A5046719453- Global Maternal and Child Health
- Climate Change and Health Impacts
- Migration, Health and Trauma
- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- Global Health and Surgery
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Reforms
- Health disparities and outcomes
- Energy and Environment Impacts
- Air Quality and Health Impacts
- Birth, Development, and Health
- Physical Activity and Health
- Musculoskeletal Disorders and Rehabilitation
- Frailty in Older Adults
- Neonatal Respiratory Health Research
- Adolescent and Pediatric Healthcare
- Healthcare Policy and Management
- Autoimmune and Inflammatory Disorders Research
- Pharmaceutical Practices and Patient Outcomes
- Qualitative Research Methods and Ethics
Aga Khan University Nairobi
2020-2024
Africa International University
2023-2024
University of the Witwatersrand
2023
London School of Hygiene & Tropical Medicine
2023
Karolinska Institutet
2023
University of Washington
2023
University of Nairobi
2023
Institute for Human Development
2023
University of Oslo
2023
Aga Khan University
2019-2022
Little is known about how pregnant refugee women, and the frontline health care workers who serve them, are affected by COVID-19 pandemic in terms of health, service access. Women refugees classified as a vulnerable group with regard to pregnancy outcomes access maternal care, may be disproportionally at risk for infection they likely face unique barriers information reproductive services during pandemic. Few studies identify gaps that could inform potential interventions improve uptake...
Under the Free Maternity Policy (FMP), Kenya has witnessed an increase in health facility deliveries rather than home with Traditional Birth Attendants (TBA) resulting improved maternal and neonatal outcomes. Despite these gains, infant mortality morbidity rates remain unacceptably high indicating that more needs to be done.
There is a growing concern of low representation researchers from low-middle-income countries (LMICs) in the publication global health research high-impact peer-reviewed journals. Nobody denies that developing world generally face several obstacles to publishing their research. In this viewpoint, we share some barriers have observed our experience working both academia and practice middle-income such as limited opportunities for funding, gender disparities, language barriers. Beyond...
Heat exposure in pregnancy is associated with a range of adverse health and wellbeing outcomes, yet research on the lived experience high temperatures lacking. We conducted qualitative 2021 two communities rural Kilifi County, Kenya, tropical savannah area currently experiencing severe drought. Pregnant postpartum women, their male spouses mothers-in-law, community volunteers, local environment stakeholders were interviewed or participated focus group discussions. women described symptoms...
Extreme heat exposure is associated with adverse outcomes in pregnancy and has the potential to impact maternal, neonatal child health for a lifetime. In an extremely hot climate, pregnant women face increased risk of premature birth, stillbirth, low birth weight, congenital anomalies pre-eclampsia. low- middle-income countries (LMICs), socio-demographic behavioural practices may negatively affect body hydration during high temperatures. The possible causes consequences dehydration are...
Abstract Objective To understand community perspectives on the effects of high ambient temperature health and wellbeing neonates, impacts post-partum women infant care in Kilifi. Design Qualitative study using key informant interviews, in-depth interviews focus group discussions with pregnant postpartum ( n = 22), mothers-in-law 19), male spouses 20), volunteers (CHVs) 22) stakeholders from government ministries 16). Settings We conducted our research Kilifi County Kenya’s Coast Province....
Climate change is an increasing threat to the health of populations in Africa, with a shift seasonal temperatures towards more extreme heat exposures. In Burkina Faso, like other countries Sahel, many women have little protection against exposure high temperatures, either outside or inside home place work. This paper investigates how perceive impacts on their physical and mental health, addition social relationships economic activities. Qualitative methods (in-depth interviews focus group...
To understand the influences and decisions of vulnerable older people in relation to keeping warm winter.A qualitative study incorporating in-depth, semi-structured individual group interviews, framework analysis social marketing segmentation techniques.Rotherham, South Yorkshire, UK.50 (>55) 25 health care staff underwent interview. The also had household temperature measurements. 24 19 participated one six interviews.Multiple complex factors emerged explain whether were able keep warm....
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...
