A5037632673- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- Microfinance and Financial Inclusion
- Blood donation and transfusion practices
- Vaccine Coverage and Hesitancy
- Child Nutrition and Water Access
- Economic and Environmental Valuation
- Grief, Bereavement, and Mental Health
- Global Health Workforce Issues
- ICT Impact and Policies
- Social Acceptance of Renewable Energy
- Islamic Finance and Banking Studies
- Migration, Health and Trauma
- Agricultural risk and resilience
- Hemoglobinopathies and Related Disorders
- COVID-19 Impact on Reproduction
- Economic Growth and Development
- Urban Transport and Accessibility
- Remote Sensing and Land Use
- Gender, Security, and Conflict
- Food Security and Health in Diverse Populations
- Global Health Care Issues
- Healthcare Systems and Reforms
University of Notre Dame
2020-2024
Strathmore University
2020-2023
Institute for Security Studies
2020-2021
W.K. Kellogg Foundation
2020
Introduction: Maternal mortality continues to be one of the biggest challenges health system in Kenya. Informal settlements Kenya have been known higher rates maternal and also receive maternity services varied quality. Data assessing progress on key indicators within informal are often scarce. The COVID-19 pandemic hit March this year so far, impact access has not established. This study aims add body knowledge by investigating effects mitigation strategies care settlements. Methods:...
In Kenya, indirectly caused maternal deaths form a significant portion of all within the health system. Many these are avoidable and occur during delivery labor. Poor quality service has been recurring concern among women in with reporting interactions healthcare workers that often demeaning abusive. This paper explores experiences perceptions both female patients regarding mistreatment childbirth. study aims to provide recommendations on how dignified care can be made norm, specifically...
Rwanda has seen impressive economic growth in the past few years resulting from policy driven initiatives. However, one of key challenges to development been provision reliable and cost-effective energy. As a result, country planned expand its renewable energy portfolio meet demand mitigate greenhouse gas (GHG) emissions. Meeting these goals requires robust framework that considers perspective public. Moreso, for women who have disproportionately affected by climate change especially...
The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation research that focuses on programme delivery issues. This paper presents results process evaluations conducted two models CHW adjacent rural communities Gem District Western Kenya. One model was implemented by Millennium Villages Project (MVP), and other partnership with Ministry (MoH) as part Kenya's National programme.
Introduction Peri-urban settings have high maternal mortality and the quality of care received in different types health facilities is varied. Yet few studies explored construct person-centered maternity (PCMC) within peri-urban settings. Understanding women’s experience will allow facility managers policy makers to improve services these This study examines factors associated with PCMC a setting Kenya. Methods materials We analyzed data from cross-sectional 307 women aged 18–49 years who...
Kenya continues to have a high maternal mortality rate that is showing slow progress in improving. Peri-urban settings been reported exhibit higher rates of death during labor and childbirth as compared the general Kenyan population. Although research indicates women increased access facility-based birth recent years, small percentage still give outside health facility due challenges poor service quality. Most studies assessing births focused on sociodemographic determinants birthing...
Abstract Background The supply of blood in many low‐ and middle‐income nations Sub‐Saharan Africa (SSA) does not meet the patient care needs. Lack delay transfusion cause harm to patients slow rate progress other parts health system. Recognizing power implementation science, BLOODSAFE Program was initiated which supports three SSA research study teams one data coordinating center (DCC) with goal improve access safe SSA. Study Design Methods team Ghana is focusing on studying decreasing iron...
To identify what women want in a delivery health facility and how they rank the attributes that influence choice of place delivery. A discrete experiment (DCE) was conducted to elicit rural women's preferences for facility. Data were analysed using conditional logit model evaluate relative importance selected attributes. mixed multinomial evaluated interactions with sociodemographic variables Six facilities subcounty. Women aged 18-49 years who had delivered within 6 weeks. The DCE required...
Abstract Background Safe blood is essential for the care of patients with life-threatening anemia and hemorrhage. Low donation rates, inefficient testing procedures, other supply chain disruptions in administration affect low-resource settings across Sub-Saharan countries, including Kenya. Most efforts to improve access transfusion have been unidimensional, usually focusing on only point along system continuum, excluded community stakeholders from early stages intervention development....
Objective Maternal and newborn mortality rates are high in peri-urban areas cities Kenya, yet little is known about what drives women’s decisions on where to deliver. This study aimed at understanding preferences place of childbirth how sociodemographic factors shape these preferences. Methods used a Discrete Choice Experiment (DCE) quantify the relative importance attributes choice within setting Nairobi, Kenya. Participants were women aged 18–49 years, who had delivered six health...
Objective To examine how women living in an informal settlement Nairobi perceive the quality of maternity care and it influences their choice a delivery health facility. Design Qualitative study. Settings Dandora, settlement, City Kenya. Participants Six focus group discussions with 40 purposively selected aged 18–49 years at six facilities. Results Four broad themes were identified: (1) perceived services, (2) financial access to service, (3) physical amenities facility, (4) 2017 workers’...
Community-based savings groups (SGs) both provide credit to the poor and incentivize repayment by allowing community members borrow from their neighbors. Available capital is typically limited members' savings, however. We study an intervention relaxing this constraint exogenously adding initial SGs. Unlike traditional bank loans, outside money paid back with same timing formula as other of SG, greatly simplifying process for SG. Using a randomized experiment in rural Uganda, we find...
Abstract Background Maternal mortality still remains a big health system challenge in Kenya. Free maternity policy resulted an increase Facility-based delivery. However, this has not been accompanied with reduction maternal mortality. This research aims at establishing women’s experiences and perceptions regard to the quality of services received facilities during contextual knowledge will assist makers better understand patterns utilization critical for forging strategies reducing...