A5004006987- Global Maternal and Child Health
- Infant Development and Preterm Care
- Health, psychology, and well-being
- School Health and Nursing Education
- Healthcare Policy and Management
- Family and Patient Care in Intensive Care Units
- Maternal and Neonatal Healthcare
- Child Nutrition and Water Access
- Pediatric health and respiratory diseases
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Health disparities and outcomes
- Neonatal Respiratory Health Research
- Health Policy Implementation Science
- Sepsis Diagnosis and Treatment
- Neonatal and Maternal Infections
- Poverty, Education, and Child Welfare
- Chronic Disease Management Strategies
- Bacterial Identification and Susceptibility Testing
- COVID-19 Impact on Reproduction
- Pharmaceutical studies and practices
- Emergency and Acute Care Studies
- Food Security and Health in Diverse Populations
- Healthcare Operations and Scheduling Optimization
- Child and Adolescent Health
London School of Hygiene & Tropical Medicine
2023-2025
Boston Children's Museum
2019
Boston Children's Hospital
2018-2019
Abstract Background Each year an estimated 2.3 million newborns die in the first 28 days of life. Most these deaths are preventable, and high-quality neonatal care is fundamental for surviving thriving. Service readiness used to assess capacity hospitals provide care, but current health facility assessment (HFA) tools do not fully evaluate inpatient small sick newborn (SSNC). Methods Health systems ingredients SSNC were identified from international guidelines, notably World Organization...
Malnutrition in infants aged <6 mo (u6m) is poorly identified and managed many countries, increasing the risk of poor growth development. Addressing this gap, 2023 WHO malnutrition guidelines recommend assessment, classification treatment at primary care level. This study aimed to assess healthcare facility readiness for nutritional u6m. We adapted Harmonized Health Facility Assessment (HHFA), adding items Management small nutritionally At-risk Infants u6m their Mothers (MAMI) five contact...
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...
Abstract Background Service readiness tools are important for assessing hospital capacity to provide quality small and sick newborn care (SSNC). Lack of summary scoring approaches SSNC service means we unable track national targets such as the Every Newborn Action Plan targets. Methods A health facility assessment (HFA) tool was co-designed by Essential Solutions Technologies (NEST360) UNICEF with four African governments. Data were collected in 68 NEST360-implementing neonatal units Kenya,...
The emergence of COVID-19 precipitated containment policies (e.g., lockdowns, school closures, etc.). These disrupted healthcare, potentially eroding gains for Sustainable Development Goals including neonatal mortality. Our analysis aimed to evaluate indirect effects on admissions and mortality in 67 units across Kenya, Malawi, Nigeria, Tanzania between January 2019 December 2021.
Objective: Use claims data to examine the cost benefit of Community Asthma Initiative (CAI), a Boston area nurse-supervised community health worker (CHW) asthma home-visiting program. Methods: The reduction in treatment costs was assessed using Massachusetts from one Medicaid Managed Care Organization (MCO) north east that included all between January 1, 2011 and December 31, 2016. used determine asthma-related utilization reductions 1 year pre- 2 3 years post-intervention. for 45 CAI...
Introduction: Nationally, hospital practice missed appointment rates are high. Our goal was to reduce the rate of appointments in an Adolescent/Young Adult Practice through quality improvement methods. Methods: During 12-month intervention period, administrative staff called patients day before their primary or specialty care remind them date, time, and location, as well who did not attend ask about reason for appointment. We implemented Plan-Do-Study-Act interventions analyzed data compare...
Objective: This study seeks to identify helpful components of a nurse-supervised Community Health Worker (CHW) asthma home-visiting program, obtain feedback from parents and families about their experiences, receive suggestions for new services that the program could provide. Methods: Likert scale ratings semi-structured qualitative interviews were conducted with who selected representative sample previously participated in program. Five-point 1 (not helpful) 5 (very obtained 11 components....
Abstract Malnutrition in infants under six months of age (u6m) is poorly identified and managed many countries, increasing these children’s risk poor growth development preventable mortality morbidity. New 2023 WHO malnutrition guidelines recommend assessment, classification treatment at primary health care level. This study aimed to assess facility availability readiness for WHO-recommended nutritional u6m. We adapted the Harmonized Health Facility Assessment (HHFA) with additional items M...
Background Our objective was to examine the benefits from Community Asthma Initiative (CAI) program using claims data one Medicaid Managed Care Organization by comparing actual costs incurred for asthma treatment CAI intervention patients with a cost-matched comparison group without similar low-income neighborhoods. A number of randomized clinical trials have demonstrated importance culturally appropriate, individualized care coordination, education and coaching improvement in outcomes...
Background The objective was to identify helpful components of an urban nurse-supervised community health worker asthma home-visiting program, obtain feedback from parents and families, receive suggestions for new services that the program could provide. This study also examines needs specialized subpopulations, such as children with ADHD, or other comorbid behavioral emotional diagnoses, better serve these populations. Methods Likert scale ratings semi-structured qualitative interviews were...