Publications
Rogers, Grant; Koper, Patrycja; Ruktanonchai, Cori; and Nick Ruktanonchai,; Utazi, Edson; Woods, Dorothea; Cunningham, Alexander; Tatem, Andrew J.; Steele, Jessica; Lai, Shengjie; Sorichetta, Alessandro
Exploring the Relationship between Temporal Fluctuations in Satellite Nightlight Imagery and Human Mobility across Africa Journal Article
In: Remote Sensing, vol. 15, iss. 17, no. 4252;, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Exploring the Relationship between Temporal Fluctuations in Satellite Nightlight Imagery and Human Mobility across Africa},
author = {Grant Rogers and Patrycja Koper and Cori Ruktanonchai and and Nick Ruktanonchai and Edson Utazi and Dorothea Woods and Alexander Cunningham and Andrew J. Tatem and Jessica Steele and Shengjie Lai and Alessandro Sorichetta},
url = {https://doi.org/10.3390/rs15174252},
doi = {10.3390/rs15174252},
year = {2023},
date = {2023-09-30},
journal = {Remote Sensing},
volume = {15},
number = {4252;},
issue = {17},
abstract = {Mobile phone data have been increasingly used over the past decade or more as a pretty reliable indicator of human mobility to measure population movements and the associated changes in terms of population presence and density at multiple spatial and temporal scales. However, given the fact mobile phone data are not available everywhere and are generally difficult to access and share, mostly because of commercial restrictions and privacy concerns, more readily available data with global coverage, such as night-time light (NTL) imagery, have been alternatively used as a proxy for population density changes due to population movements. This study further explores the potential to use NTL brightness as a short-term mobility metric by analysing the relationship between NTL and smartphone-based Google Aggregated Mobility Research Dataset (GAMRD) data across twelve African countries over two periods: 2018–2019 and 2020. The data were stratified by a measure of the degree of urbanisation, whereby the administrative units of each country were assigned to one of eight classes ranging from low-density rural to high-density urban. Results from the correlation analysis, between the NTL Sum of Lights (SoL) radiance values and three different GAMRD-based flow metrics calculated at the administrative unit level, showed significant differences in NTL-GAMRD correlation values across the eight rural/urban classes. The highest correlations were typically found in predominantly rural areas, suggesting that the use of NTL data as a mobility metric may be less reliable in predominantly urban settings. This is likely due to the brightness saturation and higher brightness stability within the latter, showing less of an effect than in rural or peri-urban areas of changes in brightness due to people leaving or arriving. Human mobility in 2020 (during COVID-19-related restrictions) was observed to be significantly different than in 2018–2019, resulting in a reduced NTL-GAMRD correlation strength, especially in urban settings, most probably because of the monthly NTL SoL radiance values remaining relatively similar in 2018–2019 and 2020 and the human mobility, especially in urban settings, significantly decreasing in 2020 with respect to the previous considered period. The use of NTL data on its own to assess monthly mobility and the associated fluctuations in population density was therefore shown to be promising in rural and peri-urban areas but problematic in urban settings.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Gausman, Jewel; Pingray, Verónica; Adanu, Richard; Berrueta, Delia A. B. Bandohand Mabel; Blossom, Jeff; Chakraborty, Suchandrima; Dotse-Gborgbortsi, Winfred; Kenu, Ernest; Khan, Nizamuddin; Langer, Ana; Nigri, Carolina; Odikro, Magdalene A.; Ramesh, Sowmya; Saggurti, Niranjan; Vázquez, Paula; Williams, Caitlin R.; Jolivet, R. Rima
In: PLOS one, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Validating indicators for monitoring availability and geographic distribution of emergency obstetric and newborn care (EmoNC) facilities: A study triangulating health system, facility, and geospatial data},
author = {Jewel Gausman and Verónica Pingray and Richard Adanu and Delia A. B. Bandohand Mabel Berrueta and Jeff Blossom and Suchandrima Chakraborty and Winfred Dotse-Gborgbortsi and Ernest Kenu and Nizamuddin Khan and Ana Langer and Carolina Nigri and Magdalene A. Odikro and Sowmya Ramesh and Niranjan Saggurti and Paula Vázquez and Caitlin R. Williams and R. Rima Jolivet},
url = {https://doi.org/10.1371/journal.pone.0287904
},
doi = {10.1371/journal.pone.0287904},
year = {2023},
date = {2023-09-14},
journal = {PLOS one},
