A5025535933- COVID-19 Impact on Reproduction
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- Healthcare Systems and Reforms
- Child Nutrition and Water Access
- Adolescent Sexual and Reproductive Health
- SARS-CoV-2 and COVID-19 Research
- HIV Research and Treatment
- COVID-19 and healthcare impacts
- Healthcare Quality and Satisfaction
- Respiratory and Cough-Related Research
- Pneumonia and Respiratory Infections
- ICT in Developing Communities
- HIV/AIDS drug development and treatment
- Emergency and Acute Care Studies
- COVID-19 epidemiological studies
- Cardiac, Anesthesia and Surgical Outcomes
- Mobile Health and mHealth Applications
- Maternal and Perinatal Health Interventions
- HIV/AIDS Impact and Responses
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Surgical site infection prevention
- COVID-19 diagnosis using AI
- Colorectal Cancer Surgical Treatments
Centre for Infectious Disease Research in Zambia
2019-2025
Pennine Care NHS Foundation Trust
2019
University of Zambia
2017
An estimated 800 000 children (<15 years) globally living with HIV remain undiagnosed. To reach these timely testing services during infancy, we implemented a community-based differentiated care model using mobile point-of-care (POC) technology for early infant diagnosis (EID) of HIV, and assessed its effects on EID positivity, antiretroviral therapy (ART) initiation 3-month retention in care. Between 1 June 2019 31 May 2020 at six health facilities Lusaka, Zambia, enrolled mother-infant...
In Zambia, the true extent of SARS-CoV-2 infections is unknown because initial surveillance focused on patients with symptoms or severe disease. Antenatal sentinel had not been used to assess infection trends. The ANC COVID-19 study sought determine seroprevalence and vaccine uptake among pregnant women. We provide insight into implementation, challenges encountered, best practices, lessons learned. A repeated cross-sectional survey was implemented at 39 health facilities in four districts...
Zambia's maternal mortality ratio was estimated at 398/100,000 live births in 2014. Successful aversion of deaths is dependent on availability and usability signal functions for emergency obstetric neonatal care. Evidence availability, quality urban settings Zambia minimal as previous research has evaluated their distribution rural settings. This survey the private public health facilities Lusaka District Zambia.A descriptive cross sectional study conducted between November 2014 February...
SARS-CoV-2 serosurveys help estimate the extent of transmission and guide allocation COVID-19 vaccines. We measured seroprevalence among women attending ANC clinics to assess exposure trends over time in Zambia. conducted repeated cross-sectional surveys pregnant aged 15-49 years their first visits four districts Zambia (two urban two rural) during September 2021-September 2022. Serologic testing was done using a multiplex bead assay which detects IgG antibodies nucleocapsid protein spike...
In 2016, for the very first time, Ministry of Health in Zambia implemented a reactive outbreak response to control spread cholera and vaccinated at-risk populations with single dose Shancol-an oral vaccine (OCV). This study aimed assess costs illness determine cost-effectiveness 2016 vaccination campaign.From April June 2017, we conducted retrospective cost analysis three peri-urban areas Lusaka. To estimate from household perspective, systematic random sample 189 in-patients confirmed V....
Delayed HIV diagnosis in HIV-exposed infants (HEIs) results missed opportunities for early antiretroviral therapy (ART), causing significant morbidity and mortality. Early infant (EID) depends on the availability of accessible reliable testing services. We explored acceptability, appropriateness, feasibility deploying a targeted community-based point-of-care (POC) EID model (i.e., "community POC model") to reach high-risk mother-infant pairs (MIPs) Lusaka, Zambia.We conducted in-depth...
The primary objective of this study was to estimate the costs and incremental cost-effectiveness maternal newborn care associated with Saving Mothers, Giving Life (SMGL) initiative-a comprehensive district-strengthening approach addressing 3 delays mortality-in Uganda Zambia. To assess effectiveness, we used a before-after design comparing facility outcome data from 2012 (before) 2016 (after). costs, unit collected comparison districts in coupled on health services utilization SMGL-supported...
Abstract Background Pregnancy among adolescents, whether intended or not, is a public health concern as it generally considered high risk for both mothers and their newborns. In Zambia, where many women engage in early sexual behaviour marry at young age, 28.5% of girls aged 15–19 years were pregnant with first child the year 2013–2014. This study sought to explore associations between maternal age neonatal outcomes Lusaka, Zambia. Methods was secondary analysis data nested within larger...
ABSTRACT Introduction Pregnant women are considered a high-risk group for COVID-19, and priority vaccination. Routine antenatal (ANC) care provides an opportunity to track trends factors associated with vaccine uptake. We sought evaluate COVID-19 uptake among pregnant attending ANC in Zambia. Methods conducted repeated cross-sectional study 39 public health facilities four districts Zambia from September 2021 2022. who were aged 15-49 years enrolled during their first visit. Every month, ∼20...
Abstract Background Pregnant women are an easily accessible population for HIV and malaria surveillance. The ANC COVID-19 Surveillance study sought to determine SARS-CoV-2 seroprevalence among pregnant in Zambia. We provide insight into the challenges, good practices, successes, lessons learned from surveillance study. Methods Between September 2021 2022, 39 health facilities four districts enrolled up 20 per month aged 15–49 years attending their first antenatal care visit. Consenting...
Pregnant women are considered a high-risk group for COVID-19, and priority vaccination. Routine antenatal care (ANC) provides an opportunity to track trends factors associated with vaccine uptake. We sought evaluate COVID-19 uptake among pregnant attending ANC assess the in Zambia. conducted repeated cross-sectional study 39 public health facilities four districts Zambia from September 2021 2022. who were aged 15-49 years enrolled during their first visit. Every month, ~20 per facility...
Background: Health insurance serves as a key mechanism in facilitating wider and more equitable availability of healthcare services, ensuring that every individual can access the services they need. Aims: This research aims to examine correlation between community perceptions enrollment National Insurance (JKN) Musi Rawas Utara District, Indonesia. Methods: applied cross-sectional study by collecting data from 384 respondents. Logistic regression analysis was used assess JKN enrollment....
Abstract Introduction Accurate costing is key for programme planning and policy implementation. Since 2011, there have been major changes in eligibility criteria treatment regimens with price reductions ART drugs, programmatic resulting clinical task‐shifting decentralization of delivery to peripheral health centres making existing evidence on care costs Zambia out‐of‐date. As decision makers consider further service delivery, it important understand the current drivers care. This study...
Abstract Background SARS-CoV-2 serosurveys help estimate the extent of transmission and guide allocation COVID-19 vaccines. We measured seroprevalence among women attending ANC clinics to assess exposure trends over time in Zambia. Methods conducted repeated cross-sectional surveys pregnant aged 15-49 years their first visits four districts Zambia (two urban two rural) during September 2021-September 2022. Serologic testing was done using a multiplex bead assay which detects IgG antibodies...
<h3></h3> Long-term Azithromycin (LTA) can be effective in reducing infective exacerbations of Chronic Obstructive Pulmonary Disease (COPD) and Bronchiectasis but has potential side effects affecting liver, prolonging the QT interval hearing.<sup>1 2</sup> We aimed to identify current LTA prescribing monitoring practices primary care. <h3>Method</h3> Retrospective study patients with chronic lung conditions on for a minimum 6 months identified from care records. <h3>Results</h3> Overall 40...