A5041008587- Global Maternal and Child Health
- Health and Conflict Studies
- Ethics in medical practice
- Risk Perception and Management
- Reproductive Health and Contraception
- Healthcare Systems and Reforms
- Reproductive Health and Technologies
- Adolescent Sexual and Reproductive Health
- Maternal and Perinatal Health Interventions
- Malaria Research and Control
- Child Nutrition and Water Access
- Assisted Reproductive Technology and Twin Pregnancy
- HIV/AIDS Impact and Responses
- Mosquito-borne diseases and control
- Maternal Mental Health During Pregnancy and Postpartum
- Reproductive Biology and Fertility
- Medication Adherence and Compliance
- Global Health Care Issues
- Healthcare Policy and Management
- Urologic and reproductive health conditions
- Female Genital Mutilation/Cutting Issues
- Ovarian function and disorders
- Maternal and fetal healthcare
- COVID-19 Impact on Reproduction
- HIV/AIDS Research and Interventions
University of California, San Francisco
2017-2025
Institute of Biosciences and Bioresources
2024
Institute of Agricultural Economics Belgrade
2024
Institute of Agricultural Engineering
2024
University of Belgrade
2024
University of Uyo
2024
Michael Okpara University of Agriculture
2024
Ibis Reproductive Health
2020-2024
Opportunity International
2019-2021
Abt Global (United States)
2013-2017
To determine if maternal major depression (MD), antidepressant use, or paternal MD are associated with pregnancy outcomes after non-IVF fertility treatments.Cohort study.Clinics.Participants in two randomized trials: PPCOS II (clomiphene citrate versus letrozole for polycystic ovary syndrome), and AMIGOS (gonadotropins clomiphene unexplained infertility).Female male partners completed the Patient Health Questionnaire (PHQ-9). Female medication use was collected. PHQ-9 score ≥10 used to...
Abstract Background Inadequate perinatal care uptake in Uganda, as outlined by national guidelines (eight antenatal visits starting before 26 weeks, supervised facility delivery, and at least one postnatal checkup), persists a significant issue. Factors such HIV-related stigma further hinder healthcare engagement during this period. This study evaluates differences care-seeking between women living with HIV (WLHIV) HIV-negative Uganda. Methods We performed cross-sectional of 18 years older...
In Uganda, only about half of women who want to avoid pregnancy are using modern contraceptives, leading high numbers unintended pregnancies and elevated maternal neonatal morbidity mortality. this study, we aimed learn more women's abortion decision-making before continuing carry a pregnancy. We utilised qualitative study design interviewed 31 purposively selected single partnered pregnant aged ≥18 years at their first antenatal care visit Kawempe National Referral Hospital in Kampala,...
BackgroundTelehealth use rapidly increased during the COVID-19 pandemic, including for contraceptive care (e.g., counseling and method provision). This study explored providers' experiences with via telehealth.MethodsWe conducted a survey open-ended responses among providers across United States. The population included physicians, nurse practitioners, health educators, other professionals (n = 546). Data were collected from April 10, 2020, to January 29, 2021. We qualitative content...
To identify baseline characteristics of women with unexplained infertility to determine whether treatment an aromatase inhibitor will result in a lower rate multiple gestations than current standard ovulation induction medications.Randomized, prospective clinical trial.Multicenter university-based practices.A total 900 couples infertility.Collection demographics, blood samples, and ultrasonographic assessments.Demographic, laboratory, imaging, survey characteristics.Demographic receiving...
Timely initiation of and adherence to antiretroviral therapy (ART) is critical for improving HIV outcomes reducing transmissibility. Social networks, or the social relationships individuals have with each other, been linked positive health outcomes, but less known about extent which network composition structure are associated improved ART among people living (PLWH). We conducted an ego-centric study 828 previously ART-naïve PLWH presenting at 11 clinics in Mbarara, Uganda (rural population)...