abstract = {Availability of emergency obstetric and newborn care (EmONC) is a strong supply side measure of essential health system capacity that is closely and causally linked to maternal mortality reduction and fundamentally to achieving universal health coverage. The World Health Organization’s indicator “Availability of EmONC facilities” was prioritized as a core indicator to prevent maternal death. The indicator focuses on whether there are sufficient emergency care facilities to meet the population need, but not all facilities designated as providing EmONC function as such. This study seeks to validate “Availability of EmONC” by comparing the value of the indicator after accounting for key aspects of facility functionality and an alternative measure of geographic distribution. This study takes place in four subnational geographic areas in Argentina, Ghana, and India using a census of all birthing facilities. Performance of EmONC in the 90 days prior to data collection was assessed by examining facility records. Data were collected on facility operating hours, staffing, and availability of essential medications. Population estimates were generated using ArcGIS software using WorldPop to estimate the total population, and the number of women of reproductive age (WRA), pregnancies and births in the study areas. In addition, we estimated the population within two-hours travel time of an EmONC facility by incorporating data on terrain from Open Street Map. Using these data sources, we calculated and compared the value of the indicator after incorporating data on facility performance and functionality while varying the reference population used. Further, we compared its value to the proportion of the population within two-hours travel time of an EmONC facility. Included in our study were 34 birthing facilities in Argentina, 51 in Ghana, and 282 in India. Facility performance of basic EmONC (BEmONC) and comprehensive EmONC (CEmONC) signal functions varied considerably. One facility (4.8%) in Ghana and no facility in India designated as BEmONC had performed all seven BEmONC signal functions. In Argentina, three (8.8%) CEmONC-designated facilities performed all nine CEmONC signal functions, all located in Buenos Aires Region V. Four CEmONC-designated facilities in Ghana (57.1%) and the three CEmONC-designated facilities in India (23.1%) evidenced full CEmONC performance. No sub-national study area in Argentina or India reached the target of 5 BEmONC-level facilities per 20,000 births after incorporating facility functionality yet 100% did in Argentina and 50% did in India when considering only facility designation. Demographic differences also accounted for important variation in the indicator’s value. In Ghana, the total population in Tolon within 2 hours travel time of a designated EmONC facility was estimated at 99.6%; however, only 91.1% of women of reproductive age were within 2 hours travel time. Comparing the value of the indicator when calculated using different definitions reveals important inconsistencies, resulting in conflicting information about whether the threshold for sufficient coverage is met. This raises important questions related to the indicator’s validity. To provide a valid measure of effective coverage of EmONC, the construct for measurement should extend beyond the most narrow definition of availability and account for functionality and geographic accessibility.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Wariri, Oghenebrume; Utazi, Chigozie Edson; Okomo, Uduak; Metcalf, C. Jessica E.; Sogur, Malick; Fofana, Sidat; Murray, Kris A.; Grundy, Chris; Kampmann, Beate (Ed.)
Mapping the timeliness of routine childhood vaccination in The Gambia: A spatial modelling study Journal Article
In: Vaccine, vol. 41, iss. 39, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Mapping the timeliness of routine childhood vaccination in The Gambia: A spatial modelling study},
editor = {Oghenebrume Wariri and Chigozie Edson Utazi and Uduak Okomo and C. Jessica E. Metcalf and Malick Sogur and Sidat Fofana and Kris A. Murray and Chris Grundy and Beate Kampmann},
url = {https://doi.org/10.1016/j.vaccine.2023.08.004},
doi = {10.1016/j.vaccine.2023.08.004},
year = {2023},
date = {2023-09-09},
journal = {Vaccine},
volume = {41},
issue = {39},
abstract = {Timeliness of routine vaccination shapes childhood infection risk and thus is an important public health metric. Estimates of indicators of the timeliness of vaccination are usually produced at the national or regional level, which may conceal epidemiologically relevant local heterogeneities and make it difficult to identify pockets of vulnerabilities that could benefit from targeted interventions. Here, we demonstrate the utility of geospatial modelling techniques in generating high-resolution maps of the prevalence of delayed childhood vaccination in The Gambia. To guide local immunisation policy and prioritize key interventions, we also identified the districts with a combination of high estimated prevalence and a significant population of affected infants.
