A5018273652- Child Nutrition and Water Access
- Global Maternal and Child Health
- Breastfeeding Practices and Influences
- Global Public Health Policies and Epidemiology
- Poverty, Education, and Child Welfare
- Mental Health Treatment and Access
- Global Health and Epidemiology
- Chronic Disease Management Strategies
- Health Promotion and Cardiovascular Prevention
- HIV/AIDS Impact and Responses
- Food Security and Health in Diverse Populations
- Health Literacy and Information Accessibility
- HIV/AIDS Research and Interventions
- Child Nutrition and Feeding Issues
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Health disparities and outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Data-Driven Disease Surveillance
- Mobile Health and mHealth Applications
- Birth, Development, and Health
- Obesity, Physical Activity, Diet
- Agricultural risk and resilience
- Urban and Rural Development Challenges
- Child and Adolescent Health
African Population and Health Research Center
2016-2025
University Medical Center Utrecht
2016-2025
Utrecht University
2017-2025
Amsterdam Institute for Global Health and Development
2024
University of Oxford
2024
Harvard University
2020-2023
Harvard Global Health Institute
2020-2021
Oklahoma State University Center for Health Sciences
2020
Food and nutrition security is critical for economic development due to the role of in healthy growth human capital development. Slum residents, already grossly affected by chronic poverty, are highly vulnerable different forms shocks, including those arising from political instability. This study describes food situation among slum residents Nairobi, with specific focus on vulnerability associated 2007/2008 postelection crisis Kenya. The which data drawn was nested within Nairobi Urban...
Abstract Poor breastfeeding practices are widely documented in K enya, where only a third of children exclusively breastfed for 6 months and 2% urban poor settings. This study aimed to better understand the factors that contribute two slums N airobi, enya. In‐depth interviews ( IDIs ), focus group discussions FGDs ) key informant KIIs were conducted with women childbearing age, community health workers, village elders leaders other knowledgeable people community. A total 19 , 10 11...
Hypertension is the most important risk factor for cardiovascular diseases and leading cause of death worldwide. Despite growing evidence that prevalence hypertension rising in sub-Saharan Africa, national data on can guide programming are missing many countries. In this study, we estimated hypertension, awareness, treatment, control. We further examined factors associated with awareness. used from 2015 Kenya STEPs survey, a cross-sectional household survey targeting randomly selected people...
Despite numerous interventions promoting optimal breastfeeding practices in Kenya, pockets of suboptimal are documented Kenya's urban slums. This paper describes cultural and social beliefs that influence two slums Nairobi, Kenya. Qualitative data were collected Korogocho Viwandani through 10 focus group discussions 19 in-depth interviews with pregnant, women community health volunteers 11 key-informant leaders. Interviews audiotaped, transcribed verbatim, coded NVIVO analyzed thematically....
Non-communicable diseases (NCDs), are increasing globally, causing about 60% of disability-adjusted life years and 39.8 million deaths in 2015. Risk factors often cluster interact multiplicatively an individual this is strongly associated with the development severity NCDs. We assessed sociodemographic presence multiple NCD risk among individuals aged 18 older Kenyan population. used national representative data from 4066 out 4500 who participated WHO STEPs study factor counts were derived...
BackgroundIdentification of convulsive epilepsy in sub-Saharan Africa relies on access to resources that are often unavailable. Infrastructure and resource requirements can further complicate case verification. Using machine-learning techniques, we have developed tested a region-specific questionnaire panel predictive model identify people who had seizure. These findings been implemented into free app for health-care workers Kenya, Uganda, Ghana, Tanzania, South Africa.MethodsIn this...
To determine the patterns of cardiometabolic multimorbidity and associated risk factors in sub-Saharan Africa (SSA).We used data from WHO STEPwise approach to non-communicable disease factor surveillance cross-sectional surveys conducted between 2014 2017.The participants comprised 39, 658 respondents aged 15-69 years randomly selected nine SSA countries using a multistage stratified sampling design.Using latent class analysis agglomerative hierarchical clustering algorithms, we analysed...
