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This article presents processes for developing contextualized training procedures to better appreciate partnership, capacity-building experiences, and specific implementation challenges and opportunities for mental and public health teams. The program enrolled 469 out-of-school adolescents to participate in the integration of youth mental health into health and life-skill safe spaces. The teams utilized various methods to achieve process outcomes of restructuring and adapting curricula, training youth mentors, and assessing their self-efficacy before integrating the intervention for 18 months. The Coronavirus (COVID-19) pandemic became an additional unique concern in the preliminary and the 18-month implementation period of the program. This necessitated innovation around hybrid training and asynchronous modalities as program teams navigated the two study locations for prompt training, supervision, evaluation, and feedback. In conclusion, out-of-school adolescents face a myriad of challenges, and a safe space program led by youth mentors can help promote mental health. Our study demonstrated how best this can be achieved. We point to lessons such as the importance of adapting the intervention and working cohesively in teams, building strong and trusting partnerships, learning how to carry out multidisciplinary dialogues, and continuous supervision and capacity building. This article aimed to document the processes around the design and implementation of this innovative intervention and present a summary of lessons learned.

Introduction: Research on snakebite has mostly been conducted on settled populations and current risk factors and potential interventions are therefore most suited for these populations. There is limited epidemiological data on mobile and nomadic populations, who may have a higher risk of snakebite. Methods and results: We conducted a scoping review to gather evidence on survey methods used in nomadic populations and compared them with contemporary survey methods used for snakebite research. Only 16 (10.5%) of 154 articles reportedly conducted on pastoralist nomadic populations actually involved mobile pastoralists. All articles describing snakebite surveys (n = 18) used multistage cluster designs on population census sampling frames, which would not be appropriate for nomadic populations. We used geospatial techniques and open-source high-resolution satellite images to create a digital sampling frame of 50,707 households and used a multistage sampling strategy to survey nomadic and semi-nomadic populations in Samburu County, Kenya. From a sample of 900 geo-located households, we correctly identified and collected data from 573 (65.4%) households, of which 409 were in their original locations and 164 had moved within 5km of their original locations. We randomly sampled 302 (34.6%) households to replace completely abandoned and untraceable households. Conclusion: Highly mobile populations require specific considerations in selecting or creating sampling frames and sampling units for epidemiological research. Snakebite risk has a strong spatial component and using census-based sampling frames would be inappropriate in nomadic populations. We propose using open-source satellite imaging and geographic information systems to improve the conduct of epidemiological research in these populations. Author summary: Nomadic populations are at increased risk of snakebites, but interventions will not be developed or improved without reliable data on this risk. Highly mobile populations require specific considerations in selecting or creating sampling frames and sampling units for epidemiological research, and using census-based sampling frames would be inappropriate. We conducted scoping reviews to gather evidence on survey methods used in nomadic populations and compared them with contemporary survey methods used for snakebite research, which we used to inform our methodology. We describe the creation of a sampling frame of 50,707 households, the selection and geo-tagging of a sample of 900 households, and the identification and enrolment of participants from 875 households between August 2019 and March 2020. We propose using open-source satellite imaging and geographic information systems to improve the conduct of epidemiological research in these populations. [ABSTRACT FROM AUTHOR]

Purpose: Suitable assistive devices for children with cerebral palsy (CP) in low-income countries are often unavailable. Devices made from APT are in use in several countries but are unevaluated. Materials and methods: A 2-week training course focused on APT principles, measuring children and constructing postural support devices. Twenty-three Kenyans attended the course. The host organization identified four local children with CP who attended for assessment and measurement. Participants made the devices and children returned for fitting and necessary adjustment. Completion of post-course forms, action plans, visits after 14 months and contact 3 years later comprised the evaluation. Results: All participants found the course beneficial and valued the networking opportunity provided. They appreciated the practicality and utility of locally manufactured cost effective devices. The trainees planned further implementation to provide assistive devices for children with CP in their localities. Follow-up visits revealed several challenges to local ongoing production. Conclusions: Training people in low-income communities to make bespoke assistive devices for children with CP is straightforward, and the course was positively evaluated. However, maintaining device production is limited without local group support and stable leadership, ideally as part of an existing programme.Implications for rehabilitationAssistive devices are often unobtainable for children with cerebral palsy (CP) in low-income countries.APT is a cost effective way of fulfilling this need and it is relatively straightforward to train people who care for or work with those with CP to make devices using APT.Feedback from APT training suggests participants find the technique a practical way of producing assistive equipment for individuals with CP in their community.Maintaining device production requires support, leadership and increased public awareness of the use of APT at a local level.

Purpose: Appropriate paper-based technology (APT) is used to provide postural support for children with cerebral palsy (CP) in low-resourced settings. This pilot study aimed to evaluate the impact of APT on the children's and families' lives., Materials and Methods: A convenience sample of children with CP and their families participated. Inclusion was based on the Gross Motor Function Classification System levels IV and V. APT seating or standing frames were provided for six months. A mixed methods impact of APT devices on the children and families included the Family Impact Assistive Technology Scale for Adaptive Seating (FIATS-AS); the Child Engagement in Daily Life (CEDL) questionnaire; and a qualitative assessment from diary/log and semi-structured interviews., Results: Ten children (median 3 years, range 9 months to 7 years). Baseline to follow-up median (IQR) FIATS-AS were: 22.7 (9.3) and 30.3 (10.2), respectively ( p =.002). Similarly mean (SD) CEDL scores for "frequency" changed from 30.5 (13.2) to 42.08 (5.96) ( p =.021) and children's enjoyment scores from 2.23 (0.93) to 2.91 (0.79) ( p =.019). CEDL questionnaire for self-care was not discriminatory; seven families scored zero at both baseline and 6 months. Qualitative interviews revealed three key findings; that APT improved functional ability, involvement/interaction in daily-life situations, and a reduced family burden of care., Conclusions: APT devices used in Kenyan children with non-ambulant CP had a meaningful positive effect on both the children's and their families' lives.Implications for rehabilitationAssistive devices are often unobtainable for children with cerebral palsy (CP) in low-income countries.APT is a low cost and sustainable solution to make seating and standing devices for disabled children in Kenya.The regular use of a postural support device enhanced the children's motor skills, ability to function and participate in everyday activities, reduced the burden of care for the families and promoted the children's social interaction.The postural support devices were highly valued and utilised by the children and families in this study.

This paper describes a sustainable structure to deliver the World Health Organization (WHO) endorsed group Interpersonal Psychotherapy (IPT-G) for Postpartum Adolescent (PPA) mothers living with HIV in Nairobi. It documents the process of mobilizing, training, and engaging Community Health Workers (CHWs) and Key Informants (health facility staff) involved in the Prevention of Mother-To-Child Transmission (PMTCT) in two Primary Health Care (PHC) facilities from informal settlements of Nairobi County. Mainly reporting experiences from the training process utilizing focused group discussions and in-depth interviews involving participants, IPT-G therapists and supervisors we present process findings and acceptability of our IPT-G implementation.

