University of Nairobi

Evaluating Emergency Care Systems in Kenya: A Difference-in-Differences Analysis of Clinical Outcomes

{ "background": "Emergency care systems in sub-Saharan Africa are underdeveloped, with limited evidence on the impact of formalising these services on patient outcomes. Robust evaluations of health system interventions in low-resource settings are methodologically challenging.",...

Evaluating Emergency Care Systems in Kenya: A Difference-in-Differences Analysis of Clinical Outcomes

{ "background": "Emergency care systems in sub-Saharan Africa are underdeveloped, with limited evidence on the impact of formalising these services on patient outcomes. Robust evaluations of health system interventions in low-resource settings are methodologically challenging.",...

Strengthening existing climate services and prioritising new opportunities for nature-based solutions

Abstract Co-production is essential for usable and useful climate services, yet expert-driven, supply-side approaches and limited engagement persist. We investigate the relationship between users’ current climate-service use and desired needs for completely new climate services f...

Adaptive Decision-Making in Audio Classification: A Systematic Review of Reinforcement Learning and Multi-Armed Bandit Frameworks

Adaptive decision-making has emerged as an important direction in audio classification. Reinforcement learning (RL) and multi-armed bandit (MAB) methods offer principled frameworks for sequential and localized decision-making. However, despite growing interest in these approaches...

Reducing the diagnostic and treatment gap for priority mental, neurological and substance misuse disorders in primary care in rural Kenya: Results of a stepped wedge cluster randomized trial from the EPINA study

ABSTRACTBackground: In resource-limited settings, care for mental, neurological and substance misuse (MNS) disorders has been integrated into primary healthcare facilities (PHC) by training primary health workers (PHW) on the use of the mental health Gap Action Program Interventi...

Changes in neurodevelopmental outcomes from 24 to 36 months among children HIV-exposed uninfected (CHEU) and HIV-unexposed (CHU)

Objective: To compare neurodevelopment through 36 months between breastfed children who are HIV-exposed and uninfected (CHEU) exposed to maternal dolutegravir (DTG)-based antiretroviral therapy (ART) and children born to mothers without HIV (CHU). Methods: We enrolled a prospecti...

From policy to plow: Who is getting it right on resilience in Kenyan agriculture?

Purpose This study examined models of success and patterns of fragmentation in the implementation of the Agricultural Sector Transformation and Growth Strategy (ASTGS) 2019–2029 and the National Horticulture Policy (NHP) 2012. Design/methodology/approach This study used a qualita...

One in seven has severe pain: a point-prevalence study of hospitalised patients across Africa

ABSTRACT: Acute pain in hospitalised patients is common, yet African data are scarce. We conducted a prospective point-prevalence study of hospitalised adult patients across Africa to determine acute pain prevalence and severity and investigate associations of pain with critical...