Access and Use of Records Through the Cadastre System at the Ministry of Mining Headquarters, Nairobi

The Mining Cadastre System is a tool that facilitates easy access and use of information on mining license granting process and mineral resources in Kenya. The purpose of this study was to investigate the access and use of records through Cadastre System at the Ministry of Mining headquarters in Nairobi, Kenya. The specific objectives of the study were to: examine the extent to which the features of Cadastre System capture record-keeping functionalities and facilitates access and use of records at the Ministry of Mining Headquarters, Nairobi; establish the extent to which users access and utilize the system to meet their information needs; examine the opportunities and threats associated with Cadastre System in accessing and use of records and propose measures of enhancing its use. This study was guided by the Records Continuum model by Upward (2005) and the Design and Implementation of Record-keeping System (DIRKS) model by the National Archives of Australian (2001). The research study applied descriptive survey design and used both qualitative and quantitative approaches. The target population was 152 respondents. The researcher used three sampling techniques namely; stratified sampling, simple random sampling and purposive sampling. The sample size was made up of 66 respondents. The study used interviews and questionnaires as methods of collecting data. The interview was used to collect data from the two Directors from Mines and Geology Directorate. Questionnaires were used to collect data from the staff of the Ministry who use the system. The pilot study was done in the Ministry of Mining Directorate at Community Area in Upper Hill Nairobi to test the data collection instruments. The researcher used 3 members of Registry Staff and tested the interview schedule with 2 Administrators to test the study. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS version 23) while discourse analysis was used for analyzing qualitative data. Data was presented in tables and pie-charts. Textual data presentation was presented through discourse analysis. The main results from the research were that; the Cadastre System helps in the management of the mineral resources in the Ministry of Mining; users use the system to access mineral information allowing smooth and efficient document transactions; Cadastre system maximized revenue collection from the mineral sector and enhanced investor confidence. However, there were regulatory challenges affecting Cadastre system processes because of the new Mining Act 2016. The System required skilled experts in record-keeping as a measure to improve the Cadastre System operations. The study concludes that the Cadastral System in the Ministry of Mining needs adequate funding to maintain its operations. Trained personnel with records management skills should be involved in the Cadastre System development and maintenance alongside the mining engineers and cadastral staff for better service delivery. Therefore, the study recommends for allocation of adequate funds in its budget to facilitate the system’s operations and involvement of adequate skilled record’s management staff to enhance Cadaster System operations alongside the mining engineers/staff possibly through departmental trainings. Cadastral system enhancement would be beneficial to policy makers, staff and investors in the ministry of Mining. Policy makers will assess the Cadastre System performance with a view of upgrading it where need be. The staff will use the system to enhance service delivery while investors will get the information they are seeking for better returns in their mining investments. There is therefore need to allocate more budget to maintenance Cadastre System and the infrastructure so as to be accessed remotely at all times. Keywords: Access and use of records, Record-keeping, Cadastre System, Mining, Information needs. DOI: 10.7176/IKM/10-2-03 Publication date: February 29th 202

DETERMINANTS OF PARENTS’ PERCEPTION ON SCHOOL READINESS AMONG PRE-PRIMARY SCHOOL PUPILS IN KARASANI DIVISION, NAIROBI COUNTY, KENYA

Global studies show the need for parental involvement in children’s school readiness. In Kenya, studies show that students’ poor performance in school is mainly caused by lack of school readiness. This study was guided by the Bronfenbrenner’s ecological systems theory which regards children as the center of various layers of systems. Survey research design was used to guide the study. The location of the study was Kasarani Division. The target population was parents with children aged 5 to 6 years in pre-unit class enrolled in pre-primary schools in Kasarani Division. Questionnaires and interview schedules were used to obtain data from the respondents. Pilot study was done in two pre-schools within Kasarani Division. Content validity was used to determine the validity of the instruments, while the reliability of the instruments was determined using test re-test method. Data was collected in two stages. Descriptive and inferential methods were used to analyze the collected data. ANOVA and Chi-square tests were used to test the null hypotheses at a significance level of 0.05. The findings showed that various factors were influenced parents’ perception on children’s school readiness. It was recommended that managers and administrators in public preschools ought to put systems in place to ensure that parents’ perceptions on school readiness are enhanced.  Article visualizations

