A5091867377- Tuberculosis Research and Epidemiology
- Viral Infections and Outbreaks Research
- Disaster Response and Management
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Zoonotic diseases and public health
- HIV/AIDS Impact and Responses
- Chronic Disease Management Strategies
- Global Security and Public Health
- Food Security and Health in Diverse Populations
- Global Health Workforce Issues
- Agricultural risk and resilience
- HIV/AIDS Research and Interventions
- Health and Conflict Studies
- HIV/AIDS oral health manifestations
- Mental Health and Psychiatry
- Child Nutrition and Water Access
- COVID-19 epidemiological studies
- Supply Chain Resilience and Risk Management
- COVID-19 and Mental Health
- HIV, Drug Use, Sexual Risk
- Infectious Diseases and Tuberculosis
- Insurance and Financial Risk Management
- Mycobacterium research and diagnosis
- Otolaryngology and Infectious Diseases
Médecins Sans Frontières
2016-2025
Médecins Sans Frontières
2014-2024
Oromiyaa Regional Health Bureau
2023
Little is understood of Ebola virus disease (EVD) transmission dynamics and community compliance with control measures over time. Understanding these interactions essential if interventions are to be effective in future outbreaks. We conducted a mixed-methods study explore factors rural village that experienced sustained EVD Kailahun District, Sierra Leone.We reconstructed using cross-sectional survey April 2015, cross-referenced our results surveillance, burial, Management Centre (EMC)...
Timely uptake of antiretroviral therapy, adherence and retention in care for people living with HIV (PLHIV) can improve health outcomes reduce transmission. Médecins Sans Frontières the Swaziland Ministry Health provide community-based testing services (HTS) Shiselweni, Swaziland, high HTS coverage but sub-optimal linkage to care. This qualitative study examined factors influencing PLHIV diagnosed by HTS.Participants were sampled purposively, exploring experiences among both genders...
Ambulatory, community-based care for multi-drug resistant tuberculosis (MDR-TB) has been found to be effective in multiple settings with high cure rates. However, little is known about patient preferences around models of MDR-TB care. Médecins Sans Frontières (MSF) delivered home-based treatment the rural Kitgum and Lamwo districts northern Uganda since 2009 collaboration Ministry Health National TB Leprosy Programme. We conducted a qualitative study examining experience patients key...
Evidence is urgently needed from complex emergency settings to support efforts respond the increasing burden of diabetes mellitus (DM). We conducted a qualitative study new model DM health care (Integrated Diabetic Clinic within an Outpatient Department [IDC-OPD]) implemented by Médecins Sans Frontières (MSF) in Mweso Hospital eastern Democratic Republic Congo (DRC). aimed explore patient and provider perspectives on order identify factors that may or impede it.We used focus group...
During the West Africa Ebola outbreak, cultural practices have been described as hindering response efforts. The acceptance of control measures improved during but little is known about how and why this occurred. We conducted a qualitative study in two administrative districts Sierra Leone to understand survivor, community, health worker perspectives on measures. aimed gain an understanding community interactions with inform future intervention strategies.Participants (25 survivors, 24...
Treatment for multi-drug resistant tuberculosis (MDR-TB) is lengthy, has severe side effects, and raises adherence challenges. In the Médecins Sans Frontières (MSF) Ministry of Health (MoH) programme in Karakalpakstan, Uzbekistan, a region with high burden MDR-TB, patient loss from treatment (LFT) remains despite support strategies. While certain factors associated LFT have been identified, there limited understanding why some patients are able to adhere while others not. We conducted...
Sierra Leone has the world's highest estimated maternal mortality. Following 2014-16 Ebola outbreak, we described health outcomes and health-seeking behaviour amongst pregnant women to inform policy. In October 2016-January 2017, conducted a sequential mixed-methods study in urban rural areas of Tonkolili District comprising: household survey targeting who had given birth since onset outbreak; structured interviews at sites investigating deaths reporting; in-depth (IDIs) mothers, community...
Background In 2011, Médecins Sans Frontières (MSF) established a blogging project, "TB&Me," to enable patients with multidrug-resistant tuberculosis (MDR-TB) share their experiences. By September 2012, 13 MDR-TB had blogged, either directly or assistance, from the UK, Australia, Philippines, Swaziland, Central African Republic, Uganda, South Africa, India, and Armenia. Due lack of research on potential for social media support treatment innovative nature blog, we decided conduct qualitative...