We used the birth dose of the hepatitis-B vaccine (HepB0), third-dose of the pentavalent vaccine (PENTA3), and the first dose of measles-containing vaccine (MCV1) as examples to map delayed vaccination nationally at a resolution of 1 × 1-km2 pixel. We utilized cluster-level childhood vaccination data from The Gambia 2019–20 Demographic and Health Survey. We adopted a fully Bayesian geostatistical model incorporating publicly available geospatial covariates to aid predictive accuracy. The model was implemented using the integrated nested Laplace approximation—stochastic partial differential equation (INLA-SPDE) approach.
We found significant subnational heterogeneity in delayed HepB0, PENTA3 and MCV1 vaccinations. Specific districts in the central and eastern regions of The Gambia consistently exhibited the highest prevalence of delayed vaccination, while the coastal districts showed a lower prevalence for all three vaccines. We also found that districts in the eastern, central, as well as in coastal parts of The Gambia had a combination of high estimated prevalence of delayed HepB0, PENTA3 and MCV1 and a significant population of affected infants.
Our approach provides decision-makers with a valuable tool to better understand local patterns of untimely childhood vaccination and identify districts where strengthening vaccine delivery systems could have the greatest impact.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
We used the birth dose of the hepatitis-B vaccine (HepB0), third-dose of the pentavalent vaccine (PENTA3), and the first dose of measles-containing vaccine (MCV1) as examples to map delayed vaccination nationally at a resolution of 1 × 1-km2 pixel. We utilized cluster-level childhood vaccination data from The Gambia 2019–20 Demographic and Health Survey. We adopted a fully Bayesian geostatistical model incorporating publicly available geospatial covariates to aid predictive accuracy. The model was implemented using the integrated nested Laplace approximation—stochastic partial differential equation (INLA-SPDE) approach.
We found significant subnational heterogeneity in delayed HepB0, PENTA3 and MCV1 vaccinations. Specific districts in the central and eastern regions of The Gambia consistently exhibited the highest prevalence of delayed vaccination, while the coastal districts showed a lower prevalence for all three vaccines. We also found that districts in the eastern, central, as well as in coastal parts of The Gambia had a combination of high estimated prevalence of delayed HepB0, PENTA3 and MCV1 and a significant population of affected infants.
Our approach provides decision-makers with a valuable tool to better understand local patterns of untimely childhood vaccination and identify districts where strengthening vaccine delivery systems could have the greatest impact.
Utazi, C. E.; Chan, H. M. T.; Olowe, I.; Wigley, A.; Tejedor-Garavito, N.; Cunningham, A.; Bondarenko, M.; Lorin, J.; Boyda, D.; Hogan, D.; Tatem, A. J.
