A5065516828- Global Health and Surgery
- Global Maternal and Child Health
- Global Health Workforce Issues
- Global Public Health Policies and Epidemiology
- HIV/AIDS Research and Interventions
- HIV/AIDS Impact and Responses
- Health and Conflict Studies
- Viral Infections and Outbreaks Research
- Healthcare Systems and Reforms
- Bacterial Identification and Susceptibility Testing
- Disaster Response and Management
- Antibiotic Resistance in Bacteria
- Climate Change and Health Impacts
- Middle East and Rwanda Conflicts
- HIV Research and Treatment
- Dental Research and COVID-19
- Diabetic Foot Ulcer Assessment and Management
- Innovations in Medical Education
- Vibrio bacteria research studies
- Antibiotic Use and Resistance
- Medical and Biological Sciences
- Child Nutrition and Water Access
- HIV-related health complications and treatments
- Tuberculosis Research and Epidemiology
- Neonatal skin health care
University of Pennsylvania
2018-2023
University of Botswana
2023
Center for Global Health
2018-2022
Brigham and Women's Hospital
2011-2018
Harvard University
2012-2018
Partners In Health
2011-2017
Harvard Global Health Institute
2012-2016
University of Global Health Equity
2016
Boston University
2012
A global shortage of 4.3 million health professionals poses a major bottleneck to poor people worldwide with regard benefiting from the fruits modern medicine. 1Among existing professionals, there are also staggering inequities in skill levels and geographic distribution. 2-4Unsurprisingly, deepest national gaps human resources for run parallel population-level outcomes. 1ub-Saharan Africa bears 24% burden disease 5 but is served by only 4% workforce. 1The graduate schools region face...
Access to antiretroviral therapy (ART) has rapidly expanded; as of the end 2010, an estimated 6.6 million people are receiving ART in low-income and middle-income countries. Few reports have focused on experiences rural health centers or use community workers. We report clinical programatic outcomes at 24 months for a cohort patients enrolled community-based program southeastern Rwanda under collaboration between Partners In Health Rwandan Ministry Health.A retrospective medical record...
Points• Historically, the impact of many health professional training initiatives in low-income countries has been limited by narrow focus on a small set diseases, inefficient utilization donor funding, inadequate scale up, insufficient emphasis acquisition practical skills, poor alignment with local priorities, and lack coordination.• Fortunately, several innovative have emerged over past five years sub-Saharan Africa.
An epidemic of Ebola virus disease (EVD) beginning in 2013 has claimed an estimated 11 310 lives West Africa. As the EVD subsides, it is important for all who participated emergency response to reflect on strengths and weaknesses response. Such reflections should take into account perspectives not usually included peer-reviewed publications after-action reports, including those from public sector, nongovernmental organizations (NGOs), survivors Ebola, Ebola-affected households communities....
Background The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of with goals large, diverse, and competent workforce strengthening capacity academic institutions in Rwanda. Methods data this organizational case study was collected through official reports from Ministry (MoH) 22 participating US institutions, databases MoH College Medicine Sciences (CMHS) Rwanda, surveys completed co-authors. Results...
Global disparities in the distribution, specialization, diversity, and competency of health workforce are striking. Countries with fewer professionals have poorer outcomes compared countries that more. Despite major gains indicators, Rwanda still suffers from a severe shortage professionals.This article describes partnership launched 2005 by Rwanda's Ministry Health U.S. nongovernmental organization Partners In Harvard Medical School Brigham Women's Hospital. The has expanded to include...
Lay health workers (LHWs) are individuals who participate in a variety of services, even though they have no formal professional training. They been used settings, especially where care needs outstrip available human resources. Lesotho faces severe resource shortage as it attempts to manage its HIV pandemic, with more than 25% the population infected HIV. This article reports on program that provided services seven rural clinics Lesotho. LHWs played an important role provision ranged from...
A consortium of 22 U.S. academic institutions is currently participating in the Rwanda Human Resources for Health Program (HRH Program). Led by Rwandan Ministry and funded both Government Global Fund to Fight AIDS, Tuberculosis Malaria, primary goal this seven-year initiative help train number health professionals necessary reach country's workforce targets. Since 2012, have deployed faculty from a variety health-related disciplines clinical specialties Rwanda. In Article, authors describe...