Magnetic resonance imaging findings in Kenyans and South Africans with active convulsive epilepsy: an observational study

Objective: Focal epilepsy is common in low- and middle-income countries. The frequency and nature of possible underlying structural brain abnormalities have, however, not been fully assessed. Methods: We evaluated the possible structural causes of epilepsy in 331 people with epilepsy (240 from Kenya and 91 from South Africa) identified from community surveys of active convulsive epilepsy. Magnetic resonance imaging (MRI) scans were acquired on 1.5-Tesla scanners to determine the frequency and nature of any underlying lesions. We estimated the prevalence of these abnormalities using Bayesian priors (from an earlier pilot study) and observed data (from this study). We used a mixed-effect modified Poisson regression approach with the site as a random effect to determine the clinical features associated with neuropathology. Results: MRI abnormalities were found in 140 of 240 (modeled prevalence = 59%, 95% confidence interval [CI]: 53%–64%) of people with epilepsy in Kenya, and in 62 of 91 (modeled prevalence = 65%, 95% CI: 57%–73%) in South Africa, with a pooled modeled prevalence of 61% (95% CI: 56%–66%). Abnormalities were common in those with a history of adverse perinatal events (15/23 [65%, 95% CI: 43%–84%]), exposure to parasitic infections (83/120 [69%, 95% CI: 60%–77%]) and focal electroencephalographic features (97/142 [68%, 95% CI: 60%–76%]), but less frequent in individuals with generalized electroencephalographic features (44/99 [44%, 95% CI: 34%–55%]). Most abnormalities were potentially epileptogenic (167/202, 82%), of which mesial temporal sclerosis (43%) and gliosis (34%) were the most frequent. Abnormalities were associated with co-occurrence of generalized non-convulsive seizures (relative risk [RR] = 1.12, 95% CI: 1.04–1.25), lack of family history of seizures (RR = 0.91, 0.86–0.96), convulsive status epilepticus (RR = 1.14, 1.08–1.21), frequent seizures (RR = 1.12, 1.04–1.20), and reported use of anti-seizure medication (RR = 1.22, 1.18–1.26). Significance: MRI identified pathologies are common in people with epilepsy in Kenya and South Africa. Mesial temporal sclerosis, the most common abnormality, may be amenable to surgical correction. MRI may have a diagnostic value in rural Africa, but future longitudinal studies should examine the prognostic role

Organisations, race and trauma

SIGNPOSTING RESOURCES IN THE WAKE OF GEORGE FLOYD’S DEATH This brief guide is intended as a ‘first stop’ resource to help individuals understand: a) A brief outline of Institutional Racism so that individuals can read up and better inform themselves about the context– with the caveat that some content might be distressing b) The role of Activism c) An explanation of Racially Traumatic Events which affect people at work and in their private lives d) Some Practical Strategies to help individuals cope with the trauma they have witnessed e) Further resources about Tackling Racism in Education and decolonising the curriculum which contain advice, facts and guidance. Much of this information may be of interest to the wider community

Samaki Salama - Promoting healthy child growth and sustainable fisheries in coastal Kenya: A study protocol

