Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania (Publications)
compare the quality of public and private first-tier antenatal care services in Dar es Salaam, United Republic of Tanzania, using defined criteria. METHODS: Structural attributes of quality were assessed [...] that both public and private providers were reasonably good with regard to the structural and interpersonal aspects of quality of care. However, both were poor when it came to technical aspects of quality [...] time, while ensuring participation in, and ownership of, every aspect of the...
Effectiveness of behavioural change interventions on physical activity, diet and body mass index of public primary healthcare users in Kosovo: the... (Publications)
RESULTS: There was a high rate of smokers 20.5% and obesity 53.1%, and high rates of self-reported diagnoses of diabetes: 57.1%; hypertension 62.6%. We found no effect of residing in an ESIM, but adherence [...] Kosovo. To improve health services for patients with NCD the Accessible Quality Healthcare project developed behaviour change interventions following the principles of the WHO Package of Essential NCD (PEN) [...] themselves any health service were approached and recruited for cohort...
An official American Thoracic Society public policy statement: Novel risk factors and the global burden of chronic obstructive pulmonary disease (Publications)
METHODS: We constituted an ad hoc subcommittee of the American Thoracic Society Environmental and Occupational Health Assembly. An international group of members was invited, based on their scientific [...] with COPD as it is typically encountered in clinical settings. CONCLUSIONS: In public health terms, a substantive burden of COPD is attributable to risk factors other than smoking. To prevent COPD-related [...] RATIONALE: Although cigarette smoking is the most important cause of chronic...
PubliCo. A protocol for a new risk and crisis communication platform to bridge the gap between policy makers and the public in the context of the... (Publications)
risk and crisis communication in the context of public health crises; further data are needed to assess its function at a larger scale or in the context of an issue other than COVID-19. [...] need information - preferably based on real-time data - on the public’s cognitive, emotional and behavioural reaction to public health messages and restrictive measures. PubliCo aims to foster effective [...] and crisis communication as well as an assessment of the risks and benefits of prevention and...
Costing the supply chain for delivery of ACT and RDTs in the public sector in Benin and Kenya (Publications)
inadequately plan for the budgetary implications of supply chain expenses. The purpose of this research was to estimate the country level costs of the public sector supply chain for artemisinin-based combination [...] 0.2443 to the acquisition cost of ACT and USD 0.1895 to RDTs (normalized to USD 1). Total supply chain costs accounted for more than 30% of the initial acquisition cost of the products in some cases and [...] cost drivers were found to be labour, transport, and utilities with healt...
Parallel trends in the transmission of SARS-CoV-2 and retail/recreation and public transport mobility during non-lockdown periods (Publications)
From a public health perspective, these results highlight the importance of following the evolution of mobility when relaxing mitigation measures to anticipate the future evolution of the spread of the [...] supports the idea that mobility reduction and social distancing play a crucial role in transmission of SARS-Cov-2 infections. It was shown during the first wave that mobility restrictions reduce significantly [...] period between the first two COVID-19 waves, there exists a high positive...
Implementation of an insecticide-treated net subsidy scheme under a public-private partnership for malaria control in Tanzania--challenges in... (Publications)
METHODS: The case study uses the health policy analysis framework to analyse the implementation of a public-private partnership approach embarked upon by the government of Tanzania in malaria control - 'The [...] therapy, the wide scale use of insecticide-treated nets (ITNs) and a renewed emphasis in indoor residual house-spraying. Concurrently, there has been a window of opportunity of financial commitments from [...] has been increasing visibility of malaria control efforts at the national and...
Are public-private partnerships the solution to tackle neglected tropical diseases? A systematic review of the literature (Publications)
proliferation of a variety of public-private partnerships (PPPs) in the last decades. We conducted a systematic review to assess the functioning and impact of these partnerships on the development of and access [...] invest in research and development (R&D) of products for neglected tropical diseases (NTDs) mainly due to the low ability-to-pay of health insurance systems and of potential consumers. The available preventive [...] review revealed a clear lack of empirical assessment of PPPs: we...
Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania (Publications)
consulted one of 23 primary care providers (18 public and 5 private) in Fier district of Albania from the period of July-August 2018. PARTICIPANTS: Representative sample of 629 adults > /=18 years of age. MAIN [...] utilisation of governmental and private primary healthcare services in Albania. DESIGN: A cross-sectional health facility survey using a 4-point Likert scale questionnaire to rank the importance of factors [...] the association of sociodemographic characteristics and patients'...
Acceptability of a prime vendor system in public healthcare facilities in Tanzania (Publications)
shortage of medicines at peripheral facilities. The focus has been on health system interventions, including the establishment of public-private partnerships (PPPs). In 2014, the United Republic of Tanzania [...] medicines supply chain in public facilities. Few studies have investigated the acceptability of such a prime vendor system. This study analyses factors that contributed to the acceptability of Jazia PVS introduced [...] participants' acceptability of Jazia PVS was influenced by the...