A5102782551- Global Maternal and Child Health
- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Emergency and Acute Care Studies
- Mobile Health and mHealth Applications
- COVID-19 Impact on Reproduction
- ICT in Developing Communities
- Maternal and fetal healthcare
- Vaccine Coverage and Hesitancy
- Child Nutrition and Feeding Issues
- Poverty, Education, and Child Welfare
- Demographic Trends and Gender Preferences
- Trauma and Emergency Care Studies
- Family and Disability Support Research
- Innovative Approaches in Technology and Social Development
- Neonatal and Maternal Infections
- Infant Health and Development
- Maternal and Perinatal Health Interventions
- E-Government and Public Services
- Pediatric health and respiratory diseases
- Immune responses and vaccinations
- Maternal Mental Health During Pregnancy and Postpartum
- Electronic Health Records Systems
Emory University
2022-2025
Bahir Dar University
2018-2025
Columbia University
2022
International Trachoma Initiative
2022
Introduction The COVID-19 pandemic is disrupting health systems globally. Maternity care disruptions have been surveyed, but not those related to vulnerable small newborns. We aimed survey reported and sick newborn worldwide undertake thematic analysis of healthcare providers’ experiences proposed mitigation strategies. Methods Using a widely disseminated online in three languages, we reached out neonatal providers. collected data on preparedness, effects personnel services, including...
COVID-19 is disrupting health services for mothers and newborns, particularly in low- middle-income countries (LMIC). Preterm newborns are vulnerable. We undertook analyses of the benefits kangaroo mother care (KMC) on survival among neonates weighing ≤2000 g compared with risk SARS-CoV-2 acquired from infected mothers/caregivers.We modelled two scenarios over 12 months. Scenario 1 KMC universal coverage (99%) mortality due to COVID-19. 2 estimated incremental deaths reduced complete...
Introduction In Ethiopia, neonatal mortality and stillbirth are high underreported. This study explored values related to the visibility of these deaths in rural Ethiopia among 3 generations women. Methods We conducted a qualitative 6 districts Oromiya Amhara regional states during May 2012. included 30 focus groups representing grandmothers, married women (mothers), unmarried girls randomly selected kebeles (villages). Results Until 40th day life, neonates considered be strangers community...
Objectives Kangaroo Mother Care (KMC), prolonged skin-to-skin care of the low birth weight baby with mother plus exclusive breastfeeding reduces neonatal mortality. Global KMC coverage is low. This study was conducted to develop and evaluate context-adapted implementation models achieve improved coverage. Design used mixed-methods applying science an adaptable strategy improve implementation. Formative research informed initial model which refined in three iterative cycles. The included...
Introduction In Ethiopia, rural residence and limited access to skilled providers health services pose challenges for maternal newborn survival. The Maternal Health in Ethiopia Partnership (MaNHEP) developed a community‐based model of focusing on birth the early postnatal period positioned it scale‐up. MaNHEP's 3‐pronged intervention included community‐ facility‐based community training, continuous quality improvement, behavior change communications. Methods Evaluation baseline endline...
Introduction Ethiopia has high maternal and neonatal mortality low use of skilled maternity care. The Maternal Newborn Health in Partnership (MaNHEP), a 3.5‐year learning project, used community collaborative quality improvement approach to improve newborn health care during the birth‐to‐48‐hour period. This study examines how promotion (CMNH) family meetings labor birth notification contributed increased postnatal within 48 hours by providers or extension workers. Methods Baseline endline...
Abstract Background Neonatal sepsis is a major cause of death children under the age 5 years globally and in Ethiopia. The high mortality associated with neonatal especially pronounced low-birth weight infants (LBW). Antimicrobial resistance (AMR) further contributes to mortality. Many hospitalized LBW newborns are admitted NICUs but remains high, partly due increasing AMR also delayed identification treatment. Thus, evaluating describing existing barriers diagnosis management urgently...
Background: Tuberculosis (TB) disease during pregnancy results in adverse maternal and infant outcomes. The development of a TB vaccine with potential for administration or lactation is priority identified by the World Health Organization. We assessed acceptability vaccines currently administered [tetanus, diphtheria COVID-19] willingness to receive new and/or among Ethiopian women. Methods: From January February 2022, we conducted surveys pregnant women receiving antenatal care at 20...
Introduction Kangaroo Mother Care (KMC) is the practice of early, continuous and prolonged skin-to-skin contact between mother baby with exclusive breastfeeding. Despite clear evidence impact in improving survival health outcomes among low birth weight infants, KMC coverage has remained implementation been limited. Consequently, only a small fraction newborns that could benefit from receive it. Methods analysis This research project aims to develop evaluate district-level models for scaling...
Behaviors related to water, sanitation, and hygiene (WASH) are key drivers of infectious disease transmission, experiences WASH potential influencers mental well-being. Important knowledge gaps exist the content delivery effective programs their associated health impacts, particularly within contexts government implemented at scale. We developed tested a demand-side intervention called Andilaye, which aimed change behaviors personal hygiene, household environmental sanitation. This...
