- Global Maternal and Child Health
- Child Nutrition and Water Access
- Child and Adolescent Health
- Global Cancer Incidence and Screening
- Vaccine Coverage and Hesitancy
- Viral Infections and Outbreaks Research
- Behavioral Health and Interventions
- Patient-Provider Communication in Healthcare
- HIV Research and Treatment
- Healthcare Systems and Reforms
- Occupational Therapy Practice and Research
- Data-Driven Disease Surveillance
- Health disparities and outcomes
- Maternal and Perinatal Health Interventions
- HIV-related health complications and treatments
- Child Nutrition and Feeding Issues
- Maternal and Neonatal Healthcare
- Autoimmune Neurological Disorders and Treatments
- Academic Publishing and Open Access
- Breastfeeding Practices and Influences
- Digital Radiography and Breast Imaging
- Reliability and Agreement in Measurement
- SARS-CoV-2 detection and testing
- International Arbitration and Investment Law
- T-cell and Retrovirus Studies
Men's Health Boston
2022-2024
Boston University
2016-2023
Brigham and Women's Hospital
2018
Deaconess Hospital
2018
Boston Children's Museum
2017
Boston Children's Hospital
2017
Dominican University of California
2017
National Opinion Research Center
2017
University of Chicago
2017
Center for Global Health
2016
To assess changes in the use of essential maternal and child health services Konobo, Liberia, after implementation an enhanced community worker (CHW) programme.The Liberian Ministry Health partnered with Last Mile Health, a nongovernmental organization, to implement pilot CHW programme recruitment, training, supervision compensation. health-care use, we conducted repeated cross-sectional cluster surveys before (2012) (2015) implementation.Between 2012 2015, 54 CHWs, seven peer supervisors...
This study investigated the reasons why women choose whether or not to seek treatment after being notified about an abnormal Pap smear in a women's clinic Seattle. A hierarchic weighted utility model was developed from in-depth open-ended interviews with who had and used identify beliefs values related decision treatment, i.e., repeat smear, for smear. Interviews 18 produced 12 issues pertinent behavior question. These were grouped form hierarchy, then administered 44 additional women. The...
Abstract Background: Mammographic breast density may be greater in the luteal phase (days 15-30) than follicular 1-14) of menstrual cycle; this have implications for when mammography screening should occur. Objective: Examine whether percent density, area, or dense area differ by phase. Methods: We identified 204 premenopausal women with regular periods who were <55 years (mean = 45.0 years) and had two mammograms within 9 to 18 months, one between days 14, 22 35 cycle. measured using...
To assess a community health worker (CHW) program's impact on childhood illness treatment in rural Liberia.We deployed CHWs half of Rivercess County August 2015 with the other constituting comparison group until July 2016. All were provided cash incentives, supply chain support, and monthly clinical supervision. We conducted stratified cluster-sample population-based surveys at baseline (March-April 2015) follow-up (April-June 2016) performed difference-in-differences analysis, adjusted by...
Introduction Complications of pregnancy and childbirth can pose serious risks to the health women, especially in resource‐poor settings. Zambia has been implementing a program improve access emergency obstetric neonatal care, including expansion maternity waiting homes‐residential facilities located near qualified medical facility where pregnant woman wait give birth. Yet it is unclear how much support communities women would be willing provide help fund homes increase sustainability....
Purpose The purpose of this paper is to summarise the Making Safeguarding Personal (MSP) programme in 2014/2015.
A critical shortage of human resources for health in Zambia remains a great challenge. In response, the Zambian Ministry Health developed national community assistant (CHA) programme, aiming to create well-trained and motivated community-based workforce. This study assessed whether CHAs increased treatment rates diarrhoea, confirmed malaria or pneumonia first programme year.This used quasi-experimental difference-in-difference design, comparing changes catchment areas posts with those...
<h3>ABSTRACT</h3> <h3>Introduction:</h3> Community health workers (CHWs) can provide lifesaving treatment for children in remote areas, but high-quality care is essential effective delivery. Measuring the quality of community-based areas logistically challenging. Clinical vignettes have been validated facility settings as a proxy competency. We assessed feasibility and effectiveness clinical to measure CHW knowledge integrated community case management (iCCM) Liberia9s national program....