A zero-dose vulnerability index for equity assessment and spatial prioritization in low- and middle-income countries Journal Article
In: Spatial Statistics, no. 100772, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {A zero-dose vulnerability index for equity assessment and spatial prioritization in low- and middle-income countries},
author = {C.E. Utazi and H.M.T. Chan and I. Olowe and A. Wigley and N. Tejedor-Garavito and A. Cunningham and M. Bondarenko and J. Lorin and D. Boyda and D. Hogan and A.J. Tatem},
url = {https://doi.org/10.1016/j.spasta.2023.100772
},
doi = {10.1016/j.spasta.2023.100772},
year = {2023},
date = {2023-09-05},
journal = {Spatial Statistics},
number = {100772},
abstract = {Many low- and middle-income countries (LMICs) continue to experience substantial inequities in vaccination coverage despite recent efforts to reach missed communities and reduce zero-dose prevalence. Geographic inequities in vaccination coverage are often characterized by a multiplicity of risk factors which should be operationalized through data integration to inform more effective and equitable vaccination policies and programmes. Here, we explore approaches for integrating information from multiple risk factors to create a zero-dose vulnerability index to improve the identification and prioritization of vulnerable communities and understanding of inequities in vaccination coverage. We assembled geolocated data on vaccination coverage and associated risk factors in six LMICs, focusing on the coverage of DTP1, DTP3 and MCV1 vaccines as indicators of zero dose and under-vaccination. Using geospatial modelling techniques built on a suite of geospatial covariate information, we produced 1 × 1 km and district level maps of the previously unmapped risk factors and vaccination coverage. We then integrated data from the maps of the risk factors using different approaches to construct a zero-dose vulnerability index to classify districts within the countries into different vulnerability groups, ranging from the least vulnerable (1) to the most vulnerable (5) areas. Through integration with population data, we estimated numbers of children aged under 1 living within the different vulnerability classes. Our results show substantial variation in the spatial distribution of the index, revealing the most vulnerable areas despite little variation in coverage in some cases. We found that the most distinguishing characteristics of the most vulnerable areas cut across the different subdomains (health, socioeconomic, demographic and geographic) of the risk factors included in our study. We also demonstrated that the index can be robustly estimated with fewer risk factors and without linkage to information on vaccination coverage. The index constitutes a practical and effective tool to guide targeted vaccination strategies in LMICs.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Ge, Yong; Wu, Xilin; Zhang, Wenbin; Wang, Xiaoli; Zhang, Die; Wang, Jianghao; Liu, Haiyan; Ren, Zhoupeng; Ruktanonchai, Nick W.; Ruktanonchai, Corrine W.; Cleary, Eimear; Yao, Yongcheng; Wesolowski, Amy; Cummings, Derek A. T.; Li, Zhongjie; Tatem, Andrew J.; La, Shengjie
Effects of public-health measures for zeroing out different SARS-CoV-2 variants Journal Article
In: Nature Communications, vol. 14, no. 5270, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Effects of public-health measures for zeroing out different SARS-CoV-2 variants},
author = {Yong Ge and Xilin Wu and Wenbin Zhang and Xiaoli Wang and Die Zhang and Jianghao Wang and Haiyan Liu and Zhoupeng Ren and Nick W. Ruktanonchai and Corrine W. Ruktanonchai and Eimear Cleary and Yongcheng Yao and Amy Wesolowski and Derek A. T. Cummings and Zhongjie Li and Andrew J. Tatem and Shengjie La},
url = {https://doi.org/10.1038/s41467-023-40940-4
},
doi = {10.1038/s41467-023-40940-4},
year = {2023},
date = {2023-08-29},
urldate = {2023-08-29},
journal = {Nature Communications},
volume = {14},
number = {5270},
abstract = {Targeted public health interventions for an emerging epidemic are essential for preventing pandemics. During 2020-2022, China invested significant efforts in strict zero-COVID measures to contain outbreaks of varying scales caused by different SARS-CoV-2 variants. Based on a multi-year empirical dataset containing 131 outbreaks observed in China from April 2020 to May 2022 and simulated scenarios, we ranked the relative intervention effectiveness by their reduction in instantaneous reproduction number. We found that, overall, social distancing measures (38% reduction, 95% prediction interval 31-45%), face masks (30%, 17-42%) and close contact tracing (28%, 24-31%) were most effective. Contact tracing was crucial in containing outbreaks during the initial phases, while social distancing measures became increasingly prominent as the spread persisted. In addition, infections with higher transmissibility and a shorter latent period posed more challenges for these measures. Our findings provide quantitative evidence on the effects of public-health measures for zeroing out emerging contagions in different contexts.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Liu, Haiyan; Wang, Jianghao; Liu, Jian; Ge, Yong; Wang, Xiaoli; Zhang, Chi; Cleary, Eimear; Ruktanonchai, Nick W.; Ruktanonchai, Corrine W.; Yao, Yongcheng; Wesolowski, Amy; Lu, Xin; Tatem, Andrew J.; Bai, Xuemei; Lai, Shengjie