Introduction We examined the degree to which skills and knowledge of health workers in Ethiopia were retained 18 months after initial maternal newborn training sought identify factors associated with 18‐month assessment performance. Methods A nonexperimental, descriptive design was employed assess performance on topics Prevent Problems Before Baby Is Born After Born. Assessment conducted by project personnel who also received additional reliably worker Results Among 732 participated 6 rural...
Impact evaluations of water, sanitation, and hygiene interventions have demonstrated lower than expected health gains, in some cases due to low uptake sustained adoption at a community level. These findings represent common challenges for public development programmes relying on collective action. One possible explanation may be efficacy (CE)—perceptions regarding group’s ability execute actions related goal. The purpose this study was develop validate metric assess factors CE. We conducted...
Introduction In Ethiopia, postpartum hemorrhage is a leading cause of maternal death. The Maternal Health in Ethiopia Partnership (MaNHEP) project developed community‐based model and newborn health focusing on birth early care. Implemented the Amhara Oromiya regions, included misoprostol to prevent hemorrhage. This article describes regional trends women's use misoprostol; their awareness, receipt, at project's endline; factors associated with its use. Methods authors assessed using monthly...
Measuring facility readiness to manage basic obstetric emergencies is a critical step toward reducing persistently elevated maternal mortality ratios (MMR). Currently, the Signal Functions (SF) gold standard for measuring globally and endorsed by World Health Organization. The presence of tracer items classifies facilities’ emergencies. However, research suggests SF may be an incomplete indicator. Clinical Cascades (CC) have emerged as clinically-oriented alternative readiness. purpose this...
In Ethiopia, neonatal mortality accounts for approximately 54% of under-five deaths with the majority these driven by infections. Possible Severe Bacterial Infection (PSBI) in neonates is a syndromic diagnosis that non-clinical health care providers use to identify and treat newborns signs sepsis. low- middle-income countries, referral hospital may not be feasible due transportation, distance or finances. Growing evidence suggests extension workers (HEWs) can manage PSBI at community level...
Abstract Aim As part of a multi‐country implementation trial, we tested regionally specific model kangaroo mother care (KMC). Effective KMC was defined as ≥8 h newborn‐caregiver skin‐to‐skin contact daily plus exclusive breast feeding. The study designed to achieve ≥80+% effective coverage at the population level. Methods Amhara using global evidence, formative research in region and input from government officials, clinicians, newborn families scientists. We optimised initial continuous...
Globally, 20% of all newborns are born with low birth weight (LBW). There is, therefore, an urgent need to expedite the delivery high-impact, evidenced-based, and low-cost interventions such as kangaroo mother care (KMC (defined continuous skin-to-skin care) exclusive breastfeeding for this vulnerable group.
Breastfeeding is recognized as the optimal form of infant nutrition. The World Health Organization recommends initiation breastfeeding within first hour after birth and exclusive (EBF) for six months. However, facility based practices, especially small sick newborns (SSN), face numerous challenges. Saving Little Lives (SLL) program in Ethiopia seeks to improve SSN survival by promoting comprehensive neonatal healthcare including appropriate feeding. Despite these efforts, limited data exist...
Electronic data capture (EDC) is a crucial component in the design, evaluation, and sustainment of population health interventions. Low-resource settings, however, present unique challenges for developing robust EDC system due to limited financial capital, differences technological infrastructure, insufficient involvement those who understand local context. Current literature focuses on evaluation interventions using but does not provide an in-depth description systems used or how they are...
Abstract Background Measuring facility readiness to manage basic obstetric emergencies is a critical step toward reducing persistently elevated maternal mortality ratios (MMR). Currently, the Signal Functions (SF) gold standard for measuring globally and endorsed by WHO. The presence of tracer items classifies facilities’ emergencies. However, research suggests signal functions may be an incomplete indicator. Clinical Cascades (CC) have emerged as clinically-oriented alternative readiness....
To achieve the goal of providing real-time scientific evidence on child health status and determinants in Benishangul-Gumuz (BG) region Ethiopia, regional authority, academia, hospitals, communities decided to establish a longitudinal open cohort field lab for under-5 (U5) children region.The study initiated with cross-sectional as baseline subsequent observation study.Multi-stage stratified cluster sampling was applied.The survey questionnaire covered diverse topics administered by 9...
Background: Kangaroo Mother Care (KMC), defined as prolonged skin-to-skin contact of the low birth weight baby with mother and exclusive breastfeeding, is highly effective in reducing neonatal mortality. Yet coverage KMC globally <5%. We conducted this study to find ways achieve sustainable improvements coverage.Methods: This multi-site, implementation research used a mixed-methods design four regions Ethiopia three states India, covering 8 million population. Formative informed initial...
<sec> <title>UNSTRUCTURED</title> Electronic data capture (EDC) is a crucial component in the design, evaluation, and sustainment of population health interventions. Low-resource settings, however, present unique challenges for developing robust EDC system due to limited financial capital, differences technological infrastructure, insufficient involvement those who understand local context. Current literature focuses on evaluation interventions using but does not provide an in-depth...