- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Maternal Mental Health During Pregnancy and Postpartum
- Blood groups and transfusion
- Erythrocyte Function and Pathophysiology
- Child Nutrition and Water Access
- Child and Adolescent Psychosocial and Emotional Development
- HIV, Drug Use, Sexual Risk
- Mental Health Treatment and Access
- Digital Mental Health Interventions
- Boron Compounds in Chemistry
- Radioactive element chemistry and processing
- Cervical Cancer and HPV Research
- Poverty, Education, and Child Welfare
- Organometallic Complex Synthesis and Catalysis
- Migration, Health and Trauma
- COVID-19 and Mental Health
- Viral-associated cancers and disorders
- Synthesis and characterization of novel inorganic/organometallic compounds
- Coordination Chemistry and Organometallics
- Family Caregiving in Mental Illness
- Infant Development and Preterm Care
- Child Abuse and Trauma
- Hepatitis B Virus Studies
University of Washington
2020-2025
Behavioral Tech Research, Inc.
2024
Ministry of Health
2024
International Medical Corps
2024
Seattle University
2023
Kenyatta National Hospital
2022
University of Copenhagen
2010-2021
Høyskolen Kristiania
2020
University of Oslo
2020
University of Pretoria
2018-2020
High neonatal mortality persists in Tanzania. Rates of decline are slow, part because postnatal care (PNC) services for addressing this problem remain severely underutilized. This study assesses factors associated with utilization PNC among mothers rural analyzed household survey data collected 2011 to understand health service patterns women reproductive age and children less than 5 years the Rufiji, Kilombero, Ulanga districts A total 889 were eligible current analysis. Multinomial...
This paper identifies factors influencing differences in the prevalence of diarrhea, fever and acute respiratory infection (ARI), health seeking behavior among caregivers children under age five rural Tanzania. Using cross-sectional survey data collected Kilombero, Ulanga, Rufiji districts, analysis included 1,643 who lived with 2,077 years old. Logistic multivariate multinomial regressions were used to analyze related disease behavior. One quarter had experienced past two weeks, 12.0 %...
Adolescent girls and young women (AGYW) are a priority population for HIV prevention in high-burden settings. We evaluated psychosocial characteristics, behavioral risk factors HIV, pre-exposure prophylaxis (PrEP) awareness uptake among AGYW seeking contraceptive services at four public sector family planning (FP) clinics offering integrated PrEP delivery Kisumu, Kenya. From October 2018 to June 2019, we approached all (aged 15-24 years) contraception participate survey following receipt of...
Abstract Background Preterm birth (PTB) is a leading cause of neonatal mortality, particularly in sub-Saharan Africa where 40% global deaths occur. We identified and combined demographic, clinical, psychosocial correlates PTB among Kenyan women to develop risk score. Methods used data from prospective study enrolling HIV-negative 20 antenatal clinics Western Kenya (NCT03070600). Depressive symptoms were assessed by nurses using the Center for Epidemiologic Studies Depression Scale (CESD-10),...
In West Africa, the long-term consequences of poor early psychosis recovery include poverty, neglect, and community ostracization. To understand potential for digital health approaches to support care in Ghana, we conducted a survey study among patients their caregivers about mental needs, technology use access, interest health. Hospital staff at Accra Psychiatric reviewed hospital medical records from January 2023 - December identifying young adults (≥18 years old) who had experienced...
Background: Self-perceived HIV risk influences PrEP use, though few data on perception are available among pregnant women. We evaluated and uptake women in Kenya. Methods: utilized from a randomized trial evaluating universal versus risk-based delivery models at 20 antenatal clinics Kenya (NCT03070600). Pregnant enrolled were offered any gestational age. A validated score for predicting acquisition perinatal defined high risk. was assessed by asking “ What is your gut feeling about how...
Many people living with HIV in South Africa (SA) are not aware of their seropositive status and diagnosed late during the course infection. These individuals do obtain full benefit from available care treatment services.To describe prevalence presentation for among newly HIV-positive evaluate sociodemographic variables associated three high-burden districts SA.We used data abstracted records 8 138 35 clinics between 1 June 2014 31 March 2015 to determine selected high-prevalence health...
Abstract Background Despite improved policies to prevent mother-to-child HIV transmission (MTCT), adherence maternal antiretroviral therapy (ART) and infant Nevirapine prophylaxis (NVP) is low in South Africa. We describe ART amongst a cohort of HIV-positive mothers HIV-exposed but uninfected infants from 6 weeks until 18 months post-delivery identify risk factors for nonadherence. Methods Data were collected 2012–2014 through nationally representative survey PMTCT effectiveness....
Abstract Background In West Africa, healers greatly outnumber trained mental health professionals. People with serious illness (SMI) are often seen by in “prayer camps” where they may also experience human rights abuses. We developed “M&M,” an 8-week-long dual-pronged intervention involving (1) a smartphone-delivered toolkit designed to expose brief psychosocial interventions and encourage them preserve (M-Healer app), (2) visiting nurse who provides medications their patients (Mobile...
Abstract Purpose “Endemic” Burkitt lymphoma (BL) is a common childhood cancer in Africa. Social and treatment factors may contribute to poor survival. With the aim of improving BL outcomes Uganda, we undertook comprehensive project (BL Project) that provided diagnostic support, access standard chemotherapy, nutritional evaluations, case management. We evaluated survival children with context project. Patients methods followed by Project who consented research were enrolled this study....
Abstract Background The 2016 ‘Start Free, Stay AIDS Free’ global agenda, builds on the 2011-2015 ‘Global Plan’. It prioritises 22 countries where 90% of world’s HIV-positive pregnant women live and aims to eliminate vertical transmission HIV (EMTCT) keep mothers alive. By 2019, no Global Plan priority country had achieved EMTCT; however, 11 non-priority had. This paper synthesises characteristics first four validated for EMTCT, 21 located in Sub-Saharan Africa (SSA). We consider what drives...
War, geopolitical instability, and natural disasters have contributed to enormous unmet mental health needs in the Middle East North Africa. Jordan is a middle-income country that internal international stakeholder engagement support effectively provide services its citizens millions of immigrants refugees who reside there. This column presents snapshot state care outlines areas for future investment. Potentially high-yield development include digital technology, integrated care,...
We assessed prevalence of human immunodeficiency virus (HIV) risk behaviors and depressive symptoms among adolescent girls young women (AGYW) aged 15–24 years attending four public family planning clinics in Western Kenya from January to June 2019. Moderate-to-severe depression (MSD) was defined as a Center for Epidemiologic Studies Depression Scale (CESD-10) score ≥10. Among 487 AGYW, the median age 22 (interquartile range 20–23), 59 (12%) AGYW reported MSD. MSD more prevalent without...
To further investigate a possible correlation between human herpesvirus-6 (HHV-6) infection and multiple sclerosis by analyzing the level of HHV-6 antibodies in MS patients healthy controls.A total 189 serum samples from with (MS) different disease stages 190 controls matched for age sex were analyzed using competitive ELISA.There was no difference IgG titers controls. Two seronegative versus to none MS-patients. There apparent stages.This study cannot support theory that is contributing...