Title : Safeguarding student well-being: NCD injury and violence prevention strategies at maseno university, kisumu county, Kenya

Background: University students face unique health risks that extend beyond infectious diseases, including injuries, violence, and lifestyle-related NCDs. At Maseno University, rising cases of road traffic accidents, substance-related injuries, and interpersonal violence threaten both academic performance and long-term health outcomes. Addressing these challenges requires integrated prevention strategies that combine education, security, and health services. 

Objective: To investigate the prevalence and drivers of NCD-related injuries and violence among students at Maseno University, and to propose sustainable prevention strategies. 

Methodology: A mixed methods longitudinal study was conducted at Maseno University between July and September 2025. A sample of 200 students aged 18–29 years was selected using stratified random sampling across faculties. In addition, 15 health workers and 10 student leaders were purposively included. Data were collected through structured questionnaires to assess injuries, violence, and risk behaviors, and focus group discussions to capture student experiences. Ethical approval was obtained from the Maseno University Ethics Review Committee, and informed consent was secured. Quantitative data were analyzed using SPSS v29 for descriptive statistics and simple associations, qualitative responses were summarized thematically and Geograhical Information System mapping integrated to visualize risk zones. 

Results: Findings showed that 28% of students had experienced injury, with road traffic accidents and sports-related incidents being most common. Violence-related cases, including gender-based violence and peer conflicts, accounted for 18%. Substance abuse (alcohol and drugs) emerged as a major risk factor, amplifying both injury and violence prevalence. Preventive services were underutilized, with only 35% of students aware of existing counseling and safety programs. Limited campus security and inadequate peer-led awareness campaigns further weakened prevention efforts. 

Conclusion: Strengthening NCD injury and violence prevention requires a multi-pronged approach. Enhanced campus security, integration of NCD screening into routine health services, expansion of counseling programs, and student-led awareness initiatives are critical. These strategies will foster a safer, healthier learning environment and build resilience against NCD-related injuries and violence among young adults.

To be updated shortly..