A5029910056- Global Maternal and Child Health
- Primary Care and Health Outcomes
- Antibiotic Use and Resistance
- HIV/AIDS Research and Interventions
- Health Systems, Economic Evaluations, Quality of Life
- Tuberculosis Research and Epidemiology
- Global Health Workforce Issues
- Reproductive Health and Contraception
- Healthcare Systems and Reforms
- HIV/AIDS Impact and Responses
- Pharmaceutical Practices and Patient Outcomes
- Interprofessional Education and Collaboration
- Medical Education and Admissions
- Nutrition, Genetics, and Disease
- Maternal and Perinatal Health Interventions
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Practices
- Nursing education and management
- Advanced X-ray and CT Imaging
- Herpesvirus Infections and Treatments
- Syphilis Diagnosis and Treatment
- Zoonotic diseases and public health
- Bartonella species infections research
- Poverty, Education, and Child Welfare
- School Health and Nursing Education
Johns Hopkins University
2013-2022
Lesotho Planned Parenthood Association
2015
University of Baltimore
2015
Association of Maternal and Child Health Programs
2015
Association of Academic Health Centers
2003
Task shifting in various forms has been adopted extensively around the world an effort to expand reach of lifesaving services women, newborns, and families who need them. The emerging global literature, as well Jhpiego's field experiences, supports importance addressing several key components that facilitate effective task maternal newborn health care. These include: (1) policy regulatory support; (2) definition roles, functions, limitations; (3) determination requisite skills...
Abstract Background High rates of antibiotic use (AU) among inpatients with coronavirus disease 2019 (COVID-19) despite low bacterial coinfection and secondary infection have been reported. We evaluated the impact COVID-19 pandemic on AU in healthcare facilities (HCFs) South America. Methods conducted an ecologic evaluation inpatient adult acute care wards 2 HCFs each Argentina, Brazil, Chile. The for intravenous antibiotics were calculated as defined daily dose per 1000 patient-days, using...
Malawi, like other countries with a generalized HIV epidemic, is striving to reach the ambitious targets set by UNAIDS known as three 90's for testing, provision of antiretroviral therapy and viral suppression. Assisted Malawi's progressive policies on HIV/AIDS, it appears possible that Malawi will attain these targets, but only employing innovative program approaches service delivery which help fill policy gaps. This article describes how dedicated cadre layperson testers HIV-positive peers...
Person-centered care through integration of services and engaging clients in their own is essential to achieving epidemic control HIV. Verticalization along the continuum contributes inequities access leads stigma discrimination [1, 2]. Our experience implementing an integrated model primary healthcare (PHC) at Scott Hospital Lesotho show that even a country where one four adults are living with HIV substantial national international resources have been expended over past 15 years, want...
The ultimate goal of government health systems is to provide highly effective equitable services that save lives and reduce morbidity mortality. pressure conform duplicative global donor initiatives compounds existing challenges strengthening such as shortages human resources for health, weak supply chains, inadequate laboratory parallel data management systems. This article illustrates how primary care, the point entry into care system majority individuals in sub-Saharan Africa, should be...
The Zambia Defence Force adopted the Standards-Based Management and Recognition approach to improve quality of HIV-related services at its health facilities. This improvement intervention relies on comprehensive, detailed assessment tools communicate verify adherence national standards care, test implement changes performance.A quasi-experimental evaluation was conducted eight primary facilities (four implemented four did not). Data from three previous analyses are combined assess effect...
In Lesotho, primary healthcare is the main access point for health services. While nurses and midwives provide most of care at this level, assessments clinical education programs have highlighted gaps in experiences nursing midwifery students. This case study examines placement students clinics alongside preceptors. The placements with varied experience, better preparing them to practice clinics. To date, more than 700 been placed 40 rural centres 228 preceptors trained. government scaling...
<ns4:p><ns4:bold>Background</ns4:bold>: Women living with HIV have the right to choose whether, when and how many children have. Access antiretroviral therapy (ART) contraceptives, including implants, continues increase due a multitude of efforts. In Kenya, 4.8% adults are HIV, in 2017, 54% were receiving an efavirenz-based ART regimen. Meanwhile, 16.1% all Kenyan married (and 10.4% unmarried) women used implants. Studies reported drug interactions leading contraceptive failures among...
<h3>Background</h3> Tuberculosis infection (TBI) testing and treatment are fundamental to achieve TB elimination ambitions. Among household contacts (HHCs) of patients, the uptake TBI is limited, in part due a lack gold standard test challenges associated with implementation, which vary by available tests. Our study evaluated prevalence among HHCs determined concordance QuantiFERON-TB-Gold-Plus (QFT-Plus) QIAreach QuantiFERON-TB (QIAreach), new field-friendly...
Abstract Background Reports showing high rates of antibiotic use (AU) in patients with coronavirus disease 2019 (COVID-19) despite low secondary bacterial infection have emerged from various countries across the globe. We evaluated impact COVID-19 pandemic on AU healthcare facilities (HCFs) Argentina, Brazil, and Chile. Methods conducted an ecologic evaluation inpatient adult acute care wards (excluding maternity wards) 6 HCFs Chile; 2 per country. data for intravenously administered...
Background: Women living with HIV have the right to choose whether, when and how many children have. Access antiretroviral therapy (ART) contraceptives, including implants, continues increase due a multitude of efforts. In Kenya, 4.8% adults are HIV, in 2017, 54% were receiving an efavirenz-based ART regimen. Meanwhile, 16.1% all Kenyan married (and 10.4% unmarried) women used implants. Studies reported drug interactions leading contraceptive failures among implant users on ART. This...
<h3>Background</h3> TB preventive therapy (TPT) is recommended to household contacts (HHCs) exposed active tuberculosis (TB). Among of multidrug-resistant tuberculosis, 80% were deemed eligible for TPT using World Health Organisation (WHO) criteria: HIV-infected, aged <5 years or TB-infection (TBI). This finding questions the need TBI testing prior initiation. We determined eligibility among drug-sensitive (DS-TB) index households in Lesotho, South Africa, and Tanzania. <h3>Methods</h3>...
Abstract Background During the coronavirus disease 2019 (COVID-19) pandemic, healthcare facilities (HCFs) were overwhelmed with increasing patient volumes and limited resources. Reports of disruptions in routine practices at HCFs have emerged. We evaluated changes policies, practices, programs for antimicrobial stewardship (AMS), infection prevention control (IPC), clinical microbiology across six HCF South America following onset COVID-19 pandemic. Methods conducted a survey 6 Argentina,...