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Journal articles on the topic 'Kenya-Finland Primary Health Care Programme'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2025

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1

Mäntyranta, Taina, Minna Kaila, Jukka Mattila, and Paula Risikko. "Serving primary health care: a national action programme for primary care in Finland." Journal of Management & Marketing in Healthcare 4, no. 1 (2011): 40–46. http://dx.doi.org/10.1179/1753304x10y.0000000002.

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Tuomisto, Leena E., Vesa Jarvinen, Jukka Laitinen, Marina Erhola, Minna Kaila, and Pirkko E. Brander. "Asthma Programme in Finland: the quality of primary care spirometry is good." Primary Care Respiratory Journal 17, no. 4 (2008): 226–31. http://dx.doi.org/10.3132/pcrj.2008.00053.

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Lindström, Jaana, Pilvikki Absetz, Katri Hemiö, Päivi Peltomäki, and Markku Peltonen. "Reducing the risk of type 2 diabetes with nutrition and physical activity – efficacy and implementation of lifestyle interventions in Finland." Public Health Nutrition 13, no. 6A (2010): 993–99. http://dx.doi.org/10.1017/s1368980010000960.

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AbstractBackgroundThe prevalence of type 2 diabetes has been increasing in Finland, in parallel with a gradual increase in overweight and obesity during the past decades. The expanding prevalence of type 2 diabetes brings along complications, most importantly CVD. Therefore, it is extremely important to implement activities to prevent type 2 diabetes.ObjectiveIn the present paper, the clinical evidence for the prevention of type 2 diabetes is presented with the Finnish diabetes prevention study. In addition, the paper discusses the practical implementation of prevention of type 2 diabetes usin

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Mbau, L., R. Harrison, W. Kizito, et al. "Case identification, retention and blood pressure control in Kenya." Public Health Action 12, no. 2 (2022): 58–63. http://dx.doi.org/10.5588/pha.21.0051.

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BACKGROUND: Prevalence of hypertension in Africa is rising but it remains underdiagnosed and poorly controlled. In Kenya, only 22% of individuals known to have hypertension were on treatment, and only 51.7% were controlled. This study will assess screening outcomes, retention and blood pressure (BP) control of a hypertension programme in Kenya.DESIGN: This was a retrospective cohort study using data routinely collected between 2015 and 2018. All patients aged >18 years screened and treated in the programme were included.RESULTS: Of 663,028 screening encounters, 70.4% were female; the median

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Gedeon, Charlotte, Mikael Sandell, Inge Birkemose, et al. "Standards for opioid use disorder care: An assessment of Nordic approaches." Nordic Studies on Alcohol and Drugs 36, no. 3 (2019): 286–98. http://dx.doi.org/10.1177/1455072518815322.

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Aims: Outcomes in opioid use disorder (OUD) in Nordic countries have improved with integrated treatment and harm-reduction programmes. Approaches and the standard of care are different across the region. Evidence of treatment needs and current approaches are defined from evidence to inform development of a common standard. Method: Evidence of population sizes and treatment approach collected. Common standards for care (harm reduction, pharmacotherapy, psychology/social therapy) defined for each country. Results: Evidence defines number in treatment; potential population needing treatment not d

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Feksi, A. T., J. Kaamugisha, J. W. A. S. Sander, S. D. Shorvon, and S. Gatiti. "Comprehensive primary health care antiepileptic drug treatment programme in rural and semi-urban Kenya." Lancet 337, no. 8738 (1991): 406–9. http://dx.doi.org/10.1016/0140-6736(91)91176-u.

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Othieno, Caleb, Rachel Jenkins, Stephen Okeyo, Julyan Aruwa, Jan Wallcraft, and Ben Jenkins. "Perspectives and concerns of clients at primary health care facilities involved in evaluation of a national mental health training programme for primary care in Kenya." International Journal of Mental Health Systems 7, no. 1 (2013): 5. http://dx.doi.org/10.1186/1752-4458-7-5.

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Githae, Caroline N., Micah Matiang’i, and Moses Muraya. "Service Delivery Factors That Influence Utilization of HIV Integrated Primary Health Care Programme in Embu Referral Hospital, Kenya." Open Journal of Clinical Diagnostics 09, no. 03 (2019): 71–89. http://dx.doi.org/10.4236/ojcd.2019.93006.

