Howard Sobel

ORCID: 0000-0002-1684-0499
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Global Health Care Issues
  • Child Nutrition and Water Access
  • Healthcare Systems and Reforms
  • Breastfeeding Practices and Influences
  • Healthcare Policy and Management
  • Child and Adolescent Health
  • Maternal and Perinatal Health Interventions
  • Infant Development and Preterm Care
  • Child Nutrition and Feeding Issues
  • Maternal and Neonatal Healthcare
  • Vaccine Coverage and Hesitancy
  • Primary Care and Health Outcomes
  • Global Public Health Policies and Epidemiology
  • Health disparities and outcomes
  • Climate Change and Health Impacts
  • Pharmaceutical Economics and Policy
  • Health Promotion and Cardiovascular Prevention
  • Adolescent Sexual and Reproductive Health
  • Maternal Mental Health During Pregnancy and Postpartum
  • Health Systems, Economic Evaluations, Quality of Life
  • Global Health Workforce Issues
  • Adolescent and Pediatric Healthcare
  • Trauma and Emergency Care Studies
  • Chronic Disease Management Strategies

World Health Organization Regional Office for the Western Pacific
2015-2024

Organisation de Coopération et de Développement Economiques
2016-2018

World Health Organization Regional Office for South-East Asia
2016

Regional Health
2016

World Health Organization - Pakistan
2009-2015

World Health Organization - Philippines
2009-2012

World Health Organization
2007

University Hospital of Basel
2007

ICU Medical (United States)
2007

University of East Anglia
1999

An estimated two-thirds of the world's 2.7 million newborn deaths could be prevented with quality care at birth and during postnatal period. Basic Newborn Care (BNC) is part solution includes hygienic practices including cord care, thermal early exclusive breastfeeding. Timely provision resuscitation if needed also critical to survival. This paper describes health system barriers BNC neonatal proposes solutions scale up evidence-based strategies.The maternal bottleneck analysis tool was...

10.1186/1471-2393-15-s2-s4 article EN cc-by BMC Pregnancy and Childbirth 2015-09-11

A deadly nosocomial outbreak in a Philippine hospital drew nationwide attention to neonatal sepsis. Together with specific infection control measures, interventions that protect newborns against infection-related mortality include drying, skin-to-skin contact, delayed cord clamping, breastfeeding initiation and bathing. This evaluation characterized care the first hours of life intent drive policy change, strategic planning reform.Trained physicians observed 481 consecutive deliveries 51...

10.1111/j.1651-2227.2011.02215.x article EN other-oa Acta Paediatrica 2011-03-07

What is the contribution of underuse modern methods (MM) contraception to annual undesired pregnancies in 35 low- and middle-income countries?Fifteen million out 16.7 occurring annually countries could have been prevented with optimal use MM contraception.Every year, 87 women worldwide become pregnant unintentionally because contraception.Demographic health surveys (DHS) countries, conducted between 2005 2012, were analysed.Contraceptive 12 874 was compared 111 301 sexually active who...

10.1093/humrep/deu348 article EN Human Reproduction 2015-02-03

Around the world, incidence of multiple pregnancies reaches its peak in Central African countries and often represents an increased risk death for women children because higher rates obstetrical complications poor management skills those countries. We sought to assess association between twins early neonatal mortality compared with singleton pregnancies. also assessed role skilled birth attendant mode delivery on twin pregnancies.We conducted a secondary analysis individual level data from...

10.7189/jogh.08.010404 article EN cc-by Journal of Global Health 2018-01-24

BackgroundTo accelerate reductions in neonatal mortality, Viet Nam rolled out early essential newborn care (EENC) using clinical coaching, quality improvement assessments hospitals, and updated protocols. Da Nang Hospital for Women Children, a tertiary referral hospital central Nam, compared outcomes pre- post-EENC introduction.MethodsRecords of live births NICU admissions were reviewed (November 2013–October 2014) post- 2014–October 2015) EENC implementation. Delivery room practices,...

10.1016/j.eclinm.2018.12.002 article EN cc-by-nc-nd EClinicalMedicine 2018-12-01

Abstract: The last decade of the MDG era witnessed substantial focus on reaching bottom economic quintiles in low and middle income countries. However, inordinate reducing financial risk burden increasing coverage without sufficient expanding quality services may account for slow progress MDGs many Human Resources Health underlie service delivery improvements, yet remains under-addressed national strategies to achieve Universal Coverage. Without adequate investments improving health...

10.1093/heapol/czv095 article EN Health Policy and Planning 2015-09-29

To explore the association between early essential newborn care (EENC) policy, practice and environmental interventions breastfeeding outcomes.Cross-sectional observational study.150 national, provincial district hospitals implementing EENC in eight countries East Asia Pacific.1383 maternal interviews, chart reviews assessments during 2016 2017.Exclusive (EBF), that is, feeding only breastmilk without other food or fluids since birth before discharge, and, initiation, skin-to-skin contact...

