Publications

Objective To describe the nutritional status of orphaned and separated children and adolescents (OSCA) living in households in the community (HH), on the street, and those in institutional environments in western Kenya. Methods The study enrolled OSCA from 300 randomly selected households (HH), 19 Charitable Children’s Institutions (CCIs), and 100 street-involved children. Measures of malnutrition were standardized with Z-scores using World Health Organization criteria; Z-scores ≤-2 standard deviations (sd) were moderate-severe malnutrition. Data were analyzed using multivariable logistic regression adjusting for child age, sex, HIV status, whether the child had been hospitalized in the previous year, time living with current guardian, and intra-household clustering for adequacy of diet and moderate-severe malnutrition. Results Included are data from 2862 participants (1337 in CCI’s, 1425 in HH’s, and 100 street youth). The population was 46% female with median age at enrolment of 11.1 years. Only 4.4% of households and institutions reported household food security; 93% of children in HH reported an adequate diet vs. 95% in CCI’s and 99% among street youth. After adjustment, OSCA in HH were less likely to have an adequate diet compared to those in CCI’s (AOR 0.4, 95% CI 0.2–1.0). After adjustment, there were no differences between the categories of children on weight-for-age, weight-for-height, or BMI-for-age. Children living in HH (AOR 2.6, 95% CI: 2.0–3.4) and street youth (AOR: 5.9, 95% CI: 3.6–9.5) were more likely than children in CCI’s to be low height-for-age. Conclusion OSCA in HH are less likely to have an adequate diet compared to children in CCI’s. They and street children are more likely to be moderately-severely low height-for-age compared to children in CCI’s, suggesting chronic malnutrition among them.

Objective: To describe the nutritional status of orphaned and separated children and adolescents (OSCA) living in households in the community (HH), on the street, and those in institutional environments in western Kenya. Methods: The study enrolled OSCA from 300 randomly selected households (HH), 19 Charitable Children's Institutions (CCIs), and 100 street-involved children. Measures of malnutrition were standardized with Z-scores using World Health Organization criteria; Z-scores ≤-2 standard deviations (sd) were moderate-severe malnutrition. Data were analyzed using multivariable logistic regression adjusting for child age, sex, HIV status, whether the child had been hospitalized in the previous year, time living with current guardian, and intra-household clustering for adequacy of diet and moderate-severe malnutrition. Results: Included are data from 2862 participants (1337 in CCI's, 1425 in HH's, and 100 street youth). The population was 46{%} female with median age at enrolment of 11.1 years. Only 4.4{%} of households and institutions reported household food security; 93{%} of children in HH reported an adequate diet vs. 95{%} in CCI's and 99{%} among street youth. After adjustment, OSCA in HH were less likely to have an adequate diet compared to those in CCI's (AOR 0.4, 95{%} CI 0.2-1.0). After adjustment, there were no differences between the categories of children on weight-for-age, weight-for-height, or BMI-for-age. Children living in HH (AOR 2.6, 95{%} CI: 2.0-3.4) and street youth (AOR: 5.9, 95{%} CI: 3.6-9.5) were more likely than children in CCI's to be low height-for-age. Conclusion: OSCA in HH are less likely to have an adequate diet compared to children in CCI's. They and street children are more likely to be moderately-severely low height-for-age compared to children in CCI's, suggesting chronic malnutrition among them. © 2013 Braitstein et al.

Improper pesticide application has resulted in high toxicity levels causing environmental risk. The objective of the study was to determine pesticide preferences and pattern of use in farms along the shore of Lake Naivasha. Interviewer administered questionnaires and researcher observation were used to collect data on pesticides being used and pattern of use in 20 major horticultural farms around Lake Naivasha. Secondary data from journals, standards and materials safety data sheets from manufacturers were also used to determine pesticide properties such as toxicity. The results showed there were 4.3% (6) WHO class I and 14.3% (20) class II pesticides of the 141 pesticides used along the shore of Lake Naivasha. The pattern of pesticide use in the area was moderate to high and all the farms were also using Integrated Pest Management (IPM) to control pests. It was concluded that some pesticides in WHO class I that were being used along the shore of Lake Naivasha (e.g. oxamyl, methomyl and fenamiphos) are very toxic to human beings and aquatic organisms since they cause cholinesterase inhibition poisoning by inactivating the enzyme acetylcholinesterase.

Keywords: Pesticides, Environmental pollution, integrated pest management, Lake Naivasha.