- Global Health Care Issues
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Health disparities and outcomes
- Child Nutrition and Water Access
- Insurance, Mortality, Demography, Risk Management
- Vaccine Coverage and Hesitancy
- Poverty, Education, and Child Welfare
- COVID-19 epidemiological studies
- Microscopic Colitis
- Employment and Welfare Studies
- Health Systems, Economic Evaluations, Quality of Life
- Hepatitis Viruses Studies and Epidemiology
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Nosocomial Infections in ICU
- Viral gastroenteritis research and epidemiology
- Global Public Health Policies and Epidemiology
- Early Childhood Education and Development
- Clostridium difficile and Clostridium perfringens research
Harvard Global Health Institute
2021-2024
University of Bergen
2024
World Bank Group
2023
Harvard University
2021
Abstract Background Financial risk protection (FRP) is a key component of universal health coverage (UHC): all individuals must be able to obtain the services they need without experiencing financial hardship. In many low-income and lower-middle-income countries, however, system fails provide sufficient against high out-of-pocket (OOP) spending on services. 2018, OOP comprised approximately 40% current expenditures in countries. Methods We model household catastrophic (CHE), conditional...
Aggregate trends can be useful for summarizing large amounts of information, but this obscure important distributional aspects. Some population subgroups worse off even as averages climb, example. Distributional information identify health inequalities, which is essential to understanding their drivers and possible remedies.
Background The COVID-19 pandemic has caused profound health, economic, and social disruptions globally. We assessed the full costs of hospitalization for disease at Ekka Kotebe treatment center in Addis Ababa, largest hospital dedicated to patient care Ethiopia. Methods findings retrospectively collected analysed clinical cost data on patients admitted with laboratory-confirmed infections. Cost included personnel time salaries, drugs, medical supplies equipment, facility utilities, capital...
Early childhood development (ECD) sets the foundation for healthy and successful lives with important ramifications education, labour market outcomes other domains of well-being. Even though a large number interventions that promote ECD have been implemented evaluated globally, there is currently no standardised framework allows comparison relative cost-effectiveness these interventions.We first reviewed existing literature to document main approaches used assess effectiveness ECD, including...
Although death in old age is unavoidable, premature death-defined here as before 70 years-is not. To assess whether halving mortality by 2050 feasible, we examined the large variation rates years and trends over past 50 (1970-2019), covering ten world regions 30 most-populous nations. This analysis was undertaken conjunction with third report of The Lancet Commission on Investing Health: Global Health 2050: path to mid-century.
Background Vaccine-preventable diseases (VPDs) remain major causes of morbidity and mortality in low- middle-income countries (LMICs). Universal access to vaccination, besides improved health outcomes, would substantially reduce VPD-related out-of-pocket (OOP) expenditures associated financial risks. This paper aims estimate the extent OOP magnitude catastrophic (CHEs) for selected VPDs Ethiopia. Methods findings We conducted a cross-sectional costing analysis, from household (patient)...
To examine the capacity and quality of maternal child health (MCH) services at subnational primary healthcare (PHC) level in 12 low-income middle-income countries (LMICs) its association with intermediate outputs such as coverage access to care. Observational cross-sectional study using matched data from service provision assessment surveys demographic 2007 2019. 138 areas available survey LMICs (Afghanistan, Bangladesh, Democratic Republic Congo, Haiti, Kenya, Malawi, Namibia, Nepal,...
Clostriodiodes difficile infection (CDI) is a major cause of healthcare-associated diarrhoea with high mortality. There lack validated predictors for severe outcomes in CDI. The aim this study to derive and validate clinical prediction tool CDI in-hospital mortality using large critical care database.The demographics, parameters, laboratory results were extracted from the Medical Information Mart Intensive Care-III (MIMIC-III) database. We subsequently trained three machine learning models:...
Objectives Despite major progress in the prevention and control of malaria recent years, disease remains a cause morbidity Ethiopia. Malaria also imposes substantial socioeconomic costs on households. The aim this study is to estimate financial risk seeking service for rural households across statuses Jimma Zone, Oromia Region. Design A facility-based cross-sectional survey. Setting Region, Southwest Participants total 221 patients with from 10 public health facilities were interviewed...
While reductions in child mortality have been observed across sub-Saharan African countries the last 30 years, narrowing gaps under-five socioeconomic groups also requires an understanding of multiple associations between health and welfare drivers. We examined probability density distributions within joint pathways wealth over time.We used 69 Demographic Health Surveys 19 Malaria Indicator from countries, with each country having at least two surveys conducted since 2000. constructed a...
Abstract Background Similar to the study of distribution income within countries, population-level health disparities can be examined by analyzing age at death. Methods We sourced period-specific death counts for 18 OECD countries over 1900–2020 from Human Mortality Database. studied evolution country-year-specific distributions death, with an examination lower and upper tails these distributions. For each country-year, we extracted 1st, 5th, 10th, 90th, 95th 99th percentiles age-at-death...
Immunization is one of the most effective public health interventions, saving millions lives every year. Ethiopia has seen gradual improvements in immunization coverage and access to child care services; however, inequalities mortality across wealth quintiles regions remain persistent. We model relative distributional incidence four vaccine-preventable diseases (VPDs) (rotavirus diarrhea, human papillomavirus, measles, pneumonia) by quintile geographic region Ethiopia. Our approach...