- Global Maternal and Child Health
- Child Nutrition and Water Access
- Healthcare Systems and Reforms
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- HIV/AIDS Research and Interventions
- Global Health Care Issues
- Vaccine Coverage and Hesitancy
- Health, psychology, and well-being
- Food Security and Health in Diverse Populations
- Microscopic Colitis
- Neurological disorders and treatments
- COVID-19 Impact on Reproduction
- Gender, Feminism, and Media
- Maternal and Perinatal Health Interventions
- Dental Health and Care Utilization
- Birth, Development, and Health
- Health disparities and outcomes
- Health and Medical Studies
- Intimate Partner and Family Violence
- COVID-19 and healthcare impacts
- Oral microbiology and periodontitis research
- Breastfeeding Practices and Influences
- Botulinum Toxin and Related Neurological Disorders
- Inflammatory Bowel Disease
University of Manitoba
2011-2024
Manitoba Health
2022-2023
University College London
2019
Centre Hospitalier Universitaire de Lille
2017
While community mobilization has been widely endorsed as an important component of HIV prevention among vulnerable populations such female sex workers (FSWs), there is uncertainty to the mechanism through which it impacts upon risk. We explored hypothesis that individual and collective empowerment FSW outcome mobilization, we examined means risk vulnerability reduction well personal social transformation are achieved.This study was conducted in five districts south India, where programs...
Introduction There are concerns about the impact of COVID-19 pandemic on continuation essential health services in sub-Saharan Africa. Through Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from global public institutions ministries assessed trends selected maternal, newborn child health, general service utilisation. Methods Monthly routine facility data by district period 2017–2020 were compiled 12 teams adjusted after extensive quality...
Abstract Identifying and classifying poor rich groups in cities depends on several factors. Using data from available nationally representative surveys 38 sub-Saharan African countries, we aimed to identify, through different poverty classifications, the best classification urban large city contexts. Additionally, characterized terms of living standards schooling. We relied absolute relative measures identification process. For ones, selected people below line, socioeconomic deprivation...
The Kenya National AIDS and STI Control Programme (NASCOP) conducted annual polling booth surveys (PBS) in 2014 2015 to measure outcomes from the national HIV prevention programme for key populations (KPs), comprising behavioural, biomedical structural interventions. KPs included female sex workers (FSWs), men who have with (MSM) people inject drugs (PWID). We compared survey results first second rounds. Comparing round, significantly more FSWs (93% vs. 88%, p<0.001) MSM (77% 58%, reported...
Abstract Living conditions and other factors in urban unplanned settlements present unique challenges for improving maternal newborn health (MNH), yet MNH inequalities associated with such are not well understood. This study examined trends coverage of services the last 20 years planned Lusaka City, Zambia. Geospatial information was used to map Lusaka’s facilities. Zambia Demographic Health Surveys (ZDHS 2001, 2007, 2013/2014, 2018) were compare antenatal care (ANC), institutional delivery,...
Introduction India’s progress in reducing maternal and neonatal mortality since the 1990s was faster than regional average. We systematically analysed how national health policies, services for newborn health, socioeconomic contextual changes, drove these reductions. Methods The study’s mixed-methods design integrated quantitative trend analyses of mortality, intervention coverage equity 1990s, using sample registration system surveys, with interpretive understandings from policy documents...
In Karnataka state, South India, we analyzed the role of membership in peer groups reducing HIV-related risk and vulnerability among female sex workers (FSWs). Data from three surveys conducted Karnataka, a behavioral tracking survey two rounds integrated biological assessments (IBBAs), were analyzed. Using propensity score matching, examined impact group on selected outcomes, including condom use, experience violence, access to entitlements, prevalence sexually transmitted infections, HIV...
The National Rural Health Mission (NRHM) of India aims to increase the uptake safe and institutional delivery among rural communities improve maternal, neonatal child health (MNCH) outcomes. Previous studies in have found that while there been increasing numbers deliveries are still considerable barriers utilization quality services, particularly areas, may mitigate improvements achieved by MNCH interventions. This paper explore factors influencing preference for home, public or private...
