- COVID-19 and healthcare impacts
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- Health disparities and outcomes
- Climate Change and Health Impacts
- Reproductive Health and Contraception
- Reproductive tract infections research
- Social Media in Health Education
- Medication Adherence and Compliance
- Healthcare Policy and Management
- HIV/AIDS Research and Interventions
- Blood Pressure and Hypertension Studies
- Global Maternal and Child Health
- Global Health Care Issues
- Syphilis Diagnosis and Treatment
- Primary Care and Health Outcomes
- Maternal and fetal healthcare
- Health Promotion and Cardiovascular Prevention
- Sexuality, Behavior, and Technology
- COVID-19 Clinical Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Long-Term Effects of COVID-19
- Maternal and Perinatal Health Interventions
- Child Nutrition and Water Access
- Employment and Welfare Studies
Curtin University
2023-2024
Office for Health Improvement and Disparities
2021-2023
Public Health England
2020-2022
The Kids Research Institute Australia
2021
The University of Western Australia
2021
Government of the United Kingdom
2021
ARC Centre of Excellence for Children and Families over the Life Course
2021
The King's College
2019
King's College London
2016-2018
Kings Health Partners
2017-2018
Background Faced with a massive shortfall in meeting sanitation targets, some governments have implemented campaigns that use subsidies focused on latrine construction to overcome income constraints and rapidly expand coverage. In settings like rural India where open defecation is common, this may result sub-optimal compliance (use), thereby continuing leave the population exposed human excreta. Methods We conducted cross-sectional study investigate coverage among 20 villages (447...
Background Internet-accessed sexually transmitted infection testing (e-STI testing) is increasingly available as an alternative to in clinics. Typically this modality enables users order a test kit from virtual service (via website or app), collect their own samples, return samples laboratory, and be notified of results by short message (SMS) telephone. e-STI assumed increase access comparison with face-to-face services, but the evidence unclear. We conducted randomised controlled trial...
Background An estimated 2.5 billion people worldwide lack access to improved sanitation facilities. While large-scale programs in some countries have increased latrine coverage, they sometimes fail ensure optimal use, including the safe disposal of child feces, a significant source exposure fecal pathogens. We undertook cross-sectional study explore practices among children rural Orissa, India villages where Government India's Total Sanitation Campaign had been implemented at least three...
Objectives To describe the uptake and outputs of National Health Service Check (NHSHC) programme in England. Design Observational study. Setting primary care data extracted directly by NHS Digital from 90% general practices (GP) Participants Individuals aged 40–74 years, invited to or completing a NHSHC between 2012 2017, defined using Read codes. Intervention The NHSHC, structured assessment non-communicable disease risk factors 10-year cardiovascular (CVD) risk, with recommendations for...
Objectives Online services for self-sampling at home could improve access to STI testing; however, little is known about those using this new modality of care. This study describes the characteristics users online and compares them with clinic services. Methods We conducted a cross-sectional analysis routinely collected data on testing activity from sexual health in Lambeth Southwark between 1January 2016 31March 2016. Activity was included chlamydia, gonorrhoea, HIV syphilis residents...
Excess mortality is an important measure of the scale coronavirus-2019 pandemic. It includes both deaths caused directly by pandemic, and unintended consequences containment such as delays to accessing care or postponements healthcare provision in population. In 2020 2021, England, multiple groups have produced measures excess during This paper describes data methods used five different approaches estimating compares their estimates. The fundamental principles are described, well key...
<h3>ABSTRACT</h3> <h3>Background:</h3> Mobile phones for health (mHealth) hold promise delivering behavioral interventions. We evaluated the effect of automated interactive voice messages promoting contraceptive use with a focus on long-acting reversible contraceptives (LARCs) among women in Bangladesh who had undergone menstrual regulation (MR), procedure to "regulate cycle when menstruation is absent short duration." <h3>Methods:</h3> recruited MR clients from 41 public- and private-sector...
Hip fracture commonly affects the frailest patients, of whom many are care-dependent, with a disproportionate risk contracting COVID-19. We examined impact COVID-19 infection on hip mortality in England.
To examine magnitude of the impact COVID-19 pandemic on inequalities in premature mortality England by deprivation and ethnicity.A statistical model to estimate increased population subgroups during comparing observed with expected each group based trends over previous 5 years.Information deaths registered since 2015 was used, including age, sex, area residence cause death. Ethnicity obtained from Hospital Episode Statistics records linked death data.Population study England, all 569 824...
Adoption of modern contraceptive methods after menstrual regulation (MR) is thought to reduce subsequent unwanted pregnancy and abortion. Long-acting reversible contraceptives (LARCs) are highly effective at reducing unintended pregnancy, but uptake in Bangladesh low. Providing information on the most contraception increases more methods. This protocol describes a randomised controlled trial an intervention delivered by mobile phone designed support post-MR use Bangladesh. multi-site single...
Near-real time surveillance of excess mortality has been an essential tool during the COVID-19 pandemic. It remains critical for monitoring as pandemic wanes, to detect fluctuations in death rate associated both with longer-term impact (e.g. infection, containment measures and reduced service provision by health other systems) responses that followed curtailment measures, vaccination response systems backlogs). Following relaxing social distancing regimes reduction availability testing,...
Disease management programs are an essential tool in the fight against rising prevalence and costs associated with cardiovascular disease (CVD). However, there is a lack of evidence on long-term impact these clinical outcomes, healthcare utilization, cost. This study presents follow up clinical, utilization cost, mortality consequences The COACH Program, 6-month telephone delivered CVD prevention program.
We aimed to estimate the relative risk of mortality following a first positive SARS-CoV-2 test during first, second, and third waves COVID-19pandemic in England by age, sex, vaccination status, taking into account pre-existing health conditions lifestyle factors.
<h3>Background/introduction</h3> The London Boroughs of Lambeth and Southwark have high levels sexual health need services are overstretched. SH:24 offers online testing for chlamydia, gonorrhoea, HIV syphillis in Southwark, the ‘GetTested’ randomised controlled trial evaluates its effectiveness. <h3>Aim(s)/objectives</h3> This study aimed to document user views on clinic-based services. <h3>Methods</h3> We analysed qualitative data from a follow-up questionnaire GetTested 1337 participants,...
<h3>Background</h3> In 2015, free access to online services for STI self-sampling was made available residents in Lambeth and Southwark. Little is known about who accesses within these boroughs whether equitable between demographic groups. <h3>Aims</h3> To describe the factors associated with use of self-sampling. <h3>Methods</h3> A cross-sectional analysis routinely collected data from April October 2015 sexual health clinics We included attended or used basic testing were over age 16. Data...