Human immunodeficiency virus (HIV) is a chronic infection that can be managed by antiretroviral treatment (ART). However, periods of suboptimal viral suppression during lifelong ART can select for HIV drug resistant (DR) variants. Transmission of drug resistant virus can lessen or abrogate ART efficacy. Therefore, testing of individuals for drug resistance prior to initiation of treatment is recommended to ensure effective ART. Sensitive and inexpensive HIV genotyping methods are needed in low-resource settings where most HIV infections occur. The oligonucleotide ligation assay (OLA) is a sensitive point mutation assay for detection of drug resistance mutations in HIV pol. The current OLA involves four main steps from sample to analysis: (1) lysis and/or nucleic acid extraction, (2) amplification of HIV RNA or DNA, (3) ligation of oligonucleotide probes designed to detect single nucleotide mutations that confer HIV drug resistance, and (4) analysis via oligonucleotide surface capture, denaturation, and detection (CDD). The relative complexity of these steps has limited its adoption in resource-limited laboratories. Here we describe a simplification of the 2.5-hour plate-format CDD to a 45-minute paper-format CDD that eliminates the need for a plate reader. Analysis of mutations at four HIV-1 DR codons (K103N, Y181C, M184V, and G190A) in 26 blood specimens showed a strong correlation of the ratios of mutant signal to total signal between the paper CDD and the plate CDD. The assay described makes the OLA easier to perform in low resource laboratories.

Amid a rise of misinformation worldwide, this paper examines digital misinformation literacy as it relates to COVID-19 news in East Africa. The study is grounded in inoculation theory and contributes to the body of scholarship examining misinformation literacy beyond the Western world. Data came from a comparative, cross-national survey in Kenya, Uganda and Rwanda (N = 3,203), making this the largest known empirical investigation into digital misinformation literacy in the region within the context of a pandemic. Paper surveys were distributed throughout all three countries in 2021. The data revealed differences in actual and perceived misinformation literacy levels. Kenyans and Rwandans were better at detecting false COVID-19 statements in the media, whereas Ugandans were better at detecting true messages. Similarly, Kenyans' and Rwandans' perceived levels of digital misinformation literacy were higher than Ugandans'. Regarding perceived exposure to COVID-19 information, Kenyans felt they were exposed to fake COVID-19 news online more often than Ugandans, who felt more exposed than Rwandans. This research contributes to the growing literature on digital misinformation literacy, an area which isn't significantly studied in many world regions, especially in Africa. [ABSTRACT FROM AUTHOR]

Partnership and engagement are mediators of change in the efficient uptake of evidence-based patient-centered health interventions. We reflect on our process of engagement and preparation of peer mentors in the development of peer-led psychotherapy intervention for HIV infected adolescents in active care at the Comprehensive Care Centre (CCC) at Kenyatta National Hospital. The program was implemented in two phases, using a C onsultation, I nvolve, C ollaboration and E mpowerment approach as stepping stones to guide our partnership and engagement process with stakeholders and ten peer mentors embedded in the CCC. Our partnership process promoted equity, power-and-resource sharing including making the peer mentors in-charge of the process and being led by them in manual development. This process of partnership and engagement demonstrated that engaging key stakeholders in projects lead to successful development, implementation, dissemination and sustainment of evidence-based interventions. Feedback and insights bridged the academic and clinical worlds of our research by helping us understand clinical, family, and real-life experiences of persons living with HIV that are often not visible in a research process. Our findings can be used to understand and design mentorship programs targeting lay health workers and peer mentors at community health care levels.

Objectives: Immunoglobulin A dominates mucosal surfaces and is a biomarker of interest in populations with a high disease burden. The objectives of this work are to describe an ELISA for IgA and test the stability of storage on filter paper for human milk and saliva collection to be used in remote field locations., Methods: A two-site sandwich ELISA for IgA was developed. To test filter paper storage capabilities under field conditions, 248 matched whole and dried human milk filter paper samples and 251 matched whole and dried saliva samples were collected from northern Kenyan women. Whole samples were frozen in liquid nitrogen while dried samples were stored at ambient temperature for up to 8 weeks. Recovered dried IgA levels were compared to whole IgA levels and adjusted for time stored at ambient temperature., Results: The lower limit of quantification for this assay is 10.1 ng/ml. Linearity of dilution for human milk and saliva samples was excellent. High and low-control coefficient of variation values across plates were 9.1 (341.8 ng/ml) and 9.4% (132.5 ng/ml). IgA was detected in all whole and dried samples. There is a moderate concordance between dried and whole samples (R(2) = 0.62). There is a small but significant effect of time stored, with a loss of ∼1 μg/ml per day (P = 0.0052)., Conclusions: This IgA assay is a cost-effective alternative to commercial secretory IgA kits. Human milk and saliva can be stored on filter paper for up to 8 weeks., (Copyright © 2011 Wiley-Liss, Inc.)

A study was undertaken to remove colour from a kraft mill's treated effluent in Kenya and determine the suitability of phosphate rock to replace wood ash during the electrochemical process. The electrochemical method alone, electrochemical combined with alum (ELCAL), wood ash leachate (ELCAS) and phosphate rock (ELPHOS) solutions at a rate of 165 to 1000 g/m3 were tested. Effluent characteristics were determined after complete removal of colour. Same reduction rates of TS (85%) and TSS (89%) were recorded by ELCAS and ELPHOS. However, ELPHOS removed more COD (86 to 91%) and more BOD (85 to 92%) than ELCAS. Furthermore, the pH of ELPHOS treated solution was 9.3, within the Kenya Local Government's allowable limit. Power reduction with ELCAS and ELPHOS varied between 53 to 73% and 49 to 69% respectively but the difference was not statistically significant. Overnight aeration further improved the quality of ELCAS and ELPHOS treated effluent, reducing BOD and COD values to 0 mg/l. ELPHOS cost ($0.29/m3) was nevertheless three times higher than that of ELCAS ($0.10/m3), mainly because of free wood ash. ELPHOS did not also increase effluent phosphorus. It was therefore recommended that various ways be explored in making ELPHOS more economical to replace ELCAS.

Background: Persons with submicroscopic malaria infection are a major reservoir of gametocytes that sustain malaria transmission in sub-Saharan Africa. Despite recent decreases in the national malaria burden in Kenya due to vector control interventions, malaria transmission continues to be high in western regions of the country bordering Lake Victoria. The objective of this study was to advance knowledge of the topographical, demographic and behavioral risk factors associated with submicroscopic malaria infection in the Lake Victoria basin in Kisumu County. Methods: Cross-sectional community surveys for malaria infection were undertaken in three eco-epidemiologically distinct zones in Nyakach sub-County, Kisumu. Adjacent regions were topologically characterized as lakeshore, hillside and highland plateau. Surveys were conducted during the 2019 and 2020 wet and dry seasons. Finger prick blood smears and dry blood spots (DBS) on filter paper were collected from 1,777 healthy volunteers for microscopic inspection and real time-PCR (RT-PCR) diagnosis of Plasmodium infection. Persons who were PCR positive but blood smear negative were considered to harbor submicroscopic infections. Topographical, demographic and behavioral risk factors were correlated with community prevalence of submicroscopic infections. Results: Out of a total of 1,777 blood samples collected, 14.2% (253/1,777) were diagnosed as submicroscopic infections. Blood smear microscopy and RT-PCR, respectively, detected 3.7% (66/1,777) and 18% (319/1,777) infections. Blood smears results were exclusively positive for P. falciparum, whereas RT-PCR also detected P. malariae and P. ovale mono- and co-infections. Submicroscopic infection prevalence was associated with topographical variation (χ2 = 39.344, df = 2, p<0.0001). The highest prevalence was observed in the lakeshore zone (20.6%, n = 622) followed by the hillside (13.6%, n = 595) and highland plateau zones (7.9%, n = 560). Infection prevalence varied significantly according to season (χ2 = 17.374, df = 3, p<0.0001). The highest prevalence was observed in residents of the lakeshore zone in the 2019 dry season (29.9%, n = 167) and 2020 and 2019 rainy seasons (21.5%, n = 144 and 18.1%, n = 155, respectively). In both the rainy and dry seasons the likelihood of submicroscopic infection was higher in the lakeshore (AOR: 2.71, 95% CI = 1.85–3.95; p<0.0001) and hillside (AOR: 1.74, 95% CI = 1.17–2.61, p = 0.007) than in the highland plateau zones. Residence in the lakeshore zone (p<0.0001), male sex (p = 0.025), school age (p = 0.002), and living in mud houses (p = 0.044) increased the risk of submicroscopic malaria infection. Bed net use (p = 0.112) and occupation (p = 0.116) were not associated with submicroscopic infection prevalence. Conclusion: Topographic features of the local landscape and seasonality are major correlates of submicroscopic malaria infection in the Lake Victoria area of western Kenya. Diagnostic tests more sensitive than blood smear microscopy will allow for monitoring and targeting geographic sites where additional vector interventions are needed to reduce malaria transmission. [ABSTRACT FROM AUTHOR]

