Strengthening capacity for monitoring and evaluation through short course training in Kenya

Background: Weak monitoring and evaluation (M&E) systems and limited supply of M&E human resources in Africa signal the need to strengthen M&E capacity. Objectives: This exploratory study evaluated the effect of short course training on professionals’ knowledge and skills in the areas of mixed methods research, systematic review and meta-analysis and general principles of M&E. Methods: A partially mixed concurrent dominant status design including quantitative (multilevel modelling and meta-analyses) and qualitative (thematic content analysis) components was employed to evaluate the impact of a 4-day short course training focusing on these areas. Results: Thirty-five participants participated in the training. Participants experienced an increase in knowledge in the three areas; however, average change in knowledge did not differ across participants’ employment settings. Participants’ self-stated objectives considered as SMART and belonging to a higher level in Bloom’s taxonomy were associated with change in knowledge. Based on comments made by participants, majority intended to apply what they learned to their work; clarity of content delivery was the most liked aspect of the training, and the use of more practical sessions was recommended as a way to improve the training. Conclusions: This study provides preliminary evidence of potential of the use of short course training as an approach to strengthening capacity in M&E in less-developed countries such as Kenya. It underscores the importance of participants’ self-stated objective(s) as an element to be considered in the enhancement of knowledge, attitudes and skills needed for acceptable capacity building in M&E

Comparison of least absolute shrinkage and selection operator and maximum likelihood estimators to establish determinants of immunization in Trans - Nzoia County

The client factors that influence under-five child guardian compliance to the immunization schedule are interlinked based on household characteristics, socioeconomic status, and maternal health practices. An incentive to motivate the mothers to prioritize their child’s health practices especially on vaccination, works perfectly towards the achievement of full immunization coverage. A randomly sampled study carried out within Weonia Location–Trans Nzoia County in March 2014 with target population of under-five children showed the vital role an incentive innovation plays towards immunization coverage. Multinomial logistic regression model was used to analyze the determinant of partial or none-immunized and the parameters estimated using the maximum likelihood estimator (MLE) and the shrinkage estimator-Least Absolute Shrinkage and Selection Operator (LASSO). The shrinkage estimator method gave a sparse model that was easy to interpret and increased the estimated predictability accuracy. Maternal health practices and access to a motivating intervention are significant factors that ensure a guardian’s compliance to their child immunization

Developing excellence in biostatistics leadership, training and science in Africa: How the Sub-Saharan Africa Consortium for Advanced Biostatistics (SSACAB) training unites expertise to deliver excellence

The increase in health research in sub-Saharan Africa (SSA) has generated large amounts of data and led to a high demand for biostatisticians to analyse these data locally and quickly.  Donor-funded initiatives exist to address the dearth in statistical capacity, but few initiatives have been led by African institutions. The Sub-Saharan African Consortium for Advanced Biostatistics (SSACAB) aims to improve biostatistical capacity in Africa according to the needs identified by African institutions, through (collaborative) masters and doctoral training in biostatistics. We describe the SSACAB Consortium, which comprises 11 universities and four research institutions- supported by four European universities. SSACAB builds on existing resources to strengthen biostatistics for health research with a focus on supporting biostatisticians to become research leaders; building a critical mass of biostatisticians, and networking institutions and biostatisticians across SSA.  In 2015 only four institutions had established Masters programmes in biostatistics and SSACAB supported the remaining institutions to develop Masters programmes. In 2019 the University of the Witwatersrand became the first African institution to gain Royal Statistical Society accreditation for a Biostatistics MSc programme. A total of 150 fellows have been awarded scholarships to date of which 123 are Masters fellowships (41 female) of which with 58 have already graduated. Graduates have been employed in African academic (19) and research (15) institutions and 10 have enrolled for PhD studies. A total of 27 (10 female) PhD fellowships have been awarded; 4 of them are due to graduate by 2020. To date, SSACAB Masters and PhD students have published 17 and 31 peer-reviewed articles, respectively. SSACAB has also facilitated well-attended conferences, face-to-face and online short courses. Pooling the limited biostatistics resources in SSA, and combining with co-funding from external partners is an effective strategy for the development and teaching of advanced biostatistics methods, supervision and mentoring of PhD candidates

UNITY : a low-field magnetic resonance neuroimaging initiative to characterize neurodevelopment in low and middle-income settings

