A5030093048- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Healthcare Systems and Reforms
- Child Nutrition and Water Access
- Global Public Health Policies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Community Health and Development
- Primary Care and Health Outcomes
- Children's Rights and Participation
- Participatory Visual Research Methods
- Global Health and Surgery
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Mobile Health and mHealth Applications
- Maternal and Perinatal Health Interventions
- Health Policy Implementation Science
- COVID-19 Digital Contact Tracing
- Neonatal and Maternal Infections
- Healthcare Systems and Challenges
- Healthcare Systems and Technology
- Health Literacy and Information Accessibility
- Maternal and fetal healthcare
- COVID-19 epidemiological studies
- Innovation and Socioeconomic Development
- Organic Food and Agriculture
Liverpool School of Tropical Medicine
2018-2024
London School of Hygiene & Tropical Medicine
2023-2024
Facultad Latinoamericana de Ciencias Sociales
2023
Kumasi Technical University
2023
Institute of Development Studies
2021-2023
University of London
2022
This paper highlights the major challenges and considerations for addressing COVID-19 in informal settlements. It discusses what is known about vulnerabilities how to support local protective action. There heightened concern urban settlements because of combination population density inadequate access water sanitation, which makes standard advice social distancing washing hands implausible. are further do with lack reliable data social, political economic contexts each setting that will...
Effective referral systems from the community to health care facility are essential save lives and ensure quality a continuum of care. The effectiveness in Mozambique depends on multiple factors that involve three main stakeholders: clients/community members; workers (CHWs); facility-based workers. Each stakeholder is dependent other could form either barrier or facilitator within complex system Mozambique. This qualitative study, aiming explore barriers enablers lens adaptive systems,...
Abstract Background Community health workers (CHWs) are critical players in fragile settings, where staff shortages particularly acute, indicators poor and progress towards Universal Health Coverage is slow. Like other workers, CHWs need support to contribute effectively programmes promote equity. Yet the evidence base of what kind works best weak. We present from three settings—Sierra Leone, Liberia Democratic Republic Congo on managing CHWs, synthesise recommendations for approaches this...
The complexity of issues addressed by research for development (R4D) requires collaborations between partners from a range disciplines and cultural contexts. Power asymmetries within such partnerships may obstruct the fair distribution resources, responsibilities benefits across all partners. This paper presents cross-case analysis five R4D partnership evaluations, their methods how they unearthed power asymmetries. It contributes to field evaluations detailing approaches employed evaluate...
Health extension workers (HEWs) are the key cadre within Ethiopian Extension Programme extending health care to rural communities. National policy guidance supports use of mHealth improve data quality and use. We report on a mobile Management Information system (HMIS) with HEWs assess its impact use, community service provision HEWs' experiences.We used mixed methods approach, including an iterative process intervention development for 2 out 16 essential packages services, quantitative...
There is considerable optimism in mHealth's potential to overcome health system deficiencies, yet gender inequalities can weaken attempts scale-up mHealth initiatives. We report on the gendered experiences of an intervention, Southern Ethiopia, realised by all-female cadre Health Extension Workers (HEWs). Following introduction in-depth interviews (n = 19) and focus group discussions 8) with HEWs, supervisors community leaders were undertaken understand whether technology acted as empowering...
Objective To explore how gender influences the way community health workers (CHWs) are managed and supported effects on their work experiences. Setting Two districts in three fragile countries. Sierra Leone—Kenema Bonthe districts; Liberia—two Grand Bassa county one with international support for CHW activities without: Democratic Republic of Congo (DRC)—Aru Bunia Ituri Province. Participants methods Qualitative interviews decision-makers managers working programmes managing CHWs (n=36);...
For the large population living in Nairobi’s informal settlements, long-term effects of Covid-19 pose a threat to livelihoods, health, and wellbeing. those working sector, who are lifeblood city, livelihoods have been severely supressed by restrictions such as curfews, pushing many into further poverty. This article draws on community data, meetings, authors’ observations organisers, explore challenges posed existing government responses from development perspective. We found that poor...
Cultural barriers to health facility-based childbirth are a common experience worldwide despite wide variations in context. Close-to-community (CTC) maternal providers play an important role bridging communities and systems their particularly key. This study explored the views of CTC other community members on cultural two districts Indonesia six Sidama Zone, southern Ethiopia. Employing qualitative approach, we conducted 110 semi-structured interviews (SSIs) 7 focus group discussions (FGDs)...