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Two streams of wastewater from the Kraft Pulp and Paper Mills at Webuye are released from the pulping, bleaching and paper pressing departments. One stream is made up of clear wastewater and the second is made up of turbid wastewater. The wastewaters from the mills are treated using oxidation ponds, after which the treated wastewater is discharged into the River Nzoia. The wastewater was analysed for Cd, Cr, Cu, Ni, Pb. Zn, Ca, K, Mg and Na. The results are that the concentrations of Ca and Na significantly increased in the treated wastewater. The concentrations of Cd, Pb, Zn, K and Mg also increased in the treated wastewater, though not significantly. The concentrations of Cr, Cu and Ni decreased in the treated wastewater but not significantly. Mass loadings of the metals discharged into River Nzoia were calculated. It was found that the mean mass loading of two metals (Ca and Na) significantly increased in the treated wastewater. Five metals (Cd, Pb, Zn, K and Mg) increased in the treated wastewater although not significantly. Three metals (Cr, Cu and Ni) decreased in the treated wastewater but the decrease was not significant. The concentrations of Cd, Cu, Ni, Pb and Zn were all above the limits set by EC for drinking water. These findings pose serious questions of the effectiveness of oxidation ponds system to safeguard the receptor against pollutants from the pulp and paper industry at Webuye.

Examines the present position of libraries (academic, public, special, and school) and librarianship in Kenya, highlighting problems concerned with manpower, accommodations and equipment, books, finances, and cooperation. Proposals for action involving manpower, books, school library service, user education, standardization, and bibliographic control are presented. Twenty-four references are cited. (EJS)

Background: The United Nations' Sustainable Development Goal #3.8 targets 'access to quality essential healthcare services'. Clinical practice guidelines are an important tool for ensuring quality of clinical care, but many challenges prevent their use in low-resource settings. Monitoring the use of guidelines relies on cumbersome clinical audits of paper records, and electronic systems face financial and other limitations. Here we describe a unique approach to generating digital data from paper using guideline-based templates, rubber stamps and mobile phones., Intervention: The Guidelines Adherence in Slums Project targeted ten private sector primary healthcare clinics serving informal settlements in Nairobi, Kenya. Each clinic was provided with rubber stamp templates to support documentation and management of commonly encountered outpatient conditions. Participatory design methods were used to customize templates to the workflows and infrastructure of each clinic. Rubber stamps were used to print templates into paper charts, providing clinicians with checklists for use during consultations. Templates used bubble format data entry, which could be digitized from images taken on mobile phones. Besides rubber stamp templates, the intervention included booklets of guideline compilations, one Android phone for digitizing images of templates, and one data feedback/continuing medical education session per clinic each month. In this paper we focus on the effect of the intervention on documentation of three non-communicable diseases in one clinic., Methods: Seventy charts of patients enrolled in the chronic disease program (hypertension/diabetes, n=867; chronic respiratory diseases, n=223) at one of the ten intervention clinics were sampled. Documentation of each individual patient encounter in the pre-intervention (January-March 2016) and post-intervention period (May-July) was scored for information in four dimensions - general data, patient assessment, testing, and management. Control criteria included information with no counterparts in templates (e.g. notes on presenting complaints, vital signs). Documentation scores for each patient were compared between both pre- and post-intervention periods and between encounters documented with and without templates (post-intervention only)., Results: The total number of patient encounters in the pre-intervention (282) and post-intervention periods (264) did not differ. Mean documentation scores increased significantly in the post-intervention period on average by 21%, 24% and 17% for hypertension, diabetes and chronic respiratory diseases, respectively. Differences were greater (47%, 43% and 27%, respectively) when documentation with and without templates was compared. Changes between pre- vs.post-intervention, and with vs.without template, varied between individual dimensions of documentation. Overall, documentation improved more for general data and patient assessment than in testing or management., Conclusion: The use of templates improves paper-based documentation of patient care, a first step towards improving the quality of care. Rubber stamps provide a simple and low-cost method to print templates on demand. In combination with ubiquitously available mobile phones, information entered on paper can be easily and rapidly digitized. This 'frugal innovation' in m-Health can empower small, private sector facilities, where large numbers of urban patients seek healthcare, to generate digital data on routine outpatient care. These data can form the basis for evidence-based quality improvement efforts at large scale, and help deliver on the SDG promise of quality essential healthcare services for all., (Copyright © 2017 Elsevier B.V. All rights reserved.)

Introduction: The World Health Organization recommends TT surveys to be conducted in adults aged 15+ years (TT 15 survey) and certifies elimination of TT as a public health problem when there is less than 1 unknown case per 1,000 people of all ages. There is no standard survey method to accurately confirm this elimination prevalence threshold of 0.1% because rare conditions require large and expensive prevalence survey samples. The aim of this study was to develop an accurate operational research method to measure the total backlog of TT in people of all ages and detect when the elimination threshold is achieved., Methods: Between July to October 2016, an innovative Community-based, Mapping, Mop-up and Follow-up (CMMF) approach to elimination of TT as a public health problem was developed and tested in Esoit, Siana, Megwara and Naikara sub-locations in Narok County in Kenya. The County had ongoing community-based TT surgical camps and case finders. TT case finders were recruited from existing pool of Community health volunteers (CHV) in the Community Health Strategy Initiative Programme of the Ministry of Health. They were trained, validated and supervised by experienced TT surgeons. A case finder was allocated a population unit with 2 to 3 villages to conduct a de jure pre-survey census, examine all people in the unit and register those with TT (TT all survey). Identified cases were confirmed by TT surgeons prior to surgery. Operated patients were reviewed at 1 day, 2 weeks and 3-6 months. The case finders will also be used to identify and refer new and recurrent cases. People with other eye and medical conditions were treated and referred accordingly. Standardised data collection and computer based data capture tools were used. Case finders kept registers with details of all persons with TT, those operated and those who refused to be operated (refusals). These details informed decision and actions on follow-up and counselling. Progress towards achievement of elimination threshold was assessed by dividing the number of TT cases diagnosed by total population in the population unit multiplied by 1,000., Results: Narok County Government adopted both the CMMF approach and TT all survey method. All persons in 4,784 households in the four sub-locations were enumerated and examined. The total population projection was 29,548 and pre-survey census 22,912 people. Fifty-three cases of TT were diagnosed. The prevalence was 0.23% and this is equivalent to 2.3 cases per thousand population of all ages. Prior to this study, the project required to operate on at least 30 cases (excess cases) to achieve the elimination threshold of 1 case per 1000 population., Conclusion: The total backlog of TT was confirmed and the project is now justified to lay claim of having eliminated TT as a public health problem in the study area. TT all method may not be appropriate in settings with high burden of TT. Nomadic migrations affect estimation of population size. Non-trachomatous TT could not be ruled-out.

