A5035786106- Antibiotic Use and Resistance
- Global Maternal and Child Health
- Viral Infections and Outbreaks Research
- Infection Control in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Data-Driven Disease Surveillance
- Vaccine Coverage and Hesitancy
- Diabetes Management and Education
- COVID-19 epidemiological studies
- Food Safety and Hygiene
- Surgical site infection prevention
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Health Sciences Research and Education
- Cardiovascular Health and Risk Factors
- Pneumonia and Respiratory Infections
- Liver Disease Diagnosis and Treatment
- Urinary Tract Infections Management
- Antibiotic Resistance in Bacteria
- Lipoproteins and Cardiovascular Health
- Cancer, Lipids, and Metabolism
- Health Promotion and Cardiovascular Prevention
- Clinical Reasoning and Diagnostic Skills
- Animal Disease Management and Epidemiology
University of Sierra Leone
2018-2024
World Health Organization - Pakistan
2024
Ministry of Health
2024
Ministry of Health and Sanitation
2020-2023
Jilin University
2014-2018
Abstract Background There is limited information on surgical site infections (SSI) and the related antibiotic resistance needed to guide their management prevention in Sierra Leone. In this study, we aimed establish incidence risk factors of SSI among adults attending a tertiary hospital, secondary health facility Freetown, Methods This prospective cohort study designed collect data from adult (18 years or older) patients who attended elective emergency surgeries at two hospitals Freetown...
Background The awareness, treatment and control of diabetes mellitus (DM) can effectively reflect on the social status conditions. Although several researchers have investigated rates in China, little is known about their association with risk factors. This study aims to examine relationship between factors northeast China. Methods A cross-sectional survey was conducted 2012. Multistage stratified random cluster sampling design used select participants aged 18 79 years old. analysis based a...
Abstract Background There is limited data available on the long-term mental health impact of Ebola virus disease (EVD) survivors despite experience meeting criteria a traumatic event as defined in Diagnostic and Statistical Manual Mental Disorders version IV (DSM IV). This study aimed to assess prevalence predictive factors anxiety, depression posttraumatic stress disorder among EVD survivors, approximately 2 years after discharge from treatment centre (ETC). Methods We conducted...
Healthcare workers (HCWs) are known to spearhead the fight against COVID-19 pandemic. As such, their knowledge, attitude, and practice (KAP) toward coronavirus disease 2019 (COVID-19) considered critical success of current response efforts. This study aims determine HCWs' KAP assesses perception healthcare facilities preparedness respond appropriately ongoing pandemic in Sierra Leone.We conducted an online cross-sectional among HCWs (n=516) between 1st May 2020 30th June 2020. We collected...
As of 26 March 2021, the Africa Centres for Disease Control and Prevention had reported 4 159 055 cases COVID-19 111 357 deaths among 55 African Union member states; however, no country has published a nationally representative serosurvey as October 2021. Such data are vital understanding pandemic's progression on continent, evaluating containment measures, policy planning.We conducted cross-sectional, representative, age-stratified in Sierra Leone 2021 by randomly selecting 120 Enumeration...
Inappropriate use of antibiotics during the COVID-19 pandemic has potential to increase burden antimicrobial resistance. In this study, we report on prevalence antibiotic and its associated factors among suspected confirmed patients admitted 35 health facilities in Sierra Leone from March 2020–March 2021. This was a cross-sectional study using routinely collected patient data. Of 700 patients, 47% received antibiotics. The majority (73%) belonged ’WATCH’ group antibiotics, which are highly...
Primary healthcare (PHC) is the first point of contact with communities and essential for epidemic preparedness. The COVID-19 pandemic exposed gaps in PHC resilience. Epidemic Ready Health Care (ERPHC) was designed to bridge these by strengthening prevent, detect, respond outbreaks while maintaining services. An ERPHC pilot initiated December 2023 654 facilities across Ethiopia, Nigeria, Sierra Leone, Uganda. approach improves connection local communities, detection reporting cases, worker...
Background The COVID-19 pandemic severely impacted health systems in several countries, including Sierra Leone, which was recovering from the 2014-2016 Ebola Virus Disease epidemic. National Referral Service established 2017 followed by launching of Emergency Medical Services (NEMS) 2018 to strengthen country's referral system as part post-Ebola recovery strategy. This study examined impact on and hospital bed occupancy Leone. Methods We conducted a retrospective using individual-level daily...
Introduction Sierra Leone is one of the 30 high TB burden countries, with an incidence rate in 2023 286 per 100,000 population. Despite progress case notification and treatment coverage, around 5,000 cases are missing each year. Challenges drug-susceptible can result drug-resistant TB. The COVID-19 pandemic has further compounded these challenges, resulting increased poor outcomes. This study highlights effect on Methods We conducted a cross-sectional retrospective analysis newly identified...
In China, even though the prevalence of dyslipidemia among adults increased yearly and being an important risk factor for cardiovascular diseases Chinese population, however, awareness, treatment control are at low levels, only limited studies on influence factors associated with in China have been carried out. The analysis was based a representative sample 7138 adult subjects aged 18 ~ 79 years recruited from cross-sectional study chronic disease Jilin province 2012. Chi-square test used to...
