Nell Gray

ORCID: 0000-0002-8686-7558
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Tuberculosis Research and Epidemiology
  • Vaccine Coverage and Hesitancy
  • Viral Infections and Outbreaks Research
  • HIV/AIDS Impact and Responses
  • Disaster Response and Management
  • Child Nutrition and Water Access
  • Occupational Health and Safety Research
  • Health and Conflict Studies
  • Healthcare Systems and Reforms
  • Sex work and related issues
  • Malaria Research and Control
  • Chronic Disease Management Strategies
  • COVID-19 epidemiological studies
  • Infection Control in Healthcare
  • Mental Health and Psychiatry
  • Human Rights and Development
  • Food Security and Health in Diverse Populations
  • Ideological and Political Education
  • COVID-19 and Mental Health
  • Pediatric health and respiratory diseases
  • Poverty, Education, and Child Welfare
  • Migration, Health and Trauma
  • Global Health and Epidemiology
  • Global Security and Public Health

Médecins Sans Frontières‎
2018-2024

Kamrangirchar and Hazaribagh are the largest slum areas in Dhaka, Bangladesh. In 2013, Médecins Sans Frontières initiated an urban healthcare programme these providing services for factory workers responding to sexual reproductive health needs of young women. Little in-depth information is available on perceptions seeking behaviour this population. We aimed provide a better understanding community toward care order inform strategies. In-depth interviews were conducted with women (n = 13);...

10.1186/s12889-019-6750-0 article EN cc-by BMC Public Health 2019-05-17

During the West Africa Ebola outbreak, cultural practices have been described as hindering response efforts. The acceptance of control measures improved during but little is known about how and why this occurred. We conducted a qualitative study in two administrative districts Sierra Leone to understand survivor, community, health worker perspectives on measures. aimed gain an understanding community interactions with inform future intervention strategies.Participants (25 survivors, 24...

10.1371/journal.pntd.0006461 article EN cc-by PLoS neglected tropical diseases 2018-06-08

Sierra Leone has the world's highest estimated maternal mortality. Following 2014-16 Ebola outbreak, we described health outcomes and health-seeking behaviour amongst pregnant women to inform policy. In October 2016-January 2017, conducted a sequential mixed-methods study in urban rural areas of Tonkolili District comprising: household survey targeting who had given birth since onset outbreak; structured interviews at sites investigating deaths reporting; in-depth (IDIs) mothers, community...

10.1093/heapol/czz102 article EN cc-by-nc Health Policy and Planning 2019-10-02

Hand hygiene adherence monitoring and feedback can reduce health care-acquired infections in hospitals. Few low-cost hand tools exist low-resource settings.To pilot an open-source application for mobile devices interactive analytical dashboard the collection visualization of care workers' data.This prospective multicenter quality improvement study evaluated preintervention postintervention with 5 Moments Hygiene, as suggested by World Health Organization, among workers from April 23 to May...

10.1001/jamanetworkopen.2019.9118 article EN cc-by-nc-nd JAMA Network Open 2019-08-14

Abstract Introduction Person-centred care, an internationally recognised priority, describes the involvement of people in their care and treatment decisions, consideration needs priorities within service delivery. Clarity is required regarding how it may be implemented practice different contexts. The standard multi-drug resistant tuberculosis (MDR-TB) regimen lengthy, toxic insufficiently effective. 2019 World Health Organisation guidelines include a shorter (9–11-month) recommend that with...

10.1186/s12879-020-05407-7 article EN cc-by BMC Infectious Diseases 2020-09-16

Abstract Background The Central African Republic (CAR) suffers a protracted conflict and has the second lowest human development index in world. Available mortality estimates vary differ methodology. We undertook retrospective study Ouaka prefecture to obtain reliable data. Methods conducted population-based two-stage cluster survey from 9 March April, 2020 prefecture. aimed include 64 clusters of 12 households for required sample size 3636 persons. assigned communes proportional population...

10.1186/s13031-021-00385-2 article EN cc-by Conflict and Health 2021-06-30

Abstract Background In 2020, during the COVID-19 pandemic, Médecins Sans Frontières (MSF) initiated three cycles of dihydroartemisin-piperaquine (DHA-PQ) mass drug administration (MDA) for children aged months to 15 years within Bossangoa sub-prefecture, Central African Republic. Coverage, clinical impact, and community members perspectives were evaluated inform use MDAs in humanitarian emergencies. Methods A household survey was undertaken after MDA focusing on participation, recent illness...

10.1186/s12936-024-04968-1 article EN cc-by Malaria Journal 2024-05-15

Abstract Background Reducing mortality of children <5 years in Sierra Leone is a priority. Despite an enabling policy environment, health indicators have remained poor. Evidence on barriers to care limited. Objectives This study describes care, health-seeking behaviour, and outcomes years. Methods From October 2016 January 2017, we conducted sequential mixed-methods urban rural areas Tonkolili District comprising: household survey targeting carers years; in-depth interviews (IDIs)...

10.1101/2024.10.07.24315017 preprint EN medRxiv (Cold Spring Harbor Laboratory) 2024-10-10

Introduction Standard multidrug-resistant tuberculosis (MDR-TB) treatment is lengthy, toxic, and insufficiently effective. New drugs a shorter regimen (SCR) are now recommended. However, patient health-care worker (HCW) perspectives regarding the SCR unknown. We aimed to determine views experiences of patients with MDR-TB HCW in Karakalpakstan, Uzbekistan. Methods In qualitative study, we conducted 48 in-depth interviews 24 people 20 HCW, purposively recruited include those range...

10.1371/journal.pone.0242359 article EN cc-by PLoS ONE 2020-11-25

10.7490/f1000research.1114076.1 article EN F1000Research 2017-05-17

Abstract Introduction: Person-centred care, an internationally recognised priority, describes the involvement of people in their care and treatment decisions consideration needs priorities within service delivery. Clarity is required regarding feasibility its implementation different contexts. The standard multi-drug resistant tuberculosis (MDR-TB) regimen lengthy, toxic insufficiently effective. 2019 World Health Organisation guidelines include a shorter (9-11-month) recommend that with...

10.21203/rs.3.rs-24638/v1 preprint EN cc-by Research Square (Research Square) 2020-04-28

This abstract corresponds with the following slides: https://f1000research.com/slides/6-705, presented at Medecins Sans Frontieres UK Scientific Days: Innovation 2017. To watch presentation click here: https://f1000research.com/videos/6-823. is part of an F1000Research gateway that includes posters, slides and videos from MSF Day: see more please visit: https://f1000research.com/gateways/MSF/innovation.

10.7490/f1000research.1114078.1 article EN F1000Research 2017-05-17

Purpose: Evaluate nurses' and caretakers' perspectives of quality care, barriers to its delivery, study in a humanitarian setting. Methods: A qualitative using semi-structured interviews direct observation was conducted the pediatric department Magburaka Hospital, Tonkolili district, Sierra Leone. Interviews were recorded, transcribed, and inductive coding used identify prevalent themes. The compare elaborate on interview findings. Results: Three themes emerged holistic care; nursing...

10.31690/ijnr/55 article EN 2018-12-13
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