Pastoralist health care in Kenya

Duba, Huka H.; Mur-Veeman, Ingrid; Raak, Arno Ja van

doi:10.5334/ijic.21

Cited by 16 publications

(12 citation statements)

References 3 publications

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“…However, this median distance was over two fold higher for nomadic pastoralists (36 km) than agro-pastoralists (16 km). Similar distance to health facilities was reported from pastoralists in northern Kenya [ 28 ]. Widespread poverty compounded with resource allocation bias in many African countries resulted in concentration of investment in urban areas, despite the fact that large proportions of their population are rural.…”

Section: Discussionsupporting

confidence: 73%

Pastoralism and delay in diagnosis of TB in Ethiopia

2009

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Background: Tuberculosis (TB) is a major public health problem in the Horn of Africa with Ethiopia being the most affected where TB cases increase at the rate of 2.6% each year. One of the main contributing factors for this rise is increasing transmission due to large number of untreated patients, serving as reservoirs of the infection within the communities. Reduction of the time between onset of TB symptoms to diagnosis is therefore a prerequisite to bring the TB epidemic under control. The aim of this study was to measure duration of delay among pastoralist TB patients at TB management units in Somali Regional State (SRS) of Ethiopia.

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Section: Discussionsupporting

confidence: 73%

Pastoralism and delay in diagnosis of TB in Ethiopia

2009

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“…This is the first study to examine issues around access and attitudes to HPV vaccine in hard-to-reach communities. Nairobi slums and Maasai nomadic pastoralist communities represent populations that may be difficult to reach for an adolescent/pre-adolescent health intervention for a number of reasons, including mobility, difficulty accessing communities to offer services, availability to receive vaccine, school absenteeism and drop-out, and early age of sex and marriage[ 11 – 14 ]. Despite this, and, in common with other sub-Saharan African populations[ 15 ], a general lack of knowledge and awareness about cervical cancer and the HPV vaccine, there was considerable interest in receiving HPV vaccination in these communities, with many participants indicating they would support vaccination if adequate and appropriate information was available and efforts were made to address concerns and rumours.…”

Section: Discussionmentioning

confidence: 99%

Access and Attitudes to HPV Vaccination amongst Hard-To-Reach Populations in Kenya

et al. 2015

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BackgroundSub-Saharan Africa bears the greatest burden of cervical cancer. Human papillomavirus (HPV) vaccination programmes to prevent the disease will need to reach vulnerable girls who may not be able access health and screening services in the future. We conducted formative research on facilitators and barriers to HPV vaccination and potential acceptability of a future HPV vaccination programme amongst girls living in hard-to-reach populations in Kenya.MethodsStakeholder interviews with Ministry of Health staff explored barriers to and support for the uptake of HPV vaccination. A situation assessment was conducted to assess community services in Maasai nomadic pastoralist communities in Kajiado County and in Korogocho informal settlement in Nairobi city, followed by focus group discussions (n=14) and semi-structured interviews (n=28) with health workers, parents, youth, and community and religious leaders. These covered marriage, knowledge of cervical cancer and HPV, factors that might inhibit or support HPV vaccine uptake and intention to accept HPV vaccine if a programme was in place.ResultsReported challenges to an HPV vaccination programme included school absenteeism and drop-out, early age of sex and marriage, lack of parental support, population mobility and distance from services. Despite little prior knowledge of cervical cancer and HPV, communities were interested in receiving HPV vaccination. Adequate social mobilisation and school-based vaccination, supplemented by out-reach activities, were considered important facilitating factors to achieve high coverage. There was some support for a campaign approach to vaccine delivery.ConclusionsGiven the high level of support for a vaccine against cervical cancer and the experience of reaching pastoralist and slum-dwellers for other immunizations, implementing an HPV vaccine programme should be feasible in such hard-to-reach communities. This may require additional delivery strategies in addition to the standard school-based delivery, with vaccine offered at multiple venues, potentially through a campaign approach.

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“…Studies have found that agro-pastoralist communities in remote areas have difficulty accessing FHFs resulting in the communities patronizing informal health facilities (IHFs) (Duba et al, 2001;Caulfield et al, 2016). However, Cheikhyoussef et al (2011) argue that traditional knowledge of plant species as medicines and traditional views on causes of diseases compel agro-pastoralists to rely more on traditional treatments.…”

Section: Introductionmentioning

confidence: 99%

Access and Challenges of Health Facilities amongst Agro-pastoralist Communities in Handeni District, Tanzania

Ringo

Bengesi

Mbago

2017

JPSS

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This study examines high incidence of under-five mortality among agro-pastoralists resulting from lack of access to healthcare facilities. A proportional sampling method was adopted, and descriptive statistics and binary logistic regression were used in data analysis. The results revealed low dependence of agro-pastoralists on formal healthcare facilities, which could be explained by prevalence of informal healthcare facilities in villages where they reside. Education, income, accessibility, and duration of stay in a particular area accounted for the choice of healthcare facilities. Level of education and income determined preference for formal health facilities, possibly due to influence of education on understanding benefits of treatment in formal health facilities and income to meet associated costs. Accessibility of health facility influenced the decision to patronize formal health facilities. This was evident in villages which were connected to reliable road networks. Additionally, the length of time one resides in a particular area played a role in adhering to traditional values influencing the choice of informal healthcare facilities. The government and private sector should invest in rural road networks and promote education among agro-pastoralists on importance of using formal healthcare facilities and rational use of household income to improve accessibility to formal health facilities.

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Pastoralist health care in Kenya

Cited by 16 publications

References 3 publications

Pastoralism and delay in diagnosis of TB in Ethiopia

Pastoralism and delay in diagnosis of TB in Ethiopia

Access and Attitudes to HPV Vaccination amongst Hard-To-Reach Populations in Kenya

Access and Challenges of Health Facilities amongst Agro-pastoralist Communities in Handeni District, Tanzania

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