A5023732450- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Child Nutrition and Water Access
- Pneumocystis jirovecii pneumonia detection and treatment
- Infant Development and Preterm Care
- Reproductive Health and Contraception
- Adolescent Sexual and Reproductive Health
- Disaster Response and Management
- Maternal and Perinatal Health Interventions
- Healthcare Policy and Management
- Pharmaceutical industry and healthcare
- Viral Infections and Outbreaks Research
- Female Genital Mutilation/Cutting Issues
- Palliative Care and End-of-Life Issues
- Breastfeeding Practices and Influences
- Healthcare Systems and Reforms
- Global Health Care Issues
- Child and Adolescent Health
- Maternal and Neonatal Healthcare
- HIV-related health complications and treatments
- Neonatal Respiratory Health Research
- Antibiotic Use and Resistance
- Pharmacological Effects and Toxicity Studies
- Grief, Bereavement, and Mental Health
- Youth Education and Societal Dynamics
University of London
2010-2024
London School of Hygiene & Tropical Medicine
2006-2024
University of Trnava
2019
Marie Stopes International
2018
Cicely Saunders International
2012-2014
King's College London
2007-2014
University of Aberdeen
2006-2010
St Thomas' Hospital
2010
Ifakara Health Institute
2010
Weston College
2009
The poor maintenance of equipment and inadequate supplies drugs other items contribute to the low quality maternity services often found in rural settings low- middle-income countries, raise risk adverse patient outcomes through delaying care provision. We aim describe staff experiences providing maternal neonatal health facilities Southern Tanzania, focusing on issues related equipment, supplies. Focus group discussions in-depth interviews were conducted with different cadres from all...
Progress towards reaching Millennium Development Goals four (child health) and five (maternal is lagging behind, particularly in sub-Saharan Africa, despite increasing efforts to scale up high impact interventions. Increasing the proportion of birth attended by a skilled attendant main indicator progress, but not much known about quality childbirth care delivered these attendants. With view reducing maternal mortality through health systems improvement we describe routinely offered at...
Background: World Health Organization’s essential drugs list can control the highly prevalent HIV-related pain and symptoms. Availability of medicines directly influences clinicians’ ability to effectively manage distressing manifestations HIV. Aim: To determine availability symptom controlling in East Africa within President’s Emergency Plan for AIDS Relief–funded HIV health care facilities. Design: Directly observed quantitative facilities’ pharmacy stock review. We measured availability,...
Background We report a cluster-randomised trial of home-based counselling strategy, designed for large-scale implementation, in population 1.2 million people rural southern Tanzania. hypothesised that the strategy would improve neonatal survival by around 15%. Methods and Findings In 2010 we trained 824 female volunteers to make three home visits women their families during pregnancy two them first few days infant's life 65 wards, selected randomly from all 132 wards six districts Mtwara...
Despite recent improvements in child survival sub-Saharan Africa, neonatal mortality rates remain largely unchanged. This study aimed to determine the frequency of delivery and newborn-care practices southern Tanzania, where is higher than national average. All households five districts Southern Tanzania were approached participate. Of 213,220 female residents aged 13–49 years, 92% participated. Cross-sectional, retrospective data on childbirth newborn care collected from 22,243 respondents...
Neonatal mortality because of low birth weight or prematurity remains high in many developing country settings. This research aimed to estimate the sensitivity and specificity, positive negative predictive values newborn foot length identify babies who are premature need extra care a rural African setting. A cross-sectional study hospital, with community follow-up on fifth day life, was carried out between 13 July 16 October 2009 southern Tanzania. Foot length, gestational age were estimated...
In Ghana, a universal free delivery policy was implemented to improve access care in health facilities, thereby improving skilled attendance and reducing maternal mortality.A confidential enquiry conducted ascertain if changes had occurred the provided by reviewing given sample of deaths before after introduction policy.Twenty women who died as result pregnancy-related complications (maternal deaths) selected hospitals two regions were assessed clinical panel, guided death assessment form....