Combined and delayed impacts of epidemics and extreme weather on urban mobility recovery Journal Article
In: Sustainable Cities and Society, vol. 99, no. 104872, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Combined and delayed impacts of epidemics and extreme weather on urban mobility recovery},
author = {Haiyan Liu and Jianghao Wang and Jian Liu and Yong Ge and Xiaoli Wang and Chi Zhang and Eimear Cleary and Nick W. Ruktanonchai and Corrine W. Ruktanonchai and Yongcheng Yao and Amy Wesolowski and Xin Lu and Andrew J. Tatem and Xuemei Bai and Shengjie Lai},
url = {https://doi.org/10.1016/j.scs.2023.104872
},
doi = {10.1016/j.scs.2023.104872},
year = {2023},
date = {2023-08-22},
journal = {Sustainable Cities and Society},
volume = {99},
number = {104872},
abstract = {The ever-increasing pandemic and natural disasters might spatial-temporal overlap to trigger compound disasters that disrupt urban life, including human movements. In this study, we proposed a framework for data-driven analyses on mobility resilience to uncover the compound effects of COVID-19 and extreme weather events on mobility recovery across cities with varied socioeconomic contexts. The concept of suppression risk (SR) is introduced to quantify the relative risk of mobility being reduced below the pre-pandemic baseline when certain variables deviate from their normal values. By analysing daily mobility data within and between 313 Chinese cities, we consistently observed that the highest SR under outbreaks occurred at high temperatures and abnormal precipitation levels, regardless of the type of travel, incidences, and time. Specifically, extremely high temperatures (at 35 °C) increased SR during outbreaks by 12.5%-120% but shortened the time for mobility recovery. Increased rainfall (at 20 mm/day) added SRs by 12.5%-300%, with delayed effects reflected in cross-city movements. These compound impacts, with varying lagged responses, were aggravated in cities with high population density and low GDP levels. Our findings provide quantitative evidence to inform the design of preparedness and response strategies for enhancing urban resilience in the face of future pandemics and compound disasters.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
McKeen, Tom; Bondarenko, Maksym; Kerr, David; Esch, Thomas; Marconcini, Mattia; Palacios-Lopez, Daniela; Zeidler, Julian; Valle, R. Catalina; Juran, Sabrina; Tatem, Andrew J.; Sorichetta, Alessandro
High-resolution gridded population datasets for Latin America and the Caribbean using official statistics Journal Article
In: Scientific Data, vol. 10, no. 436, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {High-resolution gridded population datasets for Latin America and the Caribbean using official statistics},
author = {Tom McKeen and Maksym Bondarenko and David Kerr and Thomas Esch and Mattia Marconcini and Daniela Palacios-Lopez and Julian Zeidler and R. Catalina Valle and Sabrina Juran and Andrew J. Tatem and Alessandro Sorichetta},
url = {https://doi.org/10.1038/s41597-023-02305-w},
doi = {10.1038/s41597-023-02305-w},
year = {2023},
date = {2023-07-07},
journal = {Scientific Data},
volume = {10},
number = {436},
abstract = {“Leaving no one behind” is the fundamental objective of the 2030 Agenda for Sustainable Development. Latin America and the Caribbean is marked by social inequalities, whilst its total population is projected to increase to almost 760 million by 2050. In this context, contemporary and spatially detailed datasets that accurately capture the distribution of residential population are critical to appropriately inform and support environmental, health, and developmental applications at subnational levels. Existing datasets are under-utilised by governments due to the non-alignment with their own statistics. Therefore, official statistics at the finest level of administrative units available have been implemented to construct an open-access repository of high-resolution gridded population datasets for 40 countries in Latin American and the Caribbean. These datasets are detailed here, alongside the ‘top-down’ approach and methods to generate and validate them. Population distribution datasets for each country were created at a resolution of 3 arc-seconds (approximately 100 m at the equator), and are all available from the WorldPop Data Repository.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Zhang, Die; Ge, Yong; Wu, Xilin; Liu, Haiyan; Zhang, Wenbin; Lai, Shengjie
