Publications

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2021
Luvai AK, Obiero JPO, Omuto CT. "Assessment of Soil Loss in a Typical Ungauged Dam Catchment using RUSLE Model (Maruba Dam, Kenya)." Journal of Environment and Earth Science. 2021;Vol 11(No. 16):56-68.
Too V, Omuto CT, Biamah EK, Obiero JP. "PERFORMANCE EVALUATION OF THE POPULAR SWRC MODELS AT DIFFERENT SOIL BULK DENSITY RANGES." Journal of Engineering in Agriculture and Environment (JEAE) . 2021;Vol 7(No. 2):40-48.
Too VK, Omuto CT, Biamah EK, Obiero JPO. "Performance Evaluation of the Popular SWRC Models at Different Soil Bulk Density Ranges." Modeling Earth Systems and Environment. 2021;published online (August 2021 ).
2020
Luvai AK, Obiero JPO, Omuto. CT. "Methods for Erosion Estimates in Assessment of Soil Degradation: A Review for Catchments in Kenya." . International Journal of Engineering Research & Technology (IJERT). 2020;Vol. 9 (Issue 05):489-494.
2019
Ochungo EA, Ouma GO, Obiero JPO, Odero NA. "An Assessment of Groundwater Grab Syndrome in Langata Sub County, Nairobi City-Kenya." Journal of Water Resource and Protection. 2019;11:651-673.
Obiero JPO, Marenya MO, Nkuna TR. "Hydrologic response modelling in Lutanandwa river catchment, Limpopo, South Africa, using Soil Water Assessment Tool (SWAT) model." Journal of Engineering in Agriculture and the Environment (JEAE). 2019;Volume 5.(No1. 2019):1-13.
2018
Muhwanga CN, Obiero JPO, Karanja FN. "Application of Geographic Information Systems in Groundwater Prospecting: A Case Study of Garissa County, Kenya." Journal of Geographic Information System. 2018;10:439-460.
Okoth SO, Omuto CT, Obiero JP. "Integrated Urban Pluvial Flooding Analysis and Modelling for Nairobi West and South C in Nairobi City." International Journal of Science and Research (IJSR). 2018; 7 (6):334-354.
2017
Lusigi EM, Mbuge DO, Obiero JP, Ondieki SC, Ndiba PK. "Quality Assessment of Rain and Storm Water Runoff for Nairobi City Industrial and Sub-Urban Areas." International Journal of Innovative Research in Engineering & Management (IJIREM). 2017;4(1):540-546.
2015
Obiero JPO, Hassan. MA. Determining the effect of land use change on streamflow using soil water assessment tool (SWAT) Model. Pula/Sardinia/Italy: CRS4 Research Centre, Italy; 2015.
2014
K LA, N. GA, K. NBN, O. OJP. "Effects of Water Application Levels on Growth Characteristics and Soil Water Balance of Tomatoes in Greenhouse." International Journal of Engineering Innovation & Research . 2014;Volume 3(Issue3):ISSN: 2277-5668.
K. MEB, P OJ, C RR, K. TA. "Evaluation of Land Use Change in Kiboko Watershed, Kenya." African Journal of Education, Science and Technology. 2014;2(1):17-24.
2013
Obiero JPO, Onyando JO. "Climate.". In: KENYA : A NATURAL OUTLOOK GEO ENVIRONMENTAL RESOURCES AND HAZARDS. Netherlands: ELSEVIER; 2013.
Obiero JPO, Gumbe LO, Omuto CT, Hassan MA, Agullo JO. "Development of Pedotransfer functions for saturated hydraulic conductivity." Open Journal of Modern Hydrology,. 2013;3:154-164.Website
Obiero JPO. Pedotransfer Functions For Saturated Hydraulic Conductivity For Surface Runoff Modeling .; 2013. Abstract