Noma, a neglected disease mostly affecting children, with 90% mortality rate if untreated, is an orofacial gangrene that disintegrates the tissues of face in <1 wk. Noma can become inactive early stage antibiotic treatment. Traditional healers, known as mai maganin gargajiya Hausa, play important role health system and provide care to noma patients.We conducted 12 in-depth interviews caretakers who were looking after patients admitted at Children's Hospital 15 traditional healers their home...
Abstract Introduction Person-centred care, an internationally recognised priority, describes the involvement of people in their care and treatment decisions, consideration needs priorities within service delivery. Clarity is required regarding how it may be implemented practice different contexts. The standard multi-drug resistant tuberculosis (MDR-TB) regimen lengthy, toxic insufficiently effective. 2019 World Health Organisation guidelines include a shorter (9–11-month) recommend that with...
Noma is an orofacial gangrene that rapidly disintegrates the tissues of face. Little known about noma, as most patients live in underserved and inaccessible regions. We aimed to assess descriptive language used beliefs around at Children's Hospital Sokoto, Nigeria. Findings will be inform prevention programs.Five focus group discussions (FGD) were held with caretakers noma who admitted hospital time interview, 12 in-depth interviews (IDI) staff hospital. Topic guides for adapted encourage...
Abstract Background This study evaluated an early warning, alert and response system for a crisis-affected population in Doolo zone, Somali Region, Ethiopia, 2019–2021, with history of epidemics outbreak-prone diseases. To adequately cover area populated by semi-nomadic pastoralist, or livestock herding, sparse access to healthcare facilities, the surveillance included four components: health facility indicator-based surveillance, community indicator- event-based alerts from other actors...
The joint Médecins Sans Frontières/Ministry of Health Multidrug-Resistant Tuberculosis (MDR-TB) Programme, Karakalpakstan, Uzbekistan.Uzbekistan has high rates MDR-TB. We aimed to understand patients' and prescribers' attitudes anti-tuberculosis drug prescription, regulation drug-taking behaviour.Participants (12 patients, 12 practitioners) were recruited purposively. Data gathered qualitatively using field notes in-depth interviews analysed thematically.Our analysis highlighted two main...
Introduction People living with multidrug-resistant tuberculosis currently have few options for effective treatment and cure. Regimens that are available toxic, may involve injections take up to 2 years complete treatment, success rates as low 50%. The TB-PRACTECAL trial is evaluating shorter, more tolerable regimens of oral drugs; we detail the substudy within this trial, PRACTECAL-PRO, which aims evaluate patient experiences perspectives on understand outcomes fully. Methods analysis We...
Tuberculosis (TB) often concentrates in groups of people with complex health and social issues, including alcohol use disorders (AUD). Risk TB, poor TB treatment outcomes, are substantially elevated who have AUD. Médecins sans Frontières the Belarus Ministry Health worked to improve adherence patients multi-drug or rifampicin resistant (MDR/RR)-TB harmful alcohol. In 2016, a person-centred, multidisciplinary, psychosocial support harm reduction programme delivered by doctors, counsellors,...
Abstract Background TB is concentrated in populations with complex health and social issues, including alcohol use disorders (AUD). We describe treatment adherence outcomes a person-centred, multidisciplinary, psychosocial support harm reduction intervention for people multidrug-resistant or rifampicin-resistant (MDR/RR-TB) harmful use. Methods An observational cohort study, multilevel mixed-effects logistic regression survival analysis living Minsk admitted MDR/RR-TB AUD during January...
Abstract Background Reducing mortality of children <5 years in Sierra Leone is a priority. Despite an enabling policy environment, health indicators have remained poor. Evidence on barriers to care limited. Objectives This study describes care, health-seeking behaviour, and outcomes years. Methods From October 2016 January 2017, we conducted sequential mixed-methods urban rural areas Tonkolili District comprising: household survey targeting carers years; in-depth interviews (IDIs)...
Introduction Standard multidrug-resistant tuberculosis (MDR-TB) treatment is lengthy, toxic, and insufficiently effective. New drugs a shorter regimen (SCR) are now recommended. However, patient health-care worker (HCW) perspectives regarding the SCR unknown. We aimed to determine views experiences of patients with MDR-TB HCW in Karakalpakstan, Uzbekistan. Methods In qualitative study, we conducted 48 in-depth interviews 24 people 20 HCW, purposively recruited include those range...