Research has increasingly documented the important role that violence by clients and police play in exacerbating HIV vulnerability for women sex work. However few studies have examined intimate relationships of work, or drawn on community partnerships to explore social dynamics involved. A community-based participatory research study was undertaken academic partners leading partner (IPV) prevention programs Bagalkot district, Karnataka state, India. The purpose experience understandings...
Abstract Background Despite substantial reductions in perinatal deaths (stillbirths and early neonatal deaths), India’s mortality rates remain high, both nationally individual states. Rates are highest among disadvantaged socio-economic groups. To address this, National Health Mission has trained community health workers called Accredited Social Activists (ASHAs) to counsel support women by visiting them at home before after childbirth. We conducted a qualitative study explore the roles of...
While Kenya has had a long-standing national HIV-prevention programme, evidence on the level of exposure to its interventions and related effects behavioural changes among female sex workers (FSWs) is limited. Using cross-sectional data collected in 2013 from 1 357 FSWs aged 18 years above Nairobi, Kenya, this study explores relationship between FSW programme levels outcomes including condom use, sexually transmitted infection (STI)-treatment, empowerment measures like disclosure...
Community-based participatory research has been seen to hold great promise by researchers aiming bridge and action in global health programs practice. However, there is still much debate around whether achieving authenticity terms of in-depth collaboration between community academic partners possible while pursuing expectations for quality. This article describes the community-based methodology a qualitative study explore intimate partner violence HIV/AIDS among women sex work, or female...
Background India’s progress in reducing maternal and newborn mortality since the 1990s has been exemplary across diverse contexts. This paper examines two state clusters: higher states (HMS) with lower per capita income (LMS) income. Methods We characterised clusters’ five characteristics of a transition model (mortality levels, causes, health intervention coverage/equity, fertility socioeconomic development) examined policy systems changes. conducted quantitative trend analyses, qualitative...
Objectives: To analyze the prevalence of poor oral health and selected determinants in First Nations (FN) Caucasian samples Manitoba, Canada. Study design: Cross-sectional survey, nested a cohort study. Methods: FN participants completed questionnaire on socio-demographic variables, symptoms, health-related behaviours as part broader study comparing these ethnic groups for different chronic immune mediated diseases. Results: Caucasians reported higher levels employment, education, urban...
'Health Systems Recovery in the Context of COVID-19 and Protracted Conflict.'Many countries lacked rapid nimble data systems to track health service capacities respond COVID-19. They struggled assess monitor rapidly evolving disruptions, workforce capacities, products availability, community needs perspectives, mitigation responses maintain essential services.Building on established methodologies, World Health Organization developed a suite methods tools support fill gaps guide...
Abstract Background Zambia experienced a major decline in under-five mortality rates (U5MR), with one of the fastest declines socio-economic disparities sub-Saharan Africa last two decades. We aimed to understand extent which, and how, has reduced inequalities U5MR since 2000. Methods Using nationally-representative data from Demographic Health Surveys (2001/2, 2007, 2013/14 2018), we examined trends levels mortality, intervention coverage, household water sanitation, fertility. This...
This qualitative study was conducted in Uttar Pradesh state, India to explore how interrelated socio-economic position and spatial characteristics of four diverse villages may have influenced equity coverage community-based maternal newborn health (MNH) services. We social mapping three focus group discussions each village, among women lower higher who recently gave birth, with community workers (n = 134). Data were analysed NVivo 11.0 using thematic framework analysis. The extent...
BackgroundThe state of Uttar Pradesh has one the highest neonatal mortality rates in India (45 per 1000 livebirths), with substantially more deaths among poorest people. To address this, India's National Health Mission trained community-based incentivised volunteers called Accredited Social Activists (ASHAs) to visit all pregnant women at home and support them deliver their babies public hospitals or clinics. Contextual processes greatly shape efforts reduce health inequities, yet few...
India's National Health Mission has trained community health workers called Accredited Social Activists (ASHAs) to visit and counsel women before after birth. Little is known about the extent which exposure ASHAs' home visits reduced perinatal inequalities as intended. This study aimed examine whether third trimester may have contributed equitable improvements in institutional delivery reductions mortality rates (PMRs) between with varying education levels Uttar Pradesh (UP) state,...