591 results on '"Banke-Thomas A"'
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2. Implementation fidelity of intravenous ferric carboxymaltose administration for iron deficiency anaemia in pregnancy: a mixed-methods study nested in a clinical trial in Nigeria
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Akinajo, Opeyemi R., Annerstedt, Kristi Sidney, Banke-Thomas, Aduragbemi, Obi‑Jeff, Chisom, Sam-Agudu, Nadia A., Babah, Ochuwa A., Balogun, Mobolanle R., Beňová, Lenka, and Afolabi, Bosede Bukola
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- 2024
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3. Publisher Correction: Socio-spatial equity analysis of relative wealth index and emergency obstetric care accessibility in urban Nigeria
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Wong, Kerry L. M., Banke-Thomas, Aduragbemi, Olubodun, Tope, Macharia, Peter M., Stanton, Charlotte, Sundararajan, Narayanan, Shah, Yash, Prasad, Gautam, Kansal, Mansi, Vispute, Swapnil, Shekel, Tomer, Ogunyemi, Olakunmi, Gwacham-Anisiobi, Uchenna, Wang, Jia, Abejirinde, Ibukun-Oluwa Omolade, Makanga, Prestige Tatenda, Afolabi, Bosede B., and Beňová, Lenka
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- 2024
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4. A population-based estimation of maternal mortality in Lagos State, Nigeria using the indirect sisterhood method
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Wright, Kikelomo Ololade, Fagbemi, Temiloluwa, Omoera, Victoria, Johnson, Taiwo, Aderibigbe, Adedayo Ayodele, Baruwa, Basit, Oludara, Folashade, Ogboye, Olusegun, Imosemi, Donald, Omololu, Olufemi, Odugbemi, Babatunde, Adeyemi, Oluwatoni, Omosun, Adenike, Akinola, Ibironke, Akinyinka, Modupe, Balogun, Mobolanle, Abe, John, Sadiku, Bamidele, Banke-Thomas, Aduragbemi, and Fabamwo, Adetokunbo O.
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- 2024
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5. Author Correction: Advancing the frontiers of geographic accessibility to healthcare services
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Macharia, Peter M., Banke-Thomas, Aduragbemi, and Beňová, Lenka
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- 2024
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6. Socio-spatial equity analysis of relative wealth index and emergency obstetric care accessibility in urban Nigeria
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Wong, Kerry L. M., Banke-Thomas, Aduragbemi, Olubodun, Tope, Macharia, Peter M., Stanton, Charlotte, Sundararajan, Narayanan, Shah, Yash, Prasad, Gautam, Kansal, Mansi, Vispute, Swapnil, Shekel, Tomer, Ogunyemi, Olakunmi, Gwacham-Anisiobi, Uchenna, Wang, Jia, Abejirinde, Ibukun-Oluwa Omolade, Makanga, Prestige Tatenda, Afolabi, Bosede B., and Beňová, Lenka
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- 2024
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7. Acceptability of IV iron treatment for iron deficiency anaemia in pregnancy in Nigeria: a qualitative study with pregnant women, domestic decision-makers, and health care providers
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Akinajo, Opeyemi R., Babah, Ochuwa A., Banke-Thomas, Aduragbemi, Beňová, Lenka, Sam-Agudu, Nadia A., Balogun, Mobolanle R., Adaramoye, Victoria O., Galadanci, Hadiza S., Quao, Rachel A., Afolabi, Bosede Bukola, and Annerstedt, Kristi Sidney
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- 2024
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8. Prevalence of and risk factors for iron deficiency among pregnant women with moderate or severe anaemia in Nigeria: a cross-sectional study
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Babah, Ochuwa Adiketu, Akinajo, Opeyemi Rebecca, Beňová, Lenka, Hanson, Claudia, Abioye, Ajibola Ibraheem, Adaramoye, Victoria Olawunmi, Adeyemo, Titilope A., Balogun, Mobolanle Rasheedat, Banke-Thomas, Aduragbemi, Galadanci, Hadiza S., Sam-Agudu, Nadia A., Afolabi, Bosede Bukola, and Larsson, Elin C.
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- 2024
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9. The quality of routine data for measuring facility-based maternal mortality in public and private health facilities in Kampala City, Uganda
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Catherine Birabwa, Aduragbemi Banke-Thomas, Aline Semaan, Josefien van Olmen, Rornald Muhumuza Kananura, Emma Sam Arinaitwe, Peter Waiswa, and Lenka Beňová
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Maternal mortality ,Data quality ,Routine health facility data ,Health management information systems ,Maternal health ,Urban health ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Routine health facility data are an important source of health information in resource-limited settings. Regular quality assessments are necessary to improve the reliability of routine data for different purposes, including estimating facility-based maternal mortality. This study aimed to assess the quality of routine data on deliveries, livebirths and maternal deaths in Kampala City, Uganda. Methods We reviewed routine health facility data from the district health information system (DHIS2) for 2016 to 2021. This time period included an upgrade of DHIS2, resulting in two datasets (2016–2019 and 2020–2021) that were managed separately. We analysed data for all facilities that reported at least one delivery in any of the six years, and for a subset of facilities designated to provide emergency obstetric care (EmOC). We adapted the World Health Organization data quality review framework to assess completeness and internal consistency of the three data elements, using 2019 and 2021 as reference years. Primary data were collected to verify reporting accuracy in four purposively selected EmOC facilities. Data were disaggregated by facility level and ownership. Results We included 255 facilities from 2016 to 2019 and 247 from 2020 to 2021; of which 30% were EmOC facilities. The overall completeness of data for deliveries and livebirths ranged between 53% and 55%, while it was
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- 2024
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10. Implementation fidelity of intravenous ferric carboxymaltose administration for iron deficiency anaemia in pregnancy: a mixed-methods study nested in a clinical trial in Nigeria
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Opeyemi R. Akinajo, Kristi Sidney Annerstedt, Aduragbemi Banke-Thomas, Chisom Obi‑Jeff, Nadia A. Sam-Agudu, Ochuwa A. Babah, Mobolanle R. Balogun, Lenka Beňová, and Bosede Bukola Afolabi
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Anaemia ,Iron deficiency anaemia ,Pregnancy ,Fidelity ,Intravenous iron ,Implementation science ,Medicine (General) ,R5-920 - Abstract
Abstract Background Iron deficiency anaemia is common among pregnant women in Nigeria. The standard treatment is oral iron therapy, which can be sub-optimal due to side effects. Intravenous ferric carboxymaltose (FCM) is an evidenced-based alternative treatment with a more favourable side effect profile requiring administration according to a standardized protocol. In this study, we assessed the fidelity of administering a single dose of FCM according to protocol and identified factors influencing implementation fidelity. Methods We used a mixed-method approach with a sequential explanatory design nested in a clinical trial across 11 facilities in Lagos and Kano States, Nigeria. Guided by a conceptual framework of implementation fidelity, we quantitatively assessed adherence to protocol by directly observing every alternate FCM administration, using an intervention procedure checklist, and compared median adherence by facility and state. Qualitative fidelity assessment was conducted via in-depth interviews with 14 skilled health personnel (SHP) from nine purposively selected health facilities, using a semi-structured interview guide. We analyzed quantitative data using descriptive and inferential statistics in Stata and used thematic analysis to analyze the transcribed interviews in NVivo. Results A total of 254 FCM administrations were observed across the 11 study sites, with the majority in secondary (63%), followed by primary healthcare facilities (PHCs) (30%). Overall, adherence to FCM administration as per protocol was moderate (63%) and varied depending on facility level. The lowest level of adherence was observed in PHCs (36%). Median, adherence level showed significant differences by facility level (p = 0.001) but not by state (p = 0.889). Teamwork and availability of protocols are facilitation strategies that contributed to high fidelity. However, institutional/ logistical barriers are contextual factors that influenced the varied fidelity levels observed in some facilities. Conclusions Collaborative teams and access to operating protocols resulted in high fidelity in some facilities. However, in some PHCs, fidelity to FCM was low due to contextual factors and intervention complexities, thereby influencing the quality of delivery. In Nigeria, scale-up of FCM will require attention to staff strength, teamwork and availability of administration protocols, in order to optimize its impact on anaemia in pregnancy.
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- 2024
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11. Optimising availability and geographical accessibility to emergency obstetric care within a sub-national social health insurance scheme in Nigeria
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Aduragbemi Banke-Thomas, Tope Olubodun, Abimbola A. Olaniran, Kerry L. M. Wong, Yash Shah, Daniel C. Achugo, and Olakunmi Ogunyemi
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universal health coverage ,maternal health ,emergency obstetric care ,geographical accessibility ,health insurance ,Medicine - Abstract
IntroductionHealth insurance is a key instrument for a health system on its path to achieving universal health coverage (UHC) and protects individuals from catastrophic health expenditures, especially in health emergencies. However, there are other dimensions to care access beyond financial accessibility. In this study, we assess the geographical accessibility of comprehensive emergency obstetric care (CEmOC) within the Lagos State Health Insurance Scheme.MethodsWe geocoded functional public and private CEmOC facilities, established facilities registered on the insurance panel as of December 2022, and assembled population distribution for women of childbearing age. We used Google Maps Platform's internal directions application programming interface to obtain driving times to facilities. State- and local government area (LGA)-level median travel time (MTT) and a number of CEmOC facilities reachable within 30 min were obtained for peak travel hours.ResultsAcross Lagos State, MTT to the nearest public CEmOC was 25 min, reduced to 17 min with private facilities added to the insurance panel. MTT to the nearest public facility in LGAs ranged from 9 min (Lagos Island) to 51 min (Ojo) (median = 25 min). With private facilities added, MTT ranged from 5 min (Agege and Ajeromi-Ifelodun) to 36 min (Ibeju-Lekki) (median = 13 min). On average, no public CEmOC facility was reachable within 30 min of driving for women living in 6 of 20 LGAs. With private facilities included in the scheme, reachable facilities within 30 min remained zero in one LGA (Ibeju-Lekki).ConclusionsOur innovative approach offers policy-relevant evidence to optimise insurance coverage, support efforts in advancing UHC, ensure coverage for CEmOC, and improve health system performance.
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- 2024
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12. Developing policy-ready digital dashboards of geospatial access to emergency obstetric care: a survey of policymakers and researchers in sub-Saharan Africa
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Wang, Jia, Wong, Kerry L. M., Olubodun, Tope, Gwacham-Anisiobi, Uchenna, Ogunyemi, Olakunmi, Afolabi, Bosede B., Macharia, Peter M., Makanga, Prestige Tatenda, Abejirinde, Ibukun-Oluwa Omolade, Beňová, Lenka, and Banke-Thomas, Aduragbemi
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- 2024
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13. A population-based estimation of maternal mortality in Lagos State, Nigeria using the indirect sisterhood method
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Kikelomo Ololade Wright, Temiloluwa Fagbemi, Victoria Omoera, Taiwo Johnson, Adedayo Ayodele Aderibigbe, Basit Baruwa, Folashade Oludara, Olusegun Ogboye, Donald Imosemi, Olufemi Omololu, Babatunde Odugbemi, Oluwatoni Adeyemi, Adenike Omosun, Ibironke Akinola, Modupe Akinyinka, Mobolanle Balogun, John Abe, Bamidele Sadiku, Aduragbemi Banke-Thomas, and Adetokunbo O. Fabamwo
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Maternal mortality ratio ,Sisters ,Maternal causes ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Pregnancy and delivery deaths represent a risk to women, particularly those living in low- and middle-income countries (LMICs). This population-based survey was conducted to provide estimates of the maternal mortality ratio (MMR) in Lagos Nigeria. Methods A community-based, cross-sectional study was conducted in mapped Wards and Enumeration Areas (EA) of all Local Government Areas (LGAs) in Lagos, among 9,986 women of reproductive age (15–49 years) from April to August 2022 using a 2-stage cluster sampling technique. A semi-structured, pre-tested questionnaire adapted from nationally representative surveys was administered using REDCap by trained field assistants for data collection on socio-demographics, reproductive health, fertility, and maternal mortality. Data were analysed using SPSS and MMR was estimated using the indirect sisterhood method. Ethical approval was obtained from the Lagos State University Teaching Hospital Health Research and Ethics Committee. Results Most of the respondents (28.7%) were aged 25–29 years. Out of 546 deceased sisters reported, 120 (22%) died from maternal causes. Sisters of the deceased aged 20–24 reported almost half of the deaths (46.7%) as due to maternal causes, while those aged 45–49 reported the highest number of deceased sisters who died from other causes (90.2%). The total fertility rate (TFR) was calculated as 3.807, the Lifetime Risk (LTR) of maternal death was 0.0196 or 1-in-51, and the MMR was 430 per 100,000 [95% CI: 360–510]. Conclusion Our findings show that the maternal mortality rate for Lagos remains unacceptable and has not changed significantly over time in actual terms. There is need to develop and intensify community-based intervention strategies, programs for private hospitals, monitor MMR trends, identify and contextually address barriers at all levels of maternal care.
