Robinson Njoroge Karuga

Learn More
BACKGROUND Labour analgesia has rapidly gained popularity in obstetric practice. Low usage in the developing world has raised concern. OBJECTIVES To assess the knowledge, attitude and use of labour pain relief methods in women attending antenatal clinic in Nairobi. DESIGN A prospective study. SETTING Aga Khan University Hospital, a teaching and(More)
BACKGROUND The MSM population in Kenya contributes to 15% of HIV incidence. This calls for innovative HIV prevention interventions. Pre-exposure prophylaxis (PrEP) has been efficacious in preventing HIV among MSM in trials. There is limited data on the willingness to take daily oral PrEP in sub-Sahara Africa. PrEP has not been approved for routine use in(More)
BACKGROUND This study analyzes the consequences of maternal death to households in Western Kenya, specifically, neonatal and infant survival, childcare and schooling, disruption of daily household activities, the emotional burden on household members, and coping mechanisms. METHODS The study is a combination of qualitative analysis with matched and(More)
BACKGROUND The rising rates of primary caesarean section have resulted in a larger obstetric population with scarred uteri. Subsequent pregnancies in these women are risk-prone and may complicate. Besides ensuring standardised management, care pathways could be used to evaluate for perinatal outcomes in these high risk pregnancies. We aim to demonstrate the(More)
INTRODUCTION HIV services at the community level in Kenya are currently delivered largely through vertical programmes. The funding for these programmes is declining at the same time as the tasks of delivering HIV services are being shifted to the community. While integrating HIV into existing community health services creates a platform for increasing(More)
BACKGROUND This study explores the consequences of a maternal death to households in rural Western Kenya focusing particularly on the immediate financial and economic impacts. METHODS Between September 2011 and March 2013 all households in the study area with a maternal death were surveyed. Data were collected on the demographic characteristics of the(More)
BACKGROUND There are emerging therapies for managing septic critically-ill patients. There is little data from the developing world on their usage. OBJECTIVES To determine the conformity rate for resuscitation and management bundles for septic patients amongst physicians in a general intensive care unit. DESIGN Cross sectional observational study. (More)
BACKGROUND Uterine massage may significantly reduce post partum blood loss and could be patient-driven. OBJECTIVE To assess the effectiveness of an alarm reminder system for self uterine massage in the prevention of post partum blood loss. DESIGN A random controlled trial. SETTING Meru District Hospital, Kenya. SUBJECTS One hundred and twenty seven(More)
  • 1