In resource‐poor countries where access to infertility care is limited, women may turn traditional medicine achieve motherhood. It unknown whether Sierra Leonean with such condition use herbal medicine. This study investigates the prevalence and factors associated among seeking for infertility. was a questionnaire‐based cross‐sectional conducted at various clinics within Freetown, Leone. Data analysis included Chi‐square tests logistic regression. Out of 167 that participated, 36.5% used...
Objective Inappropriate use of antibiotics is a major driver antibiotic resistance. A few studies conducted in Africa have documented that about half hospitalised patients who receive should not received them. hospital-based been Sierra Leone high usage hospitals. Therefore, we nationwide point prevalence survey on among Leone. Design We hospital-based, cross-sectional the using WHO methodology. Setting The study was 26 public and private hospitals are providing inpatient healthcare...
Globally, Sierra Leone is ranked among the countries with worst maternal and child health indicators. The mortality of women children significantly higher compared other developing countries. death can be prevented by simple cost-effective community-based interventions. aim this present study was to learn knowledge levels on health, treatment-seeking preventive behaviours in rural provide appropriate suggestions for policy makers. Moreover, also aimed evaluate effect a husband's involvement...
Coronary Heart Disease (CHD) is one of the leading causes death in world with a projected global 82 million DALYs by 2020. Genetic and environmental factors contribute to CHD development. Here, authors investigate association between risk three Single Nucleotide Polymorphisms (SNPs) AdipoQ gene (rs3774261, rs1063537 rs2082940); interaction this factors, Northeast Han Chinese population. Using case–control study design, 1514 participants (754 cases 760 controls) were investigated. Three...
Many factors affect menopausal age, and early or late onset of menopause may be associated with many chronic health problems. However, limited data are available regarding this phenomenon in the Northeast China population. For study, 2011 elderly women were selected as a sample from participants cross-sectional survey performed using stratified, clustered multistage, random sampling methods. Early was more prevalent subjects born 1943 to 1947 (OR = 1.708, 95% CI 1.205, 2.420) 1933 1937...
Monitoring antibiotic consumption is crucial to tackling antimicrobial resistance. However, currently there no system in Sierra Leone for recording and reporting on consumption. We therefore conducted a cross-sectional study assess national expressed as defined daily dose (DDD) per 1000 inhabitants day using all registered imported antibiotics (categorized under the subgroup J01 anatomical therapeutic classification (ATC) system) proxy. Between 2017–2019, total cumulative of was 19 DDD day....
Healthcare-associated infections (HAIs) result in millions of avoidable deaths or prolonged lengths stay hospitals and cause huge economic loss to health systems communities. Primarily, HAIs spread through the hands healthcare workers, so improving hand hygiene can reduce their spread. We evaluated practices promotion across 13 public (six secondary seven tertiary hospitals) Western Area Sierra Leone a cross-sectional study using WHO self-Assessment framework May 2021. The mean score for all...
Although hand hygiene (HH) is the most effective intervention to reduce spread of infections, there are limited data on HH facilities, policy, and compliance in sub-Saharan Africa. This cross-sectional study aimed at assessing using WHO self-assessment framework, technical reference manual, a modified infection control tool two hospitals Sierra Leone. Only 10% 9% regional capital city had running tap water, respectively. Veronica buckets were resources for 89% units hospital 92% hospital....
Objective To investigate the prevalence of cardiometabolic risk factors (CMRFs), target organ damage (TOD) and its associated among adults in Freetown, Sierra Leone. Design This community-based cross-sectional study used a stratified multistage random sampling method to recruit adult participants. Setting The health screening was conducted between October 2019 2021 Western Area Urban, Participants A total 2394 Leoneans aged 20 years or older were enrolled. Outcome measure Anthropometric...
Abstract Background Although one of the main drivers antimicrobial resistance is inappropriate antibiotic prescribing, there are limited resources to support surveillance consumption in low-income countries. In this study, we aimed assess use and among medical patients two hospitals different geographic regions Sierra Leone. Methods This a cross-sectional study adult (18 years or older) receiving care at (34 Military Hospital-MH Makeni Government Hospital-MGH) between March 2021 October...
Background Psychological disorders are common in diabetes mellitus (DM) patients, and the aim of this study was to estimate prevalence psychological distress determine influence factors associated with among DM patients Jilin province China. Methods Materials Multistage, stratified cluster sampling used cross-sectional study. The 12-item General Health Questionnaire (GHQ-12) assess status total score ≥4 as threshold for distress. Results A 1,956 subjects were included Out diabetic...
Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance limiting health care-associated infections. We compared IPC performance before (2019) during the COVID-19 (2021) era at national unit all regional (4) district hospitals (8) in Sierra Leone.Cross-sectional assessments using standardized World Health Organizations checklists. scores were graded as inadequate = 0-25%, basic 25.1-50%, intermediate 50.1-75%, advanced 75.1-100%.Overall improved from 'basic'...
Background: Monitoring of adverse drug reactions (ADRs) to antimicrobials is important, as they can cause life-threatening illness, permanent disabilities, and death. We assessed country-wide ADR reporting on their outcomes. Methods: A cross-sectional study was conducted using individual case safety reports (ICSRs) entered into the national pharmacovigilance database (VigiFlow) during 2017–2021. Results: Of 566 ICSRs, inconsistent seen, with highest in 2017 2019 (mass campaigns for...