5. Research Articles

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African biodiversity genomics in the era of the Kunming-Montreal Global Biodiversity Framework: Ethical, Legal, and Social Perspectives
(2024) Anne WT Muigai; Sally Mueni Katee; Marietjie Botes; Varsha Shetty; Emmanual Hala Kwon-Ndung; Girish Beedessee; Sadye Paez; Sizwe Innocent Ndlovu; Bouabid Badaoui; Justin E. Ideozu; ThankGod Echezona Ebenezer
The African BioGenome Project (AfricaBP) is a Pan-African initiative which aims to improve food systems and conservation through genomics, and ensure data sharing and benefits. The Kunming-Montreal Global Biodiversity Framework (KMGBF) is one of the frameworks of the Convention on Biological Diversity which seeks to reduce threats to biodiversity, ensure sustainable use of biodiversity as well as equitable sharing of benefits. AfricaBP’s objectives and activities are closely aligned with the goals of the KMGBF. However, implementing genomic research in the African context presents unique ethical, legal and social challenges and benefits. Here, we explore the alignment between the AfricaBP and the KMGBF, focusing on the potentials for genomics to drive biodiversity conservation and food security across Africa. We critically examine the ethical, legal, and social implications (ELSI) and related challenges associated with implementing the KMGBF. In response to these challenges, and to strengthen AfricaBP’s capacity to implement the KMGBF goals, we make specific recommendations such as, amongst others, the creation of clear policy and legal frameworks, implement transparent monitoring and reporting mechanisms, and ensure interoperability of key regulatory instruments in biodiversity conservation. We also discuss how AfricaBP integrates the theory of change in its activities to enhance the implementation of the KMGBF by strengthening biodiversity data infrastructure, creating awareness via communication and capacity-building whilst empowering local communities, promoting gender diversity in the African biodiversity genomics landscape, facilitating research and innovation by advancing ethical and legal frameworks, and understanding access and benefit-sharing and KMGBF through roundtable meetings, survey development and analysis.
Bridging the Gender Divide in Digital Technology Courses and Careers in Kenya
(2023) Luvanda, Anthony
Kenya’s digital technology advancements—chief among them the mobile money transfer application referred to as Mpesa—has led to the country’s status as an emerging digital economy. However, the long strides in the move toward a fully-fledged digital economy are not reflected in the digital technology workforce with regard to gender balance. While digital technology careers are highly touted as the jobs of the future, women occupy less than 30 percent of digital technology positions in Kenya. The root cause of the problem can be traced to disadvantages that girls and young women accumulate throughout their years in education. This study takes a qualitative approach in trying to identify the root causes for the exclusion of girls and young women from digital technology courses at all levels of education—namely lower primary, upper primary, junior high school, senior high school, and the tertiary level in both rural and urban communities. The study identifies various cumulative factors that contribute to fewer women taking up digital technology courses, such as: inadequate infrastructure; insufficient staffing and training of digital technology personnel at learning institutions; the negative impact of gendered social norms; poor advocacy of digital technology careers and the absence of vocational counseling; and the lack of women role models. To increase the number of women in digital technology careers, we must improve institutional digital technology infrastructure at all levels of education, enhance the training of digital technology personnel within all levels of education, build girls’ interest in digital technology-related courses from the earliest years, increase digital technology advocacy and awareness among girls, and enhance vocational counseling on digital technology career.
Challenges Experienced By Midwifery Trainers In Midwifery Training
(Journal of Midwifery and Nursing, 2023) Cheptum, Joyce Jebet; Mbuthia, Florence; Chelagat, Dinah
Midwifery involves building relationships with women, their families and the entire community. Midwives are driven by a strong conscience to provide the best care to their clients. Midwifery training is quite involving, encompassing theoretical and practical skills, thus it requires a well-managed curriculum to ensure quality training and products. Aim, the objective of this review is to highlight the challenges experienced by midwifery trainers in midwifery training. Methodology, a descriptive overview was undertaken through a rapid literature review of the relevant local and international literature to highlight the global challenges of midwifery trainers. Results, the challenges experienced in many training institutions by midwifery trainers range from infrastructural, financial resource and human resource. Discrimination of the midwifery profession, lack of motivation and poor well – being and lack of emotional resilience of the trainers and lack of/ or inequalities in the training and education opportunities are challenges in training. Clinical set up challenges include lack of support from the clinical setting, overcrowding of students or poorly resourced facilities. The emerging and re-emerging health issues poses a challenge to the midwifery trainers. Conclusion, Midwifery trainers experience and myriad of challenges, which could compromise on the quality of midwifery training.
