A5004763683- Global Maternal and Child Health
- Intimate Partner and Family Violence
- Maternal and Perinatal Health Interventions
- Healthcare Systems and Reforms
- Adolescent Sexual and Reproductive Health
- Healthcare Policy and Management
- Sex work and related issues
- Child Nutrition and Water Access
- Mosquito-borne diseases and control
- Global Health Care Issues
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Health, Nursing, Elderly Care
- HIV/AIDS Impact and Responses
- Child Abuse and Trauma
- Child and Adolescent Health
- Demographic Trends and Gender Preferences
- Community Health and Development
- Participatory Visual Research Methods
- Infant Development and Preterm Care
- Electronic Health Records Systems
- Global Health Workforce Issues
- Global Health and Epidemiology
- HIV/AIDS Research and Interventions
- Infection Control in Healthcare
London School of Hygiene & Tropical Medicine
2016-2025
University of London
2004-2024
Royal Society of Tropical Medicine and Hygiene
2023
University of the Witwatersrand
2004-2017
South African Medical Research Council
2002-2014
Faculty of Public Health
2013
University of Cape Town
2002
<h3>Introduction:</h3> Electronic decision-support systems (EDSSs) aim to improve the quality of antenatal care (ANC) through adherence evidence-based guidelines. We assessed potential mHealth integrated model hypertension, diabetes, and ANC EDSS World Health Organization in primary-level health facilities Nepal. <h3>Methods:</h3> From December 2021 January 2023, we conducted a mixed-methods evaluation 19 Bagmati Province, Implementation was from March 2022 August 2022. facility survey,...
South Africa’s maternal mortality rate (625 deaths/100,000 live births) is high for a middle-income country, although over 90% of pregnant women utilize health services. Alongside HIV/AIDS, barriers to Comprehensive Emergency Obstetric Care currently impede the country’s Millenium Development Goals (MDGs) reducing child and improving health. While system obstetric care have been well documented, “patient-oriented” neglected. This article explores affordability, availability acceptability in...
To investigate the nature and context of mistreatment during labour childbirth at public private sector maternity facilities in Uttar Pradesh, India. This study analyses mixed-methods data obtained through systematic clinical observations open-ended comments recorded by observers to describe care provision for 275 mothers their newborns 26 hospitals three districts Pradesh from May 8 July 2015. We conducted a bivariate descriptive analysis quantitative used thematic approach analyse...
► The adverse impact of COVID-19 on maternal and newborn services in low-income middle-income countries risks undermining improvements health outcomes care achieved over the last three decades.► Alarming declines use quality facilities are being reported from sources ground, captured rapidly real time using e-communication tools.► Local solutions to direct indirect challenges brought by must be effectively shared efficiently support workers managers.► Providing adequate funding maintain...
Abstract Background Healthcare interventions are shaped by the resources needed to implement them, including staff time. This study, part of a process evaluation, aims compare time spent on antenatal care (ANC) and related recordkeeping in two rural primary-level health facilities Nepal, before after implementation an electronic decision support system intervention improve ANC quality that required additional documentation. Methods The study is before-and-after, observational time-motion...
Sex motivated by economic exchange is a public health concern as driver of the Sub-Saharan African HIV epidemic. We describe patterns engagement in transactional sexual relationships and sex with women prostitution South men, suggest interpretations that advance our understanding phenomenon.Cross-sectional study randomly-selected sample 1645 sexually active men aged 18-49 years who completed interviews household were asked whether they had woman prostitution, or relationship took to be...
Uganda halved its maternal mortality to 343/100,000 live births between 1990 and 2015, but did not meet the Millennium Development Goal 5. Skilled, timely good quality antenatal (ANC) delivery care can prevent majority of maternal/newborn deaths stillbirths. We examine coverage, equity, sector provision content ANC 1991 2011. conducted a repeated cross-sectional study using four Demographic Health Surveys (1995, 2000, 2006 2011).Using most recent birth adjusting for survey sampling, we...
Abstract Objective The objective of this study was to assess the role private sector in low‐ and middle‐income countries ( LMIC s). We used Demographic Health Surveys for 57 (2000–2013) evaluate sector's share providing three reproductive maternal/newborn health services (family planning, antenatal delivery care), total by socio‐economic position. Methods data from 865 547 women aged 15–49, representing a 3 billion people. defined ‘met unmet need services’ ‘use appropriate service types’...
The Congenital Zika Syndrome (CZS) epidemic took place in Brazil between 2015 and 2017 led to the emergence of at least 3194 children born with CZS. We explored access healthcare services activities Unified Health Service (Sistema Único de Saúde: SUS) from perspective mothers CZS professionals Public Healthcare Network. carried out a qualitative, exploratory study, using semi-structured interviews, two Brazilian states-Pernambuco, which was epicentre Brazil, Rio Janeiro, where less intense....
International experience of carrying out research on violence against women among who may have experienced such and men been violent has raised a number ethical issues, which appear in sharp focus. This paper is based the collective experiences derived from involvement three large gender-based surveys South Africa one Zimbabwe. These are broadly concerned with safety researchers subjects arising because project, risks traumatisation both respondents as recounted; impact work an issue...
Background South African policy makers are reviewing legislation of prostitution, concerned that criminalisation hampers HIV prevention. They seek to understand the relationship between transactional sex, and nature involved men. Methods 1645 randomly-selected adult men participated in a household study, disclosing whether they had sex with woman prostitution or provider (or sex), participation crime violence completing psychological measures. These became outcomes multivariable regression...
Maternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access essential childbirth care or for complications. Although MWHs have been implemented over four decades, different operational models exist. This secondary thematic +analysis explores factors related their implementation. A qualitative analysis was conducted using 29 studies across 17 countries. The papers were identified...
Researchers in low- and middle-income countries (LMICs) are under-represented scientific literature. Mapping of authorship articles can provide an assessment data ownership research capacity LMICs over time identify variations between different settings.Systematic mapping maternal health interventional from 2000 to 2012, comparing country study affiliation first authors. Studies on systems or promotion; community-based activities; haemorrhage, hypertension, HIV/STIs malaria were included....
Objective To assess the impact of introducing electronic decision support systems (EDSS)—electronic data entry implemented alongside existing paper-based antenatal care (ANC) records—on completeness and agreement ANC records. Design Two-phase cross-sectional (before after) substudy mobile health integrated model hypertension, diabetes (mIRA project) process evaluation. Setting Four rural districts in Bagmati Province, Nepal, 19 primary healthcare facilities. Participants records from...