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AKELLO PROFOGUTUAC. "Macamo, J. L.; Ackello-Ogutu, C.; and P. Echessah - Editors (1998). Unrecorded Trade between Mozambique and her Neighbors: Proceedings of a Workshop held in Maputo, November, 1997. USAID SD Publication Series Technical Paper.". In: Proceedings of a Workshop held in Maputo, November, 1997. USAID SD Publication Series Technical Paper. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1998.
AKELLO PROFOGUTUAC. "Ackello-Ogutu, A.C., J. M. Bahemuka and E. N. Mwaura (1990). Reducing Post-Harvest Losses: Perceptions of Farmers and Extension Workers in Kenya. Discovery and Innovation Journal of the African Academy of Sciences (Volume 2 Number 1 pp.36-39.". In: A Round Table Discussion with Ackello-Ogutu et al. EPAT/Winrock International. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1990.
AKELLO PROFOGUTUAC. "Ackello-Ogutu, C. (2008). Supply and Demand for Major Agricultural Commodities in the COMESA Region. COMESA Secretariat, Lusaka, Zambia; November.". In: COMESA Secretariat, Lusaka, Zambia; November. Journal of British Ceramic Transactions, 99 [5], 206-211.; 2008.
AKELLO PROFOGUTUAC. "Ackello-Ogutu, C. (1999). Trade in agricultural Commodities in eastern and Southern Africa: Policy Options for Malawi. Paper presented at a Seminar on Trade Liberalization and Regional Integration in southern Africa; Rural Policy Research Center/Malawi In.". In: Proceedings of a forum on regional integration of Eritrean cereals markets, held in Asmara, 23rd July 2002. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1999.
AKELLO PROFOGUTUAC. "Ackello-Ogutu, C. and NATURA/NECTAR (1992). Diffusion and Adoption of Technology, in Agricultural Research and Development Towards Sustainable Production Systems. University of Reading. NATURA/NECTAR Teaching Modules.". In: A Round Table Discussion with Ackello-Ogutu et al. EPAT/Winrock International. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1992.
AKELLO PROFOGUTUAC. "Mwania, N. and C. Ackello-Ogutu, Editors (2002). Opportunities and Challenges of Intra-regional Trade in East and Southern Africa. Proceedings of a forum on regional integration of Ethiopian cereals markets held in Addis Ababa, 19th July 2002.". In: Proceedings of a forum on regional integration of Ethiopian cereals markets held in Addis Ababa, 19th July 2002. Journal of British Ceramic Transactions, 99 [5], 206-211.; 2002.
AKELLO PROFOGUTUAC. "Mukhebi, A.W., C. Ackello-Ogutu, W. Nguyo, R. Hassan and W. Oluoch-Kosura (Editors) 1996. Agricultural Policies and Food Security in Eastern and Southern Africa: Proceedings of a Symposium Held at the Kenya Commercial Bank, Nairobi, Kenya, May 18 - 20, 19.". In: Proceedings of a Symposium Held at the Kenya Commercial Bank, Nairobi, Kenya, May 18 - 20, 1994. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1994.
AKELLO PROFOGUTUAC. "Ackello-Ogutu, C., Q. Paris, William A. Williams (1985). Testing a Von Liebig Crop Response Function against Polynomial Specifications. American Journal of Agricultural Economics, Vol. 67 No.4.". In: Testing a Von Liebig Crop Response Function against Polynomial Specifications. American Journal of Agricultural Economics, Vol. 67 No.4. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1985.
AKELO EO, NYAMWANGE SO. "Inventory Management by Simulation Analysis.". In: Paper presented at the 4TH International Operations Research Society of Eastern Africa (ORSEA) Conference, 2008 on . Erick Onyango Odada; 2008. Abstract

This paper presents the findings of a study that explored the use of Monte Carlo simulation method to optimally manage inventory in the water equipment industry. The study treated both demand and lead time as stochastic. It proposes an inventory model that will minimize the total inventory costs through simulation analysis while demonstrating how simulation technique can be effectively used to solve inventory management problems

Akelo PA, E.S A, S. O. "Girl Child prostitution in the Context of HIV/AIDS among the Youth in Kisumu City, Kenya." Nursing Journal . 2007;36(2):14-19.
Akendo I.C.O., Gumbe LO, Gitau AN. "Dewatering and drying characteristics of water hyacinth (Eichhornia Crassipes) petiole. Part II: Drying characteristics. ." Agricultural engineering international the CIGR E-journal. 2008;X (Manuscript FP 07033.).
Akendo I.C.O., Gumbe LO, Gitau AN. "Dewatering and drying characteristics of water hyacinth (Eichhornia Crassipes) petiole. Part I: Dewatering characteristics. ." Agricultural engineering international the CIGR E-journal.. 2008;X(Manuscript FP 070).
Aketch ON, Lee L, Chou J, Huang S, Chang S, Wu Y, et al. "Analyses of the ISUAL Dancing Sprites and Secondary Sprites." American Geophysical Union, Fall Meeting 2013. 2013. AbstractFull Text

From July 2004 to May 2012, about 1,700 sprites were recorded by ISUAL (Imager of Sprites and Upper Atmospheric Lightning). Most of them were singly occurring sprites that were not followed by other sprites; while about 7% of them were multi-sprites, which typically start with a sprite and then followed by another sprite that showed a spatial displacement relative to the preceding sprites. Almost all of these events show horizontal shifts between the preceding sprites and the follow-up ones, which previously have been called the dancing sprites. In contrast to the majority cases of dancing sprites with horizontal displacements, three follow-up sprites were found to exhibit a vertical displacement relative to the preceding sprites, which are termed as the secondary sprites in in this report. These three secondary sprites exhibit similar occurring sequences and characteristics; with the preceding clustering sprite spanning the altitudes of ~60-85 km, and then 30 ms or more later, a secondary sprite appears at ~40-65 km altitudes and seems to be connected to the dimming channels of the preceding sprite. From analyzing the spectral and the ULF data, possible generating mechanisms for dancing sprites and secondary sprites are proposed in this report. Several researches [Lyons, 1994; Lyons, 1996; Lu et al., 2012] had indicated that the successive sprite production in the dancing sprites aligned with the lateral leader propagation direction of lightning. We consider that the successively occurring dancing sprites and the secondary sprites are related to the extending leaders of the cloud-to-ground lightning, which are often followed by a continuing current or even a second stroke. The dancing sprites may be induced by the subsequent leaders in the cloud extending mainly in the horizontal direction, while the secondary sprites may be triggered by the leaders extending primarily in the vertical direction. In addition, a numerical quasi-electrostatic (QE) field model is developed with the aim to validate the occurring scenario of the secondary sprites. Based on the information inferred from the associate ULF data of a secondary sprite, salient parameters, including the charge, the charge height, and the discharging time constant, are estimated and used in the QE model calculations. Through performing QE modeling with the ULF inferred parameters, we find that the electric field in the region below the preceding sprites could be enhanced by the continuing current.

Aketch NO, Masibo M, Olago DO. Mineral, Oil and Gas Resources: A natural Outlook-Geoenvironmental Resources and Hazards..; 2013. Abstract

The mineral, oil and gas sectors have not played an important role in the economy of Kenya in the past, but the recent discovery of mineral sands and rare earth elements at the coast and oil in the Lokichar Basin in the northern part of the country are proving to be game changers in the mining, oil and gas sectors. The most important minerals mined in the past have been mainly industrial minerals with soda ash and fluorspar being the most important products. Significant tonnage of gold was mined in western parts of Kenya, but currently only minor exploration and production from the old mine sites is taking place. However, with the increased interest and the government resolve to improve mineral exploration, new mineral finds are possible. Exploration for oil and gas has been taking place in Kenya since the 1950s, but it is only recently that significant oil finds have been reported. The findings have inspired several companies to explore for oil and gas within all the major sedimentary basins in Kenya, namely, the Lokichar Basin, Turkana Basin, the Kerio and Baringo Basin, the Anza Basin, and the Lamu Basin.

Aketch ON, Lee H, Fischer TP, Ranka LS, Onguso B, Kanda I, et al. "Gas Geochemistry of Volcanic and Geothermal Areas in the Kenya Rift: Implications for the Role of Fluids in Continental Rifting." American Geophysical Union, Fall Meeting 2013. 2013. AbstractFull Text

The East African Rift (EAR) is an active continental rift and ideal to investigate the processes of rift initiation and the breaking apart of continental lithosphere. Mantle and crust-derived fluids may play a pivotal role in both magmatism and faulting in the EAR. For instance, large quantities of mantle-derived volatiles are emitted at Oldoinyo Lengai volcano [1, 2]. Throughout the EAR, CO2-dominated volatile fluxes are prevalent [3, 4] and often associated with faults (i.e. Rungwe area, Tanzania, [5, 6]). The purpose of this study is to examine the relationship between volcanism, faulting and the volatile compositions, focusing on the central and southern Kenyan and northern Tanzanian section of the EAR. We report our analysis results for samples obtained during a 2013 field season in Kenya. Gases were sampled at fumaroles and geothermal plants in caldera volcanoes (T=83.1-120.2°C) and springs (T=40-79.6°C and pH 8.5-10) located near volcanoes, intra-rift faults, and a transverse fault (the Kordjya fault, a key fluid source in the Magadi rift) by 4N-NaOH solution-filled and empty Giggenbach bottles. Headspace gases were analyzed by a Gas Chromatograph and a Quadrupole Mass Spectrometer at the University of New Mexico. Both N2/Ar and N2/He ratios of all gases (35.38-205.31 and 142.92-564,272, respectively) range between air saturated water (ASW, 40 and ≥150,000) and MORB (100-200 and 40-50). In addition, an N2-Ar-He ternary diagram supports that the gases are produced by two component (mantle and air) mixing. Gases in the empty bottles from volcanoes and springs have N2 (90.88-895.99 mmom/mol), CO2 (2.47-681.21 mmom/mol), CH4 (0-214.78 mmom/mol), O2 (4.47-131.12 mmom/mol), H2 (0-35.78 mmom/mol), Ar (0.15-10.65 mmom/mol), He (0-2.21 mmom/mol), and CO (0-0.08 mmom/mol). Although some of the samples show an atmospheric component, CO2 is a major component in most samples, indicating both volcanoes and springs are emitting CO2. Gases from volcanoes are enriched in CH4 and H2, denoting their sources are reduced (oxygen-poor) magma chambers or hydrothermal systems. 40Ar/36Ar ratios (average of all samples=299.15) are similar to our air standard value (299.65×4.05), however, some volcanoes (~308.75) and springs (~321.96) have slightly higher ratios. The springs with elevated 40Ar imply that both the intra-rift (Lake Bogoria) and transverse (Lake Magadi) faults are possibly pathways to carry volatiles from deep sources to the surface. In future work, we will carry out wet chemistry and ion chromatography analyses of the NaOH solutions, measure 3He/4He ratios and complete C, N, and S isotope analyses to further constrain fluid sources and migration processes. [1] Fischer et al., 2009, Nature 459. [2] de Moor et al., 2013, EPSL 361. [3] Sawyer et al., 2008, G-cubed 9. [4] Tassi et al., 2009, G-cubed 10. [5] Barry et al., 2013, Chem Geol 339. [6] de Moor et al., 2013, Chem Geol 339.

Akhusama PM, Moturi CA. "Cloud Computing Adoption in Insurance Companies in Kenya." American Journal of Information Systems,. 2016;4(1):11-16. AbstractWebsite

Cloud Computing allows companies to access ICT-based services (infrastructure, applications, platforms and business processes) via the Internet. Cloud Computing is still at the infancy stage in Africa. Studies have indicated a lack of cloud based awareness, even among big organizations in Africa. Kenya just like any other African market is yet to fully adopt cloud based systems due to trust and security concerns. This study aimed at identifying the extent and characteristics of Cloud Computing adoption in insurance companies in Kenya. The study assessed Cloud Computing uses in terms of productivity applications, business applications (CRM, SaaS), infrastructure on-demand (storage, network, and server), finance applications, core business application, databases and desktop. The adoption of the Cloud Computing services in insurance companies was relatively low. The results obtained would assist in providing a roadmap for the best practices to improve Cloud Computing services in the insurance industry in Kenya.

