Obstacles to prompt and effective malaria treatment lead to low community-coverage in two rural districts of Tanzania (Publications)
information. A census of drug retailers and health facilities provided data on availability and location of treatment sources. RESULTS: After intensive health education, the biomedical concept of malaria has largely [...] 8) of the fever cases in children and 80.7% (68.1-90.0) in adults were treated with one of the recommended antimalarials (at the time SP, amodiaquine or quinine). However, only 22.5% (13.9-33.2) of the [...] 0-21.5) of the adults received prompt and appropriate antimalarial...
The equity impacts of community financing activities in three African countries (Publications)
equity primarily through consideration of the design of these financing activities and through the perceptions of different actors, within a limited number of purposively selected geographical areas in [...] achieved, as well as as an influence over both the distributional and procedural justice of the financing activities, the pattern of decision-making. Across countries there was evidence of relative affordability [...] either to the issue of absolute affordability, through the implementation...
Impact of geocoding methods on associations between long-term exposure to urban air pollution and lung function (Publications)
BACKGROUND: Errors in address geocodes may impact estimates of the effects of air pollution on health. OBJECTIVE: We investigated the impact of four geocoding techniques on the association between urban [...] expiratory volume in one second (FEV1) and forced vital capacity (FVC) were measured in 354 adult residents of Grenoble that were participants in two well characterized studies (EGEA and ECRHS). Home addresses [...] CI: -0.56, -6.88) and a 3.86-point decrease in FEV1% predicted (95% CI:...
Is diabetes a risk factor for a severe clinical presentation of dengue? Review and meta-analysis (Publications)
symptoms of dengue fever episodes as well as of hyperglycemia in the past, and at the time of dengue diagnosis, are needed to properly address the effect of diabetes on the clinical presentation of an acute [...] BACKGROUND: The mean age of acute dengue has undergone a shift towards older ages. This fact points towards the relevance of assessing the influence of age-related comorbidities, such as diabetes, on the [...] the clinical presentation of dengue episodes. Identification of factors...
Efficiency and stability evaluation of Cu2O/MWCNTs filters for virus removal from water (Publications)
Material conditioning influenced virus removal, with the first litres of water containing higher concentrations of copper than the sixth litres of water, suggesting excess or non-bonded copper species dissolve [...] MWCNTs, but also through antiviral properties of copper which continues to act in the permeate. In conclusion, it is highly important to revise the methods of testing filter materials for virus removal, [...] efficacy (using MS2 bacteriophages) was evaluated. All synthesis procedures...
Key characteristics and perception of different outbreak surveillance systems in Côte d'Ivoire: cross-sectional survey among users (Publications)
distributed to users of the 3 surveillance tools. The survey assessed users' views of the surveillance tools' usefulness, ease of use, feelings toward the tool, conditions that may influence the use, and other [...] important component of this is the disease surveillance tools used. Understanding views and experiences of users is crucial for informing policy decisions and ensuring the seamless functioning of surveillance [...] MAGPI, and DHIS2 users, providing a comprehensive evaluation of their...
Seasonal malaria chemoprevention and the spread of <em>Plasmodium falciparum </em>quintuple-mutant parasites resistant to sulfadoxine-pyrimethamine: a... (Publications)
l models to identify and quantify the influence of factors driving quintuple-mutant spread and predict the time needed for the mutant to spread from 1% to 50% of inoculations for several SMC deployment [...] amine (with quintuple mutations) potentially threaten the protective effectiveness of SMC. We evaluated the spread of quintuple-mutant parasites and the clinical consequences. METHODS: We used an indi [...] strategies. We estimated the impact of this spread on SMC effectiveness against...
Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania (Publications)
including poor quality of care, lack of awareness about the health benefit of antenatal care, late recognition of pregnancy, and social and economic factors may influence timing of antenatal care. Commu [...] associations with timing of antenatal care initiation using regression analysis. RESULTS: The majority of pregnant women initiated antenatal care attendance with an average of 5 gestational months. Belonging [...] south-eastern Tanzania in 2008. Qualitative exploratory studies informed the...
The socioeconomic benefit to individuals of achieving the 2020 targets for five preventive chemotherapy neglected tropical diseases (Publications)
tropical diseases (NTDs). They can be controlled or eliminated by means of safe and cost-effective interventions delivered through programs of Mass Drug Administration (MDA)-also named Preventive Chemotherapy [...] dramatic health gains. We estimated the potential economic benefit of achieving these targets, focusing specifically on productivity and out-of-pocket payments. METHODS: Productivity loss was calculated by [...] usted and discounted at 3% per annum from 2010). Sensitivity analyses...
Policy levers and priority-setting in universal health coverage: a qualitative analysis of healthcare financing agenda setting in Kenya (Publications)
achievement of UHC in terms of its the optimisation of health service coverage; expansion of the population that benefits from essential healthcare services; and the minimisation of out-of-pocket costs [...] and highly political. In light of the centrality of universal health coverage (UHC) in driving current health policy, we sought to examine the value interests that influence agenda setting in the country's [...] findings indicate that the perceived lack of strategic leadership from Kenya's...