A5005191926- Global Maternal and Child Health
- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Maternal and Perinatal Health Interventions
- Surgical site infection prevention
- Global Health Workforce Issues
- Enhanced Recovery After Surgery
- Travel-related health issues
- Trauma and Emergency Care Studies
- Global Health Care Issues
- COVID-19 and healthcare impacts
- Parasitic Infections and Diagnostics
- Healthcare Systems and Reforms
- Organ Donation and Transplantation
- Hip and Femur Fractures
- Autopsy Techniques and Outcomes
- Medical Malpractice and Liability Issues
- Hospital Admissions and Outcomes
- Antibiotic Use and Resistance
- Middle East and Rwanda Conflicts
- Global Healthcare and Medical Tourism
- Moringa oleifera research and applications
- Wound Healing and Treatments
- Parasites and Host Interactions
- Health and Conflict Studies
Technical University of Munich
2021-2025
Partners In Health
2020-2022
University of Global Health Equity
2018-2022
Massachusetts Institute of Technology
2021
Harvard University
2018-2020
Brigham and Women's Hospital
2018
University of Rwanda
2009-2018
World Vision
2016
Rwanda Biomedical Center
2015
Laboratory experiments were carried out to assess the water purification and antimicrobial properties of Moringa oleifera (MO). Hence different concentrations (25 300 mg/L) prepared from a salt (1 M NaCl) extract MO fine powder applied natural surface whose turbidity levels ranged 50 450 NTU. The parameters determined before after coagulation turbidity, pH, colour, hardness, iron, manganese Escherichia coli. showed that removal is influenced by initial since lowest 83.2% was observed at NTU,...
Abstract Background There are few prospective studies of outcomes following surgery in rural district hospitals sub-Saharan Africa. This study aimed to estimate the prevalence and predictors surgical-site infection (SSI) caesarean section at Kirehe District Hospital Rwanda. Methods Adult women who underwent between March October 2017 were given a voucher return hospital on postoperative day (POD) 10 (±3 days). At visit, physician evaluated patient for an SSI. A multivariable logistic...
In low-resource settings, access to emergency cesarean section is associated with various delays leading poor neonatal outcomes. this study, we described the a mother faces when needing delivery and assessed effect of these on outcomes in Rwanda.This retrospective study included 441 neonates their mothers who underwent 2015 at three district hospitals Rwanda. Four were measured: duration labor prior hospital admission, travel time from health center hospital, admission surgical incision,...
Abstract Background Since long travel times to reach health facilities are associated with worse outcomes, geographic accessibility is one of the six core global surgery indicators; this corresponds second “Three Delays Framework,” namely “delay in reaching a facility.” Most attempts estimate indicator have been based on geographical information systems (GIS) algorithms. The aim our study was compare GIS derived estimates self‐reported for patients traveling district hospital rural Rwanda...
Introduction Surgical site infections (SSIs) are a significant cause of morbidity and mortality in low-income middle-income countries, where rates SSIs can reach 30%. Due to limited access, there is minimal follow-up postoperatively. Community health workers (CHWs) have not yet been used for surgical patients most settings. Advancements telecommunication create an opportunity mobile (mHealth) tools support CHWs. We aim evaluate the use mHealth technology aid CHWs identification promote...
Global surgery research is often generated through collaborative partnerships between researchers from both low- and middle-income countries (LMICs) high-income (HICs). Inequitable engagement of LMIC collaborators can limit the impact research.This article describes evidence inequities in conduct global outlines reasons why this field may be more acute than other health disciplines. The paper goes on to describe activities for building a portfolio rural Rwanda.Inequities collaborations...
<strong>Background:</strong> As the volume of surgical cases in low- and middle-income countries (LMICs) increases, surgical-site infections (SSIs) are becoming more prevalent with anecdotal evidence antimicrobial resistance (AMR), despite a paucity data on patterns. <strong>Objectives:</strong> primary objective, this prospective study aimed to describe epidemiology SSIs associated AMR among women who delivered by cesarean at rural Rwandan hospital. secondary objectives, also assessed...
Abstract Background Most mortality attributable to surgical emergencies occurs in low‐ and middle‐income countries. District hospitals, which serve as the first‐level facility rural sub‐Saharan Africa, are often challenged with limited capacity. This study describes presentation, management, outcomes of non‐obstetric patients at district hospitals Rwanda. Methods included seeking care three Rwanda 2013. Demographics, conditions, patient care, described; operative non‐operative management...