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Tuomisto, Leena E., Vesa Jarvinen, Jukka Laitinen, Marina Erhola, Minna Kaila, and Pirkko E. Brander. "Corrigendum to ‘Asthma Programme in Finland: the quality of primary care spirometry is good’ (Prim Care Resp J 2008;17(4):226-231)." Primary Care Respiratory Journal 18, no. 3 (2009): 184. http://dx.doi.org/10.4104/pcrj.2009.00034.

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Samuel, Mburu, Mutuku Irene, and Kimani Kenny. "Readiness of Primary Health Care Diagnostic Laboratory Services to Support UHC Programme in Kenya: A Case Study of Three Counties." Journal of Health and Environmental Research 6, no. 4 (2020): 128. http://dx.doi.org/10.11648/j.jher.20200604.14.

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Otieno, Peter O., Elvis Omondi Achach Wambiya, Shukri F. Mohamed, Hermann Pythagore Pierre Donfouet, and Martin K. Mutua. "Prevalence and factors associated with health insurance coverage in resource-poor urban settings in Nairobi, Kenya: a cross-sectional study." BMJ Open 9, no. 12 (2019): e031543. http://dx.doi.org/10.1136/bmjopen-2019-031543.

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ObjectiveTo determine the prevalence of health insurance and associated factors among households in urban slum settings in Nairobi, Kenya.DesignThe data for this study are from a cross-sectional survey of adults aged 18 years or older from randomly selected households in Viwandani slums (Nairobi, Kenya). Respondents participated in the Lown scholars’ study conducted between June and July 2018.SettingThe Lown scholars’ survey was nested in the Nairobi Urban Health and Demographic Surveillance System in Viwandani slums in Nairobi, Kenya.ParticipantsA total of 300 randomly sampled households part

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Sánchez Piedra, Carlos Alberto, Sonia García-Pérez, Francisco Javier Prado-Galbarro, and Antonio Sarría-Santamera. "How do European patients feel about the listening skills of primary care physicians? Results from the EUprimecare Project." Farmeconomia. Health economics and therapeutic pathways 15, no. 4 (2014): 147–53. http://dx.doi.org/10.7175/fe.v15i4.979.

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OBJECTIVE: EUprimecare is a study funded by the 7th Framework Programme of the European Union aimed at analyzing the quality of the different models of primary care (PC) in Europe. The objective of this study was to describe and analyze the determinants associated with patient satisfaction with the listening skills of their PC physicians.METHODS: Telephone population survey in each EUprimecare consortium countries (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania) among PC users. The questionnaire included sociodemographic variables, health status, use and satisfaction with PC se

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Sijenyi, Salome, William Omoro, and Jeremiah Laktabai. "'Hospitals Are Medicine and More….' An Assessment of Subsidised Health Insurance Beneficiaries' Experience in Western Kenya." East African Journal of Health and Science 7, no. 1 (2024): 142–49. http://dx.doi.org/10.37284/eajhs.7.1.1773.

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Financial protection remains an important hurdle to overcome if Universal Health Coverage is to be achieved in sub-Saharan Africa. An innovative model of subsidised health insurance to vulnerable households was implemented in one level four and two primary health care facilities in Western Kenya. The project aimed to determine whether reduced insurance costs, socioeconomic empowerment, and the availability of drugs would improve patients' experience and encourage them to co-pay. This was a secondary analysis of a mixed methods study with a cross-sectional household survey consisting of 18 semi

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Maldonado, Lauren Y., Jeffrey Bone, Michael L. Scanlon, et al. "Improving maternal, newborn and child health outcomes through a community-based women’s health education program: a cluster randomised controlled trial in western Kenya." BMJ Global Health 5, no. 12 (2020): e003370. http://dx.doi.org/10.1136/bmjgh-2020-003370.

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IntroductionCommunity-based women’s health education groups may improve maternal, newborn and child health (MNCH); however, evidence from sub-Saharan Africa is lacking. Chamas for Change (Chamas) is a community health volunteer (CHV)-led, group-based health education programme for pregnant and postpartum women in western Kenya. We evaluated Chamas’ effect on facility-based deliveries and other MNCH outcomes.MethodsWe conducted a cluster randomised controlled trial involving 74 community health units in Trans Nzoia County. We included pregnant women who presented to health facilities for their

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Sinervo, Timo, Tiina Pesonen, Juhani Sulander, et al. "Assessment of service integration in Finland – using SCIROCCO-tool in organizationally integrated health and social services." International Journal of Integrated Care 25 (April 9, 2025): 310. https://doi.org/10.5334/ijic.icic24139.