Hypothermia contributes to neonatal morbidity and mortality in low-income countries, yet little is known about thermal care practices rural African settings. We assessed adoption community acceptability of recommended Tanzania. A multi-method qualitative study, enhanced with survey data. For the component we triangulated birth narrative interviews focus group discussions mothers traditional attendants. Results were then contrasted related quantitative Qualitative analyses sought identify...
In Sub-Saharan Africa over one million newborns die annually. We developed a sustainable and scalable home-based counselling intervention for delivery by community volunteers in rural southern Tanzania to improve newborn care practices survival. Here we report the effect on year after full implementation. All 132 wards 6-district study area were randomised or comparison groups. Starting 2010, areas trained made home visits during pregnancy childbirth promote recommended including hygiene,...
Despite the huge burden of HIV in sub-Saharan Africa, there is little evidence multidimensional needs patients with infection to inform person-centred care across physical, psychological, social and spiritual domains stipulated policy guidance. We aimed describe problems experienced by people Kenya Uganda management these outpatient services. Local researchers conducted depth qualitative interviews patients, caregivers service staff at 12 facilities (6 Kenya, 6 Uganda). Interview data were...
Background Lassa fever (LF), a haemorrhagic illness caused by the virus (LASV), is endemic in West Africa and causes 5000 fatalities every year. The true prevalence incidence rates of LF are unknown as infections often asymptomatic, clinical presentations varied, surveillance systems not robust. aim Enable research programme to estimate incidences LASV infection disease five African countries. core protocol described here harmonises key study components, such eligibility criteria, case...
Low birthweight babies need extra care, and families to know whether their newborn is low in settings where many births are at home weighing scales largely absent. In the context of a trial improve health southern Tanzania, counselling card was developed that incorporated foot length measurement tool screen newborns for birth weight prematurity. This used by community volunteers visits shows scale picture with markers 'short foot' (<8 cm). The built on previous hospital based research found...
Global health investment has reduced HIV mortality and transmission. However, little is known of patient-reported outcomes alongside ART rollout. This study aimed to measure wellbeing using outcome measures (PROMS) among outpatients at PEPFAR-funded facilities.In a multicentre 2 country cross-sectional study, adults attending 12 facilities in Kenya Uganda gave self-reported data on quality life (physical mental dimensions), functional multidimensional problems (physical, psychological,...
As part of the independent evaluation Healthy Respect (a national demonstration project to improve teenage sexual health in Scotland) this study examined effect school-based education intervention comprising multiprofessional classroom delivery and alongside drop-in clinics on behaviour outcomes.Before-and-after cross-sectional surveys secondary school pupils (average age 14 years 6 months) were used 10 schools Lothian region 5 comparison without Grampian (2001 2003).By 2003, proportion...
To inform improvements in safe abortion and post-abortion family planning (PAFP) services, this study aimed to explore the pathways, decision-making, experiences preferences of women receiving at private clinics western Kenya. We conducted semi-structured interviews with 22 who had recently used a service from clinic. Interviews explored abortion-seeking behaviour experience, use knowledge contraception, experience PAFP counselling, perceived facilitators challenges use. Respondents...
There is continuing concern about high pregnancy rates and increasing numbers of sexually transmitted infections being detected in Scottish adolescents. Consistent evidence factors associated with risky sexual behaviours, including early first intercourse, may help to identify adolescents at risk improve interventions. This study aimed provide detailed analysis the associations between individual intercourse using cross-sectional questionnaire data from 4,379 who participated a health...
A public health response is essential to meet the multidimensional needs of patients and families affected by HIV disease in sub-Saharan Africa. In order appraise curret provision care support East Africa, provide evidence-based direction future programming, Public Health Evaluation was commissioned PEPFAR programme US Government. This paper described 2-Phase international mixed methods study protocol utilising longitudinal outcome measurement, surveys, patient family qualitative interviews...
Objectives We aimed to determine for the first time prevalence and severity of multidimensional problems in a population newly diagnosed with HIV at outpatient clinics Africa. Methods Recently patients (within previous 14 days) were consecutively recruited 11 Kenya Uganda. Participants completed validated questionnaire, African Palliative Outcome Scale (POS), three underpinning factors. Ordinal logistic regression was used evaluate risk factors physical, psychological, interpersonal...
BackgroundHome visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of volunteers is challenging.