Effective approaches for enhancing data management and semantic interoperability within the healthcare sector
(2023) Harriet, Loice Tsinale; Mbugua, Samuel; Luvanda, Anthony
In a variety of contexts, Big Data is widely used. In healthcare Big Data has its own characteristics, including heterogeneity, incompleteness, timeliness and durability, privacy, and ownership. To enhance health-related science, these features present a number of challenges for data storage, mining, and sharing. Big Data helps to understand electronic health records, gather demographic and medical data such as clinical data, medical conditions, and diagnosis, allow doctors to provide a wide variety of patients with quality health care and also to make informative decisions. The large volume of data also provides researchers in the fields of medicine and healthcare with the ability to use tools and techniques to unlock hidden solutions. This study sought to investigate the effects that the existing approaches have on enhancing data management and semantic interoperability in healthcare sector. 180 respondents who took part of the survey were chosen from the Kenyatta University Teaching, Referral & Research Hospital. It was discovered that implementing health standards and tools can help healthcare companies in a number of ways by eliminating compatibility concerns and assuring accurate data representation. Consequently, encouraging successful adoption boosts decision-making processes, encourages sustainability, improves data quality, allows for interoperability, and makes it easier to comply with regulations. These implications help improve patient care, healthcare systems, and overall health outcomes.
Effectiveness of Antenatal Health Education via Mobile Phone Calls Among Women Seeking Antenatal Care Services in Kisii County, Kenya
(2023) Malachi, Zillah M.; Lucy W. Kivuti-Bitok; Cheptum, Joyce J.; Karani, Anna K.
Knowledge of antenatal care is important in reducing maternal mortality and morbidity. Mobile phones have demonstrated an increase in the use of antenatal care services. However, few studies have indicated the effectiveness of health education on antenatal care via mobile phone calls. In this study, we aimed to evaluate the effectiveness of health education on antenatal care provided through mobile phone calls among pregnant women in Kisii County, Kenya. A total of 160 pregnant women up to 26 weeks of gestation were recruited for the study from 16 sub-county health facilities (clusters) in Kisii County. The women were enrolled in their first visit and followed up until delivery. The sub-county health facilities were randomly assigned to either intervention or control arms. The intervention involved giving health education on antenatal care through mobile phone calls. All the participants in both study arms received routine antenatal care. However, those enrolled in the intervention sites additionally received health education through mobile phone calls. The primary outcome measure was antenatal care knowledge scores. Baseline and end-of-study questionnaires were used to collect data. Women in the intervention group scored highly in antenatal care knowledge post-intervention as compared to those in the control group, 7.87 (SE of the difference = 0.68, p-value < 0.001, 95% CI (6.53–9.20). Health education delivered through mobile phone calls has great potential in improving antenatal care knowledge.
