A5063671701- Child Nutrition and Water Access
- Global Maternal and Child Health
- Breastfeeding Practices and Influences
- Child Nutrition and Feeding Issues
- HIV/AIDS Research and Interventions
- Infant Nutrition and Health
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Impact and Responses
- Healthcare Systems and Reforms
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- Neonatal Respiratory Health Research
- Mobile Health and mHealth Applications
- Poverty, Education, and Child Welfare
- Maternal and Neonatal Healthcare
- Neonatal and Maternal Infections
- Health Literacy and Information Accessibility
- Traffic and Road Safety
- Vaccine Coverage and Hesitancy
- Malaria Research and Control
- Advanced MRI Techniques and Applications
- Dental Health and Care Utilization
- Neonatal skin health care
- Urban Transport and Accessibility
Makerere University
2016-2025
University of Bergen
2016-2025
Kintampo Health Research Centre
2024
Ghana Health Service
2024
University of California, San Francisco
2022
Western Norway University of Applied Sciences
2019
Norwegian Institute of Public Health
2016
Columbia University
2012-2015
Despite the growing number of people on antiretroviral therapy (ART), there is limited information about virological non-suppression and its determinants among HIV-positive (HIV+) individuals enrolled in HIV care many resource-limited settings. We estimated proportion virologically non-suppressed patients, identified factors associated with non-suppression.We conducted a descriptive cross-sectional study using routinely collected program data from viral load (VL) samples across country for...
Data on non-specific effects of BCG vaccination in well described, general population African cohorts is scanty. We report the post-neonatal infant and post-infancy mortality a cohort children Mbale, Eastern Uganda. A community-based prospective study was conducted between January 2006 February 2014. total 819 eligible pregnant women were followed up for pregnancy outcomes survival their to 5 years age. children's status collected from child health cards at multiple visits 3 weeks 7 also...
Measures of physical growth, such as weight and height have long been the predominant outcomes for monitoring child health evaluating interventional in public studies, including those that may impact neurodevelopment. While growth generally reflects overall nutritional status, it lacks sensitivity specificity to brain developing cognitive skills abilities. Psychometric tools, e.g., Bayley Scales Infant Toddler Development, afford more direct assessment development but they require language...
Background: Timely vaccination is important to protect children from common infectious diseases.We assessed timeliness and coverage as well of vitamin A supplementation in a Ugandan setting.Methods findings: This study used information gathered during cluster-randomized trial promoting exclusive breastfeeding Eastern Uganda between 2006 2008 (ClinicalTrials.govno.NCT00397150).Five visits were carried out birth up 2 years age (median follow-up time 1.5 years), 765 included the analysis.We...
The Global Roadmap for Health Measurement and Accountability sees integrated systems health information as key to obtaining seamless, sustainable, secure exchanges at all levels of systems. Strategy Women’s, Children’s Adolescent’s aims achieve a continuum quality care with effective coverage interventions. WHO World Bank recommend that countries focus on intervention monitor programs progress universal coverage. Electronic registries - eRegistries represent triple return investments: First,...
The global breastfeeding recommendation states that all infants should be put to the breast within one hour of birth, which is defined as timely initiation or early breastfeeding. Early associated with reduced risk in infant illness and death. Understanding determinants delay might spur health staff policy makers foster We assessed prevalence among mothers Juba Teaching Hospital. present study enrolled 806 mother-infant pairs 24 hrs birth Hospital 2017. were interviewed about time...
In Tanzania, less than a third of HIV infected children estimated to be in need antiretroviral therapy (ART) are receiving it. this setting where other infections and malnutrition mimic signs symptoms AIDS, early diagnosis among HIV-exposed infants without specialized virologic testing can complex process. We aimed introduce an Early Infant Diagnosis (EID) pilot program using DNA Polymerase Chain Reaction (PCR) with the intent making EID nationally available based on lessons learned first 6...
Despite provision of free childhood vaccinations, less than half all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those only primary regard their infants' vaccination status. A community-based prospective cohort conducted between January 2006 and May 2008 in which 696 pregnant were followed up 24 weeks post partum. Information was collected on the mothers' education status infants. At weeks, following vaccinations had been received: bacille...
Abstract Background Pneumonia is a leading cause of children's deaths in developing countries and hinders achievement the fourth Millennium Development Goal. This goal aims to reduce under-five mortality rate, by two thirds, between 1990 2015. Few studies have examined impact zinc adjunct therapy on outcome childhood pneumonia. We determined effect as time normalization respiratory temperature oxygen saturation. also studied case fatality severe pneumonia (as secondary outcome) Mulago...
Background To achieve a child mortality reduction according to millennium development goal 4, it is necessary considerably reduce neonatal mortality. We report stillbirth and early risks as well determinants of perinatal in Eastern Uganda. Methods A community-based prospective cohort study was conducted between 2006 2008. total 835 pregnant women were followed up for pregnancy outcome survival their children until 7 days after delivery. Mother's residence, age, parity, bed net use whether...
