School of Nursinghttp://erepository.kibu.ac.ke/handle/123456789/6892024-03-29T13:30:32Z2024-03-29T13:30:32ZDevolution of healthcare system in Kenya: Progress and challengesMasaba, Brian BarasaMoturi, John KennedyMmusi-Phetoe, Rosehttp://erepository.kibu.ac.ke/handle/123456789/74672023-01-30T10:03:31Z2020-01-01T00:00:00ZDevolution of healthcare system in Kenya: Progress and challenges
Masaba, Brian Barasa; Moturi, John Kennedy; Mmusi-Phetoe, Rose
Objectives: The aim of the present study was to systematically review the progress and challenges on the
devolved healthcare system in Kenya.
Study design: A systematic review design was adopted for the present study.
Methods: Literature search was on biomedical databases of the most recent available electronic data
published in English, that is, between January 2012 and April 2020. The populations for eligible studies
were stakeholders within the county governments, healthcare workers and community dwellers. The
databases included PubMed, EMBASE and Google Scholar. The following were the key words used in the
search: ‘Devolution of Health’ ‘Health care system in Kenya’ AND ‘County Health Facilities’ ‘challenges’
AND ‘progress’ AND ‘Kenya’. Other literature sources were after screening of all the references of all the
added articles. Before the development of search terms, we looked for appropriate Medical Subject
Headings terms and applied with maximal truncations. The data were qualitatively analysed, and findings were presented by three thematic domains.
Results: The search generated 1109 articles, of which 23 articles met the inclusion criteria. Data were
presented and organized under three thematic domains: (1) localised decision-making process, (2)
improvement in structural development and (3) inadequate resources/funds/staff.
Conclusion: This is a systematic review which, to the best of our knowledge, is the first study of its kind
to present the available evidence on the progress and challenges on the devolved healthcare system in
Kenya. The major findings of this review were as follows: there was improvement in the health structural
development that was brought by devolution in the country. However, devolution is not free of challenges. The major challenges noted in the postdevolution era within the health sector include inadequate
resources/funds from the national government and understaffed health facilities. The study recommends
allocation of resources to counties commensurate with the devolved functions. The study calls out for
further research on equity and equality of the devolved healthcare system in Kenya.
2020-01-01T00:00:00ZThe healthcare system and client failures contributing to maternal mortality in rural KenyaMasaba, Brian BarasaMmusi-Phetoe, RoseMoturi, John KennedyKabo, Jane Wamuyuhttp://erepository.kibu.ac.ke/handle/123456789/74662023-01-30T09:57:31Z2022-01-01T00:00:00ZThe healthcare system and client failures contributing to maternal mortality in rural Kenya
Masaba, Brian Barasa; Mmusi-Phetoe, Rose; Moturi, John Kennedy; Kabo, Jane Wamuyu
The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress
on reducing maternal mortality appears to be slow and persistently higher than the global average, despite eforts by
the government’s provision of free maternity services in both private and public facilities in 2013. We aimed to explore
and describe the experiences of midwives on maternal deaths that are associated with the healthcare system and
client failures in Migori, Kenya.
2022-01-01T00:00:00ZDrivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID‑19 lockdown period: A systematic reviewMasaba, Brian BarasaMmusi-Phetoe, RoseKabo, Jane WamuyuMoturi, John Kennedyhttp://erepository.kibu.ac.ke/handle/123456789/74652023-01-30T09:48:38Z2023-01-06T00:00:00ZDrivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID‑19 lockdown period: A systematic review
Masaba, Brian Barasa; Mmusi-Phetoe, Rose; Kabo, Jane Wamuyu; Moturi, John Kennedy
The present study aimed to explore the drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID‑19 lockdown period.
A systematic review design was adopted. The major online databases utilized were PubMed, Google Scholar, Uganda and Kenya Ministry of
Health repositories, ScienceDirect, and Scopus. Studies that were originating from Kenya and Uganda that were publicly available in electronic
format published from March 2020 to March 2022 were used. The thematic analysis identified major concepts that were drivers to the present
research problem which were as follows: (1) school closure and (2) loss of income by parents. The COVID‑19 containment measures introduced
in the two countries were noted as major contributing factors. During the pandemic, lockdown led to school closures which meant the teenagers
being idle at home with an increased opportunity to indulge in sexual
risk behaviors. Schools have been noted to be a safe place protecting
this vulnerable population. However, with their prolonged closure, the
teenagers were exposed to sexual predators. Parents lost income,
and this might have contributed to early marriages and teenagers’
dependency on their sexual partners. Based on the reviewed evidence,
the present study furthers the advocacy for the reduction of early
marriages and teenage pregnancy, especially in the current COVID‑19
pandemic era. The study calls upon the governments to intensify efforts
toward the present research problem as the COVID‑19 pandemic is
eroding the earlier gains made within the region.
2023-01-06T00:00:00ZSociodemographic factors associated with mothers’ experiences of psychosocial care and communication by midwives during childbirth in Nairobi, KenyaKabo, JaneHolroyd, EleanorEdwards, GraceSarki, Ahmedhttp://erepository.kibu.ac.ke/handle/123456789/23162021-03-11T13:24:18Z2019-08-05T00:00:00ZSociodemographic factors associated with mothers’ experiences of psychosocial care and communication by midwives during childbirth in Nairobi, Kenya
Kabo, Jane; Holroyd, Eleanor; Edwards, Grace; Sarki, Ahmed
Purpose: To clarify sociodemographic and socioeconomic factors associated with mothers’ experiences of psychosocial
care and communication by midwives during childbirth in Nairobi, Kenya.
Design: A descriptive cross-sectional study conducted in a government national referral hospital. Respondents
were 109 systematically sampled mothers who delivered in the study hospital. Mothers’ experiences of intrapartum
care were assessed using three subscales from the Experience of Psychosocial Care and
Communication during Childbirth Questionnaire (effective communication; emotional support; and respect, care
and dignity). Simple and multivariable logistic regression analyses were used to assess associations between
sociodemographic factors, socioeconomic factors and mothers’ experiences of intrapartum care.
Findings: The majority of respondents were aged 20–24 years (45.9%), married (71.6%), had primary school
education (48.6%) and were self-employed (45%). The majority reported positive experiences of communication,
respect, dignity and emotional support from their midwives. Being an older mother was significantly associated
with a positive experience of intrapartum care (adjusted odds ratio [AOR] 7.32; 95% Confidence
Interval (CI): 1.17–45.9). The odds of having a positive intrapartum care experience was significantly lower
among women with parity of four or more (AOR 0.09; 95% CI: 0.01–0.56) and tertiary education (AOR 0.11;
95% CI: 0.01–0.91).
Conclusion: Attention to the use of respectful language and adherence to clear communication must be an integral
part of quality improvement for midwifery care in Kenya.
2019-08-05T00:00:00Z