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- 2024
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14. Intravenous ferric carboxymaltose versus oral ferrous sulphate for the treatment of moderate to severe postpartum anaemia in Nigerian women (IVON-PP): protocol for an open-label randomised controlled type 1 hybrid effectiveness-implementation trial
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Mobolanle Balogun, Aduragbemi Banke-Thomas, Ejemai Amaize Eboreime, Kate Walker, Folasade Ogunsola, Eleanor J Mitchell, Bosede Bukola Afolabi, Titilope Adenike Adeyemo, Ochuwa Adiketu Babah, Victoria Olawunmi Adaramoye, Opeyemi Rebecca Akinajo, Ibraheem Ajibola Abioye, Chisom Florence Chieme, Yewande Oshodi, and Rachel Quao
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Medicine - Abstract
Introduction Postpartum anaemia is often caused by iron deficiency with onset during the antepartum period and can be exacerbated by excessive blood loss at birth. Its prevalence is estimated as 50–80% in low-income and middle-income countries. It poses adverse consequences on the mother and negatively impacts her ability to care for her newborn. Prompt treatment of postpartum anaemia is thus important. Adherence to oral iron is reportedly low in Nigeria due to its side effects and forgetfulness by the mothers. Intravenous iron such as ferric carboxymaltose, given as a single dose, might help overcome adherence issues, but investigation in a high-quality randomised control trial in Nigeria is first required while evaluation of challenges around its implementation is also warranted.Objective To determine the clinical effectiveness, tolerability and safety, of using intravenous ferric carboxymaltose (intervention) vs oral ferrous sulphate (control) for treating moderate to severe iron deficiency anaemia in postpartum women and to evaluate implementation of ferric carboxymaltose in treating postpartum anaemia in Nigeria.Methods and analysis This study is an open-label randomised controlled trial with a concurrent implementation study. It is a hybrid type 1 effectiveness-implementation design conducted in four states across Northern and Southern Nigeria. A total of 1400 eligible and consenting women with postpartum moderate to severe anaemia (haemoglobin concentration
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- 2024
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15. Leading in a time of crisis: exploring early experiences of health facility leaders during the COVID-19 pandemic in Nigeria’s epicentre
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Balogun, Mobolanle, Dada, Festus Opeyemi, Oladimeji, Adetola, Gwacham-Anisiobi, Uchenna, Sekoni, Adekemi, and Banke-Thomas, Aduragbemi
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- 2024
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16. Acceptability of IV iron treatment for iron deficiency anaemia in pregnancy in Nigeria: a qualitative study with pregnant women, domestic decision-makers, and health care providers
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Opeyemi R. Akinajo, Ochuwa A. Babah, Aduragbemi Banke-Thomas, Lenka Beňová, Nadia A. Sam-Agudu, Mobolanle R. Balogun, Victoria O. Adaramoye, Hadiza S. Galadanci, Rachel A. Quao, Bosede Bukola Afolabi, and Kristi Sidney Annerstedt
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Anaemia ,Iron deficiency anaemia ,Pregnancy ,Acceptability ,Intravenous iron ,Oral iron ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Anaemia in pregnancy causes a significant burden of maternal morbidity and mortality in sub-Saharan Africa, with prevalence ranging from 25 to 45% in Nigeria. The main treatment, daily oral iron, is associated with suboptimal adherence and effectiveness. Among pregnant women with iron deficiency, which is a leading cause of anaemia (IDA), intravenous (IV) iron is an alternative treatment in moderate or severe cases. This qualitative study explored the acceptability of IV iron in the states of Kano and Lagos in Nigeria. Methods We purposively sampled various stakeholders, including pregnant women, domestic decision-makers, and healthcare providers (HCPs) during the pre-intervention phase of a hybrid clinical trial (IVON trial) in 10 healthcare facilities across three levels of the health system. Semi-structured topic guides guided 12 focus group discussions (140 participants) and 29 key informant interviews. We used the theoretical framework of acceptability to conduct qualitative content analysis. Results We identified three main themes and eight sub-themes that reflected the prospective acceptability of IV iron therapy. Generally, all stakeholders had a positive affective attitude towards IV iron based on its comparative advantages to oral iron. The HCPs noted the effectiveness of IV iron in its ability to evoke an immediate response and capacity to reduce anaemia-related complications. It was perceived as a suitable alternative to blood transfusion for specific individuals based on ethicality. However, to pregnant women and the HCPs, IV iron could present a higher opportunity cost than oral iron for the users and providers as it necessitates additional time to receive and administer it. To all stakeholder groups, leveraging the existing infrastructure to facilitate IV iron treatment will stimulate coherence and self-efficacy while strengthening the existing trust between pregnant women and HCPs can avert misconceptions. Finally, even though high out-of-pocket costs might make IV iron out of reach for poor women, the HCPs felt it can potentially prevent higher treatment fees from complications of IDA. Conclusions IV iron has a potential to become the preferred treatment for iron-deficiency anaemia in pregnancy in Nigeria if proven effective. HCP training, optimisation of information and clinical care delivery during antenatal visits, uninterrupted supply of IV iron, and subsidies to offset higher costs need to be considered to improve its acceptability. Trial registration ISRCTN registry ISRCT N6348 4804. Registered on 10 December 2020 Clinicaltrials.gov NCT04976179. Registered on 26 July 2021
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- 2024
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17. Socio-spatial equity analysis of relative wealth index and emergency obstetric care accessibility in urban Nigeria
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Kerry L. M. Wong, Aduragbemi Banke-Thomas, Tope Olubodun, Peter M. Macharia, Charlotte Stanton, Narayanan Sundararajan, Yash Shah, Gautam Prasad, Mansi Kansal, Swapnil Vispute, Tomer Shekel, Olakunmi Ogunyemi, Uchenna Gwacham-Anisiobi, Jia Wang, Ibukun-Oluwa Omolade Abejirinde, Prestige Tatenda Makanga, Bosede B. Afolabi, and Lenka Beňová
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Medicine - Abstract
Abstract Background Better geographical accessibility to comprehensive emergency obstetric care (CEmOC) facilities can significantly improve pregnancy outcomes. However, with other factors, such as affordability critical for care access, it is important to explore accessibility across groups. We assessed CEmOC geographical accessibility by wealth status in the 15 most-populated Nigerian cities. Methods We mapped city boundaries, verified and geocoded functional CEmOC facilities, and assembled population distribution for women of childbearing age and Meta’s Relative Wealth Index (RWI). We used the Google Maps Platform’s internal Directions Application Programming Interface to obtain driving times to public and private facilities. City-level median travel time (MTT) and number of CEmOC facilities reachable within 60 min were summarised for peak and non-peak hours per wealth quintile. The correlation between RWI and MTT to the nearest public CEmOC was calculated. Results We show that MTT to the nearest public CEmOC facility is lowest in the wealthiest 20% in all cities, with the largest difference in MTT between the wealthiest 20% and least wealthy 20% seen in Onitsha (26 vs 81 min) and the smallest in Warri (20 vs 30 min). Similarly, the average number of public CEmOC facilities reachable within 60 min varies (11 among the wealthiest 20% and six among the least wealthy in Kano). In five cities, zero facilities are reachable under 60 min for the least wealthy 20%. Those who live in the suburbs particularly have poor accessibility to CEmOC facilities. Conclusions Our findings show that the least wealthy mostly have poor accessibility to care. Interventions addressing CEmOC geographical accessibility targeting poor people are needed to address inequities in urban settings.
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- 2024
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18. Prevalence of and risk factors for iron deficiency among pregnant women with moderate or severe anaemia in Nigeria: a cross-sectional study
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Ochuwa Adiketu Babah, Opeyemi Rebecca Akinajo, Lenka Beňová, Claudia Hanson, Ajibola Ibraheem Abioye, Victoria Olawunmi Adaramoye, Titilope A. Adeyemo, Mobolanle Rasheedat Balogun, Aduragbemi Banke-Thomas, Hadiza S. Galadanci, Nadia A. Sam-Agudu, Bosede Bukola Afolabi, and Elin C. Larsson
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Anaemia ,Iron deficiency ,Pregnancy ,Prevalence ,Risk factors ,Diet ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Anaemia during pregnancy causes adverse outcomes to the woman and the foetus, including anaemic heart failure, prematurity, and intrauterine growth restriction. Iron deficiency anaemia (IDA) is the leading cause of anaemia and oral iron supplementation during pregnancy is widely recommended. However, little focus is directed to dietary intake. This study estimates the contribution of IDA among pregnant women and examines its risk factors (including dietary) in those with moderate or severe IDA in Lagos and Kano states, Nigeria. Methods In this cross-sectional study, 11,582 women were screened for anaemia at 20-32 weeks gestation. The 872 who had moderate or severe anaemia (haemoglobin concentration
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- 2024
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19. Advancing the frontiers of geographic accessibility to healthcare services
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Macharia, Peter M., Banke-Thomas, Aduragbemi, and Beňová, Lenka
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- 2023
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20. A geospatial database of close-to-reality travel times to obstetric emergency care in 15 Nigerian conurbations
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Macharia, Peter M., Wong, Kerry L. M., Olubodun, Tope, Beňová, Lenka, Stanton, Charlotte, Sundararajan, Narayanan, Shah, Yash, Prasad, Gautam, Kansal, Mansi, Vispute, Swapnil, Shekel, Tomer, Gwacham-Anisiobi, Uchenna, Ogunyemi, Olakunmi, Wang, Jia, Abejirinde, Ibukun-Oluwa Omolade, Makanga, Prestige Tatenda, Afolabi, Bosede B., and Banke-Thomas, Aduragbemi
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- 2023
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21. Wealth-based inequality in the continuum of maternal health service utilisation in 16 sub-Saharan African countries
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Asefa, Anteneh, Gebremedhin, Samson, Marthias, Tiara, Nababan, Herfina, Christou, Aliki, Semaan, Aline, Banke-Thomas, Aduragbemi, Tabana, Hanani, Al-beity, Fadhlun M. Alwy, Dossou, Jean-Paul, Gutema, Keneni, Delvaux, Thérèse, Birabwa, Catherine, Dennis, Mardieh, Grovogui, Fassou Mathias, McPake, Barbara, and Beňová, Lenka
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- 2023
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22. Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis
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Offosse, Marie-Jeanne, Avoka, Cephas, Yameogo, Pierre, Manli, Astrid Raissa, Goumbri, Aude, Eboreime, Ejemai, Boxshall, Matt, and Banke-Thomas, Aduragbemi
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- 2023
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23. A continuous quality improvement strategy to strengthen screening practices and facilitate the routine use of intravenous iron for treating anaemia in pregnant and postpartum women in Nigeria: a study protocol
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Eboreime, Ejemai, Banke-Thomas, Aduragbemi, Obi-Jeff, Chisom, Adelabu, Yusuf, Balogun, Mobolanle, Aiyenigba, Adejoke A., Oluwole, Esther O., Akinajo, Opeyemi R., and Afolabi, Bosede B.
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- 2023
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24. Measuring geographic access to emergency obstetric care: a comparison of travel time estimates modelled using Google Maps Directions API and AccessMod in three Nigerian conurbations
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Peter M. Macharia, Kerry L.M. Wong, Lenka Beňová, Jia Wang, Prestige Tatenda Makanga, Nicolas Ray, and Aduragbemi Banke-Thomas
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Spatial accessibility ,least cost path ,AccessMod ,Google Maps Directions API ,urban area ,maternal health ,Geography (General) ,G1-922 - Abstract
Google Maps Directions Application Programming Interface (the API) and AccessMod tools are increasingly being used to estimate travel time to healthcare. However, no formal comparison of estimates from the tools has been conducted. We modelled and compared median travel time (MTT) to comprehensive emergency obstetric care (CEmOC) using both tools in three Nigerian conurbations (Kano, Port-Harcourt, and Lagos). We compiled spatial layers of CEmOC healthcare facilities, road network, elevation, and land cover and used a least-cost path algorithm within AccessMod to estimate MTT to the nearest CEmOC facility. Comparable MTT estimates were extracted using the API for peak and non-peak travel scenarios. We investigated the relationship between MTT estimates generated by both tools at raster celllevel (0.6 km resolution). We also aggregated the raster cell estimates to generate administratively relevant ward-level MTT. We compared ward-level estimates and identified wards within the same conurbation falling into different 15-minute incremental categories (
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- 2024
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25. Maternal health in cities: analysis of institutional maternal mortality and health system bottlenecks in Kampala City Uganda, 2016-2021
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Catherine Birabwa, Aduragbemi Banke-Thomas, Peter Waiswa, Aline Semaan, Rornald Muhumuza Kananura, Josefien van Olmen, and Lenka Beňová
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Public aspects of medicine ,RA1-1270 - Abstract
# Background Recent estimates have shown a stagnation in maternal mortality reduction globally. Levels and trends in maternal mortality in urban settings in Africa are of interest due to health system challenges posed by rapid urbanisation. Given the high percentage of births occurring in city health facilities, tracking the institutional maternal mortality ratio (IMMR) can reveal key performance issues. We described the trends in IMMR between 2016 and 2021, and the causes and characteristics of maternal deaths in Kampala, Uganda. # Methods This retrospective study utilised routine data from all facilities in Kampala that provided childbirth services from 2016 to 2021. Three key variables were used: number of deliveries, live births, and maternal deaths. Additionally, from medical records in three purposively selected hospitals, we extracted information on characteristics of women recorded as maternal deaths and their causes for the period 2016-2021 from death notification and review forms. We conducted descriptive analysis and assessed time trends in IMMR. # Results For the six-year period, the Kampala-level IMMR was 189/100,000 deliveries (194/100,000 livebirths). The IMMR declined from 213 (2016) to 109/100,000 deliveries in 2019 (p=0.04) and then increased to 258 in 2021 (p=0.12). A review of 358 maternal death records showed that 65% of deaths were women referred from other health facilities, and 47% lived in the surrounding district (Wakiso). Obstetric haemorrhage (44%) and hypertensive disorders in pregnancy (28%) were the most commonly recorded causes of death. Health system factors such as lack of blood and other supplies contributed to 65% of the deaths reviewed. # Conclusions IMMR in Kampala increased from 2019-2021. Health infrastructure changes and maternal health initiatives potentially accounted for the observed trend by affecting data quality. Referral and facility readiness were underlying reasons for maternal deaths. Addressing bottlenecks in emergency referral processes may contribute to mortality reduction. Further research should determine the relative contribution of key influences on mortality levels and examine the dynamics between women's care-seeking pathways and service delivery arrangements for emergency obstetric care in urban settings.
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- 2024
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26. Has the Gratuité policy reduced inequities in geographic access to antenatal care in Burkina Faso? Evidence from facility-based data from 2014 to 2022
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Marie-Jeanne Offosse, Pierre Yameogo, André Lin Ouedraogo, Zanga Traoré, and Aduragbemi Banke-Thomas
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user fee ,health policy ,universal health coverage ,antenatal care ,geographic accessibility ,Burkina Faso ,Gynecology and obstetrics ,RG1-991 ,Women. Feminism ,HQ1101-2030.7 - Abstract
BackgroundEvidence shows that user fee exemption policies improve the use of maternal, newborn, and child health (MNCH) services. However, addressing the cost of care is only one barrier to accessing MNCH services. Poor geographic accessibility relating to distance is another. Our objective in this study was to assess the effect of a user fee exemption policy in Burkina Faso (Gratuité) on antenatal care (ANC) use, considering distance to health facilities.MethodsWe conducted a cross-sectional study with sub-analysis by intervention period to compare utilization of ANC services (outcome of interest) in pregnant women who used the service in the context of the Gratuité user fee exemption policy and those who did not, in Manga district, Burkina Faso. Dependent variables included were socio-demographic characteristics, obstetric history, and distance to the lower-level health facility (known as Centre de Santé et Promotion Sociale) in which care was sort. Univariate, bivariate, and multivariate analyses were performed across the entire population, within those who used ANC before the policy and after its inception.ResultsFor women who used services before the Gratuité policy was introduced, those living 5–9 km were almost twice (OR = 1.94; 95% CI: 1.17–3.21) more likely to have their first ANC visit (ANC1) in the first trimester compared to those living 10 km from the nearest facility were almost twice (OR = 1.86; 95% CI: 1.14–3.05) and over twice (OR = 2.04; 95% CI: 1.20–3.48) more likely respectively to use ANC1 in the first trimester compared to those living within 5 km of the nearest health facility. Also, women living over 10 km from the nearest facility were 1.29 times (OR = 1.29; 95% CI: 1.00–1.66) more likely to have 4+ ANC than those living less than 5 km from the nearest health facility.ConclusionsInsofar as the financial barrier to ANC has been lifted and the geographical barrier reduced for the populations that live farther away from services through the Gratuité policy, then the Burkinabé government must make efforts to sustain the policy and ensure that benefits of the policy reach the targeted and its gains maximized.
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- 2024
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27. Advancing the frontiers of geographic accessibility to healthcare services
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Peter M. Macharia, Aduragbemi Banke-Thomas, and Lenka Beňová
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Medicine - Abstract
Assessing geographic accessibility to healthcare is essential to identify communities that have been left behind. Smartphone mobility data now enables the study of healthcare accessibility over a global scale, providing estimates of actual travel times to access care.
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- 2023
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28. A geospatial database of close-to-reality travel times to obstetric emergency care in 15 Nigerian conurbations
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Peter M. Macharia, Kerry L. M. Wong, Tope Olubodun, Lenka Beňová, Charlotte Stanton, Narayanan Sundararajan, Yash Shah, Gautam Prasad, Mansi Kansal, Swapnil Vispute, Tomer Shekel, Uchenna Gwacham-Anisiobi, Olakunmi Ogunyemi, Jia Wang, Ibukun-Oluwa Omolade Abejirinde, Prestige Tatenda Makanga, Bosede B. Afolabi, and Aduragbemi Banke-Thomas
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Science - Abstract
Abstract Travel time estimation accounting for on-the-ground realities between the location where a need for emergency obstetric care (EmOC) arises and the health facility capable of providing EmOC is essential for improving pregnancy outcomes. Current understanding of travel time to care is inadequate in many urban areas of Africa, where short distances obscure long travel times and travel times can vary by time of day and road conditions. Here, we describe a database of travel times to comprehensive EmOC facilities in the 15 most populated extended urban areas of Nigeria. The travel times from cells of approximately 0.6 × 0.6 km to facilities were derived from Google Maps Platform’s internal Directions Application Programming Interface, which incorporates traffic considerations to provide closer-to-reality travel time estimates. Computations were done to the first, second and third nearest public or private facilities. Travel time for eight traffic scenarios (including peak and non-peak periods) and number of facilities within specific time thresholds were estimated. The database offers a plethora of opportunities for research and planning towards improving EmOC accessibility.