The Magazine Wharf area, Freetown, Sierra Leone was a focus of ongoing Ebola virus transmission from late June 2015. Viral genomes linked to this area contain series 13 T C substitutions in 150 base pair intergenic region downstream viral protein 40 open reading frame, similar the Ebolavirus/H.sapiens-wt/SLE/2014/Makona-J0169 strain (J0169) detected same town November 2014. This suggests that recently circulating viruses Freetown descend J0169-like virus.
Despite the exponential growth of global health partnerships (GHPs) over past 20 years, evidence for their effectiveness remains limited. Furthermore, many are dysfunctional as a result inequitable partnership benefits, low trust and accountability poor evaluation quality improvement practices. In this article, we describe theoretical model developed by seven experts. Through semistructured interviews an open-coding approach to data analysis, identify 12 GHP pillars spanning across three...
### Summary box It has been almost 3 years since the United Nations announced new Sustainable Development Goals (SDGs) and 2030 Agenda.1 The third of 17 goals (SDG3) is specifically focused on health composed 13 targets addressing a comprehensive set global priorities (https://sustainabledevelopment.un.org/sdg3). Successful pursuit SDG3 will require strong leadership from national governments system but also other partners including multilateral organisations, civil society, business private...
ABSTRACT Background Despite rapid growth in the number of physicians and academic institutions entering field global health, there are few tools that inform health curricula assess physician readiness for this field. Objective To address gap, we describe development pilot testing a new tool to nontechnical competencies values health. Competencies assessed include systems-based practice, interpersonal cross-cultural communication, professionalism self-care, patient care, mentoring, teaching,...
Harvard School of Dental Medicine, University Maryland Dentistry, and the Rwanda (UR) are collaborating to create Rwanda's first Dentistry as part Human Resources for Health (HRH) initiative that aims strengthen health care system Rwanda. The HRH oral team developed three management tools measure progress in systems‐strengthening efforts: 1) road map is an operations plan entire dental school facilitates delivery curriculum human material resources; 2) each U.S. faculty member develops a...
Following civil war and the Ebola epidemic, Liberia's health workforce was devastated, essential services primary care were disrupted, outcomes for maternal child mortality amongst worst in world. To reverse these trends, government of Liberia developed Health Workforce Program (HWP) Strategy 2015-2021. With goal building a resilient responsive system to ensure access ability respond future crises, this strategy aimed add 6,000 new professionals workforce. In context COVID-19 pandemic, we...
Community health workers (CHWs) have long played an important role in the management of complex problems, especially resource-poor settings. Although there is a large literature regarding use CHWs around world, little detail about how these are selected, trained and utilized field. Lesotho has one highest rates HIV with estimated 25% general population infected disease; at same time, significant human resources shortage 60% posts left vacant. potential to play major treatment scale-up...
Background: Multidrug-resistant Gram-negative bacteria are a major cause of sepsis among hospitalized neonates globally. Aqueous chlorhexidine gluconate (CHG) skin antisepsis has been shown to be safe for use in infants; however, its sustained effectiveness preventing pathogen colonization, bloodstream infection (BSI), and mortality is unclear. Methods: We conducted period prevalence survey, with 26 sampling events over 12 months (18 October 2022 – 31 2023) at 33-bed neonatal unit tertiary...
Background: Carbapenem-resistant Acinetobacter baumannii (CRAB) has emerged as a major cause of bloodstream infection among hospitalized patients in low- and middle-income countries (LMICs). CRAB infections can be difficult to treat are devastating neonates (~30% mortality). outbreaks hypothesized arise from reservoirs the hospital environment, but outbreak investigations LMICs seldom incorporate whole-genome sequencing (WGS). Methods: WGS (Illumina NextSeq) was performed at National...
Socially disadvantaged individuals with HIV experience unacceptably high rates of AIDS and death. The authors developed an adversity index to quantify the impact demographic psychosocial factors on care. This retrospective cohort study included 431 participants combined antiretroviral therapy between 2000 2005. Poor outcome was defined as progression AIDS, death, virologic failure, or CD4 < 200 cells/μl at six months. utilized eight variables independently associated poor outcome. Exposure...