Level of Male Involvement in Home Based Care for People Living with HIV and AIDS in Nyando District, Western Kenya

Kenya’s HIV prevalence is estimated at 7% (KDHS, 2003) and (28.6%) in Nyando District. With the increasing number of PLWHAs, Home Based Care (HBC) has been implemented to relieve the health facilities. This has resulted to great burden of care to family members especially the women in addition to their daily responsibilities in the home. Previous studies have reported low male involvement and high burden of care of the sick at home on women without quantifying the areas of HBC that men are not involved in. This study was conducted to determine the level of male involvement in the provision of HBC services to PLWHAs in Nyando District of Western Kenya.This was a descriptive and exploratory study which employed quantitative methods. Purposive sampling was used to identify the study respondents who were men heads of households living with PLWHAs.This study established the level of male involvement in all the 4 HBC services outlined in the home based care  policy for Kenya.Counselling and psychological care (60.7%), Nursing care 931.4%), Social support (26.4%) and Clinical care (19.3%).Men are not main caregivers of PLWHAs in their households, majority (85%) provide some form of HBC services. Men provide HBC services for the PLWHAs depending on type of care, gender of PLWHAs and familial relationship. Male involvement is important in reducing the burden of women as main caregivers for the PLWHAs. Key words; Male-involvement, Home-based-care, HIV/AIDS, People-living-with-HIV-and AID

Economic impact of HIV/AIDS on rural households in Suba Distict, Kenya.

Poor rural communities in sub-Saharan Africa have been affected most by HIV/AIDS pandemic. This paper analyzed the socio-economic impacts of HIV and AIDS on rural households, at different stages of disease progression, to determine economic impact of HIV/AIDS.  The study was quasi-longitudinal assessing the impact of HIV and AIDS on economic status in Suba District. The study population were PLWHA who were registered for care at the local Health Centre. A sample of 200 HIV+ cases was randomly selected from patient support register.The findings showed that there was shortage of labor at household level due to drop out from work, and selling of assets in affected households as the disease progressed to more severe stages. Depletion of assets and savings to cope with increased expenditures in medical costs, food intake requirement as well as funeral costs was high in households with advanced stages of the disease. Key words: HIV, AIDS, stages, progressive, impac

Involvement of Hub Nurses in HIV Policy Development: Case Study of Nyanza Province, Kenya

Nurses constitute the bulk of healthcare personnel in most countries playing major responsibility of providing quality care. Few nurses are however involved in health policy development yet they play a critical role in providing care for the individuals infected and affected by HIV/AIDS. This study describes involvement of nurses in HIV policy development in Nyanza Province Kenya. This study adopted a case study design using qualitative methods. Levels of involvement in policy development were identified to be at different levels but still very minimal at the provincial and national levels. Linkages and collaborations were the greatest benefit in policy development. Governments have a key role in governing policy issues. NGOs, learning institutions and communities are key players in health policy. Barrier to participation in policy formulation were identified as competing priorities, inadequate time, and limited knowledge and skills. Nurses play critical role in HIV/AIDS and therefore they should be involved in policy formulation

Cost Analysis of Community Health Strategy Implementation: Case Study of Butere District, Kenya

Cost analysis of community health strategy is the Identification of current and anticipated costs in operating a community health unit with an examination of the impact of those costs of setting them up. The purpose of the study was to look at the cost of implementing community health strategy in a rural set up in Kenya. The study was a longitudinal and was carried out in Butere District US$2549.9 was used to set up community health unit and US$7532 was spent in operation costs. The total cost of implementing and running a functional community health unit in Kenya’s rural set up is equivalent to US$10,081.9

Community based malaria control through chemotherapy and chemoprophylaxis in Saradidi, Kenya

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