Akidah, Abdinur. "Form 2 Arabic Course Book."; 2008.
Akimanya A, Midiwo JO, Matasyoh J, Okanga F, Masila VM, Walker L, Tekwani BL, Muhammad I, Omosa LK. "Two polymethoxylated flavonoids with antioxidant activities and a rearranged clerodanediterpenoid from the leaf exudates of Microglossa pyrifolia." Phytochemistry Letters. 2015;11:183-187.
Akimanya A, Midiwo JO, Matasyoh J, Okanga F, Masila VM, Walker L, Tekwani BL, Muhammad I, Omosa LK. "Two polymethoxylated flavonoids with antioxidant activities and a rearranged clerodane diterpenoid from the leaf exudates of Microglossa pyrifolia." Phytochemistry Letters. 2015;11:183-187.akimanya_et_al.pdf
Akinkunle O, Stefan J, Ndetei D, Musau A, Mutiso V, Mudenge C, Ngirababyeyi A, Gasovia A, Mamah D. " A comparative study of psychotic and effective symptoms in Rwandan and Kenyan students.". 2016.
Akintayo RO, Akpabio AA, Kalla AA, Dey D, Migowa AN, Olaosebikan H, Bahiri R, Miedany YE, Hadef D, Oyoo O. "TheimpactofCOVID-19onrheumatologypractice acrossAfrica." Af r ic a n J o u r n a l o f R h e u mat o l o g y. 2021;9(1):1-6. Abstractthe_impact_of_covid-19_on_rheumatology_practice.pdf

Objectives. To identify the changes in rheumatology service delivery across the five regions of Africa from the
impact of the COVID-19 pandemic.
Methods. The COVID-19 African Rheumatology Study Group created an online survey consisting of 40 questions
relating to the current practices and experiences of rheumatologists across Africa. The CHERRIES checklist for
reporting results of internet e-surveys was adhered to.
Results. A total of 554 completed responses were received from 20 countries, which include six in Northern
Africa, six in West Africa, four in Southern Africa, three in East Africa and one in Central Africa. Consultant grade
rheumatologists constituted 436 (78.7%) of respondents with a mean of 14.56 10.3 years of experience. A total of
77 (13.9%) rheumatologists avoided starting a new biologic. Face-to-face clinics with the use of some personal
protective equipment continued to be held in only 293 (52.9%) rheumatologists’ practices. Teleconsultation modalities
found usage as follows: telephone in 335 (60.5%), WhatsApp in 241 (43.5%), emails in 90 (16.3%) and video
calls in 53 (9.6%). Physical examinations were mostly reduced in 295 (53.3%) or done with personal protective
equipment in 128 (23.1%) practices. Only 316 (57.0%) reported that the national rheumatology society in their
country had produced any recommendation around COVID-19 while only 73 (13.2%) confirmed the availability of a
national rheumatology COVID-19 registry in their country.
Conclusion. COVID-19 has shifted daily rheumatology practices across Africa to more virtual consultations and
regional disparities are more apparent in the availability of local protocols and registries.
Key words: COVID-19, Africa, rheumatology, DMARD, rheumatic and musculoskeletal diseases, telem

Akinyemi R, Sarfo F, Abd-Allah F, Ogun Y, Ogeng'o J. "Conceptual framework for establishing the African Stroke Organization .". 2020. AbstractWebsite

Abstract

Africa is the world's most genetically diverse, second largest, and second most populous continent, with over one billion people distributed across 54 countries. With a 23% lifetime risk of stroke, Africa has some of the highest rates of stroke worldwide and many occur in the prime of life with huge economic losses and grave implications for the individual, family, and the society in terms of mental capital, productivity, and socioeconomic progress. Tackling the escalating burden of stroke in Africa requires prioritized, multipronged, and inter-sectoral strategies tailored to the unique African epidemiological, cultural, socioeconomic, and lifestyle landscape. The African Stroke Organization (ASO) is a new pan-African coalition that brings together stroke researchers, clinicians, and other health-care professionals with participation of national and regional stroke societies and stroke support organizations. With a vision to reduce the rapidly increasing burden of stroke in Africa, the ASO has a four-pronged focus on (1) research, (2) capacity building, (3) development of stroke services, and (4) collaboration with all stakeholders. This will be delivered through advocacy, awareness, and empowerment initiatives to bring about people-focused changes in policy, clinical practice, and public education. In the spirit of the African philosophy of Ubuntu "I am because we are," the ASO will harness the power of diversity, inclusiveness, togetherness, and team work to build a strong, enduring, and impactful platform for tackling stroke in Africa.

Akinyeye R, Michira I, Botha S, Baker P, Iwuoha E. "Electrocatalytic Sensor Applications of Nanostructured Polypyrolles and Polythiophenes.". In: Recent advances in Electroanalytical chemistry. Vol. T.C. 37/661(2), Fort P.O., Trivandrum-695 023, kerala, India. Keralala, India: Transworld Network; 2007:.
AKINYI DRDWASIJANE. "Jane A. Dwasi, et al, Women and the Criminal Justice System in Kenya, Kenya Law Reform Commission,.". In: African Journal of Business & Management (AJBUMA). AIBUMA Publishing; 1992. Abstract
The decision to pay out earnings or retain dividends has been a subject of debate for many scholars. The effect of dividend on the firm value and cost of capital have been covered in attempt to resolve the dividend puzzle. This research paper tests the applicability of constant dividend model by companies listed at the Nairobi stock exchange. Data was collected from annual reports and share price schedules obtained from Nairobi stock exchange and Capital market Authority for a population of 20 companies that paid dividends consistently from 2002 to 2008. The data was then analyzed by re-computing the dividends that should have been paid if the dividend constant model was applied. This recomputed figure was later compared to the dividend as paid out by the companies thought the years of study. Paired sample t-test statistic was also performed to determine whether there is a significant difference between the two dividend figures. The findings of the research established that the dividend model was not employed by the companies listed at the Nairobi stock exchange. Most firms instead adopted stable and predictable policy where a specific amount of dividend per share each year was paid periodically. In some years there was a slight adjustment of the dividend paid after an increase in earnings, but only by a sustainable amount. The study shows that the relationship between the stock market prices and the dividend paid from the constant dividend model is uneven from one year to another and where there was a relationship it was insignificant. Though a share would be highly priced, a high dividend per share was not always declared.
Akinyi J, Mwaniki A, Gichamba A, Kariuki D, Chand P, Munene S, Nyakinyua C, Nzangi B, Akinyi V, Betsy M, Cosmas K, Mwangi M. "NanoSatellite Platform for the University of Nairobi (NaSPUoN) Student Project.". In: 72nd International Astronautical Congress (IAC). Dubai, United Arab Emirates (presented online); 2021.
Akinyi 10. OJ, Sigana DAO, Wang’ondu V, Wambiji N, Ong’anda H, Orembo B. "Length-weight relationship of selected teleost fishes from Kilifi County, Kenya." WIO Journal of Marine Science. 2018; 17 (1):125-135.
AKINYI DRDWASIJANE. "Jane Dwasi and Judy Oglethorpe, HIV/AIDS and Ecoregion Conservation (Island Press.". In: African Journal of Business & Management (AJBUMA). AIBUMA Publishing; 2004. Abstract
The decision to pay out earnings or retain dividends has been a subject of debate for many scholars. The effect of dividend on the firm value and cost of capital have been covered in attempt to resolve the dividend puzzle. This research paper tests the applicability of constant dividend model by companies listed at the Nairobi stock exchange. Data was collected from annual reports and share price schedules obtained from Nairobi stock exchange and Capital market Authority for a population of 20 companies that paid dividends consistently from 2002 to 2008. The data was then analyzed by re-computing the dividends that should have been paid if the dividend constant model was applied. This recomputed figure was later compared to the dividend as paid out by the companies thought the years of study. Paired sample t-test statistic was also performed to determine whether there is a significant difference between the two dividend figures. The findings of the research established that the dividend model was not employed by the companies listed at the Nairobi stock exchange. Most firms instead adopted stable and predictable policy where a specific amount of dividend per share each year was paid periodically. In some years there was a slight adjustment of the dividend paid after an increase in earnings, but only by a sustainable amount. The study shows that the relationship between the stock market prices and the dividend paid from the constant dividend model is uneven from one year to another and where there was a relationship it was insignificant. Though a share would be highly priced, a high dividend per share was not always declared.
AKINYI DRDWASIJANE. "Jane A. Dwasi, Regulation of Pesticides in Developing Countries, The Environmental Law Reporter, Volume XXXII, Number 1, January.". In: African Journal of Business & Management (AJBUMA). AIBUMA Publishing; 2002. Abstract
The decision to pay out earnings or retain dividends has been a subject of debate for many scholars. The effect of dividend on the firm value and cost of capital have been covered in attempt to resolve the dividend puzzle. This research paper tests the applicability of constant dividend model by companies listed at the Nairobi stock exchange. Data was collected from annual reports and share price schedules obtained from Nairobi stock exchange and Capital market Authority for a population of 20 companies that paid dividends consistently from 2002 to 2008. The data was then analyzed by re-computing the dividends that should have been paid if the dividend constant model was applied. This recomputed figure was later compared to the dividend as paid out by the companies thought the years of study. Paired sample t-test statistic was also performed to determine whether there is a significant difference between the two dividend figures. The findings of the research established that the dividend model was not employed by the companies listed at the Nairobi stock exchange. Most firms instead adopted stable and predictable policy where a specific amount of dividend per share each year was paid periodically. In some years there was a slight adjustment of the dividend paid after an increase in earnings, but only by a sustainable amount. The study shows that the relationship between the stock market prices and the dividend paid from the constant dividend model is uneven from one year to another and where there was a relationship it was insignificant. Though a share would be highly priced, a high dividend per share was not always declared.
Akpata, D.O. G& ER. "Social Economic status of secondary schools interscholastic athletes in Nairobi province, Kenya." Journal of International Council for Physical Education, Recreation, Sports and Dance . 2002;353(2):28-30.
AKUKU DROKOTHPATRICK. "Okoth PA.Neurological manifestations following partial excision in spinal meningioma: case report. East Afr Med J. 2007 Jan;84(1):44-8.". In: East Afr Med J. 2007 Jan;84(1):44-8. East African Medical Journal; 2007. Abstract
Presented here is a 16-year-old girl who was referred on 30th January 1996 with diagnosis of cord compression with spastic paraplegia with sensory level at T7/T8. CT scan myelogam confirmed soft tissue density mass displacing cord to the left with no dye being seen beyond T3. Thoracic spine decompressive laminectomy was performed on 1st January 1996 at Nairobi West Hospital extending from T3 to T6 level, which revealed a fibrous haemorrhagic tumour. Histology showed meningioma (mixed fibrous type and meningoepitheliomatous type) with many psammoma bodies. She had a stormy post-operative period, with infection and wound dehiscence. This was treated with appropriate antibiotics and wound care. She was eventually rehabilitated and was able to walk with the aid of a walking frame because of persistent spasticity of right leg. She was seen once as an outpatient by author on 6th July 1996, she was able to use the walking frame, but the right leg was still held in flexion deformity at the knee. She was thus referred to an orthopaedic surgeon for possible tenotomy. She was able to resume her studies at the University ambulating using a wheel chair and walking frame. She presented with worsening of symptoms in 2001 (five years after her first surgery). MRI scan thoracic spine revealed a left anterolateral intradural lesion extending from T3 to T5 vertebral body level compressing and displacing the spinal cord. She had a repeat surgery on 6th March 2001 at Kenyatta National Hospital; spastic paraparesis and urinary incontinenece persisted. She also developed bed sores and recurrent urinary tract infections. She was followed up by the author and other medical personnel in Mwea Mission Hospital where she eventually succumbed in 2005, nine years after her first surgery. This case is presented as a case of incompletely excised spinal meningioma to highlight some of the problems of managing spinal meningiomas when operating microscope and embolisation of tumours are not readily available. Also the family experienced financial constraint in bringing the patient for regular follow-up, and getting access to appropriate antibiotics, catheters and urine bags.
Akuku B, Oboko R, Waema TM, Brown I. "Knowledge management strategies adopted in agricultural research organizations in East Africa." journals.sagepub.com. 2020. AbstractWebsite

In previous studies, Knowledge Management (KM) strategies have been examined as objects of organizations, instead of scrutinizing their characteristics or relative quality and content. This study aims to examine the key characteristics of KM strategies in Agricultural Research Organizations (AROs) in East Africa in terms of what exists, what does not exist and why. To comprehensively answer the research questions and understand the phenomena under investigation the study adopted a pragmatism paradigm to allow facts and concerns to arise from the context. Qualitative and quantitative methods were employed using semi-structured Key Informant Interviews (KIIs) and a questionnaire respectively. A novel empirical description and explanation of the key characteristics of KM strategies in AROs in East Africa is presented. The study identifies the key concepts and gaps in the characteristics of KM strategies and elucidates what AROs in East Africa should do differently to coherently formulate and execute KM strategies in practice. The main characteristics of KM strategies in AROs in East Africa are practicability, technology-focus, alignment, implementation processes and relevance. Through abstraction and theorization of the key concepts, a detailed description and explanation as a reference for scholars and practitioners in the KM field is provided. Further, the study highlights context as an important and relevant perspective in particularizing the characteristics of a KM strategy and interpretation of related empirical findings. Future studies can use the concepts presented in this study to develop a theoretical framework for analyzing the characteristics of KM strategies in organizations. The idea of linking the study outcome to an empirical situation is a novel contribution. The findings of this study shed new insights that confirm that understanding characteristics of KM strategies is beneficial to practitioners and scholars.