Enabling Africa’s implementation of the Kunming-Montreal Global Biodiversity Framework through the African digital sequence information data bank
(2024) Anne WT Muigai; Achraf El Allali; Julien Alban Nguinkal; Sally Mueni Katee; Girish Beedessee; Bouabid Badaoui; Marietjie Botes; Semir Bechir Suheil Gaouar; Ichrak Hayah; Justin Eze Ideozu; Sadik Muzemil; Denye Nathaniel Ogeh; Abdoallah Sharaf; Kassahun Tesfaye; ThankGod Echezona Ebenezer
The African BioGenome Project (AfricaBP) is a Pan-African effort aimed at sequencing the genomes of 105,000 African endemic and indigenous species to support food systems, conservation, and ensure data-sharing and equitable benefits. This effort aligns with the Kunming-Montreal Global Biodiversity Framework (KMGBF), which aims to prevent or mitigate biodiversity loss while facilitating equitable access and benefit-sharing from genetic resources and Digital Sequence Information (DSI) and securing adequate technical and scientific cooperations. The AfricaBP Open Institute for Genomics and Bioinformatics (AfricaBP Open Institute) is the knowledge exchange programme of the AfricaBP which aims to overcome infrastructural barriers through the development of technology and infrastructure. A key component of AfricaBP Open Institute's vision is the establishment of the African Digital Sequence Information Data Bank for Biodiversity and Agriculture (African DSI Data Bank), a federated platform for storing, analyzing, visualizing and sharing DSI data across the African continent. The African DSI Data Bank will address the current fragmentation of DSI across African institutions by linking existing databases and resources while ensuring compliance with regional and global standards. It will use a federated model, leveraging existing (and new) infrastructures across Africa, that allow institutions and countries to retain data sovereignty while adhering to national, regional, and international access and benefit-sharing regulations. Through a proposed Global Access Point (GAP), researchers will be able to gain equitable access to sequence data and metadata via a decentralized network. Furthermore, to understand the current landscape of biodiversity and agricultural DSI databases, analyses, visualization, and data sharing platforms, AfricaBP Open Institute conducted a survey across Africa, and recorded 161 responses. Although the majority of these participants shared common challenges such as limited infrastructure, funding, and capacity building, the overwhelming indication was that they support an African-based DSI platform through an inclusive governance model. Consequently, we describe the proposed roadmap for the creation of an African DSI Data Bank that includes African DSI federated database, visualization, analysis, and sharing platforms, as well as the ethical, legal, social, KMGBF, and sustainability considerations associated with such an infrastructure.
Enhancing Cooperation to Counter Improvised Explosive Devices (IEDs) in Kenya
(2024) Col Maurice B, Wasomi,; Col (Dr) John R, Kisilu; Col (Dr) Charles Imbiakha
The threat posed by Improvised Explosive Devices (IEDs) in Kenya necessitates robust and coordinated countermeasures. This study investigates collaborative approaches to countering IEDs, focusing on opportunities for enhanced cooperation among stakeholders. The primary objective is to assess the impact of multi-agency collaboration on improving the effectiveness of IED countermeasures and to provide policy recommendations for strengthening these efforts. The study is grounded in the theory of collaborative governance, which emphasizes the importance of interconnectedness and cooperative strategies among various agencies to address complex security challenges. Data were collected from a target population comprising security professionals, government officials, and international partners through a mixed-methods approach. This included a survey with 95 respondents and semi-structured interviews with 15 key informants. Findings from the study indicate a high level of engagement in collaborative efforts to counter IEDs. Survey results reveal that 69.8% of respondents agree or strongly agree that multi-agency collaboration is crucial for addressing IED threats, with a mean rating of 3.59. Similarly, 66.8% acknowledge the significant contributions of international partnerships, with a mean rating of 3.73. Despite these positive perceptions, challenges such as poor coordination and transparency issues in international collaborations were frequently cited. Interviews corroborated these findings, highlighting the need for improved communication channels and trust-building measures. Data analysis involved both quantitative and qualitative methods. Quantitative data were analyzed using descriptive statistics to summarize the level of agreement on various aspects of collaboration, while qualitative data were subjected to thematic analysis to identify recurring themes and insights. Key recommendations include the establishment of structured frameworks for information sharing, enhancing leadership capacities, and prioritizing transparency in international partnerships. Continuous engagement and knowledge-sharing initiatives are also vital for fostering innovation and effectively refining strategies to counter IED threats. In conclusion, this study underscores the critical importance of enhanced cooperation among stakeholders in mitigating the impact of IEDs in Kenya. By addressing identified challenges and leveraging collaborative opportunities, policymakers and practitioners can develop more effective strategies to improve security outcomes and protect public safety.
Establishing African genomics and bioinformatics programs through annual regional workshops
(2024) Anne WT Muigai; Abdoallah Sharaf; Lucky Tendani Nesengani; Ichrak Hayah; Josiah Ochieng Kuja; Sinebongo Mdyogolo; Taiwo Crossby Omotoriogun; Blessing Adanta Odogwu; Girish Beedessee; Rae Marvin Smith; Abdelhamid Barakat; Acclaim M. Moila; Adil El Hamouchi; Alia Benkahla; Amal Boukteb; Amine Elmouhtadi; Antoine Lusala Mafwila; et al
The African BioGenome Project (AfricaBP) Open Institute for Genomics and Bioinformatics aims to overcome barriers to capacity building through its distributed African regional workshops and prioritizes the exchange of grassroots knowledge and innovation in biodiversity genomics and bioinformatics. In 2023, we implemented 28 workshops on biodiversity genomics and bioinformatics, covering 11 African countries across the 5 African geographical regions. These regional workshops trained 408 African scientists in hands-on molecular biology, genomics and bioinformatics techniques as well as the ethical, legal and social issues associated with acquiring genetic resources. Here, we discuss the implementation of transformative strategies, such as expanding the regional workshop model of AfricaBP to involve multiple countries, institutions and partners, including the proposed creation of an African digital database with sequence information relating to both biodiversity and agriculture. This will ultimately help create a critical mass of skilled genomics and bioinformatics scientists across Africa.