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- 2023
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29. Wealth-based inequality in the continuum of maternal health service utilisation in 16 sub-Saharan African countries
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Anteneh Asefa, Samson Gebremedhin, Tiara Marthias, Herfina Nababan, Aliki Christou, Aline Semaan, Aduragbemi Banke-Thomas, Hanani Tabana, Fadhlun M. Alwy Al-beity, Jean-Paul Dossou, Keneni Gutema, Thérèse Delvaux, Catherine Birabwa, Mardieh Dennis, Fassou Mathias Grovogui, Barbara McPake, and Lenka Beňová
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Antenatal care ,Demographic and health survey ,Facility-based childbirth ,Inequality ,Maternal continuum of care ,Postnatal care ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Persistent inequalities in coverage of maternal health services in sub-Saharan Africa (SSA), a region home to two-thirds of global maternal deaths in 2017, poses a challenge for countries to achieve the Sustainable Development Goal (SDG) targets. This study assesses wealth-based inequalities in coverage of maternal continuum of care in 16 SSA countries with the objective of informing targeted policies to ensure maternal health equity in the region. Methods We conducted a secondary analysis of Demographic and Health Survey (DHS) data from 16 SSA countries (Angola, Benin, Burundi, Cameroon, Ethiopia, Gambia, Guinea, Liberia, Malawi, Mali, Nigeria, Sierra Leone, South Africa, Tanzania, Uganda, and Zambia). A total of 133,709 women aged 15-49 years who reported a live birth in the five years preceding the survey were included. We defined and measured completion of maternal continuum of care as having had at least one antenatal care (ANC) visit, birth in a health facility, and postnatal care (PNC) by a skilled provider within two days of birth. We used concentration index analysis to measure wealth-based inequality in maternal continuum of care and conducted decomposition analysis to estimate the contributions of sociodemographic and obstetric factors to the observed inequality. Results The percentage of women who had 1) at least one ANC visit was lowest in Ethiopia (62.3%) and highest in Burundi (99.2%), 2) birth in a health facility was less than 50% in Ethiopia and Nigeria, and 3) PNC within two days was less than 50% in eight countries (Angola, Burundi, Ethiopia, Gambia, Guinea, Malawi, Nigeria, and Tanzania). Completion of maternal continuum of care was highest in South Africa (81.4%) and below 50% in nine of the 16 countries (Angola, Burundi, Ethiopia, Guinea, Malawi, Mali, Nigeria, Tanzania, and Uganda), the lowest being in Ethiopia (12.5%). There was pro-rich wealth-based inequality in maternal continuum of care in all 16 countries, the lowest in South Africa and Liberia (concentration index = 0.04) and the highest in Nigeria (concentration index = 0.34). Our decomposition analysis showed that in 15 of the 16 countries, wealth index was the largest contributor to inequality in primary maternal continuum of care. In Malawi, geographical region was the largest contributor. Conclusions Addressing the coverage gap in maternal continuum of care in SSA using multidimensional and people-centred approaches remains a key strategy needed to realise the SDG3. The pro-rich wealth-based inequalities observed show that bespoke pro-poor or population-wide approaches are needed.
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- 2023
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30. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
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Brauer, Michael, Roth, Gregory A, Aravkin, Aleksandr Y, Zheng, Peng, Abate, Kalkidan Hassen, Abate, Yohannes Habtegiorgis, Abbafati, Cristiana, Abbasgholizadeh, Rouzbeh, Abbasi, Madineh Akram, Abbasian, Mohammadreza, Abbasifard, Mitra, Abbasi-Kangevari, Mohsen, Abd ElHafeez, Samar, Abd-Elsalam, Sherief, Abdi, Parsa, Abdollahi, Mohammad, Abdoun, Meriem, Abdulah, Deldar Morad, Abdullahi, Auwal, Abebe, Mesfin, Abedi, Aidin, Abedi, Armita, Abegaz, Tadesse M, Abeldaño Zuñiga, Roberto Ariel, Abiodun, Olumide, Abiso, Temesgen Lera, Aboagye, Richard Gyan, Abolhassani, Hassan, Abouzid, Mohamed, Aboye, Girma Beressa, Abreu, Lucas Guimarães, Abualruz, Hasan, Abubakar, Bilyaminu, Abu-Gharbieh, Eman, Abukhadijah, Hana Jihad Jihad, Aburuz, Salahdein, Abu-Zaid, Ahmed, Adane, Mesafint Molla, Addo, Isaac Yeboah, Addolorato, Giovanni, Adedoyin, Rufus Adesoji, Adekanmbi, Victor, Aden, Bashir, Adetunji, Juliana Bunmi, Adeyeoluwa, Temitayo Esther, Adha, Rishan, Adibi, Amin, Adnani, Qorinah Estiningtyas Sakilah, Adzigbli, Leticia Akua, Afolabi, Aanuoluwapo Adeyimika, Afolabi, Rotimi Felix, Afshin, Ashkan, Afyouni, Shadi, Afzal, Muhammad Sohail, Afzal, Saira, Agampodi, Suneth Buddhika, Agbozo, Faith, Aghamiri, Shahin, Agodi, Antonella, Agrawal, Anurag, Agyemang-Duah, Williams, Ahinkorah, Bright Opoku, Ahmad, Aqeel, Ahmad, Danish, Ahmad, Firdos, Ahmad, Noah, Ahmad, Shahzaib, Ahmad, Tauseef, Ahmed, Ali, Ahmed, Anisuddin, Ahmed, Ayman, Ahmed, Luai A, Ahmed, Muktar Beshir, Ahmed, Safoora, Ahmed, Syed Anees, Ajami, Marjan, Akalu, Gizachew Taddesse, Akara, Essona Matatom, Akbarialiabad, Hossein, Akhlaghi, Shiva, Akinosoglou, Karolina, Akinyemiju, Tomi, Akkaif, Mohammed Ahmed, Akkala, Sreelatha, Akombi-Inyang, Blessing, Al Awaidy, Salah, Al Hasan, Syed Mahfuz, Alahdab, Fares, AL-Ahdal, Tareq Mohammed Ali, Alalalmeh, Samer O, Alalwan, Tariq A, Al-Aly, Ziyad, Alam, Khurshid, Alam, Nazmul, Alanezi, Fahad Mashhour, Alanzi, Turki M, Albakri, Almaza, AlBataineh, Mohammad T, Aldhaleei, Wafa A, Aldridge, Robert W, Alemayohu, Mulubirhan Assefa, Alemu, Yihun Mulugeta, Al-Fatly, Bassam, Al-Gheethi, Adel Ali Saeed, Al-Habbal, Khairat, Alhabib, Khalid F, Alhassan, Robert Kaba, Ali, Abid, Ali, Amjad, Ali, Beriwan Abdulqadir, Ali, Iman, Ali, Liaqat, Ali, Mohammed Usman, Ali, Rafat, Ali, Syed Shujait Shujait, Ali, Waad, Alicandro, Gianfranco, Alif, Sheikh Mohammad, Aljunid, Syed Mohamed, Alla, François, Al-Marwani, Sabah, Al-Mekhlafi, Hesham M, Almustanyir, Sami, Alomari, Mahmoud A, Alonso, Jordi, Alqahtani, Jaber S, Alqutaibi, Ahmed Yaseen, Al-Raddadi, Rajaa M, Alrawashdeh, Ahmad, Al-Rifai, Rami Hani, Alrousan, Sahel Majed, Al-Sabah, Salman Khalifah, Alshahrani, Najim Z, Altaany, Zaid, Altaf, Awais, Al-Tawfiq, Jaffar A, Altirkawi, Khalid A, Aluh, Deborah Oyine, Alvis-Guzman, Nelson, Alvis-Zakzuk, Nelson J, Alwafi, Hassan, Al-Wardat, Mohammad Sami, Al-Worafi, Yaser Mohammed, Aly, Hany, Aly, Safwat, Alzoubi, Karem H, Al-Zyoud, Walid, Amaechi, Uchenna Anderson, Aman Mohammadi, Masous, Amani, Reza, Amiri, Sohrab, Amirzade-Iranaq, Mohammad Hosein, Ammirati, Enrico, Amu, Hubert, Amugsi, Dickson A, Amusa, Ganiyu Adeniyi, Ancuceanu, Robert, Anderlini, Deanna, Anderson, Jason A, Andrade, Pedro Prata, Andrei, Catalina Liliana, Andrei, Tudorel, Anenberg, Susan C, Angappan, Dhanalakshmi, Angus, Colin, Anil, Abhishek, Anil, Sneha, Anjum, Afifa, Anoushiravani, Amir, Antonazzo, Ippazio Cosimo, Antony, Catherine M, Antriyandarti, Ernoiz, Anuoluwa, Boluwatife Stephen, Anvari, Davood, Anvari, Saeid, Anwar, Saleha, Anwar, Sumadi Lukman, Anwer, Razique, Anyabolo, Ekenedilichukwu Emmanuel, Anyasodor, Anayochukwu Edward, Apostol, Geminn Louis Carace, Arabloo, Jalal, Arabzadeh Bahri, Razman, Arafat, Mosab, Areda, Demelash, Aregawi, Brhane Berhe, Aremu, Abdulfatai, Armocida, Benedetta, Arndt, Michael Benjamin, Ärnlöv, Johan, Arooj, Mahwish, Artamonov, Anton A, Artanti, Kurnia Dwi, Aruleba, Idowu Thomas, Arumugam, Ashokan, Asbeutah, Akram M, Asgary, Saeed, Asgedom, Akeza Awealom, Ashbaugh, Charlie, Ashemo, Mubarek Yesse, Ashraf, Tahira, Askarinejad, Amir, Assmus, Michael, Astell-Burt, Thomas, Athar, Mohammad, Athari, Seyyed Shamsadin, Atorkey, Prince, Atreya, Alok, Aujayeb, Avinash, Ausloos, Marcel, Avila-Burgos, Leticia, Awoke, Andargie Abate, Ayala Quintanilla, Beatriz Paulina, Ayatollahi, Haleh, Ayestas Portugal, Carlos, Ayuso-Mateos, Jose L, Azadnajafabad, Sina, Azevedo, Rui M S, Azhar, Gulrez Shah, Azizi, Hosein, Azzam, Ahmed Y, Backhaus, Insa Linnea, Badar, Muhammad, Badiye, Ashish D, Bagga, Arvind, Baghdadi, Soroush, Bagheri, Nasser, Bagherieh, Sara, Bahrami Taghanaki, Pegah, Bai, Ruhai, Baig, Atif Amin, Baker, Jennifer L, Bakkannavar, Shankar M, Balasubramanian, Madhan, Baltatu, Ovidiu Constantin, Bam, Kiran, Bandyopadhyay, Soham, Banik, Biswajit, Banik, Palash Chandra, Banke-Thomas, Aduragbemi, Bansal, Hansi, Barchitta, Martina, Bardhan, Mainak, Bardideh, Erfan, Barker-Collo, Suzanne Lyn, Bärnighausen, Till Winfried, Barone-Adesi, Francesco, Barqawi, Hiba Jawdat, Barrero, Lope H, Barrow, Amadou, Barteit, Sandra, Basharat, Zarrin, Basiru, Afisu, Basso, João Diogo, Bastan, Mohammad-Mahdi, Basu, Sanjay, Batchu, Sai, Batra, Kavita, Batra, Ravi, Baune, Bernhard T, Bayati, Mohsen, Bayileyegn, Nebiyou Simegnew, Beaney, Thomas, Behnoush, Amir Hossein, Beiranvand, Maryam, Béjot, Yannick, Bekele, Alehegn, Belgaumi, Uzma Iqbal, Bell, Arielle Wilder, Bell, Michelle L, Bello, Muhammad Bashir, Bello, Olorunjuwon Omolaja, Belo, Luis, Beloukas, Apostolos, Bendak, Salaheddine, Bennett, Derrick A, Bennitt, Fiona B, Bensenor, Isabela M, Benzian, Habib, Beran, Azizullah, Berezvai, Zombor, Bernabe, Eduardo, Bernstein, Robert S, Bettencourt, Paulo J G, Bhagavathula, Akshaya Srikanth, Bhala, Neeraj, Bhandari, Dinesh, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhaskar, Sonu, Bhat, Ajay Nagesh, Bhat, Vivek, Bhatti, Gurjit Kaur, Bhatti, Jasvinder Singh, Bhatti, Manpreet S, Bhatti, Rajbir, Bhuiyan, Mohiuddin Ahmed, Bhutta, Zulfiqar A, Bikbov, Boris, Bishai, Jessica Devin, Bisignano, Catherine, Biswas, Atanu, Biswas, Bijit, Biswas, Raaj Kishore, Bjørge, Tone, Boachie, Micheal Kofi, Boakye, Hosea, Bockarie, Moses John, Bodolica, Virginia, Bodunrin, Aadam Olalekan, Bogale, Eyob Ketema, Bolla, Srinivasa Rao, Boloor, Archith, Bonakdar Hashemi, Milad, Boppana, Sri Harsha, Bora Basara, Berrak, Borhany, Hamed, Botero Carvajal, Alejandro, Bouaoud, Souad, Boufous, Soufiane, Bourne, Rupert, Boxe, Christopher, Braithwaite, Dejana, Brant, Luisa C, Brar, Amanpreet, Breitborde, Nicholas J K, Breitner, Susanne, Brenner, Hermann, Briko, Andrey Nikolaevich, Britton, Gabrielle, Brown, Colin Stewart, Browne, Annie J, Brunoni, Andre R, Bryazka, Dana, Bulamu, Norma B, Bulto, Lemma N, Buonsenso, Danilo, Burkart, Katrin, Burns, Richard A, Busse, Reinhard, Bustanji, Yasser, Butt, Nadeem Shafique, Butt, Zahid A, Caetano dos Santos, Florentino Luciano, Cagney, Jack, Cahuana-Hurtado, Lucero, Calina, Daniela, Cámera, Luis Alberto, Campos, Luciana Aparecida, Campos-Nonato, Ismael R, Cao, Chao, Cao, Fan, Cao, Yubin, Capodici, Angelo, Cárdenas, Rosario, Carr, Sinclair, Carreras, Giulia, Carrero, Juan J, Carugno, Andrea, Carvalho, Felix, Carvalho, Márcia, Castaldelli-Maia, Joao Mauricio, Castañeda-Orjuela, Carlos A, Castelpietra, Giulio, Catalá-López, Ferrán, Catapano, Alberico L, Cattaruzza, Maria Sofia, Caye, Arthur, Cederroth, Christopher R, Cegolon, Luca, Cenderadewi, Muthia, Cercy, Kelly M, Cerin, Ester, Chadwick, Joshua, Chakraborty, Chiranjib, Chakraborty, Promit Ananyo, Chakraborty, Sandip, Chan, Jeffrey Shi Kai, Chan, Raymond N C, Chandan, Joht Singh, Chandika, Rama Mohan, Chaturvedi, Pankaj, Chen, An-Tian, Chen, Catherine S, Chen, Haowei, Chen, Meng Xuan, Chen, Mingling, Chen, Simiao, Cheng, Ching-Yu, Cheng, Esther T W, Cherbuin, Nicolas, Chi, Gerald, Chichagi, Fatemeh, Chimed-Ochir, Odgerel, Chimoriya, Ritesh, Ching, Patrick R, Chirinos-Caceres, Jesus Lorenzo, Chitheer, Abdulaal, Cho, William C S, Chong, Bryan, Chopra, Hitesh, Chowdhury, Rajiv, Christopher, Devasahayam J, Chu, Dinh-Toi, Chukwu, Isaac