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Background: In 2023, Finland initiaded a significant reformin health and social care, transferring the responsibility for all services from municipalities to Wellbeing Services Counties. While a major practical goal of the reform was to underline economy of scale and to form larger authorities for organising health and social services, a broad integration of health and social sevices has been considered to enhance efficiency. In addition service coordination and cooperation are expected to enhance care quality, safety, and worker well-being. The aging population, coupled with increasing multim

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Baral, Ranju, Elkanah Otiang, Joseph Odiyo, et al. "Cost of delivering childhood RSV prevention interventions to the health system in Kenya: a prospective analysis." BMJ Open 14, no. 11 (2024): e084207. http://dx.doi.org/10.1136/bmjopen-2024-084207.

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ObjectivesTo evaluate the cost of delivering childhood respiratory syncytial virus (RSV) prevention interventions to the health system in Kenya.DesignA prospective (cost projection) activity-based costing study.SettingKenya, national introduction of interventions.ParticipantsNot applicable.InterventionsA single-dose RSV maternal vaccine and a single-dose, long-acting monoclonal antibody (mAb).Primary and secondary outcome measuresCost per eligible target population; cost per dose administered; non-commodity cost of delivery. Costs are reported in 2023 USD.ResultsRSV interventions are expected

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Pitchforth, Emma, Ellen Nolte, Jennie Corbett, et al. "Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies." Health Services and Delivery Research 5, no. 19 (2017): 1–220. http://dx.doi.org/10.3310/hsdr05190.

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BackgroundThe notion of a community hospital in England is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.ObjectivesThis study sought to (1) d

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Poston, Lucilla, Ruth Bell, Annette L. Briley, et al. "Improving pregnancy outcome in obese women: the UK Pregnancies Better Eating and Activity randomised controlled Trial." Programme Grants for Applied Research 5, no. 10 (2017): 1–414. http://dx.doi.org/10.3310/pgfar05100.

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BackgroundObesity in pregnancy is associated with insulin resistance, which underpins many common complications including gestational diabetes mellitus (GDM) and fetal macrosomia.ObjectivesTo assess the effect of a complex behavioural intervention based on diet and physical activity (PA) on the risk of GDM and delivery of a large-for-gestational age (LGA) infant.DesignThree phases: (1) the development phase, (2) the pilot study and (3) a multicentre randomised controlled trial (RCT) comparing a behavioural intervention to improve glycaemic control with standard antenatal care in obese pregnant

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Brands, Martien, and Suzanne van Berkel. "Homeopathic diagnosis and treatment of malaria in Kenya." International Journal of High Dilution Research - ISSN 1982-6206 13, no. 47 (2021): 93–96. http://dx.doi.org/10.51910/ijhdr.v13i47.720.

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Homeopathic diagnosis and treatment of  malaria in Kenya  Martien Brands and Suzanne van Berkel   Centre for integrative medicine, Amsterdam ; School for Homeopathy, Amersfoort  Introduction. Homeopathy has been practiced since many years in Kenya, often by experienced and well trained practitioners, in several primary care clinics. But no systematic data collection has yet been made.  We have chosen, after a feasibility study in 2012, some clinics to participate in this recording of daily practice data. We request the practitioners to record the

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Watts, Colin, Joshua Savage, Amit Patel, et al. "Protocol for the Tessa Jowell BRAIN MATRIX Platform Study." BMJ Open 12, no. 9 (2022): e067123. http://dx.doi.org/10.1136/bmjopen-2022-067123.

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IntroductionGliomas are the most common primary tumour of the central nervous system (CNS), with an estimated annual incidence of 6.6 per 100 000 individuals in the USA and around 14 deaths per day from brain tumours in the UK. The genomic and biological landscape of brain tumours has been increasingly defined and, since 2016, the WHO classification of tumours of the CNS incorporates molecular data, along with morphology, to define tumour subtypes more accurately. The Tessa Jowell BRAIN MATRIX Platform (TJBM) study aims to create a transformative clinical research infrastructure that leverages

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Arale, Hassan Abdullahi, and Felix Kiruthu. "Effect of Devolution on the Performance of Human Resource Function in Health Sector in Kenya: The Case of Garissa County." International Journal of Current Aspects 3, no. III (2019): 58–70. http://dx.doi.org/10.35942/ijcab.v3iiii.30.