Background: One in five young children globally suffer the consequences of stunted growth and development and millions experience deficiencies in zinc, iron, iodine, vitamins A and B12, nutrients found bioavailable in fish foods. Small-scale fisheries have the potential to generate income and augment fish consumption while being environmentally sustainable if appropriately managed. However, those engaged in small-scale fisheries are often marginalized, poor, and malnourished. The Samaki Salama project seeks to better understand and address these challenges through a three-arm, longitudinal matched cluster study which evaluates the impact of an integrated nutrition social marketing and modified fishing trap intervention. Methods: here will be 400 small-scale fisher households enrolled from Kilifi County, Kenya and residing in communities matched on location (rural), livelihoods, and child nutritional status. The sample will include mothers and other caregivers, children 6–60 months, and fishers in the family. Applying a cluster design, the matched communities will be divided into three groups: (1) control (n = 200); (2) multi-component nutrition social marketing intervention to fishers, mothers, and health workers (n = 100); and (3) multi-component nutrition social marketing intervention plus modified fishing traps and training (n = 100). Primary outcomes include child growth, fish food intakes, and fisheries yield of mature fish. Secondary outcomes are diet diversity, child diarrheal morbidity, and fisheries revenue. A process evaluation will be used to monitor and ensure fidelity of intervention delivery. Discussion: This study builds on a growing body of literature illustrating the effectiveness of nutrition focused social marketing campaigns to promote active engagement of participants, high compliance to the intervention, and sustained behavior change. The second intervention element of modified fishing traps that allow immature fish to escape enables participants to act on the messaging they receive and promotes sustainable fishing through increased harvest efficiency and reduced catch of immature fish. The integrated approach of the Samaki Salama intervention provides an example of how to leverage multiple disciplines to address key challenges to human and environmental health and illustrates a pathway for scaling study innovations to other small-scale fisheries systems

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Developing Hybrid-Based Recommender System with Naïve Bayes Optimization to Increase Prediction Efficiency

Commerce and entertainment world today have shifted to the digital platforms where customer preferences are suggested by recommender systems. Recommendations have been made using a variety of methods such as content-based, collaborative filtering-based or their hybrids. Collaborative systems are common recommenders, which use similar users’ preferences. They however have issues such as data sparsity, cold start problem and lack of scalability. When a small percentage of users express their preferences, data becomes highly sparse, thus affecting quality of recommendations. New users or items with no preferences, forms cold start issues affecting recommendations. High amount of sparse data affects how the user-item matrices are formed thus affecting the overall recommendation results. How to handle data input in the recommender engine while reducing data sparsity and increase its potential to scale up is proposed. This paper proposed development of hybrid model with data optimization using a Naïve Bayes classifier, with an aim of reducing data sparsity problem and a blend of collaborative filtering model and association rule mining-based ensembles, for recommending items with an aim of improving their predictions. Machine learning using python on Jupyter notebook was used to develop the hybrid. The models were tested using MovieLens 100k and 1M datasets. We demonstrate the final recommendations of the hybrid having new top ten highly rated movies with 68% approved recommendations. We confirm new items suggested to the active user(s) while less sparse data was input and an improved scaling up of collaborative filtering model, thus improving model efficacy and better predictions

Data release: targeted systematic literature search for tick and tick-borne pathogen distributions in six countries in sub-Saharan Africa from 1901 to 2020

Abstract Background Surveillance data documenting tick and tick-borne disease (TBD) prevalence is needed to develop risk assessments and implement control strategies. Despite extensive research in Africa, there is no standardized, comprehensive review. Methods Here we tackle this knowledge gap, by producing a comprehensive review of research articles on ticks and TBD between 1901 and 2020 in Chad, Djibouti, Ethiopia, Kenya, Tanzania, and Uganda. Over 8356 English language articles were recovered. Our search strategy included 19 related MeSH terms. Articles were reviewed, and 331 met inclusion criteria. Articles containing mappable data were compiled into a standardized data schema, georeferenced, and uploaded to VectorMap. Results Tick and pathogen matrixes were created, providing information on vector distributions and tick–pathogen associations within the six selected African countries. Conclusions These results provide a digital, mappable database of current and historical tick and TBD distributions across six countries in Africa, which can inform specific risk modeling, determine surveillance gaps, and guide future surveillance priorities. Graphical Abstrac