DATA AVAILABILITY : Data collected as part of the UNITY network will be made available to researchers from the academic communities at varying levels of granularity depending on site-specific IRB approvals. For some sites, full access to individual raw and processed data will be provided, whilst for others, owing to national policies (e.g., those located in India) may only be able to provide de-identified composite values (e.g., regional volumes, mean relaxometry measures, etc.). The Bill & Melinda Gates Foundation is committed to open access and broad data availability as permitted.Measures of physical growth, such as weight and height have long been the predominant outcomes for monitoring child health and evaluating interventional outcomes in public health studies, including those that may impact neurodevelopment. While physical growth generally reflects overall health and nutritional status, it lacks sensitivity and specificity to brain growth and developing cognitive skills and abilities. Psychometric tools, e.g., the Bayley Scales of Infant and Toddler Development, may afford more direct assessment of cognitive development but they require language translation, cultural adaptation, and population norming. Further, they are not always reliable predictors of future outcomes when assessed within the first 12–18 months of a child’s life. Neuroimaging may provide more objective, sensitive, and predictive measures of neurodevelopment but tools such as magnetic resonance (MR) imaging are not readily available in many low and middle-income countries (LMICs). MRI systems that operate at lower magnetic fields (< 100mT) may offer increased accessibility, but their use for global health studies remains nascent. The UNITY project is envisaged as a global partnership to advance neuroimaging in global health studies. Here we describe the UNITY project, its goals, methods, operating procedures, and expected outcomes in characterizing neurodevelopment in sub-Saharan Africa and South Asia.The Bill & Melinda Gates Foundation, the NIHR Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London, and through a Wellcome Trust Investigator Award and a Wellcome Trust Strategic Award.https://www.elsevier.com/locate/dcnhj2024Biochemistry, Genetics and Microbiology (BGM)ImmunologyPaediatrics and Child HealthRadiologySDG-03:Good heatlh and well-beingSDG-17:Partnerships for the goal

Chronic diseases in Nyeri, Kenya: a study of knowledge and perceptions

The burden of chronic, non-communicable disease such as diabetes, cardiovascular disease, and cancer is growing in many developing countries including Kenya. The use of community health workers is an important tool to improve the access to care and education in rural areas. This study aims to understand the knowledge and perceptions among the general population regarding three chronic diseases – diabetes, hypertension, and cancer – in Nyeri, Kenya. Standardized, open-ended interviews were conducted with 200 participants. This study shows that most individuals interviewed are familiar with these three diseases; however, knowledge varied among individuals with many having significant gaps in knowledge. These results are consistent with previous studies from this region and will inform future education directed at community health workers and the general population

The role of agri - business incentive on under - five child immunization in Trans - Nzoia County

Immunization is effective in the reduction of child infant morbidity and mortality. The client factors that influence under-five child guardian compliance to the immunization schedule are interlinked based on household characteristics, socioeconomic status of the family, and maternal health practices. An incentive to motivate the mothers to prioritize their child’s health practices especially on vaccination works perfectly towards the achievement of full immunization coverage. In this paper, sampled study carried out in Weonia Location, Trans Nzoia County in March 2014 whose target population were children under the age of five years. A multinomial logistic regression model used to analyze the determinant of partial or noneimmunized. Maternal health practices and access to a motivating intervention are significant factors that ensure a parent/guardian’s compliance to their child immunization. The study recommends sustainability and diversification of incentive as well as education of the community on the essence of vaccination

Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya

Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and maintenance. This study was aimed at understanding the perceived risk factors and risk pathways of RVF in cattle in Ijara to enable the development of improved community-based disease surveillance, prediction, control and prevention. A cross-sectional study was carried out from September 2012 to June 2013. Thirty-one key informant interviews were conducted with relevant stakeholders to determine the local pastoralists’ understanding of risk factors and risk pathways of RVF in cattle in Ijara district. All the key informants perceived the presence of high numbers of mosquitoes and large numbers of cattle to be the most important risk factors contributing to the occurrence of RVF in cattle in Ijara. Key informants classified high rainfall as the most important (12/31) to an important (19/31) risk factor. The main risk pathways were infected mosquitoes that bite cattle whilst grazing and at watering points as well as close contact between domestic animals and wildlife. The likelihood of contamination of the environment as a result of poor handling of carcasses and aborted foetuses during RVF outbreaks was not considered an important pathway. There is therefore a need to conduct regular participatory community awareness sessions on handling of animal carcasses in terms of preparedness, prevention and control of any possible RVF epizootics. Additionally, monitoring of environmental conditions to detect enhanced rainfall and flooding should be prioritised for preparedness