The mean concentrations of Zn, Cu, Cd, Cr and Fe in mosses around Webuye Pan Paper factory were found to be significantly higher than in controls taken from Kakamega, indicating atmospheric contribution from the anthropogenic activities within the factory, shown within a radius of 1 km around the factory. The mean concentrations (μg/g dry weight) in the mosses ranged from 60.9-124.5, 22.6-34.2, 13.3-14.7, 20.1-33.3 and 1,822.4-2,079.2, respectively. The mean concentrations of Pb in mosses sampled from the eastern and western side of the factory were also significantly higher than in controls. The mean concentrations of Zn, Cu, Cd, Cr, Pb and Fe in topsoil samples ranged from 7 (Pb)-2,310 (Fe) mg/kg dry wt, depending on sample means based on site direction, distance from the factory and season. There was no clear variation in metal concentrations in mosses and topsoils with direction from the factory which was consistent with the observed fluctuations in wind direction which changed from south-west in the mornings to north and south-west in the afternoons during sampling. [ABSTRACT FROM AUTHOR]

Background For disease surveillance, manual data collection using paper-based questionnaires can be time consuming and prone to errors. We introduced smartphone data collection to replace paperbased data collection for an influenza sentinel surveillance system in four hospitals in Kenya. We compared the quality, cost and timeliness of data collection between the smartphone data collection system and the paper-based system. Methods Since 2006, the Kenya Ministry of Health (MoH) with technical support from the Kenya Medical Research Institute/Centers for Disease Control and Prevention (KEMRI/CDC) conducted hospital-based sentinel surveillance for influenza in Kenya. In May 2011, the MOH replaced paper-based collection with an electronic data collection system using Field Adapted Survey Toolkit (FAST) on HTC Touch Pro2 smartphones at four sentinel sites. We compared 880 paper-based questionnaires dated Jan 2010-Jun 2011 and 880 smartphone questionnaires dated May 2011-Jun 2012 from the four surveillance sites. For each site, we compared the quality, cost and timeliness of each data collection system. Results Incomplete records were more likely seen in data collected using pen-and-paper compared to data collected using smartphones (adjusted incidence rate ratio (aIRR) 7, 95% CI: 4.4-10.3). Errors and inconsistent answers were also more likely to be seen in data collected using penand-paper compared to data collected using smartphones (aIRR: 25, 95% CI: 12.5-51.8). Smartphone data was uploaded into the database in a median time of 7 days while paperbased data took a median of 21 days to be entered (p < 0.01). It cost USD 1,501 (9.4%) more to establish the smartphone data collection system ($17,500) than the pen-and-paper system (USD $15,999). During two years, however, the smartphone data collection system was $3,801 (7%) less expensive to operate ($50,200) when compared to pen-and-paper system ($54,001). Conclusions Compared to paper-based data collection, an electronic data collection system produced fewer incomplete data, fewer errors and inconsistent responses and delivered data faster. Although start-up costs were higher, the overall costs of establishing and running the electronic data collection system were lower compared to paper-based data collection system. Electronic data collection using smartphones has potential to improve timeliness, data integrity and reduce costs. [ABSTRACT FROM AUTHOR]

The combination of rapid urbanization and industrialization expansion increased waste volumes. Most of the wastewaters generated from either domestic or industrial sources are still discharged without adequate treatment processes, and impact on the environment and public health. The objective of this paper was to provide a comprehensive literature review on the application of horizontal subsurface flow constructed wetlands in treating a variety of wastewaters, discussing its feasibility in pollutant removal efficiency and additional benefit in climate change mitigation through carbon sequestration. The following results were obtained: 98%, 96%, 85%, 90%, 92%, 88% for BOD5, COD, TSS, TN, NH4 -N, PO43- respectively in Kenya; 98.46% and 98.55% for COD and BOD5 in Indonesia; and ranges from 94-99.9%, 91.7-97.9% and 99.99% for BOD5, COD and TFC respectively in Costa Rica. Whereas in Ethiopia, the HSSFCW achieved the following abatement efficiencies: COD ranges from 58 to 80%, BOD ranges from 66 to 77%, TKN ranges from 46-61%, sulfates ranges from 53 to 82%, and NH4 - N range from 64 to 82.5% for tannery wastewater treatment. For domestic wastewater treatment; 99.3%, 89%, 855, 84.05%, 77.3%, 99% and 94.5% were achieved for BOD5, COD, TSS, TN, PO4³-, TP, Sulfate, and TFC, respectively. In addition to improving water quality, CWs have a CSP. For example, CWs showed CO2 equivalent of 4119.54 g C/m²/yr CSP (carbon sequestration potential) which is 15118.7118 g CO2. The methane equivalent to this amount of carbon sequestration is 604.748472 g/m²/yr. Generally, research results indicated that constructed wetlands are efficient wastewater treatment techniques and should be encouraged for wastewater management as a strategy to reduce wastewater pollution. However, constructed wetland performance efficiency sustainability is affected by the operational conditions of HSSFCW including plant species, media/substrate types, water depth, hydraulic loading, and hydraulic retention time and feeding mode. [ABSTRACT FROM AUTHOR]

In Kenya, the mango (Mangifera indica L) cultivar 'Apple' is commercially important but it often suffers excessive russeting, which both compromises its appearance and impairs its postharvest performance. Together, these effects seriously reduce its market potential. Exposure to surface moisture is implicated in russeting of cv. 'Apple' mango. The objective was to establish the effect of bagging on russeting. Developing fruit were bagged at the onset of the exponential growth phase, using brown paper bags (Blue star®). Un-bagged fruit served as controls. The brown paper bags were selected because of their high permeance to water vapor. At harvest maturity, bagged fruit were larger, less russeted and had smaller lenticels than un-bagged control fruit. Staining with aqueous acridine orange in conjunction with fluorescence microscopy revealed numerous microcracks and larger lenticels on un-bagged control fruit but these were not evident on bagged fruit. Postharvest mass loss (principally water loss) of bagged fruit was lower than of un-bagged control fruit. In the un-bagged control fruit, the skin's water permeance increased as the russeted surface area increased (r2 = 0.88 **). Fruit skins were less permeable to water vapor than the brown paper bags. The brown paper bags contributed not more than 4.2 to 9.1% of the total in-series diffusion resistance of skin + bag. The masses of isolated cuticular membranes, and of dewaxed cuticular membranes, and of wax per unit surface area were higher for un-bagged control fruit than for bagged fruit. Bagged fruit were also greener and showed less blush. There was little difference in skin carotenoid content between bagged and un-bagged control fruit, but skin anthocyanin content was lower in bagged fruit. The rates of respiration and ethylene evolution of bagged fruit were lower than those of un-bagged control fruit. There were no differences between bagged and un-bagged control fruit in their organoleptic and nutritional properties including titratable acidity, total soluble sugars, sucrose, glucose, fructose, vitamin C and calcium content. In conclusion, bagging decreased russeting and increased postharvest performance of fruit of mango cv. 'Apple'. • Bagging increased fruit size and decreased cuticle thickness. • Bagging did not change background color, soluble solids or total acidity. • Bagging decreased anthocyanin content and blush area of the fruit surface. • Bagging reduced cuticular microcracking, russeting and postharvest water loss. [ABSTRACT FROM AUTHOR]

