A5045564480- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Child Nutrition and Water Access
- Healthcare Systems and Reforms
- Vaccine Coverage and Hesitancy
- Mobile Health and mHealth Applications
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Global Health Workforce Issues
- Infant Development and Preterm Care
- Adolescent Sexual and Reproductive Health
- Reproductive Health and Contraception
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- HIV/AIDS Research and Interventions
- Maternal and Neonatal Healthcare
- COVID-19 epidemiological studies
- Global Public Health Policies and Epidemiology
- Migration, Health and Trauma
- SARS-CoV-2 and COVID-19 Research
- Neonatal and fetal brain pathology
- Disaster Response and Management
London School of Hygiene & Tropical Medicine
2016-2025
Karolinska Institutet
2016-2025
Aga Khan University Nairobi
2024
Queen Mary University of London
2023
International Federation of Gynaecology and Obstetrics
2023
International Confederation of Midwives
2023
University of Birmingham
2023
University of Gothenburg
2022
Medizinische Hochschule Hannover
2022
Makerere University
2022
COVID-19 cases are very high across Europe. Current measures not reducing virus spread sufficiently, and new SARS-CoV-2 variants emerging. The B.1.1.7 B1.351 variants, first identified in the UK South Africa, respectively, have to many European countries.1European Centre for Disease Prevention ControlRapid increase of a variant with multiple spike protein mutations observed United Kingdom. Dec 20, 2020. ECDC, Stockholm2020Google Scholar, 2Grove Krause T Ny status på forekomsten af cluster i...
BackgroundAccess to skilled obstetric delivery and emergency care is deemed crucial for reducing maternal mortality. We assessed pregnancy-related mortality by distance health facilities cause of death in a disadvantaged rural area southern Tanzania.MethodsWe did secondary analysis cross-sectional georeferenced census data collected from June October, 2007, five districts Tanzania. Heads households were asked about household deaths the period 1, 2004, May 31, women aged 13–49 years...
The poor maintenance of equipment and inadequate supplies drugs other items contribute to the low quality maternity services often found in rural settings low- middle-income countries, raise risk adverse patient outcomes through delaying care provision. We aim describe staff experiences providing maternal neonatal health facilities Southern Tanzania, focusing on issues related equipment, supplies. Focus group discussions in-depth interviews were conducted with different cadres from all...
Public health interventions should be designed with scale in mind, and researchers implementers must plan for scale-up at an early stage. Yet, there is limited awareness among of the critical value considering scalability relatively empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed to integrate considerations design a study evaluate multi-component intervention reduce unnecessary caesarean sections low- middle-income countries. First, we reviewed...
Background Globally, critical illness results in millions of deaths every year. Although many these are potentially preventable, the basic, life-saving care critically ill patients often overlooked health systems. Essential Emergency and Critical Care (EECC) has been devised as that should be provided to all hospitals world. EECC includes effective low cost complexity for identification treatment across medical specialties. This study aimed specify content additionally, given surge ongoing...
Introduction Neonatal mortality rate (NMR) has been declining in sub-Saharan African (SSA) countries, where historically rural areas had higher NMR compared with urban. The 2015–2016 Demographic and Health Survey (DHS) Tanzania showed an exacerbation of existing pattern significantly urban areas. objective this study is to understand disparity SSA countries examine the specific factors potentially underlying association Tanzania. Methods We assessed urban–rural disparities among 21 four or...
Client satisfaction is an essential component of quality care. Health system factors, processes care as well mothers' characteristics influence the extent to which meets expectations mothers and families. In our study, we specifically aimed address experiences of, with, during childbirth. A population-based cross-sectional using structured interviews with published sequences questions assessing satisfaction, including 4358 who gave birth 12 months before June 2016 estimate childbirth...
To estimate effective coverage of maternal and newborn health interventions to identify bottlenecks in their implementation rural districts the United Republic Tanzania.Cross-sectional data from households facilities Tandahimba Newala were used analysis. We adapted Tanahashi's model intervention conditional stages access, facility readiness clinical practice. The studied syphilis pre-eclampsia screening, partograph use, active management third stage labour postpartum care.Effective was low...
Abstract Background Anaemia during pregnancy causes adverse outcomes to the woman and foetus, including anaemic heart failure, prematurity, intrauterine growth restriction. Iron deficiency anaemia (IDA) is leading cause of oral iron supplementation widely recommended. However, little focus directed dietary intake. This study estimates contribution IDA among pregnant women examines its risk factors (including dietary) in those with moderate or severe Lagos Kano states, Nigeria. Methods In...
Progress towards reaching Millennium Development Goals four (child health) and five (maternal is lagging behind, particularly in sub-Saharan Africa, despite increasing efforts to scale up high impact interventions. Increasing the proportion of birth attended by a skilled attendant main indicator progress, but not much known about quality childbirth care delivered these attendants. With view reducing maternal mortality through health systems improvement we describe routinely offered at...
To determine if improved geographical accessibility led to increased uptake of maternity care in the south United Republic Tanzania.In a household census 2007 and another large survey 2013, we investigated 22 243 13 820 women who had recent live birth, respectively. The proportions calculated from 2013 data were weighted account for sampling strategy. We examined association between straight-line distances nearest primary health facility or hospital care.The percentages births occurring...
Background We report a cluster-randomised trial of home-based counselling strategy, designed for large-scale implementation, in population 1.2 million people rural southern Tanzania. hypothesised that the strategy would improve neonatal survival by around 15%. Methods and Findings In 2010 we trained 824 female volunteers to make three home visits women their families during pregnancy two them first few days infant's life 65 wards, selected randomly from all 132 wards six districts Mtwara...
To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised both Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, content care. As facility births increase, monitoring using routine in DHIS2...