Ethnicity as a Tool to Pacify Religious Extremism: A Case Study of Intrastate Conflict in Somalia
(2023) John R, Kisilu
The clan system and religion in Somalia are the two most salient identities that define the fundamental social structure of the Somali nation. This structure has been the main unifying factor of the Somali people. Unfortunately, the same system is perceived to be a stumbling block to the resolution of the Somali intrastate conflict. Observably, the clan stands out as the central pillar of social structure in Somalia. It is the entry point into the livelihood of the Somali people. This paper explores the possibility of transforming the dominance of clan kinship into an opportunity for neutralizing the negative effect of religious extremism. The paper adopts the conflict transformation theory propounded by John Paul Lederach. The philosophical outlook of the article is positive peace as advanced by Galtung. Primary data were collected through questionnaires, focus group discussions (FGDs), and semi-structured interview schedules involving 223 respondents with knowledge about conflict issues in Somalia. Secondary data were collected through a literature review of books and journals. The study identified the clan as the potent outfit in Somalia which can engage the religious extremist group, Al Shabaab, in negotiation for peace. It is impossible to conquer the Al Shabaab as it operates within the population and has high adaptability by employing asymmetrical warfare tactics. Additionally, the government of Somalia is perceived by Al Shabaab as man-made and, therefore, an illegitimate, unworthy partner to negotiate with. Furthermore, engaging the group in negotiation is a dilemma; democracies do not negotiate with terror groups lest they legitimize them as the voice of the population. Therefore, the clan becomes the legible unit to handle the responsibility of negotiation between the government and the religious extremist group, Al Shabaab. The clan can also play a key role in reaching out to the youths who are targets of radicalization campaigns from extremist groups. The study recommends that the clan system in Somalia, as an important institution in the country, should be partnered with to provide a middle ground in the conflict and serve as a bridge between the state and the religious extremist group, Al Shabaab. The clan system is likely to bring homegrown solutions to the conflict.
Evaluating Strategies to Enhance Existing Policies and Mitigate the Impact of Climate Change on Security in Zambia.
(2024) Col Innocent Jere; Col (Dr) John R Kisilu; ‘Col (Dr) Charles Imbiakha
The problem in Zambia is that the nation is susceptible to the detrimental effects of climate change, of which the agricultural sector is most affected. Changes in weather systems while frequent and prolonged dry seasons are among the greatest threats that, as a nation which, greatly depends on agriculture as the leading economic activity that the country’s economy relies on. Climate change disruption is not a standalone issue but the aggravating factor of other societal factors, including food security, livelihoods, and socioeconomic vulnerability. Due to the fact that agroecology has become the key pillar in Zambia’s economy, the vulnerability of this branch to climate change is viewed as the most serious threat to be solved. Resilience and sustainable development in the country will face a huge challenge if this issue is not carefully addressed. This study looks at the effectiveness of implementing existing policies and strategies to address security concerns highlighted by climate change in Zambia. The qualitative research design calls for collecting data through interviews and open-ended questions involving the security actors and the related agencies. The analysis revealed a mixed view of the policy’s effectiveness, which was accompanied by barriers such as socioeconomic and implementation difficulties and challenges that were seen to stop the full manifestation of the policies. Policy recommendations include, but are not limited to, increased partnership with the local authorities to ensure policy implementation mainly, public education and mobilization, objectives in which efforts to achieve sustainable practices are recognized. Another prospect for future research is to monitor the evolving patterns with critical assessments, eventually define the policy impacts, compare them with previous conclusions, and specify measures in times of peak crisis. Through its efforts to address these inadequacies, Zambia may be able to improve upon its climate change resilience, establish a trajectory of sustainable development, and actively contribute to global climate change efforts whose goal is to minimize impacts.
