Browsing School of Medicine by Author "Wachira, Juddy"

Now showing items 1-20 of 62

Acceptability of a pilot intervention of voluntary medical male circumcision and HIV education for street-connected youth in Western Kenya

Kibel, Mia; Shah, Pooja; Ayuku, David; Makori, Dominic; Kamaara, Eunice; Choge, Emily; Nyairo, Joyce; Abuyae, Pamela; Wahome, Mary; Wachira, Juddy; Braitstein, Paula (Journal of Adolescent Health, 2019)

Purpose Street-connected youth (SCY) in Kenya and elsewhere in sub–Saharan Africa are at high risk of HIV. Voluntary Male Medical Circumcision (VMMC) reduces the risk of female-to-male HIV transmission. Circumcision is ...
Assessment of knowledge, attitudes and practices of infant feeding in the context of HIV: A case study from western Kenya

Wachira, Juddy; Otieno, Boaz; Ballidawa, Joyce; Braitstein, Paula (Ampath, 2009-11)

Guidelines for infant feeding options among HIV-positive mothers are changing with informative research. Cultural factors, socialisation processes, gender dimensions and socio-economic status within communities should be ...
Barriers to ART adherence among school students living with HIV in Kenya

Apondi, Edith; Wachira, Juddy; Ayikukwei, Rose; Kafu, Catherine; Onyango, Jael; Omollo, Mark (AJAR, 2021-10-11)

HIV has transformed from a serious acute illness with high rates of morbidity and mortality to a fairly easily managed chronic disease. However, children and adolescents living with HIV are yet to achieve similar improvement ...
Challenges of achieving sustainable community health services for community case management of malaria

Boakye, Michelle D. S.; Owek, Collins J.; Oluoch, Elizabeth; Wachira, Juddy; Afrane, Yaw A. (BMC, 2018-10-01)

Background: Community Case Management of malaria (CCMm) using Community Health Workers (CHWs) is an approach to improve access to timely and effective malaria case management in malaria endemic countries. So far the ...
Community Perceptions of Community Health Workers (CHWs) and Their Roles in Management for HIV, Tuberculosis and Hypertension in Western Kenya

Koech, Beatrice; Kamene, Regina; Akinyi, Jackie; Wachira, Juddy (AMPATH, 2016)

Given shortages of health care providers and a rise in the number of people living with both communicable and non-communicable diseases, Community Health Workers (CHWs) are increasingly incorporated into health care ...
Community Perceptions of Community Health Workers (CHWs) and Their Roles in Management for HIV, Tuberculosis and Hypertension in Western Kenya

Rachlis, Beth; Naanyu, Violet; Wachira, Juddy; Genberg, Becky; Koech, Beatrice; Kamene, Regina; Akinyi, Jackie; Braitstein, Paula (PLOS ONE, 2016-02-22)

Given shortages of health care providers and a rise in the number of people living with both communicable and non-communicable diseases, Community Health Workers (CHWs) are increasingly incorporated into health care ...
Continuity of Care is Associated with Higher Appointment Adherence Among HIV Patients in Low Clinician-to-Patient Ratio Facilities in Western Kenya

Wachira, Juddy; Mwangi, Ann; Genberg, Becky; Ngeresa, Anthony; Omar, Galárraga; Kimayo, Sylvester; Dick, Jonathan; Braitstein, Paula; Ira, Wilson; Hogan, Joseph (PubMed, 2022-11)

We sought to determine the relationship between continuity of care and adherence to clinic appointments among patients receiving HIV care in high vs. low clinician-to-patient (C:P) ratios facilities in western Kenya. This ...
Correction to: Identifying common barriers and facilitators to linkage and retention in chronic disease care in western Kenya

Rachlis, Beth; Naanyu, Violet; Wachira, Juddy; Koech, Beatrice; Akinyi, Jackie (BMC Public Health volume, 2018-08)

After the publication of the original article [1], it was highlighted that Fig. 1 was incorrectly labeled. Figure 1 should refer to the Andersen-Newman Framework for Health Services Utilization. Additionally, the reference ...
Decreasing incidence of pregnancy among HIV-positive adolescents in a large HIV treatment program in western Kenya between 2005 and 2017: a retrospective cohort study

Milla, Heather C.; Keter, Alfred K.; Musick, Beverly S.; Apondi, Edith; Wachira, Juddy; MacDonald, Katherine R.; Spitzer, Rachel F.; Braitstein, Paula (BMC, 2020-10-29)

Background: The objective of this study was to estimate the prevalence, incidence and risk factors for pregnancy among HIV-positive adolescents in a large HIV treatment program in western Kenya. Methods: The Academic ...
Delayed illness recognition and multiple referrals: a qualitative study exploring care-seeking trajectories contributing to maternal and newborn illnesses and death in southern Tanzania

Shamba, Donat; Tancred, Tara; Hanson, Claudia; Wachira, Juddy; Manzi, Fatuma (Sringer, 2019)

