- Global Maternal and Child Health
- Global Health Care Issues
- Healthcare Systems and Reforms
- Food Security and Health in Diverse Populations
- Public Health Policies and Education
- Healthcare Policy and Management
- Child Nutrition and Water Access
- Health disparities and outcomes
- Injury Epidemiology and Prevention
- Behavioral and Psychological Studies
- Economic and Environmental Valuation
- Health Policy Implementation Science
- Global Public Health Policies and Epidemiology
- Frailty in Older Adults
- Career Development and Diversity
- Urologic and reproductive health conditions
- Hemoglobinopathies and Related Disorders
- Human Resource Development and Performance Evaluation
- Youth Development and Social Support
- Higher Education Research Studies
- Genital Health and Disease
- Innovation and Socioeconomic Development
- Attention Deficit Hyperactivity Disorder
- Counseling Practices and Supervision
- Female Genital Mutilation/Cutting Issues
Johns Hopkins University
2013-2025
National Association of County and City Health Officials
2020
Reducing maternal and child mortality is a priority in the Millennium Development Goals (MDGs), will likely remain so after 2015.Evidence exists on investments, interventions enabling policies required.Less understood about why some countries achieve faster progress than other comparable countries.The Success Factors for Women's Children's Health studies sought to address this knowledge gap using statistical econometric analyses of data from 144 low-and middle-income (LMICs) over 20 years;...
Introduction From 1990–2010, worldwide child mortality declined by 43%, and maternal 40%. This paper compares two sources of progress: improvements in societal coverage health determinants versus the impact as a result technical change. Methods decomposes progress made 146 low- middle-income countries (LMICs) lowering childhood into one component due to better like literacy, income, second changes these determinants. Health were selected from eight distinct health-impacting sectors....
Public health in the rural United States is a complex and underfunded enterprise. While urban-rural disparities have been focus for researchers policymakers alike decades, inequalities continue to grow. Life expectancy at birth now 1 2 years greater between wealthier urban counties, as much 5 years, on average, wealthy poor counties.This article explores growth these over past 40 with roots structural, economic, social spending differentials that emerged or persisted same time period....
The COVID-19 pandemic has prompted concern about the integrity of US public health infrastructure. Federal, state, and local governments spend $93 billion annually on in US, but most this spending is at state level. Thus, shoring up gaps preparedness response requires an understanding spending. We present trends eight categories activity from 2008 through 2018. obtained data Census Bureau for all states except California coded by category. Although overall national expenditures grew 4.3...
The maternal mortality ratio (MMR) in Uganda has declined significantly during the last 20 years, but is not on track to reach millennium development goal of reducing MMR by 75% 2015. More evidence cost-effectiveness supply- and demand-side financing programs reduce could inform future strategies. This study analyses a voucher scheme (VS) combined with health system strengthening rural against status quo. VS, implemented 2010, provided vouchers for delivery services at public private...
Background/Objectives Little is known about cost savings of programs that reduce disability in older adults. The objective was to determine whether the Community Aging Place, Advancing Better Living for Elders ( CAPABLE ) program saves Medicaid more money than it costs provide. Design Single‐arm clinical trial (N = 204) with a comparison group individuals 2,013) dually eligible and Medicare matched on baseline geographic demographic characteristics, chronic conditions, healthcare use. We...
Background: Severe maternal morbidity (SMM) is increasing in the United States. The main objective of this study to test use machine learning (ML) techniques develop models for predicting SMM during delivery hospitalizations Maryland. Secondarily, we examine disparities by key sociodemographic characteristics. Methods: We used linked State Inpatient Database (SID) and American Hospital Association (AHA) Annual Survey data from Maryland 2016–2019 (N = 261,226 hospitalizations). first...
The health Millennium Development Goals (4, 5, 6) impose the same ambitious 2015 targets on every country. Few low-income countries are track to reach them. Some authors have proposed country-specific as a more informative method by which can measure their progress against potential. This paper demonstrates supplementary approach assess individual country that complements global goals adjusting for socioeconomic resources and prior time trends. A minimum performance target adjusts national...