Factors Affecting Quality Documentation In Labour Among Midwives At Kenyatta National Hospital
(2023) Mulei, Charity Ndunge; Cheptum, Joyce Jebet; Mageto G. Irene
Background Information: Midwives have posed varying knowledge and practice levels of quality midwifery documentation due to a number of factors. Quality midwifery documentation shows care given to two lives whose interests could be in conflict. Objective: The study sought to determine the factors affecting the quality of documentation in labour among midwives at Kenyatta National Hospital labour ward. Methodology: This was a descriptive cross-sectional study among 51 consenting midwives selected using a simple random sampling technique. Data was collected using a self administered structured questionnaire. Ethical approval was sought. Results: Most of the midwives demonstrated excellent knowledge on quality midwifery documentation. However, only 51% practised quality midwifery documentation with 21.4% making entries ahead of time, 17.4% documenting for colleagues and 13.7% documenting only normal labour. This was attributed to insufficient time (86.3%), high patient-to-midwife ratio (92.2%) and understaffing (86.3%). In conclusion, several factors affected the quality of documentation among midwives.
Factors Linked to Female Genital Mutilation Practice Among Women Living In Alungu Village of Mandera County, Kenya
(2023) Mohammed, Mohammud Sheikh; Cheptum, Joyce Jebet
Background: Female Genital Mutilation/Cutting (FGM/C) is a harmful traditional practice with severe health complications, deeply rooted in many sub-Saharan African countries. In Kenya, the prevalence of FGM/C is 15% in women aged between 15 and 49 years. The Kenyan Somalis practice FGM/C with a prevalence above 90%. FGM/C practice continues to persist in Alungu village, Mandera County in the North Eastern of Kenya despite efforts by anti-FGM programs. However, the underlying factors behind FGM practice in the area have not been explored. Objective: To assess factors contributing to female genital mutilation practice among women living in Alungu village of Mandera County, Kenya. Methods and materials: This study utilized a descriptive cross-sectional design. The study population was women of reproductive age (from 18 to 49 years) who resided in Alungu village in Mandera County, Kenya. A study sample of 98 women was selected using simple random sampling technique. Data was collected using a researcher-administered questionnaire and analyzed using the Statistical Package for Social Science (SPSS). Results: Most of the respondents were aged 35 – 44 (45.8%), married (100%), had no formal education (74.7%) and had no formal employment (89.2%). All participants agreed that traditional beliefs, customs and rite of passage to womanhood contributed to FGM, 90.4% of the participants acknowledged that FGM is a symbol of ethnic identity and inclusivity. Factors affecting prevention of and response to FGM were low involvement of women in anti-FGM programs (91.6%); support for FGM by local leaders and elders (100%); failure by authorities to take action against those perpetuating FGM (100%); indifference to FGM practice continuation among local religious and political leaders (96.4%) and poor enforcement of existing laws against FGM (100%). Conclusion: A wide range of socio-cultural factors did contribute to FGM practice among women living in Alungu village, Mandera County.
Gender-Based Assessment of the Effects of Adoption of Alternative Livelihood Strategies on Pastoral Households in West Pokot County, Kenya
(International Journal of Gender Studies, 2023-09) Kondoltiony, Emmanuel Psongol
Purpose: The purpose of this study was to assess, from a gender perspective, the effects of Alternative Livelihood Strategies (ALSs) on households in the pastoral community of West Pokot County. Methodology: This study applied both quantitative and qualitative research approaches and adopted a cross sectional survey research design. The target population was adult household members in West Pokot County. While multi-stage cluster sampling technique was employed to sample 371 household survey respondents, 15 participants for Key Informant Interviews (KIIs) and nine Focus Group Discussions (FGDs), were purposively selected. Data was collected using questionnaires, KII schedule and FGD guide. Validity and reliability of the data collection instruments were achieved through triangulation method and pilot-testing in Baringo County. Quantitative data was then analyzed using descriptive statistics with the help of Statistical Package for Social Sciences (SPSS) version 23. The analyzed data was presented in tables and charts. Thematic analysis was employed for qualitative data that was presented in narrative and verbatim forms. Findings: The study results were that adoption of ALSs had three effects on the pastoral households. First, it blurred the boundaries that separated men and women in terms of household roles and socioeconomic status. Second, ALSs affected the way household members related to each other. The effects were both negative and positive, depending on type and level of ALSs adopted. Third, adoption of ALSs caused improvement in the socioeconomic status of most households. Overall, ALSs had more positive effects on households and had caused general improvement in living standards. Unique Contribution to Theory, Practice and Policy: Structural Functionalism theory and the Harvard Analytical Framework may be used to emphasize the critical contribution of both men and women in the wellbeing of pastoral households, through equitable and inclusive adoption of ALSs. The findings of this study could enable development agencies to formulate concrete interventions and policies to curb the negative effects of adoption of ALSs on households while leveraging on the positive ones, from a gender perspective. This will enhance adoption of ALSs and the community’s well-being.