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The declaration of a new constitution of Kenya on 31st August 2010 successfully made two levels of government; the national and county governments. Establishment of health services is one of the tasks that were devolved to the county. Devolution of health functions was meant to enhance access to more-fair and top-notch health services to the Kenyan citizens. This study sought to analyze the effect of devolution on human resource performance in healthcare sector in Kenya with special focus on Garissa County. The study specific objectives included to; examine how devolution has affected recruitm

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Gupta, Rajendra Pratap, and Prahlad Rai Sodani. "Cross-country comparison of health policies in eight countries." Indian Journal of Forensic and Community Medicine 9, no. 2 (2022): 72–77. http://dx.doi.org/10.18231/j.ijfcm.2022.016.

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The primary objective of this paper is the comparison and describe features of health policies across the selected countries viz, Argentina, Australia, Finland, Kenya, India, South Korea, United Kingdom (U.K), United States (U.S). The second objective of the paper is to understand the political commitment in each country by comparing the allocation of adequate resources toward health. To study health policies, eight countries are selected from each geographical region and to determine political commitment toward health policy, three related variables are analyzed. Databases of the multilateral

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Mwoma, Teresa, Phillip Omondi, Sandra Mudhune, et al. "Family centered early childhood development: a case of Rongo Subcounty, Migori Kenya." International Journal of Pregnancy & Child Birth 9, no. 3 (2023): 86–96. http://dx.doi.org/10.15406/ipcb.2023.09.00284.

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The early childhood period from conception to three years is critical in a child’s health, well-being and brain development. Proper care and stimulation therefore, contributes to a child’s productivity that lasts through childhood to adulthood. It is estimated that globally, 43% of children under five years are at risk of failing to achieve their developmental potential. In Sub-Saharan Africa (SSA), this portion is approximately 66%. The Kenya Demographic Health Survey (KDHS) 2022 revealed that 21% of children in Kenya aged 24-59 months are not developmentally on track. A higher percentage of

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Tickell, Kirkby D., Mareme M. Diakhate, Jeanne L. Goodman, et al. "Impact of a two-way short message service (SMS) to support maternally administered childhood mid-upper arm circumference monitoring and expand malnutrition screening in Kenya: the Mama Aweza trial protocol." BMJ Open 10, no. 9 (2020): e036660. http://dx.doi.org/10.1136/bmjopen-2019-036660.

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IntroductionOver 52 million children under 5 years of age become wasted each year, but only 17% of these children receive treatment. Novel methods to identify and deliver treatment to malnourished children are necessary to achieve the sustainable development goals target for child health. Mobile health (mHealth) programmes may provide an opportunity to rapidly identify malnourished children in the community and link them to care.Methods and analysisThis randomised controlled trial will recruit 1200 children aged 6–12 months at routine vaccine appointments in Migori and Homa Bay Counties, Kenya

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Sharma, Vimla. "Comparative Assessment the Nutritional Status among School Going Children of Employed and Unemployed Mothers: A Study in Selected Schools of Nepalgunj, Banke, Nepal." Inverge Journal of Social Sciences 2, no. 2 (2023): 92–114. https://doi.org/10.63544/ijss.v2i2.26.

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The science of nutrition focuses primarily on how nutrients contribute to human growth, development, and maintenance. Nutrition is the study of the relationship between diet and health. The goal of healthy nutrition is to keep people in a nutritional state that promotes growth and optimum health. The six to twelve year old school going is a vital time for children's physical and intellectual development. The socioeconomic standing of families, community social well-being, community access to quality healthcare, and environmental influence are all significant determinants of children's health.

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Di Giorgio, Laura, David K. Evans, Magnus Lindelow, et al. "Analysis of clinical knowledge, absenteeism and availability of resources for maternal and child health: a cross-sectional quality of care study in 10 African countries." BMJ Global Health 5, no. 12 (2020): e003377. http://dx.doi.org/10.1136/bmjgh-2020-003377.

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ObjectiveAssess the quality of healthcare across African countries based on health providers’ clinical knowledge, their clinic attendance and drug availability, with a focus on seven conditions accounting for a large share of child and maternal mortality in sub-Saharan Africa: malaria, tuberculosis, diarrhoea, pneumonia, diabetes, neonatal asphyxia and postpartum haemorrhage.MethodsWith nationally representative, cross-sectional data from ten countries in sub-Saharan Africa, collected using clinical vignettes (to assess provider knowledge), unannounced visits (to assess provider absenteeism) a

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Iivanainen, Sanna, Anne-Marie Baird, Bogdana Balas, et al. "Assessing the impact of digital patient monitoring on health outcomes and healthcare resource usage in addition to the feasibility of its combination with at-home treatment, in participants receiving systemic anticancer treatment in clinical practice: protocol for an interventional, open-label, multicountry platform study (ORIGAMA)." BMJ Open 13, no. 4 (2023): e063242. http://dx.doi.org/10.1136/bmjopen-2022-063242.

