A5034938381- Hepatitis C virus research
- Hepatitis B Virus Studies
- Global Maternal and Child Health
- Child Nutrition and Water Access
- Blood donation and transfusion practices
- Liver Disease Diagnosis and Treatment
- HIV, Drug Use, Sexual Risk
- Global Health and Surgery
- Iron Metabolism and Disorders
- Healthcare Systems and Reforms
- Hemoglobinopathies and Related Disorders
- HIV/AIDS Research and Interventions
- Health Policy Implementation Science
- Poverty, Education, and Child Welfare
- Child Nutrition and Feeding Issues
- Travel-related health issues
- Adolescent Sexual and Reproductive Health
- Reproductive tract infections research
- Mosquito-borne diseases and control
- Malaria Research and Control
- Viral Infections and Outbreaks Research
- Hepatitis Viruses Studies and Epidemiology
- Pharmaceutical Economics and Policy
- Migration, Health and Trauma
- Cervical Cancer and HPV Research
University of British Columbia
2019-2024
Center for Advancing Health
2024
Clinton Health Access Initiative
2019
Rwanda Biomedical Center
2019
Brigham and Women's Hospital
2019
University of Global Health Equity
2019
Yale University
2019
Partners In Health
2016-2017
BackgroundThe accessibility of blood and products remains challenging in many countries because the complex supply chain short lifetime products, timely access, demand fluctuation at hospital level. In an effort to improve availability delivery times, Rwanda launched use drones deliver remote health facilities. We evaluated effect this intervention on product times wastage.MethodsWe studied data from 20 facilities between Jan 1, 2015, Dec 31, 2019, Rwanda. First, we did a cross-sectional...
In rural settings worldwide, many people live in effective blood deserts without access to any transfusion. The traditional system of banking is logistically complex and expensive for resource-restricted demands innovative multidisciplinary solutions. 17 international experts medicine, industry, policy participated an exploratory process with a 2-day hybrid seminar centred on three promising strategies transfusions deserts: civilian walking banks, intraoperative autotransfusion, drone-based...
High-quality data are critical to inform, monitor and manage health programs. Over the seven-year African Health Initiative of Doris Duke Charitable Foundation, three five Population Implementation Training (PHIT) partnership projects in Mozambique, Rwanda, Zambia introduced strategies improve quality evaluation routinely-collected at primary care level, stimulate its use evidence-based decision-making. Using Consolidated Framework for Research (CFIR) as a guide, this paper: 1) describes...
BackgroundHealth data can be useful for effective service delivery, decision making, and evaluating existing programs in order to maintain high quality of healthcare. Studies have shown variability from national health management information systems (HMISs) sub-Saharan Africa which threatens utility these as a tool improve systems. The purpose this study is assess the Rwanda's HMIS over 5-year period.MethodsThe World Health Organization (WHO) report card framework was used captured 2008 2012...
Anemia among Women of Reproductive Age (WRA) continues to be the major public health problems in many developing countries, including Rwanda, where it increased prevalence between 2015 and 2010 Rwanda Demographic Health Survey (RDHS) reports. A thorough understanding its risk factors is necessary design better interventions. However, best our knowledge, no study has been conducted on a nationally representative sample assess associated with anemia WRA. Accordingly, this was address such...
The epidemiology of hepatitis B virus (HBV) infection in the general population Rwanda is not well known. This study examined prevalence HBV surface antigen (HBsAg) positivity and associated risk factors among people aged 25 years over an organized national screening campaign. a cross-sectional using data from nationwide campaign by Biomedical Centre March to October 2018. targeted individuals > old 24 30 districts Rwanda. Sensitization was done through multimedia announcements, community...
Maternal and child mortality remain a global health concern despite different interventions that have been implemented to address this issue. Adequate antenatal care (ANC) is crucial in reducing maternal neonatal morbidity mortality. However, Rwanda, there still suboptimal utilization of ANC services. This study aims assess the relationship between perceived barriers accessing inadequate visits among women reproductive age Rwanda.This cross-sectional using secondary data from 2014-15 Rwanda...
Abstract Objective Determining interventions to address food insecurity and poverty, as well setting targets be achieved in a specific time period have been persistent challenge for development practitioners decision makers. The present study aimed assess the changes access consumption at household level after one-year implementation of an integrated security intervention three rural districts Rwanda. Design A before-and-after comparing Household Food Insecurity Access Scale (HFIAS) scores...
The epidemiology and risk factors for hepatitis C virus (HCV) infection in Rwanda are not well known; however, this information is crucial to shaping the country’s public health approach control. A HCV screening campaign was conducted general population 24 districts previously identified have a high disease burden. At time of sample collection, sociodemographic self-reported were collected. Bivariate multivariate logistic regressions assess independently associated with antibodies (HCVAb)...