Human-Wildlife Conflict Management: Towards a Comprehensive Strategies for Sustainable Coexistence in Conservancies in Laikipia County
(2023) Samuel N, Kamande; Emily Okuto; John R, Kisilu
The article explores the rampant issue of human-wildlife conflicts (HWC) in conservancies, primarily focusing on Laikipia County, Kenya. In response to the escalating global challenge of HWC, privately run conservancies have emerged as a proactive approach to safeguarding natural ecosystems while promoting responsible resource utilization. These conservancies also aim to reshape societal perceptions and behaviors regarding wildlife. However, the conservancies in Laikipia County currently face a significant HWC crisis due to the encroachment of human activities into wildlife habitats. This encroachment has led to adverse consequences for biodiversity conservation and local livelihoods. The insufficiency of existing control measures necessitates the development of comprehensive strategies that can effectively reduce conflicts, protect the interests of both human and wildlife populations, and ensure the long-term viability of conservancies. The study employs the socio-ecological systems (SES) theory as its foundational framework. Research within Laikipia County involves diverse participants, including conservancy staff, community leaders, and representatives from non-governmental organizations (NGOs) engaged in community outreach. The study adopts a mixed-methods approach, utilizing questionnaires and interviews to collect primary and secondary data. Quantitative data is analyzed using SPSS version 21, while qualitative analysis uncovers underlying patterns and themes in the dataset. The study’s findings emphasize the pivotal role of community engagement and strategic land use planning in mitigating human-wildlife conflicts. The data highlights that private conservancies actively organize community training programs to raise awareness about the significance of wildlife conservation. Moreover, a shift in land use, explicitly transitioning from livestock rearing to cropland cultivation, emerges as a viable strategy for reducing conflict incidents in Laikipia County. The SES theory underscores the importance of understanding both social and ecological factors for coexistence. Social acceptability influences attitudes towards wildlife, impacting conflict dynamics and conservation efforts. Striking a balance between environmental diversity and social acceptability is crucial for effective conflict resolution. The study’s results reveal how conservancies’ impact on local lifestyles can influence attitudes and values, potentially leading to conflicts between humans and wildlife.
Implication of Public Policy Interventions on Inter-Ethnic Conflict in Isiolo County
(2023) Kariithi A, Charles; John R, Kisilu
Public policies are among some solutions states use to address inter-ethnic conflicts. The state is responsible for protecting the welfare of its citizenry, which is why the government strives to identify solutions to resolve conflicts within its borders. The study was anchored on Stakeholder Approach in Conflict Analysis. This study adopted the descriptive survey research method employing a mixture of qualitative and quantitative methods in the research process. The study was conducted in Isiolo County. The research employed probability and non-probability sampling techniques. Quantitative data were analyzed using SPSS version 25.0, while qualitative data was analyzed using the thematic analysis method. The findings indicated that policy interventions to improve the road infrastructure would open viable markets and limit banditry attacks along the highways. Alternate sources of economic livelihoods, enabling security to allow uninterrupted access to education, availability of social amenities, and developing an early warning system to deter inter-ethnic conflicts before they escalate would be a proactive policy framework. The study recommended that equitable representation of the communities in the county government, involvement of all stakeholders in the efforts to mitigate the effects of climate change and ensure food security, Youth fund to provide alternative sources of employment, and provision of quality education to the children can be adequate public intervention measures by the government which could help resolve the inter-ethnic conflicts in Isiolo County.
