A5063380044- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Global Maternal and Child Health
- Menstrual Health and Disorders
- Food Security and Health in Diverse Populations
- Infection Control in Healthcare
- Adolescent Sexual and Reproductive Health
- Climate Change and Health Impacts
- Homelessness and Social Issues
- Breastfeeding Practices and Influences
- Vaccine Coverage and Hesitancy
- Viral gastroenteritis research and epidemiology
- Social and Economic Development in India
- Child Nutrition and Feeding Issues
- Food Safety and Hygiene
- Health Policy Implementation Science
- Endometriosis Research and Treatment
- Birth, Development, and Health
- Zoonotic diseases and public health
- Maternal Mental Health During Pregnancy and Postpartum
- Gender Roles and Identity Studies
- Fecal contamination and water quality
- Criminal Justice and Corrections Analysis
- Obesity and Health Practices
- Feminist Theory and Gender Studies
Emory University
2016-2025
Georgia Department of Public Health
2018-2023
London School of Hygiene & Tropical Medicine
2021
University of Arkansas for Medical Sciences
2021
Bethany College - West Virginia
2016
Wesleyan University
2003
The onset of menstruation is a landmark event in the life young woman. Yet complications and challenges that can accompany such an have been understudied, specifically resource-poor settings. As interventions aim to improve female attendance schools, it important explore how perceived navigated by girls school setting. This research conveys rural Kenyan schoolgirls' perceptions practices related menstruationData were collected at six schools Nyanza Province Western Kenya. Using focus group...
While sanitation interventions have focused primarily on child health, women's unique health risks from inadequate are gaining recognition as a priority issue. This study examines the range of sanitation-related psychosocial stressors during routine practices in Odisha, India. Between August 2013 and March 2014, we conducted in-depth interviews with 56 women four life stages: adolescent, newly married, pregnant established adult three settings: urban slums, rural villages indigenous...
A lack of adequate guidance on menstrual management; water, disposal, and private changing facilities; sanitary hygiene materials in low- middle-income countries leaves schoolgirls with limited options for healthy personal during monthly menses. While a plethora observational studies have described how management (MHM) barriers school impact girls' dignity, well-being, engagement activities, yet to confirm if inadequate information facilities MHM significantly affects quantifiable health...
Assessments of disease burden are important to inform national, regional, and global strategies guide investment. We aimed estimate the drinking water, sanitation, hygiene (WASH)-attributable for diarrhoea, acute respiratory infections, undernutrition, soil-transmitted helminthiasis, using WASH service levels used monitor UN Sustainable Development Goals (SDGs) as counterfactual minimum risk-exposure levels.
Background Research suggests that the lived experience of inadequate sanitation may contribute to poor health outcomes above and beyond pathogen exposure, particularly among women. The goal this research was understand women’s experiences by documenting their urination-related, defecation-related menstruation-related concerns, use findings develop a definition insecurity women in low-income settings conceptual model explain factors experiences, including potential behavioural consequences....
Emerging evidence demonstrates how inadequate access to water and sanitation is linked psychosocial stress, especially among women, forcing them navigate social physical barriers during their daily routines. We examine sanitation-related stress (SRPS) across women's reproductive lives in three distinct geographic sites (urban slums, rural villages, tribal villages) Odisha, India. explored practices of adolescent, newly married, pregnant, established adult women (n = 60) identified stressors...
Background Over 650 million people worldwide lack access to safe water supplies, and even among those who have gained ‘improved’ sources, may be seasonally unreliable, far from homes, expensive, provide insufficient quantity. Measurement of at the level communities households remains crude, better measures household insecurity are urgently needed inform needs assessments monitoring evaluation. We set out assess validity a quantitative scale insecurity, investigate (1) whether improvements...
There is increasing global attention to the importance of menstrual health and hygiene (MHH) for lives those who menstruate gender equality. Yet, development community, which focuses on issues ranging from climate change health, overdue draw how addressing MHH may enable progress in attaining Sustainable Development Goals (SDGs). To address this gap, we undertook a collective exercise hypothesize linkages between 17 SDGs, identify contributes priority outcome measures within key sectoral...
There has been growing recognition of menstrual hygiene management (MHM) as a significant public health issue. However, research predominately focused on the experiences adolescent girls in school settings. The purpose this is to examine detailed accounts menstruation for women rural Odisha, India at various life stages with view toward improving international monitoring MHM. Focus group discussions and in-depth interviews were conducted understand women's across four (unmarried women,...
Emerging qualitative research suggests women's sanitation experiences may impact mental health. However, specific associations remain unclear. We aimed to determine if access and were associated with health among women in rural Odisha, India. Using a cross-sectional design, we evaluated the association between selected outcomes. Data collected from 1347 randomly across four life course stages 60 communities (December 2014-February 2015). Our primary outcomes included: well-being, symptoms of...
Access to adequate water and sanitation is limited in informal settlements, contributing girls' challenges managing menstruation at school, especially when they cannot access materials absorb menstrual blood appropriate facilities for hygiene. This study documents differences between experience of public schools (where the Kenyan government provides pads) private pads are not provided) two settlements Nairobi, Kenya. Results showed that supply chains were reliable, equitable pad provision...
Directives to self-quarantine and social distance are essential slow the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but how can people follow these directives if they do not have a household toilet? Over billion need leave their homes meet sanitation needs. An estimated 9% (673 million) global population defecate in open another 8% (627 use facility shared with at least one other as primary location.1UNICEFWHOProgress on drinking water, hygiene 2000–2017: special...
Abstract In recognition of the opportunity created by increasing attention to menstrual health at global, regional, and national levels, World Health Organization’s Department Sexual Reproductive Research UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme Research, Development Training in Human Reproduction convened a global research collaborative meeting on adolescents August 2018. Experts considered nine domains (awareness understanding; stigma, norms, socio-cultural practices; products;...
To describe the feeding profile of low birthweight (LBW) infants in first half infancy; and to examine growth patterns early risk factors poor 6-month outcomes. Prospective observational cohort study. Stable, moderately LBW (1.50 <2.50 kg) were enrolled at birth from 12 secondary/tertiary facilities India, Malawi Tanzania visited nine times over 6 months. Key variables interest included weight, type (combination preterm/term status size-for-gestational age birth), lactation practices...
Lack of access to acceptable sanitation facilities can expose individuals, particularly women, physical, social, and mental health risks. While some the challenges have been documented, standard metrics are needed determine extent which women urination- defecation-related concerns negative experiences. Such also assess effectiveness interventions mitigate them. We developed a insecurity measure capture range frequency women's sanitation-related Research was conducted in rural Odisha, India...
Abstract Objectives Improving school water, sanitation and hygiene ( WASH ) conditions reduces pupil absence illness. However, these benefits may depend on the of latrines availability consumables. We sought to determine whether a low‐cost, policy‐relevant, environmental‐level latrine cleaning intervention could improve cleanliness, increase its use reduce absenteeism. Methods In three‐arm, cluster‐randomized trial we assessed via periodical roll‐call among 17 564 pupils in 60 schools that...