Liberia launched its National Community Health Assistant Program in 2016, which seeks to ensure that all people living 5 kilometers or farther from a health facility have access trained, supplied, supervised, and paid community workers (CHWs). This study aims evaluate the impact of national program following implementation Grand Bassa County 2018 using data population-based surveys included information on 1291 illness episodes. We measured before-to-after changes care for childhood by...
Between 2018 and 2022 the Liberian Government implemented National Community Health Assistant (NCHA) program to improve provision of maternal child health care underserved rural areas country. Whereas contributions this similar community worker (CHW) based healthcare programs have been associated with improved process measures, impact a governmental CHW at scale on mortality has not fully established. We will conduct cluster sampled, community-based survey landmark event calendars...
<h3>Objective:</h3> To describe the risk factors, symptoms, treatment, and outcomes of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis occurring in people living with HIV (PLWH). <h3>Background:</h3> Herpes simplex virus is a known trigger anti-NMDAR encephalitis. In recent years, multiple case reports also document PLWH, especially those who develop cerebrospinal fluid (CSF) escape, defined by an elevated CSF viral load setting plasma suppression. Although relationship between other...
PURPOSE: Since few physical activity (PA) questionnaires were designed to measure the lifestyles and activities of women, we sought examine test-retest reliability a questionnaire (PAQ) for women explore differences in by race/ethnicity. METHODS: Participants (n=1092) post-menopausal aged 50–79 years, randomly selected from baseline sample participants Women's Health Initiative (WHI) Observational Study. Women all 40 WHI clinic centers, stratified age race/ethnicity (66% white, 13% African...
Background Dual infection with HIV-1 and HIV-2, which is not uncommon in West Africa, has important implications for transmission, progression, antiretroviral therapy. Few studies have examined HIV viral dynamics this setting. Methods We compared HIV-2 loads from 65 dually infected, therapy-naïve Senegalese subjects. Participants provided demographic information blood, oral fluid, cervicovaginal lavage (CVL) or semen samples virologic immunologic testing. Associations between levels plasma,...
The purpose of this study was to fill the gap in literature and further examine use sensory diets field occupational therapy. This investigated among California therapy practitioners. A mixed-methods design used collect data through a SurveyMonkey survey. survey sent out members Occupational Therapy Association (OTAC) received 98 respondents within one month. Participants worked various clinical settings implemented with client populations. Practitioners reported using terms such as “sensory...
Abstract Introduction Between 2018 and 2022 the Liberian Government implemented National Community Health Assistant (NCHA) program to improve provision of maternal child health care underserved rural areas country. Whereas contributions this similar community worker (CHW) based healthcare programs have been associated with improved process measures, impact a governmental CHW at scale on mortality has not fully established. Methods/Design We will conduct cluster sampled, community-based...
Abstract Background: Area-level socioeconomic status (SES) is increasingly recognized as an important predictor of health outcomes; however, its association with cancer mortality not established. Moreover, mediators the between area-level factors and outcomes are well understood. The purpose this study to quantify SES identify whether what extent behaviors mediate association. Methods: We identified census block groups participants in VITamins And Lifestyle (VITAL) Study cohort constructed...
Abstract Background The maternal continuum of care (CoC) (antenatal care, facility-based delivery, postnatal care) is critical to and neonatal health reducing mortality, but completion in rural areas low- middle-income countries often limited. We used repeated cross-sectional household surveys from a Liberian county explore changes rates all steps no the CoC after implementation National Community Health Assistant Program (NCHAP), community worker (CHW) intervention designed increase uptake...
Abstract Background The maternal continuum of care (CoC) (antenatal care, facility-based delivery, postnatal care) is critical to and neonatal health reducing mortality, but completion in rural areas low- middle-income countries often limited. We used repeated cross-sectional household surveys from a Liberian county explore changes rates all steps no the CoC after implementation National Community Health Assistant Program (NCHAP), community worker (CHW) intervention designed increase uptake...