A5068904576- Global Maternal and Child Health
- Telemedicine and Telehealth Implementation
- Child Nutrition and Water Access
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Maternal and Neonatal Healthcare
- Neonatal skin health care
- Breastfeeding Practices and Influences
- Preterm Birth and Chorioamnionitis
- Mental Health and Patient Involvement
- Pediatric health and respiratory diseases
- Health Policy Implementation Science
- Interprofessional Education and Collaboration
- Health disparities and outcomes
- Dementia and Cognitive Impairment Research
- Pregnancy and preeclampsia studies
- Electronic Health Records Systems
- Digital Mental Health Interventions
- Child and Adolescent Health
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Persona Design and Applications
- Innovative Approaches in Technology and Social Development
- Social Work Education and Practice
Wesley Research Institute
2024-2025
The University of Queensland
2024
Brigham and Women's Hospital
2018-2023
Ariadne Diagnostics (United States)
2016-2018
Boston University
2013-2016
Center for Global Health
2013-2016
Modelled mortality estimates have been useful for health programmes in low-income and middle-income countries. However, these are often based on sparse low-quality data. We aimed to generate high quality data about the burden, timing, causes of maternal deaths, stillbirths, neonatal deaths south Asia sub-Saharan Africa.In this prospective cohort study done 11 community-based research sites Africa, between July, 2012, February, 2016, we conducted population-based surveillance women...
To estimate neonatal mortality, particularly within 24 hours of birth, in six low- and lower-middle-income countries.We analysed epidemiological data on a total 149 570 live births collected between 2007 2013 prospective randomized trials cohort study from predominantly rural areas Bangladesh, Ghana, India, Pakistan, the United Republic Tanzania Zambia. The mortality rate birth were estimated for all countries 6 was four with available data. findings compared published model-based estimates...
Introduction People living in rural and remote areas face substantial barriers to accessing timely appropriate mental health services. In the Bowen Basin region of Queensland, Australia, include: limited local providers, long waiting lists, unreliable telecommunication, reluctance trial telehealth. Isaac Navicare is a new, community co-designed care navigation service which addresses these by coupling with supported telehealth, referrals providers other supports. We aimed understand reach...
BackgroundGlobal policy regarding optimal umbilical cord care to prevent neonatal illness is an active discussion among researchers and makers. In preparation for a large cluster-randomized control trial measure the impact of 4% chlorhexidine as wash versus dry on mortality in Southern Province, Zambia, we performed qualitative study determine local perceptions health cultural belief system that shapes knowledge, attitudes, practices. Methods FindingsThis consisted 36 focus group discussions...
BackgroundChlorhexidine umbilical cord washes reduce neonatal mortality in south Asian populations with high rates and predominantly home-based deliveries. No data exist for sub-Saharan African lower or mostly facility-based We compared the effect of chlorhexidine dry care on Zambia.MethodsWe undertook a cluster-randomised controlled trial Southern Province, Zambia, 90 health clusters. enrolled women who were their second third trimester pregnancy, aged at least 15 years, would remain...
Background Maternal morbidity occurs several times more frequently than mortality, yet data on burden and its effect maternal, foetal, newborn outcomes are limited in low- middle-income countries. We aimed to generate prospective, reliable population-based the of major direct maternal morbidities antenatal, intrapartum, postnatal periods association with neonatal death South Asia sub-Saharan Africa. Methods findings This is a prospective cohort study, conducted 9 research sites 8 countries...
Virtual hospitals are rapidly being implemented internationally. Research has predominantly focused on clinical outcomes not implementation. We aimed to identify pre-implementation determinants enable health services tailor virtual hospital models, increasing likelihood of suitability, acceptability, uptake, effectiveness, and sustainability. inform the design implementation a private Australian by identifying contextual barriers, enablers, considerations. conducted qualitative determinant...
