A5012661526- Global Maternal and Child Health
- Pregnancy and preeclampsia studies
- Malaria Research and Control
- Child Nutrition and Water Access
- HIV/AIDS Research and Interventions
- Vaccine Coverage and Hesitancy
- Pregnancy and Medication Impact
- Mosquito-borne diseases and control
- COVID-19 Impact on Reproduction
- Birth, Development, and Health
- Parasites and Host Interactions
- Global Health and Surgery
- Pharmacological Effects and Toxicity Studies
- Antibiotic Use and Resistance
- Ethics in Clinical Research
- HIV/AIDS drug development and treatment
- Cervical Cancer and HPV Research
- Adolescent Sexual and Reproductive Health
- Poverty, Education, and Child Welfare
- Healthcare Systems and Reforms
- Hemoglobinopathies and Related Disorders
- Maternal and Perinatal Health Interventions
- Blood Pressure and Hypertension Studies
- HIV-related health complications and treatments
- Neonatal Respiratory Health Research
Eduardo Mondlane University
2016-2025
Manhiça Health Research Centre
2016-2025
King's College London
2020
Midlands State University
2018
Barcelona Institute for Global Health
2016
Universitat de Barcelona
2016
Barcelona Centre for International Affairs
2015
University of London
2010
Weatherford College
2010
Pedagogical University
2007
BackgroundAntimicrobial misuse is common in low-income and middle-income countries (LMICs), this practice a driver of antibiotic resistance. We compared community-based access use practices across communities LMICs to identify contextually specific targets for interventions improve practices.MethodsWe did quantitative qualitative assessments six Africa (Mozambique, Ghana, South Africa) Asia (Bangladesh, Vietnam, Thailand) over 2·5-year study period (July 1, 2016–Dec 31, 2018). community...
Clara Menéndez and colleagues conducted an open-label randomized controlled trial in HIV-negative pregnant women Benin, Gabon, Mozambique, Tanzania to evaluate the safety efficacy of mefloquine compared sulfadoxine-pyrimethamine for intermittent preventative therapy malaria. Please see later article Editors' Summary
Most pregnancy hypertension estimates in less-developed countries are from cross-sectional hospital surveys and considered overestimates. We estimated population-based rates by standardised methods 27 intervention clusters of the Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials.CLIP-eligible pregnant women identified their homes or local primary health centres (2013-2017). Included here who had delivered trial end received a visit community worker trained to...
In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of comes from poor and vulnerable communities, who frequently reside in remote rural areas with limited access to health care services. This study aimed understand women's seeking practices during pregnancy, taking into account underlying social, cultural structural barriers accessing timely appropriate Maputo Gaza Provinces, southern Mozambique. ethnographic collected data through in-depth...
Geographic proximity to health facilities is a known determinant of access maternal care. Methods quantifying geographical care have largely ignored the impact precipitation and flooding. Further, travel has been imagined as unimodal where one transport mode used for entire journeys seek This study proposes new approach modeling potential spatio-temporal by evaluating floods on services using multiple modes, in southern Mozambique. A facility assessment was classify 56 centres. GPS...
Objectives One of Africa's most important challenges is to improve maternal and neonatal health. The identification groups at highest risk for adverse pregnancy outcomes developing implementing targeted prevention programmes. This study assessed whether young adolescent girls constitute a group increased birth among pregnant women in sub-Saharan Africa. Setting Data were collected prospectively as part large randomised controlled clinical trial evaluating intermittent preventive treatment...
Clara Menéndez and colleagues conducted a randomized controlled trial among HIV-positive pregnant women in Kenya, Mozambique, Tanzania to investigate the safety efficacy of mefloquine as intermittent preventative therapy for malaria receiving cotrimoxazole prophylaxis long-lasting insecticide treated nets. Please see later article Editors' Summary
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...
Abstract Background Antibiotic misuse and other types of unnecessary use antibiotics can contribute to accelerate the process antibiotic resistance, which is considered a global concern, mostly affecting low-and middle-income countries (LMICs). In Mozambique there limited evidence on community knowledge practices regarding resistance. As part ABACUS project, this paper describes among general population in semi-rural district Manhiça inform evidence-based communication intervention...
Pre-eclampsia is a leading cause of maternal mortality and morbidity that involves pregnancy-related stressors on the cardiovascular metabolic systems. As nutrition important to support optimal development placenta for developing fetus, diets may play role in preventing pre-eclampsia. The purpose this scoping review map nutritional deficiencies imbalances associated with pre-eclampsia incidence discuss evidence consistency linkages current understandings etiology
Delays to seek medical help can contribute maternal deaths particularly in community settings at home or on the road a health facility. Community engagement (CE) improve care-seeking behaviours and complements community-based interventions strengthening health. The purpose of this paper is describe process undertaken develop implement large-scale strategy rural southern Mozambique. CE was developed within context "Community-Level Interventions for Pre-eclampsia" (NCT01911494) conducted...
Monitoring HIV infection estimates is critical to guide health interventions and assess their impact, especially in highly vulnerable groups the such as African pregnant women. This study describes trends of over eleven years women attending selected antenatal care (ANC) clinics from southern Mozambique. We performed a secondary analysis data registered at ANC clinic Manhiça District Hospital Ministry Health's National Program Registry between 2010 2021. incidence was calculated using...
Pregnant and lactating women in sub-Saharan Africa are vulnerable to micronutrient inadequacies, with risk of adverse pregnancy outcomes. Adequate intakes diverse foods associated better status recommended by the World Health Organization as part healthy eating counselling during antenatal care. However, our understanding community knowledge dietary diversity within context maternal diets is limited. We used a descriptive qualitative approach explore perceptions lactation, well influencing...
Abstract Background There is a widespread notion, based on limited information, that in areas of stable malaria transmission most pregnant women with Plasmodium falciparum infection are asymptomatic. This study aim to characterize the clinical presentation African and evaluate adequacy case management complaints. Methods A hospital-based descriptive between August 2003 November 2005 was conducted at maternity clinic rural hospital Mozambique. All attending were invited participate. total...
Little is known about the process of knowledge translation in low- and middle-income countries. We studied policymaking processes Mozambique, South Africa Zimbabwe to understand factors affecting use research evidence national policy development, with a particular focus on findings from randomized control trials (RCTs). examined two cases: magnesium sulphate (MgSO(4)) treatment eclampsia pregnancy (a clinical case); insecticide treated bed nets indoor residual household spraying for malaria...
Introduction The HIV epidemic is concentrated in sub-Saharan Africa. However, limited information exists on its impact women and infant's health since the introduction of antiretroviral drugs this region, where resources are often scarce. Methods effect infection maternal health, birth outcomes infant was analysed two contemporary cohorts HIV-uninfected HIV-infected pregnant from southern Mozambique. Pregnant attending first antenatal care visit were followed until one month after delivery....
The World Health Organization recommends artemisinin-based combination (ACT) for the treatment of uncomplicated malaria. Post-licensure safety data on newly registered ACT is critical evaluating their risk/benefit profile in malaria endemic countries. clinical combination, Eurartesim®, following its introduction into public health system four African countries was assessed. This a prospective, observational, open-label, non-comparative, longitudinal, multi-centre study using cohort event...