A5063913618- Global Maternal and Child Health
- Mobile Health and mHealth Applications
- Global Health Care Issues
- ICT in Developing Communities
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Health disparities and outcomes
- Trauma and Emergency Care Studies
- Healthcare Systems and Reforms
- Primary Care and Health Outcomes
- COVID-19 Impact on Reproduction
- Health Policy Implementation Science
- Breastfeeding Practices and Influences
- Telemedicine and Telehealth Implementation
- Child Nutrition and Water Access
- Infant Nutrition and Health
- Vaccine Coverage and Hesitancy
- Insurance and Financial Risk Management
- Digital Mental Health Interventions
- Urban Transport and Accessibility
- Global Health Workforce Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent Sexual and Reproductive Health
- Nursing Diagnosis and Documentation
- Intimate Partner and Family Violence
Public Health Ontario
2020-2025
University of Toronto
2020-2025
Women's College Hospital
2022-2025
Trillium Health Centre
2024-2025
3M (United States)
2024
World Health Organization
2020-2022
Hospital for Sick Children
2020-2022
Amsterdam UMC Location Vrije Universiteit Amsterdam
2022
Instituut voor Tropische Geneeskunde
2018-2021
Centre for Global Health Research
2020
BackgroundBetter accessibility for emergency obstetric care facilities can substantially reduce maternal and perinatal deaths. However, pregnant women girls living in urban settings face additional complex challenges travelling to facilities. We aimed assess the geographical of three nearest functional public private comprehensive 15 largest Nigerian cities via a novel approach that uses closer-to-reality travel time estimates than traditional model-based approaches.MethodsIn this...
Maternal mortality in Malawi is high, with low coverage of maternity care being a contributing factor. To improve maternal health coverage, an Android-based, integrated mobile (mHealth) app called YendaNafe was introduced to community workers (CHWs) the Neno district, rural Malawi. This study evaluates impact this on uptake antenatal (ANC), facility-based births, and postnatal (PNC), compared reference period where CHWs provided same services without mHealth, using interrupted time series...
Background The declaration of Coronavirus disease 2019 (COVID‐19) as a Public Health Emergency International Concern (PHEIC) on 30 January 2020 required rapid implementation early investigations to inform appropriate national and global public health actions. Methods suite existing pandemic preparedness generic epidemiological investigation protocols was rapidly adapted for COVID‐19, branded the ‘UNITY studies’ promoted globally standardized quality studies. Ten were developed investigating...
Travel time estimation accounting for on-the-ground realities between the location where a need emergency obstetric care (EmOC) arises and health facility capable of providing EmOC is essential improving pregnancy outcomes. Current understanding travel to inadequate in many urban areas Africa, short distances obscure long times can vary by day road conditions. Here, we describe database comprehensive facilities 15 most populated extended Nigeria. The from cells approximately 0.6 × km were...
<sec> <title>BACKGROUND</title> Older adults prefer to age in their home or community of choice, which could include naturally occurring retirement communities (NORCs). As a place with high density older adults, NORCs be sites where technology is leveraged support independence and aging the right place. However, there limited research on how adoption use occurs ways that adults. </sec> <title>OBJECTIVE</title> This study aims co-create agenda equity-informed considerations help live...
Quality antenatal care (ANC) is recognised as an opportunity for screening and early identification of pregnancy-related complications. In rural Ghana, challenges with access to diagnostic services demotivate women from ANC attendance referral compliance, leading absent or late management high-risk women. 2016, integrated clinical decision support system tagged 'Bliss4Midwives' (B4M), was piloted in Northern Ghana. The device facilitated non-invasive pre-eclampsia, gestational diabetes...
Abstract Background The consequences of delays in travel pregnant women to reach facilities emergency situations are well documented literature. However, their decision-making and actual experiences health when requiring obstetric care (EmOC) remains a ‘black box’ many unknowns the system, more so megacities low- middle-income countries which fraught with wide inequalities. Methods This in-depth study on Africa’s largest megacity, Lagos, is based interviews conducted between September 2019...
