A5078336222- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Psychosocial and Emotional Development
- Global Maternal and Child Health
- Migration, Health and Trauma
- Mental Health Treatment and Access
- Child Abuse and Trauma
- Suicide and Self-Harm Studies
- Intergenerational Family Dynamics and Caregiving
- Digital Mental Health Interventions
- Child Nutrition and Water Access
- Mobile Health and mHealth Applications
- Poverty, Education, and Child Welfare
- Attachment and Relationship Dynamics
- Water resources management and optimization
- Maternal and Perinatal Health Interventions
- Intimate Partner and Family Violence
- Stress Responses and Cortisol
- Health disparities and outcomes
- ICT in Developing Communities
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Early Childhood Education and Development
- Child Development and Digital Technology
- Healthcare Systems and Reforms
- Neuroendocrine regulation and behavior
Yale University
2019-2025
University of North Carolina at Chapel Hill
2017-2024
Addis Ababa University
2024
CDC Foundation
2024
Institute for Healthcare Improvement
2024
The University of Melbourne
2021
Cooper University Health Care
2021
ORCID
2020
Human Sciences Research Council
2020
Cooper University Hospital
2020
There is much debate over the number of interviews needed to reach data saturation for themes and metathemes in qualitative research. The primary purpose this study determine multisited cross-cultural analysis based on a water issues conducted with 132 respondents four different sites. Analysis yielded 240 site-specific nine metathemes. We found that 16 or fewer were enough identify common from sites relatively homogeneous groups. Yet our research reveals larger sample sizes—ranging 20 40...
Since the 2010 earthquake in Haiti, there has been increased international attention to mental health needs throughout country. The present study represents one of first epidemiologic studies depression symptomatology, suicidal ideation, and associated factors Haiti's Central Plateau.We conducted a cross-sectional, zone-stratified household survey 408 adults Plateau. Depression symptomatology was assessed with culturally-adapted Kreyòl version Beck Inventory (BDI). Multivariable linear...
This study examined patterns, determinants, and costs of seeking care for mild to moderate psychiatric distress in order determine optimal approaches expanding mental health rural Haiti.A cross-sectional, zone-stratified household survey 408 adults was conducted Haiti's Central Plateau. Multivariable logistic regression models were built assess determinants first-choice lifetime service use by provider type.Thirty-two percent respondents endorsed God as their first choice if suffering from...
Depression and disability are closely linked. Less is known regarding clinical subclinical depressive symptoms over time risk of mortality. Responses to the Center for Epidemiologic Studies Short scale (CES-D10) were assessed a 4-year period in men ( n = 1032) women 1070) aged 70–79 years initially free from disability. Depressive symptom trajectories defined with group-based models. Disability (2 consecutive reports severe difficulty walking one-quarter mile or climbing 10 steps) mortality...
Abstract Background Responsive caregiving, or interactions in which caregivers give appropriate responses to a child’s signals, is linked improved psychosocial, cognitive and physical outcomes children. However, much remains unknown about how responsive caregiving affects child development across cultural socioeconomic contexts. The purpose of this study examine predictors maternal investigate these are associated with children’s development. Methods Data for the current analyses came from...
This is a prospective pregnancy-birth cohort designed to investigate the effects of depression on socioemotional development children. Perinatal risk factor for poor child and many it has recurring chronic course. Thus, exposure can continue through early years with detrimental developmental outcomes.Between October 2014 February 2016, we recruited 1154 pregnant women from rural subdistrict Pakistan. Data include longitudinal repeated measures maternal psychosocial growth, cognitive...
Compounding systems of marginalization differentiate and shape water-related risks. Yet, quantitative water security scholarship rarely assesses such risks through intersectionality, a paradigm that conceptualizes examines racial, gendered, class, other oppressions as interdependent. Using an intersectionality approach, we analyze the relationships between household head gender self-reported socio-economic status, affordability (proportion monthly income spent on water) insecurity (a...
Despite increasing recognition of the high burden suicide deaths in low- and middle-income countries, there is wide variability type quality data collected reported for suspected deaths. Suicide are filtered through reporting systems shaped by social, cultural, legal, medical institutions. Lack systematic may underestimate public health needs or contribute to misallocation resources groups most at risk. The goal this study was explore how institutional structures, cultural perspectives on...
Abstract Background Quality improvement (QI) methods are effective in improving healthcare delivery using sustainable, collaborative, and cost-effective approaches. Systems-integrated interventions offer promise terms of producing sustainable impacts on service quality coverage, but can also improve important data information systems at scale. Methods This study assesses the preliminary a first phase, quasi-experimental, QI health intervention maternal neonatal outcomes four pilot districts...
Abstract Background Adverse Childhood Experiences (ACEs) are a common pathway to adult depression. This is particularly important during the perinatal period when women at an elevated risk for However, this relationship has not been explored in South Asia. study estimates association between ACEs and women’s ( N = 889) depression 36 months postpartum rural Pakistan. Method Data come from Bachpan Cohort study. To capture ACEs, adapted version of ACE-International Questionnaire was used....
Passive sensor data from mobile devices can shed light on daily activities, social behavior, and maternal-child interactions to improve maternal child health services including mental healthcare. We assessed feasibility acceptability of the Sensing Technologies for Maternal Depression Treatment in Low Resource Settings (StandStrong) platform. The StandStrong passive collection platform was piloted with adolescent young mothers, mothers experiencing postpartum depression, Nepal.
Background: The Multidimensional Scale of Perceived Social Support (MSPSS) is a short and reliable instrument that assesses perceived social support from the network an individual. A previous study in Pakistan among postpartum women has demonstrated unidimensional factor structure contrast to original three-factor structure. emergence one-factor for may be due traditional practices unique subcontinent. Building upon evidence, this aims explore psychometric properties MSPSS pregnant their...
Abstract Background Maternal depression affects one in five women low-and middle income countries (LMIC) and has significant economic social impacts. Evidence-based psychosocial interventions delivered by non-specialist health workers are recommended as first-line management of the condition, recent studies on such from LMIC show promising results. However, lack human resource to deliver is a major bottle-neck scale-up, much research attention been devoted ‘task-sharing’ initiatives. A peer...
Background There is a high prevalence of untreated postpartum depression among adolescent mothers with the greatest gap in services low- and middle-income countries. Recent studies have demonstrated potential nonspecialists to provide mental health for these low-resource settings. However, there inconsistency short-term long-term benefits from interventions. Passive sensing data generated wearable digital devices can be used more accurately distinguish which will benefit psychological...
Introduction Early childhood interventions primarily focus on the mother–child relationship, but grandmothers are often critical in childcare low-resource settings. Prior research is mixed how grandmother involvement influences child outcomes and there a paucity of caregiving low-income middle-income countries. We examined role growth development first 2 years life cross sectionally longitudinally rural Pakistan. Methods used data from Bachpan Cohort, longitudinal birth cohort Maternally...