Surgical site infections (SSIs) cause a significant global public health burden in low and middle-income countries. Most SSIs develop after patient discharge may go undetected. We assessed the feasibility diagnostic accuracy of an mHealth-community worker (CHW) home-based telemedicine intervention to diagnose women who delivered via caesarean section rural Rwanda.This prospective cohort study included underwent at Kirehe District Hospital between September 2019 March 2020. At postoperative...
In sub-Saharan Africa, neonatal mortality post-cesarean delivery is higher than the global average. this region, most emergency cesarean sections are performed at district hospitals. This study assesses maternal predictors for poor outcomes post-emergency in three rural hospitals Rwanda. retrospective includes a random sample of 441 neonates from Butaro, Kirehe and Rwinkwavu District Hospitals, born between 01 January 31 December 2015. We described demographic clinical characteristics...
Background The development of a surgical site infection (SSI) after cesarean section (c-section) is significant cause morbidity and mortality in low- middle-income countries, including Rwanda. Rwanda relies on robust community health worker (CHW)–led, home-based paradigm for delivering follow-up care women childbirth. However, this program does not currently include postoperative c-section, such as SSI screenings. Objective This trial assesses whether CHW’s use mobile (mHealth)–facilitated...
The implementation of community-based health insurance in (CBHI) Rwanda has reduced out pocket (OOP) spending for the > 79% citizens who enroll it but effect surgical patients is not well described. For all poorest are completely subsidized, OOP (out pocket) payment at time service 10%. However, 55.5% population below international poverty line meaning that even this copay can have a significant impact on family's financial health. aim study was to estimate burden payments cesarean sections...
Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden ability provide care for these at three district hospitals Rwanda.This retrospective cross-sectional included all patients presenting Butaro, Kirehe Rwinkwavu District Hospitals between January 1st 2015 December 31st with conditions, defined non-traumatic, non-obstetric acute conditions. We...
Surgical site infections are an important health concern, particularly in low-resource areas, where there is poor access to clinical facilities or trained staff. As application of machine learning, we present results from a study conducted rural Rwanda for the purpose predicting infection Cesarean section wounds, which leading cause maternal mortality. Questionnaire and image data were collected 572 mothers approximately 10 days after surgery at district hospital. Of women, 61 surgical...
Background: We aimed to develop and validate a screening algorithm assist community health workers (CHWs) in identifying surgical site infections (SSIs) after cesarean section (c-section) rural Africa. Methods: Patients were adult women who underwent c-section at Rwandan district hospital between March October 2017. A CHW administered nine-item clinical questionnaire 10 ± 3 days post-operatively. Independently, general practitioner (GP) the same assessed SSI presence by physical examination....
Abstract Safe water, sanitation, and hygiene (WASH) is critical for the prevention of postpartum infections. The aim this study was to characterize WASH conditions women are exposed following cesarean section in rural Rwanda. We assessed variability ward a district hospital over two months, at women's homes, association between suspected surgical site infection (SSI). Piped water flowed more consistently during rainy month, which increased availability drinking handwashing (p &lt; 0.05...
Background In low- and middle-income countries (LMICs), c-section is the most commonly performed operation, surgical site infection (SSI) common post-operative complication following all procedures performed. Whilst multiple interventions have been rolled out to address high SSI rates, strategies for optimal care of patients at risk developing SSIs need include an understanding general seeking behaviors, facilitators, barriers among high-risk groups, including mothers delivering via...
One of the greatest concerns in post-operative care is infection surgical wound. Such infections are a particular concern global health and low-resource areas, where microbial antibiotic resistance often common. In order to help address this problem, there great interest developing simple tools for early detection wounds. Motivated by need, we describe development two Convolutional Neural Net (CNN) models designed detect an wound using color image taken from mobile device. These were...
<strong>Background:</strong> Injuries are a leading cause of mortality among children globally, with in low- and middle-income countries more likely to die if injured compared high-income countries. Timely high-quality care essential reduce injury-related morbidity mortality. <strong>Objectives:</strong> This study describes patterns, management, outcomes 0–15 years presenting unintentional injuries at three district hospitals rural Rwanda between January 1 December 31, 2017....