Determinants of community's participation in Centers for disease control and prevention's Clinical trials in Karemo Division, Kenya

Abstract

Any research organization's study has solely depended on community's full participation for both quantity and quality data collection which are normally used for analysis. The purpose of this study was to investigate the determinants of community's participation in clinical trials conducted by Center for Diseases Control and Prevention in Karemo Division in Western Kenya. In the world, participation in clinical trials have been found to depend on a number of determinants such as demographics characteristics of the community, socio-economic status of the community, patient's trust in health care provider, information to the community and community's perception among others. The study had the following objectives: To determine the level at which community's demographic characteristics influence community's participation in Centers for Diseases Control and Prevention clinical trials, to determine the extent at which socio-economic status of the community influence their participation in Centers for Diseases Control and Prevention clinical trials, to examine how patient's trust in health care provider influence community's participation in Centers for Diseases Control and Prevention clinical trials, to investigate information as an influence on community's participation in Centers for Diseases Control and Prevention clinical trials and finally to explore community's perception as an influence on community's participation in Centers for Diseases Control and Prevention clinical trials. The research questions were: How do demographic characteristics of the community influence community's participation in Centers for Diseases Control and Prevention clinical trials? To what extent does socio-economic status of the community determine participation in Centers for Diseases Con!~~~land Prevention clinical trials? How do patient's trusts in health care provider determine'cemmunity's participation in Centers for Diseases Control and Prevention clinical trials research? How is information a determinant on community's participation in Centers for Diseases Control and Prevention? How does perception determine community's participation in Centers for Diseases Control and Prevention clinical trials? In the significance of the study, it is hoped that the findings shall be of use to both Centers for Diseases Control and the community in enhancing community's participation in clinical trials. The theory that the study was anchored on is the theory of planned behavior. Descriptive (quantitative) survey research design was used, the target population was parents from Karemo Division and the sample size was 379 participants, The sample selection was by use of simple random sampling where 3600 names were fed into the computer and excel used to select the first 364 participants as 15 were Centers for Diseases Control staffs where purposive sampling was employed for they were few in number. The study used questionnaires to collect data through face-to-face interviews and by self administration by the respondents and these data was entered and analyzed using SPSS for Windows version 12.0 to generate frequencies and percentages. The analyzed data was interpreted and discussed. Through the findings, the study concluded that majority of participants were married primary and secondary school leavers. The study did recommend that more emphasis -need to be put on health education in partnership with the ministry of health to religions such as Legio Maria on health seeking behavior. The study suggested the following areas for further studies: Need for a comparative study to look at determinants of community's participation in Centers for Diseases Control and Prevention epidemiological studies and community's participation in International Emerging Infectious diseases.