A5068203048- HIV/AIDS Impact and Responses
- Mobile Health and mHealth Applications
- HIV/AIDS Research and Interventions
- Economic Growth and Development
- Antibiotic Use and Resistance
- Vaccine Coverage and Hesitancy
- Telemedicine and Telehealth Implementation
- Pharmaceutical Practices and Patient Outcomes
- Global Maternal and Child Health
- Electronic Health Records Systems
- Respiratory viral infections research
- HIV/AIDS drug development and treatment
- Healthcare Policy and Management
- HIV, Drug Use, Sexual Risk
- Disaster Response and Management
- Pneumonia and Respiratory Infections
- Public Health Policies and Education
- Opioid Use Disorder Treatment
- Pharmaceutical Economics and Policy
- Digital Mental Health Interventions
- Osteoarthritis Treatment and Mechanisms
- Syphilis Diagnosis and Treatment
- Influenza Virus Research Studies
- Ethics in Clinical Research
- Musculoskeletal pain and rehabilitation
University of Washington
2020-2025
Seattle University
2024
Standardized monitoring of antibiotic use underpins the effective implementation antimicrobial stewardship interventions in combatting resistance (AMR). To date, few studies have assessed hospitals Uganda to identify gaps that require intervention. This study applied World Health Organization's standardized point prevalence survey methodology assess 13 public and private not-for-profit across country. Data for 1077 patients 1387 prescriptions were collected between December 2020 April 2021...
Abstract Pharmacies are important health care access points, but no national map currently exists of where pharmacy deserts located. This cross-sectional study used address data and Census Bureau surveys to define at the census tract level in all 50 US states District Columbia. We also compared sociodemographic characteristics desert vs non-pharmacy communities. Nationally, 15.8 million (4.7%) people United States live deserts, spanning urban rural settings states. On average, communities...
Objective To delineate the prevalence and factors associated with antimicrobial use across six referral hospitals in Tanzania using WHO point survey (PPS) methodology to inform hospital-specific stewardship programmes. Design Cross-sectional analytical study. Setting Six Tanzania. Participants Patients irrespective of age gender (n=948) admitted hospital wards before 8:00 hours on each day were included December 2019. Using PPS methodology, data hospitals, wards, patients, antibiotics,...
BackgroundCommunity-based oral pre-exposure prophylaxis (PrEP) provision has the potential to expand PrEP coverage. HIV self-testing can facilitate community-based delivery but might have lower sensitivity than facility-based testing, potentially leading inappropriate use among people with and subsequent development of drug resistance. We aimed evaluate impact for scale-up.MethodsWe parameterised an agent-based network model, EMOD-HIV, simulate generic tenofovir disoproxil fumarate...
Objective: Surveillance of antimicrobial consumption is essential to the national action plan for resistance (AMR) as stipulated in Global Action Plan on AMR and Tanzanian National AMR. Given paucity data sub-Saharan Africa region, objective this study was measure Tanzania. Methods: From 2017 2019, all antimicrobials imported into Tanzania were obtained from Medicines Medical Devices Authority Data, augmented with purchasing Stores Department local manufacturers. Data collected analyzed...
Respiratory syncytial virus (RSV) is the predominant cause of acute lower respiratory infection (ALRI) in young children worldwide, yet no licensed RSV vaccine exists to help prevent millions illnesses and hospitalizations tens thousands lives taken each year. Monoclonal antibody (mAb) prophylaxis for prevention a small subset very high-risk infants children, but only currently product impractical, requiring multiple doses expensive low-income settings where disease burden greatest. A robust...
Introduction Oral pre-exposure prophylaxis (PrEP) is a priority intervention for scale-up in countries with high HIV prevalence. Policymakers must decide how to optimise PrEP allocation maximise health benefits within limited budgets. We assessed the and economic impact of among different subgroups regions western Kenya. Methods adapted an agent-based network model, EMOD-HIV, simulate uptake six counties Kenya across seven including serodiscordant couples (SDCs), adolescent girls young women...
Digital health tools such as electronic immunization registries (EIRs) have the potential to improve patient care and alleviate challenges that arise from use of paper-based clinic records for reporting. To address some these challenges, Kenya Ministry Health International Training Education Center implemented an EIR system in 161 immunizing clinics Siaya County between 2018 2019. The successful implementation digital depends on many factors, one which is alignment technology context it...
Rapid diagnostic tests (RDTs) for malaria are a vital part of global control. Over the past decade, RDT prices have declined, and quality has improved. However, relationship between price product their larger implications on market yet to be characterized. This analysis used purchase data from Global Fund together with World Health Organization (WHO) Foundation Innovative New Diagnostics (FIND) Malaria Product Testing Programme understand three unanswered questions: (1) Has share by RDTs in...
Community pharmacies are a crucial component of healthcare infrastructure, including for COVID-19 pandemic prevention services like testing and vaccination. Communities that "pharmacy deserts," experience inequities. However, little research has characterized where these communities are, making it difficult local leaders to prioritize resources them. This study identifies pharmacy deserts at the census tract level in Washington state first time explores their association with risk. Out 1,441...
In an effort to increase vaccination coverage in low-resource settings, digital tools have been introduced better track immunization records, improve data management practices, and provide improved access for decision-making. Despite the potential of these electronic systems provision health services, few interventions institutionalized at scale low- middle-income countries.In this paper, we aimed describe how care workers Kenya had integrated registry into their clinic workflows use...
Digital health interventions have the potential to improve provision of care services through digitized data collection and management. Low- middle-income countries are beginning introduce electronic immunization registries (EIRs) into their routine better capture store childhood vaccination information. Especially in Africa, where 25% children remain unimmunized or underimmunized, technologies that can help identify due for a particularly important improving coverage. However, an improved...
SUMMARY Background Six-monthly injectable lenacapavir is a promising product for HIV pre-exposure prophylaxis (PrEP). However, health and budget impacts threshold price at which could be cost-effective in Eastern Southern Africa unknown. Methods We adapted an agent-based model, EMOD-HIV, to simulate scale-up Zimbabwe, South Africa, western Kenya from 2026-2036; uptake assumptions were informed by literature review of PrEP preferences. In the main analysis, we varied coverage subgroup: female...
Abstract Research conducted in the context of a disaster or public health emergency is essential to improve knowledge about its short- and long-term consequences, as well implementation effectiveness response recovery strategies. Integrated approaches conducting Disaster Response (DR2) can answer scientific questions, while also providing attendant value for operational recovery. Here, we propose Concept Operations (CONOPS) template guide collaborative development DR2 among academic...
<sec> <title>BACKGROUND</title> Digital health interventions have the potential to improve provision of care services through digitized data collection and management. Low- middle-income countries are beginning introduce electronic immunization registries (EIRs) into their routine better capture store childhood vaccination information. Especially in Africa, where 25% children remain unimmunized or underimmunized, technologies that can help identify due for a particularly important improving...
Community pharmacies are a crucial component of healthcare infrastructure, including for COVID-19 pandemic prevention services like testing and vaccination. Communities that 'pharmacy deserts,' experience inequities. However, little research has characterized where these communities are, making it difficult local leaders to prioritize resources them. This study identifies pharmacy deserts in Washington state their association with risk at the census tract level. Out 1,441 tracts, 127 were...
<sec> <title>BACKGROUND</title> Digital health tools such as electronic immunization registries (EIRs) have the potential to improve patient care and alleviate challenges that arise from use of paper-based clinic records for reporting. To address some these challenges, Kenya Ministry Health International Training Education Center implemented an EIR system in 161 immunizing clinics Siaya County between 2018 2019. The successful implementation digital depends on many factors, one which is...