A5040284457- Global Maternal and Child Health
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Reforms
- Demographic Trends and Gender Preferences
- Maternal and fetal healthcare
- Healthcare Policy and Management
- Food Security and Health in Diverse Populations
- Microfinance and Financial Inclusion
- Grief, Bereavement, and Mental Health
- Poverty, Education, and Child Welfare
- Global Health Care Issues
- Climate Change and Geoengineering
- Climate Change and Health Impacts
- Global Health Workforce Issues
- American Constitutional Law and Politics
- Urban and Rural Development Challenges
- Reproductive Health and Technologies
- Simulation-Based Education in Healthcare
- Assisted Reproductive Technology and Twin Pregnancy
- Global Health and Epidemiology
- Vaccine Coverage and Hesitancy
- EFL/ESL Teaching and Learning
- Income, Poverty, and Inequality
World Health Organization
2014-2024
Swiss Tropical and Public Health Institute
2012-2017
University of Basel
2012
International Centre for Diarrhoeal Disease Research
2007-2010
University of Essex
1996
British Council
1996
Johns Hopkins University
1996
Background: Unfolding case studies are an active learning strategy that help students integrate knowledge with practical experience, enhancing clinical judgment and easing their transition into professional practice. Problem: Chronic pain, a complex health issue, is often inadequately addressed in nursing curricula, leaving prelicensure unprepared to manage pain effectively practice, contributing the academic-practice gap. Approach: Using evidence matrix, faculty interviews, syllabi analysis...
Health systems could obtain substantial cost savings by providing safe abortion care rather than expensive treatment for complications of unsafely performed abortions. This study estimates current health system costs treating unsafe and compares these findings with newly-projected in Malawi. We conducted in-depth surveys medications, supplies, time spent clinical personnel dedicated to postabortion (PAC) three categories (simple, severe non-surgical, surgical complications) uterine...
<h3>Background and methodology</h3> Strategies to reduce health systems costs of providing abortion post-abortion care while simultaneously improving quality are well documented but infrequently applied. We created 'Savings', a spreadsheet-based tool that allows policymakers other stakeholders estimate compare the feasibility sustainability different strategies care. By applying cost data primarily from Uganda, we showed per-case under four policy service delivery scenarios. <h3>Results</h3>...
CONTEXT: Treatment of complications unsafe abortion can be a significant financial drain on health system resources,particularly in developing countries.In Bangladesh,menstrual regulation is provided by the government as backup to contraception.The comparison economic costs providing menstrual care with those treatment has implications for policy Bangladesh and internationally.METHODS: Data incremental were collected through surveys providers at 21 public-sector facilities Bangladesh.These...
Although Pakistan's Essential Package of Health Services was recently updated to include therapeutic and post-abortion care, little is known about current health facility readiness for these services. This study assessed the availability comprehensive abortion facilities deliver services, within public sector in 12 districts Pakistan. A inventory completed 2020–2021 using WHO Service Availability Readiness Assessment, with a newly developed module. composite indicator based on national...
Two recent efforts to quantify the causes of maternal deaths on a global scale generated divergent estimates abortion-related mortality. Such discrepancies in mortality present an important opportunity explore unique challenges and opportunities associated with generation interpretation estimates. While innovations primary data collection estimation methodologies are much needed, at very least, studies that seek measure due abortion should endeavor improve transparency, acknowledge...
Annually, more than 700,000 women turn to menstrual regulation, or uterine evacuation with vacuum aspiration; many resort unsafe abortion. Using pills for the of uterus could increase women's access safe regulation services and reduce high levels abortion- regulation- related morbidity in Bangladesh.At 10 facilities Bangladesh, 651 consenting who were seeking 63 days less past their last period received 200 mg mifepristone followed 24 hours later by 800 mcg buccal misoprostol, administered...
Medical abortion has the potential to increase number, cadre and geographic distribution of providers offering safe services in India. This study reports on a sample family planning (263 mid-level providers, 54 obstetrician-gynaecologists 88 general physicians) from 2004 survey health facilities their staff Bihar Jharkhand, It identified factors associated with provider interest training for early medical provision, examined whether physicians supported non-physicians being trained provide...
Indirect abortion estimates for 21 developing countries were derived through use of an alternative method calculating the influence on fertility. The is based assumption that socioeconomic cultural and biologic variables fertility operate a limited number proximate determinants. total rate which Demographic Health Survey data analyzed averaged 5.2 lifetime births per woman but ranged from 2.7 (Turkey) to 7.7 (Yemen). average value index was 0.78: similar contraceptive (0.79) marriage (0.78)...
Abortion related deaths as a proportion of maternal mortality appears to have fallen dramatically in Bangladesh from 5 % 2001 1 2010. Yet complications menstrual regulation (MR) and unsafe abortion continue cause deleterious health, economic social consequences for women the country. This quasi experimental design study with baseline (January December 2008) an endline survey (August October 2009) was conducted 69 public, private, NGO sector health facilities Jessore district objective...
Objective To assess the accuracy of assessment eligibility for early medical abortion by community health workers using a simple checklist toolkit. Design Diagnostic study. Setting Ethiopia, India and South Africa. Methods Two hundred seventeen women in 258 236 Africa were enrolled into A toolkit to determine was validated comparing results clinician worker with reference standard exam. Results Accuracy over 90% negative likelihood ratio <0.1 at all three sites when used assessors. Positive...
Introduction A significant gap exists in the availability of indicators and tools to monitor health system capacity for quality abortion care at input process levels. In this paper, we describe results developing assessing strengthening care. Methods As part a 4-year (2019–2022) multicountry project focused on preventing unsafe using approach 10 countries, developed monitoring framework with metadata. Through an internal consultative process, identified structured list operational abortion....
Climate change poses urgent threats to health, disproportionately populations living in low-income and middle-income countries (LMICs).1Rocque RJ Beaudoin C Ndjaboue R et al.Health effects of climate change: an overview systematic reviews.BMJ Open. 2021; 11e046333Crossref PubMed Scopus (378) Google Scholar, 2Levy BS Patz JA change, human rights, social justice.Ann Glob Health. 2015; 81: 310-322Crossref Scholar Yet a key aspect often overlooked is how specifically affects sexual reproductive...
Although Indian law permits abortion for a broad range of social and medical indications, millions unsafe illegal abortions countless subsequent complications occur annually. Nonetheless, in the central state Uttar Pradesh, few women with are reported to seek care at registered private public health facilities. Information is needed about where rural quality they receive.Qualitative data were collected 1999 four villages Pradesh. The study team conducted community mapping exercises, focus...
Despite being legally available in India since 1971, barriers to safe and legal abortion remain, unsafe and/or illegal continues be a problem. Community health workers have been involved improving access information care for maternal child resource poor settings, but their role facilitating accurate about has relatively unexplored. A qualitative study was conducted Rajasthan, acceptability, perspectives preferences of women community workers, regarding the involvement medical referrals....