A5036927693- Emergency and Acute Care Studies
- Global Maternal and Child Health
- Pneumonia and Respiratory Infections
- Child Nutrition and Water Access
- Sepsis Diagnosis and Treatment
- Healthcare Systems and Reforms
- Global Health Care Issues
- Neonatal Respiratory Health Research
- Healthcare Policy and Management
- Resilience and Mental Health
- Infant Development and Preterm Care
- Sleep and Work-Related Fatigue
- Food Security and Health in Diverse Populations
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Animal Disease Management and Epidemiology
- Trauma and Emergency Care Studies
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Pediatric Pain Management Techniques
- Sleep and related disorders
- Health and Conflict Studies
- Animal Behavior and Welfare Studies
- Neonatal and Maternal Infections
- Obesity, Physical Activity, Diet
University of British Columbia
2024-2025
B.C. Women's Hospital & Health Centre
2024-2025
Children's & Women's Health Centre of British Columbia
2023-2024
British Columbia Children's Hospital
2023
Child Health Research Foundation
2020-2022
University of Calgary
2019-2022
Alberta Health Services
2020
The University of Tokyo
2019
Background Because of the rapid increase non-communicable diseases (NCDs) and high burden healthcare-related financial issues in Bangladesh, there is a concern that out-of-pocket (OOP) payments related to illnesses may become major on household. It crucial understand what are responsible for OPP at household level help policymakers prioritize key areas actions protect from 100% hardship seeking health care as part universal coverage. Objectives We first estimated costs among population urban...
Sepsis occurs predominantly in low-middle-income countries. Sub-optimal triage contributes to poor early case recognition and outcomes from sepsis. Improved quality of care can lead improved outcomes. We evaluated the impact Smart Triage using time intravenous antimicrobial administration a multisite interventional study. Triage, digital platform with risk score clinical dashboard, was implemented (with control sites) Kenya (February 2021-December 2022) Uganda (April 2020-April 2022)....
Ghana has made significant stride towards universal health coverage (UHC) by implementing the National Health Insurance Scheme (NHIS) in 2003. This paper investigates progress of UHC indicators from 1995 to 2015 and makes future predictions up 2030 assess probability achieving targets. representative surveys were used service financial risk protection. The analyses estimated 13 prevention four treatment at national level across wealth quintiles. In addition, we calculated catastrophic...
Sleep deprivation is widely recognized as a potential contributor to childhood obesity. However, few studies have addressed this issue in low-income settings. The aim of study was determine the association both sleep duration and quality with overweight/obesity among adolescents Bangladesh.A cross-sectional conducted four randomly selected schools Gazipur, Bangladesh, from May August 2019. Using self-administered semi-structured questionnaire, data on were collected 1,044 between 13 17 years...
Models for digital triage of sick children at emergency departments hospitals in resource poor settings have been developed. However, prior to their adoption, external validation should be performed ensure generalizability. We externally validated a previously published nine-predictor paediatric model (Smart Triage) developed Uganda using data from two Kenya. Both discrimination and calibration were assessed, recalibration was by optimizing the intercept classifying patients into emergency,...
Several triage systems have been developed, but little is known about their performance in low-resource settings. Evaluating and comparing novel to existing scales provides essential information added value, reliability, safety, effectiveness before adoption. This study included children aged < 15 years who presented the emergency departments of two public hospitals Kenya between February December 2021. We compared Emergency Triage Assessment Treatment ( ETAT ) guidelines Smart (ST)...
Mortality following hospital discharge remains a significant threat to child health, particularly in resource-limited settings. In Uganda, the Smart Discharges risk-prediction models have successfully predicted children at highest risk of death after admission for sepsis guide risk-based approach post-discharge care. We externally validated five derived from Uganda new cohort ages 0 days 60 months admitted suspected two hospitals Rwanda. Of 1218 total (n=413, Kigali; n=805, Ruhengeri), 1161...