Improving midwifery educators’ capacity to teach emergency obstetrics and newborn care in Kenya universities: a pre-post study
(2022) Cheptum, Joyce Jebet
Background: International Confederation of Midwives and World Health Organization recommend core competencies for midwifery educators for effective theory and practical teaching and practice. Deficient curricula and lack of skilled midwifery educators are important factors affecting the quality of graduates from midwifery programmes. The objective of the study was to assess the capacity of university midwifery educators to deliver the updated competency-based curriculum after the capacity strengthening workshop in Kenya. Methods: The study used a quasi-experimental (pre-post) design. A four-day training to strengthen the capacity of educators to deliver emergency obstetrics and newborn care (EmONC) within the updated curriculum was conducted for 30 midwifery educators from 27 universities in Kenya. Before-after training assessments in knowledge, two EmONC skills and self-perceived confidence in using different teaching methodologies to deliver the competency-based curricula were conducted. Wilcoxon signed-rank test was used to compare the before-after knowledge and skills mean scores. McNemar test was used to compare differences in the proportion of educators’ self-reported confidence in applying the different teaching pedagogies. P-values < 0.05 were considered statistically significant. Findings: Thirty educators (7 males and 23 females) participated, of whom only 11 (37%) had participated in a previous hands-on basic EmONC training – with 10 (91%) having had the training over two years beforehand. Performance mean scores increased significantly for knowledge (60.3% − 88. %), shoulder dystocia management (51.4 – 88.3%), newborn resuscitation (37.9 − 89.1%), and overall skill score (44.7 − 88.7%), p < 0.0001. The proportion of educators with confidence in using different stimulatory participatory teaching methods increased significantly for simulation (36.7 – 70%, p = 0.006), scenarios (53.3 – 80%, p = 0.039) and peer teaching and support (33.3 – 63.3%, p = 0.022). There was improvement in use of lecture method (80 – 90%, p = 0.289), small group discussions (73.3 – 86.7%, p = 0.344) and giving effective feedback (60 – 80%, p = 0.146), although this was not statistically significant. Conclusion: Training improved midwifery educators’ knowledge, skills and confidence to deliver the updated EmONC-enhanced curriculum. To ensure that midwifery educators maintain their competence, there is need for
Optimizing Multi-Agency Cooperation in Kenya’s National Security Planning and Response
(International Journal of Scientific and Research Publications,, 2023) Mutungi , Joseph M; Tarus , Christopher Boit
Shifting geo-political, environmental, and socio-economic factors on the global front continue to herald new realities to the national safety and security of individual countries. To address security challenges and the emergent threats, nations have had to adopt contemporary perspectives. One of the most common, and fruitful of these perspectives in the Kenyan national security setup is that of multi-agency cooperation (MAC). This qualitative inquiry therefore sought to establish the nature and structure of interagency collaboration, collecting data from 111 participants sourced through the snowball sampling method. The data was collected using interviews and thematically analyzed based on emergent themes. The study established that MAC in Kenya is structured at the cabinet level, but also often takes the peer-to-peer collaboration format, and the in-group structure of collaboration. The study proposes Blending Outsider Insights and Techniques (the BOIT Model) to enhance the operational effectiveness and outcomes of MAC frameworks within Kenya’s vast and dynamic security landscape. The model would be useful in improving perspectives and enhancing Tactical Resourcefulness under Stress (TARUS) within agencies and services involved in managing Kenya’s national security and safety.
Report on Approaches to Sustainable Security in The North Rift Region of Kenya
(National Defence University-Kenya, 2024-12) National Defence University-Kenya
The ASAL regions of the North Rift Region of Kenya have faced multifaceted security challenges. Successive government regimes have put in place various interventions but the insecurity in the region persists. This has led to underdevelopment, and loss of lives, property, and livelihoods. This research sought to analyse the security interventions in the North Rift region with the aim of proffering novel approaches for sustainable security. The study analysed the nature of conflict, causes of conflict, previous interventions employed by state and non-state actors and the resultant various levels of success. The research employed a mixed-method approach while testing theories and analysing data. The approach included qualitative methods such as focus groups discussions in six counties and interviews to key informants. Their responses were triangulated with the administration of questionnaires to local residents in the hotspot locations and sublocations along the conflict belt. The nature of conflicts between the warring communities of North Rift are largely similar: loss of human lives, destruction of property, stealing of livestock and displacement of populations. The study posits that the root causes of these conflicts and insecurity are founded in social, cultural, economic, political and historical factors. The outcome of this study attributes the failure of some of the interventions in ending the conflict to lack of commitment from the government and political goodwill in implementation of some of the interventions. The study unanimously found out that it will take full commitment and support of the government and political goodwill to bring insecurity to its conclusive end. Some of the approaches proposed include comprehensive disarmament, intelligence based operations, streamlining NPRs, enhancing law enforcement and tightening legal and criminal prosecution, as well as effective inventory management of ammunition. Other proposed interventions include politically driven interventions, socio- economic interventions, and technologically driven interventions. The study recommends an establishment of a Centralised Coordinating Body that will be dedicated to North Rift purposely to drive government efforts and all the NGOs/CBOs. Another option is an enhanced Whole of Government Approach to consolidate all lines of effort in the existing government interventions and be able to roll out a Marshall Plan to comprehensively address insecurity. In addition, winning the support of the local communities by the Security Agencies will be an indicator of effective response rather than seeking compensation for stolen animals.
