A5025446035- Global Maternal and Child Health
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Global Health and Surgery
- SARS-CoV-2 and COVID-19 Research
- Child Nutrition and Feeding Issues
- Breastfeeding Practices and Influences
- COVID-19 epidemiological studies
- Child Nutrition and Water Access
- Vaccine Coverage and Hesitancy
- Adolescent Sexual and Reproductive Health
- Sexuality, Behavior, and Technology
- Insurance, Mortality, Demography, Risk Management
- HIV/AIDS Impact and Responses
- Cervical Cancer and HPV Research
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Health and Conflict Studies
- Global Health Workforce Issues
- Climate Change and Health Impacts
- Global Public Health Policies and Epidemiology
- Hepatitis B Virus Studies
- COVID-19 diagnosis using AI
Institute for Human Development
2023
International Centre for Reproductive Health Kenya
2017-2022
Kenya Medical Research Institute
2020-2021
Aga Khan University Nairobi
2021
Brown University
2017
College of the Holy Cross
2017
Riverside Research Institute
2017
University of Nairobi
2017
Ghent University Hospital
2017
New York Psychoanalytic Society and Institute
2017
Pre- and post-exposure prophylaxes (PrEP PEP) can reduce the risk of HIV acquisition, yet often are inaccessible to underutilized by most-vulnerable populations, including sex workers in sub-Saharan Africa. Based on in-depth interviews with 21 female 23 male HIV-negative Mombasa, Kenya, we found that awareness knowledge PrEP PEP were low, although willingness use both was high. Participants felt would be empowering give added protection against infection, some expressed concerns about side...
Background Vaccines against human papillomavirus (HPV) infection have the potential to reduce burden of cervical cancer. School-based delivery HPV vaccines is cost-effective and successful uptake depends on school teachers' knowledge acceptability vaccine. The aim this study assess primary vaccine explore facilitators barriers an ongoing Gavi Alliance-supported vaccination program in Kitui County, Kenya. Methods This was a cross-sectional, mixed methods Central Division County where Ministry...
Abstract Background There is a global emphasis on engaging community health volunteers (CHVs) in low- to middle-income countries (LMICs) reach the vast underserved populations that live rural areas. Retention of CHVs most has however been difficult and turnover many settings reported be high with profound negative effects continuity services. In Kenya, attrition among remains concern. Understanding challenges faced by how reduce rates sustainable income-generating activities (IGAs) key...
Objectives: To understand the public’s perceptions around rapid SARS-CoV-2 antigen self-testing in Kenya, including drivers of acceptability, willingness to pay, and adherence hygiene prevention recommendations following a positive self-test. Methods: A household-based, cross-sectional survey, using 35-item questionnaire, was conducted Mombasa Taita–Taveta counties, during August 2021. Individuals aged ≥18 years were enrolled stratified sampling approach. Results: There 419 participants...
To enhance uptake of sexual and reproductive health (SRH) services by female sex workers (FSWs), we conducted an implementation study in which piloted tested context-specific 'diagonal' interventions, combining vertical, targeted interventions with horizontally improved access to the general services, three cities sub-Saharan Africa.We collected indicators SRH service through face-to-face interviews approximately 400 FSWs, pre- post-intervention, Durban, South Africa; Tete, Mozambique;...
Male sex workers (MSWs) and male clients (MCMs) who engage their services face increased vulnerability to violence in Kenya, where same-sex practices work are criminalized. However, little is known about how might arise negotiations between MSWs MCMs. This study explored the types of victimization experienced by MCMs, contexts which these experiences occurred, responses among groups. We conducted in-depth interviews with 25 11 MCMs recruited at bars clubs identified peer worker educators as...
A significant shortage of healthcare workforce exists globally. To achieve Universal Healthcare coverage, governments need to enhance their community-based health programmes. Community volunteers (CHVs) are essential personnel in achieving this objective. However, ability earn a livelihood is compromised by the voluntary nature work; hence, high attrition rates from There an urgent support CHVs become economically self-reliant. We report here on application Ultra-Poverty Graduation (UPG)...
Rapid SARS-CoV-2 self-tests have the potential to expand access COVID-19 testing and improve community-level case detection, particularly in resource-constrained countries such as Kenya. However, prior their introduction, acceptability must be assessed. This qualitative study explored key decision-takers’ values towards self-testing Healthcare workers, representatives of civil society, implementors from Mombasa Taita-Taveta were selected decision-takers. Semi-structured interviews focus...
Abstract Acute malnutrition in infants under 6 months (u6m) is increasingly recognised as a global public health problem. The World Health Organisation (WHO) guidelines for inpatient nutritional rehabilitation of u6m re‐lactation: the re‐establishment exclusive breastfeeding. Evidence suggests these are rarely followed many low‐income settings. Two studies infant undertaken three hospitals coastal Kenya employed breastfeeding peer supporters (BFPSs) to facilitate WHO guideline...
<ns3:p>Background Kenya’s high maternal and perinatal mortality rates exceeds its recommended 2030 targets. The lack of effective collaboration between health facilities workers contributes to delays uncoordinated provision care, leading negative neonatal (MNH) outcomes. Network Care (NOC) is an strategy improve facility network efficiencies MNH Utilizing NOC system coordination outcomes in Kenya has not been studied. We present a study protocol for implementation research investigate the...
Abstract We reflect on our fieldwork experience from the Climate Heat Maternal and Neonatal Health Africa (CHAMNHA) project in Kilifi, Kenya, which focused studying effects of extreme heat women during pregnancy, delivery post-partum period. describe ethical practical challenges encountered, highlighting valuable lessons learned. propose potential solutions to address issues concerning reciprocity vulnerable participants provision childcare food for accompanying children. Further, we related...
Abstract Background: There is a significant shortage of healthcare workforce globally. In order to achieve Universal Healthcare coverage, governments need enhance their community-based provider programmes. Community health volunteers (CHVs) are essential personnel in achieving this objective, however needs remain unmet hence high attrition rates. Methods: This study adopted an exploratory mixed methods qualitative approach including Key Informant Interviews (KIIs) and Focus Group Discussions...
Abstract Background The 2013 WHO guidelines for nutritional rehabilitation of malnourished infants under six months (u6m) focus on inpatient re-establishment exclusive breastfeeding and recommends discharge when infant is gaining weight breastmilk alone. Guided by a support tool, peer supporters (BFPS) can implementation these guideline providing continuous individualised counselling to mothers u6m. Recording sharing information plays an important role in shaping in-patient care but little...