Data-Driven Models Informed by Spatiotemporal Mobility Patterns for Understanding Infectious Disease Dynamics Journal Article
In: International Journal of Geo-Information, vol. 12, iss. 7, no. 266, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Data-Driven Models Informed by Spatiotemporal Mobility Patterns for Understanding Infectious Disease Dynamics},
author = {Die Zhang and Yong Ge and Xilin Wu and Haiyan Liu and Wenbin Zhang and Shengjie Lai},
url = {https://doi.org/10.3390/ijgi12070266},
doi = {10.3390/ijgi12070266},
year = {2023},
date = {2023-07-03},
journal = {International Journal of Geo-Information},
volume = {12},
number = {266},
issue = {7},
abstract = {Data-driven approaches predict infectious disease dynamics by considering various factors that influence severity and transmission rates. However, these factors may not fully capture the dynamic nature of disease transmission, limiting prediction accuracy and consistency. Our proposed data-driven approach integrates spatiotemporal human mobility patterns from detailed point-of-interest clustering and population flow data. These patterns inform the creation of mobility-informed risk indices, which serve as auxiliary factors in data-driven models for detecting outbreaks and predicting prevalence trends. We evaluated our approach using real-world COVID-19 outbreaks in Beijing and Guangzhou, China. Incorporating the risk indices, our models successfully identified 87% (95% Confidence Interval: 83–90%) of affected subdistricts in Beijing and Guangzhou. These findings highlight the effectiveness of our approach in identifying high-risk areas for targeted disease containment. Our approach was also tested with COVID-19 prevalence data in the United States, which showed that including the risk indices reduced the mean absolute error and improved the R-squared value for predicting weekly case increases at the county level. It demonstrates applicability for spatiotemporal forecasting of widespread diseases, contributing to routine transmission surveillance. By leveraging comprehensive mobility data, we provide valuable insights to optimize control strategies for emerging infectious diseases and facilitate proactive measures against long-standing diseases.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Aheto, Justice Moses K.; Gates, Tracy; Babah, Rahmatu; Takramah, Wisdom
In: PLOS Global Public Health, vol. 3, iss. 4, pp. e0001613, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Joint modelling of systolic and diastolic blood pressure and its associated factors among women in Ghana: Multivariate response multilevel modelling methods},
author = {Justice Moses K. Aheto and Tracy Gates and Rahmatu Babah and Wisdom Takramah},
url = {https://doi.org/10.1371/journal.pgph.0001613},
doi = {10.1371/journal.pgph.0001613},
year = {2023},
date = {2023-04-26},
journal = {PLOS Global Public Health},
volume = {3},
issue = {4},
pages = {e0001613},
abstract = {Elevated blood pressure is the leading cause of cardiovascular diseases related mortality and a major contributor to non-communicable diseases globally, especially in sub-Saharan Africa where about 74.7 million people live with hypertension. In Ghana, hypertension is epidemic with prevalence of over 30% and experiencing continuing burden with its associated morbidity and mortality. Using the 2014 Ghana Demographic and Health Survey, we analyzed data on 4744 women aged 15–49 years residing in 3722 households. We employed univariate and multivariate response multilevel linear regression models to analyze predictors of systolic blood pressure (SBP) and diastolic blood pressure (DBP). Geospatial maps were produced to show the regional distribution of hypertension prevalence in Ghana. Stata version 17 and R version 4.2.1 were used to analyze the data. Of the 4744 woman, 337 (7.1%) and 484 (10.2%) were found to be hypertensive on SBP and DBP, respectively. A combined prevalence of 12.3% was found. Older ages 25–34 (OR 2.45, 95%CI: 1.27, 3.63), 35–44 (OR 8.72, 95%CI: 7.43, 10.01), 45–49 (OR 15.85, 95%CI: 14.07, 17.64), being obese (OR 5.10, 95%CI: 3.62, 6.58), and having no education (OR -2.05, 95%CI: -3.40, -0.71) were associated with SBP. For DBP, we found the associated factors to be older ages 25–34 (OR 3.29, 95%CI: 2.50, 4.08), 35–44 (OR 6.78, 95%CI: 5.91, 7.64), 45–49 (OR 10.05, 95%CI: 8.85, 11.25), being obese (OR 4.20, 95%CI: 3.21, 5.19), and having no education (OR -1.23, 95%CI: -2.14, -0.33). Substantial residual household level differences in SBP (15%) and DBP (14%) were observed. We found strong residual correlation of SBP and DBP on individual women (r = 0.73) and household-level (r = 0.81). The geospatial maps showed substantial regional differences in the observed and reported hypertension prevalence. Interventions should be targeted at the identified high-risk groups like older age groups and those who are obese, and the high-risk regions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Sanchez-Cespedes, Lina Maria; Leasure, Douglas Ryan; Tejedor-Garavito, Natalia; Cruz, Glenn Harry Amaya; Velez, Gustavo Adolfo Garcia; Mendoza, Andryu Enrique; Salazar, Yenny Andrea Marín; Esch, Thomas; Tatem, Andrew J.; Bohórquez, Mariana Ospina