Sunday, Chung, Eric, Chung, Sheng-Chia, Chutiyami, Muhammad, Cioffi, Iolanda, Cogen, Rebecca M, Cohen, Aaron J, Columbus, Alyssa, Conde, Joao, Corlateanu, Alexandru, Cortese, Samuele, Cortesi, Paolo Angelo, Costa, Vera Marisa, Costanzo, Simona, Criqui, Michael H, Cruz, Jessica A, Cruz-Martins, Natália, Culbreth, Garland T, da Silva, Alanna Gomes, Dadras, Omid, Dai, Xiaochen, Dai, Zhaoli, Daikwo, Patience Unekwuojo, Dalli, Lachlan L, Damiani, Giovanni, D'Amico, Emanuele, D'Anna, Lucio, Darwesh, Aso Mohammad, Das, Jai K, Das, Subasish, Dash, Nihar Ranjan, Dashti, Mohsen, Dávila-Cervantes, Claudio Alberto, Davis Weaver, Nicole, Davitoiu, Dragos Virgil, De la Hoz, Fernando Pio, de la Torre-Luque, Alejandro, De Leo, Diego, Debopadhaya, Shayom, Degenhardt, Louisa, Del Bo', Cristian, Delgado-Enciso, Ivan, Delgado-Saborit, Juana Maria, Demoze, Chalachew Kassaw, Denova-Gutiérrez, Edgar, Dervenis, Nikolaos, Dervišević, Emina, Desai, Hardik Dineshbhai, Desai, Rupak, Devanbu, Vinoth Gnana Chellaiyan, Dewan, Syed Masudur Rahman, Dhali, Arkadeep, Dhama, Kuldeep, Dhane, Amol S, Dhimal, Mandira Lamichhane, Dhimal, Meghnath, Dhingra, Sameer, Dhulipala, Vishal R, Dhungana, Raja Ram, Dias da Silva, Diana, Diaz, Daniel, Diaz, Luis Antonio, Diaz, Michael J, Dima, Adriana, Ding, Delaney D, Dinu, Monica, Djalalinia, Shirin, Do, Thanh Chi, Do, Thao Huynh Phuong, do Prado, Camila Bruneli, Dodangeh, Masoud, Dohare, Sushil, Dokova, Klara Georgieva, Dong, Wanyue, Dongarwar, Deepa, D'Oria, Mario, Dorostkar, Fariba, Dorsey, E Ray, Doshi, Rajkumar, Doshmangir, Leila, Dowou, Robert Kokou, Driscoll, Tim Robert, Dsouza, Ashel Chelsea, Dsouza, Haneil Larson, Dumith, Samuel C, Duncan, Bruce B, Duraes, Andre Rodrigues, Duraisamy, Senbagam, Dushpanova, Anar, Dzianach, Paulina Agnieszka, Dziedzic, Arkadiusz Marian, Ebrahimi, Alireza, Echieh, Chidiebere Peter, Ed-Dra, Abdelaziz, Edinur, Hisham Atan, Edvardsson, David, Edvardsson, Kristina, Efendi, Ferry, Eftekharimehrabad, Aziz, Eini, Ebrahim, Ekholuenetale, Michael, Ekundayo, Temitope Cyrus, El Arab, Rabie Adel, El Sayed Zaki, Maysaa, El-Dahiyat, Faris, Elemam, Noha Mousaad, Elgar, Frank J, ElGohary, Ghada Metwally Tawfik, Elhabashy, Hala Rashad, Elhadi, Muhammed, Elmehrath, Ahmed O, Elmeligy, Omar Abdelsadek Abdou, Elshaer, Mohammed, Elsohaby, Ibrahim, Emeto, Theophilus I, Esfandiari, Negin, Eshrati, Babak, Eslami, Majid, Esmaeili, Sayed Vahid, Estep, Kara, Etaee, Farshid, Fabin, Natalia, Fagbamigbe, Adeniyi Francis, Fagbule, Omotayo Francis, Fahimi, Saman, Falzone, Luca, Fareed, Mohammad, Farinha, Carla Sofia e Sá, Faris, MoezAlIslam Ezzat Mahmoud, Faris, Pawan Sirwan, Faro, Andre, Fasina, Folorunso Oludayo, Fatehizadeh, Ali, Fauk, Nelsensius Klau, Fazylov, Timur, Feigin, Valery L, Feng, Xiaoqi, Fereshtehnejad, Seyed-Mohammad, Feroze, Abdullah Hamid, Ferrara, Pietro, Ferrari, Alize J, Ferreira, Nuno, Fetensa, Getahun, Feyisa, Bikila Regassa, Filip, Irina, Fischer, Florian, Fitriana, Ida, Flavel, Joanne, Flohr, Carsten, Flood, David, Flor, Luisa S, Foigt, Nataliya A, Folayan, Morenike Oluwatoyin, Force, Lisa M, Fortuna, Daniela, Foschi, Matteo, Franklin, Richard Charles, Freitas, Alberto, Friedman, Sara D, Fux, Blima, G, Sridevi, Gaal, Peter Andras, Gaihre, Santosh, Gajdács, Márió, Galali, Yaseen, Gallus, Silvano, Gandhi, Aravind P, Ganesan, Balasankar, Ganiyani, Mohammad Arfat, Garcia, Vanessa, Gardner, William M, Garg, Ravindra K, Gautam, Rupesh K, Gebi, Tilaye Gebru, Gebregergis, Miglas W, Gebrehiwot, Mesfin, Gebremariam, Tesfay B B, Gebremeskel, Teferi Gebru, Gerema, Urge, Getacher, Lemma, Getahun, Genanew K a, Getie, Molla, Ghadirian, Fataneh, Ghafarian, Sadegh, Ghaffari Jolfayi, Amir, Ghailan, Khalid Yaser, Ghajar, Alireza, Ghasemi, MohammadReza, Ghasempour Dabaghi, Ghazal, Ghasemzadeh, Afsaneh, Ghassemi, Fariba, Ghazy, Ramy Mohamed, Gholami, Ali, Gholamrezanezhad, Ali, Gholizadeh, Nasim, Ghorbani, Mahsa, Gil, Artyom Urievich, Gil, Gabriela Fernanda, Gilbertson, Nora M, Gill, Paramjit Singh, Gill, Tiffany K, Gindaba, Ebisa Zerihun, Girmay, Alem, Glasbey, James C, Gnedovskaya, Elena V, Göbölös, Laszlo, Godinho, Myron Anthony, Goel, Amit, Golechha, Mahaveer, Goleij, Pouya, Golinelli, Davide, Gomes, Nelson G M, Gopalani, Sameer Vali, Gorini, Giuseppe, Goudarzi, Houman, Goulart, Alessandra C, Gouravani, Mahdi, Goyal, Anmol, Graham, Simon Matthew, Grivna, Michal, Grosso, Giuseppe, Guan, Shi-Yang, Guarducci, Giovanni, Gubari, Mohammed Ibrahim Mohialdeen, Guha, Avirup, Guicciardi, Stefano, Gulati, Snigdha, Gulisashvili, David, Gunawardane, Damitha Asanga, Guo, Cui, Gupta, Anish Kumar, Gupta, Bhawna, Gupta, Mohak, Gupta, Rahul, Gupta, Rajat Das, Gupta, Rajeev, Gupta, Sapna, Gupta, Veer Bala, Gupta, Vijai Kumar, Gupta, Vivek Kumar, Habibzadeh, Farrokh, Habibzadeh, Parham, Hadaro, Tesfahun Simon, Hadian, Zahra, Haep, Nils, Haghi-Aminjan, Hamed, Haghmorad, Dariush, Hagins, Hailey, Haile, Demewoz, Hailu, Alemayehu, Hajj Ali, Adel, Halboub, Esam S, Halimi, Aram, Hall, Brian J, Haller, Sebastian, Halwani, Rabih, Hamadeh, Randah R, Hamdy, Nadia M, Hameed, Sajid, Hamidi, Samer, Hammoud, Ahmad, Hanif, Asif, Hanifi, Nasrin, Haq, Zaim Anan, Haque, Md Rabiul, Harapan, Harapan, Hargono, Arief, Haro, Josep Maria, Hasaballah, Ahmed I, Hasan, Ikramul, Hasan, Mohammad Jahid, Hasan, S M Mahmudul, Hasani, Hamidreza, Hasanian, Mohammad, Hashmeh, Nadim, Hasnain, Md Saquib, Hassan, Amr, Hassan, Ikrama, Hassan Zadeh Tabatabaei, Mahgol Sadat, Hassani, Shokoufeh, Hassanipour, Soheil, Hassankhani, Hadi, Haubold, Johannes, Havmoeller, Rasmus J, Hay, Simon I, Hebert, Jeffrey J, Hegazi, Omar E, Hegena, Tadele Yohannes, Heidari, Golnaz, Heidari, Mohammad, Helfer, Bartosz, Hemmati, Mehdi, Henson, Claire A, Herbert, Molly E, Herteliu, Claudiu, Heuer, Austin, Hezam, Kamal, Hinneh, Thomas Kwadwo, Hiraike, Yuta, Hoan, Nguyen Quoc, Holla, Ramesh, Hon, Julia, Hoque, Mohammad Enamul, Horita, Nobuyuki, Hossain, Sahadat, Hosseini, Seyed Ehsan, 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Roland Dominic G, Jatau, Abubakar Ibrahim, Javadov, Sabzali, Javaheri, Tahereh, Jayaram, Shubha, Jeganathan, Jayakumar, Jeswani, Bijay Mukesh, Jiang, Heng, Johnson, Catherine O, Jokar, Mohammad, Jomehzadeh, Nabi, Jonas, Jost B, Joo, Tamas, Joseph, Abel, Joseph, Nitin, Joshi, Vivek, Joshua, Charity Ehimwenma, Jozwiak, Jacek Jerzy, Jürisson, Mikk, Kaambwa, Billingsley, Kabir, Ali, Kabir, Zubair, Kadashetti, Vidya, Kahn, Ethan M, Kalani, Rizwan, Kaliyadan, Feroze, Kalra, Sanjay, Kamath, Rajesh, Kanagasabai, Thanigaivelan, Kanchan, Tanuj, Kandel, Himal, Kanmiki, Edmund Wedam, Kanmodi, Kehinde Kazeem, Kansal, Sushil Kumar, Kapner, Daniel John, Kapoor, Neeti, Karagiannidis, Efstratios, Karajizadeh, Mehrdad, Karakasis, Paschalis, Karanth, Shama D, Karaye, Ibraheem M, Karch, André, Karim, Asima, Karimi, Hanie, Karmakar, Shilpi, Kashoo, Faizan Zaffar, Kasraei, Hengameh, Kassahun, Woldeteklehaymanot Dagne, Kassebaum, Nicholas J, Kassel, Molly B, Katikireddi, Srinivasa Vittal, Kauppila, Joonas H, 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Jansje Henny Vera, Tiruye, Tenaw Yimer, Tobe-Gai, Ruoyan, Tolani, Musliu Adetola, Tolossa, Tadesse, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Fotis, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Trabelsi, Khaled, Tran, Jasmine T, Tran, Mai Thi Ngoc, Tran, Nghia Minh, Trico, Domenico, Trihandini, Indang, Troeger, Christopher E, Tromans, Samuel Joseph, Truyen, Thien Tan Tri Tai, Tsatsakis, Aristidis, Tsermpini, Evangelia Eirini, Tumurkhuu, Munkhtuya, Udoakang, Aniefiok John, Udoh, Arit, Ullah, Atta, Ullah, Saeed, Ullah, Sana, Umair, Muhammad, Umakanthan, Srikanth, Unim, Brigid, Unnikrishnan, Bhaskaran, Upadhyay, Era, Urso, Daniele, Usman, Jibrin Sammani, Vaithinathan, Asokan Govindaraj, Vakili, Omid, Valenti, Mario, Valizadeh, Rohollah, Van den Eynde, Jef, van Donkelaar, Aaron, Varga, Orsolya, Vart, Priya, Varthya, Shoban Babu, Vasankari, Tommi Juhani, Vasic, Milena, Vaziri, Siavash, Venketasubramanian, Narayanaswamy, Verghese, Nicholas Alexander, Verma, Madhur, Veroux, Massimiliano, Verras, Georgios-Ioannis, Vervoort, Dominique, Villafañe, Jorge Hugo, Villalobos-Daniel, Victor E, Villani, Leonardo, Villanueva, Gabriela Ines, Vinayak, Manish, Violante, Francesco S, Vlassov, Vasily, Vo, Bay, Vollset, Stein Emil, Volovat, Simona Ruxandra, Vos, Theo, Vujcic, Isidora S, Waheed, Yasir, Wang, Cong, Wang, Fang, Wang, Shu, Wang, Yanzhong, Wang, Yuan-Pang, Wanjau, Mary Njeri, Waqas, Muhammad, Ward, Paul, Waris, Abdul, Wassie, Emebet Gashaw, Weerakoon, Kosala Gayan, Weintraub, Robert G, Weiss, Daniel J, Weiss, Eli J, Weldetinsaa, Haftom Legese Legese, Wells, Katherine M, Wen, Yi Feng, Wiangkham, Taweewat, Wickramasinghe, Nuwan Darshana, Wilkerson, Caroline, Willeit, Peter, Wilson, Shadrach, Wong, Yen Jun, Wongsin, Utoomporn, Wozniak, Sarah, Wu, Chenkai, Wu, Dongze, Wu, Felicia, Wu, Zenghong, Xia, Juan, Xiao, Hong, Xu, Suowen, Xu, Xiaoyue, Xu, Yvonne Yiru, Yadav, Mukesh Kumar, Yaghoubi, Sajad, Yamagishi, Kazumasa, Yang, Lin, Yano, Yuichiro, Yaribeygi, Habib, Yasufuku, Yuichi, Ye, Pengpeng, Yesodharan, Renjulal, Yesuf, Subah Abderehim, Yezli, Saber, Yi, Siyan, Yiğit, Arzu, Yigzaw, Zeamanuel Anteneh, Yin, Dehui, Yip, Paul, Yismaw, Malede Berihun, Yon, Dong Keon, Yonemoto, Naohiro, You, Yuyi, Younis, Mustafa Z, Yousefi, Zabihollah, Yu, Chuanhua, Yu, Yong, Zadey, Siddhesh, Zadnik, Vesna, Zakham, Fathiah, Zaki, Nazar, Zakzuk, Josefina, Zamagni, Giulia, Zaman, Sojib Bin, Zandieh, Ghazal G Z, Zanghì, Aurora, Zar, Heather J, Zare, Iman, Zarimeidani, Fatemeh, Zastrozhin, Mikhail Sergeevich, Zeng, Youjie, Zhai, Chunxia, Zhang, Anthony Lin, Zhang, Haijun, Zhang, Liqun, Zhang, Meixin, Zhang, Yunquan, Zhang, Zhenyu, Zhang, Zhi-Jiang, Zhao, Hanqing, Zhao, Jeff T, Zhao, Xiu-Ju George, Zhao, Yang, Zhao, Yong, Zhong, Chenwen, Zhou, Jingjing, Zhou, Juexiao, Zhou, Shangcheng, Zhu, Bin, Zhu, Lei, Zhu, Zhaohua, Ziaeian, Boback, Ziafati, Makan, Zielińska, Magdalena, Zimsen, Stephanie R M, Zoghi, Ghazal, Zoller, Thomas, Zumla, Alimuddin, Zyoud, Sa'ed H, Zyoud, Samer H, Murray, Christopher J L, and Gakidou, Emmanuela
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- 2024
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31. Geographical accessibility to functional emergency obstetric care facilities in urban Nigeria using closer-to-reality travel time estimates: a population-based spatial analysis
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Banke-Thomas, Aduragbemi, Wong, Kerry L M, Olubodun, Tope, Macharia, Peter M, Sundararajan, Narayanan, Shah, Yash, Prasad, Gautam, Kansal, Mansi, Vispute, Swapnil, Shekel, Tomer, Ogunyemi, Olakunmi, Gwacham-Anisiobi, Uchenna, Wang, Jia, Abejirinde, Ibukun-Oluwa Omolade, Makanga, Prestige Tatenda, Azodoh, Ngozi, Nzelu, Charles, Afolabi, Bosede B, Stanton, Charlotte, and Beňová, Lenka
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- 2024
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32. Application of GIS in Public Health Practice: A Consortium's Approach to Tackling Travel Delays in Obstetric Emergencies in Urban Areas (Short Paper).
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Jia Wang 0006, Itohan Osayande, Peter M. Macharia, Prestige Tatenda Makanga, Kerry L. M. Wong, Tope Olubodun, Uchenna Gwacham-Anisiobi, Olakunmi Ogunyemi, Abimbola Olaniran, Ibukun-Oluwa O. Abejirinde, Lenka Benová, Bosede B. Afolabi, and Aduragbemi Banke-Thomas
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- 2023
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33. Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States
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Johnson-Agbakwu, Crista E., Fox, Kathleen A., Banke-Thomas, Aduragbemi, and Michlig, Georgia J.
