A5077310695- Vaccine Coverage and Hesitancy
- Reproductive Health and Contraception
- SARS-CoV-2 and COVID-19 Research
- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Misinformation and Its Impacts
- Adolescent Sexual and Reproductive Health
- Psychopathy, Forensic Psychiatry, Sexual Offending
- COVID-19 epidemiological studies
- Mobile Health and mHealth Applications
- Global Health Workforce Issues
- Autism Spectrum Disorder Research
- Medication Adherence and Compliance
- Child Abuse and Trauma
- COVID-19 and Mental Health
- Prenatal Substance Exposure Effects
- Mental Health and Psychiatry
- Sex work and related issues
- HIV-related health complications and treatments
- Healthcare professionals’ stress and burnout
- Maternal and Perinatal Health Interventions
- Migration, Health and Trauma
- Opioid Use Disorder Treatment
- Migration and Labor Dynamics
- Family and Patient Care in Intensive Care Units
University of California, Los Angeles
2022-2024
London School of Hygiene & Tropical Medicine
2023
Faculty of Public Health
2023
Guttmacher Institute
2018-2021
University of East London
2017
Maudsley Hospital
2016
South London and Maudsley NHS Foundation Trust
2016
Abortion-related mortality is one of the main causes maternal worldwide. Laws often restrict provision safe abortion care, yet post-abortion care a service that all countries have committed to provide manage complications. There minimal evidence on capacity national health systems care.
Little is known about coronavirus disease 2019 (COVID-19) vaccination in Africa. We sought to understand Malawian healthcare workers' (HCWs') COVID-19 and its hypothesized determinants. In March 2021, as the vaccine roll-out commenced Malawi, we surveyed clinical lay cadre HCWs (n=400) their uptake of potential correlates (informed by WHO Behavioral Social Drivers Vaccination framework). analyzed used adjusted multivariable logistic regression models explore how 'what people think feel'...
To explore the sexual and reproductive health (SRH) behaviors, insurance coverage use of SRH services women in United States (U.S.) by nativity, disaggregated race ethnicity.We analyzed publicly available restricted data from National Survey Family Growth to assess differences similarities between foreign-born U.S.-born women, both overall within Hispanic, non-Hispanic (NH) white, NH black Asian groups.A larger proportion than lacked coverage. Foreign-born utilized at lower rates women; this...
Effective participation in trial is outlined under article 6 of the European Convention on Human Rights and refers to ability understand engage trial. Juvenile defendants are often referred psychologists or psychiatrists by their solicitors establish 'effective participation' capacity. In USA, key components participate effectively defined standardised assessments available. UK, no formal measures exist. A consecutive series 20 adolescents aged 12–20 years, our service, were assessed using a...
COVID-19 vaccine coverage in most countries Africa remains low. Determinants of uptake need to be better understood improve vaccination campaigns. Few studies from have identified correlates the general population. We surveyed adults at 32 healthcare facilities across Malawi, purposively sampled ensure balanced representation with and without HIV. The survey, informed by World Health Organization's Behavioural Social Drivers Vaccination Framework, asked about people's thoughts feelings...
The number of yearly Child Sexual Exploitation Material (CSEM) convictions is escalating. Whilst some CSEM offenders receive custodial sentences, others are sentenced to a range community disposals. There exist only few community-based programmes designed specifically for offenders, despite an increasing need. Of the that do exist, there paucity research examining programme utility. This qualitative study aimed evaluate psycho-educational programme, "Inform Plus", utilising interviews from...
Many low- and middle-income countries have introduced the human papillomavirus (HPV) vaccine, but uptake remains extremely low. Malawi has second-highest incidence of cervical cancer globally, launched a national HPV vaccination program in 2019. We sought to understand attitudes about, experiences with, vaccine among caregivers eligible girls Malawi.We conducted qualitative interviews with 40 (parents or guardians) preadolescent their vaccination. coded data informed by Behavioural Social...
Background Outcomes of community antiretroviral therapy (ART) distribution (CAD), in which provider–led ART teams deliver integrated HIV services at health posts communities, have been mixed sub-Saharan African countries. CAD outcomes and costs relative to facility-based care not reported from Malawi. Methods We performed a retrospective cohort study two Malawian districts (Lilongwe Chikwawa districts), comparing with care. selected an equal number clients who were aged >13 years, had...
Abstract Introduction People living with HIV have high rates of hypertension. Integrated and hypertension care aligned multi‐month dispensing medications (MMD) could decrease the burden for individuals health systems. We sought to describe control evaluate its association different durations MMD among Malawian adults receiving integrated antiretroviral therapy (ART) antihypertensive medication. Methods conducted a cross‐sectional survey retrospective chart review (≥18 years) on both...
Introduction In 2006, abortion was decriminalised in Colombia under certain circumstances. Yet, women avail themselves of ways to terminate pregnancy outside the formal health system. This study explored how drug sellers engage with who attempt purchase misoprostol from them. Methods A mapping exercise undertaken list small-chain and independent stores two regions Colombia. sample (n=558) selected this visited by mystery clients between November December 2017. Mystery sought obtain a...
In 2006, abortion in Colombia was decriminalised under certain circumstances. Yet some women continue to avail themselves of ways terminate pregnancies outside the formal health system. In-depth interviews (IDIs) with who acquired drugs facilities their (n = 47) were conducted Bogotá and Coffee Axis 2018. Respondents recruited when they sought postabortion care at a facility. This analysis examines women's experiences medication system for termination: how obtained medication, what received,...
Health care workers (HCWs) in eastern Africa experience high levels of burnout and depression, this may be exacerbated during the COVID-19 pandemic due to anxiety increased work pressure. We assessed prevalence burnout, depression associated factors among Malawian HCWs who provided HIV pandemic. From April-May 2021, between second third waves Malawi, we randomly selected from 32 purposively PEPFAR/USAID-supported health facilities for a cross-sectional survey. screened using World...
Abstract Background Outcomes of community antiretroviral therapy (ART) distribution (CAD), in which provider–led ART teams deliver integrated HIV services at health posts communities, have been mixed sub-Saharan African countries. CAD outcomes and costs relative to facility-based care not reported from Malawi. Methods We performed a retrospective cohort study two Malawian districts (Lilongwe Chikwawa districts), comparing with care. selected an equal number clients who were aged >13...
Abstract Background COVID-19 vaccine information – including source, content, and tone may be an important determinant of vaccination, but this dynamic is not well-understood in low-income countries where uptake remains low. We assessed the environment Malawi, its correlation with uptake. Methods A survey was administered among 895 adult (≥18 years) clients at 32 Malawian health facilities mid-2022. Respondents reported their vaccination history, exposure to about from different sources...