Showing posts with label Medico-legal. Show all posts
Showing posts with label Medico-legal. Show all posts

Monday, 3 March 2025

Factors Associated with the Low Uptake of Quality Medico-Legal Services at Secured Diagnostic Crime Scene, Western Kenya | Chapter 3 | Current Progress in Arts and Social Studies Research Vol. 8

Global, regionally in Sub-Saharan Africa, and most parts of Kenya, Population Health continues to suffer significantly from a number of challenges associated with evidence contamination at the crime of scene in the forensic science ecosystem, thus remaining, inadmissible before the court of jurisprudence. These, continue to pose major challenges among the various forensic science ecosystem and associated next of kin, looking for quality forensic services in the ecosystem.  Secured diagnostic crime scene requires (existing valued history, visible evidence and victim intact surface anatomical structures), which most forensic service providers may ignore in providing SMART admissible evidence as opined in many cases, of varying geographical features in the forensic sciences ecosystem and prevailing surface anatomical planes on the victims at period of time. Hence, they provide evidence based on unguided current events on the victim, with limited reconstruction of evidence contents. The continued contamination of valuable medico-legal evidence renders most of the forensic case evidence inadmissible. It was these reasons that led to the study of factors associated with the low uptake of quality medico-legal services at secured diagnostic crime scenes in Western Kenya. Specifically, by determining the traditional norms of the forensic science ecosystem in the investigations of medico-legal cases, evaluating key pillars that enable accessibility and affordable medico-legal services using police signals number 7 and 8. Lastly evaluating the role of next of kin in the increased evidence contamination at the diagnostic crime of scene to enable admissible evidence before the court. Prolonged failures to utilize quality standards on evidence reconstruction have ignited severe criticism like failure to contain chain of custody on secured evidence and to remain traceable. The study exploited descriptive, cross-sectional, and triangulation designs. The sampling technique included purposive census and snowball sampling techniques. The research tools and instruments utilized included a semi-structured questionnaire, key informant interview and focus group discussion guides on forensic service providers. Using, a sample size of 133 respondents, the result showed that in the majority of evidence, 84% (166) respondents are contaminated at diagnostic tingle crime scenes limited deployment of integrated forensic service provides a period of time to collect integrated trace evidence at the scene. This remains harmful to population health, with relative (RR, 2.45, 1) with OR (1). Community participation in medicolegal service remains skewed at 31% (41), compared to clinical autopsy. The result also opined majority of mortuary service providers, 93% (124), had no formal education compared to those trained, and permanently employed, 7% (9) Relative risks of (0.34, 2.22) of protective relation, due to containing in house training of mortuary service providers. An odd ratio of (1.5) signifies a harmful association with the health population. The study revealed that the majority, over 85% (113) service providers, do not have ideas on witness grant immunity with OR (3.6) signifying harmful association. Thus, a timely need to promote an integrated forensic science ecosystem, under one management as a cradle intervention to scale up the forensic sciences ecosystem and turnaround time in collecting trace evidence at diagnostic crime scène more efficiently to enable justice to affected community households, under one roof management.

 

Author (s) Details

Maurice B. Silali
Department of Public Health, Mount Kigali University, Rwanda.

 

Please see the book here:- https://doi.org/10.9734/bpi/cpassr/v8/3458

Wednesday, 2 June 2021

Studies on DNA Molecules in Identification of Unclaimed or Missing Dead Bodies Presumed Death in Western Kenya Utilizing Physical Comparison Standards | Chapter 2 | Highlights on Medicine and Medical Science Vol. 1

