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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
31 articles
Newest firstBackground Musculoskeletal injuries are common among athletes and can negatively affect both physical and psychological wellbeing. Beyond physical disability, injuries have been linked to poor mental health, loss of athletic identity, and increased substance use. In low- and middle-income countries (LMICs), where awareness and management of mental health remain limited, the psychological burden of sports injuries…
Open article record in new tab ↗BackgroundLow-birth-weight (LBW) neonates carry a disproportionate burden of morbidity and mortality in resource-limited newborn units, yet facility-level evidence on the determinants of severe in-hospital outcomes at county referral level in Kenya is limited. We determined the maternal, neonatal and care-related determinants of severe adverse outcomes among LBW neonates admitted to Kericho County Referral Hospita…
Open article record in new tab ↗BackgroundTuberculosis (TB) remains a leading cause of morbidity and mortality globally, particularly in low- and middle-income countries. Delays in diagnosis and treatment initiation significantly contribute to ongoing transmission, increased disease severity, and poor treatment outcomes. This study assessed the determinants and consequences of patient and health system delays among individuals aged 15 years and…
Open article record in new tab ↗To characterise the potential learning effects from a GenAI-based clinical decision support tool (CDST), we examined clinician behaviour within a cluster-randomised trial. The tool, AI Consult, parsed clinician notes written (in real-time) to document patient encounters and would raise green, yellow, or red flags to indicate no, potential, or critical risks of harm (respectively) in decisions the clinician made. O…
Open article record in new tab ↗AimsThe burden of common mental disorders (CMDs) is high in Kenya. Unfortunately, most Kenyans (75%) in need of mental healthcare cannot access these services. This study evaluates the feasibility, acceptability, and effectiveness of a brief, lay provider-delivered group-based psychological intervention - Group Problem Management Plus (gPM+) among adults with moderate symptoms of CMDs in a Kenyan urban informal se…
Open article record in new tab ↗IntroductionTimely, protocol-adherent clinical decisions are crucial for reducing neonatal mortality in low-resource settings. Translating extensive national guidelines into bedside practice remains challenging. ObjectiveWe developed and evaluated AIFYA, a human-supervised, large language model (LLM)-based clinical decision support system (CDSS) aligned with Kenyas national newborn care protocols. MethodsThis pros…
IntroductionHepatitis B virus (HBV) persists as a major global public health burden, with hyperendemic prevalence in sub-Saharan Africa. Populations with elevated exposure to percutaneous transmission risks--including incarcerated individuals and healthcare workers--demonstrate heightened HBV susceptibility. Despite this, genomic data from Northeastern Kenya and Kenyan prison populations remain scarce. ObjectiveTo…
Open article record in new tab ↗BackgroundLarge language models (LLMs) show promise on healthcare tasks, yet most evaluations emphasize multiple-choice accuracy rather than open-ended reasoning. Evidence from low-resource settings remains limited. MethodsWe benchmarked five LLMs (GPT-4.1, Gemini-2.5-Flash, DeepSeek-R1, MedGemma, and o3) against Kenyan clinicians, using a randomly subsampled dataset of 507 vignettes (from a larger pool of 5,107 c…
BackgroundTuberculosis (TB)-related stigma remains a significant barrier to TB care and treatment adherence in Kenya. Despite progress in TB control, stigma continues to affect individuals diagnosed with TB and their families, leading to delayed healthcare-seeking behaviors, social exclusion, and economic consequences. This study examines the dimensions of TB-related stigma among people infected and affected by TB…
Open article record in new tab ↗BackgroundArboviruses like Yellow Fever Virus (YFV), Dengue Virus (DENV), Chikungunya Virus (CHIKV), and West Nile Virus (WNV) frequently cause outbreaks in sub-Saharan Africa. Identifying risk factors in children can improve diagnosis, treatment, and prevention strategies. This study identified factors associated with seropositivity to YFV, DENV, CHIKV and WNV among children in Teso South Sub-County, Western Keny…
Open article record in new tab ↗BackgroundHuman Immunodeficiency Virus (HIV) remains a significant public health challenge in Kenya, with women of reproductive age (WRA) at an increased risk. Although pre-exposure prophylaxis (PrEP) was integrated into Kenyas HIV prevention program close to a decade ago, it is still underutilized among WRA outside the key populations at a high risk for HIV. Understanding PrEP awareness and acceptability is cruci…
BackgroundLow health insurance coverage, poverty, and reduced donor funding impede access to healthcare in Kenya. The Social Health Authority (SHA) unveiled in Kenya in October 2024 can provide the healthcare financing solutions needed through targeted interventions to improve health insurance coverage. This study sought to identify modifiable factors that influence health insurance coverage status in Kenya to pro…
Open article record in new tab ↗BackgroundNon-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, with low- and middle-income countries (LMICs) increasingly being disproportionately affected. Although anecdotal evidence or reports indicate an increasing number of Kenyan men having NCDs, the prevalence and associated factors are not well understood. Therefore, this study aimed to determine the prevalence and a…
Open article record in new tab ↗BackgroundCommunity pharmacists serve as the most accessible healthcare providers, playing a pivotal role in patient counselling, health education, and disease prevention. Despite their critical function in the healthcare system, limited research has examined their actual involvement in these areas within Nairobi, Kenya. This study aims to assess community pharmacists engagement in patient counselling and health e…
Open article record in new tab ↗New maternal vaccines have the potential to reduce morbidity and mortality for infants from common illnesses that pose the greatest risk in the earliest phase of their life. Respiratory syncytial virus (RSV) is a leading cause of acute lower respiratory infections among infants under six months of age. With the recent approval of a maternal vaccine for RSV, this study aimed to understand decision-making factors am…
Open article record in new tab ↗BackgroundAntimicrobial stewardship (AMS) policy is critical in tackling antimicrobial resistance (AMR). The information is available at the national level in Kenya about AMS policy but needed to be strengthened among the health workers and facilities at the county level. The aim of this study was to conduct a baseline assessment of the Knowledge, Attitude and Practices (KAP) on Antimicrobial Prescription and its…
Open article record in new tab ↗Polysubstance use (PSU), injection drug use (IDU), and equipment sharing are associated with bloodborne infection (BBI) transmission risk, particularly Hepatitis C Virus (HCV), yet data on PSU in low- and middle-income countries (LMICs) is limited. We report on baseline PSU, medication-assisted treatment (MAT) engagement, and motivation to reduce IDU among 95 people who inject drugs (PWID) who accessed needle and…
IntroductionOne of the most important strategies to lower mother and newborn fatalities worldwide is providing quality Antenatal care (ANC). The utilization of quality ANC by women of reproductive age and associated factors remains unclear in many developing countries. Therefore, the purpose of this study was to determine the factors associated with the utilization of quality ANC in Kenya. MethodsWe analyzed Secon…
Open article record in new tab ↗Several triage systems have been developed, but little is known about their performance in low-resource settings. Evaluating and comparing novel triage systems to existing triage scales provides essential information about their added value, reliability, safety, and effectiveness before adoption. This prospective observational study included children aged < 15 years who presented to the emergency departments of tw…
Open article record in new tab ↗Healthcare workers (HCWs) face a high risk of infection during pandemics or public health emergencies as demonstrated in the ongoing COVID-19 pandemic. Understanding how governments respond can inform public health control measures and support health system functioning. An economic impact analysis examining HCW COVID-19 infections in Kenya and three other countries estimated that the total economic costs related t…
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