http://erepository.uonbi.ac.ke/handle/11295/14334 2026-05-18T20:58:17Z http://erepository.uonbi.ac.ke/handle/11295/81946 Influence of provider training on quality of emergency obstetric care in Kenya Olenja, Joyce; Godia, Pamela; Kibaru, Josephine; Egondi, Thaddaeus In addition to infectious diseases, maternal and neonatal conditions account for a substantial part of the health gap between rich and poor countries. For example, more than 99 percent of maternal deaths occur in the developing world. The majority of the deaths are caused by direct obstetric complications, including haemorrhage, sepsis, eclampsia, obstructed labour, and unsafe abortion practices. In Kenya, complications related to pregnancy and childbirth are leading causes of morbidity and mortality, translating to 414 maternal deaths per 100,000 live births. Although 88 percent of Kenyan women attend antenatal care, only 40 percent deliver in the health facilities, and only 42 percent of all deliveries have skilled attendance at delivery. In the Kenyan context, access to and use of quality emergency obstetric care (EmOC) are essential to efforts aimed at reducing maternal morbidity and mortality. We examine data from the 2004 Kenya Service Provision Assessment (KSPA) to assess the availability of EmOC services in Kenya, and to demonstrate the importance of health worker training in the delivery of these life-saving services. We find that less than 20 percent of maternal health workers interviewed had received training in focused antenatal or postnatal care in the last three years. Among caregivers providing delivery services, only 18 percent had received training in lifesaving skills, and only 37 percent had received training in the prevention of mother- to -child transmission of HIV during the last three years. Our analysis also demonstrates that training is a critical element in the detection and management of complications. Recent training in relevant subject matter was found to be significantly and positively associated with the ability to provide quality care in the event of unsafe abortion and postpartum haemorrhage. Training was also positively associated with the ability to provide appropriate care in the event of a retained placenta. 2009-01-01T00:00:00Z http://erepository.uonbi.ac.ke/handle/11295/66019 EVALUATION OF THE UNIVERSAL ANAESTHESIA MACHINE IN THREE HOSPITALS IN KENYA: KENYATTA NATIONAL HOSPITAL LEVEL 6, THIKA DISTRICT HOSPITAL LEVEL 5 AND KIAMBU DISTRICT HOSPITAL LEVEL 4 Ngumi, ZW; Olang, P; Opere, H; Mwiti, T; Mwangi, W; Nyaga, W The provision of anaesthesia in many resource limited countries is compromised by lack of appropriately designed anaesthesia equipment. Modern complex anaesthesia machines are unsuitable for use in areas with challenging environmental conditions with unreliable supply of compressed gases and electricity. The Universal Anaesthesia Machine (UAM) is a hybrid continuous flow/draw- over anaesthesia machine designed to function in any environment without reliable sources of compressed gases or electricity manufactured by Gradian Health Systems at Oxford Engineering Services Medical Limited in 2010. (1,2). Preliminary results of 95 patients in an ongoing study is presented 2013-01-01T00:00:00Z http://erepository.uonbi.ac.ke/handle/11295/65790 Measles Seropositivity in HIV-Infected Kenyan Children on Antiretroviral Therapy. Newman, LP; Njoroge, A; Ben-Youssef, L; Merkel, M; Gatuguta, A; Ton, Q; Obimbo, EM; Wamalwa, D; Lohman-Payne, B; Richardson, BA; Nduati, R; Farquhar, C This paper describes results from a cross-sectional study among HIV-infected children 15 months to 12 years of age who were receiving antiretroviral therapy. We found a low prevalence of measles IgG seropositivity (45.7%) and identified CD4% ≥ 25 as a predictor. Most HIV-infected children on ART were not measles seropositive and might benefit from revaccination. 2014-03-01T00:00:00Z http://erepository.uonbi.ac.ke/handle/11295/65245 Accelerating impact: Expanding access to care. US Government report on international foreign assistance for TB FY 2011/2012 Malik, K; Rosen, JE; Winfrey, B; Adesina, A; Pride, L; Moyer, E; Lugalla, J; Ashmore, S; Ngugi, EN; Yasmin, S 2014-01-01T00:00:00Z