Insecticide-treated bed nets (ITNs) have been shown to reduce morbidity and mortality due malaria in sub-Saharan Africa. Strategies using incentives increase ITN use could be more efficient than traditional distribution campaigns. To date, behavioural studied mostly developed countries. No study has yet looked at the effect of on ITNs. Reported here are results a cluster randomized controlled trial testing household-level for following free campaign Madagascar. The took place from July 2007...
Abstract Background Providers faced challenges in maintaining patient access to contraceptive services and public health safety during the COVID-19 pandemic. Due increased barriers care, providers increasingly used telemedicine for curbside services, mail-order pharmacies, on-line or home delivery of methods, including self-administration subcutaneous depo medroxyprogesterone acetate (DMPA-SQ). To better understand how reproductive adapted service provision pandemic, this study assessed...
Abstract Introduction Both inpatient and outpatient providers may be at increased risk of stress, anxiety depression from their roles as health during the COVID-19 epidemic. This study explores how US epidemic has feelings among reproductive providers. Methods We conducted a survey with open-ended responses across U.S. engaged in contraceptive care to collect data on experiences The population included physicians, nurses, social workers, other professions [n = 288]. Data were collected April...
Task-shifting the provision of pregnancy tests to community health workers (CHWs) in low-resource settings has potential reach significantly more underserved women at risk with essential reproductive services. This study assessed whether an intervention supply CHWs home brought clients for antenatal care (ANC) counselling. We implemented a randomized controlled trial among providing services Eastern Madagascar. used ordinary least squares regressions estimate effect intervention, district-...
Early and appropriate use of antenatal care services is critical for reducing maternal neonatal mortality morbidity. Yet most women in sub-Saharan Africa, including Uganda, do not seek until later during pregnancy. This qualitative study explored pregnant women's reliance on social ties information about initiation care.We conducted semi-structured, in-depth interviews with 30 seeking their first visit at Kawempe Referral Hospital Kampala, Uganda. Recruitment was done purposively to obtain...
There is little evidence on the impact of malaria control health system, particularly at facility level. Using retrospective, longitudinal facility-level and patient record data from two hospitals in Zambia, we report a pre-post comparison hospital admissions outpatient visits for estimated costs incurred before after scale-up. The results show substantial reduction inpatient both scale-up, cases accounted smaller proportion total over time. Hospital spending also decreased. In one hospital,...
Household malaria knowledge and its association with bednet ownership in settings without large-scale distribution programs: Evidence from rural Madagascar Background Insecticide-treated bednets are effective at preventing malaria.This study focuses on household-level factors that associated a area of which had not been recipient ITN distribution.Methods Data were gathered individual household characteristics, knowledge, assets ownership.Principal components analysis was used to construct...
There is an on-going debate about whether health products, such as insecticide-treated bednets (ITNs) for protection against malaria, should be distributed free or at a positive price to maximize ownership and use. One argument in favour of distribution related externalities. Like vaccines, individual use ITNs provides community-wide protective effect malaria even non-users. In addition, may act barrier particularly among those most at-risk who are frequently poor. Alternatively, charging...
Abstract Background Ensuring women have information, support and access to family planning (FP) services will allow exercise their reproductive autonomy reduce maternal mortality, which remains high in countries such as Madagascar. Research shows that women’s social networks - ties with partners, members, friends, providers affect contraceptive use. Few studies considered the role of men’s on Insofar use may be influenced by male also affected partner’s networks. Men differ types they rely...
Blood transfusions can reduce mortality among children with severe malarial anaemia, but there is limited evidence quantifying the relationship between paediatric malaria and blood transfusions. This study explores extent to which use of affected by number visits admissions. It assesses whether scale-up control interventions in a facility catchment area explains The was conducted at referral hospital for 13 rural health centres Zambia. Data were used from patient records covering all...
Objectives Depot medroxyprogesterone acetate-subcutaneous (DMPA-SC) can be prescribed through telemedicine and self-administered, but data about availability particularly during COVID-19 pandemic are limited. This study assessed changes in of DMPA-SC for self-administration the pandemic. Study Design used survey from a convenience sample US providers engaged contraceptive care participating CME-accredited training (April 2020-April 2022; n=849). Providers were recruited across 503 clinics,...