Background Evaluations of health systems strengthening (HSS) interventions using observational data are rarely used for causal inference due to limited availability. Routinely collected national allow use quasi-experimental designs such as interrupted time series (ITS). Rwanda has invested in a robust electronic management information system (HMIS) that captures monthly healthcare utilization data. We ITS evaluate impact an HSS intervention improve primary care facility readiness on service...
Access to hepatitis C (HCV) testing and treatment is still limited globally. To address this, the Government of Rwanda launched a voluntary mass screening campaign in 2017. We studied progression patients through cascade HCV care during this campaign. conducted retrospective cohort study included all screened at 46 hospitals between April 2017 October 2019. used hierarchical logistic regression assess factors associated with positivity, gaps care, failure. A total 860,801 people attended...
Sustained investments in Rwanda’s health system have led to historic reductions under five (U5) mortality. Although Rwanda achieved an estimated 68% decrease the national U5 mortality rate between 2002 and 2012, according census, 5.8% of children still do not reach their fifth birthday, requiring next wave child prevention strategies. This is a cross-sectional study 9002 births 6328 women age 15–49 2010 Demographic Health Survey. We tested bivariate associations 29 covariates mortality,...
Artemisinin-based combination therapies (ACTs) have proven highly effective in reducing malaria morbidity sub-Saharan Africa. Artemether–lumefantrine (AL) was introduced 2005 as a first-line ACT for the treatment of uncomplicated Rwanda. Monitoring therapeutic efficacy ACTs is necessary to ensure case management. A comparative study on AL and dihydroartemisinin–piperaquine (DHP) conducted two sites, Masaka Ruhuha, between September 2013 December 2015. Clinical parasitological responses were...
In response to a resurgence of malaria in Rwanda, home-based management (HBM) was expanded enable community-health workers (CHWs) provide treatment patients all ages. We assessed the effect HBM program on case presentations at health facilities.Services provided by CHWs and facility among individuals >5 y age were considered. Presentations analyzed descriptively assess acceptability segmented regression modeling using facility-level data employed compare changes between pre- postintervention...
Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be the major public health problems in many developing countries, including Rwanda, where it increased prevalence between 2015 and 2010 Rwanda Demographic Health Survey (RDHS) reports. A thorough understanding its risk factors is necessary design better interventions. However, best our knowledge, no study has been conducted on a nationally representative sample assess associated with anemia WRA. Accordingly, this...
Objectives This study describes the burden of hepatitis B, C and HIV co-infections assesses associated risk factors. Setting analysis used data from a viral screening campaign conducted in six districts Rwanda April to May 2019. Ten health centres per district were selected according population size distance. Participants The collected information 156 499 participants (51 496 males 104 953 females) on sociodemographic, clinical behavioural characteristics. People who not Rwandan by...
Abstract Background Sexually Transmitted Infections (STIs) are of great global health concern. Currently, there limited epidemiological data characterizing STIs in the general population Rwanda. We assessed national and regional epidemiology Rwanda from 2014–2020 among patients syndromically screened for all facilities Methods This is a retrospective analysis trend at using Health Management Information System (HMIS) reporting. Adult (15 years over) between July 2014 June 2020 were included...
Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be the major public health problems in many developing Rwanda where It was increased comparing 2015 2010 Demographic and Health Survey (DHS) reports. A thorough understanding its risk factors is necessary design new better approaches. However, best our knowledge, no study assessing associated with anemia WRA has been conducted. Therefore, this aims identify Rwanda. Methods This a quantitative, cross-sectional using...
Abstract Background: The epidemiology and risk factors for hepatitis C virus (HCV) infection in Rwanda are not well known; however, this information is crucial to shaping the country’s public health approach control. Methods: A HCV screening campaign was conducted general population 24 districts previously identified have a high disease burden. At time of sample collection, sociodemographic self-reported were collected. Bivariate multivariate logistic regressions assess independently...
Abstract Objective: This study assesses change in caregiver practices after integrating responsive care and early learning (RCEL) nutrition health services community platforms northern Ghana. Design: We trained facility workers volunteers to deliver RCEL counselling caregivers of children under 2 years age through existing facilities groups. assessed changes caregivers’ before the intervention with a household questionnaire caregiver–child observations. Setting: The took place Sagnarigu,...
Abstract Objective: To assess changes in caregiver practices for young children after integrating the Responsive Care and Early Learning (RCEL) Addendum package into nutrition services 10 months of implementation. Design: We measured RCEL through a pre- post-intervention assessment comprising household survey observations. implement intervention, we trained health service staff community volunteers to deliver counselling caregivers 0–23 age existing facility-level platforms. Setting:...