Background:Maternal and neonatal mortality remain high in southern Tanzania despite an increasing number of births occurring in health facilities. In search for reasons for the persistently high mortality rates, we explored ...
Experiences and expectations of patients living with HIV on their engagement with care in Western Kenya

Wachira, Juddy; Becky, Genberg; Kafu, Catherine; Braitstein, Paula; Laws, Michael Barton (PubMed, 2018-08)

Purpose: In resource-limited HIV care settings, effective and innovative interventions that respond to the existing challenges along the HIV care continuum are urgently needed to realize the benefits of antiretroviral ...
Exploring media framing of abortion content on Kenyan television: a qualitative study protocol

Kafu, Catherine; Ligaga, Dina; Wachira, Juddy (Springer, 2021)

Background:Media framing of abortion messages is an emerging field of research. However, little is known about how the news media frames abortion messages aimed at influencing adolescents’ reproductive health choices. This ...
Factors Associated with Uptake of Visual Inspection with Acetic Acid (VIA) for Cervical Cancer Screening in Western Kenya

Orang’o, Elkanah Omenge; Wachira, Juddy; Asirwa, Fredrick Chite; Busakhala, Naftali; Naanyu, Violet; Kisuya, Job; Otieno, Grieven; Keter, Alfred; Mwangi, Ann (Crossmark, 2016)

Purpose Cervical cancer screening has been successful in reducing the rates of cervical cancer in developed countries, but this disease remains the leading cause of cancer deaths among women in sub-Saharan Africa. We ...
Factors underlying taking a child to HIV care: implications for reducing loss to follow-up among HIV-infected and -exposed children

Wachira, Juddy; Braitstein, Paula; Vreeman, Rachel; Middlestadt, Susan E (AJOL, 2012)

Objective: With the aim of reducing pediatric loss to follow-up (LTFU) from HIV clinical care programs in sub-Saharan Africa, we sought to understand the personal and socio-cultural factors associated with the behavior of ...
Gender differences in HIV knowledge among adolescents and young people in low-and middle-income countries: a systematic review

Gillette, Emma; Chory, Ashley; Callen, Grant; Wachira, Juddy; A., Nadia Sam-Agudu; Bond, Keosha; Vreeman, Rachel (Frontiers, 2023-07-26)

Objectives: This review seeks to critically analyze studies assessing gender differences in HIV-related knowledge among adolescents and young people in low- and middle-income countries. Methods: Using PRISMA guidelines ...
Health System factors constrain HIV care providers in delivering high-quality care: perceptions from a qualitative study of providers in Western Kenya

Genberg, Becky; Wachira, Juddy; Kafu, Catherine; Wilson, Ira; Koech, Beatrice; Kamene, Regina; Akinyi, Jacqueline (Journal of the InternationalAssociation of Providers of AIDS Care, 2019)

The burden on health systems due to increased volume of patients with HIV continues to rapidly increase. The goal of this study was to examine the experiences of HIV care providers in a high patient volume HIV treatment ...
Higher clinician-patient communication is associated with greater satisfaction with HIV care

Wachira, Juddy; Mwangi, Ann; Chemutai, Diana; Nyambura, Monica; Genberg, Becky; Wilson, Ira B. (Sage, 2021-10-04)

Provider-patient communication (PPC) skills are key in promoting patient satisfaction. Our study examined the relationship between clinician PPC skills and patient satisfaction with care among virally unsuppressed adult ...
HIV Prevalence and Antenatal Care Attendance among Pregnant Women in a Large Home-Based HIV Counseling and Testing Program in Western Kenya

Ndege, Samson; Sierra, Washington; Kaaria, Alice; Were, Edwin; Nyambura, Monica; Keter, Alfred K.; Wachira, Juddy; Paula, Braitstein (Crossmark, 2016)

Objective To describe the uptake of and factors associated with HIV prevalence among pregnant women in a large-scale home-based HIV counseling and testing (HBCT) program in west- ern Kenya. Methods In 2007, the Academic ...
HIV prevalence in young people and children living on the streets, Kenya

Braitstein, Paula; Ayuku, David; DeLong, Allison; Makori, Dominic; Sang, Edwin; Tarus, Carren; Kamanda, Allan; Shah, Pooja; Apondi, Edith; Wachira, Juddy (Bull World Health Organisation, 2019)

Objective To obtain an estimate of the size of, and human immunodeficiency (HIV) prevalence among, young people and children living on the streets of Eldoret, Kenya. Methods We counted young people and children using ...
Identifying common barriers and facilitators to linkage and retention in chronic disease care in western Kenya

Naanyu, Violet; Wachira, Juddy; Koech, Beatrice; Kamene, Regina; Akinyi, Jackie; Paula, Braitstein (BMC Public Health, 2016)

Background: Sub-Saharan Africa is increasingly being challenged in providing care and treatment for chronic diseases, both communicable and non-communicable. In order to address the challenges of linkage to and retention ...

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