A5002390222- Cardiac, Anesthesia and Surgical Outcomes
- Global Health and Surgery
- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- COVID-19 and healthcare impacts
- Travel-related health issues
- Global Health Workforce Issues
- Surgical site infection prevention
- Enhanced Recovery After Surgery
- Infection Control and Ventilation
- Hospital Admissions and Outcomes
- Healthcare professionals’ stress and burnout
- Advances in Oncology and Radiotherapy
- Respiratory Support and Mechanisms
- Abdominal Trauma and Injuries
- Appendicitis Diagnosis and Management
- Abdominal Surgery and Complications
- Long-Term Effects of COVID-19
- Global Healthcare and Medical Tourism
- Peripheral Artery Disease Management
- Respiratory viral infections research
- Cerebrovascular and Carotid Artery Diseases
- SARS-CoV-2 and COVID-19 Research
- COVID-19 Impact on Reproduction
- Ultrasound in Clinical Applications
Technical University of Munich
2018-2023
University of Regensburg
2023
Brigham and Women's Hospital
2018-2022
Harvard University
2018-2021
Harvard Global Health Institute
2018-2021
University of Global Health Equity
2018
University of California, San Francisco
2017
Abstract Background There are few prospective studies of outcomes following surgery in rural district hospitals sub-Saharan Africa. This study aimed to estimate the prevalence and predictors surgical-site infection (SSI) caesarean section at Kirehe District Hospital Rwanda. Methods Adult women who underwent between March October 2017 were given a voucher return hospital on postoperative day (POD) 10 (±3 days). At visit, physician evaluated patient for an SSI. A multivariable logistic...
Abstract Background Since long travel times to reach health facilities are associated with worse outcomes, geographic accessibility is one of the six core global surgery indicators; this corresponds second “Three Delays Framework,” namely “delay in reaching a facility.” Most attempts estimate indicator have been based on geographical information systems (GIS) algorithms. The aim our study was compare GIS derived estimates self‐reported for patients traveling district hospital rural Rwanda...
Introduction Surgical site infections (SSIs) are a significant cause of morbidity and mortality in low-income middle-income countries, where rates SSIs can reach 30%. Due to limited access, there is minimal follow-up postoperatively. Community health workers (CHWs) have not yet been used for surgical patients most settings. Advancements telecommunication create an opportunity mobile (mHealth) tools support CHWs. We aim evaluate the use mHealth technology aid CHWs identification promote...
Evidence on heterogeneity in outcomes of surgical quality interventions low-income and middle-income countries is limited. We explored factors driving performance the Safe Surgery 2020 intervention Tanzania's Lake Zone to distil implementation lessons for low-resource settings. identified higher (n=3) lower performers from quantitative data improvement 14 safety teamwork communication indicators at 0 12 months 10 facilities, using a positive deviance framework. From 72 key informant...
Background The development of a surgical site infection (SSI) after cesarean section (c-section) is significant cause morbidity and mortality in low- middle-income countries, including Rwanda. Rwanda relies on robust community health worker (CHW)–led, home-based paradigm for delivering follow-up care women childbirth. However, this program does not currently include postoperative c-section, such as SSI screenings. Objective This trial assesses whether CHW’s use mobile (mHealth)–facilitated...
Background: We aimed to develop and validate a screening algorithm assist community health workers (CHWs) in identifying surgical site infections (SSIs) after cesarean section (c-section) rural Africa. Methods: Patients were adult women who underwent c-section at Rwandan district hospital between March October 2017. A CHW administered nine-item clinical questionnaire 10 ± 3 days post-operatively. Independently, general practitioner (GP) the same assessed SSI presence by physical examination....
Abstract Safe water, sanitation, and hygiene (WASH) is critical for the prevention of postpartum infections. The aim this study was to characterize WASH conditions women are exposed following cesarean section in rural Rwanda. We assessed variability ward a district hospital over two months, at women's homes, association between suspected surgical site infection (SSI). Piped water flowed more consistently during rainy month, which increased availability drinking handwashing (p < 0.05...
Abstract Background Evidence-based strategies for improving surgical quality and patient outcomes in low-resource settings are a priority. Objective To evaluate the impact of multicomponent safe surgery intervention (Safe Surgery 2020) on (1) adherence to safety practices, teamwork communication, documentation files, (2) incidence maternal sepsis, postoperative site infection. Methods We conducted prospective, longitudinal study 10 control facilities Tanzania’s Lake Zone, across 3-month...
Abstract Background: School testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was implemented in some countries to monitor and prevent SARS-CoV-2 transmissions. Here, we analyze infection chains primary schools household members of infected students based on systematic real-time reverse-transcriptase polymerase-chain-reaction (rRT-PCR)–gargle pool testing. Methods: Students school staff ( N = 4300) all 38 the rural county Cham, Germany, were tested twice per week with...
Caesarean sections account for roughly one third of all surgical procedures performed in low-income countries. Due to lack standardised post-discharge follow-up protocols and practices, most available data are extracted from clinical charts during hospitalization thus sub-optimal answering outcomes questions. This study aims determine enablers barriers returning the hospital after discharge among women who have undergone a c-section at rural district Rwanda.Women aged ≥ 18 years underwent...
Abstract Background: Caesarean sections account for roughly one third of all surgical procedures performed in low-income countries. Due to lack standardised post-discharge follow-up protocols and practices, most available data are extracted from clinical charts during hospitalization thus sub-optimal answering outcomes questions. This study aims determine enablers barriers returning the hospital after discharge among women who have undergone a c-section at rural district Rwanda. Methods:...
<sec> <title>BACKGROUND</title> The development of a surgical site infection (SSI) after cesarean section (c-section) is significant cause morbidity and mortality in low- middle-income countries, including Rwanda. Rwanda relies on robust community health worker (CHW)–led, home-based paradigm for delivering follow-up care women childbirth. However, this program does not currently include postoperative c-section, such as SSI screenings. </sec> <title>OBJECTIVE</title> This trial assesses...