A5034168515- Global Maternal and Child Health
- Cervical Cancer and HPV Research
- COVID-19 Impact on Reproduction
- Mobile Health and mHealth Applications
- Diverticular Disease and Complications
- Ureteral procedures and complications
- Global Cancer Incidence and Screening
- Telemedicine and Telehealth Implementation
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Urological Disorders and Treatments
- Hepatitis B Virus Studies
- Genital Health and Disease
- Pregnancy and preeclampsia studies
- ICT in Developing Communities
- Colorectal Cancer Screening and Detection
- Migration, Health and Trauma
- Maternal and Neonatal Healthcare
- Neonatal Respiratory Health Research
- Research on scale insects
- Sex work and related issues
- Nutrition, Genetics, and Disease
- Healthcare Systems and Practices
- Endometrial and Cervical Cancer Treatments
- Breastfeeding Practices and Influences
University of Geneva
2016-2025
University of Oxford
2024
University Hospital of Geneva
2016-2022
Harvard University
2021-2022
Damien Foundation
2019
Hôpital Beau-Séjour
2018
Background: Visual inspection after application of acetic acid (VIA) and Lugol's iodine (VILI) is a cervical cancer (CC) screening approach that has recently been adopted in low- middle-income countries (LMIC). Innovative technologies allow the acquisition consecutive images VIA VILI using smartphone application. The aim this study was to evaluate quality order assess feasibility usability mobile for CC LMIC. Methods: Between May November 2015, women aged 30–65 years were recruited campaign...
Antenatal care (ANC) has the potential to identify and manage obstetric complications, educate women about risks during pregnancy promote skilled birth attendance childbirth. The aim of this study was assess women’s knowledge danger signs factors associated with in Ambanja, Madagascar. It also sought evaluate whether participation a mobile health (mHealth) project that aimed provide comprehensive ANC pregnant remote areas influenced signs. From April October 2015, non-random, convenience...
The use of thermocoagulation for the treatment cervical precancerous lesions has recently generated a great deal interest. Our aim was to determine feasibility this outpatient procedure in context cancer (CC) screen-and-treat campaign sub-Saharan Africa.Between July and December 2015, women living area Dschang (Cameroon) aged between 30 49 years, were enrolled CC screening study. HPV self-sampling performed as primary test who either "HPV 16/18/45-positive" or "positive other types VIA"...
Background Madagascar's maternal health mortality ratio in 2013 was 478 deaths per 100,000 live births. Most are related to direct complications during pregnancy and childbirth could be reduced by providing comprehensive antenatal care (ANC). Objective The objective of the study assess usability feasibility a mobile system (mHealth) provide high-quality ANC, according World Health Organization (WHO) recommendations. Methods PANDA (Pregnancy And Newborn Diagnostic Assessment) is an...
Background Despite many efforts, maternal mortality remains a major burden in most developing countries. Mobile health (mHealth) has the potential to improve access obstetric care through apps that help patients and providers. Objective This study aimed use mHealth provide antenatal (ANC) 1446 pregnant women rural area Madagascar evaluate quality of ANC provided by an system designed change behaviors providers patients. Methods We included who attended visits from 2015 2019 using called...
Beginning in 2020, the COVID-19 pandemic limited onsite international activities and challenged us to plan implement new ways of collaboration. We reviewed our online trials during a three-year period better understand how use digital technologies continue knowledge skills transfer. In this cross-national case study, we compare two illustrative cases: Japanese experts training Indonesian health professionals for participatory school education, Swiss Malagasy providers respectful obstetric...
Objective: Vaginal self-sampling for human papillomavirus (HPV) testing has recently been proposed to optimize cervical cancer screening coverage. The objective of this study was compare the performance self-taken samples using flocked and cotton swabs HPV detection cellular retrieval. Methods: We recruited women aged 21–65 years, referred colposcopy at Division Gynecology Geneva University Hospitals between May September 2016. Each participant collected 2 vaginal samples: 1 with a swab...
Antenatal care (ANC) is considered a cornerstone of reproductive health programmes, but many women face difficulties in accessing these services, particularly some sub-Saharan African countries, such as Tanzania. This study aimed to test ANC visit acceptability using mHealth system PANDA (Pregnancy And Newborn Diagnostic Assessment) the Mufindi district (Tanzania). We investigated pregnant and healthcare workers (HCWs) an intervention area compared with control area. An ad hoc questionnaire...
Abstract Background The World Health Organization (WHO) published the WHO Safe Childbirth Checklist in 2015, which included key evidence-based practices to prevent major causes of maternal and neonatal morbidity mortality during childbirth. We assessed current use (SCC) adaptations regarding SCC tool implementation strategies different contexts from Africa, Southeast Asia, Europe, North America. Methods This explanatory, sequential mixed methods study—including surveys followed by...
Treating cervical intraepithelial neoplasia (CIN) grades 2 and 3 is the recommended strategy for preventing invasive carcinoma in low- middle-income countries (LMICs). Our objective was to assess efficacy of thermoablation treatment CIN2 CIN3 a screen-and-treat approach.Women aged 30-49 years Dschang, Cameroon, were invited undergo vaginal sampling human papillomavirus (HPV), samples being assessed by an Xpert HPV Assay. HPV-positive women underwent visual inspection with acetic acid (VIA)...
Sub-Saharan African countries are marked by a high incidence of cervical cancer. Madagascar ranks 11th among the with highest cancer worldwide.The aim study was to evaluate performances digital smartphone-based visual inspection acetic acid (D-VIA) and Lugol's iodine (D-VILI) for diagnosing precancer cancer.Human papillomavirus (HPV)-positive women recruited through screening campaign had D-VIA D-VILI examinations endocervical curettage (ECC) biopsy. Three images were captured each woman...
Objective To assess triage compliance and the effect of time from screening to on follow-up among HPV-positive women. Methods We recruited 1232 women in a campaign Madagascar February October 2015. In first period (February–May), HPV tests were performed remotely using cobas test. second (May–October), testing was on-site Xpert assay. invited for with visual inspection acetic acid (VIA) Lugol's iodine (VILI). Systematic biopsy endocervical brushing all quality control. Three groups defined...
The estimated burden of maternal morbidities in lower-income countries, such as Madagascar, is high. However, there still a lack data on morbidities, part due to an absence standardized assessment tools. This cross-sectional study aims report among 1015 women the district Ambanja, and describe advantages limitations mHealth system.Data were collected using PANDA (pregnancy newborn diagnosis assessment) system, device that incorporates WHO recommendations for antenatal care (ANC). Data,...
<sec> <title>BACKGROUND</title> Despite many efforts, maternal mortality remains a major burden in most developing countries. Mobile health (mHealth) has the potential to improve access obstetric care through apps that help patients and providers. </sec> <title>OBJECTIVE</title> This study aimed use mHealth provide antenatal (ANC) 1446 pregnant women rural area Madagascar evaluate quality of ANC provided by an system designed change behaviors providers patients. <title>METHODS</title> We...