621) for a 20% tax on sugar-sweetened beverages, 151,718 HALYs (95% UI 55,257 − 250,412) for mandatory kilojoule menu labelling, 3.7 million HALYs (95% UI 2,661,365–4,789,915) for a change in consumption levels related to supermarket food purchase patterns and 13.1 million HALYs (95% UI 11,404,317 − 15,152,341) for a change in national consumption back to the 1975 average levels of energy intake. This translates to 4, 3, 73 and 261 HALYs per 1,000 persons. Lifetime healthcare cost savings were approximately United States Dollar (USD) 0.14 billion (USD 3 per capita), USD 0.08 billion (USD 2 per capita), USD 1.9 billion (USD 38 per capita) and USD 6.2 billion (USD 124 per capita), respectively. Lifetime productivity gains were approximately USD 1.8 billion, USD 1.2 billion, USD 28 billion and USD 92 billion. Both the 20% tax on sugar sweetened beverages and the mandatory kilojoule menu labelling were assessed for cost effectiveness and found dominant (health ...
Keywords	High body mass ; Overweight ; Obesity ; Non-communicable disease ; Costs ; Health impact ; Medicine (General) ; R5-920
Subject code	796
Language	English
Publishing date	2023-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Dry Taps? A Synthesis of Alternative "Wash" Methods in the Absence of Water and Sanitizers in the Prevention of Coronavirus in Low-Resource Settings.

Kivuti-Bitok, Lucy W / Chepchirchir, Angeline / Waithaka, Peter / Ngune, Irene

Journal of primary care & community health

2020 Volume 11, Page(s) 2150132720936858

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Hand Disinfection/methods ; Hand Sanitizers/economics ; Humans ; Kenya/epidemiology ; Meta-Analysis as Topic ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Poverty Areas ; Systematic Reviews as Topic ; Water Supply/statistics & numerical data
Chemical Substances	Hand Sanitizers
Keywords	covid19
Language	English
Publishing date	2020-10-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/2150132720936858
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Biopsychosocial risk factors and knowledge of cervical cancer among young women: A case study from Kenya to inform HPV prevention in Sub-Saharan Africa.

Ngune, Irene / Kalembo, Fatch / Loessl, Barbara / Kivuti-Bitok, Lucy W

PloS one

2020 Volume 15, Issue 8, Page(s) e0237745

Abstract: Background: Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a ... ...

Abstract	Background: Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a reduction of incidence and mortality rates. Yet uptake of screening is low in Sub-Saharan Africa and there is an increasing number of women presenting for treatment with advanced disease. Nine women in their twenties die from cervical cancer in Kenya every day. This paper presents the biopsychosocial risk factors that impact on cervical cancer knowledge among Kenyan women aged 15 to 24 years. The findings will highlight opportunities for early interventions to prevent the worrying prediction of an exponential increase by 50% of cervical cancer incidences in the younger age group by 2034. Methods: Data from the 2014 Kenya Demographic and Health Survey (KDHS) was analysed using complex sample logistic regression to assess biopsychosocial risk factors of knowledge of cervical cancer among young women aged 15 to 24 years (n = 5398). Findings: Close to one third of the participants were unaware of cervical cancer with no difference between participants aged 15-19 years (n = 2716) and those aged 20-24 years (n = 2691) (OR = 1; CI = 0.69-1.45). Social predisposing factors, such as lack of education; poverty; living further from a health facility; or never having taken a human immunodeficiency virus (HIV) test, were significantly associated with lack of awareness of cervical cancer (p<0.001). Young women who did not know where to obtain condoms had an OR of 2.12 (CI 1.72-2.61) for being unaware of cervical cancer. Psychological risk factors, such as low self-efficacy about seeking medical help, and an inability to refuse unsafe sex with husband or partner, perpetuated the low level of awareness about cervical cancer (p<0.001). Conclusions: A considerable proportion of young women in Kenya are unaware of cervical cancer which is associated with a variety of social and psychological factors. We argue that the high prevalence of cervical cancer and poor screening rates will continue to prevail among older women if issues that affect young women's awareness of cervical cancer are not addressed. Given that the Kenyan youth are exposed to HPV due to early sexual encounters and a high prevalence of HIV, targeted interventions are urgently needed to increase the uptake of HPV vaccination and screening.
MeSH term(s)	Adolescent ; Adult ; Early Detection of Cancer ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Kenya/epidemiology ; Logistic Models ; Papillomavirus Infections/diagnosis ; Papillomavirus Infections/epidemiology ; Papillomavirus Infections/psychology ; Papillomavirus Infections/virology ; Risk Factors ; Self Efficacy ; Sexual Partners ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/epidemiology ; Uterine Cervical Neoplasms/psychology ; Uterine Cervical Neoplasms/virology ; Vaccination/methods ; Vaginal Smears ; Young Adult
Language	English
Publishing date	2020-08-20
Publishing country	United States
Document type	Journal Article
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0237745
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Stakeholder-engaged research: strategies for the prevention and control of overweight and obesity in Kenya.