Background: Specialized drug shops (SDSs) are popular in Sub-Saharan Africa because they provide convenient access to medicines. There is increasing interest in how policymakers can work with them, but little knowledge on how their operation relates to regulatory frameworks. This study sought to describe characteristics and predictors of regulatory practices among SDSs in Kenya., Methods: The regulatory framework governing the Kenya pharmaceutical sector was mapped, and a list of regulations selected for inclusion in a survey questionnaire. An SDS census was conducted, and survey data collected from 213 SDSs from two districts in Western Kenya., Results: The majority of SDSs did not comply with regulations, with only 12% having a refrigerator and 22% having a separate dispensing area for instance. Additionally, less than half had at least one staff with pharmacy qualification (46%), with less than a third of all interviewed operators knowing the name of the law governing pharmacy.Regulatory infringement was more common among SDSs in rural locations; those that did not have staff with pharmacy qualifications; and those whose operator did not know the name of the pharmacy law. Compliance was not significantly associated with the frequency of inspections, with over 80% of both rural and urban SDSs reporting an inspection in the past year., Conclusion: While compliance was low overall, it was particularly poor among SDSs operating in rural locations, and those that did not have staff with pharmacy qualification. This suggested the need for policy to introduce levels of practice in recognition of the variations in resource availability. Under such a system, rural SDSs operating in low-resource setting, and selling a limited range of medicines, may be exempted from certain regulatory requirements, as long as their scope of practice is limited to certain essential services only. Future research should also explore why regulatory compliance is poor despite regular inspections.

Purpose: The purpose of this paper is to estimate the effect the five different generations and the key financial inclusion indicators of gender, education and location (rural–urban) in exacerbating disparities in financial inclusion in Kenya. This paper considers whether the five generational cohort groups in Kenya differ on the financial inclusion determinants and behaviour as predicted by common generational stereotypes. Design/methodology/approach: The authors applied a multinomial logistic regression approach to nationally representative household survey data from Kenya to estimate the effect that key financial inclusion indicators have on belonging to one of the five generations: Z, Y, X, baby boomers and traditionalists. Findings: The authors found significant links between all tested variables and financial inclusion. The authors found an access gap between Generations X and Y, with the latter being more prone to access and use financial services and products. These differences are compounded by gender and rurality. People in rural locations and women generally were found to have less access to financial services and products, thus causing significant exclusion of a large proportion of the population. Practical implications: The research has important implications for governments, financial institutions and educational providers, notably on targeted policies and programmes that strategically aim to eliminate disparities and promote greater financial inclusion, denoting the value of such variables as generational differences and gender inclusivity. Originality/value: This paper deepens the understanding of differences that can divide generations on financial inclusion. [ABSTRACT FROM AUTHOR]

This paper explores the role of housing in the achievement of prosperity from a capabilities perspective. Prosperity, according to Jackson (Prosperity without growth: economics for a finite planet, Earthscan, Oxford, 2009), is built on Amartya Sen's notion of capabilities for flourishing. Then, in the pursuit of understanding the role of housing as an enabler of capabilities for the achievement of prosperity, this paper investigates the gaps in the views/concepts of housing through comparisons of the ten central capabilities, the right to adequate housing, and meanings of home. Data from a recent qualitative study in rural and urban Kenya is used for empirical analysis as a way to develop a localised application of the discussion. Looking through the lens of the Capabilities Approach brought a useful framework that made it possible to capture human and social housing values that are many times neglected. In that sense, the paper explores housing both as the physical conditions of the house and as the social and psychological dynamics that construct the meanings of home. The research demonstrated that the extent to which housing enables the enjoyment of capabilities for flourishing increases or diminishes insofar housing acknowledges and incorporates both material and non-material functions. Hopefully, this exercise can serve to inform and enrich future localised housing design, research and policy, where a more comprehensive understanding and conceptualisation of housing seems imperative: Housing, as House + Home. [ABSTRACT FROM AUTHOR]

Background: Survivors of sexual violence deserve timely and high-quality forensic examination, evidence collection, and documentation as part of comprehensive care. However, in many countries, the quality of medical-legal documentation is severely limited. MediCapt is an innovative digital application that enables clinicians to document forensic medical evidence as well as capture and securely store forensic photographs of injuries. This study evaluated the effectiveness and usability of MediCapt to document forensic medical evidence of sexual violence. Methods: This mixed-methods evaluation involved key-informant interviews, usability questionnaires, and forensic record reviews. Participants included clinicians, medical records personnel, information technology personnel, and health facility administrators, as well as law enforcement and legal professionals in Kenya. Results: The Physicians for Human Rights (PHR) data quality checklist found that using MediCapt led to significantly higher data-quality scores compared to paper-based forms. MediCapt forms scored higher on 23 of 26 checklist items. While a wide difference in quality was seen among paper-based forms, MediCapt appeared to both standardize and improve quality of documentation across sites. MediCapt strengths included data security and confidentiality, accuracy and efficiency, and supplemental documentation with photography. Weaknesses included infrastructure challenges, required technological proficiencies, and time to learn the new system. Although it is early to assess the impact of MediCapt on prosecutions, providers and law and justice sector professionals were optimistic about its usefulness. They identified MediCapt as appropriate for use with survivors of sexual violence and reported MediCapt's legibility and photography features had already been commended by the court. Conclusion: MediCapt was well-received across all sectors, its use was perceived as feasible and sustainable, and it significantly improved the quality of collected forensic data. It is anticipated this improvement in forensic documentation will increase successful prosecutions, strengthen accountability for perpetrators, and improve justice for survivors. [ABSTRACT FROM AUTHOR]

Introduction: Physician scientists have both advanced medical specialist and research training and are a critical link between research and improved standards of care. Physician scientist training has existed for more than four decades in the USA, and Western European but is almost non-existent elsewhere. The aim of this study was to determine whether there is a need to develop a physician scientist training program. Methods -Medical doctor faculty in the faculty of health sciences of the University of Nairobi were categorized into physicians for those with medical specialist qualifications and physician scientists if they had in addition a research degree. The two groups were compared in terms of total number and frequency of peer reviewed publications since graduating with a medical degree, number of first author publications, and productivity before and after their research training. Data on training was extracted from the publicly available curriculum vitae on the institution's website while pubmed was used to verify the number of publications up to December 2013. Results: Of the 235 eligible faculty, 183 [78%] were physicians and 52 [22%] were physician scientists. The median number of publications in peer reviewed journals was 20 for physician scientists and 6 for physicians [p<0.001] which translated into 1.03 and 0.29 published papers per person-years, respectively [Wilcoxon rank test p<0.000]. Among the 28 faculty whose research training followed medical specialization, mean publications per year before and after research training was 0.4 compared with 2.4 [p=0.01]. Conclusion: Physician research training increases scientific productivity. [ABSTRACT FROM AUTHOR]

Background: Removing user fees in primary health care services is one of the most critical policy issues being considered in Africa. User fees were introduced in many African countries during the 1980s and their impacts are well documented. Concerns regarding the negative impacts of user fees have led to a recent shift in health financing debates in Africa. Kenya is one of the countries that have implemented a user fees reduction policy. Like in many other settings, the new policy was evaluated less that one year after implementation, the period when expected positive impacts are likely to be highest. This early evaluation showed that the policy was widely implemented, that levels of utilization increased and that it was popular among patients. Whether or not the positive impacts of user fees removal policies are sustained has hardly been explored. We conducted this study to document the extent to which primary health care facilities in Kenya continue to adhere to a 'new' charging policy 3 years after its implementation. Methods: Data were collected in two districts (Kwale and Makueni). Multiple methods of data collection were applied including a cross-sectional survey (n = 184 households Kwale; 141 Makueni), Focus Group Discussions (n = 12) and patient exit interviews (n = 175 Kwale; 184 Makueni). Results: Approximately one third of the survey respondents could not correctly state the recommended charges for dispensaries, while half did not know what the official charges for health centres were. Adherence to the policy was poor in both districts, but facilities in Makueni were more likely to adhere than those in Kwale. Only 4 facilities in Kwale adhered to the policy compared to 10 in Makueni. Drug shortage, declining revenue, poor policy design and implementation processes were the main reasons given for poor adherence to the policy. Conclusion: We conclude that reducing user fees in primary health care in Kenya is a policy on paper that is yet to be implemented fully. We recommend that caution be taken when deciding on how to reduce or abolish user fees and that all potential consequences are carefully considered. [ABSTRACT FROM AUTHOR]

