Relative Contribution of Different Levels of Parental Involvement to Primary School Readiness in Preschool Pupils in Nairobi County

Recent developments have led to a lot of emphasis being placed on early childhood education. Massive growth has also occurred in this segment of the education sector. Emphasis continues to be placed not just on growth but also on quality of the educational experiences that children are exposed to. In Kenya reports continue to emerge of pupils in primary school who lack numeracy and literacy competencies expected at their level. This inevitably shines the spotlight on the quality of educational experiences at the preschool level, which lays the foundation for all future learning and later success in school. One of the parameters of quality is parental involvement. In Kenya this parameter happens to be amongst the least understood. This paper sought to shed some light on the contribution of this aspect of quality to primary school readiness in preschool pupils in Nairobi. Parental involvement at six levels of involvement was measured for a sample of 150 parents of preschool pupils, while primary school readiness was assessed for a sample of 156 pupils. The results indicate that four of the six levels of parental involvement have a positive correlation to primary school readiness, while two are negatively correlated. The researcher recommends that schools and educators explore ways of creating and enhancing parental involvement so as to tap into the associated and recognized benefits of such cooperation. Keywords: Parental involvement, primary school readines

Local Participation in Community Forest Associations: A Case Study of Sururu and Eburu Forests, Kenya

Participation of local communities in the management and utilization of state-owned forest resources has become widely recognized in contrast to centralised forms of forest governance. This paper examined the extent of inclusiveness and household participation in community forest associations (CFAs) adjacent to Sururu and Eburu forests in Kenya. The probit model was used to assess the socio-economic factors determining participation in the CFAs. The study established that gender (P<0.05), group membership (P<0.0001), ownership of tree nursery (P<0.0001), wealth status (P<0.0001), percentage share of wage income (P<0.05), and farm size allocated to trees (P<0.05) significantly influenced CFA participation. However, because of high opportunity participation costs some poor (68%) and rich (65%) households did not participate in CFA activities. Since households participated in CFAs to derive livelihood gains, unclear participation benefits offered little incentive to get involved. Thus participation in CFA activities remained low. Therefore, Kenya Forest Service should review participation guidelines to enable effective CFA input in decision making on forest issues. Keywords: Community; inclusiveness; household; participation; user groups; participatory forest managemen

Relationship Between Quality of Teacher-pupil Interaction and Primary School Readiness in Preschool Pupils in Nairobi County, Kenya

A lot of attention and emphasis has lately been placed on the development and education of young children. One of the specific areas of concern is on the quality of experiences that young children are exposed to at the early learning centres. This research paper sought to examine the relationship between the quality of teacher-pupil interaction and primary school readiness in preschool pupils in Nairobi County. The sample comprised 156 preschool pupils and 39 teachers in 39 preschools. The Pearson product-moment correlation statistics was used to examine this relationship. The findings indicate that there is a significant and positive relationship between the quality of positive-relationship dimension of teacher-pupil interaction and primary school readiness. A significant but negative relationship was found between the quality of harshness and detachment dimensions of teacher-pupil interaction and primary school readiness. A weak correlation that is not significant was found between the quality of permissiveness dimension of teacher-pupil interaction and primary school readiness. The researchers recommend that only trained and qualified teachers who are more likely to be aware of the desirable styles of teacher-pupil interaction should be deployed in early learning centres. Those already working should be given in-service training to enable them keep abreast of the best pedagogic practices. Keywords: Teacher-pupil interaction, Primary school readines

Improved land management in the Lake Victoria Basin: Linking land and lake, research and extension, catchment and lake basin

