- Child Nutrition and Water Access
- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Urban and Rural Development Challenges
- Migration and Labor Dynamics
- Municipal Solid Waste Management
- HIV/AIDS Impact and Responses
- Energy and Environment Impacts
- Global Public Health Policies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Healthcare and Environmental Waste Management
- Health disparities and outcomes
- Healthcare Systems and Reforms
- Demographic Trends and Gender Preferences
- Sex work and related issues
- Food Security and Health in Diverse Populations
- COVID-19 epidemiological studies
- Global Health Care Issues
- Pharmaceutical Economics and Policy
- Homelessness and Social Issues
- Obesity, Physical Activity, Diet
- Intergenerational and Educational Inequality Studies
- Culture, Economy, and Development Studies
- Climate Change and Health Impacts
- Health Policy Implementation Science
African Population and Health Research Center
2016-2025
University of the Witwatersrand
2023-2024
Rockefeller Foundation
2021
Queens College, CUNY
2015
Abia State University
2007
Brown University
2005-2007
John Brown University
2006
The informal settlements of the Global South are least prepared for pandemic COVID-19 since basic needs such as water, toilets, sewers, drainage, waste collection, and secure adequate housing already in short supply or non-existent. Further, space constraints, violence, overcrowding slums make physical distancing self-quarantine impractical, rapid spread an infection highly likely. Residents also economically vulnerable during any responses. Any responses to that do not recognize these...
With COVID-19, there is urgency for policymakers to understand and respond the health needs of slum communities. Lockdowns pandemic control have health, social economic consequences. We consider access healthcare before during COVID-19 with those working living in communities.In seven slums Bangladesh, Kenya, Nigeria Pakistan, we explored stakeholder perspectives experiences non-COVID-19 conditions two periods: pre-COVID-19 lockdowns.Between March 2018 May 2020, engaged 860 community...
It is generally assumed that urban slum residents have worse health status when compared with other populations, but better than their rural counterparts. This belief/assumption often because of physical proximity and access to care services in areas. However, a few recent studies cast doubt on this belief. Whether dwellers are off, similar to, or off as populations remain poorly understood indicators for hidden averages.The aim study was compare health-related among slum, rural, four...
Food and nutrition security is critical for economic development due to the role of in healthy growth human capital development. Slum residents, already grossly affected by chronic poverty, are highly vulnerable different forms shocks, including those arising from political instability. This study describes food situation among slum residents Nairobi, with specific focus on vulnerability associated 2007/2008 postelection crisis Kenya. The which data drawn was nested within Nairobi Urban...
Low-quality monotonous diet is a major problem confronting resource-constrained settings across the world. Starchy staple foods dominate diets in these settings. This places population, especially women of reproductive age, at risk micronutrients deficiencies. study seeks to examine association between women's decision-making autonomy and achievement higher dietary diversity (DD) determine socio-demographic factors that can independently predict attainment DD.The used data from 2008 Ghana...
We use data from the Demographic and Health Surveys to examine patterns of stall in fertility decline four Eastern African countries. Contrary transition Africa that cut across various socio-economic geographical groups within countries, we find strong selectivity different regions all In both Kenya Tanzania where has stalled at national level, it continued among most educated women some regions. While remained pre-transition level Uganda over past 20 years, there are signs with specific...
To examine the prevalence and trends in overweight obesity among non-pregnant urban women Africa over past two a half decades.Cross-sectional surveys conducted between 1991 2014.Demographic Health Surveys (DHS), repeated cross-sectional data collected 24 African countries.Adult aged 15-49 years. The earlier DHS anthropometric on only those who had children 0-5 main analyses were limited to this subgroup. participants classified as (25.0-29.9 kg/m2) obese (≥30.0 kg/m2).The of increased all...
Summary The majority of studies the birth spacing–child survival relationship rely on retrospective data, which are vulnerable to errors that might bias results. is re-assessed using prospective data 13,502 children born in two Nairobi slums between 2003 and 2009. Nearly 48% were first births. Among remainder, short preceding intervals common: 20% second higher order births delivered within 24 months an elder sibling, including 9% with a very interval less than 18 months. After adjustment...
Populations and assets, in African cities, small large, are among the most vulnerable to disaster risk globally. Climate change demographic shifts add urgency uncertainty. This paper outlines priorities for research responding this challenge. We argue integrative approaches that can capture multi-hazard include hazards from across spectrum of everyday catastrophic, their interactions. For such shape policy, new efforts needed develop political support, technical capacity methodologies enable...
The government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into universal coverage program. This paper examines determinants associated with participation in NHIF among residents urban slums Nairobi city. study used data from Urban Health and Demographic Surveillance System two city, where total about 60,000 individuals living approximately 23,000 households are under surveillance. Descriptive statistics...
Using the 1998 Migration, Gender and Health Survey in Five Regions of Ethiopia, multivariate regression techniques, this paper examines relationship between internal migration household living conditions. The analysis finds significant livi
Nigeria is the most populous country in Africa and eighth world, yet there a dearth of published research about its demography. As enters period potentially rapid economic growth due to increase working-age population, it critical understand demographic trends country. This paper examines age sex composition as relates various population characteristics using two recent Demographic Health Surveys for (2003 2008), well some data from 2006 Census. It also highlights Nigeria's United Nations...
58% of Nairobi's population live in informal settlements extremely poor conditions. Household air pollution is one the leading causes premature death and disease these settlements. Regulatory frameworks government budgets for household do not exist humanitarian organisations remain largely inattentive inactive on this issue. The purpose paper to evaluate effectiveness potential indoor-air related policies, as identified together with various stakeholders, lowering slums. Applying a novel...
This paper examines OpenStreetMap data quality at different stages of a participatory mapping process in seven slums Africa and Asia. Data were drawn from an OpenStreetMap-based developed as part research project focusing on understanding inequalities healthcare access slum residents the Global South. Descriptive statistics qualitative analysis employed to examine following question: What is spatial collaborative remote achieved by volunteer mappers morphologically complex urban areas?...
Transactional sex, or the exchange of money and gifts for sexual activities within nonmarital relationships, has been widely considered a contributing factor to disproportionate prevalence HIV/AIDS among young women in sub-Saharan Africa. This study applied social theory premarital relationships order investigate linkages between variety women's resources-including employment material transfers from male partners-and behaviors. Data on first month (N=551 relationships) were collected random...