Social cartography and satellite-derived building coverage for post-census population estimates in difficult-to-access regions of Colombia Journal Article
In: Population Studies, pp. 1-18, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Social cartography and satellite-derived building coverage for post-census population estimates in difficult-to-access regions of Colombia},
author = {Lina Maria Sanchez-Cespedes and Douglas Ryan Leasure and Natalia Tejedor-Garavito and Glenn Harry Amaya Cruz and Gustavo Adolfo Garcia Velez and Andryu Enrique Mendoza and Yenny Andrea Marín Salazar and Thomas Esch and Andrew J. Tatem and Mariana Ospina Bohórquez},
url = {https://doi.org/10.1080/00324728.2023.2190151},
doi = {10.1080/00324728.2023.2190151},
year = {2023},
date = {2023-03-28},
journal = {Population Studies},
pages = {1-18},
abstract = {Effective government services rely on accurate population numbers to allocate resources. In Colombia and globally, census enumeration is challenging in remote regions and where armed conflict is occurring. During census preparations, the Colombian National Administrative Department of Statistics conducted social cartography workshops, where community representatives estimated numbers of dwellings and people throughout their regions. We repurposed this information, combining it with remotely sensed buildings data and other geospatial data. To estimate building counts and population sizes, we developed hierarchical Bayesian models, trained using nearby full-coverage census enumerations and assessed using 10-fold cross-validation. We compared models to assess the relative contributions of community knowledge, remotely sensed buildings, and their combination to model fit. The Community model was unbiased but imprecise; the Satellite model was more precise but biased; and the Combination model was best for overall accuracy. Results reaffirmed the power of remotely sensed buildings data for population estimation and highlighted the value of incorporating local knowledge.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Qader, Sarchil; Chamberlain, Heather; Kuepie, Mathias; Hunt, Freja K.; and Andrew J. Tatem, Attila Lazar
Field testing of pre-Enumeration Areas created using semi-automated delineation approach, Democratic Republic of Congo Technical Report
2023.
Abstract | Links | BibTeX | Tags:
@techreport{nokey,
title = {Field testing of pre-Enumeration Areas created using semi-automated delineation approach, Democratic Republic of Congo},
author = {Sarchil Qader and Heather Chamberlain and Mathias Kuepie and Freja K. Hunt and Attila Lazar and Andrew J. Tatem},
url = {https://eprints.soton.ac.uk/475327/},
doi = {10.5258/SOTON/WP00759},
year = {2023},
date = {2023-03-15},
urldate = {2023-03-15},
abstract = {This report details the main outcomes of the field testing of pre-Enumeration Areas (EAs) created from WorldPop and Flominder’s semi-automated EA approach that took place across three test sites in the provinces of Kinshasa and Kongo-Central, Democratic Republic of the Congo in December 2019. The field testing was conducted over four days by the BCR technical staff with participation from UNFPA and WorldPop staff.
Generally, EA boundaries from one census will form the basis for the EAs in the next census, with updates needed to account for new settlements and changes in population density. However, in countries where there hasn’t been a census for many years, often due to conflict or insecurity, EA boundaries can be incomplete, outdated, or missing altogether. The delineation of EAs is, therefore, a crucial pre-census activity but can often be particularly challenging and highly resource intensive. Creating EAs requires consideration of population and area size within each unit to ensure that they have approximately equal-sized populations and are a manageable size to be covered by census enumeration staff. To respond to this challenge, WorldPop has developed a semi-automatic approach of delineating pre-EAs to support census cartography. This approach utilises high-resolution gridded population estimates and digitised geographic features, including administrative boundaries, and natural and man-made features, such as rivers and roads, to divide the regions into small areas which are then merged to meet criteria specified for population size and geographic area.
