Thesis Writing On Effects Of Diarrhoeal Diseases On Farmers' Households In Ewaso Narok Swamp In Laikipia County, Kenya (Thesis Sample)

EFFECTS OF DIARRHOEAL DISEASES ON FARMERS’ HOUSEHOLDS IN EWASO NAROK SWAMP, LAIKIPIA COUNTY, KENYA
VINCENT KIPKIRUI NG’ETICH (BSc ENVIRONMENTAL HEALTH)
Q58/29797/2014
DEPARTMENT OF COMMUNITY HEALTH
A THESIS SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE AWARD OF THE DEGREE OF MASTER OF PUBLIC HEALTH (EPIDEMIOLOGY AND DISEASE CONTROL) IN THE SCHOOL OF PUBLIC HEALTH OF KENYATTA UNIVERSITY
MAY, 2017DECLARATION
This research proposal is my original work and has not been presented for a degree in any other University.
Signature …………………………… …….Date…………………………….
Vincent Kipkirui Ng’etich
Q58/29797/2014
Supervisors:
This research proposal has been submitted for review with our approval as University Supervisors.
1. Signature: ………………… …………….Date ……………………………………
Dr. Isaac Mwanzo
Department of Community Health
2. Signature:.……………………………………….Date ……………………………..
Dr. Justus Osero
Department of Community Health
3.Signature: …………………………………Date…………………………………….
Dipl.-Geogr. Carmen Anthonj
Institute for Hygiene & Public Health, GeoHealth Centre
University of Bonn, Germany

DEDICATION STATEMENT
This thesis is dedicated to my loving parents for always supporting my education while giving enduring advices and also Globe project for supporting me honorably.
ACKNOWLEDGEMENT
I am grateful to my supervisors, Dr. Isaac Mwanzo, Dr. Justus O.S. Osero, Carmen Anthonj and Dr Andrea Rechenberg for their tremendous support and advice given throughout the research process. I also wish to thank Dr. Julius Korir, in the department of economics, and Dr Helida Oyieke of National Museum Kenya for the advice and support given during the study. To the research assistants, the community members and all the key informants who participated in the study in Ewaso Narok Swamp, thank you so much.
TABLE OF CONTENTS
 TOC \o "1-3" \h \z \u  HYPERLINK \l "_Toc377312723"
DEDICATION STATEMENT  PAGEREF _Toc377312723 \h
iii
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ACKNOWLEDGEMENT  PAGEREF _Toc377312724 \h
iv
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LIST OF ABBREVIATIONS AND ACRONYMS  PAGEREF _Toc377312725 \h
x
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DEFINITION OF OPERATIONAL TERMS  PAGEREF _Toc377312726 \h
xi
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ABSTRACT  PAGEREF _Toc377312727 \h
xii
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CHAPTER ONE: INTRODUCTION  PAGEREF _Toc377312728 \h
1
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1.1 Introduction  PAGEREF _Toc377312729 \h
1
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1.2 Background to the study  PAGEREF _Toc377312730 \h
1
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1.3 Problem Statement  PAGEREF _Toc377312731 \h
3
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1.4 Justification  PAGEREF _Toc377312732 \h
4
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1.5 Research Questions  PAGEREF _Toc377312733 \h
6
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1.6 Hypothesis  PAGEREF _Toc377312734 \h
6
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1.7 Objectives  PAGEREF _Toc377312735 \h
6
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1.7.1 Broad Objectives  PAGEREF _Toc377312736 \h
6
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1.7.2 Specific Objectives  PAGEREF _Toc377312737 \h
6
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1.8 Significance of the Study  PAGEREF _Toc377312738 \h
6
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1.9 Delimitation and Limitation  PAGEREF _Toc377312739 \h
7
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1.9.1 Delimitations  PAGEREF _Toc377312740 \h
7
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1.9.2 Limitations  PAGEREF _Toc377312741 \h
7
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CHAPTER TWO: LITERATURE REVIEW  PAGEREF _Toc377312742 \h
9
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2.1 Introduction  PAGEREF _Toc377312743 \h
9
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2.2 Overview of the effects of diarrhoeal diseases  PAGEREF _Toc377312744 \h
9
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2.3 Common diarrhoeal diseases in wetlands  PAGEREF _Toc377312745 \h
10
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2.4 Access and utilization of health services  PAGEREF _Toc377312746 \h
12
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2.5 Household coping strategies  PAGEREF _Toc377312747 \h
13
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CHAPTER THREE: MATERIALS AND METHODS  PAGEREF _Toc377312748 \h
16
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3.1 Introduction  PAGEREF _Toc377312749 \h
16
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3.2 Study Design  PAGEREF _Toc377312750 \h
16
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3.3 Variables  PAGEREF _Toc377312751 \h
16
