Browsing by Author "Nzioka, Agnes Wavinya"

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    Cognitive Factors and Development of Boy Child in Kenya.
    (Arch Epidemiol Pub Health Res, 2024) Nzioka, Agnes Wavinya
    The place of the boy child and man in society is changing at a frenetic pace. The majority of society's systems work in favour of the girl child. Society has created the best environment for the girl child to thrive, to the disadvantage of the boy child. As such, more resources are committed to the development of the girl child than ever before. More than ever before, we are seeing numerous campaigns, workshops, and seminars dubbed "girl child empowerment." Especially in Africa and particularly in Kenya, one of the most significant advantages of conducting this research is that the country has significant gender disparities in the development of boys and girls, giving girls an advantage and the ideal atmosphere in which to thrive. As a result, boys have grown into dysfunctional adults that disrupt families, communities and societies across all spheres. To establish the role of cognitive factors on the development of boy child in Kenya. The main objective of this research was to establish the role of cognitive factors on the development of boy child in Kenya. The study used an explanatory research design. The target population unit of analysis was all the 3,500,000 students, 113,200 teachers, 10,463 principals, 3,400,000 parents, 14 heads of mental health hospitals, 129 heads of prisons, and 47 county education officers respectively in Kenya. Stratified-Systematic sampling and purposive sampling were used to identify a sample size of 1,682 respondents selected using the Krejcie and Morgan Table formula. The findings revealed a statistically significant positive correlation between cognitive factors and the development of the boy child: reasoning (r=0.33, p<0.05) and memory (r=0.23, p<0.05), indicating that enhanced cognitive abilities are associated with more favourable developmental outcomes. The findings from this study offer valuable insights for policymakers and implementers in addressing critical gender disparities and enhancing the development and performance of boys. This has broader implications for achieving the Sustainable Development Goals (SDGs), Africa Vision 2050, and Kenya Vision 2030. different medical conditions and risk factors that potentially led to a child developing a recurrent TIA
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    Individual Attributes Influencing Cervical Cancer Screening Services in Selected Health Facilities in Machakos County
    (Journal of Cancer Treatment and Research, 2018-01) Nzioka, Agnes Wavinya ; Akunga, Daniel Nyagetiria; Wanyoro, Anthony Karanja
    In Kenya, 51.2% of estimated women population of 11 million aged 15 years and older are at risk of developing cervical cancer. Research shows that screening a woman even once between the ages of 35 and 40 years reduces her lifetime risk of cervical cancer by 25–36%. However, the effective cervical cancer screening in developing countries is as low as 18.5%. Low levels of utilization of Cervical Cancer Screening Services (CCSS) among health care workers have been documented. This study sought to determine the utilization of cervical cancer screening services by healthcare workers (HCWs) in selected health facilities in Machakos County. It was also thought imperative to determine individual HCW attributes influencing utilization of cervical cancer screening services in selected health care facilities in the county. The study adopted a descriptive cross-sectional study design involving 271 female health workers drawn from all the level 4 and level 5 facilities within the county. Respondents were stratified according to level of facility and according to their cadres. Data was collected via self-administered questionnaires and a facility assessment tool. Data analysis used SPSS version 21. Association was subjected to binary logistic regression. Only 25% of HCWs had utilized cervical cancer screening services. HCWs who had certificate (OR = 0.05, p-value < 0.01), diploma (OR = 0.04, p-value < 0.01) and degrees (OR = 0.09, p-value = 0.01) were less likely to utilize CCSS as compared to HWCs who had attained graduate studies or higher. Also health workers aged 30 years and below (OR = 0.12, p-value = 0.01) and those aged between 31 and 40 years (OR = 0.30, p-value = 0.05) were less likely to utilize CCSS as compared to healthcare workers who were aged more than 50 years. The study recommends establishment of tailor-made sensitization programs on young female health care worker aimed at increasing their uptake of CCSS services among these group.