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IntroductionDigital patient monitoring (DPM) tools can enable more effective clinical care and improved patient outcomes in cancer. However, their broad adoption requires ease of use and demonstration of real-world clinical utility/impact. ORIGAMA (MO42720) is an interventional, open-label, multicountry platform study investigating the clinical utility of DPM tools and specific treatments. ORIGAMA will begin with two cohorts that aim to assess the impact of the atezolizumab-specific Roche DPM Module (hosted on the Kaiku Health DPM platform (Helsinki, Finland)) on health outcomes and healthcare

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Iivanainen, Sanna, Anne-Marie Baird, Bogdana Balas, et al. "An interventional study of the impact of digital patient monitoring (DPM) on health outcomes, healthcare resource utilization, and feasibility of a combination with at-home treatment (tx) for delivery of systemic anticancer tx in clinical practice." Journal of Clinical Oncology 41, no. 16_suppl (2023): TPS1617. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.tps1617.

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TPS1617 Background: Disease- and tx-related symptoms negatively affect quality of life and may become life-threatening. There is a need for improved understanding, prevention, reduction and mitigation of symptoms, and tools to facilitate remote tracking of pt-reported outcomes (PROs) and support self-management of symptoms. As anticancer txs are increasingly given outside of the clinical settings, DPM tools are becoming more important to support remote symptom management. DPM can improve clinical care and pt outcomes; however, broad adoption requires proven usability and demonstration of real-

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Allen, Luke, Min Kim, Malebogo Tlhajoane, et al. "Protocol for an adaptive platform trial of intended service user-derived interventions to equitably reduce non-attendance in eye screening programmes in Botswana, India, Kenya and Nepal." BMJ Open 15, no. 1 (2025): e085353. https://doi.org/10.1136/bmjopen-2024-085353.

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IntroductionOnly 30%–50% of people referred to clinics during community-based eye screening are able to access care in Botswana, India, Kenya and Nepal. The access rate is even lower for certain population groups. This platform trial aims to test multiple, iterative, low-risk public health interventions and simple service modifications with a series of individual randomised controlled trials (RCT) conducted in each country, with the aim of increasing the proportion of people attending.Methods and analysisWe will set up a platform trial in each country to govern the running of a series of pragm

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Jim, Danny, Loretta Joseph Case, Rubon Rubon, Connie Joel, Tommy Almet, and Demetria Malachi. "Kanne Lobal: A conceptual framework relating education and leadership partnerships in the Marshall Islands." Waikato Journal of Education 26 (July 5, 2021): 135–47. http://dx.doi.org/10.15663/wje.v26i1.785.

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Education in Oceania continues to reflect the embedded implicit and explicit colonial practices and processes from the past. This paper conceptualises a cultural approach to education and leadership appropriate and relevant to the Republic of the Marshall Islands. As elementary school leaders, we highlight Kanne Lobal, a traditional Marshallese navigation practice based on indigenous language, values and practices. We conceptualise and develop Kanne Lobal in this paper as a framework for understanding the usefulness of our indigenous knowledge in leadership and educational practices within for

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Tallam, Edna C., Doreen Kaura, and Robert Mash. "Self-perceived competency of midwives in Kenya: A descriptive cross-sectional study." African Journal of Primary Health Care & Family Medicine 14, no. 1 (2022). http://dx.doi.org/10.4102/phcfm.v14i1.3477.

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Background: Midwifery competence is demonstrated in the context of midwifery education, regulation and practice to support the quality delivery of care to women. Midwives with appropriate competencies can deliver up to 80% of maternal health services. The pre-service education programmes in Kenya offers different midwifery competencies for the various programmes, influencing expected outcomes in practice.Aim: This study aimed to assess midwives’ perceived level of competence based on the International Confederation of Midwives (ICM) standards in Kenya.Setting: The study was conducted in select

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Gilchrist, Francis J., William D. Carroll, Sadie Clayton, et al. "Implementation of a primary care asthma management quality improvement programme across 68 general practice sites." npj Primary Care Respiratory Medicine 33, no. 1 (2023). http://dx.doi.org/10.1038/s41533-023-00341-y.