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- 2023
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34. Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis
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Marie-Jeanne Offosse, Cephas Avoka, Pierre Yameogo, Astrid Raissa Manli, Aude Goumbri, Ejemai Eboreime, Matt Boxshall, and Aduragbemi Banke-Thomas
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User fee ,Health policy ,Universal health coverage ,Conflict ,Effectiveness ,Burkina Faso ,Special situations and conditions ,RC952-1245 ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Abstract Background Evidence on effectiveness of user fee exemption policies targeting maternal, newborn, and child health (MNCH) services is limited for conflict-affected settings. In Burkina Faso, a country that has had its fair share of conflicts, user fee exemption policies have been piloted since 2008 and implemented along with a national government-led user fee reduction policy (‘SONU’: Soins Obstétricaux et Néonataux d'Urgence). In 2016, the government transitioned the entire country to a user fee exemption policy known as Gratuité. Our study objective was to assess the effect of the policy on the utilization and outcomes of MNCH services in conflict-affected districts of Burkina Faso. Methods We conducted a quasi-experimental study comparing four conflict-affected districts which had the user fee exemption pilot along with SONU before transitioning to Gratuité (comparator) with four other districts with similar characteristics, which had only SONU before transitioning (intervention). A difference-in-difference approach was initiated using data from 42 months before and 30 months after implementation. Specifically, we compared utilization rates for MNCH services, including antenatal care (ANC), facility delivery, postnatal care (PNC) and consultation for malaria. We reported the coefficient, including a 95% confidence interval (CI), p value, and the parallel trends test. Results Gratuité led to significant increases in rates of 6th day PNC visits for women (Coeff 0.15; 95% CI 0.01–0.29), new consultations in children
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- 2023
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35. Stakeholder perceptions and experiences from the implementation of the Gratuité user fee exemption policy in Burkina Faso: a qualitative study
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Aduragbemi Banke-Thomas, Marie-Jeanne Offosse, Pierre Yameogo, Astrid Raissa Manli, Aude Goumbri, Cephas Avoka, Matt Boxshall, and Ejemai Eboreime
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User fees ,Health policy ,Universal health coverage ,Perception ,Experience ,Burkina Faso ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background In 2016, the Gratuité policy was initiated by the Government of Burkina Faso to remove user fees for maternal, newborn, and child Health (MNCH) services. Since its inception, there has not been any systematic capture of experiences of stakeholders as it relates to the policy. Our objective was to understand the perceptions and experiences of stakeholders regarding the implementation of the Gratuité policy. Methods We used key informant interviews (KIIs) and focus group discussions (FGDs) to engage national and sub-national stakeholders in the Centre and Hauts-Bassin regions. Participants included policymakers, civil servants, researchers, non-governmental organizations in charge of monitoring the policy, skilled health personnel, health facility managers, and women who used MNCH services before and after the policy implementation. Topic guides aided sessions, which were audio recorded and transcribed verbatim. A thematic analysis was used for data synthesis. Results There were five key themes emerging. First, majority of stakeholders have a positive perception of the Gratuité policy. Its implementation approach is deemed to have strengths including government leadership, multi-stakeholder involvement, robust internal capacity, and external monitoring. However, collateral shortage of financial and human resources, misuse of services, delays in reimbursement, political instability and health system shocks were highlighted as concerns that compromise the government's objective of achieving universal health coverage (UHC). However, many beneficiaries were satisfied at the point of use of MNHC services, though Gratuité did not always mean free to the service users. Broadly, there was consensus that the Gratuité policy has contributed to improvements in health-seeking behavior, access, and utilization of services, especially for children. However, the reported higher utilization is leading to some perceived increased workload and altered health worker attitude. Conclusions There is a general perception that the Gratuité policy is achieving what it set out to do, which is to increase access to care by removing financial barriers. While stakeholders recognized the intention and value of the Gratuité policy, and many beneficiaries were satisfied at the point of use, inefficiencies in its implementation undermines progress. As the country moves towards the goal of realizing UHC, reliable investment in the Gratuité policy is needed.
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- 2023
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36. Prevalence, indications, and complications of caesarean section in health facilities across Nigeria: a systematic review and meta-analysis
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Itohan Osayande, Olakunmi Ogunyemi, Uchenna Gwacham-Anisiobi, Abimbola Olaniran, Sanni Yaya, and Aduragbemi Banke-Thomas
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Caesarean delivery ,Emergency obstetric care ,Prevalence ,Indication ,Complication ,Nigeria ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Over 80,000 pregnant women died in Nigeria due to pregnancy-related complications in 2020. Evidence shows that if appropriately conducted, caesarean section (CS) reduces the odds of maternal death. In 2015, the World Health Organization (WHO), in a statement, proposed an optimal national prevalence of CS and recommended the use of Robson classification for classifying and determining intra-facility CS rates. We conducted this systematic review and meta-analysis to synthesise evidence on prevalence, indications, and complications of intra-facility CS in Nigeria. Methods Four databases (African Journals Online, Directory of Open Access Journals, EBSCOhost, and PubMed) were systematically searched for relevant articles published from 2000 to 2022. Articles were screened following the PRISMA guidelines, and those meeting the study’s inclusion criteria were retained for review. Quality assessment of included studies was conducted using a modified Joanna Briggs Institute’s Critical Appraisal Checklist. Narrative synthesis of CS prevalence, indications, and complications as well as a meta-analysis of CS prevalence using R were conducted. Results We retrieved 45 articles, with most (33 (64.4%)) being assessed as high quality. The overall prevalence of CS in facilities across Nigeria was 17.6%. We identified a higher prevalence of emergency CS (75.9%) compared to elective CS (24.3%). We also identified a significantly higher CS prevalence in facilities in the south (25.5%) compared to the north (10.6%). Furthermore, we observed a 10.7% increase in intra-facility CS prevalence following the implementation of the WHO statement. However, none of the studies adopted the Robson classification of CS to determine intra-facility CS rates. In addition, neither hierarchy of care (tertiary or secondary) nor type of facility (public or private) significantly influenced intra-facility CS prevalence. The commonest indications for a CS were previous scar/CS (3.5–33.5%) and pregnancy-related hypertensive disorders (5.5–30.0%), while anaemia (6.4–57.1%) was the most reported complication. Conclusion There are disparities in the prevalence, indications, and complications of CS in facilities across the geopolitical zones of Nigeria, suggestive of concurrent overuse and underuse. There is a need for comprehensive solutions to optimise CS provision tailor-made for zones in Nigeria. Furthermore, future research needs to adopt current guidelines to improve comparison of CS rates.
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- 2023
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37. Association between tuberculosis and pregnancy outcomes: a retrospective cohort study of women in Cape Town, South Africa
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Anneke C Hesseling, Aduragbemi Banke-Thomas, Mariette Smith, Peter Bock, Florence Phelanyane, Sue-Ann Meehan, Arne von Delft, Florian M Marx, Jennifer A Hughes, Rory Dunbar, and Muhammad Osman
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Medicine - Abstract
Background Tuberculosis (TB) remains a leading cause of mortality among women of childbearing age and a significant contributor to maternal mortality. Pregnant women with TB are at high risk of adverse pregnancy outcomes. This study aimed to determine risk factors for an adverse pregnancy outcome among pregnant women diagnosed with TB.Methods Using TB programmatic data, this retrospective cohort analysis included all women who were routinely diagnosed with TB in the public sector between October 2018 and March 2020 in two health subdistricts of Cape Town, and who were documented to be pregnant during their TB episode. Adverse pregnancy outcome was defined as either a live birth of an infant weighing
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- 2024
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38. A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa.
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Francis G Muriithi, Aduragbemi Banke-Thomas, Gillian Forbes, Ruth W Gakuo, Eleanor Thomas, Ioannis D Gallos, Adam Devall, Arri Coomarasamy, and Fabiana Lorencatto
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Public aspects of medicine ,RA1-1270 - Abstract
The rate of decline in the global burden of avoidable maternal deaths has stagnated and remains an issue of concern in many sub-Saharan Africa countries. As per the most recent evidence, an average maternal mortality ratio (MMR) of 223 deaths per 100,000 live births has been estimated globally, with sub-Saharan Africa's average MMR at 536 per 100,000 live births-more than twice the global average. Despite the high MMR, there is variation in MMR between and within sub-Saharan Africa countries. Differences in the behaviour of those accessing and/or delivering maternal healthcare may explain variations in outcomes and provide a basis for quality improvement in health systems. There is a gap in describing the landscape of interventions aimed at modifying the behaviours of those accessing and delivering maternal healthcare for improving maternal health outcomes in sub-Saharan Africa. Our objective was to extract and synthesise the target behaviours, component behaviour change strategies and outcomes of behaviour change interventions for improving maternal health outcomes in sub-Saharan Africa. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Our protocol was published a priori on PROSPERO (registration number CRD42022315130). We searched ten electronic databases (PsycINFO, Cochrane Database of Systematic Reviews, International Bibliography of Social Sciences, EMBASE, MEDLINE, Scopus, CINAHL PLUS, African Index Medicus, African Journals Online, and Web of Science) and included randomised trials and quasi-experimental studies. We extracted target behaviours and specified the behavioural interventions using the Action, Actor, Context, Time, and Target (AACTT) framework. We categorised the behaviour change strategies using the intervention functions described in the Behaviour Change Wheel (BCW). We reviewed 52 articles (26 randomized trials and 26 quasi-experimental studies). They had a mixed risk of bias. Out of these, 41 studies (78.8%) targeted behaviour change of those accessing maternal healthcare services, while seven studies (13.5%) focused on those delivering maternal healthcare. Four studies (7.7%) targeted mixed stakeholder groups. The studies employed a range of behaviour change strategies, including education 37 (33.3%), persuasion 20 (18%), training 19 (17.1%), enablement 16 (14.4%), environmental restructuring 8 (7.2%), modelling 6 (5.4%) and incentivisation 5 (4.5%). No studies used restriction or coercion strategies. Education was the most common strategy for changing the behaviour of those accessing maternal healthcare, while training was the most common strategy in studies targeting the behaviour of those delivering maternal healthcare. Of the 52 studies, 40 reported effective interventions, 7 were ineffective, and 5 were equivocal. A meta-analysis was not feasible due to methodological and clinical heterogeneity across the studies. In conclusion, there is evidence of effective behaviour change interventions targeted at those accessing and/or delivering maternal healthcare in sub-Saharan Africa. However, more focus should be placed on behaviour change by those delivering maternal healthcare within the health facilities to fast-track the reduction of the huge burden of avoidable maternal deaths in sub-Saharan Africa.
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- 2024
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39. A continuous quality improvement strategy to strengthen screening practices and facilitate the routine use of intravenous iron for treating anaemia in pregnant and postpartum women in Nigeria: a study protocol
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Ejemai Eboreime, Aduragbemi Banke-Thomas, Chisom Obi-Jeff, Yusuf Adelabu, Mobolanle Balogun, Adejoke A. Aiyenigba, Esther O. Oluwole, Opeyemi R. Akinajo, and Bosede B. Afolabi
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Iron deficiency anaemia ,Pregnant women ,Postpartum period ,Parenteral iron ,Continuous quality improvement ,Ferric carboxymaltose ,Medicine (General) ,R5-920 - Abstract
Abstract Background Pregnancy-related anaemia is a public health challenge across Africa. Over 50% of pregnant women in Africa get diagnosed with this condition, and up to 75% of these are caused by iron deficiency. The condition is a significant contributor to the high maternal deaths across the continent and, in particular, Nigeria, which accounts for about 34% of global maternal deaths. Whereas oral iron is the mainstay treatment for pregnancy-related anaemia in Nigeria, this treatment is not very effective given the slow absorption of the medication, and its gastrointestinal adverse effects which lead to poor compliance by women. Intravenous iron is an alternative therapy which can rapidly replenish iron stores, but fears of anaphylactic reactions, as well as several misconceptions, have inhibited its routine use. Newer and safer intravenous iron formulations, such as ferric carboxymaltose, present an opportunity to overcome some concerns relating to adherence. Routine use of this formulation will, however, require addressing misconceptions and systemic barriers to adoption in the continuum of care of obstetric women from screening to treatment. This study aims to test the options to strengthen routine screening for anaemia during and immediately after pregnancy, as well as evaluate and improve conditions necessary to deliver ferric carboxymaltose to pregnant and postpartum women with moderate to severe anaemia. Methods This study will be conducted in a cluster of six health facilities in Lagos State, Nigeria. The study will employ continuous quality improvement through the Diagnose-Intervene-Verify-Adjust framework and Tanahashi’s model for health system evaluation to identify and improve systemic bottlenecks to the adoption and implementation of the intervention. Participatory Action Research will be employed to engage health system actors, health services users, and other stakeholders to facilitate change. Evaluation will be guided by the consolidated framework for implementation research and the normalisation process theory. Discussion We expect the study to evolve transferable knowledge on barriers and facilitators to the routine use of intravenous iron that will inform scale-up across Nigeria, as well as the adoption of the intervention and strategies in other countries across Africa.
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- 2023
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40. Publisher Correction: Socio-spatial equity analysis of relative wealth index and emergency obstetric care accessibility in urban Nigeria
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Kerry L. M. Wong, Aduragbemi Banke-Thomas, Tope Olubodun, Peter M. Macharia, Charlotte Stanton, Narayanan Sundararajan, Yash Shah, Gautam Prasad, Mansi Kansal, Swapnil Vispute, Tomer Shekel, Olakunmi Ogunyemi, Uchenna Gwacham-Anisiobi, Jia Wang, Ibukun-Oluwa Omolade Abejirinde, Prestige Tatenda Makanga, Bosede B. Afolabi, and Lenka Beňová
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Medicine - Published
- 2024
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41. Author Correction: Advancing the frontiers of geographic accessibility to healthcare services
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Peter M. Macharia, Aduragbemi Banke-Thomas, and Lenka Beňová
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Medicine - Published
- 2024
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42. Obstetric referrals, complications and health outcomes in maternity wards of large hospitals during the COVID-19 pandemic: a mixed methods study of six hospitals in Guinea, Nigeria, Uganda and Tanzania
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Lenka Benova, Thérèse Delvaux, Alexandre Delamou, Nafissatou Dioubate, Annettee Nakimuli, Aline Semaan, Dinah Amongin, Bosede Bukola Afolabi, Ochuwa Adiketu Babah, Andrea Barnabas Pembe, Sarah Nakubulwa, Olubunmi Ogein, Moses Adroma, William Anzo Adiga, Abdourahmane Diallo, Lamine Diallo, Mamadou Cellou Diallo, Cécé Maomou, Nathanael Mtinangi, Telly Sy, Niane Harissatou, Amani Idris Kikula, Ibrahima Sory Diallo, and Aduragbemi Oluwabusayo Banke-Thomas
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Medicine - Abstract
Objectives The COVID-19 pandemic affected provision and use of maternal health services. This study describes changes in obstetric complications, referrals, stillbirths and maternal deaths during the first year of the pandemic and elucidates pathways to these changes.Design Prospective observational mixed-methods study, combining monthly routine data (March 2019–February 2021) and qualitative data from prospective semi-structured interviews. Data were analysed separately, triangulated during synthesis and presented along three country-specific pandemic periods: first wave, slow period and second wave.Setting Six referral maternities in four sub-Saharan African countries: Guinea, Nigeria, Tanzania and Uganda.Participants 22 skilled health personnel (SHP) working in the maternity wards of various cadres and seniority levels.Results Percentages of obstetric complications were constant in four of the six hospitals. The percentage of obstetric referrals received was stable in Guinea and increased at various times in other hospitals. SHP reported unpredictability in the number of referrals due to changing referral networks. All six hospitals registered a slight increase in stillbirths during the study period, the highest increase (by 30%–40%) was observed in Uganda. Four hospitals registered increases in facility maternal mortality ratio; the highest increase was in Guinea (by 158%), which had a relatively mild COVID-19 epidemic. These increases were not due to mortality among women with COVID-19. The main pathways leading to these trends were delayed care utilisation and disruptions in accessing care, including sub-optimal referral linkages and health service closures.Conclusions Maternal and perinatal survival was negatively affected in referral hospitals in sub-Saharan Africa during COVID-19. Routine data systems in referral hospitals must be fully used as they hold potential in informing adaptations of maternal care services. If combined with information on women’s and care providers’ needs, this can contribute to ensuring continuation of essential care provision during emergency.
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- 2023
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43. Contraceptive use and fertility control in rural and urban communities of Lagos Nigeria
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Kikelomo Ololade Wright, Modupe Rebekah Akinyinka, Temiloluwa Fagbemi, Adedayo Aderibigbe, Aduragbemi Banke-Thomas, and Onipede Wusu
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communities ,contraceptives ,family planning ,rural ,urban ,Medicine - Abstract
Background: It is predicted that the population of sub-Saharan Africa will be thrice its size by the end of the 21st century. Our study compared patterns, incentives and disincentives for the uptake of contraceptives in rural and urban communities of Lagos, Nigeria. Materials and Methods: This is a population-based cross-sectional study on 1445 women of reproductive ages 15–49 years using a cluster sampling technique and a pre-tested, interviewer-administered electronic questionnaire in 2020. Data were analysed using the Statistical Package for the Social Sciences (SPSS) software version 26.0 and ethical approval was obtained for the study. Results: About 32.4% of the respondents were rural dwellers and 67.6% were urban residents. The overall mean age was 31.7 ± 7.8 years. In terms of pattern, slightly over half (53.3%) of all respondents had ever used family planning (FP), including modern contraceptives and slightly less than a third (30.8%) currently use FP methods in both rural and urban communities, respectively. Predominant disincentives for non-use of FP include a desire to retain fertility, lack of further need, unbearable side effects and lack of spousal support. The odds of being an urban dweller currently using a method of contraceptive method is 4.169 times higher for earners above ₦60,000, which is twice the minimum wage compared to those without income (adjusted odd's ratio: 4.169, 95% confidence interval: 1.395–12.462). Conclusion: Sustained effort is required to improve contraceptive uptake, FP service delivery and demand satisfaction for modern contraceptives to enable the achievement of demographic dividends and gains.
