University of Nairobi

THE COMPOUNDING OF GRIEVANCE: A MULTI-CAUSAL ANALYSIS OF ECONOMIC, SOCIAL, POLITICAL, AND RELIGIOUS INTERACTION IN THE BOKO HARAM INSURGENCY

Purpose of study: This study examines how economic deprivation, social inequality, political exclusion, and religious ideology interact to compound grievances and sustain the Boko Haram insurgency in northeastern Nigeria. Methodology: The study employs a qualitative, multi-causal...

The making of digital rangelands: Navigating the implications of rangeland datafication and smartification in Kenya

A shift is occurring in how the global environmental community understands and talks about rangelands. Long seen as economically unproductive and environmentally degraded environments, rangelands are now being recast as sources of untapped ecological benefit and climate optimism....

Policy capacity, collaborative governance, and the institutional design of implementation arrangements: food security PPPs in Kenya

Abstract This article empirically investigates how different institutional designs of implementation arrangements are associated with specific configurations of policy capacity and, in turn, with variation in implementation outputs. Building on the policy capacity framework devel...

Pharmacist-supported audit and feedback intervention to reduce Gentamicin prescribing errors in neonatal inpatient care in Kenya: a natural experiment using interrupted time series analysis

Abstract Background Approximately 14.9% of medications prescribed during hospital care in low- and middle-income countries (LMICs) contain errors, with neonates who experience high morbidity and mortality in these settings being particularly vulnerable. Gentamicin, a common first...

Acute peritoneal dialysis adequacy among children at a national referral hospital in Kenya: a cross-sectional study in a resource-limited setting

Abstract Background: Acute peritoneal dialysis (PD) is an important renal replacement therapy for children with acute kidney injury (AKI), particularly in resource-limited settings. Inadequate PD may result in persistent uremia, prolonged hospitalization, increased mortality, and...

Variation in cataract surgical outcomes by facility type: evidence from 168 population-based surveys in 61 countries

Background/aims To compare visual outcomes after cataract surgery between outreach camps and fixed facilities, and among government, non-governmental organisation (NGO) and private providers within fixed facilities. Methods Pooled cross-sectional analysis of 41 881 cataract-opera...

Seroprevalence and Factors Associated with Canine Leishmaniasis in Baringo County, Kenya: Implications for an Integrated One Health Surveillance

Leishmaniasis is an emerging zoonotic disease recognized by WHO as a priority neglected tropical disease (NTD) targeted for elimination by 2030. The disease is transmitted through bites of infected female phlebotomine sand flies and presents in three main forms: cutaneous, mucocu...

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...