Lake Victoria is of immense economic and environmental importance in the eastern and central African region. The lake is the largest freshwater body in the tropics and its basin supports one of the densest and poorest rural populations in the world. About 21 million people rely primarily on subsistence agricultural and pastoral production for their livelihoods. But pervasive poverty has hindered sustainable use of the land resources and there has already been considerable land degradation. There is little doubt that sedimentation and nutrient run-off, urban and industrial point source pollution and biomass burning, have induced the rapid eutrophication of Lake Victoria over the last fifty years. Invasion of water hyacinth and loss of endemic biodiversity are interrelated and compound problems for the lake environment and the welfare of its people. This project set out to assess the extent and causes of processes that contribute to pollution of the lake and to localize interventions for more sustainable land management. In a one year start-up phase, emphasis was placed on prioritizing river basins and assessing the land degradation problems in relation to nutrient and sediment inputs to the lake. This document summarizes progress on the proposed activities and the principal findings achieved under the start-up phase. The detailed results supporting these findings are given as an annex. A regional assessment identified the Nyando River Basin as a major source of sediment and phosphorus flow into Lake Victoria, and so much of the initial work was concentrated on this river basin while methods were being refined. The study identified severe soil erosion and land degradation problems throughout the Nyando river basin. Accelerated run-off and sheet erosion over much of the iii catchment area has led to severe rill, gully and stream bank erosion in lower parts of the river basin. The principal causes of erosion include deforestation of headwaters and overuse of extensive areas of fragile lands on both hillslopes and plains, coupled with loss of watershed filtering functions through encroachment on wetlands and loss of riverine vegetation. Associated with soil erosion, there has been substantial depletion of soil quality over much of the basin. Communities in the river basin are aware and concerned about water shortages and local land degradation but there is a low level awareness of the off-site effects. The lower parts of the river basin and the lake are particularly vulnerable to the return of a large rainfall event, such as experienced in the early 1960’s, which would cause catastrophic damage. The report outlines possible broad areas of intervention. The major requirements are to: (1) rapidly reduce pressure on vegetation cover over large areas of fragile land, including headwaters, shallow soils on hillslopes, and fragile soils on plains and the Nyando escarpment, (2) restore the filtering function of wetlands and riverine buffer strips, and (3) increase productivity of agricultural land that has high potential, particularly by removal of soil phosphorus and other soil nutrient constraints, which will help reduce pressure on fragile lands. The current catchment extension approach of the Soil and Water Conservation Branch has received considerable penetration in terms of number of participating farmers, but the efforts are unlikely to have significant impact on sediment and nutrient transfers to the lake. The Branch has had most impact in high population density areas largely within cash cropping systems. In contrast, it is in the marginal areas with extensive agropastoral systems that erosion risk is high. These are mostly communally-used grazing lands and government trust land where population density is fairly low and there is little incentive for investment in soil conservation. Complimentary approaches based on integrated watershed management are needed that jointly consider agricultural areas, forest areas and trust land, with highly active community participation. The emphasis must be on large area management of fragile lands and buffer zones around riparian zones, wetlands, and headwater catchment areas. Given the high cost of rehabilitation of marginal areas, priority should be given to assessment of their natural regeneration potential, in conjunction with policy and institutional innovation for their improved management. The project has been a focal point for the development of some exciting new methods for the quantitative assessment of land management problems that are of international significance. New remote sensing and ground survey tools were developed for rapid assessment of land and soil degradation and for precise spatial management of soils and vegetation. For example, critical target levels of dry season herbaceous vegetation cover depending on soil type and slope can be mapped. Progress towards achieving targets for buffer zone vegetation management can also be monitored. These tools are ready for deployment in the Nyando and other river basins

Can Prenatal Malaria Exposure Produce an Immune Tolerant Phenotype?: A Prospective Birth Cohort Study in Kenya

In a prospective cohort study of newborns residing in a malaria holoendemic area of Kenya, Christopher King and colleagues find a subset of children born to malaria-infected women who acquire a tolerant phenotype, which persists into childhood and is associated with increased susceptibility to malarial infection and anemia

Perceptions of malaria and acceptance of rapid diagnostic tests and related treatment practises among community members and health care providers in Greater Garissa, North Eastern Province, Kenya.