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AbstractDespite national and international guidelines, asthma is frequently misdiagnosed, control is poor and unnecessary deaths are far too common. Large scale asthma management programme such as that undertaken in Finland, can improve asthma outcomes. A primary care asthma management quality improvement programme was developed with the support of the British Lung Foundation (now Asthma + Lung UK) and Optimum Patient Care (OPC) Limited. It was delivered and cascaded to all relevant staff at participating practices in three Clinical Commissioning Groups. The programme focussed on improving dia

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Linley, Katherine. "Family Health Clinical Officers: Key professionals to strengthen primary healthcare in Kenya." African Journal of Primary Health Care & Family Medicine 16, no. 1 (2024). http://dx.doi.org/10.4102/phcfm.v16i1.4594.

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Primary healthcare (PHC) is recognised as the means to achieve universal health coverage, a national priority for Kenya. With only approximately 200 family physicians for a population of over 54 million, innovative solutions for providing quality PHC are needed. Clinical Officers, as mid-level health workers, already provide much of the primary care across Kenya, but without specialised training. To provide highly trained Family Health practitioners, a Higher Diploma in Family Health for Clinical Officers (FHCO) was launched by the government in 2018. With experience in delivering innovative a

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Gathu, Catherine W., Jacob Shabani, Nancy Kunyiha, and Riaz Ratansi. "Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial." African Journal of Primary Health Care & Family Medicine 10, no. 1 (2018). http://dx.doi.org/10.4102/phcfm.v10i1.1762.

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Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family M

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Sangraula, M., E. L. Turner, N. P. Luitel, et al. "Feasibility of Group Problem Management Plus (PM+) to improve mental health and functioning of adults in earthquake-affected communities in Nepal." Epidemiology and Psychiatric Sciences 29 (2020). http://dx.doi.org/10.1017/s2045796020000414.

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Abstract Aims Psychological interventions that are brief, acceptable, effective and can be delivered by non-specialists are especially necessary in low- and middle-income countries, where mental health systems are unable to address the high level of psychosocial needs. Problem Management Plus (PM+) is a five-session intervention designed for those impaired by psychological distress while living in communities affected by adversity. Individual PM+ has demonstrated effectiveness in reducing distress in Kenya and Pakistan, and a group version of PM+ (Group PM+) was effective for conflict-affected

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Whiteley, Holly, and Rhiannon Tudor Edwards. "The long life-time shadow of bullying: cost-effectiveness of KiVa to reduce bullying in primary schools." International Journal of Population Data Science 7, no. 2 (2022). http://dx.doi.org/10.23889/ijpds.v7i2.1745.

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BackgroundThe ‘long shadow’ of childhood bullying can extend beyond immediate adverse mental health and educational outcomes well into adulthood, with associated long-term health and social care costs. Reducing bullying is therefore a public health priority. KiVa, a school-based anti-bullying programme, is effective in reducing bullying in schools in Finland and is currently being tested in the UK through the large-scale Stand Together trial. MethodsThe Stand Together trial is a two-arm, pragmatic multicentre cluster randomised controlled trial (RCT) to test the effectiveness and cost-effectiv

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Hanlon, Charlotte, Caroline Smartt, Victoria N. Mutiso, et al. "Improving outcomes for people who are homeless and have severe mental illness in Ethiopia, Ghana and Kenya: overview of the HOPE programme." Epidemiology and Psychiatric Sciences 34 (2025). https://doi.org/10.1017/s2045796025000186.

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Abstract Aim HOPE (National Institute for Health and Care Research Global Health Research Group on Homelessness and Mental Health in Africa) aims to develop and evaluate interventions that address the unmet needs of people who are homeless and have severe mental illness (SMI) living in three African countries in ways that are rights-based, contextually grounded, scalable and sustainable. Methods We will work in the capital city (Addis Ababa) in Ethiopia, a regional city (Tamale) in Ghana, and the capital city (Nairobi) and a rural county (Makueni) in Kenya to understand different approaches to

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Mills, Tracey A., Valentina Actis Danna, Elizabeth Ayebare, et al. "Advancing care and support for women and families after stillbirth or neonatal death in Kenya and Uganda: a feasibility study." Global Health Research, September 2024, 1–22. http://dx.doi.org/10.3310/jnwa6983.

