A5007135323- Global Maternal and Child Health
- Infant Development and Preterm Care
- Child Nutrition and Water Access
- Neonatal Respiratory Health Research
- Neonatal and Maternal Infections
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Intergenerational Family Dynamics and Caregiving
- Global Health and Surgery
- Maternal and Neonatal Healthcare
- Reproductive tract infections research
- Healthcare Policy and Management
- Genital Health and Disease
- Health, Environment, Cognitive Aging
- Syphilis Diagnosis and Treatment
- Autopsy Techniques and Outcomes
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Birth, Development, and Health
McGill University
2020-2025
O'Brien Institute
2024
Sinclair Pharma
2023
McGill University Health Centre
2021-2022
SickKids Foundation
2018-2019
Hospital for Sick Children
2018-2019
University of Toronto
2018-2019
Centre for Global Health Research
2019
ABSTRACT Aim To determine the time required for mothers to learn how monitor their hospitalised infant using video‐assisted education and understand healthcare providers' perspectives on role in maternal education. Methods This was a two‐part study neonatal hospital unit Uganda. Using education, we assessed assess danger signs, weigh baby, track feeds. Proficiency tested with knowledge skills assessments. Concurrently, providers completed survey regarding engagement. Results Fifty...
Familial involvement in the neonatal intensive care unit (NICU) reduces parental stress and strengthens parental-infant bonding. However, parents often face barriers to in-person visitation. The coronavirus disease-2019 COVID-19 pandemic has exacerbated limitations bedside presence.To design, implement, evaluate a technology-based program connect NICU babies with their families during pandemic.We created NeoConnect at our level IV NICU, which included audio recordings video chats between...
Family Integrated Care (FICare) was developed in high-income countries and has not been tested resource-poor settings. We aimed to identify the facilitators constraints that informed adaptation of FICare a neonatal hospital unit Uganda.
We report a case of preterm infant with congenital syphilis who presented non-immune hydrops fetalis. Hepatic dysfunction was present at birth and acutely worsened following antibiotic administration. Placental pathology demonstrated infiltration numerous spirochetes. Although critically ill, the recovered intravenous penicillin G supportive care. This demonstrates that remains contemporary disease demanding enhanced awareness from clinicians. Manifestations evident in utero or newborn can...
Background: Sepsis is a leading cause of neonatal mortality globally. The home-based care (HBNC) field trial (1995–1998) in rural Gadchiroli demonstrated reduction the incidence sepsis. current study examines trend sepsis during twenty-one years (1998–2019) following trial’s completion. Methods: We conducted retrospective cohort based on HBNC program data Gadchiroli, India, from April 1998 to March 2019. All live-born neonates who spent all or part period 39 villages and received were...
The World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) guidelines recognize the importance discharge planning to ensure continuation care at home and appropriate follow-up. However, insufficient attention has been paid post in many hospitals contributing poor implementation. To understand reasons for suboptimal discharge, we evaluated pediatric process from hospital admission through transition within community Ugandan hospitals. This mixed methods prospective...
Background: Family Integrated Care (FICare) integrates parents as partners in neonatal intensive care unit care. Our team adapted and implemented this approach a Ugandan for hospitalized neonates. Purpose: This qualitative descriptive study examined the perceptions of mothers healthcare professionals (HCPs) benefits challenges new to Methods: Fifty-one neonates born weighing greater than 2000 g participated program. They were taught assess neonate danger signs, feeding, weight. After...
To determine the feasibility of adapting Family Integrated Care to a neonatal hospital unit in low-income country.Single-centre, pre/post-pilot study an adapted programme Uganda (UFICare).Special Nursery at Ugandan hospital.Singleton, inborn neonates with birth weight ≥2 kg.As part UFICare, mothers weighed their infant daily, assessed for severe illness ('danger signs') twice daily and tracked feeds.Feasibility outcomes included maternal proficiency completion monitoring tasks. Secondary...
BACKGROUND Reducing child mortality in low-income countries is constrained by a lack of vital statistics. In the absence such data, verbal autopsies provide an acceptable method to determining attributable causes death. The objective was assess potential pediatric postdischarge children younger than age 5 years (under-5) originally admitted for suspected sepsis using autopsies. METHODS Secondary analysis autopsy data from 6 hospitals across Uganda July 2017 March 2020. Structured interviews...
Although hospitalisation remains the preferred management for neonatal sepsis, it is often not possible in resource-limited settings. The Home-Based Newborn Care (HBNC) study Gadchiroli, India (1995-1998) was first trial to demonstrate that sepsis can be managed community. HBNC continues operate Gadchiroli. In 2015, WHO recommended community-based of when feasible but called implementation research. We studied and effectiveness home-based over 23 years Gadchiroli.In this cohort (1996-2019),...
In 2018, Pakistan had the world's highest neonatal mortality rate. Within Pakistan, most deaths occur in rural areas where access to health facilities is limited, and robust vital registration systems are lacking. To improve newborn survival, there a need better understand causes of death high burden settings engage caregivers promotion health.To describe area estimate effect an integrated care kit (iNCK) on cause-specific mortality.We analyzed data from community-based, cluster-randomized...
Abstract Background: Family Integrated Care (FICare) is a model of care developed in Canadian Neonatal Intensive Unit that engages parents to be active participants their infant’s team. FICare has the potential have greatest impact low-income countries, where neonatal mortality rate disproportionately high and health workforce severely strained. This manuscript details facilitators constraints informed adaptation hospital unit Uganda Methods: Focus groups ten mothers interviews eight workers...
Children with complex illness present a challenge to our current system of care organization. This paper explores the policy issues raised by this new and specific population pediatric patients, suggests that effective re-engineering must consider both broader demographic economic realities informing health decision-making as well dominant prerogatives writ large. The fundamentals process will be emphasized road map for change presented. Keywords: Child policy, medically children, chronic...