Keywords agricultural research organizations, characteristics, East Africa, knowledge management, KM strategies

AKUKU DROKOTHPATRICK. "Changing pattern of intracranial lesions.". In: East Afr Med J. 2000 Jan;77(1):1-3. East African Medical Journal; 2000. Abstract
Presented here is a 16-year-old girl who was referred on 30th January 1996 with diagnosis of cord compression with spastic paraplegia with sensory level at T7/T8. CT scan myelogam confirmed soft tissue density mass displacing cord to the left with no dye being seen beyond T3. Thoracic spine decompressive laminectomy was performed on 1st January 1996 at Nairobi West Hospital extending from T3 to T6 level, which revealed a fibrous haemorrhagic tumour. Histology showed meningioma (mixed fibrous type and meningoepitheliomatous type) with many psammoma bodies. She had a stormy post-operative period, with infection and wound dehiscence. This was treated with appropriate antibiotics and wound care. She was eventually rehabilitated and was able to walk with the aid of a walking frame because of persistent spasticity of right leg. She was seen once as an outpatient by author on 6th July 1996, she was able to use the walking frame, but the right leg was still held in flexion deformity at the knee. She was thus referred to an orthopaedic surgeon for possible tenotomy. She was able to resume her studies at the University ambulating using a wheel chair and walking frame. She presented with worsening of symptoms in 2001 (five years after her first surgery). MRI scan thoracic spine revealed a left anterolateral intradural lesion extending from T3 to T5 vertebral body level compressing and displacing the spinal cord. She had a repeat surgery on 6th March 2001 at Kenyatta National Hospital; spastic paraparesis and urinary incontinenece persisted. She also developed bed sores and recurrent urinary tract infections. She was followed up by the author and other medical personnel in Mwea Mission Hospital where she eventually succumbed in 2005, nine years after her first surgery. This case is presented as a case of incompletely excised spinal meningioma to highlight some of the problems of managing spinal meningiomas when operating microscope and embolisation of tumours are not readily available. Also the family experienced financial constraint in bringing the patient for regular follow-up, and getting access to appropriate antibiotics, catheters and urine bags.
Akuku B, Oboko R, Waema TM. "Institutionalization of knowledge management strategies in agricultural research organizations: a systematic literature review." Knowledge Management for Development Journal. 2020; Vol. 15 No. 1 (2020):. Abstract

Keywords: Knowledge Management, Knowledge Management Strategy, Institutionalization, Adoption, Implementation, Entrenchment, process, practice, influencing factors
Abstract
In recent years Knowledge Management (KM) has emerged as a significant field for research and practitioners in Information Systems (IS) domain. Despite the rapid growth in literature, the concept of institutionalization of KM strategies in organizations is understudied. Consistent with a “practice turn” emphasis in recent literature in IS strategy-related studies, this study examines the body of knowledge on institutionalization of KM strategies in Agricultural Research organizations (AROs). A complimentary approach combining systematic and hermeneutics literature review methods is used to search, select, analyze extant literature and presentation of study results. While studies have expanded neo-institutional theory and recommends linking process analysis to context with a specific focus on organizational level analysis, the concepts are not used in extant literature. Similarly, a comparative analysis studies or a framework to compare similar or different contexts with regard to institutionalization processes or practices of KM strategies is not found in extant literature. A conclusion is drawn that micro-processes analysis of institutionalization of KM strategies at organizational level in practice are not adequately explored. To date it is not known how KM strategies are adopted, implemented and entrenched in organizations including what processes takes place in day-to-day activities, yet literature continues to report that AROs are facing difficulties this area.

AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal in the Removal of Organic Matter in Water Treatment". East African Journal of Engineering.". In: East African Journal of Engineering. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal in the Removal of Organic Matter in Water Treatment". East African Journal of Engineering.". In: East African Journal of Engineering. IBIMA Publishing; Submitted. Abstract
Joint exhibition of paintings and sculptures
AKUMU PROFODIRAPATTSM. "Selection of Drifts or Bridges in Semi-Desert Areas of Flash Floods;.". In: M.Sc. Thesis, Tampere University of Technology,Finland. Prof. James Otieno-Odek; 1981. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Computer Simulation of Orthokinetic Flocculation in a Filterbed.". In: JKUAT Journal of Civil Engineering, Vol. 7,. Prof. James Otieno-Odek; 2002. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Performance of Crushed Coconut Shell Dual Media Filter Paper.". In: Journal of Civil Engineering Research and Practice (under review awaiting publication). Prof. James Otieno-Odek; 2004. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Upflow Filters in Flocculation and Direct Filtration of Waters of High Turbidity; Ph.D. Thesis,.". In: Tampere University of Technology, Finland,. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "River Pollution profile: A case Study of Thika River. Proceedings of National Seminar on Technological Solutions for Economic Development in Kenya now and in the 21st Century,.". In: Canadian and International Education Journal. VOL: 19, No:1'1990. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Anaerobic Treatability of Sugarcane Mill Wastewater.". In: Paper submitted to Journal of Civil Engineering Research and Practice JCERP (under review awaiting publication). Prof. James Otieno-Odek; 2004. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Human Resources Development for the Water Sector in the Next Decade.". In: Proceedings of 4th African Water Technology Conference,. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal as a Coarse Medium in Dual Media Filtration of Water". East African Journal of Engineering.". In: Canadian and International Education Journal. VOL: 19, No:1'1990. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal as a Coarse Medium in Dual Media Filtration of Water". East African Journal of Engineering.". In: Jadini Beach Hotel, Mombasa. IBIMA Publishing; Submitted. Abstract
Joint exhibition of paintings and sculptures
AKUMU PROFODIRAPATTSM, B DRSINGHCHANDRA. "Upflow Filters in Direct Filtration of High Turbidity Waters; Aqua Fennica, Vol 17, No. 1,.". In: Tampere University of Technology, Finland, . University Publication No. B 60). Prof. James Otieno-Odek; 1987. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM, B DRSINGHCHANDRA. "Upflow Filters in Direct Filtration of High Turbidity Waters; Aqua Fennica, Vol 17, No. 1,.". In: International Journal of Biochemiphysics, Vol. 5 (Nos 1& 2). Materials Research Society; 1987. Abstract
1. Singh C. B.  .  August . .
AKUMU PROFODIRAPATTSM. "Development of Parametric Numbers in Filter-bed Flocculation.". In: JKUAT Journal of Civil Engineering, Vol. 7,. Prof. James Otieno-Odek; 2002. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM. "Pollution Profile of Thika River.". In: Proceedings of 17th WEDC International Conference on Infrastructure, Environment, Water and People. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

Akunda EM, Kumar B. "Using internal plant water status as a criterion for scheduling irrigation in coffee in east of rift valley Kenya.". In: Kenya coffee vol. 47. No. 560, 281- 284. Kisipan, M.L.; Submitted. Abstract

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Akundabweni LSM;, Chweya JA. "Indigenous Plants in agriculture."; 1995.
Akundabweni LSM. "Research on indigenous Food Plants.". 1993.
Akunga ND, Keraka M, Anyango SO. 2Burden of Childhood Diarrhea from Water sanitation and hygiene: The case of Nairobi City, Kenya. . Bonn: Verlag Dr. Muller (VDM). ISBN978-3-639-27847-7 .; 2010.
Akuon P, Xu H. Rate and reliability implementation scheme for Polar Codes,SATNAC2012,EastLondon,SA. George, Western Cape, South Africa; 2012. Abstract

 Communications channel coding that achieves capacity is implemented and solution suggested for selection of the optimal design parameter to achieve capacity:Rate or reliability of channels.

Akuon P, Xu H. "Polar coded spatial modulation." IET Journal. 2014;vol. 8(no.9): pp.1459-1466.
Akuon P, Afullo TJO. "Rain cell sizing for the design of high capacity radio link systems in South Africa,PIERJournalB,2011." PIERS. 2011;35:263-285, . AbstractWebsite

Full report on the derivation of rain characteristics and consequential application to microwave linkk designs.

Akuon P, Xu H. Polar coded MQAM with no noise variance estimation for capacity and soft decision metric. Ile Maurice, Mauritius: IEEE Africon 2013; 2013.
Akuon P, Afullo TJO. "Negative power law attenuation estimation for rainy earth-space radio links,Kuala Lumpur,Malaysia.". In: PIERS . Kuala Lampur, Malaysis: PIERS; 2012. Abstract

Attenuation prediction for satelite links s derived and validated from measurements all over tropical zones in the world. The power law model is based on the modelling of the stochastic nature of rain drops over an average rain field area. Best performig for the tests.

Akuon P, Xu H. Optimal bit error analysis of Nr-branch EGC under Rayleigh fading channels. Addis Ababa, Ethipia: IEEE Africon; 2015.
AKUON MRPETERODERO. "Path reduction factor modelling for terrestrial links based on rain cell growth,IEEE.Africon,Zambia, 2011,.". In: IEEE. IEEE; 2011. Abstract
Suggested prediction for Rain attenuation in Terrestrial links based on growth modelling of the rain cell is validated from measurements.
Akuon P, Afullo TTJO. Rain cell size statistics from rain gauge data for site diversity planning and attenuation prediction. SATNAC 2011,East London, South Africa: SATNAC 2011; 2011.
AKUON MRPETERODERO. "Optimized hybrid green power model for remote telecom sites,.". In: PowerAfricaIEEE. IEEE; 2012. Abstract
Site Installation results of a hybrid green power model are discussed to assist power solution design engineers in proper implementation of various components.
Akuon P, Xu H. Layered baud-space modulation. Cape Town, South Africa: SATNAC 2015; 2015.
Akuon P, H X. "Secure signal and space Alamouti scheme." SAIEE. 2016;1(1):1-5.
Akusala KG, Aagaard-Hansen J, Isaac NK, Simiyu W. "Attitudes to Body Image among the Rural Luo of Bondo sub-County, Western Kenya.". 2015.
Akwale WS, Ongore D, Kimani VN, Njoroge FK. "Use of insecticide treated bed nets among pregnant women in Kilifi District, Kenya.". 2009. Abstract

Malaria is one of the most serious public health problems in Kenya. Pregnant women are among the groups with the highest risk of malaria. Use of insecticide treated bed nets (ITNs) is a cost-effective method of controlling malaria. Despite this, there is low utilisation of ITNs among pregnant women in Kilifi district which is an endemic malaria zone. To determine knowledge, attitude and practice on the use of ITNs in the prevention of malaria among pregnant women in Kilifi district. A descriptive cross-sectional study. The district hospital and the five health centres in Kilifi district Two hundred and twenty pregnant women attending antenatal clinics (ANC) between October and December 2007. Knowledge on malaria illness and ITNs was high with majority of pregnant women having adequate level of knowledge (86.9%). There was significant association between level of education and adequate knowledge (P-value = 0.010). Good attitude on ITNs use was low. There was no association between good attitude and any of the socio-demographic variables. The majority of pregnant women attending ANC owned ITNs (75.4%). ITNs usage was high (70.5%). There was significant association between religion and good practice (p-value = 0.050). Although adequate level of knowledge on malaria and protective role of ITNs was high, there was no association between knowledge with practice and attitude. Before any malaria preventive intervention is implemented in an area, different socio-cultural factors must be considered when behavioural interventions for malaria control are designed and implemented. Targeted health education should be disseminated to the community to remove stigma and misconceptions associated with ITNs. Community concerns and fears should be addressed.