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- 2023
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44. Spatial variation and inequities in antenatal care coverage in Kenya, Uganda and mainland Tanzania using model-based geostatistics: a socioeconomic and geographical accessibility lens
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Peter M. Macharia, Noel K. Joseph, Gorrette Kayondo Nalwadda, Beatrice Mwilike, Aduragbemi Banke-Thomas, Lenka Benova, and Olatunji Johnson
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Antenatal care ,Inequities ,Household wealth ,Maternal education ,Travel time to healthcare ,Model-based geostatistics ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Pregnant women in sub-Saharan Africa (SSA) experience the highest levels of maternal mortality and stillbirths due to predominantly avoidable causes. Antenatal care (ANC) can prevent, detect, alleviate, or manage these causes. While eight ANC contacts are now recommended, coverage of the previous minimum of four visits (ANC4+) remains low and inequitable in SSA. Methods We modelled ANC4+ coverage and likelihood of attaining district-level target coverage of 70% across three equity stratifiers (household wealth, maternal education, and travel time to the nearest health facility) based on data from malaria indicator surveys in Kenya (2020), Uganda (2018/19) and Tanzania (2017). Geostatistical models were fitted to predict ANC4+ coverage and compute exceedance probability for target coverage. The number of pregnant women without ANC4+ were computed. Prediction was at 3 km spatial resolution and aggregated at national and district -level for sub-national planning. Results About six in ten women reported ANC4+ visits, meaning that approximately 3 million women in the three countries had 20,000 women having
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- 2022
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45. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
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Brauer, M, Roth, G, Aravkin, A, Zheng, P, Abate, K, Abate, Y, Abbafati, C, Abbasgholizadeh, R, Abbasi, M, Abbasian, M, Abbasifard, M, Abbasi-Kangevari, M, Abd ElHafeez, S, Abd-Elsalam, S, Abdi, P, Abdollahi, M, Abdoun, M, Abdulah, D, Abdullahi, A, Abebe, M, Abedi, A, Abegaz, T, Abeldaño Zuñiga, R, Abiodun, O, Abiso, T, Aboagye, R, Abolhassani, H, Abouzid, M, Aboye, G, Abreu, L, Abualruz, H, Abubakar, B, Abu-Gharbieh, E, Abukhadijah, H, Aburuz, S, Abu-Zaid, A, Adane, M, Addo, I, Addolorato, G, Adedoyin, R, Adekanmbi, V, Aden, B, Adetunji, J, Adeyeoluwa, T, Adha, R, Adibi, A, Adnani, Q, Adzigbli, L, Afolabi, A, Afolabi, R, Afshin, A, Afyouni, S, Afzal, M, Afzal, S, Agampodi, S, Agbozo, F, Aghamiri, S, Agodi, A, Agrawal, A, Agyemang-Duah, W, Ahinkorah, B, Ahmad, A, Ahmad, D, Ahmad, F, Ahmad, N, Ahmad, S, Ahmad, T, Ahmed, A, Ahmed, L, Ahmed, M, Ahmed, S, Ajami, M, Akalu, G, Akara, E, Akbarialiabad, H, Akhlaghi, S, Akinosoglou, K, Akinyemiju, T, Akkaif, M, Akkala, S, Akombi-Inyang, B, Al Awaidy, S, Al Hasan, S, Alahdab, F, AL-Ahdal, T, Alalalmeh, S, Alalwan, T, Al-Aly, Z, Alam, K, Alam, N, Alanezi, F, Alanzi, T, Albakri, A, Albataineh, M, Aldhaleei, W, Aldridge, R, Alemayohu, M, Alemu, Y, Al-Fatly, B, Al-Gheethi, A, Al-Habbal, K, Alhabib, K, Alhassan, R, Ali, A, Ali, B, Ali, I, Ali, L, Ali, M, Ali, R, Ali, S, Ali, W, Alicandro, G, Alif, S, Aljunid, S, Alla, F, Al-Marwani, S, Al-Mekhlafi, H, Almustanyir, S, Alomari, M, Alonso, J, Alqahtani, J, Alqutaibi, A, Al-Raddadi, R, Alrawashdeh, A, Al-Rifai, R, Alrousan, S, Al-Sabah, S, Alshahrani, N, Altaany, Z, Altaf, A, Al-Tawfiq, J, Altirkawi, K, Aluh, D, Alvis-Guzman, N, Alvis-Zakzuk, N, Alwafi, H, Al-Wardat, M, Al-Worafi, Y, Aly, H, Aly, S, Alzoubi, K, Al-Zyoud, W, Amaechi, U, Aman Mohammadi, M, Amani, R, Amiri, S, Amirzade-Iranaq, M, Ammirati, E, Amu, H, Amugsi, D, Amusa, G, Ancuceanu, R, Anderlini, D, Anderson, J, Andrade, P, Andrei, C, Andrei, T, Anenberg, S, Angappan, D, Angus, C, Anil, A, Anil, S, Anjum, A, 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Bhawna, Gupta, Mohak, Gupta, Rahul, Gupta, Rajat Das, Gupta, Rajeev, Gupta, Sapna, Gupta, Veer Bala, Gupta, Vijai Kumar, Gupta, Vivek Kumar, Habibzadeh, Farrokh, Habibzadeh, Parham, Hadaro, Tesfahun Simon, Hadian, Zahra, Haep, Nils, Haghi-Aminjan, Hamed, Haghmorad, Dariush, Hagins, Hailey, Haile, Demewoz, Hailu, Alemayehu, Hajj Ali, Adel, Halboub, Esam S, Halimi, Aram, Hall, Brian J, Haller, Sebastian, Halwani, Rabih, Hamadeh, Randah R, Hamdy, Nadia M, Hameed, Sajid, Hamidi, Samer, Hammoud, Ahmad, Hanif, Asif, Hanifi, Nasrin, Haq, Zaim Anan, Haque, Md Rabiul, Harapan, Harapan, Hargono, Arief, Haro, Josep Maria, Hasaballah, Ahmed I, Hasan, Ikramul, Hasan, Mohammad Jahid, Hasan, S M Mahmudul, Hasani, Hamidreza, Hasanian, Mohammad, Hashmeh, Nadim, Hasnain, Md Saquib, Hassan, Amr, Hassan, Ikrama, Hassan Zadeh Tabatabaei, Mahgol Sadat, Hassani, Shokoufeh, Hassanipour, Soheil, Hassankhani, Hadi, Haubold, Johannes, Havmoeller, Rasmus J, Hay, Simon I, Hebert, Jeffrey J, Hegazi, Omar E, Hegena, 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Iwagami, Masao, Iwu, Chidozie C D, Iwu-Jaja, Chinwe Juliana, J, Vinothini, Jaafari, Jalil, Jacob, Louis, Jacobsen, Kathryn H, Jadidi-Niaragh, Farhad, Jahankhani, Kasra, Jahanmehr, Nader, Jahrami, Haitham, Jain, Akhil, Jain, Nityanand, Jairoun, Ammar Abdulrahman, Jaiswal, Abhishek, Jakovljevic, Mihajlo, Jalilzadeh Yengejeh, Reza, Jamora, Roland Dominic G, Jatau, Abubakar Ibrahim, Javadov, Sabzali, Javaheri, Tahereh, Jayaram, Shubha, Jeganathan, Jayakumar, Jeswani, Bijay Mukesh, Jiang, Heng, Johnson, Catherine O, Jokar, Mohammad, Jomehzadeh, Nabi, Jonas, Jost B, Joo, Tamas, Joseph, Abel, Joseph, Nitin, Joshi, Vivek, Joshua, Charity Ehimwenma, Jozwiak, Jacek Jerzy, Jürisson, Mikk, Kaambwa, Billingsley, Kabir, Ali, Kabir, Zubair, Kadashetti, Vidya, Kahn, Ethan M, Kalani, Rizwan, Kaliyadan, Feroze, Kalra, Sanjay, Kamath, Rajesh, Kanagasabai, Thanigaivelan, Kanchan, Tanuj, Kandel, Himal, Kanmiki, Edmund Wedam, Kanmodi, Kehinde Kazeem, Kansal, Sushil Kumar, Kapner, Daniel John, Kapoor, Neeti, Karagiannidis, Efstratios, Karajizadeh, Mehrdad, Karakasis, Paschalis, Karanth, Shama D, Karaye, Ibraheem M, Karch, André, Karim, Asima, Karimi, Hanie, Karmakar, Shilpi, Kashoo, Faizan Zaffar, Kasraei, Hengameh, Kassahun, Woldeteklehaymanot Dagne, Kassebaum, Nicholas J, Kassel, Molly B, Katikireddi, Srinivasa Vittal, Kauppila, Joonas H, Kawakami, Norito, Kaydi, Neda, Kayode, Gbenga A, Kazemi, Foad, Keiyoro, Peter Njenga, Kemmer, Laura, Kempen, John H, Kerr, Jessica A, Kesse-Guyot, Emmanuelle, Khader, Yousef Saleh, Khafaie, Morteza Abdullatif, Khajuria, Himanshu, Khalaji, Amirmohammad, Khalil, Mariam, Khalilian, Alireza, Khamesipour, Faham, Khan, Asaduzzaman, Khan, M Nuruzzaman, Khan, Maseer, Khan, Mohammad Jobair, Khan, Moien AB, Khanmohammadi, Shaghayegh, Khatab, Khaled, Khatatbeh, Haitham, Khatatbeh, Moawiah Mohammad, Khatib, Mahalaqua Nazli, Khavandegar, Armin, Khayat Kashani, Hamid Reza, Khidri, Feriha Fatima, Khodadoust, Elaheh, Khormali, Moein, Khorrami, Zahra, Khosla, Atulya Aman, Khosrowjerdi, Mahmood, Khreis, Haneen, Khusun, Helda, Kifle, Zemene Demelash, Kim, Kwanghyun, Kim, Min Seo, Kim, Yun Jin, Kimokoti, Ruth W, Kisa, Adnan, Kisa, Sezer, Knibbs, Luke D, Knudsen, Ann Kristin Skrindo, Koh, David S Q, Kolahi, Ali-Asghar, Kompani, Farzad, Kong, Jianqiu, Koren, Gerbrand, Korja, Miikka, Korshunov, Vladimir Andreevich, Korzh, Oleksii, Kosen, Soewarta, Kothari, Nikhil, Koul, Parvaiz A, Koulmane Laxminarayana, Sindhura Lakshmi, Krishan, Kewal, Krishnamoorthy, Vijay, Krishnamoorthy, Yuvaraj, Krishnan, Bindu, Krohn, Kris J, Kuate Defo, Barthelemy, Kucuk Bicer, Burcu, Kuddus, Md Abdul, Kuddus, Mohammed, Kugbey, Nuworza, Kuitunen, Ilari, Kulimbet, Mukhtar, Kulkarni, Vishnutheertha, Kumar, Ashish, Kumar, Nithin, Kumar, Vijay, Kundu, Satyajit, Kurmi, Om P, Kusnali, Asep, Kusuma, Dian, Kutluk, Tezer, La Vecchia, Carlo, Ladan, Muhammad Awwal, Laflamme, Lucie, Lahariya, Chandrakant, Lai, Daphne Teck Ching, Lal, Dharmesh Kumar, Lallukka, Tea, Lám, Judit, Lan, Qing, 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Muhammed, Elmehrath, Ahmed O, Elmeligy, Omar Abdelsadek Abdou, Elshaer, Mohammed, Elsohaby, Ibrahim, Emeto, Theophilus I, Esfandiari, Negin, Eshrati, Babak, Eslami, Majid, Esmaeili, Sayed Vahid, Estep, Kara, Etaee, Farshid, Fabin, Natalia, Fagbamigbe, Adeniyi Francis, Fagbule, Omotayo Francis, Fahimi, Saman, Falzone, Luca, Fareed, Mohammad, Farinha, Carla Sofia e Sá, Faris, MoezAlIslam Ezzat Mahmoud, Faris, Pawan Sirwan, Faro, Andre, Fasina, Folorunso Oludayo, Fatehizadeh, Ali, Fauk, Nelsensius Klau, Fazylov, Timur, Feigin, Valery L, Feng, Xiaoqi, Fereshtehnejad, Seyed-Mohammad, Feroze, Abdullah Hamid, Ferrara, Pietro, Ferrari, Alize J, Ferreira, Nuno, Fetensa, Getahun, Feyisa, Bikila Regassa, Filip, Irina, Fischer, Florian, Fitriana, Ida, Flavel, Joanne, Flohr, Carsten, Flood, David, Flor, Luisa S, Foigt, Nataliya A, Folayan, Morenike Oluwatoyin, Force, Lisa M, Fortuna, Daniela, Foschi, Matteo, Franklin, Richard Charles, Freitas, Alberto, Friedman, Sara D, Fux, Blima, G, Sridevi, 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Maria, Hasaballah, Ahmed I, Hasan, Ikramul, Hasan, Mohammad Jahid, Hasan, S M Mahmudul, Hasani, Hamidreza, Hasanian, Mohammad, Hashmeh, Nadim, Hasnain, Md Saquib, Hassan, Amr, Hassan, Ikrama, Hassan Zadeh Tabatabaei, Mahgol Sadat, Hassani, Shokoufeh, Hassanipour, Soheil, Hassankhani, Hadi, Haubold, Johannes, Havmoeller, Rasmus J, Hay, Simon I, Hebert, Jeffrey J, Hegazi, Omar E, Hegena, Tadele Yohannes, Heidari, Golnaz, Heidari, Mohammad, Helfer, Bartosz, Hemmati, Mehdi, Henson, Claire A, Herbert, Molly E, Herteliu, Claudiu, Heuer, Austin, Hezam, Kamal, Hinneh, Thomas Kwadwo, Hiraike, Yuta, Hoan, Nguyen Quoc, Holla, Ramesh, Hon, Julia, Hoque, Mohammad Enamul, Horita, Nobuyuki, Hossain, Sahadat, Hosseini, Seyed Ehsan, Hosseinzadeh, Hassan, Hosseinzadeh, Mehdi, Hostiuc, Mihaela, Hostiuc, Sorin, Hoven, Hanno, Hsairi, Mohamed, Hsu, Johnathan M, Hu, Chengxi, Huang, Junjie, Huda, Md Nazmul, Hulland, Erin N, Hultström, Michael, Hushmandi, Kiavash, Hussain, Javid, Hussein, Nawfal R, Huynh, Chantal K, Huynh, Hong-Han, Ibitoye, Segun Emmanuel, Idowu, Oluwatope Olaniyi, Ihler, Audrey L, Ikeda, Nayu, Ikuta, Kevin S, Ilesanmi, Olayinka Stephen, Ilic, Irena M, Ilic, Milena D, Imam, Mohammad Tarique, Immurana, Mustapha, Inbaraj, Leeberk Raja, Irham, Lalu Muhammad, Isa, Mustafa Alhaji, Islam, Md Rabiul, Ismail, Faisal, Ismail, Nahlah Elkudssiah, Iso, Hiroyasu, Isola, Gaetano, Iwagami, Masao, Iwu, Chidozie C D, Iwu-Jaja, Chinwe Juliana, J, Vinothini, Jaafari, Jalil, Jacob, Louis, Jacobsen, Kathryn H, Jadidi-Niaragh, Farhad, Jahankhani, Kasra, Jahanmehr, Nader, Jahrami, Haitham, Jain, Akhil, Jain, Nityanand, Jairoun, Ammar Abdulrahman, Jaiswal, Abhishek, Jakovljevic, Mihajlo, Jalilzadeh Yengejeh, Reza, Jamora, Roland Dominic G, Jatau, Abubakar Ibrahim, Javadov, Sabzali, Javaheri, Tahereh, Jayaram, Shubha, Jeganathan, Jayakumar, Jeswani, Bijay Mukesh, Jiang, Heng, Johnson, Catherine O, Jokar, Mohammad, Jomehzadeh, Nabi, Jonas, Jost B, Joo, Tamas, Joseph, Abel, Joseph, Nitin, Joshi, 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Khalilian, Alireza, Khamesipour, Faham, Khan, Asaduzzaman, Khan, M Nuruzzaman, Khan, Maseer, Khan, Mohammad Jobair, Khan, Moien AB, Khanmohammadi, Shaghayegh, Khatab, Khaled, Khatatbeh, Haitham, Khatatbeh, Moawiah Mohammad, Khatib, Mahalaqua Nazli, Khavandegar, Armin, Khayat Kashani, Hamid Reza, Khidri, Feriha Fatima, Khodadoust, Elaheh, Khormali, Moein, Khorrami, Zahra, Khosla, Atulya Aman, Khosrowjerdi, Mahmood, Khreis, Haneen, Khusun, Helda, Kifle, Zemene Demelash, Kim, Kwanghyun, Kim, Min Seo, Kim, Yun Jin, Kimokoti, Ruth W, Kisa, Adnan, Kisa, Sezer, Knibbs, Luke D, Knudsen, Ann Kristin Skrindo, Koh, David S Q, Kolahi, Ali-Asghar, Kompani, Farzad, Kong, Jianqiu, Koren, Gerbrand, Korja, Miikka, Korshunov, Vladimir Andreevich, Korzh, Oleksii, Kosen, Soewarta, Kothari, Nikhil, Koul, Parvaiz A, Koulmane Laxminarayana, Sindhura