Abraham Samma
A5061925378- Child Nutrition and Water Access
- Global Maternal and Child Health
- Global Health and Epidemiology
- Viral gastroenteritis research and epidemiology
- Emergency and Acute Care Studies
- Breastfeeding Practices and Influences
- Child Nutrition and Feeding Issues
- Clostridium difficile and Clostridium perfringens research
- Maternal and Neonatal Healthcare
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
Muhimbili University of Health and Allied Sciences
2022-2025
Harvard Global Health Institute
2021
Abstract Background Bacterial pathogens cause substantial diarrhea morbidity and mortality among children living in endemic settings, yet antimicrobial treatment is only recommended for dysentery or suspected cholera. Methods AntiBiotics Children with severe Diarrhea was a 7-country, placebo-controlled, double-blind efficacy trial of azithromycin 2–23 months age watery accompanied by dehydration malnutrition. We tested fecal samples enteric utilizing quantitative polymerase chain reaction to...
World Health Organization (WHO) guidelines do not recommend routine antibiotic use for children with acute watery diarrhea. However, recent studies suggest that a significant proportion of such episodes have bacterial cause and are associated mortality growth impairment, especially among at high risk diarrhea-associated mortality. Expanding dehydrated or undernourished may reduce improve growth.To determine whether the addition azithromycin to standard case management nonbloody diarrhea aged...
Hospital readmissions among neonates are common and may reflect ongoing illness. We conducted a prospective observational cohort study of discharged from two hospitals, one in Dar es Salaam, Tanzania, Monrovia, Liberia, to develop internally validate risk assessment tool identify at for unplanned readmission within 60 days discharge. One hundred fifteen candidate variables were collected. The outcome was identified through phone calls caregivers. constructed multivariable logistic regression...
The immediate period after hospital discharge carries a large burden of childhood mortality in sub-Saharan Africa. Our objective was to derive and internally validate risk assessment tool identify neonates discharged from the neonatal ward at for 60-day post-discharge mortality. We conducted prospective observational cohort study Muhimbili National Hospital Dar es Salaam, Tanzania, John F Kennedy Medical Centre Monrovia, Liberia. Research staff called caregivers ascertain vital status up 60...
Introduction Over half of the 5 million annual deaths among children aged 0–59 months occur in sub-Saharan Africa. The period immediately after hospitalisation is a vulnerable time life child Africa as postdischarge mortality rates are high 1%–18%. Identification neonates and who at highest risk for may allow direction interventions to target patients risk. Methods analysis Predicting Post-Discharge Mortality study prospective, observational being conducted Muhimbili National Hospital (Dar...
There are no validated clinical decision aids to identify neonates and young children at risk of hospital readmission or postdischarge mortality in sub-Saharan Africa, leaving the discharge a child clinician's impression. Our objective was determine precision clinician impression for mortality.We conducted survey study nested prospective observational cohort aged 1-59 months followed 60 days after from Muhimbili National Hospital Dar es Salaam, Tanzania John F. Kennedy Medical Center...
Abstract Background Low birthweight (LBW) infants are at increased risk of morbidity and mortality. Exclusive breastfeeding up to six months is recommended help them thrive through infection prevention, growth improvements, enhancements in neurodevelopment. However, limited data exist on the feeding experiences LBW infants, their caregivers key community influencers. The qualitative component Birthweight Infant Feeding Exploration (LIFE) study aimed understand practices, facilitators,...
Background Researchers and healthcare providers have paid little attention to morbidity unplanned encounters for children following hospital discharge in low- middle-income countries. Our objective was compare symptoms among aged <5 years who survived with those died within 60 days of through follow-up phone calls. Methods We conducted a secondary analysis prospective observational cohort discharged from neonatal paediatric wards two national referral hospitals Dar es Salaam, Tanzania...