Reversible effect of castration induced hypogonadism on the morphology of the left coronary arteries in adult male rabbits
(Anatomy and Cell Biology (ACB), 2023-07) Anangwe, Duncan; Obimbo, Moses Madadi; Ongidi, Ibsen Henric; Gichang, Peter Bundi
Hypogonadism is associated with an increased risk of coronary artery disease. This study sought to describe the histomorphology of the left coronary arteries of the adult male rabbit following orchiectomy and subsequent testosterone administration. We included 20 adult male rabbits, divided into a baseline group (n=2), an interventional group subjected to castration only (n=6), an intervention group subjected to castration followed by testosterone injection (n=6), and a control group (n=6). Key variables under investigation were serum testosterone levels, the intima-media thickness of coronary arteries, smooth muscle cell density, and adventitial collagen fiber density. The mean coronary arteries’ intimal medial thickness was significantly higher in the castrated group than in controls (0.488 mm and 0.388 mm, respectively), while the testosterone-injected group had a mean of 0.440 mm. Mean smooth muscle cell density was significantly lower in the castrated rabbits versus controls (26.96% and 47.80%, respectively), this observation being reversed with testosterone injection (47.53%). Mean adventitial collagen fiber density was significantly higher in the castrated group than in controls (66.6% and 36.1%, respectively), with a marginal difference after testosterone injection (65.2%). This study demonstrates that castration induced hypogonadism causes morphological changes in the coronary arteries that are partly reversible using testosterone injections. These findings provide a morphological basis for understanding the role of testosterone in coronary arteries.
The Contribution of Science and Technology in Countering Violent Extremism in Lamu County, Kenya
(2023) Joseph M, Kaku; John R, Kisilu
This study examines the role of science and technology in countering violent extremism (CVE) in Lamu County, Kenya. The study employed a descriptive research design and mixed-method cross-sectional survey approach, focusing on multi-agency team operations, specifically emphasizing Kenya Defence Forces (KDF) activities in the Boni Forest. The research population comprised key stakeholders and practitioners involved in CVE efforts, totaling 120 officers. A purposive sampling technique ensured diversity within the sample based on participants’ expertise, background, functional areas, departments, age, and units within the Kenya Defence Forces. Data collection involved structured questionnaires and key informant interviews for primary and secondary data from books, journals, and operating procedures. Quantitative data analysis employed SPSS for descriptive statistics, while thematic analysis was applied to qualitative data. The study reveals that science and technology have been integral to Kenya’s CVE efforts, with the National Counter- Terrorism Center (NCTC) playing a significant role in intelligence gathering and analysis using technology. Collaboration with international agencies allowed sharing of intelligence, aiding the prediction of attacks and identification of areas with prevalent radicalization. Surveillance technologies like drones and CCTV cameras have enhanced monitoring in high-risk areas, leading to effective response measures. Moreover, mobile money transfer systems like M-Pesa are beneficial and susceptible to misuse in financing terrorist activities, emphasizing the importance of partnerships between financial institutions and security agencies. The study recommended integrating science and technology with community engagement, education, and policy initiatives. It underscores the need for a comprehensive community-centered strategy in Lamu County, fostering partnership and trust between the government and local communities. Continuous research, capacity building, and counter-narratives using technology are essential for sustained progress in countering violent extremism. While science and technology offer invaluable tools, collaboration, and holistic approaches remain vital to achieving comprehensive results and maintaining national security.

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