A5072121311- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Child Nutrition and Water Access
- Healthcare Systems and Reforms
- HIV/AIDS Research and Interventions
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- Telemedicine and Telehealth Implementation
- HIV/AIDS drug development and treatment
- Demographic Trends and Gender Preferences
- Global Health and Epidemiology
- HIV, Drug Use, Sexual Risk
- Mobile Health and mHealth Applications
- HIV-related health complications and treatments
- SARS-CoV-2 and COVID-19 Research
- Pneumocystis jirovecii pneumonia detection and treatment
- Misinformation and Its Impacts
- Global Public Health Policies and Epidemiology
- Digital Mental Health Interventions
- Food Security and Health in Diverse Populations
- COVID-19 epidemiological studies
- Musculoskeletal pain and rehabilitation
- Cancer survivorship and care
- Health disparities and outcomes
- Virology and Viral Diseases
University of Lincoln
2022-2024
World Organisation of Family Doctors
2024
Lincolnshire Community Health Services NHS Trust
2024
Karolinska Institutet
2013-2023
Malaria Consortium
2013-2023
University of Waterloo
2022
African Population and Health Research Center
2017-2020
United Nations Children's Fund
2014
Save the Children
2014
International Rescue Committee
2014
Telehealth usage has been promoted in all settings but identified as a panacea to issues of access and equity the rural context. However, uptake widespread integration telehealth across parts health system slow, with myriad barriers documented, including settings. The crisis COVID-19 pandemic, saw rapidly overturned unprecedented exponential rise usage. uniqueness forced adoption, urgency stabilises, pandemic learnings must be captured, utilised, built upon post-pandemic world. aim this...
Integrated community case management (iCCM) is a recommended strategy to curb child mortality. Drawing on diffusion of innovations (DOIs), the acceptability and adoption iCCM were qualitatively explored. Data from focus group discussions interviews with members, health workers (CHWs), supervisors conducted in seven communities analyzed using content analysis. Perceived relative advantage compatibility program sociocultural beliefs healthcare expectations positively affected iCCM. The degree...
The success of the COVID-19 vaccination roll-out depended on clear policy communication and guidance to promote facilitate vaccine uptake. rapidly evolving pandemic circumstances led many amendments. impact changing effective its influence in terms societal response promotion are underexplored; this qualitative research addresses that gap within extant literature.Policy communicators community leaders from urban rural Ontario participated semi-structured interviews (N = 29) explore their...
Integrated community case management (iCCM) relies on health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring when is not possible. This study sought to establish the cost per sick child referred seek care from a higher-level facility by CHW estimate caregivers' willingness pay (WTP) for referral.Caregivers of 203 randomly selected facilities CHWs were interviewed in four Midwestern Uganda districts. Questionnaires document reviews used capture direct,...
(1) Background: Canada had a unique approach to COVID-19 vaccine policy making. The objective of this study was understand the evolution vaccination policies in Ontario, Canada, using triangle framework. (2) Methods: We searched government websites and social media identify which were posted between 1 October 2020, December 2021. used framework explore actors, content, processes, context. (3) Results: reviewed 117 Canadian documents. Our review found that federal actors provided guidance,...
Abstract Vaccine hesitancy has been identified as one of the top 10 threats to global health. The causes low vaccine uptake are many and vary at micro macro levels. However, rural remote coastal areas in UK experience unique inequalities due high levels deprivation their complex access-related problems. This study aimed explore community efforts promote during COVID-19 pandemic understand how vaccination campaign was experienced by public. We conducted an exploratory descriptive qualitative...
A key barrier to appropriate treatment for malaria, diarrhoea, and pneumonia (MDP) in children under 5 years of age low income rural settings is the lack access quality health care. The WHO UNICEF have therefore called scale-up integrated community case management (iCCM) using workers (CHWs). current study assessed treatment, out-of-pocket expenditure provided public private sectors compared national guidelines, data collected a large representative survey caregivers 205 villages with...
