SMU Medical Journal

Maurice B. Silali ¹, Maximila Wanzala ², Denis O. Owino ³

Affiliations
1 Department of Human Anatomy, Maseno University, KE
2 Department of Public Health, Masinde Muliro University, KE
3 Tropical institute of Infectious Disease, Great Lakes University of Kisumu, KE

Abstract

Project monitoring and evaluation (M/E) determines resource accountability and its impact to various stakeholders. Plenary project success requires holistic community participation and empowerment. However, this approach remains unexplained in developing countries to ascertain the relevance, effectiveness, efficiency, outcome and sustainability of Donor initiated projects. It was these reasons that M/E study was carried out in Forces ARVs clinic, to evaluate the trend uptake of quality blood sampling techniques, and influence of socio-cultural factors in seeking healthcare. Globally over 44 million projects initiated by developing partners are not evaluated to determine their future sustainability. In Kenya few private sectors do evaluation to measure project achievements. Furthermore 80% of projects initiated by Donors at community in our society, underscore in profits due to low uptake of community participation and appropriate technology utilization. By formal survey and rapid appraisal methods, data was collected based on problem based learning and community based education feedbacks on importance of quality blood sampling technique, Patient initiated counseling, testing approach and positive social change, determined by qualitative and quantitative sampling tools . Over 80%, positive impacts on project was noted with greater social change formulation concepts towards health seeking behaviors among ARVs households, due to consistence improved quality blood sampling techniques and overall healthcare that decreased the ill health and poverty in vicious cycle.

Keywords

Appropriate Technology, Monitoring & Evaluation, Community Participation, Sampling Technique, Social Change, Socio Cultural.

Full Text

   

Maximila Wanzala ¹, Maurice B. Silali ²

Affiliations
1 Department of Public Health, Masinde Muliro University, KE
2 Department of Human Anatomy, Maseno University, KE

Abstract

Tungiasis infection is spread by sand flea (chiggers) burrowing human flesh, caused by Tunga penetran. Globally, Tungiasis are associated with contaminated habitats of loam soils. In Kenya quality data on prevention and eradication of Tungiasis, remains unclear, as the infested community continues to disfigure their body limbs. It was these reasons that lead the study to determine factors influencing prevention of Tungiasis in Tshiatsala in Butere, specifically to determine how Knowledge, attitude and practice of community influence the prevention and control of Tungiasis, elucidate how demographic, socio-economic and socio-cultural factors influence the implementation of control and eradication Tungiasis. Using case-study, primary schools pupils and infested adults were used in the study population, by purposive sampling in the holoendomicity. Formal survey, Key informant interviews and Focus group discussions were used to collect and analyzed data. Over 75% of pupil and adults have Tungiasis. Majority (80%) of infestation were due to enhanced poverty has indicated by, going to school bare feet, live in grass thatched or uncemented floors, rarely smeared with cow dung. Need for community to partner in health sector wide approach for permanent health remedy, such as means and ways to increase income to household, capacity building of community via health education and promotion using appropriate technology, these will enhance the achievement of sustainable global goal three.

Keywords

Tungiasis Poverty, Sustainable, Holoendemicity, Loam Soils, Infestation.

Full Text