Lakshmi, Krishan, Kewal, Krishnamoorthy, Vijay, Krishnamoorthy, Yuvaraj, Krishnan, Bindu, Krohn, Kris J, Kuate Defo, Barthelemy, Kucuk Bicer, Burcu, Kuddus, Md 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Emmanuel, Marateb, Hamid Reza, Maravilla, Joemer C, Marsh, Elizabeth, Martinez, Gabriel, Martinez-Piedra, Ramon, Martini, Santi, Martins-Melo, Francisco Rogerlândio, Martorell, Miquel, Marx, Wolfgang, Maryam, Sharmeen, Mathangasinghe, Yasith, Mathioudakis, Alexander G, Matozinhos, Fernanda Penido, Mattumpuram, Jishanth, Maugeri, Andrea, Maulik, Pallab K, Mayeli, Mahsa, Mazidi, Mohsen, Mazzotti, Antonio, McGrath, John J, McKee, Martin, McKowen, Anna Laura W, McLaughlin, Susan A, McPhail, Michael A, McPhail, Steven M, Mechili, Enkeleint A, Mehmood, Asim, Mehmood, Khalid, Mehrabani-Zeinabad, Kamran, Mehrabi Nasab, Entezar, Meier, Toni, Mejia-Rodriguez, Fabiola, Mekene Meto, Tesfahun, Mekonnen, Birye Dessalegn, Menezes, Ritesh G, Mengist, Belayneh, Mensah, George A, Mensah, Laverne G, Mentis, Alexios-Fotios A, Meo, Sultan Ayoub, Meretoja, Atte, Meretoja, Tuomo J, Mersha, Abera M, Mesfin, Bezawit Afework, Mestrovic, Tomislav, Mettananda, Kukulege Chamila Dinushi, Mettananda, Sachith, Miazgowski, Tomasz, Micha, Georgia, Michalek, Irmina Maria, Micheletti Gomide Nogueira de Sá, Ana Carolina, Miller, Ted R, Mirarefin, Mojde, Mirghafourvand, Mojgan, Mirica, Andreea, Mirijello, Antonio, Mirrakhimov, Erkin M, Mirshahi, Arvin, Mirzaei, Maryam, Mishra, Ajay Kumar, Mishra, Vinaytosh, Mitchell, Philip B, Mithra, Prasanna, Mittal, Chaitanya, Moazen, Babak, Moberg, Madeline E, Mocciaro, Gabriele, Mohamadkhani, Ashraf, Mohamed, Abdalla Z, Mohamed, Ahmed Ismail, Mohamed, Jama, Mohamed, Mouhand F H, Mohamed, Nouh Saad, Mohammadi, Esmaeil, Mohammadi, Saeed, Mohammadian-Hafshejani, Abdollah, Mohammadifard, Noushin, Mohammed, Hussen, Mohammed, Mustapha, Mohammed, Salahuddin, Mohammed, Shafiu, Mokdad, Ali H, Monasta, Lorenzo, Mondello, Stefania, Moni, Mohammad Ali, Moodi Ghalibaf, AmirAli, Moore, Catrin E, Moradi, Maryam, Moradi, Yousef, Moraga, Paula, Morawska, Lidia, Moreira, Rafael Silveira, Morovatdar, Negar, Morrison, Shane Douglas, Morze, Jakub, Mosaddeghi Heris, Reza, Mossialos, Elias, Motappa, Rohith, Mougin, Vincent, Mousavi, Parsa, Msherghi, Ahmed, Mubarik, Sumaira, Muccioli, Lorenzo, Mueller, Ulrich Otto, Mulita, Francesk, Mullany, Erin C, Munjal, Kavita, Murillo-Zamora, Efrén, Murlimanju, BV, Musina, Ana-Maria, Mustafa, Ghulam, Muthu, Sathish, Muthupandian, Saravanan, Muthusamy, Raman, Muzaffar, Muhammad, Myung, Woojae, Nafei, Ayoub, Nagarajan, Ahamarshan Jayaraman, Nagaraju, Shankar Prasad, Nagel, Gabriele, Naghavi, Mohsen, Naghavi, Pirouz, Naik, Ganesh R, Naik, Gurudatta, Nainu, Firzan, Nair, Tapas Sadasivan, Najdaghi, Soroush, Nakhostin Ansari, Noureddin, Nanavaty, Dhairya P, Nangia, Vinay, Narasimha Swamy, Sreenivas, Narimani Davani, Delaram, Nascimento, Bruno Ramos, Nascimento, Gustavo G, Nashwan, Abdulqadir J, Natto, Zuhair S, Nauman, Javaid, Navaratna, Samidi N K, Naveed, Muhammad, Nayak, Biswa Prakash, Nayak, Vinod C, Ndejjo, Rawlance, Nduaguba, Sabina Onyinye, Negash, Hadush, Negoi, Ionut, Negoi, Ruxandra Irina, Nejadghaderi, Seyed Aria, Nejjari, Chakib, Nematollahi, Mohammad Hadi, Nepal, Samata, Neupane, Subas, Ng, Marie, Nguefack-Tsague, Georges, Ngunjiri, Josephine W, Nguyen, Dang H, Nguyen, Nhien Ngoc Y, Nguyen, Phat Tuan, Nguyen, Phuong The, Nguyen, Van Thanh, Nguyen Tran Minh, Duc, Niazi, Robina Khan, Nicholson, Sneha Ingle, Nie, Jing, Nikoobar, Ali, Nikpoor, Amin Reza, Ningrum, Dina Nur Anggraini, Nnaji, Chukwudi A, Noman, Efaq Ali, Nomura, Shuhei, Noroozi, Nafise, Norrving, Bo, Noubiap, Jean Jacques, Nri-Ezedi, Chisom Adaobi, Ntaios, George, Ntsekhe, Mpiko, Nunemo, Mengistu H, Nurrika, Dieta, Nutor, Jerry John, Oancea, Bogdan, O'Connell, Erin M, Odetokun, Ismail A, O'Donnell, Martin James, Oduro, Michael Safo, Ogunfowokan, Adesola Adenike, Ogunkoya, Abiola, Oh, In-Hwan, Okati-Aliabad, Hassan, Okeke, Sylvester Reuben, Okekunle, Akinkunmi Paul, Okonji, Osaretin Christabel, Olagunju, Andrew T, Olasupo, Omotola O, Olatubi, Matthew Idowu, Oliveira, Arão Belitardo, Oliveira, Gláucia Maria Moraes, Olorukooba, Abdulhakeem Abayomi, Olufadewa, Isaac Iyinoluwa, Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Oluwafemi, Yinka Doris, Omar, Hany A, Omar Bali, Ahmed, Omer, Goran Latif, Ong, Kanyin Liane, Ong, Sokking, Onwujekwe, Obinna E, Onyedibe, Kenneth Ikenna, Oppong, Anita Frimpomaa, Ordak, Michal, Orish, Verner N, Ornello, Raffaele, Orpana, Heather M, Ortiz, Alberto, Ortiz-Prado, Esteban, Osman, Wael M S, Ostroff, Samuel M, Osuagwu, Uchechukwu Levi, Otoiu, Adrian, Otstavnov, Nikita, Otstavnov, Stanislav S, Ouyahia, Amel, Owolabi, Mayowa O, Oyeyemi, Ifeoluwa Temitayo, Oyeyemi, Oyetunde T, P A, Mahesh Padukudru, Pacheco-Barrios, Kevin, Padron-Monedero, Alicia, Padubidri, Jagadish Rao, Pal, Pramod Kumar, Palicz, Tamás, Pan, Feng, Pan, Hai-Feng, Pana, Adrian, Panda, Sujogya K, Panda-Jonas, Songhomitra, Pandey, Ashok, Pandi-Perumal, Seithikurippu R, Pangaribuan, Helena Ullyartha, Pantazopoulos, Ioannis, Pantea Stoian, Anca Mihaela, Papadopoulou, Paraskevi, Parent, Marie C, Parija, Pragyan Paramita, Parikh, Romil R, Park, Seoyeon, Park, Sungchul, Parsons, Nicholas, Pashaei, Ava, Pasovic, Maja, Passera, Roberto, Patil, Shankargouda, Patoulias, Dimitrios, Patthipati, Venkata Suresh, Paudel, Uttam, Pawar, Shrikant, Pazoki Toroudi, Hamidreza, Peden, Amy E, Pedersini, Paolo, Peng, Minjin, Pensato, Umberto, Pepito, Veincent Christian Filipino, Peprah, Emmanuel K, Peprah, Prince, Peres, Mario F P, Perianayagam, Arokiasamy, Perico, Norberto, Perna, Simone, Pesudovs, Konrad, Petcu, Ionela-Roxana, Petermann-Rocha, Fanny Emily, Pham, Hoang Tran, Philip, Anil K, Phillips, Michael R, Pickering, Brandon V, Pierannunzio, Daniela, Pigeolet, Manon, Pigott, David M, Piracha, Zahra Zahid, Piradov, Michael A, Pisoni, Enrico, Piyasena, Mapa Prabhath, Plass, Dietrich, Plotnikov, Evgenii, Poddighe, Dimitri, Polkinghorne, Kevan R, Poluru, Ramesh, Pond, Constance Dimity, Popovic, Djordje S, Porru, Fabio, Postma, Maarten J, Poudel, Govinda Raj, Pour-Rashidi, Ahmad, Pourshams, Akram, Pourtaheri, Naeimeh, Prabhu, Disha, Prada, Sergio I, Pradhan, Jalandhar, Pradhan, Pranil Man Singh, Prasad, Manya, Prates, Elton Junio Sady, Purnobasuki, Hery, Purohit, Bharathi M, Puvvula, Jagadeesh, Qasim, Nameer Hashim, Qattea, Ibrahim, Qazi, Asma Saleem, Qian, Gangzhen, Qiu, Suli, Rabiee Rad, Mehrdad, Radfar, Amir, Radhakrishnan, Raghu Anekal, Radhakrishnan, Venkatraman, Raeisi Shahraki, Hadi, Rafferty, Quinn, Rafiei, Alireza, Raggi, Alberto, Raghav, Pankaja Raghav, Raheem, Nasiru, Rahim, Fakher, Rahim, Md Jillur, Rahimifard, Mahban, Rahimi-Movaghar, Vafa, Rahman, Md Obaidur, Rahman, Muhammad Aziz, Rahmani, Amir Masoud, Rahmani, Bita, Rahmanian, Mohammad, Rahmanian, Nazanin, Rahmanian, Vahid, Rahmati, Masoud, Rahmawaty, Setyaningrum, Raimondo, Diego, Rajaa, Sathish, Rajendran, Vinoth, Rajput, Prashant, Ramadan, Mahmoud Mohammed, Ramasamy, Shakthi Kumaran, Ramasubramani, Premkumar, Ramazanu, Sheena, Ramteke, Pramod W, Rana, Juwel, Rana, Kritika, Ranabhat, Chhabi Lal, Rane, Amey, Rani, Usha, Ranta, Annemarei, Rao, Chythra R, Rao, Mithun, Rao, Puja C, Rao, Sowmya J, Rasella, Davide, Rashedi, Sina, Rashedi, Vahid, Rashidi, Mahsa, Rashidi, Mohammad-Mahdi, Rasouli-Saravani, Ashkan, Ratan, Zubair Ahmed, Rathnaiah Babu, Giridhara, Rauniyar, Santosh Kumar, Rautalin, Ilari, Rawaf, David Laith, Rawaf, Salman, Rawassizadeh, Reza, Razo, Christian, Reda, Zinabu Ferede Ferede, Reddy, Murali Mohan Rama Krishna, Redwan, Elrashdy Moustafa Mohamed, Reifels, Lennart, Reitsma, Marissa B, Remuzzi, Giuseppe, Reshmi, Bhageerathy, Resnikoff, Serge, Restaino, Stefano, Reyes, Luis Felipe, Rezaei, Maryam, Rezaei, Nazila, Rezaei, Negar, Rezaeian, Mohsen, Rhee, Taeho Gregory, Riaz, Mavra A, Ribeiro, Antonio Luiz P, Rickard, Jennifer, Robinson-Oden, Hannah Elizabeth, Rodrigues, Célia Fortuna, Rodrigues, Mónica, Rodriguez, Jefferson Antonio Buendia, Roever, Leonardo, Romadlon, Debby Syahru, Ronfani, Luca, Rosauer, Jennifer Jacqueline, Roshandel, Gholamreza, Rostamian, Morteza, Rotimi, Kunle, Rout, Himanshu Sekhar, Roy, Bedanta, Roy, Nitai, Rubagotti, Enrico, Ruela, Guilherme de Andrade, Rumisha, Susan Fred, Runghien, Tilleye, Russo, Michele, Ruzzante, Sacha Walde, S N, Chandan, Saad, Aly M A, Saber, Korosh, Saber-Ayad, Maha Mohamed, Sabour, Siamak, Sacco, Simona, Sachdev, Perminder S, Sachdeva, Rajesh, Saddik, Basema, Saddler, Adam, Sadee, Bashdar Abuzed, Sadeghi, Ehsan, Sadeghi, Masoumeh, Sadeghi Majd, Elham, Saeb, Mohammad Reza, Saeed, Umar, Safari, Mehdi, Safi, Sare, Safi, Sher Zaman, Sagar, Rajesh, Sagoe, Dominic, Saheb Sharif-Askari, Fatemeh, Saheb Sharif-Askari, Narjes, Sahebkar, Amirhossein, Sahoo, Soumya Swaroop, Sahu, Monalisha, Saif, Zahra, Sajid, Mirza Rizwan, Sakshaug, Joseph W, Salam, Nasir, Salamati, Payman, Salami, Afeez Abolarinwa, Salaroli, Luciane B, Salehi, Leili, Salehi, Sana, Salem, Marwa Rashad, Salem, Mohammed Z Y, Salihu, Dauda, Salimi, Sohrab, Salum, Giovanni A, Samadi Kafil, Hossein, Samadzadeh, Sara, Samodra, Yoseph Leonardo, Samuel, Vijaya Paul, Samy, Abdallah M, Sanabria, Juan, Sanjeev, Rama Krishna, Sanna, Francesca, Santomauro, Damian Francesco, Santric-Milicevic, Milena M, Sarasmita, Made Ary, Saraswathy, Sivan Yegnanarayana Iyer, Saravanan, Aswini, Saravi, Babak, Sarikhani, Yaser, Sarmiento-Suárez, Rodrigo, Sarode, Gargi Sachin, Sarode, Sachin C, Sartorius, Benn, Sarveazad, Arash, Sathian, Brijesh, Sattin, Davide, Sawhney, Monika, Saya, Ganesh Kumar, Sayeed, Abu, Sayeed, Md Abu, Sayyah, Mehdi, Schinckus, Christophe, Schmidt, Maria Inês, Schuermans, Art, Schumacher, Austin E, Schutte, Aletta Elisabeth, Schwarzinger, Michaël, Schwebel, David C, Schwendicke, Falk, Selvaraj, Siddharthan, Semreen, Mohammad H, Senthilkumaran, Subramanian, Serban, Dragos, Serre, Marc L, Sethi, Yashendra, Shafie, Mahan, Shah, Humaira, Shah, Nilay S, Shah, Pritik A, Shah, Syed Mahboob, Shahbandi, Ataollah, Shaheen, Amira A, Shahid, Samiah, Shahid, Wajeehah, Shahsavari, Hamid R, Shahwan, Moyad Jamal, Shaikh, Masood Ali, Shaikh, Summaiya Zareen, Shalash, Ali S, Sham, Sunder, Shamim, Muhammad Aaqib, Shams-Beyranvand, Mehran, Shamshirgaran, Mohammad Ali, Shamsi, Mohammad Anas, Shanawaz, Mohd, Shankar, Abhishek, Sharfaei, Sadaf, Sharifan, Amin, Sharifi-Rad, Javad, Sharma, Manoj, Sharma, Ujjawal, Sharma, Vishal, Shastry, Rajesh P, Shavandi, Amin, Shehabeldine, Amr Mohamed Elsayed, Shehzadi, Somia, Sheikh, Aziz, Shen, Jiabin, Shetty, Adithi, Shetty, B Suresh Kumar, Shetty, Pavanchand H, Shiani, Amir, Shiferaw, Desalegn, Shigematsu, Mika, Shin, Min-Jeong, Shiri, Rahman, Shittu, Aminu, Shiue, Ivy, Shivakumar, K M, Shivarov, Velizar, Shool, Sina, Shorofi, Seyed Afshin, Shrestha, Rajan, Shrestha, Sunil, Shuja, Kanwar Hamza, Shuval, Kerem, Si, Yafei, Siddig, Emmanuel Edwar, Silva, Diego Augusto Santos, Silva, Luís Manuel Lopes Rodrigues, Silva, Soraia, Silva, Thales Philipe R, Simpson, Colin R, Singh, Abhinav, Singh, Balbir Bagicha, Singh, Baljinder, Singh, Garima, Singh, Harmanjit, Singh, Jasvinder A, Singh, Mahendra, Singh, Narinder Pal, Singh, Paramdeep, Singh, Surjit, Sinto, Robert, Sivakumar, Shravan, Siwal, Samarjeet Singh, Skhvitaridze, Natia, Skou, Søren T, Sleet, David A, Sobia, Farrukh, Soboka, Matiwos, Socea, Bogdan, Solaimanian, Shahabaddin, Solanki, Ranjan, Solanki, Shipra, Soliman, Sameh S M, Somayaji, Ranjani, Song, Yi, Sorensen, Reed J D, Soriano, Joan B, Soyiri, Ireneous N, Spartalis, Michael, Spearman, Sandra, Spencer, Cory N, Sreeramareddy, Chandrashekhar T, Stachteas, Panagiotis, Stafford, Lauryn K, Stanaway, Jeffrey D, Stanikzai, Muhammad Haroon, Stein, Caroline, Stein, Dan J, Steinbeis, Fridolin, Steiner, Caitlyn, Steinke, Sabine, Steiropoulos, Paschalis, Stockfelt, Leo, Stokes, Mark A, Straif, Kurt, Stranges, Saverio, Subedi, Narayan, Subramaniyan, Vetriselvan, Suleman, Muhammad, Suliankatchi Abdulkader, Rizwan, Sundström, Johan, Sunkersing, David, Sunnerhagen, Katharina S, Suresh, Vinay, Swain, Chandan Kumar, Szarpak, Lukasz, Szeto, Mindy D, Tabaee Damavandi, Payam, Tabarés-Seisdedos, Rafael, Tabatabaei, Seyyed