Abstract Background Mozambique’s community health programme has a disproportionate number of male workers (known as Agentes Polivalentes Elementares (APEs)). The Government Mozambique is aiming to increase the proportion females constitute 60% improve maternal and child outcomes. To understand imbalance, this study explored current recruitment processes for APEs how these are shaped by gender norms, roles relations, well they influence experience retention in Maputo Province, Mozambique....
Transboundary health partnerships are shaped by global inequities. Perspectives from the “global South” critical to understand and redress power asymmetries in research yet not often included current guidelines. We undertook with partners working Liverpool School of Tropical Medicine (LSTM) inform LSTM’s equitable partnership strategy co-develop principles for as an entry point towards broader transformative action on partnerships. applied mixed-methods participatory approaches. An online...
Equitable health research requires actively engaging communities in producing new knowledge to advocate for their needs. Community-based participatory (CBPR) relies on the coproduction of contextual and grounded between researchers, programme implementers community partners with aim catalysing action change. Improving competencies can support quality validity. Yet, frameworks guidance highlighting ideal conditions needed all contribute meaningfully equitably are lacking. This paper aims...
# Background Health extension workers (HEWs) are the implementers of unique primary health care programme Ethiopia. They facilitate community participation in maternal service delivery via development army (HDA) and pregnant women forums (PWFs). As part a quality improvement intervention, HEWs received training, guidance supervision focused on facilitation HDA meetings PWFs. We aimed to assess effect intervention utilization explore perceptions stakeholders regarding efforts enhance health....
Abstract Background Community Health Workers (CHWs) are critical players in fragile settings, where staff shortages particularly acute, health indicators poor and progress towards Universal Coverage is slow. Like other workers, CHWs need support to contribute effectively programmes promote equity. Yet the evidence base of what kind works best weak. We present from three settings - Sierra Leone, Liberia Democratic Republic Congo on managing CHWs, synthesise recommendations for approaches this...
Children heading households (CHH) in urban informal settlements face specific vulnerabilities shaped by limitations on their opportunities and capabilities within the context of inequities, which affect wellbeing. We implemented photovoice research with CHHs to explore intersections between social environmental Nairobi’s settlements. enrolled trained four living two settlements—Korogocho Viwandani—to utilise smartphones take photos that reflected experiences marginalisation what can be done...
Health system shocks are increasing. The COVID-19 pandemic resulted in global disruptions to health systems, including maternal and newborn healthcare seeking provision. Yet evidence on mitigation strategies protect service delivery is limited. We sought understand what were employed small sick care (SSNC) across 65 facilities Kenya, Malawi, Nigeria Tanzania, implementing with the NEST360 Alliance, if any could be maintained post-pandemic.We used qualitative methods (in-depth interviews...
The World Health Organization recognises Routine Information System (RHIS) data as integral to data-driven health systems; needed improve intrapartum outcomes for maternal and newborn worldwide. However, research in Bangladesh Tanzania suggests that mode of birth affects register accuracy, but little is known about why. To address this gap, we undertook qualitative these two public-sector systems. We conducted 44 in-depth interviews (Sept-Dec 2020) 35 (Feb-April 2023). Participants included...
Safeguarding challenges in global health research include sexual abuse and exploitation, physical psychological abuse, financial exploitation neglect. Intersecting individual identities (such as gender age) shape vulnerability to risk. Adolescents, who are widely included reproductive research, may be particularly vulnerable. Sensitive topics like teenage pregnancy lead multiple risks. We explored potential safeguarding risks mitigation strategies when studying pregnancies informal urban...
Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health Nutrition (RMNCAH-N). However, how community supports integrated RMNCAH-N service delivery in francophone West Africa under-researched.
In Kenya, the pregnancy rate of 15% among adolescents aged 15-19 years is alarmingly high. Adolescent girls living in informal urban settlements are exposed to rapid socio-economic transitions and multiple intersecting health risks may be particularly disadvantaged accessing sexual reproductive services. Understanding vulnerabilities service-seeking behaviours from different perspectives important order support development implementation progressive policies services that meet adolescents'...
Urbanization is rapidly increasing across Africa, including in Nairobi, Kenya. Many people, recent migrants and long-term residents, live within dense dynamic urban informal settlements. These contexts are fluid heterogeneous, deepening the understanding of how vulnerabilities marginalization experienced important to inform pointed action, service delivery policy priorities. The aim this paper explore Korogocho Viwandani settlements Nairobi generate lessons on value a spectrum community...