Akweya BA, Gitao CG. "The acceptability of camel milk and milk products from north eastern province in some urban areas of Kenya.". 2012. AbstractWebsite

A total of 138 households were interviewed on various aspects of camel milk and camel milk products using a single-visit multiple-subject diagnostic survey in Garisa, Wajir and Eastleigh the main urban centres with high camel milk consumption. 75% of the respondents generally take camel milk or milk products every day. Raw and sour milk are the most popular products. The most important purchasing criterion for raw camel milk was taste (19 and18%) while packaging was more important for pasteurized milk (18, 18 and 16%) for Wajir, Garisa and Eastleigh respectively. For Yoghurt, the most important purchasing criteria were taste (18%) and aroma (19%). The taste of sour milk is the most important attribute in both Garisa (30%) and Eastleigh (24%). To enhance marketing of camel milk, the appropriate attributes demanded by customers needs to be seriously addressed. Promotion of camel milk and products to non conventional consumers should be done in order to increase their consumption.

Akweya BA. Prevalence of streptococcus agalactiae and staphylococcus aureus in camel (Camelus dromedarius) milk in Garissa and Wajir districts of Kenya, their sensitivity to antibiotics and acceptability of camel milk and its products. Wangoh J, Gitau P, eds. University of Nairobi; 2010. Abstract

Abstract
Camel milk is commonly consumed raw by pastoralists in arid areas who may
be unaware of the risks posed by such milk. It was therefore very important to
determine the prevalence of Staphylococcus aureus and Streptococcus
agalactiae, which are some of the most common pathogens in such milk.
Camel milk samples from Garissa and Wajir were analyzed to determine the
prevalence of Staphylococcus aureus and Streptococcus agalactiae. The
antibiotic resistance of the bacteria was also studied. Milk samples (n =207)
were aseptically obtained from primary marketing agents. Samples were
analyzed for the presence of Staphylococcus aureus and Streptococcus
agalactiae. The confirmed Staphylococcus aureus and Streptococcus
agalactiae were subjected to diffusion sensitivity test. Resistance was
determined by measuring the diameter of the zone cleared by the antibacterial
and the isolates were reported as susceptible, intermediate, or resistant.
Questionnaires were administered to evaluate camel milk and milk product
acceptability.
The prevalence of Staphylococcus aureus and Streptococcus agalactiae in the
two districts differed with Garissa having higher percent incidence both for
Staphylococcus aureus (34.95%) and Streptococcus agalactiae (37.79%).
Wajir, had lower prevalence of Staphylococcus aureus (10.58%) and
Streptococcus agalactiae (7.69%). Staphylococcus aureus and Streptococcus
agalactiae were resistant to most of the antibiotics except Gentamicin.
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Although camel milk and milk products were acceptable, each had different
quality parameters that attracted customers. The most important purchasing
criterion for raw camel milk was taste (27%, 19% and 18%) for Wajir, Garissa
and Nairobi respectively. While packaging (18%, 18% and 16%) was more
important for pasteurized milk also in the same order. For yoghurt the most
important purchasing criteria were taste (18%) and aroma (19%). The taste of
sour camel milk is the most important attribute in both Garissa (30%) and
Nairobi (24%).
The results indicate the potential health risk of consuming raw camel milk and
increasing incidences of resistance of mastitis organisms to the common
antibiotics. There is need to educate camel milk producers on hygienic milk
production as well as inform the raw camel milk consumers on dangers
involved. Marketing of camel milk and products can be enhanced using the
attributes appropriate for each product in the respective district.

Akyıldız Hızır, Biri I, Akcan A, Küçük C, Sözüer E, others. "Ileal lipoma: case report." Erciyes Med J. 2011;33:83-6. AbstractWebsite
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AL S, T DR, M C, J L, P P, A K, J C, W P. "Mitigating Global Oral Health Inequalities: Research Training Programs in Low- and Middle-Income Countries." Annals of Global Health.. 2020;2020; 86(1): 141, 1–5.(2020; 86(1): 141, 1–5.):2020; 86(1): 141, 1-5.
Al H, Nguta J, Musila F, Ole-Mapenay I, Matara D, Mailu J. "Evaluation of Antimicrobial Activity, Cytotoxicity, and Phytochemical Composition of Ocimum americanum L. (Lamiaceae)." Evidence-Based Complementary and Alternative Medicin. 2022;2022:11.
al FME. "Flood Forecasting over Lower Nzoia Sub-Basin in Kenya." Africa Journal of Physical Sciences. 2014;1-1 2014.jos.pdf
Al-Azawi A, Cenev Z, Tupasela T, Peng B, Ikkala O, Zhou Q, Jokinen V, Franssila S, Ras RHA. "Tunable and Magnetic Thiol–ene Micropillar Arrays." Macromolecular Rapid Communications. 2020;41:1900522. Abstract
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Al-Qahtani S, Gudinchet F, Laswed T, Schnyder P, Schmidt S, Osterheld M-C, Alamo L. "Solid pseudopapillary tumor of the pancreas in children: typical radiological findings and pathological correlation." Clinical imaging. 2010;34:152-156. AbstractWebsite
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Alade K, Windapo A, Wachira-Towey IN. "• Rethinking leadership in the fourth industrial revolution :lessons for construction business organizations." Journal Of Leadership Studies. 2021;Volume 15(1).
ALANDO MRSOMONDIESTHER. "History of Kenya.". In: journal. BEP Electronic Press; 2006. Abstract
Two groups of 6 rats each received subcutaneous injections of 2.3 mg/kg or 5.0 mg/kg of quinuronium, respectively, on two consecutive days, while 5 rats injected with physiological saline served as controls. Clinical signs of muscular tremors, jumps, enlarged and hyperemic eyeballs, lacrimation, depression and anorexia were observed following administration of quinuronium. One rat receiving 5 mg/kg died before termination of the study. When killed 48 h after the first injection, the quinuronium-treated rats had a higher liver weight/body weight ratio compared to the controls. Quinuronium resulted in hepatic centrilobular fatty degeneration, but no depletion of hepatic glutathione (GSH). The present findings suggest that glutathione depletion does not seem to be involved in quinuronium hepatotoxicity.
ALANDO MRSOMONDIESTHER. "Nationalism in Africa and Other Third World Countries.". In: journal. BEP Electronic Press; 2000. Abstract
Two groups of 6 rats each received subcutaneous injections of 2.3 mg/kg or 5.0 mg/kg of quinuronium, respectively, on two consecutive days, while 5 rats injected with physiological saline served as controls. Clinical signs of muscular tremors, jumps, enlarged and hyperemic eyeballs, lacrimation, depression and anorexia were observed following administration of quinuronium. One rat receiving 5 mg/kg died before termination of the study. When killed 48 h after the first injection, the quinuronium-treated rats had a higher liver weight/body weight ratio compared to the controls. Quinuronium resulted in hepatic centrilobular fatty degeneration, but no depletion of hepatic glutathione (GSH). The present findings suggest that glutathione depletion does not seem to be involved in quinuronium hepatotoxicity.
Alasow KB. Efficiency of light curing units in Dental clinics in Nairobi, Kenya.; 2010. Abstract

Background: To achieve adequate cure, a resin composite restoration must be
exposed for a specified duration of time to a light of sufficient intensity and the right
wavelength. However, some commonly used light curing units (LCUs) may yield
inadequately cured restorations due to their insufficient light intensity output.
Furthermore, the efficiency of light curing units in dental clinics and the extent to which
dentists practice the recommended maintenance techniques is largely unknown.
Objective: To determine the efficiency of Light Curing Units (LCUs) in dental clinics in
Nairobi, Kenya.
Study design: A laboratory-based, cross-sectional analytical study.
Study area: The study was set in private and public dental clinics in Nairobi, Kenya. A
total of 83 light curing units selected through a convenient sampling procedure were
used.
Materials and methods: The light intensity output of light curing units in dental clinics
was measured using a digital dental radiometer and the result entered in a data
collection form. Each light curing unit was then used to polymerise two cylindrical resin
composite specimens made using custom-made split brass moulds; one measuring
4mm in diameter and 6mm in thickness used to determine the depth of cure (DOC) and
the other 8mm in diameter and 3mm in thickness used to determine the surface
hardness by using a Vickers Hardness tester. Within 6-7 hours of fabrication, the depth
of cure specimens were immersed in a capsule containing 99%- acetone solvent which
was then vibrated in a mixing device. The DOC was calculated from the undissolved
length of the specimen. The surface Vickers Hardness was evaluated by making three
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surface indentations with a diamond indenter using a load of 200g and a dwell time of
15-seconds. A conversion table was used to convert measurements from the diamond
indentations into hardness numbers. The light intensity output and the depth of cure and
surface micro-hardness numbers of the resin composite specimens were then used to
assess the efficiency of each dental light curing unit. Three main components of the
maintenance history of the light curing units, as well as the age and type of the light
curing unit were also recorded.
The data was entered into a computer using SPSS version 12. The independent sample
t-test, one way analysis of variance (ANOVA) with Post Hoc test and Chi-square tests
were used for data analysis. The results were summarized in tables and figures.
Results: Of the 83 LCUs studied, 43(51.8%) were LED and 39(47.0%) were OTH and 1
(1.2%) was PAC light.
LCU type and light intensity output, DOC and hardness: Mean light intensity for OTH
and LED lights was 526.59mW/cm2 and 493.67mW/cm2 respectively (p=0.574), while
the mean DOC for OTH lights was 1.71mm and LED was 1.67mm (p=0.690). Mean
VHN for LED was 57.44 and for OTH was 44.14 (p=0.713). Light curing unit type had no
statistically significant effect on DOC, surface hardness and the intensity of the light.
Effect of age of LCU on light intensity output, hardness and DOC: Mean light intensity
for LCUs ::;5years was 596.03mW/cm2 and 363.17mW/cm2 for units> 5years old. Age
showed a significant effect on light intensity (p=O.024). The mean DOC for the two age
groups was 1.74mm and 1.57mm respectively (p=O.073). For surface micro-hardness,
the ::; 5years and > 5years age groups gave a mean VHN of 58.81 and 51.46
respectively (p=O.1)
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Efficiency of the LCUs: when intensity was used to measure efficiency, 48 (57.8%)
LCUs were efficient and 35 (42.2%) were inefficient. Only the LCU age significantly
affected efficiency by light intensity output (p=O.008). Only 24 (28.9%) LCUs gave
sufficient DOC as opposed to 59 (71.1%), which gave insufficient DOC. Of the units
tested for surface micro-hardness, 15 (25.9%) had adequate surface micro-hardness
while the rest (43 or 74.1%) had inadequate surface micro-hardness. The type of LCU
and its age did not significantly influence efficiency as measured using depth of cure
and surface micro-hardness of the resin restoration.
On the whole, 11 (19%) of the LCUs which had all the three tests of efficiency done
were satisfactory in all the 3 aspects.
Conclusions: Eleven (19%) of the light curing units used in Nairobi dental clinics were
efficient when subjected to a combined light intensity, and composite resin depth of cure
and surface hardness evaluation, and that the type and maintenance history of a LCU
had no significant influence on its efficiency. Age had a significant influence on the light
intensity of the curing units - there was a decrease in light intensity output with increase
in age of the units. There was a non-linear relationship between the light intensity output
of a LCU and the depth of cure and surface micro-hardness of the cured composite.

