- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Health Care Issues
- Maternal and Perinatal Health Interventions
- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Maternal and Neonatal Healthcare
- Poverty, Education, and Child Welfare
- Intimate Partner and Family Violence
- Sex work and related issues
- Microfinance and Financial Inclusion
- Orthopaedic implants and arthroplasty
- Global Health and Epidemiology
- Infant Development and Preterm Care
- Child Nutrition and Feeding Issues
- Reading and Literacy Development
- Gender, Labor, and Family Dynamics
- Behavioral and Psychological Studies
- Global Public Health Policies and Epidemiology
- Maternal and fetal healthcare
- Human Rights and Development
- Global Health Workforce Issues
- Insurance, Mortality, Demography, Risk Management
- Health, Nursing, Elderly Care
- Bone Tissue Engineering Materials
University of Guyana
2023-2024
Universidade Federal de Pelotas
2016-2019
Universidade Católica de Pelotas
2018
London School of Hygiene & Tropical Medicine
2018
Universidade Federal do Rio Grande
2018
The Orthopaedic Institute
1995
New York University Langone Orthopedic Hospital
1995
To test the inverse equity hypothesis, which postulates that new health interventions are initially adopted by wealthy and thus increase inequalities-as population coverage increases, only poorest will lag behind all other groups.
Having a health worker with midwifery skills present at delivery is one of the key interventions to reduce maternal and newborn mortality. We sought estimate frequencies (a) skilled birth attendant coverage, (b) institutional delivery, (c) combination place type attendant, in LMICs. National surveys (DHS MICS) performed 80 LMICs since 2005 were analyzed these four categories care. Results stratified by wealth quintile based on asset indices, urban/rural residence. The also calculated for...
Resumo O objetivo deste artigo é apresentar os principais métodos de mensuração e monitoramento das desigualdades sociais em saúde ilustrar suas aplicações. Foram revisadas as medidas mais frequentemente empregadas na literatura. Dados cobertura qualidade do cuidado pré-natal no Brasil, provenientes da Pesquisa Nacional Demografia Saúde Criança Mulher (PNDS-2006) (PNS-2013), foram utilizados para exemplificar Medidas desigualdade absoluta relativa apresentadas, destacando-se sua...
Calcium phosphate fibers designed for reinforcement of bioabsorbable fracture fixation devices were evaluated their properties upon annealing. The composition these 54% PO4, 27% Ca, 12% ZnO, 2.5% NaPO3, and 4.5% Fe2O3, they either not annealed, annealed at 250 degrees C, or 420 C. Chemical degradation, mass loss, morphology degradation studied. was performed in Tris-buffered HCl, while loss morphologic studies both physiologic nonphysiologic solutions. results showed that rates inversely...
Rapid urbanisation is one of the greatest challenges for Sustainable Development Goals. We compared socioeconomic inequalities in urban and rural women's access to skilled birth attendance (SBA) assess whether poorest women have an advantage over women.
Having high-quality data available by 2020, disaggregated income, is one of the Sustainable Development Goals (SGD). We explored how well coverage with skilled birth attendance (SBA) predicted asset-based wealth quintiles and absolute income. used from 293 national surveys conducted in 100 low middle-income countries (LMICs) 1991 to 2014. Data on household income were computed using levels inequality World Bank Standardized Income Inequality Database. Multivariate regression was explore...
Background To assess the attitudes of women towards intimate partner violence (IPV) in Guyana. Methods We used national data from publicly available Multiple Indicator Cluster Survey (MICS) conducted Guyana 2019 for aged 15 to 49 years. The prevalence who agreed that a husband is justified beating his wife was analyzed. Respondent reasons included if she: “goes out without telling him”, “neglects children”, “argues with “refuses sex “burns food”, “has another partner”, “stays late/partying”,...
Background Guyana is among the countries committed to achieving sustainable development goals. This research assessed patterns of change in reproductive, maternal, newborn, and child health (RMNCH) Guyana. Methods Four nationally representative surveys conducted from 2009 2019 were assessed. Temporal trends RMNCH indicators at national level, by place residence, wealth index. The slope index concentration inequality calculated assess inequalities over time. average absolute annual (AAAC) was...
The International Healthcare Community recommends that countries do not exceed a 15% rate for cesarean section (CS). Our objective was to determine the prevalence and factors associated with CS at GPHC from July September 2022. Methods: A cross-sectional study carried out data were collected 1296 mothers, who met inclusion criteria, through face-to-face interviews after obtaining prior informed consent. We performed descriptive analyses both outcome independent variables. Bivariate multiple...
To assess changes in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) Haiti from August 2018 to September 2021, before during the COVID-19 pandemic.
Abstract Objective To assess the prevalence and factors associated with early initiation of breastfeeding at Georgetown Public Hospital Corporation (GPHC). Methods This study used data from an institution‐based cross‐sectional conducted GPHC July to September 2022. A structured pretested questionnaire was collect data. total 1276 mothers were interviewed provided on breastfeeding. Early defined as who breastfed their babies within first hour after birth. We performed descriptive analyses for...
Objective: To estimate the relative risk of COVID-19 in-hospital mortality rates among patients according to residing in two largest cities each state or any smaller city, and describe different patterns across states macro-regions Brazil. Method: The sample included all hospitalizations confirmed for that occurred Brazil with a recorded outcome hospitalization by end December 2021. exposure assessed was cities. caused COVID-19. Multilevel Poisson regression used adjusted risks macro-region...
Low birth weight (LBW) is a global health issue. We conducted cross-sectional study to assess factors associated with LBW at Georgetown Public Hospital Corporation (GPHC). used data from all women who delivered single live baby as of 28 weeks gestational age July September 2022. 1,304 mothers and their respective live-born babies were included. Logistic regression was identify LBW-associated p < .05. The prevalence 13.3 percent (95 IC: [11.6–15.3]). Women primigravida (AOR: 2.18, 95 CI =...