Abstract Purpose This study aimed to estimate the prevalence of perinatal depression in rural Kakamega, Kenya while exploring risk and protective factors context COVID-19 pandemic. Methods The mixed method approach employed i) quantitative data collected a longitudinal maternal health evaluation conducted from October 2019 May 2021 ii) an ethnographic March July 2022, which provided detailed insights on depression. sample 135 Pregnant postpartum women was screened monthly for (>13) using...
<ns3:p>Background Data from longitudinal mental health research in Africa is critical to understanding the complexities of disorders continent’s diverse contexts. To be useful, data need adhere FAIR principles Findability, Accessibility, Interoperability, and Reusability. Methods A literature search 1970 2022 identified studies on depression, anxiety, psychosis was done. Using Artificial Intelligence (AI) Natural Language Processing techniques, found more studies. The engaged stakeholders...
Mobile populations, including refugees, asylum seekers and undocumented migrants, face challenges in access, continuity quality of healthcare, among others, due to lack available health records. The study aimed examine the current landscape Electronic Personal Health Records (EPHRs) developed for used by mobile populations. A rapid systematic review was conducted, identifying relevant publications through searches Embase, PubMed, Scopus, grey literature. literature search yielded 2303...
Background: Mobile populations, including refugees, asylum seekers, and undocumented migrants, face challenges related to access, continuity, quality of healthcare, among others, due the lack available health records. This study aimed examine current landscape Electronic Personal Health Records (EPHRs) developed for used by mobile populations. Methods: A rapid systematic review was conducted between September 2024 January 2025, identifying relevant publications through searches in Embase,...
Nutrition in the first 1,000 days of life (during pregnancy and two years) is critical for child growth survival. Poor maternal, infant young nutrition (MIYCN) practices are widely documented Kenya, with potential detrimental effects on This particularly a problem slums, where most urban residents live. For example, exclusive breastfeeding six months only about per cent. Innovative strategies to reach slum therefore needed. Strategies like Baby Friendly Hospital Initiative have proven...
Exclusive breastfeeding (EBF) improves infant health and survival. We tested the effectiveness of a home-based intervention using Community Health Workers (CHWs) on EBF for six months in urban poor settings Kenya. conducted cluster-randomized controlled trial Korogocho Viwandani slums Nairobi. recruited pregnant women followed them until infant's first birthday. Fourteen community clusters were randomized to or control arm. The arm received nutritional counselling during scheduled visits by...
The study explored the understanding of and perception towards cardiovascular disease (CVD) risk factors, how they influence prevention development conditions, care-seeking adhering to treatment.
In sub-Saharan Africa, the reasons for low rates of COVID-19 vaccination and unwillingness to accept vaccine vary, so country-specific solutions are needed.1Lazarus JV Ratzan SC Palayew A et al.A global survey potential acceptance a vaccine.Nat Med. 2021; 27: 225-228Crossref PubMed Scopus (1075) Google Scholar Public health action that is humane, culturally relevant, recognises contribution historical, structural, other system dynamics has been called for.2Mutombo PN Fallah MP Munodawafa D...
Children in slums are at high risk of undernutrition, which has long-term negative consequences on their physical growth and cognitive development. Severe undernutrition can lead to the child's death. The present paper aimed understand causes children as perceived by various groups community members Nairobi slums, Kenya.Analysis ten focus group discussions individual interviews with key informants. main topic discussed was root child slums. informant were recorded transcribed verbatim....
In Kenya, poor maternal nutrition, suboptimal infant and young child feeding practices high levels of malnutrition have been shown among the urban poor. An intervention aimed at promoting optimal nutrition (MIYCN) in settings Nairobi, Kenya was implemented. The involved home-based counselling pregnant breastfeeding women mothers children by community health volunteers (CHVs) on MIYCN practices. This study assesses social impact using a Social Return Investment (SROI) approach. Data...
Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued for HIV exposed infants, few programs considered multiple social cultural barriers practice. Therefore, generate evidence in Kenya, we examined community perspectives on facilitators adherence EBF positive mothers. Methods Qualitative research was conducted Koibatek, a sub-County Baringo County August 2014 among 205 respondents. A total 14 focus group discussions ( n...