Wanjau, Mary Njeri / Kivuti-Bitok, Lucy W / Aminde, Leopold N / Veerman, J Lennert

BMC public health

2021 Volume 21, Issue 1, Page(s) 1622

Abstract: Background: This study was done as part of a larger study that aims to identify the most impactful and cost-effective strategies for the prevention and control of overweight and obesity in Kenya. Our objective was to involve stakeholders in the ... ...

Abstract	Background: This study was done as part of a larger study that aims to identify the most impactful and cost-effective strategies for the prevention and control of overweight and obesity in Kenya. Our objective was to involve stakeholders in the identification of the strategies that would be included in our larger study. The results from the stakeholder engagement are analyzed and reported in this paper. Design: This was a qualitative study. A one-day stakeholder workshop that followed a deliberative dialogue process was conducted. Participants: A sample of stakeholders who participate in the national level policymaking process for health in Kenya. Outcome measure: Strategies for the prevention and control of overweight and obesity in Kenya. Results: Out of the twenty-three stakeholders who confirmed attendance, fifteen participants attended the one-day workshop. The stakeholders identified a total of 24 strategies for the prevention and control of overweight and obesity in Kenya. From the ranking process carried out the top six strategies identified were: a research-based strategy for the identification of the nutritional value of indigenous foods, implementation of health promotion strategies that focus on the creation of healthy environments, physical activity behavior such as gym attendance, jogging, walking, and running at the individual level, implementation of school curricula on nutrition and health promotion, integration of physical education into the new Competency-Based Education policy, and policies that increase use of public transport. Conclusion: The stakeholders identified and ranked strategies for the prevention and control of overweight and obesity in Kenya. This informs future overweight and obesity prevention research and policy in Kenya and similar settings.
MeSH term(s)	Health Promotion ; Humans ; Kenya/epidemiology ; Obesity/epidemiology ; Obesity/prevention & control ; Overweight/epidemiology ; Overweight/prevention & control ; Schools
Language	English
Publishing date	2021-09-06
Publishing country	England
Document type	Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-021-11649-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Stakeholder perceptions of current practices and challenges in priority setting for non-communicable disease control in Kenya: a qualitative study.

Wanjau, Mary Njeri / Kivuti-Bitok, Lucy W / Aminde, Leopold Ndemnge / Veerman, Lennert

BMJ open

2021 Volume 11, Issue 4, Page(s) e043641

Abstract: Objective: To explore the stakeholders' perceptions of current practices and challenges in priority setting for non-communicable disease (NCD) control in Kenya.: Design: A qualitative study approach conducted within a 1-day stakeholder workshop that ... ...