<h3>ABSTRACT</h3> <h3>Introduction:</h3> Several countries have adopted integrated community case management (iCCM) as a strategy for improved health service delivery in areas with poor facility coverage. Early implementation of iCCM is often run by nongovernmental organizations financed donors through projects. Such projects risk failure to transition into programs the local system upon project closure. Engagement subnational authorities such district teams (DHTs) essential smooth...
Pneumonia and diarrhoea disproportionately affect children in resource-poor settings. Integrated community case management (iCCM) involves health workers treating diarrhoea, pneumonia malaria. Studies on impact of iCCM appropriate treatment its effects equity access to the same are limited. The objective this study was measure integrated as first point care uptake for with a classification (cough fast breathing) and/or magnitude distribution socioeconomic status related inequality use...
ObjectiveTo compare caretakers' perceived quality of care (PQC) for under-fives treated malaria, pneumonia and diarrhoea by community health workers (CHWs) primary facility (PHFWs). MethodsCaretaker rated PQC children aged (2-59) months either CHWs or PHFWs a bought was cross-sectionally compared in domains accessibility, continuity, comprehensiveness, integration, clinical interaction, interpersonal treatment trust. Child samples were randomly drawn from CHW (419) clinic (399) records eight...
The inSCALE cluster randomised controlled trial in Uganda evaluated two interventions, mHealth and Village Health Clubs (VHCs) which aimed to improve Community Worker (CHW) treatment for malaria, diarrhoea, pneumonia within the national Integrated Case Management (iCCM) programme. interventions were compared with standard care a control arm. In trial, 39 sub-counties Midwest Uganda, covering 3167 CHWs, randomly allocated mHealth; VHC or usual (control) arms. Household surveys captured...
The reason why Black and South Asian healthcare workers are at a higher risk for SARS-CoV-2 infection remain unclear. We aimed to quantify the among staff who belong ethnic minority elucidate pathways of infection.A one-year follow-up retrospective cohort study has been conducted National Health Service employees were working 123 facilities in Lincolnshire, UK.Overall, 13,366 professionals included. incidence per person-year was 5.2% (95% CI: 3.6-7.6%) during first COVID-19 wave...
International and national development agendas acknowledge the need for equitable sanitation services. The presence of comprehensive policy documents is crucial guiding implementation in line with set goals. Beyond mapping scope existing documents, this landscape analysis examined policies comprehensiveness, coordination equity. Policies were characterised content, processes actors relation to faecal waste management (FWM) along entire value chain (capture, containment, emptying,...
Background: The inSCALE cluster randomised controlled trial evaluated two interventions, mHealth and Village Health Clubs (VHCs) which aimed to improve Community Worker (CHW) treatment for malaria, diarrhoea, pneumonia within the Integrated Case Management programme. Methods: In a trial, 39 sub-counties in Midwest Uganda, covering 3167 CHWs, were randomly allocated mHealth; VHC or usual care (control) arms. Household surveys captured parent-reported child illness, seeking practices....
Abstract Introduction Fishing populations constitute suitable key population amongst which to conduct HIV prevention trials due very high prevalence and incidence, however, these are highly mobile populations. We determined the feasibility acceptability of using fingerprinting geographical positioning systems describe mobility patterns retention among fisherfolks on shoreline Lake Victoria in Southwestern Uganda. Methods Between August 2015 January 2017, two serial cross-sectional surveys...
Abstract Introduction Fishing populations constitute a suitable key population amongst which to conduct HIV prevention trials due very high prevalence and incidence, however, these are highly mobile populations. We determined the feasibility acceptability of using fingerprinting geographical positioning systems describe mobility patterns retention among fisherfolks on shoreline Lake Victoria in South-western Uganda. Methods Between August 2015 January 2017, two serial cross-sectional surveys...
Results We tested 1672 samples with Dynabeads and 1445 Cytospheres. Mean CD4 was 230 cells/mm3 (SD, 139) 239 140) by FC, respectively. 186 101) 242 136) Cytospheres Linear regression slopes were 0.85 0.58 for Cytospheres, respectively Pearson correlation coefficients of 0.78. For Dynabeads, sensitivity, specificity, PPV NPV to predict below 200 87%, 84%, 82%, 89%, values 93%, 59%, 64%, 91%, The turn around time per test 35 7 minutes