Prostatism refers to obstruction of the bladder neck due to an enlargement of the prostate as men ages leading to urinary difficulties (Jong et al., 2014). Prostatism results to development of nodules which are larger blocking the urethrahence increasing urine flow resistance. The condition is manifested by irritative symptoms (sensory urgency, urgency, frequency plus urgent incontinence) and obstructive (double voiding, decreased stream, urinary retention, terminal dribbling and hesitancy (Cunningham, 2013). Countries in Sub Saharan African are

The female condom is a dual protection tool for both prevention of HIV/AIDS transmission and conception of unwanted pregnancies. In Migori, HIV prevalence is 16 percent and utilization of female condom is at 0.3 percent. A descriptive cross-sectional study was conducted among 380 youths who were systematically and randomly sampled. Majority of youths (86.6%) were aged between 18 and 25 years with 83.9 percent being single, 95.3 percent were Christians, and 4.7 percent Muslim. There was a significant association between marital status, Men’s role in negotiation of safe sex, incompetence in female condom insertion, and utilization of the female condom.

Background: Cervical cancer is a disease of public health importance with a high global morbidity and mortality. More than 266,000 women die every year,with 87% of them coming from low and middle-income countries. These are the areas where programmes for screening and treatment are either deficient or underutilized. The morbidity and the mortality rates remain high in Kenya despite the screening and treatment services that the Ministry of Health has rolled out all over the country. Low levels of utilization of the established screening systems leads to increased morbidity and mortality. The problem is more prevalent in the rural Kenya where socioeconomic status of the majority in the population is low. Kitui County is such a rural region in Kenya. Objective: To determine the factors influencing the levels of utilization of the Visual Inspection method (VIA/VILI) for cervical cancer screening services in Kitui County, Kenya. Methodology: This was a descriptive study involving 370 women of reproductive age attending public MCH/FP clinics in Kitui County Kenya. Systematic random sampling method was used to select the participants. Exit interview was the main data collection technique. Key informants were also interviewed and facilities’ preparedness to provide adequate screening services was assessed using a facility survey checklist. Results: A total of 370 women were interviewed, 69.2% of whom were aged below 29 years, 68% were married, 75% had three or fewer children, 19% did not have the basic level of formal education and 61% were earning less than 50 US$per month. The level of awareness on cervical cancer and its prevention was 53.8%, with significant difference in relation to VIA/VILI utilization (OR 3.0675 p=0.000). Significance difference was also observed in cervical cancer testing and level of education (X 2 =21.728, df=3, P= 0.000), the main source of income, (X 2 = 15.030, df=2, P=0.01), average monthly income, (X 2 =27.942, df=4, P=0.0001) and the main decision maker in the family, (X 2 =6.908, df=2, p=0.032). Public health facilities were not adequately equipped and well staffed to provide the VIA/VILI screening services. Conclusion: Low levels (53.8%) of awareness about cervical cancer and its prevention among eligible clients in Kitui Central Sub-county Kenya, which was below the national target of over 70%, low coverage of health facilities and shortage of manpower lead to low levels of VIA/VILI screening. Therefore, there is a need to strengthen the existing services and interventions strategies, and enhance cancer awareness campaigns in order to reduce the incidence of the disease.

Background: This was a cross sectional exploratory study that examined data obtained from health care workers on substance use in Bungoma County Kenya. Methods: This was a cross sectional exploratory study in selected health facilities in three sub counties of Bungoma County. This study used a two-stage cluster sampling technique and systematic sampling to select the respondents. The study sample was (N= 237 ) among health care workers in selected facilities in 3 sub counties of Bungoma county .The study response rate was 96.3 %(237/247) . Self-reported data on substance use during their lifetime, use in the past 12 months and past 30 days was used as key parameters to determine patterns and correlates of substance Results: As compared with females, males were found to have a greater like hood of substance use, having family member with a history of substance use and a colleague who uses substances were key predictors for substance use. Substance use prevalence without generalization to the population of Health care workers (HCWs) in this study shows a high prevalence of lifetime substance use (35.02, 29.17- 41.36) concurs with findings in a study in Machakos and Nairobi (Mokaya et al 2018). Alcohol had the highest lifetime prevalence rate (33%) Conclusion; Alcohol use among HCW had the highest prevalence with socio-demographic factors on gender, family and peer influence associated with substance use among health workers. The study findings suggest preventive interventions against substance use are required at family level and among peers. Further research is needed on substance abuse, dependence, reasons for substance use and how it affects health workers performance Keywords: Substance Use, abuse, dependence, patterns, correlates, lifetime use

The female condom is a dual protection tool for both prevention of HIV/ Aids transmission and unwanted or unplanned pregnancies. The study was done in Migori County among the youths attending selected tertiary training institutes, with specific objectives of identifying the extent in which access to the female condom and other social cultural factors affecting use of the device in Migori County. A cross-sectional descriptive study was used to collect both quantitative and qualitative data. A pre-test study was conducted in Msomi teachers training college to test the validity and reliability of the data collecting tools. The tertiary institutions were purposively selected while the research participants in the selected institutes were randomly and systematically selected and a sample size of n= 385 was chosen proportionately. Data was collected using structured questionnaires, in-depth interviews and focus group discussions. It was evident from the research findings that majority of the youths 83.9% were single with 61.3% of the youths getting information about female condom use from media, 73.9% used it to prevent pregnancy than to prevent transmission or contracting HIV/Aids. Availability and cost of the female condom was significant at p≤0.001, attitude of the user and partner was also significant at p value of 0.024.