This paper acknowledges the progressive efforts under the Constitution of Kenya, 2010, statutes and jurisprudence on the rights of accused persons vis-àvis victim rights under Kenya’s criminal justice system. It conceptualizes the place, scope, and evidentiary weight of victim impact statements by arguing that VISs have evidentiary value especially during court sentencing. Secondly, the paper evaluates what “reasonable access” means in a criminal justice system and whether the discretion of the Court under section 329C(4) of the Kenyan Criminal Procedure Code is constitutional, equitable and promotes access to justice. Thirdly, whereas discretion is a fundamental element of judicial independence, further conceptual and theoretical studies on access to justice are necessary in understanding the intersectionality of different variables under Kenya’s criminal justice system, the need for progressive development of the law. Lastly, this paper contributes to the body of knowledge on the intersectionalities under criminal justice systems. [ABSTRACT FROM AUTHOR]

Background: Informing and evaluating malaria control efforts relies on knowledge of local transmission dynamics. Serological and molecular tools have demonstrated great sensitivity to quantify transmission intensity in low endemic settings where the sensitivity of traditional methods is limited. Filter paper blood spots are commonly used a source of both DNA and antibodies. To enhance the operational practicability of malaria surveys, a method is presented for combined DNA extraction and antibody elution., Methods: Filter paper blood spots were collected as part of a large cross-sectional survey in the Kenyan highlands. DNA was extracted using a saponin/chelex method. The eluate of the first wash during the DNA extraction process was used for antibody detection and compared with previously validated antibody elution procedures. Antibody elution efficiency was assessed by total IgG ELISA for malaria antigens apical membrane antigen-1 (AMA-1) and merozoite-surface protein-1 (MSP-142). The sensitivity of nested 18S rRNA and cytochrome b PCR assays and the impact of doubling filter paper material for PCR sensitivity were determined. The distribution of cell material and antibodies throughout filter paper blood spots were examined using luminescent and fluorescent reporter assays., Results: Antibody levels measured after the combined antibody/DNA extraction technique were strongly correlated to those measured after standard antibody elution (p < 0.0001). Antibody levels for both AMA-1 and MSP-142 were generally slightly lower (11.3-21.4%) but age-seroprevalence patterns were indistinguishable. The proportion of parasite positive samples ranged from 12.9% to 19.2% in the different PCR assays. Despite strong agreement between outcomes of different PCR assays, none of the assays detected all parasite-positive individuals. For all assays doubling filter paper material for DNA extraction increased sensitivity. The concentration of cell and antibody material was not homogenously distributed throughout blood spots., Conclusion: Combined DNA extraction and antibody elution is an operationally attractive approach for high throughput assessment of cumulative malaria exposure and current infection prevalence in endemic settings. Estimates of antibody prevalence are unaffected by the combined extraction and elution procedure. The choice of target gene and the amount and source of filter paper material for DNA extraction can have a marked impact on PCR sensitivity.

An abstract of the article "Baseline findings from a pilot study to evaluate the use of postural support, constructed using Appropriate paper-based technology (APT), to be used with children with Cerebral Palsy in Kenya" by Rachel Lindoewood and others is presented.

Problem: There is limited experience with broad-based use of handheld technologies for clinical care during home visits in sub-Saharan Africa., Objective: We describe the design, development, implementation, and evaluation of a PDA/GPS-based system currently used during home visits in Western Kenya., Results: The system, built on Pendragon Forms, was used to create electronic health records for over 40,000 individuals over a three-month period. Of these, 1900 represented cases where the individual had never received care for the identified condition in an established care facility. On a five-point scale, and compared to paper-and-pen systems, end-users felt that the handheld system was faster (4.4±0.9), easier to use (4.5±0.8), and produced higher quality data (4.7±0.7). Projected over three years to cover two million people, use of the handheld technologies would cost about $0.15 per person--compared to $0.21 per individual encounter entered manually into a computer from a paper form., Conclusion: A PDA/GPS system has been successfully and broadly implemented to support clinical care during home-based visits in a resource-limited setting.

This paper traces the development and current situations of higher education in China and Kenya. This paper calls for rethinking on how to address increasing demand for access and quality through creating a conducive environment for learning and researching for both students and faculties. The paper presents a comparative study where China has been used as an example of a country that experienced rapid growth in access to higher education and economy in the last two decades. As the higher education system in Kenya faces challenges of increased demand with limited spaces coupled with poor policies and lack of resources, China's higher education has been a success story of external policies, increased demand, funding and access to higher education. The trends imply that if the Kenyan Government can borrow a leaf from Chinese higher education, then leaders can better understand challenges and provide solutions to improve the higher education system in Kenya. A conceptual framework was drawn from educational policies in China to explain how Kenya can learn and address its own challenges of higher education. A documentary review method was used to collect data. Recommendations discussed in this paper provide important insights to policy-makers and educators in Kenya on how to reform higher education system to meet the current challenges.

The increased demand and need for continuous learning have led to the introduction of open, distance, and e-learning (ODeL) in Kenya. Provision of this mode of education has, however, been faced with various challenges, among them infrastructural ones. This study was a survey conducted in two public universities offering major components of ODeL, the University of Nairobi and Kenyatta University. These universities were purposely selected for the study, whose respondents included the students registered in ODeL and the lecturers and senior administrators involved. Analysis of the relevant documents was also undertaken, while library literature was reviewed on the integration of ODeL into the provision of education in Kenya. The study established that efficient and optimal delivery of ODeL in Kenya faces both economic and infrastructural challenges. However, strengthening the existing relevant structures would address some of the challenges. (Contains 5 tables and 4 figures.)

A research gap exists in the understanding of multi-level governance for watersheds in Kenya under the current devolved framework. This paper uses the Migori River watershed as a case study to elaborate on the institutional arrangement in the management of the watershed and how it influences the nature and level of coordination among the actors involved. The data was collected through semi-structured interviews and content analysis of secondary data. The target institutions were selected based on existing policy and legal frameworks, press releases, and published administrative reports. Respondents for the semi-structured interviews were identified through purposive and snowball sampling techniques. The qualitative data was then analysed through content analysis. After analysis of the nature of coordination, a panel of experts rated each coordination dimension based on a comparison between the findings and the baseline indicators. The results on the structure and roles of institutions revealed adequate representation of the river basin management actors, but the associations among actors are weak due to overlapping mandates and gaps in the administration processes of river basin management programs. Coordination exists, but it is not all-encompassing; whereas efforts to collaborate were noted, they were inconsistent and tended to be on a per-need basis due to a lack of a common forum for stakeholder interactions and a common management plan for a clear vision and direction of actors' activities. There is an unclear delineation of roles in the institutional structure and thus causing institutional complexity, which further undermines coordination. To address the coordination gaps, the paper recommends the creation of a management council for the watershed to provide a central forum for the stakeholders' interaction, with a designated lead agency that organizes and facilitates meetings, oversees communications, and manages any emerging challenges, gaps and opportunities in collective actions. [ABSTRACT FROM AUTHOR]

