JKUAT Staff and Student Publications

Factors associated with Isoniazid preventive therapy among HIV patients attending comprehensive care clinic at Chuka County referral hospital, Kenya

2026-03-05T10:18:25Z

Factors associated with Isoniazid preventive therapy among HIV patients attending comprehensive care clinic at Chuka County referral hospital, Kenya Mbuba, Dickson Gitonga Background:Tuberculosis (TB) in humans is caused by bacilli Mycobacterium tuberculosis and Mycobacterium tuberculosis complex. AIDS is an immunodeficiency disease caused by human immunodeficiency virus (HIV) (Mindachew et al., 2014). HIV breaks down the body's defense against infection and immune system by destroying specific white blood cells (CD4 cells) weakening the immune system hence the body cannot fight an illness attack such as tuberculosis (Cook, 2009). Materials and Methods: A descriptive cross sectional study design adopted with the target population being the zero positive patients attending Comprehensive Care Centre (CCC) services at the facility. Systematic random sampling method used as the sampling technique. Data collection was interviewer administered questionnaire and focused group discussion. Quantitative information was be analysed using SPSS version 25. Chi square method used to test the association between dependent and independent variables. Data presented in tables, pie charts, bar graphs and narrations. Results:The study found out that there was a significant association between quality of service by the caregiver and Patients who completed medication on Isoniazid Preventive Therapy. Further results showed that there was insignificant association between sex and compliance with IPT. Results showed that there was a significant association between the marital status and compliance with isoniazid preventive therapy (IPT. The study established that there was significant association between the taking of the IPT drug and reason for taking the drug. Further, the study established that there was significant association between the side effects of the IPT drug and compliance to Isoniazid Preventive Therapy among HIV patients attending CCC at Chuka referral hospital. Findings further found that association between friendliness of the Hospital staff was significant. The study found out that association between waiting time at the Hospital and compliance with IPT was significant. Conclusion:Research showed that association between health education and compliance with IPT was significant. These results were, shared with hospital administration in order to understand factors that contribute to non-adherence to isoniazid preventive therapy, for necessary action to be, taken in order to increase the uptake of isoniazid preventive therapy. These results are, expected to be crucial for HIV/TB collaborative activities in reducing the mortality rate, morbidity rate and mental complications of TB in people living with HIV/AIDS. Key word: Tuberculosis, HIV, Isoniazid, Therapy MSc Research Publication

INFLUENCE OF PROJECT STAKEHOLDERS’ PRACTICE ON PERFORMANCE OF CONSTRUCTION PROJECTS IN KAKAMEGA COUNTY, KENYA

2026-02-24T09:02:53Z

INFLUENCE OF PROJECT STAKEHOLDERS’ PRACTICE ON PERFORMANCE OF CONSTRUCTION PROJECTS IN KAKAMEGA COUNTY, KENYA Mwanza, Priscah Wabuti The purpose of the study was to establish the influence of project management practices on performance of construction projects in Kakamega County, Kenya. The specific objective was to assess the influence of project stakeholders’ practice on performance of construction projects in Kakamega County, Kenya; The study adopted a mixed research design which included descriptive survey, and correlation. The target population was 1761 respondents comprised of 925 Early Childhood Development Education managers, 62 County polytechnics managers, 765 modern stall managers and 9 managers of County modern markets. A sample size of 326 respondents comprised of 171 managers of Early Childhood Development Education, 11 managers of County polytechnics, 142 stall managers and 2 managers of county modern markets. The sampling technique that was used was stratified random sampling and purposive sampling. For primary data questionnaires was used as the main data collection instruments and was in form of a five likert scale with both closed and open ended. Multiple sources were used to collect secondary data; the respondents filled in the answers in the spaces provided to collect information required. Pilot study was done using 32 respondents. Reliability was measured using Cronbach’s Alpha. Validity of the instruments was measured using a team of experts in the field of project management who are in charge of the area of study. Data was analyzed using qualitative and quantitative methods. The study found out that project stakeholders’ practice had a strong positive significant influence on performance of construction projects in Kakamega County, Kenya . The study recommended that Stakeholders ‘in the construction sector should formulate clear strategies in decision. Keywords: construction projects, project stakeholders’ practice, project management practices PhD Research Publication

INFLUENCE OF PROJECT PLANNING PRACTICE ON PERFORMANCE OF CONSTRUCTION PROJECTS IN KENYA

2026-02-24T08:57:26Z

INFLUENCE OF PROJECT PLANNING PRACTICE ON PERFORMANCE OF CONSTRUCTION PROJECTS IN KENYA Mwanza, Priscah Wabuti The purpose of the study was to establish the influence of project management practices on performance of construction projects with a specific objective to determine the influence of planning practice on performance of construction projects in Kenya. The study adopted a mixed research design which included descriptive survey, census and correlation. The target population was 1761 respondents with a sample size of 313 respondents comprised of 160 managers of Early Childhood Development Education, 11 managers of county polytechnics, 133 stall managers and 9 managers of county modern markets. The study is of significance to policy makers, county governments and academicians. The study found out that project planning practice and project stakeholders’ practice had a negative significant influence on performance of construction projects. The study also found out that planning gives direction to the activities to be performed in time and reduces mistakes. The study therefore recommended that management of the construction projects should have competent managers to have plans in place to give direction to the activities to be performed on time and reduce mistakes also utilize the project resources adequately PhD Research Publication

Determinants of unintended pregnancy among women attending antenatal clinic at Kenyatta National Hospital

2025-12-04T09:34:18Z

Determinants of unintended pregnancy among women attending antenatal clinic at Kenyatta National Hospital Ojuok, Rose Aluoch Background: Unintended pregnancy predisposes women of child-bearing age to risk factors like maternal deaths, poor child outcomes, mental illness because of stress, risky abortion, and vertical transmission of HIV. According to the Kenya Demographic Health Survey in 2014, 34% of the pregnancies were unintended and in the year 2020 it rose to 41.9% (Monitoring, 2020). Determinants of unintended pregnancy among women attending antenatal clinics in Kenya is diverse and is poorly understood due to no representative information. The objective of the study was to determine the factors associated with unintended pregnancy among women attending antenatal clinic particularly their individual factors, family planning practices and health facility-based factors. Method: A cross-sectional study design. Data was collected using a structured administered questionnaire from 227 participants. The proportion and determinants of unintended pregnancy was derived using bivariate analysis and multivariate logistic regressions. Results: In this study, a third (29.9%) of the pregnant women reported that their existing gravidity was unintended. Individual factors such as age less than 25 years [AOR 8.1 (95% CI 1.4-48.6)), p=0.001], use of contraceptive method [AOR 7.9 (95% CI 2.5-25.0), p<0.001] and the woman being the sole decision-maker on when to get pregnant [AOR 3.8 (95% CI 1.3-11.2), p=0.014] were significantly associated with unintended pregnancy. Conclusion: The study area had quite a significant proportion of unintended pregnancy underscoring the need for health facilities to enhance targeted contraceptive counselling during antenatal and postnatal clinics. Reinforcing effective utilization of family planning services in the pursuit to decrease unintended pregnancy not only in Nairobi but also in Kenya. MSc Research Publication