Abstract Australia’s geographically tiered health system is reinforced by long-term urban-centric policymaking. People in rural and remote areas have poor outcomes, high preventable hospitalisations, premature death. Virtual healthcare can improve access, but many clinicians service leaders (leaders) consider it substandard to face-to-face. This qualitative thematic study interrogated hidden meanings representing unconscious bias. Interviews were conducted with (February–July 2023,...
<title>Abstract</title> We aimed to inform design and implementation of a new Australian private virtual hospital by establishing co-designed principles themes ten-year vision. This qualitative pre-implementation co-design study used an science approach informed the PERCS framework. Three workshops were held, one face-to-face in Brisbane, Australia, two online. In each workshop, results prior barriers/enablers/considerations presented critiqued participants, followed activities focus groups....
Conducting research in areas with diverse cultures requires attention to community sensitization and involvement. The process of engagement is described for a large community-based, cluster-randomized, controlled trial comparing daily 4% chlorhexidine umbilical cord wash dry care neonatal mortality prevention Southern Province, Zambia. Study preparations required baseline formative ethnographic research, substantial sensitization, three levels stakeholders, each necessitating different...
The objective of the Alliance for Maternal and Newborn Health Improvement (AMANHI) gestational age study is to develop validate a programmatically feasible simple approach accurately assess babies after they are born. will provide accurate, population-based rates preterm birth in different settings quantify risks neonatal mortality morbidity by weight five South Asian sub-Saharan African sites.This used on-going cohort studies recruit pregnant women early pregnancy (<20 weeks) dating...
Preterm birth is the leading cause of child mortality. This study aimed to develop and validate programmatically feasible accurate approaches estimate newborn gestational age (GA) in low resource settings.The WHO Alliance for Maternal Newborn Health Improvement (AMANHI) recruited pregnant women from population-based cohorts five countries (Bangladesh, Ghana, Pakistan, Tanzania Zambia). Women <20 weeks gestation by ultrasound-based dating were enrolled. Research staff assessed newborns for:...
<title>Abstract</title> Virtual hospitals are rapidly being implemented internationally. Research has predominantly focused on clinical outcomes not implementation. Identifying and addressing implementation determinants pre-implementation enables health services to tailor virtual hospital models, increasing likelihood of suitability, acceptability, uptake, effectiveness, sustainability. We aimed inform the design a private Australian by identifying contextual barriers, enablers,...
Despite reductions in the number of under-five deaths since release Sustainable Development Goals, proportion neonatal among all has remained high. Neonatal health is linked to newborn care practices which are tied distinct cultural perceptions and illness. We assessed how community beliefs Zambia’s Southern Province influence behaviors, perception illness, care-seeking practices, using qualitative data collected between February April 2010. A total 339 women participated 36 focus group...
<title>Abstract</title> Introduction Australia has a geographically tiered health system which is reinforced by long-term pattern of urban-centric policymaking. As result, people living in rural and remote areas have poor outcomes, high rate preventable hospitalisations, premature death. Virtual healthcare been proposed as strategy for improving geographical equity, but many clinicians service leaders consider telehealth virtual to be substandard compared with traditional face-to-face...
Background Identifying and understanding traditional perceptions that influence newborn care practices care-seeking behavior are crucial to developing sustainable interventions improve neonatal health. The Zambia Chlorhexidine Application Trial (ZamCAT), a large-scale cluster randomized trial, assessed the impact of 4% chlorhexidine on mortality omphalitis in Southern Province, Zambia. main purpose this post-ZamCAT qualitative study was understand health messages for neonates acceptability,...
Abstract Objective Omphalitis, or umbilical cord infection, is an important cause of newborn morbidity and mortality in low‐resource settings. We tested algorithm that task‐shifts omphalitis diagnosis to community‐level workers sub‐Saharan Africa. Methods Community‐based field monitors Zambian paediatricians independently evaluated newborns presenting health facilities Southern Zambia using a signs symptoms checklist. Responses were compared against the paediatrician's gold standard clinical...