Albert O. Mala, Lucy W. Irungu, Josephat I.Shililu, Ephantus J. Muturi, Charles C. Mbogo, Joseph K. Njagi, Wolfgang R Mukabana, Githure JI. "Plasmodium falciparum transmission and aridity: a Kenyan experience from the dry lands of Baringo and its implications for Anopheles arabiensis control." Malaria Journal. 2011;10:121.
Aldhaher A, Langat M, Ndunda B, Chirchir D, Midiwo JO, Njue A, Schwikkard S, Carew M, Mulholland D. "Diterpenoids from the roots of Croton dichogamus Pax." Phytochemistry . 2017;144(2017):1-8.
Aldhaher A, Langat M, Ndunda B, Chirchir D, Midiwo JO, Njue A, Schwikkard S, Carew M, Mulholland D. "Diterpenoids from the roots of Croton dichogamus Pax." Phytochemistry. 2017;144:1-8. AbstractFull text

Four previously undescribed diterpenoids including two crotofolanes, crotodichogamoin A and B, and two halimanes, crothalimene A and B, a new sesquiterpenoid, and fifteen previously reported compounds, including the crotofolane, crotohaumanoxide, the casbane, depressin, a further seven furanohalimane diterpenoids, three patchoulane and two further cadinane sesquiterpenoids and aleuritolic acid were isolated from the root of Croton dichogamus. Crotodichogamoin B is an important biosynthetic intermediate of the crotofolane class and this is the first report of patchoulene sesquiterpenoids from the genus. Compounds were tested at one concentration, 1 × 10−5 M, in the NCI59 cell one-dose screen but did not show significant activity snd were also evaluated for their cytotoxicity against Caco-2 cell lines using the neutral red assay. 10-epi-Maninsigin D reduced Caco-2 cell viability at 10, 30 and 100 μM, with values of decreased viability of 28%, 48% and 43% respectively. None of the other tested compounds showed significant activity.
Keywords
Croton dichogamusEuphorbiaceaeCrotofolaneCrotodichogamoin BCrothalimene ACrothalimene BPatchoulaneCaco-2 cell viability

Alekseenko SV, Shkorbatova YP, Toporova SN. "Effects of {Strabismus} and {Monocular} {Deprivation} on the {Sizes} of {Callosal} {Cells} in {Cortical} {Fields} 17 and 18 in the {Cat} {Brain}." Neuroscience and Behavioral Physiology. 2014;44:101-106. AbstractWebsite

Structural changes in the visual cortex were studied in conditions of deranged binocular experience by assessing the sizes (body areas) of callosal cells in fields 17 and 18 in monocularly deprived cats and in cats with convergent strabismus. These cells were detected by injection of horseradish peroxidase into columns in cortical fields 17 and 18 and the fields 17/18 transitional zone. In both groups, the mean size of callosal cells in field 17 was greater than normal, though this difference in field 18 was seen only in monocularly deprived cats. Differences in the mean sizes of field 17 and 18 cells in cats of the study groups were found to be due to the number of large cells. In cats with strabismus, callosal cells of size greater than 200 μm2 accounted for 58% of cells in field 17 and 8% in field 18. In monocularly deprived cats, there was no difference in the proportions of large callosal cells in these fields (28% and 26%, respectively). These data provide evidence that cytoarchitectonic changes occurred in layers of the visual cortex, serving as sources of interhemisphere connections, in conditions of early derangement of binocular experience.

Alekseenko SV, Shkorbatova YP, Toporova SN. "Effects of {Strabismus} and {Monocular} {Deprivation} on the {Sizes} of {Callosal} {Cells} in {Cortical} {Fields} 17 and 18 in the {Cat} {Brain}." Neuroscience and Behavioral Physiology. 2014;44:101-106. AbstractWebsite

Structural changes in the visual cortex were studied in conditions of deranged binocular experience by assessing the sizes (body areas) of callosal cells in fields 17 and 18 in monocularly deprived cats and in cats with convergent strabismus. These cells were detected by injection of horseradish peroxidase into columns in cortical fields 17 and 18 and the fields 17/18 transitional zone. In both groups, the mean size of callosal cells in field 17 was greater than normal, though this difference in field 18 was seen only in monocularly deprived cats. Differences in the mean sizes of field 17 and 18 cells in cats of the study groups were found to be due to the number of large cells. In cats with strabismus, callosal cells of size greater than 200 μm2 accounted for 58% of cells in field 17 and 8% in field 18. In monocularly deprived cats, there was no difference in the proportions of large callosal cells in these fields (28% and 26%, respectively). These data provide evidence that cytoarchitectonic changes occurred in layers of the visual cortex, serving as sources of interhemisphere connections, in conditions of early derangement of binocular experience.

Alekseeva IG, Lapina GP, Tulovskaia ZD, Izmaĭlova VN. "[Structure formation in interphase adsorption layers of lysozyme at liquid boundaries]." Biofizika. 1975;20(4):566-9. Abstract

In connection with the modelling of biomembranes regularities of the formation and development of interphase adsorption layers of lysozyme at liquid borders under different conditions and depending on the nature of carbohydrate phase were investigated by the determination of mechanical characteristics of such layers. The investigations carried out showed that the most solid layers appeared under the conditions which assured the formation of the maximum number of intermolecular bonds (which in a common case is performed with maximum disorderlinesss of the macromolecules which get at the interphase).

Alekseeva IG, Lapina GP, Tulovskaia ZD, Izmaĭlova VN. "[Structure formation in interphase adsorption layers of lysozyme at liquid boundaries]." Biofizika. 1975;20(4):566-9. Abstract

In connection with the modelling of biomembranes regularities of the formation and development of interphase adsorption layers of lysozyme at liquid borders under different conditions and depending on the nature of carbohydrate phase were investigated by the determination of mechanical characteristics of such layers. The investigations carried out showed that the most solid layers appeared under the conditions which assured the formation of the maximum number of intermolecular bonds (which in a common case is performed with maximum disorderlinesss of the macromolecules which get at the interphase).

Alemayehu F, Richard O, James KM, Wasonga OV. "Assessment of mangrove covers change and biomass in mida creek, Kenya." Open Journal of Forestry. 2014;2014. Abstract
n/a
ALERI DRJOSHUAWAFULA. "Traumatic Diaphragmatic Hernia in 3 Canines, a Challenge to Management (2010). Kipyegon, A.N., Abuom, T.O., Aleri, J.W. and Mulei, C.M.". In: Faculty of Veterinary Medicine 7th Biennial Scientific Conference 2010. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW;, Mutembei HK;, Mulei CM;, Mbugua SM;, Gakombe JW. "Retrospective Study On Canine Infertility In Nairobi And Its Environs (2010)."; 2010.
ALERI DRJOSHUAWAFULA. "Rabies and Population Control of Stray Dogs and Cats in Nairobi Slums. WVS-CSD Initiative (2011). Muraya, J., Aleri, J.W. Mutembei, H.M and Mulei, C.M.". In: Rabies Workshop 26th September,2011 held in Machokas. KVA; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Kipyegon AN, Mulei CM, Karanja DN. "Acute Respiratory Distress Syndrome Due to Babesiosis in a Dog: Case Report.". 2011. AbstractWebsite

Abstract: A case of acute respiratory distress syndrome due to babesiosis is reported in a 5 years old male Japanese sptiz. The patient was noticed to have developed sudden dyspnoea. The main presenting clinical signs included laboured breathing, broad-base stance but preferred recumbency, pallour and seizures. Blood smears from the ear tips revealed presence of multiple Babesia parasites in the erythrocytes. Hematology results showed slight leucocytosis, severe anemia and thrombocytopenia. Additionally, urinalysis revealed renal pathology and presence of leucocytes in urine. Despite aggressive measures to stabilize the patient, it died within an hour. Autopsy results also confirmed Babesiosis with generalized icterus.

Aleri JW, Mogoa EM, Mulei CM. "Welfare of dairy cattle in the smallholder (zero-grazing) production systems in Nairobi and its environs.". 2012. Abstract

Animal welfare is defined as the ability of an animal to interact comfortably with its environment through its physiological, psychological and behavioural systems. About 70% of dairy production in Kenya is from the smallholder production systems. These production systems are negatively impacted by a number of factors including poor nutrition, substandard husbandry and management practices, lack of appropriate farm inputs, diseases and low incomes. These factors influence the welfare of dairy cattle, hence their importance for its evaluation. This study was therefore designed with the following objectives: 1. to determine the welfare of dairy cattle in the smallholder production units in Nairobi and its environs, 2. to determine the risk factors contributing to poor welfare of dairy cattle in the smallholder production units, 3. to determine the indicators of poor welfare of dairy cattle in the smallholder production units, 4. to determine the farmers’ and stockmen’s perspectives of animal welfare. These objectives were achieved through a cross-sectional study carried out in 80 smallholder dairy units purposively selected in Nairobi and its environs, in which 306 dairy cows were examined. The welfare of cattle in these dairy units was evaluated through several methods which included: visual observations for animal- and farm-level factors that indicate poor welfare of cattle; taking measurements of dairy housing unit dimensions such as cubicle, walk-alley, kerb and feeding bunk; and using a structured questionnaire to interview farmers and stockmen on nutritional regimes and other management practices such as removal of slurry, milking techniques, record keeping and disease control. These factors were recorded and later analyzed. Analyses included descriptive statistics, and simple associations using chi-square at p< 0.05 significance level. Over 80% of these smallholder units had factors that contributed to poor welfare of dairy cattle. These factors included under-size cubicles, small walk-alleys, too high feeding bunks with traumatic edges, too low positioning of neck rails at the feed bunks, sharp objects and edges within the housing units and dilapidated housing structures. The main evidence of poor welfare was injuries on the animals. The body condition score (BCS) of the cows was the main indicator of welfare relating to feeding. Presence of injuries or scars on the skin at various parts of the body was considered a positive indicator of poor welfare either associated with housing structures, management practices or animal interactions. Other causes of poor welfare of the cows were hind-limb tying during milking, teat pulling during hand-milking, more than 24-hour delay before sick cows were treated, and mixing of cattle of different age-groups in the same compartment. Cow-human interaction was poor as evidenced by fearful response and long avoidance distance. This study concludes that poor welfare of dairy cattle exists in all the smallholder units evaluated, which is mainly caused by improper housing and management. Training of farmers and stockmen on animal welfare issues would therefore be a prerequisite to the improvement of dairy cattle welfare. Research on the physiological response to poor welfare of dairy cows in the smallholder units needs to be carried out to enhance the understanding of the impact of these risk factors on smallholder dairy animals.

Aleri JW, T.O. A, Kitaa JM, Kipyegon AN, Mulei CM. "Clinical presentation, treatment and management of some rabbit conditions in Nairobi ." Bull. Anim. Hlth. Prod. Afr . 2012;60:149-152.
ALERI DRJOSHUAWAFULA. "Promoting Animal and Human Welfare in Disasters: The Role of Veterinary Professionals (2011). Aleri, J.W and Mogoa, E.M.". In: 45th Kenya Veterinary Association Conference in Kisumu 2011. KVA; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Situational Analysis of Canine Infertility in Nairobi and its Environs. Departmental Seminar 2008.". In: Departmental Seminar . Departmental seminar; 2008. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Nguhiu-Mwangi J, Mogoa EGM. "Welfare of dairy cattle in the smallholder (zero-grazing) production systems in Nairobi and its environs.". 2012. AbstractWebsite

Animal welfare is defined as the ability of an animal to interact comfortably with its environment through its physiological, psychological and behavioural systems. About 70% of dairy production in Kenya is from the smallholder production systems. These production systems are negatively impacted by a number of factors including poor nutrition, substandard husbandry and management practices, lack of appropriate farm inputs, diseases and low incomes. These factors influence the welfare of dairy cattle, hence their importance for its evaluation. This study was therefore designed with the following objectives: 1. to determine the welfare of dairy cattle in the smallholder production units in Nairobi and its environs, 2. to determine the risk factors contributing to poor welfare of dairy cattle in the smallholder production units, 3. to determine the indicators of poor welfare of dairy cattle in the smallholder production units, 4. to determine the farmers’ and stockmen’s perspectives of animal welfare. These objectives were achieved through a cross-sectional study carried out in 80 smallholder dairy units purposively selected in Nairobi and its environs, in which 306 dairy cows were examined. The welfare of cattle in these dairy units was evaluated through several methods which included: visual observations for animal- and farm-level factors that indicate poor welfare of cattle; taking measurements of dairy housing unit dimensions such as cubicle, walk-alley, kerb and feeding bunk; and using a structured questionnaire to interview farmers and stockmen on nutritional regimes and other management practices such as removal of slurry, milking techniques, record keeping and disease control. These factors were recorded and later analyzed. Analyses included descriptive statistics, and simple associations using chi-square at p< 0.05 significance level. Over 80% of these smallholder units had factors that contributed to poor welfare of dairy cattle. These factors included under-size cubicles, small walk-alleys, too high feeding bunks with traumatic edges, too low positioning of neck rails at the feed bunks, sharp objects and edges within the housing units and dilapidated housing structures. The main evidence of poor welfare was injuries on the animals. The body condition score (BCS) of the cows was the main indicator of welfare relating to feeding. Presence of injuries or scars on the skin at various parts of the body was considered a positive indicator of poor welfare either associated with housing structures, management practices or animal interactions. Other causes of poor welfare of the cows were hind-limb tying during milking, teat pulling during hand-milking, more than 24-hour delay before sick cows were treated, and mixing of cattle of different age-groups in the same compartment. Cow-human interaction was poor as evidenced by fearful response and long avoidance distance. This study concludes that poor welfare of dairy cattle exists in all the smallholder units evaluated, which is mainly caused by improper housing and management. Training of farmers and stockmen on animal welfare issues would therefore be a prerequisite to the improvement of dairy cattle welfare. Research on the physiological response to poor welfare of dairy cows in the smallholder units needs to be carried out to enhance the understanding of the impact of these risk factors on smallholder dairy animals.