BACKGROUND: Conventional diagnosis of malaria has relied upon either clinical diagnosis or microscopic examination of peripheral blood smears. These methods, if not carried out exactly, easily result in the over- or under-diagnosis of malaria. The reliability and accuracy of malaria RDTs, even in extremely challenging health care settings, have made them a staple in malaria control programmes. Using the setting of a pilot introduction of malaria RDTs in Greater Garissa, North Eastern Province, Kenya, this study aims to identify and understand perceptions regarding malaria diagnosis, with a particular focus on RDTs, and treatment among community members and health care workers (HCWs). METHODS: The study was conducted in five districts of Garissa County. Focus group discussions (FGD) were performed with community members that were recruited from health facilities (HFs) supported by the MENTOR Initiative. In-depth interviews (IDIs) and FGDs with HCWs were also carried out. Interview transcripts were then coded and analysed for major themes. Two researchers reviewed all codes, first separately and then together, discussed the specific categories, and finally characterized, described, and agreed upon major important themes. RESULTS: Thirty-four FGDs were carried out with a range of two to eight participants (median of four). Of 157 community members, 103 (65.6%) were women. The majority of participants were illiterate and the highest level of education was secondary school. Some 76% of participants were of Somali ethnicity. Whilst community members and HCWs demonstrated knowledge of aspects of malaria transmission, prevention, diagnosis, and treatment, gaps and misconceptions were identified. Poor adherence to negative RDT results, unfamiliarity and distrust of RDTs, and an inconsistent RDT supply were the main challenges to become apparent in FGDs and IDIs. CONCLUSION: Gaps in knowledge or incorrect beliefs exist in Greater Garissa and have the potential to act as barriers to complete and correct malaria case management. Addressing these knowledge gaps requires comprehensive education campaigns and a reliable and constant RDT supply. The results of this study highlight education and supply chain as key factors to be addressed in order to make large scale roll out of RDTs as successful and effective as possible

Patient adherence to prescribed artemisinin-based combination therapy in Garissa County, Kenya, after three years of health care in a conflict setting.

BACKGROUND: Current day malaria cases and deaths are indicative of a lack of access to both methods of prevention, diagnosis, and treatment; an important determinant of treatment efficacy is adherence. This study is a follow up to the baseline study of adherence to artemether-lumefantrine (AL) carried out in Garissa District in 2010. The study presented evaluates any changes in adherence levels which may have occurred in the area during this period and after nearly three years of sustained use of ACT across the public health sector. METHODS: The study was carried out in Garissa County in the North Eastern Province of Kenya and included patients fitting the suspected malaria case definition and having been prescribed AL, regardless of confirmatory diagnosis. A questionnaire assessed the intake of AL via both self-reporting by the participant and observation of blister packs by the interviewer. On separate occasions exit interviews with patients and observations of prescribers were also carried out. RESULTS: Of the 218 participants enrolled, 195 were successfully followed up. 60% of participants were found to be adherent to the three-day AL regimen, this is 4.7% lower than the proportion of participants adherent in 2010; the result of a two-sided z-test was not significant (p = 0.23). The odds of the patient being adherent to AL increased by 65% with each additional correct statement regarding how to take AL that a patient could recall (between zero and four statements), this was the only variable significantly associated with patient adherence (p = 0.01). CONCLUSION: Sustaining the ACT adherence rates at the 2010 levels, through 2.5 years of insecurity in the study area is an achievement and suggests that if security can be improved barriers to improving health service quality and patient adherence to AL would be removed. This study, by looking specifically at anti-malarial adherence over a prolonged period and in a setting of severe conflict, provides a valuable and rare insight in to the challenges and barriers to ACT adherence in such settings

Improved Land Management in the Lake Victoria Basin: Annual Technical Report, July 2000 to June 2001