Test anxiety is a psychological variable that diversely impacts academic test performance. Test anxiety tools are developed to understand and predict its impact in different test settings. It is important to determine the reliability and validity of these tools to affirm the measures they provide. Additionally, where computers have been used in testing, there is a further need to assess the impact of test anxiety accurately. The purpose of this study was to find out the psychometric properties of the 10-item Westside Test Anxiety Scale (WTAS) that was adapted for use in Kenya. The study also investigated the effect of test mode on test anxiety. The study sample comprised 424 male and female pupils in public primary schools in Nairobi, Kenya. In a between-groups experimental set-up, 208 pupils were assigned randomly to sit a computerbased science test, and 216 pupils were assigned to the paper-based version. The WTAS was thereafter administered to pupils in both groups. An analysis of the test anxiety tool revealed adequate internal consistency and person reliability estimates. The tool also fulfilled the key Rasch model assumptions of local independence. Though all the items fitted the Rasch model, three items had disordered categories. Exploratory factor analysis revealed two additional test anxiety factors. An independent sample t-test showed that test mode had a small and insignificant effect on test anxiety. The study recommended that future studies consider developing localized test anxiety tools rather than adapting from foreign sources. [ABSTRACT FROM AUTHOR]

In‐field soil testing and soil mapping can contribute to addressing the challenge of poor soil fertility and limited fertilizer application across sub‐Saharan Africa. Semi‐quantitative colorimetric methods, such as paper test strips, are frequently employed in soil nutrient assessment across developing countries, especially in South‐East Asia. This research investigated the accuracy of nutrient‐sensitive paper strips and smartphone, which was re‐purposed to act as a reflectometer, to assess soil nitrate‐N, and different methods for mapping soil fertility to identify areas of land that are suitable for human waste‐derived fertilizers (HWDF) application. The study entailed testing soil samples across 42 different farms in Kenya and Ghana and compared it to laboratory results in‐country. It was found that paper strips were capable of assessing available nitrate‐N concentration present in the soil within ±20 kg ha−1 of the standard method for 86% of the farms. Paper strips were less effective in Ghana as they had been calibrated for a method that was not used by local laboratories. Paper strips were not effective for HWDF samples, where chemical interferences and concentration of different forms of nitrates were too high, resulting in overestimation of readings and thus negatively affecting any associated nutrient management advice. Soil mapping has the potential to use open‐source data to inform farmers through mobile technology. For soil mapping two methods were deployed which includes targeting organic matter deficient areas and stakeholder led mapping, with the latter shown to be more effective in identifying areas for HWDF application. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to assess the legal and regulatory framework for mobile banking (M-banking) in Tanzania. The technological development in information and communication technologies has converted a mobile phone from a simple communication device to a very complex instrument that allows people to perform various digital transactions and extra operations such as web browsing and email reading. Such tremendous developments have brought in place the regime of M-banking. The birth of M-banking has brought legal and institutional challenges that were not anticipated before. It has complicated the traditional role of the telecommunication regulator and financial regulator in the business and caused legal gaps that need to be bridged. Design/methodology/approach: To disclose the legal gaps and bridge them, the study used doctrinal legal method and comparative study to learn the experience of international legal instruments and policies and laws of other jurisdictions. This paper has evaluated the contribution of international legal instruments and legal frameworks of foreign jurisdictions such as Kenya and the Philippines. Findings: It has been revealed that the prevailing laws regulating M-banking in Tanzania do not adequately address and bridge the existing legal gaps. There is a need to enact a specific law regulating M-banking and confer such powers to a specific institution to deal with regulatory issues. Originality/value: This paper stresses the importance of enacting new laws that will offer room for financial inclusion in the digital economy and protect consumers against financial risk. It also intends to act as a catalyst and change agent in policy and legislative development in the M-banking industry. It would also bring special attention to addressing consumer rights, security and risky issues surrounding the M-banking industry. Although several other authors in Tanzania have written in this area, they have not clearly focused on disclosing the existing legal gaps resulting from the convergence of the financial and communication sectors. This paper is therefore trying to offer an extensive discussion on the legislative development in the M-banking industry in Tanzania. [ABSTRACT FROM AUTHOR]

The study of yield gaps has become more complex, prompting the use of varied approaches to measure yields and a wider range of factors to explain these gaps. In the Global North, the focus is on precision farming, whereas in sub-Saharan Africa (SSA), a broader perspective is necessary due to pronounced variability in farmland conditions. While biogeophysical and management factors have been traditional focal points in yield gap analyses, socio-economic and institutional factors are increasingly recognized as significant, especially in SSA. This review synthesizes research from the past decade in SSA that integrates biogeophysical, management, farm characteristics, and institutional factors in yield gap discussions. The findings indicate a slow shift in including socio-economic factors, with management, particularly nutrient supply and crop management, remaining predominant. However, there is a growing trend towards methodological diversity, such as the adoption of remote sensing and GIS in recent years. Case studies from Kenya and Ghana, utilizing field surveys, interviews, panel data, and spatial analysis, highlight how a multifaceted approach can enhance our understanding of the various elements influencing maize yield gaps in SSA. [ABSTRACT FROM AUTHOR]

Food security, a vital determinant of overall health and well-being, hinges on the simultaneous achievement of four dimensions: physical availability of food, economic and physical access to food, utilization of nutrients, and stability over time. This paper explores the complex and multi-faceted food security situations in Kenya and Zambia, emphasizing key factors such as agricultural production, government policies, and socio-economic conditions. [ABSTRACT FROM AUTHOR]

Climatic events and other natural-related disasters experienced in the arid and semi-arid lands of northern Kenya negatively affect the pastoral livelihoods of the communities. Addressing vulnerability to climate shocks among pastoral communities of Kenya's Arid and Semi-lands presents a persistent challenge. Cash transfer programmes have increasingly grown as one mode of building household resilience. Understanding the role of cash transfer interventions on household resilience to climate shocks is key to policy programming. This paper aimed at determining the effects of cash transfers on household resilience to climate shocks. The paper evaluated the Hunger Safety Net Program, which is one of the largest unconditional cash transfer programs in Kenya. The Hunger Safety Net Program targeted poor people in northern Kenya including the counties of Turkana, Wajir, Marsabit, and Mandera. To establish the impact the paper compares households which received cash transfers with those that did not receive transfers. The panel fixed effects model was used to determine the effects of cash transfers on household resilience. The results indicate that cash transfers have positive significant effects on household resilience to climate shocks. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to develop a systematic review on integrating cultural diversity and social capital dimensions in technical and vocational education and training (TVET) based on regional experience of Africa, Middle East and Northern Africa, and the Northern America, where specific countries from these regions, such as Germany, Kenya, United Arab Emirates, and the United States, were chosen. It analyzes the role of TVET in providing inclusive and equitable quality education and training to a diverse population for social mobility and economic opportunity. The Preferred Reporting Items for Systematic Reviews (PRISMA) statement was used as a formal systematic review guideline for data collection. A functional, organizational, and political approaches (FOPA) model and cosmo-uBuntu were applied as a conceptual framework lens to review the literature on the development of cultural diversity and social capital dimensions in TVET. FOPA is a lens for examining how the relationship between TVET institutions, education stakeholders, including the private sector, and the government influences TVETs' ability to address community needs and contribute to economic growth. On the other hand, Cosmo-uBuntu is a humanitarian, theoretical, and solution-oriented approach to integrating cultural diversity and social capital into TVET that addresses issues of social justice in order to meet the needs of the community and contribute to economic development initiatives. Data was obtained from research studies and reports over the period 2000 - 2021. The analysis included a total of 662 documents from ERIC (ProQuest), ProQuest Education Journals, and CONFINTEA databases with resources for adult education and workforce education. The results show that there is a lack of shared understanding of the integration of cultural diversity and social capital dimensions of TVET education. In order to promote an inclusive and equitable education and training, it is essential to address some assumptions about the concept of cultural diversity and social capital - what it means and how it can support the sustainable development of a globally competent workforce. Findings indicate that TVET is aware of the importance of cultural diversity and social capital dimensions in education but lacks clarity on implementing it. [ABSTRACT FROM AUTHOR]

