Impact of health conditons on daily functoning in Kenyan populatons: A scoping review

Abstract

Background: Kenya faces signifcant challenges in addressing the impact of various health conditions. Understanding the functioning problems associated with these conditions is crucial for informing targeted interventions and improving overall healthcare outcomes. Objectives: This study aimed to determine the prevalence and types of functioning problems associated with health conditions contributing most to Years Lived with Disability in the adult Kenyan population and to identify the International Classifcation of Functioning, Disability, and Health (ICF) domains and categories most affected. Method: A scoping review was conducted. Searches were performed across multiple databases using relevant keywords and inclusion criteria. Studies published between January 2006 and December 2023 were eligible. Data were extracted from 39 eligible studies using a web-based software application (Rehab4all). Results: Major depressive disorder, human immunodefciency virus, low back pain and fractures were identifed as the leading conditions contributing to functioning problems in Kenya. The most prevalent problems included walking diffculties, paraesthesia, various forms of pain and depression. The most affected ICF domains were mobility (d4), sensory function and pain (b2) and mental (b1). Conclusion: The comprehensive description of functioning problems associated with priority health conditions in Kenya can be used to develop targeted interventions to improve health outcomes across affected domains. Contribution: This research enhances comprehension of disability burden guiding intervention development and policy formulation for improved rehabilitation and offers a platform for further evidence-based strategies to tackle the country’s complex health challenges.