Introduction Optimal breastfeeding practices have far-reaching health and economic benefits. Evidence suggests disparities in by maternal age-groups, with younger mothers often having lower rates of initiation, continuation exclusivity compared older mothers. There is limited knowledge trends factors associated practices, particularly among adolescent Nigeria. We examine key Nigeria over a 15-year period, comparing to young women. Methods used four Demographic Health Surveys collected...
Maternal and perinatal mortality remain huge challenges globally, particularly in low- middle-income countries (LMICs) where &gt;98% of these deaths occur. Emergency obstetric care (EmOC) provided by skilled health personnel is an evidence-based package interventions effective reducing associated with pregnancy childbirth. Until recently, pregnant women residing urban areas have been considered to good access care, including EmOC. However, emerging evidence shows that due rapid...
Over the last three decades, integrated care has emerged as an important health system strategy to improve population while addressing unique needs of structurally marginalised communities. However, less attention been given role in issues related inequities and care. In this commentary we introduce concept Equity Promoting Integrated Care (EPIC) that situates a social justice context frame actions necessary center equity priority for We suggest efforts advance design implementation should...
Better geographical accessibility to comprehensive emergency obstetric care (CEmOC) facilities can significantly improve pregnancy outcomes. However, with other factors, such as affordability critical for access, it is important explore across groups. We assessed CEmOC by wealth status in the 15 most-populated Nigerian cities.
Research on digital health equity has developed in important ways especially since the onset of COVID-19 pandemic, with a series clear recommendations now established for policy and practice. However, research addressing system dimensions is needed to examine appropriate roles technologies enabling access care. We use highly cited framework by Levesque et al patient-centered care World Health Organization’s digitally enabled systems generate insights into that solutions can support...
There have been recent concerns about the failure of several global health interventions. Interventions are considered to failed when they unable achieve intended results. Failure may be linked how intervention was designed (design failure) or it implemented (implementation failure). Recently, substantial efforts employed improve outcomes These led development theories, models, and frameworks in implementation science quality implementation, bridging divide between evidence practice. But...
Reducing the adolescent birth rate is paramount in achieving health-related Sustainable Development Goals, given that pregnancy and childbirth are leading cause of mortality among young women aged 15-19. This study aimed to explore predictors girls 13-18 years Maharashtra, India, during COVID-19 pandemic. Using a mixed-methods approach, primary data were gathered from two regions Maharashtra between February April 2022. Quantitative face-to-face interviews with 3049 assessed various...
Digital innovations have shown promise for improving maternal health service delivery. However, low- and middle-income countries are still at the adoption-utilization stage. Evidence on mobile has been described as a black box, with gaps in theoretical explanations that account ecosystem of care their effect adoption mechanisms. Bliss4Midwives, modular integrated diagnostic kit to support antenatal delivery, was piloted 1 year Northern Ghana. Although both users beneficiaries valued results...
Objective: To explore perspectives of public sector technocrats on the role and considerations needed for implementing an innovative dashboard that leverages geographic information systems (GIS) in supporting optimisation emergency obstetric care (EmOC) geographical accessibility Nigeria.Methods: Twenty-three semi-structured interviews were conducted person or virtually with six policymakers 17 senior civil servants Nigeria.Braun Clarke's six-step approach to thematic analysis, which...
Abstract Background Dashboards are increasingly being used in sub-Saharan Africa (SSA) to support health policymaking and governance. However, their use has been mostly limited routine care, not emergency services like obstetric care (EmOC). To ensure a fit-for-purpose dashboard, we conducted an online survey with policymakers researchers understand key considerations needed for developing policy-ready dashboard of geospatial access EmOC SSA. Methods Questionnaires targeting both stakeholder...
Realist evaluation is in essence a theory-building and testing approach. We argue that practice, the potential of realist evaluation, review research not fully exploited field global health. Our assumption Structure-Agency-Culture explanatory framework critical Margaret Archer could stimulate evaluators to conceptualize systematically explore how structural cultural conditions interact with programmes aim at introducing social change. propose step-wise guidance towards integrating...