Publications


2012

Jenkins, R, Njenga F, Okonji M, Kigamwa P, Baraza M, Ayuyo J, Singleton N, McManus S, Kiima D.  2012.  Prevalence of common mental disorders in a rural district of Kenya, and socio-demographic risk factors. Abstract

Association between common mental disorders (CMDs), equity, poverty and socio-economic functioning are relatively well explored in high income countries, but there have been fewer studies in low and middle income countries, despite the considerable burden posed by mental disorders, especially in Africa, and their potential impact on development. This paper reports a population-based epidemiological survey of a rural area in Kenya. A random sample of 2% of all adults living in private households in Maseno, Kisumu District of Nyanza Province, Kenya (50,000 population), were studied. The Clinical Interview Schedule-Revised (CIS-R) was used to determine the prevalence of common mental disorders (CMDs). Associations with socio-demographic and economic characteristics were explored. A CMD prevalence of 10.8% was found, with no gender difference. Higher rates of illness were found in those who were of older age and those in poor physical health. We conclude that CMDs are common in Kenya and rates are elevated among people who are older, and those in poor health.

Jenkins, R, Njenga F, Okonji M, Kigamwa P, Baraza M, Ayuyo J, Singleton N, Kiima D, McManus S.  2012.  Psychotic symptoms in Kenya--prevalence, risk factors, and relationship with common mental disorders. Abstract

There have been few epidemiological surveys to establish prevalence and associated risk factors of psychosis in Sub-Saharan Africa. This paper reports a population-based epidemiological survey in rural Kenya of the prevalence of psychotic symptoms and their relationship with demographic, socio-economic and other risk factors. A random sample of 2% of all adults living in Maseno, Kisumu District of Nyanza province, Kenya (50,000 population) were studied, aiming for a sample size of 1,000 people. The psychosis screening questionnaire was used to assess the prevalence of psychotic symptoms in the preceding twelve months. The response rate was 87.6%. The prevalence of single psychotic symptoms in rural Kenya was 8% of the adult population, but only 0.6% had two symptoms and none had three or more psychotic symptoms in this sample size. Psychotic symptoms were evenly distributed across this relatively poor rural population and were significantly associated with presence of common mental disorders, and to a lesser extent with poor physical health and housing type. We conclude that single psychotic symptoms are relatively common in rural Kenya and rates are elevated in those with CMD, poor physical health and poor housing.

2008

Jenkins, R, Shah A, Kigamwa P, Ayuyo J, Kiima D, Njenga F, Okonji M.  2008.  Traditional health practitioners and mental health in Kenya.

2004

PIUS, DRKIGAMWA.  2004.  Kiima DM, Njenga FG, Okonji MM, Kigamwa PA. Kenya mental health country profile. Int Rev Psychiatry. 2004 Feb-May;16(1-2):48-53.. Int Rev Psychiatry. 2004 Feb-May;16(1-2):48-53.. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.
PIUS, DRKIGAMWA.  2004.  Njenga FG, Nicholls PJ, Nyamai C, Kigamwa P, Davidson JR. Post-traumatic stress after terrorist attack: psychological reactions following the US embassy bombing in Nairobi: Naturalistic study. Br J Psychiatry. 2004 Oct;185:328-33.. Naturalistic study. Br J Psychiatry. 2004. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.
PIUS, DRKIGAMWA.  2004.  Kigamwa P.Psychological manifestations and heart disease East Afr Med J. 2004 Dec;81(12):609-10. Review.. East Afr Med J. 2004 Dec. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.

2003

PIUS, DRKIGAMWA.  2003.  Njenga FG, Nyamai C, Kigamwa P.Terrorist bombing at the USA Embassy in Nairobi: the media response. East Afr Med J. 2003 Mar;80(3):159-64.. East Afr Med J. 2003 Mar. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.

1992

PIUS, DRKIGAMWA.  1992.  Kigamwa P. The Concept of disease and its applicability to mental illness. Medicus Vol.11 No. 5, page 14-16, May 1992.. Medicus Vol.11 No. 5, page 14-16, May 1992.. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.

1991

PIUS, DRKIGAMWA.  1991.  Kigamwa P. Perinatal death Psychiatric Aspects. Medicus Vol. 10 No. 2 Page 18-21, February 1991.. Medicus Vol. 10 No. 2 Page 18-21, February 1991.. : EAMJ Abstract
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Provision of management education through distance education is gaining significance in Britain and other developed countries. Although distance learning in developing countries is widely used in other aspects of education such as teacher training, it has been given scant consideration in the education of managers. This study investigated the possibility of using this method as an appropriate means of providing management education to Kenyan managers. It is felt that although much effort has been put into manpower training, affirmed in various national policies, the providing institutions are inadequate and appear not to meet the demand. In suggesting distance learning as a supplementary method, a survey of practice in the UK is used to demonstrate the relevance and the extent of application from which several lessons can be drawn by the Faculty of External Studies, University of Nairobi. The main critical success factors are efficient management of the various sub-systems in a distance learning institution, and the extent to which inherent limitations of distance learning are overcome.
PIUS, DRKIGAMWA.  1991.  Psychiatric morbidity and referral rate among medical in-patients at Kenyatta National Hospital.Kigamwa A.East Afr Med J. 1991 May;68(5):383-8.. East Afr Med J. 1991 May;68(5):383-8.. : EAMJ Abstract
Psychiatric morbidity among 200 medical in-patients at Kenyatta National Hospital was determined by a two-stage screening procedure, using the Self Reporting Questionnaire (SRQ) and standardized psychiatric interview (SPI). 44 (22%) of the total sample of 200 patients who were interviewed met the pre-established criteria for psychiatric morbidity; of these 59% comprised affective disorders. 4 (9%) of the psychiatric morbidity cases were referred for psychiatric evaluation. Referral seemed to be related to severity of illness and a previous history of psychiatric illness. There was no evidence in the notes that the psychiatric problems had been detected, treated or dealt with in any other way by the medical team in 34 patients out of 44 with psychiatric morbidity. Increase in the mental health input in the training of all health workers with emphasis on recognition and management of some of the commoner psychological problems is recommended.

1990

PIUS, DRKIGAMWA.  1990.  Kigamwa P. tobacco Use Disorder, Medicus Vol. 9 No. 10, page 8,9 October 1990. Medicus Vol. 9 No. 10, page 8,9 October 1990. : EAMJ Abstract
Psychiatric morbidity among 200 medical in-patients at Kenyatta National Hospital was determined by a two-stage screening procedure, using the Self Reporting Questionnaire (SRQ) and standardized psychiatric interview (SPI). 44 (22%) of the total sample of 200 patients who were interviewed met the pre-established criteria for psychiatric morbidity; of these 59% comprised affective disorders. 4 (9%) of the psychiatric morbidity cases were referred for psychiatric evaluation. Referral seemed to be related to severity of illness and a previous history of psychiatric illness. There was no evidence in the notes that the psychiatric problems had been detected, treated or dealt with in any other way by the medical team in 34 patients out of 44 with psychiatric morbidity. Increase in the mental health input in the training of all health workers with emphasis on recognition and management of some of the commoner psychological problems is recommended.

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