 Medico-legal services serve as a benchmark for health determinants and provide integrated services for health criminal justice support. Medical-legal investigations are diverse and necessitate the experience of diverse teams of qualified practitioners from numerous professions. Unclaimed bodies or missing dead persons (UCBOMDPs) occur in about 44 million cases worldwide each year, with 88 percent of these cases occurring in Sub-Saharan Africa. UCBOMDPs from road traffic accidents account for 30% and 10% of all UCBOMDPs in Kenya and western Kenya, respectively. 80% of these UCBOMDPs are linked to inadequate availability to inexpensive quality comparison tests for identifications, which is ascribed to the increased prevalence of UCBOMDPs. In population health, the prevalence of health and occupational dangers is high. By quantifying demographic data and determining DNA finger prints and chemical testing (electrophoresis) using reference standards, the current researches intended to detect UCBOMDPs from public mortuaries. Purposive and saturation sampling were used to obtain data from 235 respondents in exploratory and cross-sectional studies. Finger print forms, structured questionnaires, focus group discussions (FGDs), observations, and key informant interviews (KII) guides were used to collect data. Statistical conclusions and content analysis have been examined. According to the findings, 94 percent of mortuary service providers in tier 4 were male primary and secondary school dropouts working on contract jobs with limited access to quality mortuary science services, as opposed to female and male counterparts working in tiers 5 and 6 mortuary facilities on permanent and trained positions. The rate of gross infection in public mortuaries and the amount of traffic had a substantial impact, according to OD (2.2, 0.44). The number of males admitted as UCBOMDPs was high due to their gender. OD (8.3, 0.12), RR (0.33), 95 percent CI (1.23, 1.02), significance were linked to males purposefully leaving IDs in households due to identity theft. Due to high prices, processes, DNA quantification reagents, and next of kin sampling for comparisons, Dactylography was significantly more used than the electrophoresis method, P value (0.67), OD (4.8, 1.3). In order to build subsidized functional DNA chemical structures, there is a need for quality service advocacy in the Department of Forensic Pathology.

Author (s) Details

Maurice B. Silali
Department of Human Anatomy, School of Medicine Maseno University, Kenya.

W. Odero
Department of Family Medicine, Maseno University, Kenya.

E. Rogena
Department of Anatomic Pathology, School of Medicine, Jomo Kenyata University of Science and Technology, Kenya.

View Book : -https://stm.bookpi.org/HMMS-V1/article/view/1175

 Community/public participation in medico-legal matters serves as a benchmark for health determinants and high-quality integrated services in the area of criminal justice assistance for health. Unclaimed bodies or missing dead persons (UCBOMDPs) occur in about 44 million cases worldwide each year, with 88 percent of these cases occurring in Sub-Saharan Africa. UCBOMDPs from road traffic accidents account for 30% and 10% of all UCBOMDPs in western Kenya and Kenya, respectively. 80% of these UCBOMDPs are associated with limited community participation / next of kin in UCBOMDP identification, resulting in a chronic prevalence of occupational health and safety hazards in public mortuaries. The goal of the study was to determine the extent of community participation, uptake of community mortuary services, and awareness of quality medico-legal concepts, training, and embalming, as well as to determine how service providers' knowledge, attitude, and practices (KAP) influence the uptake of medico-legal concepts to reduce occupational health and safety hazards and improve health. Purposive and saturation sampling were used to obtain data from 235 respondents in exploratory and cross-sectional studies. Structured questionnaires, focus group discussions (FGDs), observations, and key informant interviews (KII) guides were used to collect data. 94 percent of mortuary service providers in tier 4 were primary and secondary education dropouts of males, on contract jobs with limited access to quality forensic in mortuary science, in contrast to trained females and males counterparts from tiers 5 and 6 mortuary facilities on permanent jobs, according to statistical inferences and content analysis to saturation. Embalming with gravity has a substantial OD (1.2, 0.44). Males admitted as UCBOMDPs in the community had a significant prevalence, with OD (8.3, 0.12), RR (0.33), 95 percent CI (1.23, 1.02), Males knowingly leaving IDs in dwellings for anonymity were linked to relevance. Detective police with OD (0.43, 6.0), 95 percent CI, had more community participation in medico-legal ideas (2.12, 1.34). Advocacy for comprehensive and complete community empowerment in medico-legal principles is still critical.

Author (s) Details

Maurice B. Silali

Department of Human Anatomy, School of Medicine, Maseno University, Kenya.

W. Odero
Department of Family Medicine, Maseno University, Kenya.

E. Rogena
Department of Anatomic Pathology, School of Medicine, Jomo Kenyatta University of Science and Technology, Kenya.

View Book :-
https://stm.bookpi.org/HMMS-V1/article/view/1174