Aleri JW, Mogoa EM, Mulei CM. "Welfare of dairy cattle in the smallholder (zero-grazing) production systems in Nairobi and its environs.". 2012. Abstract

Animal welfare is defined as the ability of an animal to interact comfortably with its environment through its physiological, psychological and behavioural systems. About 70% of dairy production in Kenya is from the smallholder production systems. These production systems are negatively impacted by a number of factors including poor nutrition, substandard husbandry and management practices, lack of appropriate farm inputs, diseases and low incomes. These factors influence the welfare of dairy cattle, hence their importance for its evaluation. This study was therefore designed with the following objectives: 1. to determine the welfare of dairy cattle in the smallholder production units in Nairobi and its environs, 2. to determine the risk factors contributing to poor welfare of dairy cattle in the smallholder production units, 3. to determine the indicators of poor welfare of dairy cattle in the smallholder production units, 4. to determine the farmers’ and stockmen’s perspectives of animal welfare. These objectives were achieved through a cross-sectional study carried out in 80 smallholder dairy units purposively selected in Nairobi and its environs, in which 306 dairy cows were examined. The welfare of cattle in these dairy units was evaluated through several methods which included: visual observations for animal- and farm-level factors that indicate poor welfare of cattle; taking measurements of dairy housing unit dimensions such as cubicle, walk-alley, kerb and feeding bunk; and using a structured questionnaire to interview farmers and stockmen on nutritional regimes and other management practices such as removal of slurry, milking techniques, record keeping and disease control. These factors were recorded and later analyzed. Analyses included descriptive statistics, and simple associations using chi-square at p< 0.05 significance level. Over 80% of these smallholder units had factors that contributed to poor welfare of dairy cattle. These factors included under-size cubicles, small walk-alleys, too high feeding bunks with traumatic edges, too low positioning of neck rails at the feed bunks, sharp objects and edges within the housing units and dilapidated housing structures. The main evidence of poor welfare was injuries on the animals. The body condition score (BCS) of the cows was the main indicator of welfare relating to feeding. Presence of injuries or scars on the skin at various parts of the body was considered a positive indicator of poor welfare either associated with housing structures, management practices or animal interactions. Other causes of poor welfare of the cows were hind-limb tying during milking, teat pulling during hand-milking, more than 24-hour delay before sick cows were treated, and mixing of cattle of different age-groups in the same compartment. Cow-human interaction was poor as evidenced by fearful response and long avoidance distance. This study concludes that poor welfare of dairy cattle exists in all the smallholder units evaluated, which is mainly caused by improper housing and management. Training of farmers and stockmen on animal welfare issues would therefore be a prerequisite to the improvement of dairy cattle welfare. Research on the physiological response to poor welfare of dairy cows in the smallholder units needs to be carried out to enhance the understanding of the impact of these risk factors on smallholder dairy animals.

ALERI DRJOSHUAWAFULA. "Welfare of Dairy Cattle in the Smallholder (Zero-grazing) Production Systems of Nairobi and its Environs (2011). Aleri, J.W.". In: Faculty of veterinary medicine 8th Biennal scientific conference and the 46th KVA annual Scientific conference 25 . University of Nairobi Thesis; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Abuom TO, Mulei CM. "A typical actinobacillosis in an adult friesian cow.". 2011. AbstractWebsite

Actinobacillosis due to Actinobacillus lignieresi, has been reported in domestic animals including cattle, sheep, goats, buffalo, horses and dogs (Carmalt et al., 1999; Kennerman et al., 2006; Muhammad et al., 2006; Brown et al., 2007). The causative agent is a gram-negative aerobic rod and a normal inhabitant of the gastrointestinal tract of ruminants (Radostits et al., 2007; Smith, 2009). The most frequent clinical presentation is granulomatous or pyogranulomatous lesion of the tongue or subcutaneous tissues in the head and neck region. A typical manifestation of the disease have been reported affecting other body tissues / organs usually associated from lacerations, dehorning, nose-rings, intravenous injections and lymphadenitis (Aslani, et al., 1995; Holzhauer and Roumen, 2002). Outbreaks of the disease have also been reported (Campbell et al., 1975; Nakazawa and Azuma 1977). This paper outlines an atypical case of actinobacillosis of soft tissue swelling of the head in a cow without any exudation from the lesion, which is a challenge to confirming the etiological agent and treatment.

ALERI DRJOSHUAWAFULA. "Retrospective Study on Canine Infertility in Nairobi and its Environs (2010). Aleri, J.W., Mutembei, H.K., Mulei, C.M., Mbugua, S.M. and Gakombe, J.W.". In: Faculty of Veterinary Medicine 7th Biennial Scientific Conference 2010. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "A Typical Actinobacillosis in an Adult Friesian Cow (2012). AG Thaiyah, JW Aleri, TO Abuom, CM Mulei.". In: Bulletin of Animal Health and Production in Africa > Vol 60, No 1 (2012). Bulletin of Animal Health and Production in Africa > Vol 60, No 1 (2012); 2012. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Entrenching Animal welfare in Policy and Legislations Frameworks: Is Africa ready? (2010). Mogoa, E.M. and Aleri, J.W.". In: Africa Animal Welfare Action (AAWA) Conference 2010 . AAWA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW;, Mutembei HK;, Mulei CM;, Mbugua SM;, Gakombe JW. "Retrospective Study On Canine Infertility In Nairobi And Its Environs (2010)."; 2010.
Aleri JW, Thaiyah AG, Abuom TO, Mulei CM. "A typical actinobacillosis in an adult friesian cow.". 2011.
ALERI DRJOSHUAWAFULA. "Retrospective study on Reproductive conditions in Bitches in Nairobi (2010). Aleri, J.W., Mutembei, H.K., C.M. Mulei., Gakombe, J.W. and Mbugua, S.M.". In: The Kenya Veterinarian 34: 29-31. http://www.ajol.info/index.php/kenvet/article/view/68400. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Risk factors for body injuries and poor welfare in cattle within smallholder units in periurban areas of Nairobi, Kenya (2011). Aleri, J.W., Nguhiu-Mwangi, J., Mogoa, E.M and Mulei, C.M.". In: 45th Kenya Veterinary Association Conference in Kisumu 2011. KVA; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "The Status of Animal welfare in Kenya. Departmental Seminar .". In: Department of Clinical Studies University of Nairobi 2008. Departmental seminar; 2008. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Kipyegon AN, Mande JD, Mulei CM, Karanja DN. "Acute Respiratory Distress Syndrome Due to Babesiosis in a Dog: Case Report.". 2011. AbstractWebsite

Abstract: A case of acute respiratory distress syndrome due to babesiosis is reported in a 5 years old male Japanese sptiz. The patient was noticed to have developed sudden dyspnoea. The main presenting clinical signs included laboured breathing, broad-base stance but preferred recumbency, pallour and seizures. Blood smears from the ear tips revealed presence of multiple Babesia parasites in the erythrocytes. Hematology results showed slight leucocytosis, severe anemia and thrombocytopenia. Additionally, urinalysis revealed renal pathology and presence of leucocytes in urine. Despite aggressive measures to stabilize the patient, it died within an hour. Autopsy results also confirmed Babesiosis with generalized icterus.

ALERI DRJOSHUAWAFULA. "Housing-design as a predisposing factor for injuries and poor welfare in cattle within smallholder units in periurban areas of Nairobi, Kenya (2011). J W Aleri, J Nguhiu-Mwangi and E M Mogoa.". In: Livestock research for rural development 23 (3) 2011. Livestock research for rural development 23 (3) 2011; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "An Acute Respiratory Distress Syndrome due to Babesiosis in a dog (2010). Aleri, J. W., Kipyegon, A.N., Mande, J.D., Mulei, C.M. and Karanja, D.N.". In: Faculty of Veterinary Medicine 7th Biennial Scientific Conference 2010. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Acute Respiratory Distress Syndrome due to Babesiosis in a dog (2012). Aleri, J. W., Kipyegon, A.N., Mande, J.D., Mulei, C.M. and Karanja, D.N.". In: Departmental seminar. Departmental seminar; 2012. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Major Causes of Calf Mortality in Peri-urban areas of Nairobi, (2010). Gitau, G.K., Aleri, J.W., Mbuthia, P.G. and Mulei, C.M.". In: Kenya. Faculty of Veterinary Medicine 7th Biennial Scientific Conference 2010. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Clinical presentation, treatment and management of some rabbit conditions in Nairobi (2012). Aleri J W, Abuom T O, Kitaa J M, Kipyegon A N and Mulei C M.". In: Bull. Anim. Hlth. Prod. Afr (2012) 60. 149 - 152. Bull. Anim. Hlth. Prod. Afr (2012) 60. 149 - 152; 2012. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Causes of Calf Mortality in Peri-urban areas of Nairobi, Kenya (2010). Gitau, G.K., Aleri, J.W., Mbuthia, P.G. and Mulei, C.M.". In: Journal of Tropical Animal Health and Production. 42: 1643 . KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Abuom TO, Kitaa JM, Kipyegon AN, Mulei CM. "An overview of Rabbit conditions presented to the Small Animal Clinic University of Nairobi Kenya.". In: 45th Annual Scientific Conference of the Kenya Veterinary Association. Kisumu Hotel, Kisumu Kenya; 2011.
ALERI DRJOSHUAWAFULA. "An overview of rabbit conditions presented to the Small Animal Clinic, University of Nairobi (2011). Aleri, J.W., Abuom, T.O., Kitaa, J.M., Kipyegon, A.N and Mulei, C.M.". In: 45th Kenya Veterinary Association Conference in Kisumu 2011. KVA; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW, Nguhiu-Mwangi J, Mulei CM. "Welfare of dairy cattle in the smallholder (zero-grazing) production systems in Nairobi and its environs.". 2012. Abstract

Animal welfare is defined as the ability of an animal to interact comfortably with its environment through its physiological, psychological and behavioural systems. About 70% of dairy production in Kenya is from the smallholder production systems. These production systems are negatively impacted by a number of factors including poor nutrition, substandard husbandry and management practices, lack of appropriate farm inputs, diseases and low incomes. These factors influence the welfare of dairy cattle, hence their importance for its evaluation. This study was therefore designed with the following objectives: 1. to determine the welfare of dairy cattle in the smallholder production units in Nairobi and its environs, 2. to determine the risk factors contributing to poor welfare of dairy cattle in the smallholder production units, 3. to determine the indicators of poor welfare of dairy cattle in the smallholder production units, 4. to determine the farmers’ and stockmen’s perspectives of animal welfare. These objectives were achieved through a cross-sectional study carried out in 80 smallholder dairy units purposively selected in Nairobi and its environs, in which 306 dairy cows were examined. The welfare of cattle in these dairy units was evaluated through several methods which included: visual observations for animal- and farm-level factors that indicate poor welfare of cattle; taking measurements of dairy housing unit dimensions such as cubicle, walk-alley, kerb and feeding bunk; and using a structured questionnaire to interview farmers and stockmen on nutritional regimes and other management practices such as removal of slurry, milking techniques, record keeping and disease control. These factors were recorded and later analyzed. Analyses included descriptive statistics, and simple associations using chi-square at p< 0.05 significance level. Over 80% of these smallholder units had factors that contributed to poor welfare of dairy cattle. These factors included under-size cubicles, small walk-alleys, too high feeding bunks with traumatic edges, too low positioning of neck rails at the feed bunks, sharp objects and edges within the housing units and dilapidated housing structures. The main evidence of poor welfare was injuries on the animals. The body condition score (BCS) of the cows was the main indicator of welfare relating to feeding. Presence of injuries or scars on the skin at various parts of the body was considered a positive indicator of poor welfare either associated with housing structures, management practices or animal interactions. Other causes of poor welfare of the cows were hind-limb tying during milking, teat pulling during hand-milking, more than 24-hour delay before sick cows were treated, and mixing of cattle of different age-groups in the same compartment. Cow-human interaction was poor as evidenced by fearful response and long avoidance distance. This study concludes that poor welfare of dairy cattle exists in all the smallholder units evaluated, which is mainly caused by improper housing and management. Training of farmers and stockmen on animal welfare issues would therefore be a prerequisite to the improvement of dairy cattle welfare. Research on the physiological response to poor welfare of dairy cows in the smallholder units needs to be carried out to enhance the understanding of the impact of these risk factors on smallholder dairy animals.