Abstract	Objective: To explore the stakeholders' perceptions of current practices and challenges in priority setting for non-communicable disease (NCD) control in Kenya. Design: A qualitative study approach conducted within a 1-day stakeholder workshop that followed a deliberative dialogue process. Setting: Study was conducted within a 1-day stakeholder workshop that was held in October 2019 in Nairobi, Kenya. Participants: Stakeholders who currently participate in the national level policymaking process for health in Kenya. Outcome measure: Priority setting process for NCD control in Kenya. Results: Donor funding was identified as a key factor that informed the priority setting process for NCD control. Misalignment between donors' priorities and the country's priorities for NCD control was seen as a hindrance to the process. It was identified that there was minimal utilisation of context-specific evidence from locally conducted research. Additional factors seen to inform the priority setting process included political leadership, government policies and budget allocation for NCDs, stakeholder engagement, media, people's cultural and religious beliefs. Conclusion: There is an urgent need for development aid partners to align their priorities to the specific NCD control priority areas that exist in the countries that they extend aid to. Additionally, context-specific scientific evidence on effective local interventions for NCD control is required to inform areas of priority in Kenya and other low-income and middle-income countries. Further research is needed to develop best practice guidelines and tools for the creation of national-level priority setting frameworks that are responsive to the identified factors that inform the priority setting process for NCD control.
MeSH term(s)	Humans ; Kenya ; Perception ; Policy Making ; Qualitative Research ; Stakeholder Participation
Language	English
Publishing date	2021-04-01
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2020-043641
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Dry Taps? A Synthesis of Alternative “Wash” Methods in the Absence of Water and Sanitizers in the Prevention of Coronavirus in Low-Resource Settings

Lucy W. Kivuti-Bitok / Angeline Chepchirchir / Peter Waithaka / Irene Ngune

Journal of Primary Care & Community Health, Vol

2020 Volume 11

Abstract: Objective: Social distancing and hand washing with soap and water have been advocated as the main proactive measures against the spread of coronavirus. We sought to find out what other alternative materials and methods would be used among populations ... ...

Abstract	Objective: Social distancing and hand washing with soap and water have been advocated as the main proactive measures against the spread of coronavirus. We sought to find out what other alternative materials and methods would be used among populations without running water and who may not afford alcohol-based sanitizers. Results: We reviewed studies that reported use of sand, soil, ash, soda ash, seawater, alkaline materials, and sunlight as possible alternatives to handwashing with soap and water. We identified the documented mechanism of actions of these alternative wash methods on both inanimate surfaces and at cellular levels. The consideration of use of these alternative locally available in situations of unavailability of soap and water and alcohol-based sanitizers is timely in the face of coronavirus pandemic. Further randomized studies need to be carried out to evaluate the effectiveness of these alternatives in management of SARS-Cov-2.
Keywords	Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Biopsychosocial risk factors and knowledge of cervical cancer among young women

Irene Ngune / Fatch Kalembo / Barbara Loessl / Lucy W Kivuti-Bitok

PLoS ONE, Vol 15, Iss 8, p e

A case study from Kenya to inform HPV prevention in Sub-Saharan Africa.

2020 Volume 0237745

Abstract: Background Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a ... ...

Abstract	Background Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a reduction of incidence and mortality rates. Yet uptake of screening is low in Sub-Saharan Africa and there is an increasing number of women presenting for treatment with advanced disease. Nine women in their twenties die from cervical cancer in Kenya every day. This paper presents the biopsychosocial risk factors that impact on cervical cancer knowledge among Kenyan women aged 15 to 24 years. The findings will highlight opportunities for early interventions to prevent the worrying prediction of an exponential increase by 50% of cervical cancer incidences in the younger age group by 2034. Methods Data from the 2014 Kenya Demographic and Health Survey (KDHS) was analysed using complex sample logistic regression to assess biopsychosocial risk factors of knowledge of cervical cancer among young women aged 15 to 24 years (n = 5398). Findings Close to one third of the participants were unaware of cervical cancer with no difference between participants aged 15-19 years (n = 2716) and those aged 20-24 years (n = 2691) (OR = 1; CI = 0.69-1.45). Social predisposing factors, such as lack of education; poverty; living further from a health facility; or never having taken a human immunodeficiency virus (HIV) test, were significantly associated with lack of awareness of cervical cancer (p<0.001). Young women who did not know where to obtain condoms had an OR of 2.12 (CI 1.72-2.61) for being unaware of cervical cancer. Psychological risk factors, such as low self-efficacy about seeking medical help, and an inability to refuse unsafe sex with husband or partner, perpetuated the low level of awareness about cervical cancer (p<0.001). Conclusions A considerable proportion of young women in Kenya are unaware of cervical cancer which is associated with a variety of social and ...
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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