ICRAF and the Kenyan Ministry of Agriculture and Rural Development (MOARD) are implementing a project on “Improved Land Management in the Lake Victoria Basin.” The project began in 1999 – 2000 with a one-year startup year of activities under the Sida-sponsored National Soil and Water Conservation Programme (NSWCP). The collaborative project of ICRAF and MOARD has now been continued for another three years under the National Agriculture and Livestock Extension Programme (NALEP). This paper summarizes achievements and findings for the project for the year 2000 / 2001. The Swedish International Development Agency (SIDA) supports “Improved Land Management in the Lake Victoria Basin” through NALEP. Additional financial support for the activities reported herein was also provided by the Rockefeller Foundation, ICRAF core funds, Danida, the University of Florida and the USAID. Research conducted during 2000 / 2001 addressed a range of issues across a large tract of Western Kenya. A coarse resolution assessment of soil erosion risk conducted for the entire Lake Victoria Basin identified the Nzoia / Yala and Kagera river basins as those with the greatest percentage of land at risk. Biophysical research on land management problem domains has quantified the widespread spatial extent of soil physical and chemical degradation in the Nyando river basin and illustrated four contrasting biophysical problem domains within the basin. District-level data on population density, poverty and agricultural production available from secondary sources have been complemented with baseline household and community survey data collected in 9 villages around the Nyando river basin. The overall picture that is emerging is that while much of the Nyando river basin has experienced some physical and chemical land degradation, there are pockets of severe poverty, severe environmental degradation and extremely low agricultural production. Different approaches to extension, investment and policy may be needed to address poverty – environment – agricultural problems in different parts of the river basin. Reversing trends in environmental deterioration will require interventions on farmers fields and in the many areas between farms that publicly-used, although usually privately-owned. Farmers have demonstrated their willingness to adopt recommended conservation practices on their individual family fields, but the intensity of adoption depends upon the potential returns to investments, their cultural grouping, and the approach that extension providers take to the provision of information and mobilization of community participation. Adoption of improved practices and investments on publicly-used areas between farms requires the mobilization of collective action among small, medium and large groups. Collective action in the Nyando River basin is most likely to be effective where it harnesses local institutional arrangements (e.g. sub-clan affiliations among the Luo) and advances common interests in the provision of high quality water and the generation of additional cash income. Among other opportunities, there appears to be good prospects for market-oriented agroforestry for production of fruit, fuelwood and timber. Changes in local and national policies would help to ensure good returns for smallholder farmers. This report begins with a presentation of a number of major findings, implications of those findings for extension and investment and implications for policy. A summary of progress by activity is then presented, followed by lists of personnel involved, presentations and publications. An annex presents detailed accomplishments by activity

Rethinking the Kibera ‘Slum’: The Role of Social Networks as a Mechanism for Coping with the Increased Demand for Job Opportunities

Rural-urban migration is a livelihood strategy used to increase income at the household level. This study proposes four stages of livelihood enhancement in the urban informal sector: (1) Migration from rural to urban areas, (2) Entering an informal sector, (3) Formation of self-help groups and local enterprises and (4) Expansion of stable income-generating activities. At these different stages, social networks play critical roles in connecting new migrants to the assets and networks that they need to increase and stabilize their income. At the forth stage, migrants who operate local enterprises start creating ties with their business partners in the formal sector. Yet, they tend to choose to remain in the informal sector because of the better access to income, assets and networks. The traditional dualistic view of labour market, which is segmented into the formal and informal sectors, is not applicable to the cases observed in Kibera because the residents’ ultimate goal for livelihood enhancement is not solely to enter the formal market but also to maximize their income. Economic activities observed in Kibera cannot be fully explained by applying the existing studies and general theories of ‘slum’ as evidenced by this study. Comprehending the current state of Kibera leads to plentiful implication for expanding the theory and practice of sustainable development the in the informal sector. Keywords: Kibera, Informal sector, Social networks, Job market, Sustainable Developmen

Institutionalizing the management of sick young infants: Kenya’s experience in revising national guidelines on integrated management of newborn and childhood illnesses

Introduction: In 2015, the World Health Organization (WHO) developed guidelines for the management of sick young infants (SYIs) with possible serious bacterial infection (PSBI) where referral is not feasible. The Ponya Mtoto project was designed as an implementation research project to demonstrate how to adopt the WHO PSBI guidelines in the Kenyan context. Ponya Mtoto Project Description: Between October 2017 and June 2021, Ponya Mtoto was implemented in 4 Kenyan counties with higher infant and newborn mortality rates than the national mean. A total of 48 health facilities stratified by level of services were selected as study sites. Implementation Approach: The following activities were done to institutionalize the management of SYIs with PSBI where referral is not feasible in Kenya’s health system: (1) participating in a cocreation workshop and development of a theory of change; (2) revising the national integrated management of newborn and childhood illnesses guidelines to incorporate the management of PSBI where referral is not feasible; (3) improving availability of essential commodities; (4) strengthening provider confidence in the management of SYIs; (5) strengthening awareness about PSBI services for SYIs at the community level; and (6) harmonizing the national integrated management of newborn and childhood illnesses guidelines to address discrepancies in the content on the management of PSBI. In addition, the project focused on strengthening quality of care for SYIs and using implementation research to track progress in achieving project targets and outcomes. Conclusion: Using an implementation research approach to introduce new WHO guidelines on PSBI where referral is not feasible into Kenya’s health care service was critical to fostering engagement of a diverse range of stakeholders, monitoring provider skills and confidence-building, strengthening provision of key commodities for managing SYIs with PSBI, and sustaining community-facility linkages