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9 results on '"Munene, Grace"'

1. Availability of essential drugs for managing HIV-related pain and symptoms within 120 PEPFAR-funded health facilities in East Africa: A cross-sectional survey with onsite verification

Author

Harding, Richard, Simms, Victoria, Penfold, Suzanne, Downing, Julia, Powell, Richard A, Mwangi-Powell, Faith, Namisango, Eve, Moreland, Scott, Gikaara, Nancy, Atieno, Mackuline, Kataike, Jennifer, Nsubuga, Clare, Munene, Grace, Banga, Geoffrey, and Higginson, Irene J

Published
2014
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3. The HIV basic care package: where is it available and who receives it? Findings from a mixed methods evaluation in Kenya and Uganda

Author

Penfold, Suzanne, primary, Simms, Victoria, additional, Downing, Julia, additional, Powell, Richard A., additional, Mwangi-Powell, Faith, additional, Namisango, Eve, additional, Moreland, Scott, additional, Atieno, Mackuline, additional, Gikaara, Nancy, additional, Kataike, Jeniffer, additional, Kwebiha, Clare, additional, Munene, Grace, additional, Banga, Geoffrey, additional, Higginson, Irene J., additional, and Harding, Richard, additional

Published
2014
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4. The presence of CD4 counts for the management of HIV patients in East Africa: A multicentred study

Author

Harding, Richard, primary, Simms, Victoria, additional, Penfold, Suzanne, additional, Downing, Julia, additional, Powell, Richard A., additional, Mwangi-Powell, Faith, additional, Namisango, Eve, additional, Moreland, Scott, additional, Gikaara, Nancy, additional, Atieno, Mackuline, additional, Kataike, Jeniffer, additional, Nsubuga, Clare, additional, Munene, Grace, additional, Banga, Geoffrey, additional, and Higginson, Irene J., additional

Published
2013
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5. 'My dreams are shuttered down and it hurts lots’–a qualitative study of palliative care needs and their management by HIV outpatient services in Kenya and Uganda

Author

Selman, Lucy, primary, Simms, Victoria, additional, Penfold, Suzanne, additional, Powell, Richard A, additional, Mwangi-Powell, Faith, additional, Downing, Julia, additional, Gikaara, Nancy, additional, Munene, Grace, additional, Higginson, Irene J, additional, and Harding, Richard, additional

Published
2013
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6. Availability of essential drugs for managing HIV-related pain and symptoms within 120 PEPFAR-funded health facilities in East Africa: A cross-sectional survey with onsite verification

Author

Harding, Richard, primary, Simms, Victoria, additional, Penfold, Suzanne, additional, Downing, Julia, additional, Powell, Richard A, additional, Mwangi-Powell, Faith, additional, Namisango, Eve, additional, Moreland, Scott, additional, Gikaara, Nancy, additional, Atieno, Mackuline, additional, Kataike, Jennifer, additional, Nsubuga, Clare, additional, Munene, Grace, additional, Banga, Geoffrey, additional, and Higginson, Irene J, additional

Published
2013
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7. Multidimensional Patient-Reported Problems within Two Weeks of HIV Diagnosis in East Africa: A Multicentre Observational Study

Author

Simms, Victoria, primary, Gikaara, Nancy, additional, Munene, Grace, additional, Atieno, Mackuline, additional, Kataike, Jeniffer, additional, Nsubuga, Clare, additional, Banga, Geoffrey, additional, Namisango, Eve, additional, Penfold, Suzanne, additional, Fayers, Peter, additional, Powell, Richard A., additional, Higginson, Irene J., additional, and Harding, Richard, additional

Published
2013
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8. The presence of CD4 counts for the management of HIV patients in East Africa: A multicentred study.

Author

Harding, Richard, Simms, Victoria, Penfold, Suzanne, Downing, Julia, Powell, Richard A., Mwangi-Powell, Faith, Namisango, Eve, Moreland, Scott, Gikaara, Nancy, Atieno, Mackuline, Kataike, Jeniffer, Nsubuga, Clare, Munene, Grace, Banga, Geoffrey, and Higginson, Irene J.

Subjects
CHI-squared test, EPIDEMIOLOGY, FISHER exact test, HIV infections, MEDICAL cooperation, PROBABILITY theory, REGRESSION analysis, RESEARCH, RESEARCH funding, SELF-evaluation, DISEASE management, DATA analysis, REPEATED measures design, PROPORTIONAL hazards models, DESCRIPTIVE statistics, CD4 lymphocyte count
Abstract

New WHO guidance stipulates six-monthly CD4 testing and treatment initiation at CD4 less than 350. This study aimed to determine the presence of CD4 results in patient records across five care facilities in Kenya, and to identify factors associated with the presence of CD4 count. This is a cross-sectional study of consecutive outpatients. Participants completed self-reported outcomes of demographics, and both physical and mental health dimensions of quality of life and function; charts were reviewed for a CD4 count in the previous 13 months; 548 patients participated. For those diagnosed during the 13-month study period, 7.1% of the sample had no CD4 result on record. For those diagnosed prior to the study, 8.7% had no result. Multivariate logistic regression revealed that 30 days post-HIV diagnosis, facility and antiretroviral therapy use were associated with the odds of having a CD4 result on file. At six months, poverty and prevalence of multidimensional problems were associated with lack of CD4 result. For those diagnosed prior to the observation period, education level was associated with more infrequent CD4 counts, and facility and number of dependants were associated with odds of a CD4 result within six months. Our data suggest inconsistencies in CD4 results availability within and between facilities. Implementation of new guidance will require a shift in practice. [ABSTRACT FROM AUTHOR]

Published
2014
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9. An Assessment of a Hospice and Palliative Care Partnership Program

Author

Munene, Grace N.

Subjects
Hospice, palliative care, partnership, Hospice care., Palliative treatment., Health services administration.
Abstract

This project attempts to describe how a hospice and palliative care partnership program works. Through the assessment of one such program, the researcher sought to find out the essential components of the partnership including how the two partner organizations interact and work together. Data was collected using various methods: document review of organization documents such as newsletters, annual or quarterly reports, brochures and other available literature e.g. materials on organizations’ website and on social media; in-depth interviews with stakeholders of both organizations that included staff and board members; observation of staff working; and participant observation during organization events. The findings of the research shows that in order for organizations to have an effective partnership program in place, both partners need to have strong leadership in place, possess a willingness to learn from each other, maintain regular communication, and visit each other regularly. With this in place, several outcomes of the program are likely such as: increasing advocacy for hospice and palliative care, increasing visibility of the organizations both nationally and internationally, and provides an opportunity for organizations to network with other organizations in their locality in order to achieve partnership objectives. The study further reveals that global collaborations in the field of hospice and palliative care began with the advent of the international hospice movement. The assessment of this hospice partnership demonstrates how organizations can establish working relationships and the results likely to come out of such an initiative.

Published
2014

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