A5008705790- Global Public Health Policies and Epidemiology
- Obesity, Physical Activity, Diet
- Food Security and Health in Diverse Populations
- Child Nutrition and Water Access
- Global Maternal and Child Health
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Urban Transport and Accessibility
- HIV/AIDS Research and Interventions
- Public Health and Social Inequalities
- Healthcare Policy and Management
- Nutritional Studies and Diet
- Adolescent Sexual and Reproductive Health
- Global Health and Epidemiology
- HIV-related health complications and treatments
- Medical Coding and Health Information
- Patient Satisfaction in Healthcare
- Child Development and Digital Technology
- Global Health and Surgery
University of the Western Cape
2022-2023
University of Zambia
2017-2021
National HIV/AIDS/STI/TB Council
2019
American Institutes for Research
2019
Introduction Sub-Saharan Africa is experiencing an epidemiological transition as the burden of NCDs overtake communicable diseases. However, it unknown what capacity and gaps exist at primary care level to address growing NCDs. This study aimed assess Zambian health system's in NCDs, using adapted WHO Essential Non Communicable Disease Interventions (WHO PEN) tool. Methodology was a cross-sectional facility survey three districts conducted from September 2017 October 2017. We defined...
Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which associated with weight gain, cardiovascular and diabetes.Objective: To identify politico-economic factors relevant to nutrition-related fiscal policies, draw lessons regarding strategies strengthen beverages taxation in globally.Methods: We collected documentary data policy content, stakeholders corporate political activity from...
Non-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that, in Zambia, NCDs also problem and the government has begun initiating a policy response. The present study explores response to by Ministry of Health Zambia using triangle framework Walt Gilson. A qualitative approach was used for study. Data collected through key informant interviews with stakeholders who were involved NCD development process as well review planning documents analysed thematic...
Abstract The Method Information Index (MII) is calculated from contraceptive users’ responses to questions regarding counseling content—whether they were informed about methods other than the one received, told method‐specific side effects, and advised what do if experienced effects. MII increasingly reported in national surveys used track program performance, but little known its properties. Using additional questions, we assessed consistency between method received a prospective,...
Identifying context specific points for reforming policy to promote healthier food environments and consumer behavior in critical life stages like adolescence is crucial addressing the double burden of malnutrition. Using a qualitative study design, we conducted 20 focus group discussions with grade 10 pupils from ten secondary schools Lusaka. Turner's framework which conceptualizes environment into two domains-the external domain (availability, pricing, vendor product properties, marketing...
This paper reports on the design of a study to examine policy landscape relevant sugar-sweetened beverage taxation in seven sub-Saharan African countries. The responds need for strong address rising burden non-communicable diseases region. Sugar-sweetened has been widely recommended as key component comprehensive approach NCD prevention. However, it proved contentious intervention, with industry strongly opposing introduction such taxes.The aim was identify opportunities strengthen...
The evolution of nutrition patterns in Zambia has resulted the coexistence undernutrition and overnutrition same population, double burden malnutrition. While strong policies addressing stunting, these do not adequately address food environment drivers malnutrition adolescent age group hence need for policy reforms. We conducted a theory-based qualitative prospective analysis involving in-depth interviews with stakeholders document review to examine feasibility introducing options that among...
Background: A number of countries have adopted sugar-sweetened beverage taxes to prevent non-communicable diseases but there is variance in the structures and rates taxes. As interventions, could be cost-effective must compliant with existing legal taxation systems.Objectives: To assess feasibility introducing or strengthening laws related beverages, for prevention seven countries: Botswana, Kenya, Namibia, Rwanda, Tanzania, Uganda Zambia.Methods: We assessed adopting four types tax...
Zambia has been using output-based approaches for over two decades to finance whole or part of the public health system. Between 1996 and 2006, performance-based contracting (PBC) was implemented countrywide with Central Board Health (CBoH) as provider services. This study reviews association between PBC equity access maternal services in 2006. A comprehensive document review undertaken evaluate implementation process, followed by a trend analysis expenditure at district level, segmented...
<strong>Background:</strong> Despite the burden of HIV being highest in sub-Saharan Africa (SSA), research expertise and capacity to address scientific questions regarding complications ART, especially chronic non-communicable conditions, is limited region. The comorbidities prevalent persons with are mediated through diverse mechanisms, many which can be context or region-specific yet elucidated. phenotype, risk factors, effective interventions for these conditions may differ between...
Adolescents in sub-Saharan Africa encounter high risks associated with sexuality and reproduction, yet face numerous barriers obtaining appropriate health services information. Mobile phones provide a unique opportunity to youth this critical sexual reproductive information need. Designed from the United Nations Comprehensive Sexuality Education framework, mobile-optimized app TuneMe aims adolescents living eight African countries—Zambia, Malawi, Zimbabwe, Swaziland, Lesotho, South Africa,...
Background: Credible data and indicators are necessary for country-specific evidence to support the design, implementation, monitoring evaluation of sugar-sweetened beverage (SSB) taxation.Objective: A cross-country analysis was undertaken in seven Sub-Saharan African countries describe potential role available strengthening SSB taxation. The objectives were to: document currently sources; report on public access; discuss strengths limitations use taxation; policy maker's needs, propose...
Understanding dietary patterns in a population is critical for decision making. This study aimed to identify the prevailing and their associated individual school environment factors among going adolescents Lusaka, Zambia. A cross-sectional involving 404 Grade 10 pupils from secondary schools Lusaka district was conducted. 108-item unquantified Food Frequency Questionnaire (FFQ) used assess learner's food intake practices. Principal component analysis (PCA) derive 108 items. In addition,...
The food environment in which people exercise choices significantly impacts their dietary patterns. Policies that limit the availability, affordability, and access to unhealthy while increasing of healthier alternatives help build healthy environments, are required address double burden malnutrition. This study aimed assess availability policies Zambia.We applied a two-step qualitative document analysis identify policy content relating environments from global Zambia-specific...