Delay in diagnosis and access to specialist care is a major problem for many children young people with rheumatic disease sub-Saharan Africa. Most symptoms of present non-specialists care. There an urgent need understand scale-up paediatric rheumatology knowledge skills amongst non-specialist healthcare workers promote early diagnosis, prompt referral, management.We evaluated the knowledge, attitudes practices towards patients among health Kenya.We conducted 12 focus group discussions...
Climate change research is broad, diverse and constantly growing. Cross- interdisciplinary understanding essential for generating robust science advice policy. However, it challenging to prioritise navigate the ever-expanding peer-reviewed literature. To address this, we gathered input from experts across various fields through an online questionnaire prioritised a set of 10 key advances with high policy relevance. This year, focus on: (1) Declining aerosol emissions, (2) soaring methane (3)...
Purpose The purpose of this paper is to provide a situational overview the facility-based maternal and perinatal morbidity mortality audits (MPMMAs) in SSA, their current efficacy at reducing rates related childbirth. Design/methodology/approach This scoping literature review based on synthesis secondary literature. Findings Not all countries SSA conduct MPMMAs. Countries where MPMMAs are conducted have not instituted standard practice, done national scale, there no clear best practice for...
Male involvement in reproductive, maternal, newborn and child health (RMNCH) is known to improve maternal outcomes. However, there sub-optimal adoption of male strategies several low- middle-income countries such as Kenya. Aga Khan University implemented Access Quality Care through Extending Strengthening Health Systems (AQCESS), a project funded by the Government Canada Foundation (AKFC), between 2016 2020 rural Kisii Kilifi counties, A central element interventions was increasing...
To examine the effects of high ambient temperature on infant feeding practices and childcare.Secondary analysis quantitative data from a prospective cohort study.Community-based interviews in commune Bobo-Dioulasso, Burkina Faso. Exclusive breastfeeding is not widely practised Faso.866 women (1:1 urban:rural) were interviewed over 12 months. Participants at three time points: entry (when between 20 weeks' gestation 22 postpartum), nine months thereafter. Retention nine-month follow-up was...
While disrespectful treatment of pregnant women attending health care facilities occurs globally, it is more prevalent in low-resource countries. In Kenya, a large body research studied maternity (DMC) from the perspective service users. This paper examines workers (HCWs) on factors that influence DMC experienced by at rural Kisii and Kilifi counties Kenya. We conducted 24 in-depth interviews with these two sites. Data were analyzed deductively inductively using NVIVO 12. Findings HCWs...
Abstract Background There is substantial evidence that immunization one of the most significant and cost-effective pillars preventive promotive health interventions. Effective childhood coverage thus essential in stemming persistent illnesses. The third dose pentavalent vaccine for children an important indicator assessing performance immunisation programme because it mirrors completeness a child’s schedule. Spatial access to immunizing facility, especially sub-Sahara African (SSA)...
Research from sub-Saharan Africa indicate that many women experience varied forms of disrespectful maternity care, which amount to a violation their rights and dignity. Notably, there is little research sheds light on health care workers (HCWs) training knowledge principles respectful (RMC). Formulating appropriate interventional strategies promote the provision services for during pregnancy, childbirth, postpartum period requires an understanding current state sources information among...
Abstract Background Despite the proven efficacy of Community Health Volunteers (CHVs) in promoting primary healthcare low- and middle-income countries (LMICs), they are not adequately financed compensated. The latter contributes to challenge high attrition rates observed many settings, highlighting an urgent need for innovative compensation strategies CHVs amid budget constraints experienced by systems. This study sought identify implementing Income-Generating Activities (IGAs) Kilifi County...
Abstract Background Life expectancy has increased over the last century among older people, particularly those aged 60 years. Aging is associated with disability, multiple chronic conditions, and use of health services managed polypharmacy. There are few studies on polypharmacy aging in sub-Saharan Africa, it unclear what people know their attitudes toward This paper presents findings from a study that aimed to understand people’s knowledge, beliefs about Methods A qualitative using in-depth...
ABSTRACT Older people living in long-term facilities (nursing and residential homes providing 24-hour care) spend the majority of their time inactive, despite known health wellbeing benefits physical activity reduced spent sedentary. In order to successfully embed interventions that aim increase or reduce sedentary behaviour, it is necessary understand features care environment influence residents’ routine patterns movement. Drawing on an organisational perspective, this paper explores...