Easter Olwanda
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View article: Power, Interests, and Maternal Health Care: A Political Economy Analysis of Service Delivery Redesign in Kenya
Power, Interests, and Maternal Health Care: A Political Economy Analysis of Service Delivery Redesign in Kenya Open
The Maternal and Newborn Health (MNH) Service Delivery Redesign (SDR) in Kakamega County, Kenya, represents the country’s first system-level reorganization of MNH services. The reform aimed to improve care quality and reduce mortality by c…
View article: Influence of institutional support and organisational culture on HIV and NCD integration
Influence of institutional support and organisational culture on HIV and NCD integration Open
Background: The integration of services for human immunodeficiency virus (HIV) and non-communicable diseases (NCDs) has gained increasing attention in recent years because of the overlapping prevalence and shared risk factors between these…
View article: Human papillomavirus self-sampling versus provider-sampling in low- and middle-income countries: a scoping review of accuracy, acceptability, cost, uptake, and equity
Human papillomavirus self-sampling versus provider-sampling in low- and middle-income countries: a scoping review of accuracy, acceptability, cost, uptake, and equity Open
Introduction HPV self-sampling is a relatively new, cost-effective and widely accepted method, however, uptake in LMICs remains limited. We aimed to map out the evidence and identify gaps in accuracy, acceptability, cost, equity and uptake…
View article: The Economic Costs of Tobacco Related Illnesses in Kenya
The Economic Costs of Tobacco Related Illnesses in Kenya Open
Objective To estimate the economic costs of selected tobacco-related illnesses (TRI) in Kenya in 2022. Research Design and Methods This study was conducted in 2 phases. Phase 1, conducted between 2021 and 2022, entailed conducting a cross-…
View article: The role of women’s autonomy and empowerment in maternal health decision making: Implications on the implementation process of a service delivery reform in Kenya. A qualitative exploratory study
The role of women’s autonomy and empowerment in maternal health decision making: Implications on the implementation process of a service delivery reform in Kenya. A qualitative exploratory study Open
Background A maternal and child health service delivery redesign (SDR) that aims to reorganize maternal and newborn health services is being implemented in Kakamega County in Kenya. Women's voice, agency, and autonomy are critical aspects …
View article: Cost analysis of an intrapartum quality improvement package for improving preterm survival and reinforcing best practices in Kenya and Uganda
Cost analysis of an intrapartum quality improvement package for improving preterm survival and reinforcing best practices in Kenya and Uganda Open
Introduction Preterm birth is a leading cause of under-5 mortality, with the greatest burden in lower-resource settings. Strategies to improve preterm survival have been tested, but strategy costs are less understood. We estimate costs of …
View article: Estimating the economic impact of COVID-19 disruption on access to sexual and reproductive health and rights in Eastern and Southern Africa
Estimating the economic impact of COVID-19 disruption on access to sexual and reproductive health and rights in Eastern and Southern Africa Open
Background The Coronavirus disease 2019 (COVID-19) resulted in the disruption of Sexual and Reproductive Health Rights (SRHR) services in the Eastern and Southern Africa region. To date, studies estimating the impact of COVID-19 disruption…
View article: Investment case for primary health care in low- and middle-income countries: A case study of Kenya
Investment case for primary health care in low- and middle-income countries: A case study of Kenya Open
Background Primary healthcare (PHC) systems attain improved health outcomes and fairness and are affordable. However, the proportion of PHC spending to Total Current Health Expenditure in Kenya reduced from 63.4% in 2016/17 to 53.9% in 202…
View article: Point-of-care viral load tests to detect high HIV viral load in people living with HIV/AIDS attending health facilities
Point-of-care viral load tests to detect high HIV viral load in people living with HIV/AIDS attending health facilities Open
We found POC VL to have high sensitivity and high specificity for the diagnosis of high HIV viral load in PLHIV attending healthcare facilities at a clinical threshold of ≥ 1000 copies/mL.
View article: Comparison of the costs of HPV testing through community health campaigns versus home-based testing in rural Western Kenya: a microcosting study
Comparison of the costs of HPV testing through community health campaigns versus home-based testing in rural Western Kenya: a microcosting study Open
Objectives To estimate the cost of human papillomavirus (HPV)-based screening through community health campaigns (CHCs) and home-based testing. Setting CHCs and home-based testing in six communities in rural Western Kenya. Participants CHC…
View article: <scp>HPV</scp>‐based cervical cancer screening in low‐resource settings: Maximizing the efficiency of community‐based strategies in rural Kenya
<span>HPV</span>‐based cervical cancer screening in low‐resource settings: Maximizing the efficiency of community‐based strategies in rural Kenya Open
Objective To characterize the efficiency of screening through high‐volume community health campaigns ( CHC s) by comparing the costs and population reach and identify factors associated with gains in efficiency. Access to effective cervica…
View article: Evaluating a community-based cervical cancer screening strategy in Western Kenya: a descriptive study
Evaluating a community-based cervical cancer screening strategy in Western Kenya: a descriptive study Open
NCT02124252 , Registered 25 April 2014.
View article: Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya
Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya Open
HPV-based cervical cancer screening through community health campaigns achieved lower costs per woman screened, compared to screening at clinics. Periodic high-volume CHCs appear to be a viable low-cost strategy for implementing cervical c…
View article: Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study
Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study Open
There is a substantial difference in patient flow at clinics compared to CHCs. Shorter duration at CHCs suggests that the model is favorable for patients in limiting time spent on screening. Future cervical cancer screening programs design…
View article: Additional file 5: of Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya
Additional file 5: of Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya Open
Table S3. Cost estimations per woman screened at all 10 clinics, from January to September 2016. Includes cost estimations of the three phases of implementation: outreach and mobilization, screening, and notification and standard referral.…