Aleri JW, Mogoa EGM, Mulei CM, Mande JD. "Animal Welfare The Impact of Customized Lectures on Knowledge and Perceptions of Veterinary Students on Animal Welfare and Related Legislations.". 2009. Abstract

A study was designed to investigate the knowledge and perceptions of animal welfare and related legislations among graduating Bachelor of Veterinary Medicine students from the University of Nairobi, Kenya. A questionnaire was designed and administered to assess understanding, poor attributes, good provisions, legislations’, knowledge and sources of general information on animal welfare. The percentage responses to the questions before and after the customized lecture series were determined and differences compared using a paired t test. The level of awareness of animal welfare issues among students before and after the customized lectures was 33.11% and 68.03% respectively. Significant differences at p ≤ 0.05 on all the attributes assessed was observed. p=0.0056 on the understanding of animal welfare, p=0.0232 on what constitutes poor animal welfare and p=0.025 on conditions necessary to ensure a state of good animal welfare. A 50% increase in awareness of legislations on animal welfare was recorded after the lecture series. The major source of information on animal welfare was from the lecture series offered. This study confirms that inclusion of the customized lectures on animal welfare in training veterinary students was effective in promoting awareness on animal welfare. The contents of these lectures should be included in relevant subjects taught to students at the Faculties of Veterinary Medicine.

Aleri JW, Mutembei HM, Mulei CM, Gakombe JW;, MBUGUA SM. "A Retrospective Study of Reproductive Conditions in Bitches in Nairobi.". 2010. Abstract

A twenty year retrospective study was carried out in the Small Animal Clinic, University of Nairobi, Kenya and in a private Small Animal Clinic in Nairobi between the years 1988 to 2008. A total of 6548 bitches had been presented with reproductive problems. The cases were categorically grouped according to the type of infertility diagnosed. Non-infectious infertilities were sixty nine percent and infectious types were thirty one percent. Only two percent of the latter were confirmed in one clinic. 23.20 % of non-infectious infertility were managerial, 29.1% anatomical and 7.80% physiological types while 39.80 % were unclassified miscellaneous cases. The cases classified under infectious infertility consisted of; vaginitis/endometritis/metritis (36.3%), pyometra (25.3%), abortions (21.5%), vaginal discharges (11.7%) and miscarriages (5.1%). The incidence of infertilities was highly common in breeds of German shepherd (39%), Doberman (6%), Rottweiler (12%) and their crosses (43%). The percentage of the reproductive cases presented in both clinics had no statistical difference at (p<0.05). It was evident from the results of this study that infectious infertility exists among the bitches in Kenya and it would be beneficial to do further studies to establish the causative agents to avert any possible outbreaks of zoonotic diseases.

ALERI DRJOSHUAWAFULA. "Tick-borne diseases a threat in the kennels (2011). Aleri, J.W. and Muiruri, M.N.". In: Kennel club Annual Newsletter March 2011. Kennel club; 2011. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "The Impact of Customized Lectures on Knowledge and Perceptions of Veterinary Students on Animal Welfare and Related Legislations (2009). Aleri, J.W., Mogoa, E.G.M., Mulei, C.M. and Mande, J.D.". In: The Kenya Veterinarian 33: 23 - 30. http://www.ajol.info/index.php/kenvet/article/view/55770. KVA; 2009. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Challenges in the Smallholder (zero-grazing) Production Systems of Nairobi and its Environs: A Welfare Perspective (2012). J.W. Aleri., J.M. Nguhiu., E.M. Mogoa and C.M. Mulei.". In: Faculty of veterinary medicine 8th Biennal scientific conference and the 46th KVA annual Scientific conference 25 . KVA; 2012. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Aleri JW;, Nguhiu JM;, Mogoa, E.M; Mulei CM, Mogoa, E.M; Mulei CM. "Challenges In The Smallholder (zero - Grazing) Production Systems Of Nairobi And Its Environs: A Welfare Perspective.".; 2012.
ALERI DRJOSHUAWAFULA. "The Impact of Customized Lectures on Knowledge and Perceptions of Veterinary Students on Animal Welfare and Related Legislations (2010). Aleri, J.W., Mogoa, E.G.M., Mulei, C.M. and Mande, J.D.". In: Kenya Veterinary Association Conference in Garissa 2010. KVA; 2010. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
ALERI DRJOSHUAWAFULA. "Welfare of dairy cattle in the smallholder (zero-grazing) production systems in Nairobi and its environs (2012). J W Aleri, J Nguhiu-Mwangi, E M Mogoa and C M Mulei.". In: Livestock research for rural development 24 (9) 2012. Livestock research for rural development 24 (9) 2012; 2012. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
Alex Awuor Ogacho, Ajuoga P, Aduda BO. "International Journal for Innovation Education and Research." International Journal for Innovation Education and Research. 2015;3(6):140-146. AbstractJournal Article Website

The effects of niobium doping (for doping concentrations: 0.02 – 0.06 at. % Nb5+) on the crystal structure of
TiO2 prepared by high temperature diffusion method were investigated. The samples were characterized using
energy dispersive X-ray fluorescence (EDXRF) and X- ray diffraction (XRD) spectroscopy to investigate the
chemical compositions, phase compositions and crystallinity of the thin films respectively. Despite the expected
high reutilization at high temperatures (>600oC), XRD results confirmed a significant suppression of anatase to
rutile phase transformation at even a higher synthesis (850oC) temperature. Grain growth retardation was also
observed in niobium doped TiO2, results which were attributed to Nb5+ substitution of lattice Ti4+.
Key words: Anatase, rutile, phase transformation, grain growth

ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. MBChB Community Health Diagnosis Programme Perspective.". In: University of Aberdeen International Seminar, June 2009. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2009. Abstract
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ALEXANDER PROFMWANTHIMUTUKU. "Proposed Procedures for Management of Waste Generated by Health Care Facilities. .Mwanthi, M. A. and Mutua, G. N.". In: African Journal of Environmental Assessment and Management, 4: (1). 39-45, 2002. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2002. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Kimani, V.N. and Mwanthi, M.A. Agrochemicals exposure and health implications in Githunguri Location, Kenya. East Afr Med J. 1995 Aug;72(8):531-5.". In: East Afr Med J. 1995 Aug;72(8):531-5. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1995. Abstract
A study conducted in a rural agricultural community (Githunguri location) in Kenya between 1987 and 1990 investigated the extent of use of agrochemicals, especially pesticides, by the farmers; their level of awareness of the dangers posed by these chemicals and their attitudes towards agricultural chemicals in general. The findings showed that more than 95% of the farmers used pesticides extensively. More women than men were found to be at risk of agrochemicals exposure, while babies and children were at more risk of agrochemicals exposure than the women. In this community, knowledge and awareness regarding safety in handling and storage of agrochemicals was to some extent limited. For instance, many had no knowledge of an antidote in case of accidental poisoning. Additionally, suicidal attempts by ingestion of agrochemicals was prevalent. Improper handling of the agrochemicals by the community members was implicated to have adverse health effects. These health effects were reported in form of complaints. They ranged from acute to chronic conditions. Consequently, an intervention programme was launched with the women as the key players. It is envisaged that community participation in the on going intervention programme is saving babies, children, women and the community at large from agrochemicals hazards.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Occurrence of three pesticides in community water supplies, Kenya.". In: Bulletin of Environmental Contamination and Toxicology, 60:601-608, 1998. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1989. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "Rose O. Opiyo, Mutuku A. Mwanthi, Mary K. Kinoti, Prescilla S. Migori. Intestinal Worm Infections and Nutritional Status of School Children in Nairobi Province, Kenya.". In: African Journal for Community Health and Development. Vol. 1; NO.1. 52-56, 2009. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2010. Abstract

.Helminthic infections among children are subtle and insidious constraints on normal physical development. They impact negatively on children's genetic potential growth, with clinical consequences of iron.deficiency anaemia and other nutritional deficiencies (Awasthi et al., 2003). School-age children are particularly at risk of parasitic infections and under-nutrition, yet they have not been the focus of nutritional surveys. A cross-sectional study was conducted in Nairobi among school children 5-14 years in early 2006 from 39 randomly selected schools. 32 were public, five were private and two were informal schools. Stool samples from 1632 pupils were microscopically examined (Katz et a!. 1972) to establ ish the presence or absence of soil transmitted helminthic eggs and Schistosoma manson; while nutritional status data were analysed for 1574 pupils because their anthropometry data were correctly recorded. i, The prevatenceof .chton ic malnutrition .. (stunting) among the children was determined using Height-for-Age nutrition status indicator while being underweight or overweight was determined using the BMI-for-Age indicator. 12.8% of the children were infected by at least one of the three soil transmitted helminths (STHs) and S. mensoni. 33% were underweight while 10.7% were stunted. Children with parasitic infections were three times more likely to be underweight than those without infections (p>O.OS). Children with over one parasitic infections were 1.6 times more likely to be underweight than those exposed to one type. Exposure to parasitic infection contributes to both underweight and stunting among school children ..

ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. and Mutua, G. N. Proposed Procedures for Management of Waste Generated by Health Care Facilities. African Journal of Environmental Assessment and Management, 4: (1). 39-45, 2002.". In: African Journal of Environmental Assessment and Management, 4: (1). 39-45, 2002. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2002. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. A Proposal for Senior Manpower Development in Environmental Science in Kenya, International Journal of Environmental Health Research, 7:315-330, 1996.". In: International Journal of Environmental Health Research, 7:315-330, 1996. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1996. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. and Kimani, N.V. Pesticides hazards.". In: An International Journal of Health Development WHO; Geneva, 11:430, 1990. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1990. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

Alexander O’o J, Shitandi OB, Kerubuo MM, Ngure KB. "Pattern of stroke in a rural Kenyan hospital." Malawi Medical Journal . 2019;31(1):50-55. Abstractpattern_of_stroke_in_a_rural_kenyan_hospital.pdfCC BY-NC-ND

Background
The pattern of stroke in rural population differs from that in urban ones. Although there are many studies on this condition in sub-Saharan Africa, few studies about stroke pattern in a Kenyan rural area exist.. This study therefore aims at describing the characteristics of stroke in a rural Kenyan hospital.
Patients and Methods
The study was conducted on 227 consecutive patients admitted with a World Health Organization (WHO) diagnosis of stroke in Kangundo Hospital, a level IV facility in Machakos, Eastern Kenya, between April 2015 and September 2016. The sub-type and anatomical distribution of stroke as well as the age, gender of the patients were recorded prospectively. Diagnosis was made through physical neurological examination and confirmed by Computerized Tomography (CT) scan imaging. Only those with complete bio-data, past medical and social history, clinical and physical findings of the patients and imaging results were included. The data were entered into a pre-formatted questionnaire, analysed for means, standard deviations and frequencies, and are presented in tables and bar charts.
Results
Out of 3200 medical admissions, 227 (7.09%) had a confirmed diagnosis of stroke. Ischaemic stroke was more common (67.4%) than haemorrhagic stroke (32.6%). It affected mainly the anterior circulation, especially the middle cerebral artery (39%). The mean age of patients was 68.8 years, (Range 32 – 96). It was more common in females (62%) than in males (38%). Hypertension was the most common (74%) risk factor followed by alcohol abuse (63%), tobacco smoking (48%) and diabetes mellitus (42%).
Conclusion
Ischaemic stroke was the more common major cause of morbidity in the rural hospital studied in Kenya. It occurred most commonly among elderly females, with the most frequent comorbidities being hypertension. In addition, modifiable lifestyle factors like alcohol abuse and cigarette smoking contributed to the prevalence; hence we recommend the control of blood pressure and glucose as well as lifestyle modification to reduce the scourge in our studied population.

ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. The Role of Employers and Stakeholders in Control of Occupational Hazards. Submitted in January 2010 to African Journal for Community Health and Development.". In: Book Chapter in Medicine and Environment Text Book 2009). Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2010. Abstract
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ALEXANDER PROFMWANTHIMUTUKU. "Omutanyi, M and Mwanthi, M.A. Determinants of Immunization Coverage in Butere-Mumiasi District. East African Medical Journal, 82:(10). 501-505, 2005.". In: East African Medical Journal, 82:(10). 501-505, 2005. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2005. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A; Nyabola, L. O; Tenambergen, T. Solid Waste Management in Nairobi City: Knowledge and Attitudes.". In: Journal of Environmental Health, 60:23-29, 1997. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1997. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. Africa: The changing Environment and Health. International.". In: Journal of Environmental Health Research, 2:84-88, 1992. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1992. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "A Community Health Worker Program for the Prevention of Malaria in Eastern Kenya.". In: Book Chapter in Medicine and Environment Text Book 2009). Stromberg DG, Frederiksen J, Hruschka J, Tomedi A, Mwanthi M.; 2011. Abstract
Objective: To assess whether the development and implementation of a community health worker (CHW) project in rural Kenya was associated with an increase in knowledge about malaria and the use of insecticide-treated nets (ITNs) in children under five years of age.Methods: A baseline knowledge and behavior questionnaire, adopted from the Kenyan Demographic Health Survey, was conducted in August 2007 by Kenyan health officials in 75 villages. Two CHWs were chosen from each village and trained in appropriate use of ITNs. The CHWs provided educational sessions and ITNs to mothers in their respective villages. A follow-up survey was conducted in March 2008 of all families with children less than five years of age within randomly selected villages. The main questions addressed during the follow-up survey included knowledge about malaria and the practice of correctly using ITNs.Findings: There were 267 surveys compiled for knowledge assessment before the intervention and 340 in the post-intervention analysis with an approximate 99% family participation rate. Of the families surveyed, 81% correctly knew the cause for malaria before the study and 93% after the CHW intervention (p < 0.01). Of those surveyed before the intervention, 70% owned and correctly used mosquito nets compared with 88% after the CHW intervention (p < 0.01).Conclusions: There was a significant increase in knowledge about malaria and use of ITNs after the implementation of the CHW program. Keywords: Community health aides, insecticide-treated bednets, malaria/diagnosis, malaria/prevention andcontrol, Kenya, rural health services, infant, child/preschool, questionnaires
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. The Status and Future of Applied Epidemiology Course for Anglophone (African) countries.". In: Benin. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2007. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Occurrence of three pesticides in community water supplies, Kenya. Bulletin of Environmental Contamination and Toxicology, 60:601-608, 1998.". In: Bulletin of Environmental Contamination and Toxicology, 60:601-608, 1998. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1998. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. and Kimani, V.N. Agrochemicals pose health risks to coffee factory workers in Githunguri, Kenya.". In: International Journal of Environmental Health Research, 3:73-81, 1993. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1993. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

Alexander RMN, Maloiy GMO, Hunter B, Jayes AS, Nturibi J. "Mechanical stresses in fast locomotion of buffalo (Syncews coffer) and elephant (Loxodonta africana).". 2009. Abstract

Films of buffalo and elephant running, and detailed measurements on dissected legs, have been used to estimate the maximum stresses which occur in locomotion, in certain muscles, tendons and bones. These stresses are similar to stresses previously determined for some other, smaller mammals.

ALEXANDER PROFMWANTHIMUTUKU. "MPH Curriculum and Health Promotion Course.". In: Promotion Course, Dares-Salaam, Tanzania. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2007. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A., Essien, E.J., Muchunga, E., Austin, J. and El Gamal, Y.Emerging effects of industrialization on health and environment in developing countries. Health Line:.". In: A Journal of Health, 5: (2). 26-29, 2001. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2001. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. Agrochemicals: Potential health hazards in Africa.". In: Africa Health,6:18-19, 1994. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1994. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "Odindo MA, Mwanthi MA.Role of governmental and non-governmental organizations in mitigation of stigma and discrimination among HIV/AIDS persons in Kibera, Kenya.East Afr J Public Health. 2008 Apr;5(1):1-5.". In: East Afr J Public Health. 2008 Apr;5(1):1-5. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2008. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Elizabeth Ngugi, Violet Kimani, Mutuku Mwanthi and Joyce Olenja, Community Based Care in Resource Limited Settings:.". In: A Framework for Action,WHO (Book publication ). Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2002. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Control of spread of Methicillin Resistant Staphylococcus aureus (MRSA) in Burns Units. Muthotho JN, Waiyaki PG, Mbalu M, Wairugu A, Mwanthi B, Odongo B. Afr J Health Sci. 1995 Feb;2(1):232-235.". In: Afr J Health Sci. 1995 Feb;2(1):232-235. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1995. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "BloodLead Levels and Potential Environmental Exposures Among Children under five years in Kibera, Nairobi. Olewe T, Mwanthi. M, Wang.". In: Journal of Applied Biosciences, (2009), Vol. 13:688-694. ISSN 1997-5902:. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2009. Abstract
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ALEXANDER PROFMWANTHIMUTUKU. "Elizabeth, N., Kimani, V.N., Mwanthi, M.A. and Joyce O.Community Based Care in Resource Limited Settings: A Framework for Action, WHO (Book Publication).". In: A Framework for Action, WHO (Book Publication). 2002. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2002. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Presence of three pesticides in rural drinking water sources in Kenya.(.". In: A doctoral dissertation, April 1996) School of Public Health Library, The University of Texas, Health Science Center at Houston. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1996. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. Environmental Pollution and its Impact on Eastern Africa.". In: Dar-es Salaam, Tanzania. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1989. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "Hruschka, JA, Tomedi AJ, Broudy BW, Frederickson J, Stromberg DG, Schmitt, C L and Mwanthi, MA. Effectiveness of Community Health Care Workers in the Prevention of Diarrhea in Rural Kenya. Journal of Investigative Medicine, Vol.58. NO.1, Jan 2010.". In: Book Chapter in Medicine and Environment Text Book 2009). Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2010. Abstract
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ALEXANDER PROFMWANTHIMUTUKU. "Determinants of Immunization Coverage in Butere-Mumiasi District. Omutanyi, M and Mwanthi, M.A.". In: East African Medical Journal, 82:(10). 501-505, 2005. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2005. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A; Nyabola, L. O; Tenambergen, T. The present and future status of municipal solid waste management in Nairobi.". In: International Journal of Environmental Health Research, 7:345-353, 1997. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1997. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. "Kenya: An Assessment of Knowledge, Attitudes and Practices of Pesticide Handling at community level,".". In: International Family Health Seminars at The University of Texas, School of Public Health, USA. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1992. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

Alexander RMN, Maloiy GMO, Ker RF, Jayes AS, Warui CN. "The role of tendon elasticity in the locomotion of the camel (Camelus dromedarius).". 2009. Abstract

Several ofthe distal leg muscles ofcamels have very short or even rudimentary muscle fibres. This makes it possible to calculate the elastic extensions of tendons that occur in running, from the leg positions observed in films. A series of experiments have been performed for this purpose on the dissected legs of a camel. The initial conclusions derived from them are modified in the light of estimates of the forces that act on the tendons, and of measurements of the elastic properties of one tendon. Evidence for movement at the intertarsal and tarso-metatarsal joints. and the corresponding joints of the fore leg, is examined. The importance of the various tendons as elastic energy stores in running is assessed.

ALEXANDER PROFMWANTHIMUTUKU. "Feasibility and effectiveness of supplementation with locally available foods in prevention of child malnutrition in Kenya.". In: Book Chapter in Medicine and Environment Text Book 2009). Angelo Tomedi, Felisha Rohan-Minjares, Kate McCalmont, Rebecca Ashton, Rose Opiyo, Mutuku M; 2011.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Role of Governmental and Non-Governmental Organizations in Mitigation of Stigma and Discrimination Among HIV/AIDS Persons in Kibera, Kenya,.". In: Nairobi. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2007. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A; Nyabola, L.O.; Tenambergen, T. Solid Waste Management in Nairobi City: Knowledge and Attitudes. Journal of Environmental Health, 60:23-29, 1997.". In: Journal of Environmental Health, 60:23-29, 1997. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1997. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. and Kimani, V.N. Patterns of agrochemical handling and community response in Central Kenya.". In: Journal of Environmental Health, 55:11-16, 1993. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1993. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Challenges on Attaining the Millennium Development Goals in Africa at the African management Communication.". In: Hilton Hotel, Nairobi. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2007. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. Occupational Diseases and Other Related Health conditions.". In: Workshop Organised by Kenya Medical Association, Serena Hotel, Nairobi. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2001. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M.A. and Kimani, V.N. Agrochemicals pose health risks to coffee factory workers in Githunguri, Kenya. International Journal of Environmental Health Research, 3:73-81, 1993.". In: International Journal of Environmental Health Research, 3:73-81, 1993. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 1993. Abstract

Results of four years' studies from a number of hospitals in Kenya have shown that nosocomial infections in burns units are due to Methicillin Resistant Staphylococcus aureus (MRSA). Through chromosomal DNA and plasmid DNA, the stain is highly resistant to sulphonamide ointment and other antibiotics. 90% of patients admitted in burns units get colonized or infected with MRSA. The strain prolongs the duration of patients in hospitals. The burns degenerate to second and third degree burns, thereby necessitating skin grafting. The environment has been found to be contaminated with this strain with some staff members having chronic throat infections. Minocycline was found to be effective in treating the infected staff members. Cleaning this environment with Sodium dichloroisocyanurate (precepts)/Sodium hypochlorite (JIK) reduced drastically the mechanical transmission of bacteria in the units. The duration of stay of the patient was reduced. This shows that MRSA which is spread in government and private hospitals can cheaply be controlled by the proper use of disinfectants, antiseptics, and use of effective antibiotics when necessary.

ALEXANDER PROFMWANTHIMUTUKU. "Evaluation of a Portable Blood Lead Analyzer as an Alternative to Graphite Furnace AtomicAbsorption SpectrophotometerTom M. Olewe*; Mutuku A. Mwanthi; Joseph K. Wang.". In: Journal of Applied Biosciences, (2008), Vol. 10:483-487. ISSN 1997-5902:. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2008. Abstract
OBJECTIVE: This study assessed the role of governmental and non-governmental organizations in mitigation of stigma and discrimination among people infected and affected by HIV/AIDS in informal settlements of Kibera. METHODS: This was a descriptive cross-sectional study and used a multi stage stratified sampling method. The study was conducted in Kibera, an informal settlement with a population of over one million people which makes it the largest slum not only in Kenya but in sub-Saharan Africa. The study targeted infected individuals, non-infected community members, managers of the organizations implementing HIV/AIDS programmes and service providers. In the process 1331 households were interviewed using qualitative and quantitative data collection instruments. Statistical Package for Social Sciences (SPSS) and Nudist 4 packages were used to analyze the quantitative and qualitative data respectively. RESULTS: More than 61% of the respondents had patients in their households. Fifty five percent (55%) of the households received assistance from governmental and non-governmental organizations in taking care of the sick. Services provided included awareness, outreach, counseling, testing, treatment, advocacy, home based care, assistance to the orphans and legal issues. About 90% of the respondents perceived health education, counseling services and formation of post counseling support groups to combat stigma and discrimination to be helpful. CONCLUSION: Stigma and discrimination affects the rights of People Living with HIV/AIDS (PLWHAs). Such stigmatization and discrimination goes beyond and affects those who care for the PLWHAs, and remains the biggest impediment in the fight against HIV/AIDS in Kibera. Governmental and non-governmental organizations continue to provide key services in the mitigation of stigma and discrimination in Kibera. However, personal testimonies by PLWHAs showed that HIV positive persons still suffer from stigma and discrimination. Approximately 43% of the study population experienced stigma and discrimination.
ALEXANDER PROFMWANTHIMUTUKU. "Mwanthi, M. A. Pesticides as Occupational Health Hazards in the Kenya Flower Industry.". In: Workshop Organized by the International Labor Organization, Kenya Human Rights Commission and The Workers Rights Organization, Pan Afric Hotel, Nairobi. Karimurio Jefitha; Rono Hillary; Richard Le Mesurier; Mutuku Mwanthi; Jill Keeffe; 2002. Abstract
BACKGROUND: Butere-Mumias district is one of the districts which performs poorly on immunisation coverage, as observed from the Kenya Expanded Programme of Immunisation reports. OBJECTIVE: To identify factors that contribute to the low level of immunisation coverage in the district among children under the age of five years. DESIGN: Cross-sectional descriptive study. SETTING: Butere-Mumias district. RESULTS: Out of the 293 mothers who were sampled, 238 (80%) had attained primary level of education while, 55 (20%) attained secondary level and above. Immunisation coverage was found to be 35% in this district. Long distances to health facilities, poor states of the roads, age, attitude and knowledge regarding immunisation among mothers were significant factors that determined immunisation coverage. CONCLUSION: Low levels of education, long distances to the nearest health facilities, lack of knowledge on immunisations and lack of staff were responsible for the low coverage. There is therefore, need to act on these factors which hamper the immunisation coverage in order to reduce child mortality rate which are attributable to non-immunisation.

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