Abstract Background Expanding access to long-lasting insecticidal nets (LLINs) is difficult if one limited government and donor financial resources. Private commercial markets could play a larger role in the continuous distribution of LLINs by offering differentiated middle-class Ghanaians. This population segment has disposable income may be willing pay for that meet their preferences. Measuring willingness-to-pay (WTP) with specialty features appeal Ghanaians help malaria control...
Objectives. To examine the accuracy of official estimates governmental health spending in United States. Methods. We coded approximately 2.7 million administrative records from 2000 to 2018 for public activities according a standardized Uniform Chart Accounts produced by Public Health Activities and Services Tracking project. The US Activity estimate was recalculated using updated data coding. Results. Although place at more than $93 billion (2.5% total on health), detailed examination state...
Positive Behavioral Interventions and Supports (PBIS) is a widely used multitiered prevention framework that embeds systems approach for establishing behavioral supports all students, across levels of need, to achieve social, behavioral, academic success. A growing body research has documented the effectiveness PBIS in schools with regard range student outcomes; however, few studies have rigorously examined costs implement PBIS. Further, as many states scaled up PBIS, consideration borne by...
Will counties that reallocate money from law enforcement to social services improve subsequent markers of population wellbeing? In this study, we measure the association between county government spending across multiple sectors and Life Expectancy at Birth (LEB) in U.S. using data Census Bureau. We constructed a Structural Equation Model determine whether expenditure, building infrastructure, on order were positively or negatively associated with LEB three-years after initial spending. The...
Wide variation in state and county health spending prior to 2020 enables tests of whether historically better locally funded counties achieved faster control over COVID-19 the first 6 months pandemic Unites States federal supplemental funding.We used time-to-event generalized linear models examine association between pre-pandemic state-level public spending, county-level non-hospital effective at level. We include 2,775 that reported 10 or more cases January 22, 2020, July 19,...
Using cross-country data on gross domestic product and national expenditure vaccines, we estimate compare the income elasticity of vaccine general curative healthcare expenditure. This study provides first evidence vaccination spending. Both fixed random effects models are applied to from 84 countries 2010 2011. The elasticities for 0.844 0.336, respectively. Despite vaccines' high cost-effectiveness, propensity spend vaccines as increases lags behind health care. low spending means that...
Male circumcision (MC) is an effective intervention to reduce HIV acquisition in men Africa. We conducted a cost analysis using longitudinal data on expenditures services and community mobilization estimate the marginal of MC over time understand drivers during scale-up.We used series with monthly records from 2008 2013, for total 72 observations, Rakai Program Uganda. Generalized linear models were procedure.The per mobile camp was $23 (P < 0.01) static facilities $35 0.1). Major included...
Drowning is the leading cause of death among children 12–59 months old in rural Bangladesh. This study evaluated cost-effectiveness a large-scale crèche (daycare) intervention preventing child drowning. The cost crèches was using an ingredients-based approach and monthly expenditure data collected prospectively throughout period from two agencies implementing different areas. estimate effectiveness based on previous study. both program societal perspective. From perspective annual operating...
Objectives: Government public health expenditure data sets require time- and labor-intensive manipulation to summarize results that policy makers can use. Our objective was compare the performances of machine-learning algorithms with manual classification expenditures determine if machines could provide a faster, cheaper alternative classification. Methods: We used replicate process manually classifying state expenditures, using standardized spending categories from Foundational Public...
Abstract Suicide among adolescents is a significant public health concern in the U.S., especially within American Indian and Alaska Native (AIAN) communities. Lack of quality life (QoL) estimates for both suicide ideation depression specific to AIAN population hinders ability compare interventions cost-effectiveness analysis. We surveyed 200 AI youth young adults from Fort Apache Reservation estimate utility weights experiencing depression. Our results indicate that, on scale 0–100, with...