3 research outputs found
Integration of Refugee Rights in Teacher Training in Kenya
No full textKenya has been a host country for refugees from Somalia, Ethiopia, South Sudan, the Democratic Republic of Congo, Rwanda, and Burundi for several decades. In order to fulfil its obligations under international law and protect refugees, Kenya has formulated policies to incorporate international law into its domestic legal framework. By examining teachers as agents responsible for granting rights, this research is grounded on liberalism theory, emphasizing the significance of individuals as key actors in the grass root domestication of international refugee law. The study examined the following specific objectives; the domestication of the right to education for urban refugee children, the inclusion of refugee rights in teacher training, and the attitudes of teachers towards refugee learners with a specific focus on Ruiru Sub-County in Kiambu County. Employing an exploratory research design, the study sought to explore the position and role of elementary school teachers in the domestication of refugee rights, aiming to provide fresh perspectives on the topic. Based on the findings, majority of teachers surveyed lacked the necessary preparation to meet the context-specific demands of refugee students. The study also showed that, in contrast to urban schools, where neither the state nor NGOs offer such training, certain NGOs offer training opportunities for teachers in camp schools on instructional approaches to handle refugee children. This study concludes that teachers play a crucial role as role models for their students, providing support and motivation to help them achieve their educational goals and cultivate aspirations for a better future. It is important to recognize that teachers are also catalysts for social change in ensuring the integration of refugees into the Kenyan societ
Correction:An exploration of mortality risk factors in non-severe pneumonia in children using clinical data from Kenya. [BMC Med. 15, (2017) (201)] DOI: 10.1186/s12916-017-0963-9
No full textThe original article [1] contains an omission in the Acknowledgements sub-section of the Declarations. The authors would like to acknowledge the work of the following members of the Clinical Information Network Author Group: David Githanga, Fred Were, Philip Ayieko, Grace Irimu, Sam Akech, Samuel Ng'arng'ar, Barnabas Kigen, Rachel Inginia, Nick Aduro, Grace Ochieng, Beatrice Mutai, Francis Kanyingi, Lydia Thuranira, Sam Otido, Magdalene Kuria, Peris Njiiri, Kigondu Rutha, Charles Nzioki, Martin Chabi, Supa Tonje, Joan Ondere, Caren Emadau, Cecelia Mutiso, Loice Mutai, Christine Manyasi, David Kimutai, Celia Muturi, Agnes Mithamo, Anne Kamunya, Alice Kariuki, Grace Wachira, Melab Musabi, Sande Charo, Naomi Muinga, Mercy Chepkirui, Wycliffe Nyachiro, Boniface Makone, Thomas Julius, George Mbevi, Morris Ogero, Susan Gachau, and James Wafula.</p
Risk factors for death among children aged 5–14 years hospitalised with pneumonia: a retrospective cohort study in Kenya
No full textIntroduction There were almost 1 million deaths in children aged between 5 and 14 years in 2017, and pneumonia accounted for 11%. However, there are no validated guidelines for pneumonia management in older children and data to support their development are limited. We sought to understand risk factors for mortality among children aged 5–14 years hospitalised with pneumonia in district-level health facilities in Kenya.Methods We did a retrospective cohort study using data collected from an established clinical information network of 13 hospitals. We reviewed records for children aged 5–14 years admitted with pneumonia between 1 March 2014 and 28 February 2018. Individual clinical signs were examined for association with inpatient mortality using logistic regression. We used existing WHO criteria (intended for under 5s) to define levels of severity and examined their performance in identifying those at increased risk of death.Results 1832 children were diagnosed with pneumonia and 145 (7.9%) died. Severe pallor was strongly associated with mortality (adjusted OR (aOR) 8.06, 95% CI 4.72 to 13.75) as were reduced consciousness, mild/moderate pallor, central cyanosis and older age (>9 years) (aOR >2). Comorbidities HIV and severe acute malnutrition were also associated with death (aOR 2.31, 95% CI 1.39 to 3.84 and aOR 1.89, 95% CI 1.12 to 3.21, respectively). The presence of clinical characteristics used by WHO to define severe pneumonia was associated with death in univariate analysis (OR 2.69). However, this combination of clinical characteristics was poor in discriminating those at risk of death (sensitivity: 0.56, specificity: 0.68, and area under the curve: 0.62).Conclusion Children >5 years have high inpatient pneumonia mortality. These findings also suggest that the WHO criteria for classification of severity for children under 5 years do not appear to be a valid tool for risk assessment in this older age group, indicating the urgent need for evidence-based clinical guidelines for this neglected population