Abstract Objectives: To validate the two-factor structure (i.e., cognitive and somatic) of Health Behaviour Inventory (HBI), a widely used post-concussive symptom (PCS) rating scale, through factor analyses using bifactor correlated models by examining measurement invariance (MI). Methods: PCS ratings were obtained from children aged 8–16.99 years, who presented to emergency department with concussion (n = 565) or orthopedic injury (OI) 289), their parents, at 10-days, 3-months, 6-months...
Abstract Sepsis occurs predominantly in low-middle-income countries. Sub-optimal triage contributes to poor early case recognition and outcomes from sepsis. We evaluated the impact of Smart Triage using improved time intravenous antimicrobial administration a multisite interventional study. was implemented (with control sites) Kenya (February 2021-December 2022) Uganda (April 2020-April 2022). Children presenting outpatient departments with an acute illness were enrolled. A controlled...
Infectious diseases in neonates account for half of the under-five mortality low- and middle-income countries. Data-driven algorithms such as clinical prediction models can be used to efficiently detect critically ill children order optimize care reduce mortality. Thus far, only a handful have been externally validated are limited neonatal in-hospital The aim this study is validate previously derived model (Smart Triage) using combined prospective baseline cohort from Uganda Kenya with...
Abstract Post-discharge death is increasingly recognized as an important contributor to pediatric mortality in sub-Saharan Africa. To address morbidity and during this period, a representative evidence base needed inform resource prioritization, policy, guideline development. date, no studies have been conducted Rwanda, limiting understanding of post-discharge region. We prospective cohort study children ages 0-60 months two Rwandan hospitals, one rural (Ruhengeri) urban (Kigali), from May...
Depopulation is one of the important interventions for outbreak animal diseases. Simulation models using actual case scenarios conclude that early depopulation most efficient in preventing spread foot-and-mouth disease (FMD). However, long delay its initiation was often seen cases and theoretical analyses FMD epidemiology with needs further elaboration. Here, we investigated qualitative features epidemic when at a fixed capacity delayed. We built simple deterministic model based on...
Abstract Introduction Models for digital triage of sick children at emergency departments hospitals in resource poor settings have been developed. However, prior to their adoption, external validation should be performed ensure generalizability. Methods We externally validated a previously published nine-predictor paediatric model (SMART Triage) developed Uganda using data from two Kenya. Both discrimination and calibration were assessed, recalibration was by optimizing the intercept...
Abstract Several triage systems have been developed, but little is known about their performance in low-resource settings. Evaluating and comparing novel to existing scales provides essential information added value, reliability, safety, effectiveness before adoption. This prospective observational study included children aged < 15 years who presented the emergency departments of two public hospitals Kenya between February December 2021. We compared Emergency Triage Assessment Treatment (...
Ghana has made significant stride towards universal health coverage (UHC) by implementing the National Health Insurance Scheme (NHIS) in 2003. This paper investigates progress of UHC indicators from 1995 to 2030 and makes future predictions up assess probability achieving targets. representative surveys were used service financial risk protection. The analysis estimated 13 prevention four treatment at national level across wealth quintiles. In addition, this calculated catastrophic payments...
Abstract Background Substantial mortality occurs after hospital discharge in children under 5 years old with suspected sepsis. A better understanding of its epidemiology is needed for effective interventions aimed at reducing child resource limited settings. Methods In this prospective observational cohort study, we recruited 0-60-month-old admitted sepsis from the community to paediatric wards six Ugandan hospitals. The primary outcome was six-month post-discharge among those discharged...
Abstract Age is an important risk factor among critically ill children with neonates being the most vulnerable. Clinical prediction models need to account for age differences and must be externally validated updated, if necessary, enhance reliability, reproducibility, generalizability. We Smart Triage model using a combined prospective baseline cohort from three hospitals in Uganda two Kenya admission, mortality, readmission. evaluated discrimination area under receiver-operator curve...