Climate change has been identified as a major challenge in the achievement of sustainable development especially for developing countries like Kenya. There has been a wide acknowledgement that there is a need for long-term strategies for the industry players to reduce their contribution to climate change in line with other industries. Industries and societal sectors have sought ways of mitigating the causes of climate change. The Second International Conference on Climate Change and Tourism, held in Davos, Switzerland, on 3 October 2007, provided practical guidelines for the industry in response to climate change. This paper seeks to evaluate the adoption of the ‘Davos Declaration’ among selected Mombasa hotels in terms of water, energy and waste management. Results indicate that despite wide knowledge among hoteliers on the impacts of climate change and the role hotels can play in its mitigation, most hoteliers are slow in adopting the mitigation measures. [ABSTRACT FROM PUBLISHER]

Background: Youth citizenship is now on the international agenda with African countries increasingly interrogating their national perspectives on citizenship and citizenship education. In this emergent field of research, African scholars are beginning to challenge the prevailing (Western) theories of citizenship and democracy. Purpose: The aim of this paper is to contribute an African perspective to the study of citizenship education by exploring the political influences and meanings that shaped citizenship education in Kenya, and how these have evolved from independence to the present day. Data and Methods: This article is based on a documentary analysis of key policy-related documents, complemented by an analysis of some critical historical moments in the life of Kenya as a postcolonial nation. The policy-related documents include government policy documents, as well as political statements, speeches, development reports, technical commission reports, media articles, research publications and reports, education syllabi and curriculum documents. Main Findings: Post-independence, the Kenyan government focused on rethinking the colonial concept of citizenship in line with its political-cultural traditions, encouraging new notions of belonging, of civic virtues and of duties in relation to nation-building and economic development. Social Ethics and Education (SEE) programmes in schools were established and then later removed from the secondary school curriculum. Conclusions: This paper yields important insights into the international and national political agendas that shape Kenya's notions of active citizenship. It indicates the tensions which vulnerable and fragile states such as Kenya experience in negotiating their citizenship education agenda, whilst attempting to win foreign investment and aid for their economy, and whilst addressing regional and ethnic inequalities and high levels of poverty. (Contains 12 notes.)

This study applied the mixed approach on primary data. It is comprative study of democratic system in Kenya and Ethiopia. The developed theoretical framework prism of the two third world African Countries. The study explored the modules of the democracy in these neighboring east African states. Both nations have same colonial legacies and political mindset. It investigated causes behind post elections conflicts in these African nations and its effects. This paper explores the Democratization in Kenya and Ethiopia as third world countries, and provides a better understanding of the practical implementation of democratic principles in both Countries. The continuing wave of, as well as civil agitation carries spillover effects. It carried SWAT analysisThis paper advocates several recommendations Focus on Transparency Increase transparency and accountability in resource allocation to reduce insecurity and rebuild public trust. Both Kenya and Ethiopia need to strengthen their democratic institutions such as the judiciary and the electoral commission. Economic development is important, but it should not come at the expense of democracy. Regional Cooperation Encourage collaboration between Kenya and Ethiopia, along with other African nations, to share best practices in democratic governance. [ABSTRACT FROM AUTHOR]

The debate on the benefits of renewable electrification in late industrializing economies has mostly focused on improved electricity access and climate mitigation arguments. The literature pays less attention to understanding the opportunities for sustainable industrialization. This paper contributes to the latter with insights from a case study of Solinc East Africa, a Kenyan solar module manufacturer that has remained in the market, despite intense competition from imports of low-cost solar panels. Drawing on in-depth fieldwork in the solar energy sector in Kenya, we apply a global value chain framework to explore how and why Solinc has been able to sustain its business. Our findings highlight the challenges of localizing solar manufacturing in Kenya and suggest it may only be possible in rare instances. Specifically, a unique combination of circumstances and factors were revealed that enabled Solinc to gain several advantages including (i) initial access to knowledge and materials from upstream linkages; (ii) downstream integration and partnerships with key distributors and customers; (iii) close proximity to customers; and (iv) provision of complementary and increasingly high value-added services. Our findings present a more positive perspective on the localization of related services, which we argue deserves more attention in the sustainable industrialization debate. [ABSTRACT FROM AUTHOR]

From the colonial time to date, North Eastern Kenya has witnessed sporadic incidents of instability characterised by conflict and insecurity. Scholarly studies have attributed instability to state capacity that includes structural weaknesses such as inability to monopolize the use of violence, poor border controls and ineffective law enforcement. However, such studies do not explain why the state does not function to its optimal capacity in the region. This paper argues that instability in North Eastern Kenya is a deliberate creation of disorder by the state. Measures taken by both the colonial and post-colonial governments to secure their interests have subsequently rendered the region unstable. It argues that the colonial government in an attempt to secure the white highlands used the Northern Frontier District as a buffer zone with minimal investment. Similarly, the post-colonial government curved it out as a security zone to tame insurgency and denied it the necessary attention required to make it safe and secure. [ABSTRACT FROM AUTHOR]

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This paper is part of a larger study examining the effects of Computer- Assisted Language Learning (CALL) on secondary school students' achievement in learning English pronunciation, which was carried out in December 2016 in Kenya. The paper seeks to determine the difference in English language pronunciation achievement between two groups of secondary school students in Gucha subcounty, Kenya: those taught using CALL and those taught using the traditional method. The content taught was the same, and while the experimental group was exposed to CALL method, the control group was taught through the traditional method. The two groups were tested prior to the implementation of CALL treatment. The findings revealed that CALL positively affects students' achievement in English pronunciation. [ABSTRACT FROM AUTHOR]

The specialty of African politics lies within its historical contents and background. The continent grew from strength to strength to attain its political development stronghold. By doing so over the years, the continent has been reflected in most states' political development stronghold. While in some states, religion and tribal alliances are critical factors in political affiliation, in states such as South Africa and Kenya, democracy and ethnicity have been the leading courses to political development. Democracy and ethnicity have proven to be part of the party identification and evaluation factors and have also become the center point of growth and development in the state's politics. Thus, by focusing on Kenya and South Africa as case studies, the paper adopted a qualitative method of research to understand democracy as well as ethnicity as the bane of these states' political development. Although much has been documented on either state's political development, little is understood about democracy and ethnicity as the bane of their political leadership from 1989 to 2021, which is the complete focus of the paper. The paper relied on qualitative research methodology to collect and analyze the data on democracy and ethnicity as the bane of Kenya and South Africa from 1989 to 2021. Therefore, the study relied on secondary sources such as accredited journal articles, books, and reports to collect and analyze data on the phenomenon at hand. Thus, the paper's main findings suggest that democracy and ethnicity are the strongholds of South Africa and Kenya's political leadership development. [ABSTRACT FROM AUTHOR]