- Global Maternal and Child Health
- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Malaria Research and Control
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Mosquito-borne diseases and control
- Parasites and Host Interactions
- Healthcare Systems and Reforms
- Infant Development and Preterm Care
- Global Public Health Policies and Epidemiology
- Maternal and Neonatal Healthcare
- Research on Leishmaniasis Studies
- Mycobacterium research and diagnosis
- COVID-19 Impact on Reproduction
- Maternal and Perinatal Health Interventions
- Family and Disability Support Research
- Infectious Diseases and Tuberculosis
- Dermatological diseases and infestations
- Birth, Development, and Health
- Parasitic Diseases Research and Treatment
- Education Systems and Policy
- Food Security and Health in Diverse Populations
- Zoonotic diseases and public health
- Trypanosoma species research and implications
London School of Hygiene & Tropical Medicine
2016-2025
Faculty of Public Health
2019-2024
University of Ghana
2024
Noguchi Memorial Institute for Medical Research
2024
Ifakara Health Institute
2023
Wellcome Trust
2023
Kenya Medical Research Institute
2023
Kwame Nkrumah University of Science and Technology
2023
Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes
2013
Cheikh Anta Diop University
2013
Neonatal deaths account for 40% of global under-five mortality and are ever more important if we to achieve the Millennium Development Goal 4 (MDG 4) on child survival. We applied a results framework evaluate national changes neonatal rates (NMR), healthy behaviours, intervention coverage, health system change, inputs including funding, while considering contextual changes. The average annual rate reduction NMR globally accelerated between 2000 2010 (2.1% per year) compared with 1990s, but...
BackgroundLong-lasting insecticidal nets (LLINs) have successfully reduced malaria in sub-Saharan Africa, but their effectiveness is now partly compromised by widespread resistance to insecticides among vectors. We evaluated new classes of LLINs with two active ingredients differing modes action against resistant vectors.MethodsWe did a four-arm, cluster-randomised trial Misungwi, Tanzania. Clusters were villages, or groups hamlets, at least 119 households containing children aged 6 months...
Seasonal Malaria Chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ), given each month during the transmission season, is recommended for children living in areas of Sahel where malaria highly seasonal. The recommendation SMC currently limited to under five years age, but, many seasonal transmission, burden older may justify extending this age limit. This study was done determine effectiveness Senegalese up ten age.SMC introduced into three districts over central...
School-based deworming programmes can reduce morbidity attributable to soil-transmitted helminths in children but do not interrupt transmission the wider community. We assessed effects of alternative mass treatment strategies on community helminth infection.
Abstract We present a bibliometric analysis of recently published full economic evaluations health interventions and reflect critically on the implications our findings for this growing field. created database drawing 14 health, economic, and/or general literature databases articles between 1 January 2012 3 May 2014 identified 2844 meeting criteria. regarding sensitivity, specificity, added value searches in different databases. examine distribution publications countries, regions, areas...
BackgroundTracking of aid resources to reproductive, maternal, newborn, and child health (RMNCH) provides timely crucial information hold donors accountable. For the first time, we examine flows in official development assistance (ODA) grants from Bill & Melinda Gates Foundation (collectively termed ODA+) relation continuum care for RMNCH assess progress since 2003.MethodsWe coded analysed financial disbursements (MNCH) reproductive (R*) all recipient countries worldwide reporting creditor...
Abstract There are marked differences in methods used for undertaking economic evaluations across low‐income, middle‐income, and high‐income countries. We outline the most apparent dissimilarities reflect on their underlying reasons. randomly sampled 50 studies from each of three country income groups a comprehensive database 2844 published between January 2012 May 2014. Data were extracted ten methodological areas: (i) availability guidelines; (ii) research questions; (iii) perspective;...
Tackling neonatal mortality is essential for the achievement of child survival millennium development goal. There are just under 4 million deaths, accounting 38% 10.8 deaths among children younger than 5 years age taking place each year; 99% these occur in low- and middle-income countries where a large proportion births take at home, postnatal care mothers neonates either not available or poor quality. WHO UNICEF have issued joint statement calling governments to implement "Home visits...
Abstract Global guidelines for new technologies are based on cost and efficacy data from a limited number of trial locations. Country‐level decision makers need to consider whether cost‐effectiveness analysis used inform global sufficient their situation or use models that adjust results taking into account setting‐specific epidemiological heterogeneity. However, demand supply constraints will also impact by influencing the standard care implementation any technology. These may vary...
SMC has been introduced widely in the Sahel since its recommendation by WHO 2012. This study, which provided evidence of feasibility that supported recommendation, included school-age and pre-school children. School-age children were not 2012 but bear an increasing proportion cases. In 2006, consultations with health-staff held to choose delivery methods. The preferred approach, door-to-door first daily-dose supervised a community-health-worker (CHW), was piloted subsequently evaluated on...
In the last two decades, both production and use of economic evaluations for priority setting in low-income middle-income countries (LMICs) have steadily increased (Sixty-Seventh World Health Assembly, 2014, 28th Pan American Sanitary Conference, 2012, Resolution WHO Regional Committee South-East Asia, 2013). More than 230 set LMICs are now published each year (Pitt et al., 2016). The dissemination Bill Melinda Gates Foundation reference case (NICE International, 2015) is helping to...
BackgroundFour methods have previously been used to track aid for reproductive, maternal, newborn, and child health (RMNCH). At a meeting of donors stakeholders in May, 2018, single, agreed method was requested produce accurate, predictable, transparent, up-to-date estimates that could be analyses from both donor recipient perspectives. Muskoka2 developed meet these needs. We describe present levels trends RMNCH 2002–17, with focus on the latest 2017.MethodsMuskoka2 is an automated algorithm...
BackgroundIncreasing insecticide costs and constrained malaria budgets could make universal vector control strategies, such as indoor residual spraying (IRS), unsustainable in low-transmission settings. We investigated the effectiveness cost-effectiveness of a reactive, targeted IRS strategy.MethodsThis cluster-randomised, open-label, non-inferiority trial compared with standard practice northeastern South Africa over two seasons (2015–17). In clusters, programme managers conducted annual...
Background The WHO and Ethiopia’s Ministry of Health have developed strategies to expand integrate services for co-endemic neglected tropical diseases (NTDs) which manifest in the skin. To inform these strategies, we aimed understand social, economic health system context skin NTD care Kalu woreda, Amhara region, Ethiopia, where cutaneous leishmaniasis (CL) leprosy are endemic. Methods Between October 2020 May 2022, surveyed reviewed records 41 primary healthcare facilities explored common...
Neonatal mortality accounts for 43% of global under-five deaths and is decreasing more slowly than maternal or child mortality. Donor funding has increased maternal, newborn, health (MNCH), but no analysis to date disaggregated aid newborns. We evaluated if how flows newborn care can be tracked, examined changes in the last decade, considered methodological implications tracking specific population groups diseases.We critically reviewed categorised previous analyses populations, diseases,...
BackgroundFour initiatives have estimated the value of aid for reproductive, maternal, newborn, and child health (RMNCH): Countdown to 2015, Institute Health Metrics Evaluation (IHME), Muskoka Initiative, Organisation Economic Co-operation Development (OECD) policy marker. We aimed compare estimates, trends, methodologies these make recommendations future tracking.MethodsWe compared estimates RMNCH from four all years available at time our analysis (1990–2016). used publicly datasets IHME...