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Background Approximately every 16 seconds a baby dies, before, during or shortly after birth globally. Over 98% of stillbirths and neonatal deaths occur in low- and middle-income countries, with over 75% in sub-Saharan Africa and South Asia. Alongside prevention, providing respectful and appropriate bereavement support to parents is a key global priority for equitable care and outcomes. Previous studies in sub-Saharan Africa, including Kenya and Uganda, demonstrate limited bereavement support in facilities and stigma surrounding perinatal death in communities. There is an urgent need for conte

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Osuide, Jennifer Okhianosen, Ali Davod Parsa, Ilias Mahmud, and Russell Kabir. "The effect of limited access to antenatal care on pregnancy experiences and outcomes among undocumented migrant women in Europe: a systematic review." Frontiers in Global Women's Health 5 (February 6, 2024). http://dx.doi.org/10.3389/fgwh.2024.1289784.

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Women who are undocumented migrants in Europe encounter a variety of challenges while trying to access health services, including restricted access to antenatal care (ANC) despite the importance of ANC to the well-being of mothers and their infants. This study's aim was to examine the effect that limited access to antenatal care has on the pregnancy experiences and outcomes of undocumented migrant (UM) women in Europe. Systematic searches were done on PubMed, Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL Plus, and BioMed Central. From the search results, only primary research articles that reported

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Washington-Nortey, Melissa, Vibian Angwenyi, Mekdes Demissie, et al. "Supporting African communities to increase resilience and mental health of kids with developmental disabilities and their caregivers using the World Health Organization’s Caregiver Skills Training Programme (SPARK trial): study protocol for a cluster randomised clinical controlled trial." Trials 25, no. 1 (2024). http://dx.doi.org/10.1186/s13063-024-08488-w.

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Abstract Background Most children with developmental disabilities (DD) live in low- and middle-income countries, but access to services is limited, impacting their ability to thrive. Pilot study findings of the World Health Organization’s Caregiver Skills Training (WHO CST) intervention, which equips caregivers with strategies to facilitate learning and adaptive behaviours in children with DD, are promising but evidence from an appropriately powered trial delivered by non-specialist facilitators is lacking. This study will investigate the effectiveness and the resource impacts and costs and co

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"10.C. Round table: European public health week: how to unite a continent to celebrate healthy populations." European Journal of Public Health 30, Supplement_5 (2020). http://dx.doi.org/10.1093/eurpub/ckaa165.508.

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Abstract The first two editions of the European Public Health Week (EUPHW) took place in May 2019 and May 2020. Both exceeded all expectations, registering more than 140 events in more than 30 countries each year - despite the pandemic context and a fully online format in 2020. In this session we will share insights from both editions, with the round table format allowing for a wider discussion of experiences with other countries from around the world. Under the motto “celebrating healthy populations” in 2019 and “joining forces for healthier populations” in 2020, EUPHW aims to raise awareness

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Nelligan, Ian J., Jacob Shabani, Stephanie Taché, Gulnaz Mohamoud, and Megan Mahoney. "An assessment of implementation of Community Oriented Primary Care in Kenyan family medicine postgraduate medical education programmes." African Journal of Primary Health Care & Family Medicine 8, no. 1 (2016). http://dx.doi.org/10.4102/phcfm.v8i1.1064.

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Background and objectives: Family medicine postgraduate programmes in Kenya are examining the benefits of Community-Oriented Primary Care (COPC) curriculum, as a method to train residents in population-based approaches to health care delivery. Whilst COPC is an established part of family medicine training in the United States, little is known about its application in Kenya. We sought to conduct a qualitative study to explore the development and implementation of COPC curriculum in the first two family medicine postgraduate programmes in Kenya. Method: Semi-structured interviews of COPC educato

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Nyongesa, Moses K., Paul Mwangi, Stanley W. Wanjala, Agnes M. Mutua, Charles R. J. C. Newton, and Amina Abubakar. "Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya." BMC Psychiatry 19, no. 1 (2019). http://dx.doi.org/10.1186/s12888-019-2339-5.

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Abstract Background Published research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast. Methods Between February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 sco

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Reinsperger, I., L. Gassner, and I. Zechmeister-Koss. "Overview of national strategies for the prevention and management of non-communicable diseases." European Journal of Public Health 32, Supplement_3 (2022). http://dx.doi.org/10.1093/eurpub/ckac130.047.

