Browsing by Author "Moturi, John Kennedy"

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    Devolution of healthcare system in Kenya: Progress and challenges
    (Elsevier, 2020) Masaba, Brian Barasa; Moturi, John Kennedy; Mmusi-Phetoe, Rose
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    Drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID‑19 lockdown period: A systematic review
    (Journal of Integrative Nursing, 2023-01-06) 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.
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    The healthcare system and client failures contributing to maternal mortality in rural Kenya
    (BMC Pregnancy and Childbirth, 2022) 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.