A5077343896- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Vaccine Coverage and Hesitancy
- Antibiotic Use and Resistance
- Healthcare Systems and Reforms
- Child Nutrition and Water Access
- Viral Infections and Outbreaks Research
- Adolescent Sexual and Reproductive Health
- Global Health and Epidemiology
- Malaria Research and Control
- Pneumonia and Respiratory Infections
- Mosquito-borne diseases and control
- HIV Research and Treatment
- Global Public Health Policies and Epidemiology
- Bacterial Identification and Susceptibility Testing
- SARS-CoV-2 and COVID-19 Research
- Virology and Viral Diseases
- Mobile Health and mHealth Applications
- COVID-19 epidemiological studies
- Global Health Care Issues
Karolinska Institutet
2024-2025
ICAP Global Health
2020-2024
World Health Organization - Nigeria
2024
Center for Global Health
2024
University of Sierra Leone
2021
Sierra Leone Urban Research Centre
2020
Columbia University
2020
AIDS Prevention Initiative in Nigeria
2018
Sub-Saharan Africa continues to bear a disproportionate burden of the global HIV epidemic. Integrating services into primary healthcare is crucial strategy accelerate progress towards ending However, several challenges hinder effective integration, including underfunding, human resource shortages, infrastructure limitations, weak health systems, and sociocultural factors. With this perspective, we discuss strategies address these challenges. A comprehensive, multi-faceted approach necessary...
ABSTRACT The challenge of antimicrobial resistance (AMR) represents one the most pressing global health crises, particularly, in resource‐constrained settings like Africa. In this paper, we explore artificial intelligence (AI) and machine learning (ML) potential transforming for stewardship (AMS) to improve precision, efficiency, effectiveness antibiotic use. deployment AI‐driven solutions presents unprecedented opportunities optimizing treatment regimens, predicting patterns, improving...
Nigeria, home to approximately 1.9 million people living with HIV (PLHIV), faces significant challenges in providing adequate care and treatment the teeming number of PLHIV, particularly following adoption ‘test treat’ policy ‘SURGE’ initiative. The Differentiated Service Delivery (DSD) model was introduced address increased burden on healthcare system, offering patient-centered through diverse methods like community-based care, fast-track drug refills, task-shifting lower-level providers....
Abstract Background Intermittent preventive treatment of malaria in infants (IPTi) with sulfadoxine-pyrimethamine (SP) is a proven strategy to protect against malaria. Sierra Leone the first country implement IPTi nationwide. implementation was evaluated Kambia, one two initial pilot districts, assess quality and coverage services. Methods This mixed-methods evaluation had phases, conducted 3 (phase 1) 15–17 months 2) after implementation. included: assessments 18 health facilities (HF),...
Background/setting Only 47% of HIV-positive Sierra Leoneans knew their status in 2017, making expanded HIV testing a priority. National guidelines endorse provider-initiated and counselling (PITC) to increase coverage, but PITC is rarely provided Leone. In response, Quality Improvement Collaborative (QIC) was implemented improve coverage amongst adult inpatients. Methods Ten hospitals received the intervention between October 2017 August 2018; there were no control facilites. Each hospital...
Program evaluation of an ORS and zinc scale-up program in 8 Nigerian states Background In Nigeria, diarrhea is the second leading killer children under five.Between 2012-2017, Clinton Health Access Initiative, Inc. (CHAI) Government Nigeria implemented a comprehensive eight aimed at increasing percentage five with who were treated oral rehydration solution (ORS).The addressed demand, supply, policy barriers to uptake through interventions both public private sectors.The included: (1)...
Background Urban childhood immunization programs face unique challenges in access, utilization, and demand due to frequent population movement between within localities, sprawling informal settlements, heterogeneity.We conducted a cross-sectional household survey the Western Area district, Sierra Leone, stratified by slums non-slums as defined United Nations Development Program.Methods Based on data from child vaccination cards, weighted coverage was estimated 450 children aged 12-36 months...
Abstract Quality challenge The Sierra Leone (SL) Ministry of Health and Sanitation’s National Infection Prevention Control Unit (NIPCU) launched (IPC) Policy Guidelines in 2015, but a 2017 assessment found suboptimal compliance with standards on environmental cleanliness (EC), waste disposal (WD) personal protective equipment (PPE) use. Methods ICAP at Columbia University (ICAP), NIPCU the Centers for Disease (CDC) designed implemented Rapid Improvement Model (RIM) quality improvement (QI)...
Introduction: Community health workers (CHWs) play an integral role in Sierra Leone's systems strengthening efforts. Our goal was to understand CHWs' experiences of providing immunization and malaria prevention services urban settings explore opportunities optimize their contributions these services. Methods: In 2018, we conducted exploratory qualitative assessment the Western Area Urban district, which covers most capital city Freetown. We purposively selected diverse facilities (i.e.,...
Abstract This study explores factors influencing viral re-suppression among 1,607 recipients of HIV care in Nigeria who completed Enhanced Adherence Counseling (EAC) between July 2021 and June 2022. The analysis, part the Reaching Impact, Saturation, Epidemic Control (RISE) project, utilized routine program data from 132 health facilities. Results showed a 91% rate post-EAC, with age ART regimen type identified as significant factors. Adolescents (10-19 years) had higher likelihood...
Abstract Background COVID-19, caused by the novel SARS-CoV-2 is worst catastrophe in this century that affected more than 800 million people and 7 deaths. During pandemic, burden of COVID-19 increased significantly, posing a threat to public health infrastructure, testing protocols, national healthcare capacity, disease control measures. To assess impacts Nigerian Health Systems on fatalities, researchers evaluated association between system capability mortality rate patients through...
Abstract Background Diarrhoea kills 500,000 children every year despite availability of cheap and effective treatment. In addition, a large number are inappropriately treated with antibiotics, which do not benefit the patient but can contribute to development antibiotic resistance. We investigated whether prevalence use among under age five diarrhoea in Uganda changed following national intervention increase oral rehydration salts (ORS), any socioeconomic characteristics were associated use....
The WHO recommends monitoring viral load (VL) to gauge ART efficacy among People Living with HIV (PLHIV). Low suppression rates persist in low- and middle-income countries due poor adherence. Enhanced Adherence Counseling (EAC) aims improve adherence treatment outcomes. This study, part of the Reaching Impact Saturation Epidemic Control (RISE) project Nigeria, analyzes factors affecting re-suppression post-EAC. It inform clinical decisions PLHIV health outcomes country. was a retrospective...
Background: There has been limited use of stage change model in scaling up self-care for optimal adherence to ART. The study aimed assess the pattern behavior and its associated factors among recipients care (RoC) receiving treatment Akwa Ibom state, Nigeria. Methods: A descriptive cross-sectional was conducted 423 RoC between August October 2022. determined using statistics, with were assessed chi-square analysis subsequently binary logistic regression at an alpha level <0.05 a 95%...