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Abstract Background Several countries have developed national strategies or policies for preventing and managing non-communicable diseases (NCDs) which are the leading cause of death worldwide. We aim to provide an overview of these strategies from selected countries and their implementation, focusing on chronic respiratory and cardiovascular diseases, diabetes and depression. Methods Using a comprehensive structured hand search, strategies from 8 countries (Germany, Switzerland, Netherlands, Finland, Ireland, United Kingdom, Canada, Australia) were identified and information on the main chara

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Gatakaa, Hellen, Elizabeth Ombech, Rogers Omondi, et al. "Expanding access to maternal, newborn and primary healthcare services through private-community-government partnership clinic models in rural Kenya: the Ubuntu-Afya kiosk model." BMC Health Services Research 19, no. 1 (2019). http://dx.doi.org/10.1186/s12913-019-4759-9.

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Abstract Background Fifteen counties contribute 98.7% of the maternal and newborn morbidity and mortality in Kenya. The dismal maternal and newborn (MNH) outcomes in these settings are mostly attributable to limited access to skilled MNH services. Public health services are stretched and limited in reach, and many social programmes are not sustainably designed. We implemented a network of 16 self-sustaining community medical centres (Ubuntu-Afya Kiosks) in Homa Bay County, to facilitate access to MNH and other primary health services. We investigated the effect of these centres on MNH access i

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Ray, Sunanda C., Mpundu Makasa, Innocent Besigye, Jacob S. Shabani, and Martha Makwero. "Investment in family medicine to improve health outcomes in sub-Saharan Africa." African Journal of Primary Health Care & Family Medicine 17, no. 1 (2025). https://doi.org/10.4102/phcfm.v17i1.5033.

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Family physicians (FPs), as educators, capacity builders and clinical governance leaders of primary care (PC) teams, work to make them more effective and responsive to the needs of their patients. Various strategies are required to raise the profile of Family Medicine (FM) to ensure stronger representation in health sector planning and policy development for advocacy on behalf of the communities they serve. An illustration is given of the need for FP leaders to become equal partners in the National Surgical, Obstetric and Anaesthesia Planning process to ensure safer surgery at district hospita

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Hautala, Arto J., Babooshka Shavazipour, Bekir Afsar, Mikko P. Tulppo, and Kaisa Miettinen. "Machine learning models for assessing risk factors affecting health care costs: 12-month exercise-based cardiac rehabilitation." Frontiers in Public Health 12 (May 28, 2024). http://dx.doi.org/10.3389/fpubh.2024.1378349.

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IntroductionExercise-based cardiac rehabilitation (ECR) has proven to be effective and cost-effective dominant treatment option in health care. However, the contribution of well-known risk factors for prognosis of coronary artery disease (CAD) to predict health care costs is not well recognized. Since machine learning (ML) applications are rapidly giving new opportunities to assist health care professionals’ work, we used selected ML tools to assess the predictive value of defined risk factors for health care costs during 12-month ECR in patients with CAD.MethodsThe data for analysis was avail

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"A Report of the National Transgender Discrimination Survey in Kenya (NTDS)-A Baseline Study of Transgender Persons in Kenya: Life experiences and Access to Health Services." Journal of Public Policy & Governance 6, no. 2 (2022): 22–51. http://dx.doi.org/10.53819/81018102t50100.

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The study contained the underpinnings on protection issues against violence and discrimination. The theme of this report deconstructs how discriminatory laws and sociocultural norms continue to marginalize and exclude intersex and gender-diverse persons. The report established that they are excluded from education, healthcare, housing, employment and occupation and other sectors giving rise to a host of other problems in a context where access to economic, social and cultural rights is hampered resulting in poverty and exclusion. They have a lower social-economic status due to the limiting acc

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Bowers, Olivia, and Mifrah Hayath. "Cultural Relativity and Acceptance of Embryonic Stem Cell Research." Voices in Bioethics 10 (May 16, 2024). http://dx.doi.org/10.52214/vib.v10i.12685.

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Photo ID 158378414 © Eduard Muzhevskyi | Dreamstime.com ABSTRACT There is a debate about the ethical implications of using human embryos in stem cell research, which can be influenced by cultural, moral, and social values. This paper argues for an adaptable framework to accommodate diverse cultural and religious perspectives. By using an adaptive ethics model, research protections can reflect various populations and foster growth in stem cell research possibilities. INTRODUCTION Stem cell research combines biology, medicine, and technology, promising to alter health care and the understanding

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