The study involved development of pedotransfer functions (PTFs) for determining saturated hydraulic conductivity (Ks) used in surface flow prediction. This preceded evaluation of existing PTFs for Ks in flow simulation. The pedotransfer functions were developed to predict parameters used in the determination of Ks using selected basic soil properties. The Soil Water Assessment Tool (SWAT) model was used in flow prediction in the Naro Moru river catchment of the Ewaso Ng’iro river basin, Kenya. The developed pedotransfer functions were then used in the simulation of surface runoff on the catchment and their performance in surface flow prediction compared with that of existing pedotransfer functions. Initial model runs during flow simulation yielded poor daily flow simulations compared to monthly simulations. This was attributed to differences in the timing of peak discharges for the observed and simulated hydrographs. The model was calibrated for a three year period followed by a three year validation period based on monthly flows. Calibration results yielded acceptable, but modest agreement between observed and simulated monthly stream flows. The modest model performance was associated with input data deficiencies and model limitations. The results indicated that the model could be adapted to the local conditions. Manual flow calibration was performed to improve simulation results initially based on average annual conditions followed by monthly calibration. There was significant improvement in the model performance based on monthly flow simulations. The model simulation of surface flow registered better performance compared to base flow and total flow indicating the model to be a better simulator of surface flow than baseflow. Observed and predicted surface runoff was compared to evaluate performance of existing PTFs. Model performance was similar for the existing PTFs selected. There was diversity v in performance of PTFs when used for surface runoff prediction. It was felt there is the need for continued development of PTFs for predicting Ks. The developed PTFs were evaluated for accuracy and reliability. The PTFs developed for saturated soil moisture content (θs) produced better performance in reliability compared to the remaining parameters in the van Genutchen moisture retention equation. The developed pedotransfer functions were then used in predicting Ks for surface flow simulation. The model performance in surface runoff simulation using developed PTFs was found acceptable. The study provides insight in developing equations for predicting Ks from basic soil properties being an input parameter in hydrological models. Hydrologic modeling plays a significant role in enabling policy makers, watershed planners and managers make appropriate decisions consistent with sustainable management of watershed resources.

2007
ODHIAMBO MROBIEROJOHNPAUL. "J. P. O. Obiero. 2007. Soil Erosion Engineering. Lecture notes developed for open and distance learning in an e-learning interactive CD based on the the Webscript software.". In: East African Medical Journal. East African Medical Journal; 2007. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
2006
ODHIAMBO MROBIEROJOHNPAUL. "J. P. O. Obiero. 2006. Rainwater Harvesting. Electronic based training material developed for open and distance learning in Wedusoft e-learning environment (internet based) as well as on stand alone interactive CD developed using Dream Weaver Software.". In: East African Medical Journal. East African Medical Journal; 2006. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
2005
Odhiambo JO, Oduor MMM. "Impacts of Rain Water Harvesting in Kusa.". 2005. AbstractWebsite

Annual seasonal droughts of 2-4 months occur in Kusa limiting access of households to safe drinking water. This compounds the health and socio-economic disasters through increased water borne diseases rated at 10% morbidity and 63% mortality and marginalizing economically the resource poor through drudgery and wastage of time in water fetching activities. The introduction of rooftop rainwater harvesting 5 m3 storage tanks has redressed the trend in 30% of the households owning these systems that harness the 900mm annual rainfall on 80-100 m2 individual roof catchments. A study carried in the area through structured questionnaires, group discussions and literature survey revealed that the tanks operated at reliability and satisfaction levels of 44-59% when the guttering system covered 25% of the available roof area and 80-100% for coverage of 100 % for daily demand levels of 100 liters. An assured supply of domestic water at homestead level resulted in a state of water security leading to increased use of water per capita thereby improving personal hygiene for the rural community. Morbidity and mortality rates from water borne diseases reduced from 10% to 9.8% and 63% to 31% respectively for households with rooftop-tank systems. The study showed that well sized roof-tank combinations and appropriate demand managed strategies are effective measures for ameliorating household water supply to mitigate against drought caused health and socio-economic disasters in the area

