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.
