Epidemics of chikungunya fever, an Aedes spp.-borne viral disease, affected hundreds of thousands of people in western Indian Ocean islands and India during 2005-2006. The initial outbreaks occurred in coastal Kenya (Lamu, then Mombasa) in 2004. We investigated eco-climatic conditions associated with chikungunya fever emergence along coastal Kenya using epidemiologic investigations and satellit...

H  of gender have shown the importance of documenting and scrutinizing instances in which gender terminologies are invoked and employed.# A compelling instance can be found in an examination of the widows of Maragoli. In this upland rural area of about two hundred square kilometers in western Kenya, the dynamic relations surrounding widowhood provide a useful opportunity to analyze the...

Title: HIV status and treatment influence on fertility desires among women newly becoming eligible for antiretroviral therapy in western Kenya: insights from a qualitative study Authors: James Ayieko ([email protected]) Angeline Ti ([email protected]) Jill Hagey ([email protected]) Eliud Akama ([email protected]) Elizabeth Bukusi ([email protected]) Craig Cohen ([email protected]....

Objective The prevalence of diabetes in sub-Saharan Africa is rising, but its relationship to depression is not well-characterized. This report describes depressive symptom prevalence and associations with adherence and outcomes among patients with diabetes in a rural, resource-constrained setting. Methods In the Webuye, Kenya diabetes clinic, we conducted a chart review, analyzing data inclu...

We propose a working independent profile likelihood method for the semiparametric time-varying coefficient model with correlation. Kernel likelihood is used to estimate time-varying coefficient. Profile likelihood for the parametric coefficient is formed by plugging in the nonparametric estimator. For independent data, the estimator is asymptotically normal and achieves the asymptotic semiparam...

INTRODUCTION Electronic health records (EHRs) are receiving a lot of attention for their potential to improve care. OBJECTIVE To develop and implement EHRs in the antenatal clinic (ANC) of a teaching and referral hospital in Western Kenya. RESULTS A multidisciplinary team developed a phased implementation of EHRs in the ANC as part of a CDC-funded effort to develop and implement primary car...