2004
ODHIAMBO MROBIEROJOHNPAUL. "J. P. O. Obiero and Fuchaka Waswa. 2004. Dryland Farming Technologies. Book Chapter under review.". In: East African Medical Journal. East African Medical Journal; 2004. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
2003
Obiero, J.P.O; Thine MCO; DO. "Rainwater Harvesting for Crop Production in Semi-arid Areas.". 2003.
2001
Omuto, C. T.; Obiero OJPO; S. "Modelling Hydraulic Conductivity.". 2001.
ODHIAMBO MROBIEROJOHNPAUL. "Evaluation of Infiltration using the Green-Ampt model for catchments in Kenya, East Africa, East Africa. Under review, Journal of Engineering in Agriculture and Environment (JEAE).". In: East African Medical Journal. East African Medical Journal; 2001. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
ODHIAMBO MROBIEROJOHNPAUL. "Omuto, C. T., J .P .O. Obiero and S. C. Ondieki. Modelling Hydraulic Conductivity. Paper presented at the Kenya Society of Agricultural Engineers International Conference , Grand Regency Hotel, Nairobi, 2001.". In: East African Medical Journal. East African Medical Journal; 2001. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
2000
ODHIAMBO MROBIEROJOHNPAUL. "A computer based tool for determination of optimal size rainwater storage tank. Paper presented at the Kenya Society of Agricultural Engineers Annual International Conference, Grand Regency Hotel, Nairobi, Kenya.". In: East African Medical Journal. East African Medical Journal; 2000. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
1999
ODHIAMBO MROBIEROJOHNPAUL. "Design of an optimal size Rainwater Storage Tank, paper presented at the Kenya Society of Agricultural Engineers Annual International Conference, Intercontinental Hotel, Nairobi, Kenya.". In: East African Medical Journal. East African Medical Journal; 1999. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
1997
ODHIAMBO MROBIEROJOHNPAUL. "Estimation of Infiltration Parameters at the Steepland Research Station, Kabete, Nairobi, Kenya. Proceedings of the Kenya Society of Agricultural Engineers Annual International Conference, Milimani Hotel, Nairobi, Kenya.". In: East African Medical Journal. East African Medical Journal; 1997. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
1995
ODHIAMBO MROBIEROJOHNPAUL. "Surface runoff prediction on Kenyan catchments using the Green-Ampt model and related soil parameters. Paper presented at the Kenya Society of Agricultural Engineers Annual International Conference at Jomo Kenyatta University of Agriculture and Technology.". In: East African Medical Journal. East African Medical Journal; 1995. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.
1994
ODHIAMBO MROBIEROJOHNPAUL. "How reliable are cylinder infiltrometers in determining the infiltration characteristic of a soil? Proceedings of the Kenya Society of Agricultural Engineers Annual International Conference,.". In: East African Medical Journal. East African Medical Journal; 1994. Abstract
BACKGROUND: Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. METHODS: In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community. We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine. The programme was assessed qualitatively in the community following the shop keeper training. RESULTS: The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9%-40.1%) before the training to a minimum of 79.3% (95% CI 71.8%-85.3%) after the training. The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% CI 26.6%-37.6%) to a minimum of 82.9% (95% CI 76.3%-87.3%). The percentage of childhood fevers where an adequate dose of chloroquine was given to the child rose from 3.7% (95% CI 1.2%-9.7%) before the training to a minimum of 65.2% (95% CI 57.7%-72.0%) afterwards, which represents an increase in the appropriate use of over-the-counter chloroquine by at least 62% (95% CI 53.7%-69.3%). Shop keepers and community members were strongly supportive of the aims and outcome of the programme. CONCLUSIONS: The large shifts in behaviour observed indicate that the approach of training shop keepers as a channel for information to the community is both feasible and likely to have a significant impact. Whilst some of the impact seen may be attributable to research effects in a relatively small scale pilot study, the magnitude of the changes support further investigation into this approach as a potentially important new strategy in malaria control.

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