10.1136/bmjgh-2020-002581 article EN cc-by-nc BMJ Global Health 2020-08-01

Journal Article The Influence Of Age Upon Hexosamine-Collagen Ratio Dermal Biopsies From Men Get access Harry Sobel, Ph.D., Ph.D. Institute For Medical Research, Cedars Lebanon Hospital, Department Biochemistry And Nutrition, University Southern California, Veterans Administration CenterLos Angeles†Investigator, Howard Hughes Search for other works by this author on: Oxford Academic PubMed Google Scholar Sabit Gabay, M.S., M.S. Angeles Edwin T. Wright, M.D., M.D. Irving Lichtenstein, Norman...

10.1093/geronj/13.2.128 article EN Journal of Gerontology 1958-04-01

Background Around 1.5 million annual neonatal deaths occur in the first week of life, and infections represent one major causes developing countries. Neonatal sepsis is often strictly connected to infection maternal genital tract during labour. Methods The association between signs suggestive puerperal early mortality (<7 days life) was performed using Demographic Health Surveys (DHS) data six countries, conducted 2010 2013. population attributable fraction (PAF) generated estimates on a...

10.1371/journal.pone.0170856 article EN cc-by PLoS ONE 2017-01-25

In the Philippines, one in four pregnancies are unintended and 610 000 unsafe abortions performed each year. This study explored association between missed opportunities to provide family planning counseling, quality of counseling its impact on utilization effective contraception Philippines.One-hundred-one nationally representative health facilities were randomly selected from five levels system. Sexually-active women 18-49 years old, wanting delay or limit childbearing, attending primary...

10.1371/journal.pone.0218187 article EN cc-by PLoS ONE 2019-07-25

In China, the rates of early initiation and exclusive breastfeeding are low. The high cesarean delivery further contribute to low outcomes. Skin-to-skin contact, a key component essential newborn care, is known be associated with improved exclusivity; however, necessary duration has not been subjected randomized control trial.This study aimed determine association skin-to-skin contact after outcomes maternal neonatal health in China.This was multicentric controlled trial that conducted at 4...

10.1016/j.ajogmf.2023.101033 article EN cc-by-nc-nd American Journal of Obstetrics & Gynecology MFM 2023-05-26

The coronavirus disease (COVID-19) pandemic has transformed clinical practice and health systems. This paper provides an overview of COVID-19 management health-care pathway challenges that the World Health Organization its Member States in Western Pacific Region have faced. experiences lessons identified can help countries to better prepare for future pandemics.

10.5365/wpsar.2023.14.5.1017 article EN cc-by Western Pacific surveillance response journal 2023-12-31

This case control study evaluates the association between hospitalization due to infection and feeding practices among infants aged ≥ 3 days &lt; 6 months. Mothers of 191 cases hospitalized for infections 208 healthy controls were interviewed using a standardized questionnaire documenting infant-feeding history. Results given in odds ratio 95% confidence intervals (OR, CI) adjusted age, education, place delivery. Exclusively formula-fed more likely be any (3.7, 1.8-7.5), pneumonia (3.0,...

10.1177/0890334409344078 article EN Journal of Human Lactation 2009-09-16

To determine whether intrapartum and newborn care practices improved in 11 large hospitals between 2008 2015.Secondary data analysis of observational assessments conducted 2015.Eleven government from five regions the Philippines.One hundred seven randomly sampled postpartum mother-baby pairs 106 mothers prior to discharge after delivery.A national initiative improve quality starting 2009 through development a standard package services, practice-based training, formation multidisciplinary...

10.1093/intqhc/mzy049 article EN International Journal for Quality in Health Care 2018-03-22

To improve maternal and neonatal outcomes, Vietnam implemented early essential newborn care (EENC) using clinical coaching quality improvement self-assessments in hospitals to introduce policy, practice environmental changes. Da Nang Hospital for Women Children began EENC with caesarean section births inform development of national guidelines. This study compared outcomes after sections pre/post-EENC introduction.

10.1136/bmjoq-2020-001089 article EN cc-by-nc BMJ Open Quality 2021-07-01

Optimal breastfeeding saves lives. However, suboptimal is prevalent, primarily resulting from inappropriate promotion of infant formula and challenges working mothers to continue breastfeeding. The article aims determine the extent which World Health Organization (WHO) policies protect, promote, support women at WHO, Western Pacific Region. An online survey targeted all female WHO contractual staff in country regional offices, who delivered a baby between July 24, 2008 2013. Respondents...

10.1177/0890334414558847 article EN Journal of Human Lactation 2014-11-14

As a part of the process implementing Early Essential Newborn Care (EENC) in China, which are evidence-based interventions recommended by World Health Organization (WHO), we sought to understand whether current hospital policies consistent with WHO-recommended standards and what factors influence their use. Data from study will help inform policy changes needed support introduction childbirth early newborn care practices effectively further scale up EENC nationwide.Ten randomly selected...

10.9745/ghsp-d-18-00017 article EN cc-by Global Health Science and Practice 2018-10-03
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