Gender Differences in Secondary School Teacher Counsellors Perception of Ethical Standards in Counselling in Kiambu County, Kenya

Ethical standards are at the core of counselling practice and are aimed at ensuring the welfare of the client and the counsellor are safeguarded. Counselling, like any other profession is governed by ethical standards and unless it’s provided on ethical basis, it may cease to serve its intended purpose. Despite the critical role of ethical standards in a counselling relationship, the extent to which a counsellor will adhere to these standards may be dependent on the way he/she perceives these standards. This study presumed that perception of ethical standards may be contingent on ones gender. This is the assumption that motivated this study with a desire to validate whether gender influences perceptions of ethical standards among teacher counsellors in secondary schools in Kiambu County, Kenya. The study was guided by the moral development theory and adopted the mixed method research design. The target population was the 281 heads of guidance and counselling departments of secondary schools in Kiambu County and the five officials of guidance and counselling association in the county. The sample was 170 participants who comprised 165 heads of guidance and counselling departments and five officials of the guidance and counselling association in the County. The study utilized stratified and purposeful sampling methods.  Data was collected through self-administered questionnaires and focused group discussion. The instruments were validated by subjecting them to expert’s scrutiny. The instrument’s reliability coefficient was 0.80 which was accepted. Data accruing from the focus group discussion was transcribed for ease of analysis while responses to the questionnaire were analysed through independent sample test. Five areas were focused by the study. These included ethical standards relating to counsellor-client relationship, counsellor integrity, clients informed consent, clients confidentiality and putting clients first. Accruing findings demonstrated that teacher counsellor’s had an unfavourable perception of ethical standards (mean =2.84). and that gender had a statistically significant influence on the perception of ethical standards among teacher counsellor’s in secondary schools in Kiambu County, Kenya (p= 0.000, t= -2.276). The study recommends that gender be an important factor for guiding the appointment of teacher counsellor’s and capacity building targeting male counsellors be initiated. Additionally, the study recommends that further research be carried out to establish whether there will be gender differences in perception of ethical standards and psychological gender. The study contributes to the body of knowledge as it provides a model of predicting the perception of ethical standards given the gender of teacher counsellors. Keywords: Gender, Teacher Counselor, Perception, Ethical Standards, Secondary Schools DOI: 10.7176/JEP/14-21-02 Publication date:July 31st 2023

Chronic bilateral heel pain in a child with Sever disease: case report and review of literature

We are presenting a case report of a 10-year-old male with a 1 year history of bilateral heel pain. Sever disease is self limiting condition of calcaneal apophysis. It is the most common cause of heel pain in the growing child. There is no documented case of this condition in this region. This case highlights the clinical features of this self limiting disorder as seen in this patient and reviews the current literature

A randomised controlled trial of computer-assisted interviewing in sexual health clinics.

OBJECTIVES: To assess the impact of computer-assisted interview compared with pen and paper on disclosure of sexual behaviour, diagnostic testing by clinicians, infections diagnosed and referral for counselling. METHODS: Two-centre parallel three-arm randomised controlled open trial. Computer-generated randomisation with allocation concealment using sealed envelopes. SETTING: Two London teaching hospital sexual health clinics. PARTICIPANTS: 2351 clinic attenders over the age of 16 years. INTERVENTIONS: Computer-assisted self-interview (CASI). Computer-assisted personal interview (CAPI). Pen and paper interview (PAPI). MAIN OUTCOME MEASURES: Diagnostic tests ordered, sexually transmitted infections (STI). SECONDARY OUTCOMES: Disclosure of sexual risk, referral for counselling. RESULTS: 801, 763 and 787 patients randomly allocated to receive CASI, CAPI and PAPI. 795, 744 and 779 were available for intention-to-treat analysis. Significantly more diagnostic testing for hepatitis B and C and rectal samples in the CAPI arm (odds for more testing relative to PAPI 1.32; 95% CI 1.09 to 1.59). This pattern was not seen among CASI patients. HIV testing was significantly lower among CASI patients (odds for less testing relative to PAPI 0.73; 95% CI 0.59 to 0.90). STI diagnoses were not significantly different by trial arm. A summary measure of seven prespecified sensitive behaviours found greater reporting with CASI (OR 1.4; 95% CI 1.2 to 1.6) and CAPI (OR 1.4; 95% CI 1.2 to 1.7) compared with PAPI. CONCLUSION: CASI and CAPI can generate greater recording of risky behaviour than traditional PAPI. Increased disclosure did not increase STI diagnoses. Safeguards may be needed to ensure that clinicians are prompted to act upon disclosures made during self-interview