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    Social Integration and Development of Boy Child in Kenya.
    (Great Britain Journals Press, 2024) Nzioka, Agnes Wavinya
    Over the years, so much emphasis has been placed on raising girls to higher levels that society has forgotten about the boy child. At the time, society in Africa and particularly in Kenya was content with the boy child's position and unconsciously focused on the girl child to the alienation of the boy. The callous disregard for boys has caused a decline in their development and performance and caused an identity crisis. Consequently, a significant majority of the African boychild have grown into dysfunctional adults. The main objective of this research was to evaluate the role of social integration on the development of boy child in Kenya.
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    The Parenting Shift: Becoming an Intentional and Responsible Caregiver in a Dynamic Setting.
    (Neno Publishers, 2024) Nzioka, Agnes Wavinya
    The Parenting Shift by Agnes W. Nzioka answers the question, why yet another book on parenting? Haven't we been parenting for thousands of years? However, by the time you finish reading this eight-chapter book, you will be convinced that there is a need to relook at this topic from today's perspective. More importantly, there is hope for parents in this generation who may not have been adequately trained to tackle the complexities of this generation. Drawing from the academic disciplines of medicine, psychology, sociology and communication. Agnes provides nuggets for the necessary shift in parenting. The author is not shy to use biblical principles and personal experience to demonstrate that : parenting (which) is not for cowards" can be successfully done.
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    Utilization of Stadardized Cervical Cancer Screening Services among Health Care Workers in Selected Health Facilities in Machakos County-Kenya.
    (Kenyatta University, 2014) Nzioka, Agnes Wavinya
    Cancer of the cervix is the second most common reproductive tract cancer among women globally and the leading cause of death in developing countries with large inequalities in utilization of standardized cervical cancer screening services. Standardized cervical cancer screening services utilization among health care workers is equally uneven and rarely documented in developing countries. In Kenya, cervical cancer accounts for 8-20% of all cancer cases and this is projected to double by 2020.Kenya's Cervical cancer screening services coverage is haphazard with standardized cervical cancer screening services only found in designated sites .The main objective of this study will be to assess the utilization of standardized cervical cancer screening services among health care workers in selected health facilities in Machakos County. This study will be descriptive cross- sectional in design. Reconnaissance survey was done to identify health facilities offering standardized cervical cancer screening services in Machakos County.Only 5 out of 157 health facilities offer standardized cervical cancer screening services, All these five health facilities will be selected for the study due to small sample size.Cluster sampling will be done to sample different group/cadres of health care workers in those selected health facilities Random sampling will be used to select individual participants for the study Study population will be female health care workers aged 18-65 years working in the selected health facilities in Machakos County whereby a sample size of 316 respondents will be randomly selected for this study. Study objectives will be ;to establish the proportion of health care workers utilizing cervical cancer screening services in selected health facilities in Machakos County, to determine individual attributes influence on utilization of cervical cancer screening services among the health care workers in selected health facilities in Machakos County, to establish service provider attributes' influence on utilization of cervical cancer screening services among health care workers in selected health facilities in Machakos County, to find out facility attributes influence on utilization of cervical cancer screening services among health care workers in selected health facilities in Machakos County Inclusion criteria will be health care workers aged 18-65 years working in selected health facilities in Machakos County willing to participate in this study. Exclusion criteria will be eligible health care workers who will be out of the health facility, or terminally ill, at the time of data collection Research instruments to be used will be Self administered questionnaires Qualitative data will be coded appropriately and then categorized as per emerging themes. The quantitative data will be cleaned and coded then entered into SPSS version 17.0 program for data management. The study outcome will be to improve early screening utilization rates and quality of life among female health care workers, and contribute to the body of knowledge. Feedback and recommendations will be given to stake holders to include the hospitals' administration, the health care workers in Machakos County. Research findings will further inform the national program to corroborate the findings of the current study, and work towards planning successful interventions specifically tailored to this population.