- Global Maternal and Child Health
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Neonatal and Maternal Infections
- Empathy and Medical Education
- Children's Rights and Participation
- Sepsis Diagnosis and Treatment
- Healthcare cost, quality, practices
- COVID-19 Digital Contact Tracing
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Challenges
- Child Welfare and Adoption
- Social Media in Health Education
- Mobile Health and mHealth Applications
- Bacterial Identification and Susceptibility Testing
- Healthcare Systems and Technology
- Delphi Technique in Research
- Blood donation and transfusion practices
- Child and Adolescent Health
Rice University
2023-2025
University of Exeter
2022-2024
Technologies pour la Santé
2023
Patient and public involvement (PPI) in health research is required by some funders publications but we know little about how common it is. In this study estimated the frequency of PPI inclusion papers analysed varied relation to topics, methods, funding sources geographical regions.
Thirty million small and sick newborns worldwide require inpatient care each year. Many receive antibiotics for clinically diagnosed infections without blood cultures, the current 'gold standard' neonatal infection detection. Low culture use hampers appropriate antibiotic use, fuelling antimicrobial resistance (AMR) which threatens newborn survival. This study analysed gap between prescribing in hospitals implementing with Newborn Essential Solutions Technologies (NEST360) Kenya, Malawi,...
Background Implementing small and sick newborn care (SSNC) requires skilled health workers; however, there is a shortage, adversely impacting patient outcomes worker well-being. There are limited data no current WHO standards for staff-to-baby ratios in neonatal units low- middle-income countries (LMICs) to inform policy, planning, investment. Methods In 65 (36 Malawi, 13 Kenya, 7 Tanzania, 9 Nigeria), facility assessment (HFA) SSNC government-led quality improvement (QI) processes were...
Background Improving small and sick newborn care (SSNC) is crucial in resource-limited settings. Newborn Essential Solutions Technologies (NEST360), a multicountry alliance, aims to reduce mortality through evidence-based interventions. NEST360 developed multipronged approach improving quality. We use implementation research (IR) describe this report emerging outcomes. Methods The logic model (IRLM) was applied link contextual factors, strategies, mechanisms outcomes, capturing successes...
<h3>Objectives</h3> Healthcare-associated infections (HCAIs) are an increasing contributor to deaths globally. Despite limitations, blood culture remains the 'gold standard' for detecting bloodstream HCAIs, which disproportionately affect premature and small neonates. Quantitative data from 61 hospitals with NEST360 in four sub-Saharan African countries found marked underutilisation of neonatal all except a few hospitals. We aimed investigate hospital-level variation by exploring barriers...