Immediate and exclusive initiation of breastfeeding after delivery has been associated with better neonatal survival child health are recommended by the WHO. We report its impact on early infant feeding practices from PROMISE-EBF trial.PROMISE-EBF was a cluster randomised behaviour change intervention trial (EBF) promotion peer counsellors in Burkina Faso, Uganda South Africa implemented during 2006-2008 among 2579 mother-infant pairs. Counselling started last pregnancy trimester mothers...
In 2012, Tororo District had the highest malaria burden in Uganda with community Plasmodium prevalence of 48%. To control district, Ministry Health introduced universal distribution long lasting insecticide-treated nets (LLINs) 2013 and added indoor residual spraying (IRS) 2014. This study assessed incidence, test positivity rates outpatient (OPD) attendance due to before after vector interventions. was based on analysis Management Information System (HMIS) secondary surveillance data...
Background Sepsis is the third most common cause of death among neonates, with about 225,000 newborns dying every year globally. Data concerning microbial etiology neonatal sepsis and antimicrobial resistance profiles its causative agents are necessary to inform targeted effective treatment prevention strategies. Objective To determine proportion symptoms signs who had a positive blood culture, bacterial etiology, patterns as well factors associated culture-positivity case fatality at Mulago...
Background Timely initiation of and exclusive breastfeeding have been recommended as key interventions to enable countries attain the sustainable development target reducing neonatal mortality no more than 12 deaths per 1000 live births reduce children under 5 years 25 births. Methods We conducted a cluster randomized controlled trial with main objective assess effect an integrated package consisting of: peer counseling, mobile phone messages, mama kits on promoting health facility between...
In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months age living communities where peer counsellors promoted EBF with those control communities.A total 82 clusters Burkina Faso, Uganda and South Africa were randomised either the or arm. Feeding data anthropometric measurements collected at visits scheduled 3, 6, 12 24 weeks post-partum. We calculated weight-for-length (WLZ),...
Initiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality.To determine the prevalence factors delayed initiation breastfeeding.We conducted a survey in 2016 930 children under age 2 years Lira district, northern Uganda. Mothers were interviewed data was collected on mobile phones using Open Data Kit software ( https://opendatakit.org ). Multivariable logistic regression used to breastfeeding.Almost half [48.2%, 95% confidence...
Background Community based breastfeeding promotion programmes have been shown to be effective in increasing prevalence. However, there is limited data on the cost-effectiveness of these sub-Saharan Africa. This paper evaluates a intervention targeting mothers and their 0 6 month old children. Methods Data were obtained from community randomized trial conducted Uganda between 2006–2008, supplemented with evidence several studies In trial, peer counselling was offered women clusters. control...
Background: Perinatal mortality in Uganda remains high at 38 deaths/1,000 births, an estimate greater than the every newborn action plan (ENAP) target of ≤24/1,000 births by 2030. To improve perinatal survival, there is a need to understand persisting risk factors for death.Objective: We determined incidence, factors, and causes death Lira district, Northern Uganda.Methods: This was community-based prospective cohort study among pregnant women Uganda. Female community volunteers identified...
Different strategies have been used to improve the initiation and duration of breastfeeding. Peer counsellors are reported exclusive breastfeeding levels, but few studies assessed satisfaction women with support given, especially in Africa. In this paper we describe women's experiences peer counselling for an East African setting. Ugandan site PROMISE-EBF, a multi-centre community randomised trial evaluate effect on infant health, 370 intervention arm participated study exit interview....
Background Although several studies have shown short term health benefits of exclusive breastfeeding (EBF), its long consequences not been studied extensively in low-income contexts. This study assessed the impact an EBF promotion initiative for 6 months on early childhood caries (ECC) and duration children aged 5 years Mbale, Eastern Uganda. Methods Participants were recruited from Ugandan site PROMISE- cluster randomised trial (ClinicalTrials.gov no: NCT00397150). A total 765 pregnant...
Introduction Obstructed labour (OL) is an important clinical and public health problem because of the associated maternal perinatal morbidity mortality. Risk factors for OL its obstetric squeal are usually context specific. No epidemiological study has documented risk in Eastern Uganda. This was conducted to identify Mbale Hospital. Objective To Regional Referral Teaching Hospital, Methods We a case control with 270 cases women controls without OL. consecutively enrolled eligible between...
Background The beneficial effects from exclusive breastfeeding (EBF) have been widely acknowledged. We assessed the effect of promotion by peer counsellors in Uganda and Burkina Faso, on cognitive abilities, social emotional development, school performance linear growth among 5–8 years old children. Methods Children PROMISE EBF trial (2006–2008) were re-enrolled follow-up Saving Brains (SB) study (2013–2015). Caretaker interviews captured sociodemographic characteristics development using...
In Burkina Faso, stunting affects children and is a public health problem. We studied the association between child's neuro-psychological outcomes at 6–8 years of age in rural Faso using Kaufman Assessment Battery for Children, 2nd edition (KABC-II), Children's Category Test 1 (CCT-1) Variable Attention (TOVA). re-enrolled previously community-based Exclusive breastfeeding trial Faso. assessed total 532 aged KABC-II memory (Atlantis Number Recall subtests), spatial abilities (Conceptual...