Mohammad, Tabatabaei Malazy, Ozra, Tabatabaeizadeh, Seyed-Amir, Tabatabai, Shima, Tabche, Celine, Tabish, Mohammad, Tadakamadla, Santosh Kumar, Taheri Abkenar, Yasaman, Taheri Soodejani, Moslem, Taherkhani, Amir, Taiba, Jabeen, Takahashi, Ken, Talaat, Iman M, Tamuzi, Jacques Lukenze, Tan, Ker-Kan, Tang, Haosu, Tat, Nathan Y, Taveira, Nuno, Tefera, Yibekal Manaye, Tehrani-Banihashemi, Arash, Temesgen, Worku Animaw, Temsah, Mohamad-Hani, Teramoto, Masayuki, Terefa, Dufera Rikitu, Teye-Kwadjo, Enoch, Thakur, Ramna, Thangaraju, Pugazhenthan, Thankappan, Kavumpurathu Raman, Thapar, Rekha, Thayakaran, Rasiah, Thirunavukkarasu, Sathish, Thomas, Nihal, Thomas, Nikhil Kenny, Tian, Jing, Tichopad, Ales, Ticoalu, Jansje Henny Vera, Tiruye, Tenaw Yimer, Tobe-Gai, Ruoyan, Tolani, Musliu Adetola, Tolossa, Tadesse, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Fotis, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Trabelsi, Khaled, Tran, Jasmine T, Tran, Mai Thi Ngoc, Tran, Nghia Minh, Trico, Domenico, Trihandini, Indang, Troeger, Christopher E, Tromans, Samuel Joseph, Truyen, Thien Tan Tri Tai, Tsatsakis, Aristidis, Tsermpini, Evangelia Eirini, Tumurkhuu, Munkhtuya, Udoakang, Aniefiok John, Udoh, Arit, Ullah, Atta, Ullah, Saeed, Ullah, Sana, Umair, Muhammad, Umakanthan, Srikanth, Unim, Brigid, Unnikrishnan, Bhaskaran, Upadhyay, Era, Urso, Daniele, Usman, Jibrin Sammani, Vaithinathan, Asokan Govindaraj, Vakili, Omid, Valenti, Mario, Valizadeh, Rohollah, Van den Eynde, Jef, van Donkelaar, Aaron, Varga, Orsolya, Vart, Priya, Varthya, Shoban Babu, Vasankari, Tommi Juhani, Vasic, Milena, Vaziri, Siavash, Venketasubramanian, Narayanaswamy, Verghese, Nicholas Alexander, Verma, Madhur, Veroux, Massimiliano, Verras, Georgios-Ioannis, Vervoort, Dominique, Villafañe, Jorge Hugo, Villalobos-Daniel, Victor E, Villani, Leonardo, Villanueva, Gabriela Ines, Vinayak, Manish, Violante, Francesco S, Vlassov, Vasily, Vo, Bay, Vollset, Stein Emil, Volovat, Simona Ruxandra, Vos, Theo, Vujcic, Isidora S, Waheed, Yasir, Wang, Cong, Wang, Fang, Wang, Shu, Wang, Yanzhong, Wang, Yuan-Pang, Wanjau, Mary Njeri, Waqas, Muhammad, Ward, Paul, Waris, Abdul, Wassie, Emebet Gashaw, Weerakoon, Kosala Gayan, Weintraub, Robert G, Weiss, Daniel J, Weiss, Eli J, Weldetinsaa, Haftom Legese Legese, Wells, Katherine M, Wen, Yi Feng, Wiangkham, Taweewat, Wickramasinghe, Nuwan Darshana, Wilkerson, Caroline, Willeit, Peter, Wilson, Shadrach, Wong, Yen Jun, Wongsin, Utoomporn, Wozniak, Sarah, Wu, Chenkai, Wu, Dongze, Wu, Felicia, Wu, Zenghong, Xia, Juan, Xiao, Hong, Xu, Suowen, Xu, Xiaoyue, Xu, Yvonne Yiru, Yadav, Mukesh Kumar, Yaghoubi, Sajad, Yamagishi, Kazumasa, Yang, Lin, Yano, Yuichiro, Yaribeygi, Habib, Yasufuku, Yuichi, Ye, Pengpeng, Yesodharan, Renjulal, Yesuf, Subah Abderehim, Yezli, Saber, Yi, Siyan, Yiğit, Arzu, Yigzaw, Zeamanuel Anteneh, Yin, Dehui, Yip, Paul, Yismaw, Malede Berihun, Yon, Dong Keon, Yonemoto, Naohiro, You, Yuyi, Younis, Mustafa Z, Yousefi, Zabihollah, Yu, Chuanhua, Yu, Yong, Zadey, Siddhesh, Zadnik, Vesna, Zakham, Fathiah, Zaki, Nazar, Zakzuk, Josefina, Zamagni, Giulia, Zaman, Sojib Bin, Zandieh, Ghazal G Z, Zanghì, Aurora, Zar, Heather J, Zare, Iman, Zarimeidani, Fatemeh, Zastrozhin, Mikhail Sergeevich, Zeng, Youjie, Zhai, Chunxia, Zhang, Anthony Lin, Zhang, Haijun, Zhang, Liqun, Zhang, Meixin, Zhang, Yunquan, Zhang, Zhenyu, Zhang, Zhi-Jiang, Zhao, Hanqing, Zhao, Jeff T, Zhao, Xiu-Ju George, Zhao, Yang, Zhao, Yong, Zhong, Chenwen, Zhou, Jingjing, Zhou, Juexiao, Zhou, Shangcheng, Zhu, Bin, Zhu, Lei, Zhu, Zhaohua, Ziaeian, Boback, Ziafati, Makan, Zielińska, Magdalena, Zimsen, Stephanie R M, Zoghi, Ghazal, Zoller, Thomas, Zumla, Alimuddin, Zyoud, Sa'ed H, Zyoud, Samer H, Murray, Christopher J L, and Gakidou, Emmanuela
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- 2024
46. Designing Preventive Strategies for Obstetric Fistula: Evidence from a Survey Conducted Among Rural and Urban Women in Burkina Faso
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Banke-Thomas, Aduragbemi, Schwartz, David A., Series Editor, Drew, Laura Briggs, editor, and Ruder, Bonnie, editor
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- 2022
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47. Intravenous versus oral iron for iron deficiency anaemia in pregnant Nigerian women (IVON): study protocol for a randomised hybrid effectiveness-implementation trial
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Bosede B. Afolabi, Ochuwa A. Babah, Opeyemi R. Akinajo, Victoria O. Adaramoye, Titilope A. Adeyemo, Mobolanle Balogun, Aduragbemi Banke-Thomas, Rachel A. Quao, Gbenga Olorunfemi, Ajibola I. Abioye, Hadiza S. Galadanci, and Nadia A. Sam-Agudu
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Anaemia, iron deficiency ,Anaemia in pregnancy ,Pregnancy ,Ferric carboxymaltose ,Ferrous sulphate ,Depression ,Medicine (General) ,R5-920 - Abstract
Abstract Background Anaemia in pregnancy is highly prevalent in African countries. High-dose oral iron is the current recommended treatment for pregnancy-related iron deficiency anaemia (IDA) in Nigeria and other African countries. This oral regimen is often poorly tolerated and has several side effects. Parenteral iron preparations are now available for the treatment of IDA in pregnancy but not widely used in Africa. The IVON trial is investigating the comparative effectiveness and safety of intravenous ferric carboxymaltose versus oral ferrous sulphate standard-of-care for pregnancy-related IDA in Nigeria. We will also measure the implementation outcomes of acceptability, feasibility, fidelity, and cost-effectiveness for intravenous ferric carboxymaltose. Methods This is an open-label randomised controlled trial with a hybrid type 1 effectiveness-implementation design, conducted at 10 health facilities in Kano (Northern) and Lagos (Southern) states in Nigeria. A total of 1056 pregnant women at 20–32 weeks’ gestational age with moderate or severe anaemia (Hb < 10g/dl) will be randomised 1:1 into two groups. The interventional treatment is one 1000-mg dose of intravenous ferric carboxymaltose at enrolment; the control treatment is thrice daily oral ferrous sulphate (195 mg elemental iron daily), from enrolment till 6 weeks postpartum. Primary outcome measures are (1) the prevalence of maternal anaemia at 36 weeks and (2) infant preterm birth (
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- 2022
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48. Issues in Design, Implementation, and Evaluation of Maternal Health Interventions in Low- and Middle-Income Countries
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Banke-Thomas, Aduragbemi, primary and Eboreime, Ejemai, additional
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- 2022
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49. Association between exposure to social media and knowledge of sexual and reproductive health among adolescent girls: evidence from the UDAYA survey in Bihar and Uttar Pradesh, India
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Ria Saha, Pintu Paul, Sanni Yaya, and Aduragbemi Banke-Thomas
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Adolescents ,Adolescent health ,Sexual and reproductive health ,Social media ,Bihar ,Uttar Pradesh ,Gynecology and obstetrics ,RG1-991 - Abstract
Plain language summary A substantial body of research shows that adolescent girls in India lack adequate sexual and reproductive health (SRH) knowledge. Evidently, this puts them at several health risks associated with early pregnancies, preventable gynecological morbidities such as irregular menstrual patterns, and urethral discharge, among several others. Perpetuated social stigma and lack of agency impede adolescents especially from marginalized communities from accessing accurate, sufficient, and timely SRH information from their immediate household members and healthcare providers at local service points. This adversely affects their health-seeking behaviors and ultimately results in avertable poor reproductive health outcomes. A growing body of literature highlights social media platforms (i.e., Facebook, Instagram, Twitter, etc.) as preferred modalities to gain SRH information among adolescents. Against this backdrop, we assessed the intricate association between social media exposure and SRH knowledge (across three dimensions: sexual intercourse and pregnancy, contraceptive methods, and HIV/AIDS) among adolescent girls in Bihar and Uttar Pradesh, India. We tested for association between several socio-demographic factors and SRH knowledge. Findings indicate that adolescents who were exposed to social media platforms were likely to have more SRH knowledge compared to those who were not. Socio-demographic factors like place of residence, for example residing in urban areas, higher levels of education and high wealth index acted as facilitators of social media exposure as well as SRH knowledge.
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- 2022
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50. Cost of Utilising Maternal Health Services in Low- and Middle-Income Countries: A Systematic Review
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Aduragbemi Banke-Thomas, Francis Ifeanyi Ayomoh, Ibukun-Oluwa Omolade Abejirinde, Oluwasola Banke-Thomas, Ejemai Amaize Eboreime, and Charles Anawo Ameh
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maternal health ,utilisation ,cost ,economic evaluation ,developing countries ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundCost is a major barrier to maternal health service utilisation for many women in low- and middle-income countries (LMICs). However, comparable evidence of the available cost data in these countries is limited. We conducted a systematic review and comparative analysis of costs of utilising maternal health services in these settings. MethodsWe searched peer-reviewed and grey literature databases for articles reporting cost of utilising maternal health services in LMICs published post-2000. All retrieved records were screened and articles meeting the inclusion criteria selected. Quality assessment was performed using the relevant cost-specific criteria of the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. To guarantee comparability, disaggregated costs data were inflated to 2019 US dollar equivalents. Total adjusted costs and cost drivers associated with utilising each service were systematically compared. Where heterogeneity in methods or non-disaggregated costs was observed, narrative synthesis was used to summarise findings. ResultsThirty-six studies met our inclusion criteria. Many of the studies costed multiple services. However, the most frequently costed services were utilisation of normal vaginal delivery (22 studies), caesarean delivery (13), and antenatal care (ANC) (10). The least costed services were post-natal care (PNC) and post-abortion care (PAC) (5 each). Studies used varied methods for data collection and analysis and their quality ranged from low to high with most assessed as average or high. Generally, across all included studies, cost of utilisation progressively increased from ANC and PNC to delivery and PAC, and from public to private providers. Medicines and diagnostics were main cost drivers for ANC and PNC while cost drivers were variable for delivery. Women experienced financial burden of utilising maternal health services and also had to pay some unofficial costs to access care, even where formal exemptions existed. ConclusionConsensus regarding approach for costing maternal health services will help to improve their relevance for supporting policy-making towards achieving universal health coverage. If indeed the post-2015 mission of the global community is to “leave no one behind,” then we need to ensure that women and their families are not facing unnecessary and unaffordable costs that could potentially tip them into poverty. Prospero Registration NumberCRD42019150058
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- 2021
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