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3.4 Location of the Study  PAGEREF _Toc377312752 \h
17
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3.5 Inclusion and Exclusion criteria  PAGEREF _Toc377312753 \h
17
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3.6 Study Population  PAGEREF _Toc377312754 \h
17
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3.7 Sampling Technique  PAGEREF _Toc377312755 \h
17
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3.8 Sampling Size Determination  PAGEREF _Toc377312756 \h
18
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3.9 Construction and Research Instruments  PAGEREF _Toc377312757 \h
19
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3.10 Pre Testing  PAGEREF _Toc377312758 \h
19
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3.11 Validity  PAGEREF _Toc377312759 \h
19
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3.11 Reliability  PAGEREF _Toc377312760 \h
20
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3.12 Data Collection Techniques  PAGEREF _Toc377312761 \h
20
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3.13 Data Analysis  PAGEREF _Toc377312762 \h
21
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3.14 Ethical Considerations  PAGEREF _Toc377312763 \h
21
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CHAPTER FOUR: RESULTS  PAGEREF _Toc377312764 \h
23
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4.1 Introduction  PAGEREF _Toc377312765 \h
23
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4.2 Demographic information of the respondents  PAGEREF _Toc377312766 \h
23
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4.2.1 Age of the respondent  PAGEREF _Toc377312768 \h
24
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4.2.2 Gender of the respondent  PAGEREF _Toc377312769 \h
24
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4.2.3 Level of Education  PAGEREF _Toc377312770 \h
25
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4.2.4 Types of farming  PAGEREF _Toc377312771 \h
25
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4.3 To determine the medical effects of diarrhoeal diseases for farmers’ household in Ewaso Narok Swamp  PAGEREF _Toc377312774 \h
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4.4 To determine the productivity effects of diarrhoeal diseases for farmers’ household in Ewaso Narok Swamp  PAGEREF _Toc377312778 \h
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4.5 To determine the psychological coping strategies for farmers’ household in Ewaso Narok Swamp  PAGEREF _Toc377312784 \h
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4.6 Qualitative data analysis  PAGEREF _Toc377312798 \h
49
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4.7.1 Key informant Interview (KII)  PAGEREF _Toc377312799 \h
50
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CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATIONS  PAGEREF _Toc377312800 \h
53
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5.1 Introduction  PAGEREF _Toc377312801 \h
53
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5.2 Discussion  PAGEREF _Toc377312802 \h
53
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5.2.1 Medical effect  PAGEREF _Toc377312803 \h
53
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5.2.2 Productivity effect  PAGEREF _Toc377312804 \h
54
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5.2.3 Psychological coping strategy  PAGEREF _Toc377312805 \h
55
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5.3 Conclusion  PAGEREF _Toc377312806 \h
56
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5.4 Recommendations  PAGEREF _Toc377312807 \h
57
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5.5 Further research  PAGEREF _Toc377312808 \h
57
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REFERENCES  PAGEREF _Toc377312810 \h
59
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APPENDICES  PAGEREF _Toc377312811 \h
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Appendix 1: Workplan  PAGEREF _Toc377312812 \h
64
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Appendix 2: Budget  PAGEREF _Toc377312813 \h
65
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Appendix 3: Distribution of Responsibilities  PAGEREF _Toc377312814 \h
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Appendix 4: Map of the Study Location  PAGEREF _Toc377312815 \h
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Appendix 5: Informed Consent  PAGEREF _Toc377312817 \h
68
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Appendix 6: Questionnaire  PAGEREF _Toc377312818 \h
70
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Appendix 7: Key Informant Interviews  PAGEREF _Toc377312819 \h
84
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Appendix 8: Focus Group Discussion Guide  PAGEREF _Toc377312820 \h
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Appendix 8: Kenyatta University Ethics Review Committee Approval  PAGEREF _Toc377312821 \h
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