The last census in DRC was conducted in 1984; consequently, a recent, national, digital EA dataset which can be used for cartography planning does not exist. GRID3 is supporting the realisation of a fully digital 2020 round census in the DRC and is working closely with the National Institute of Statistics and the DRC Census Bureau (Bureau Central de Recensement, BCR) to provide technical guidance regarding options for incorporating geospatial methodologies into census planning and census cartography. As the DRC Census Bureau prepares for the 2nd National Population and Housing Census (RGPH2), a new dataset of EA boundaries is needed. As part of GRID3’s work with the BCR, a field test was conducted to assess the feasibility of using a semi-automated approach for the delineation of pre-EA boundaries.
A preliminary pre-EA dataset was produced for the three test sites (Site 1: Quartier Kingu, Kinshasa (urban), Site 2: Quartier Dumi, Kinshasa (sub-urban), Site 3: Secteur Kasangulu, Kongo-Central (rural)) that span both rural and urban contexts. The geographic area covered by the three sites totalled 1,190 km2 and was sub-divided into approximately 312 pre-EAs. The pre-EAs created for the three test sites were classified as classes 1-3 depending on the degree to which the pre-EA boundaries followed visible features (e.g. roads). Class 1 being those pre-EAs with boundaries which fully followed visible features, class 2 boundaries followed visible features in part, and class 3 which didn’t follow visible features at all. A visual assessment was carried out by comparing the pre-EA boundaries with recent high-resolution satellite imagery. A subset of the pre-EAs (15 pre-EAs), covering classes 1, 2 and 3 were selected, and assessed in the field to check how the boundaries related to ground features and their feasibility as units for population enumeration. Class 1 pre-EAs were only found in urban contexts and tended to be bounded fully by roads, which were found to be simple for the field teams to follow. In class 2 and class 3 pre-EAs, the field teams were generally able to follow roads or tracks throughout the pre-EA to reach settlements, and ascertain when they had reached the boundary of the pre-EA using the maps and GPS location indicator on the tablets. The pre-EA boundaries were also created to avoid splitting settlements and therefore even in rural areas, the field teams were able to know where housing units needed to be enumerated.
A range of limitations with this work have been identified, both with the methods and equipment used in the field data collection and the methods and input data used to produce the pre-EA boundaries. Despite the identified limitations and the challenges encountered in the field, the findings from the field test were generally consistent, with the pre-EAs created by the semi-automated approach found to be suitable for population enumeration in the field. Overall the fieldwork was successfully conducted and expectations were met and even exceeded: the BCR found that the pre-EA outputs were found to help facilitate enumeration, as the BCR team could navigate within the pre-EA boundaries and know which housing units to enumerate. The findings of the field test indicate this semi-automated approach to creating pre-EAs has the potential to be used by the BCR to create pre-EAs in preparation for census cartography, and offers large savings in terms of time, labour and cost. Nonetheless, it would be expected that the pre-EA outputs created in the approach are carefully reviewed in the lab, and manually edited as needed prior to census cartography. Then whilst in the field, the pre-EA boundaries should be validated. Limitations associated with input datasets can be addressed through a comprehensive review of existing datasets, incorporating newly available feature extraction datasets as appropriate. Further development of the approach and potential solutions and suggestions to overcome the identified limitations are outlined and discussed in detail in the report.
We expect the findings of the field test in DRC to be transferable to other similar contexts, with the approach having applicability in countries with no recent digital EAs. We also expect the approach could be adapted to update digital EA boundaries in contexts with outdated EA datasets, but this should be explored through further research and testing in such contexts.
Worth noting that in close collaboration with GeoData at the University of Southampton, UNFPA and multiple national statistical offices around the world, WorldPop has now converted the automatic delineation script to a user-friendly tool which require minimal GIS skill to run.},
howpublished = {eprints Soton},
keywords = {},
pubstate = {published},
tppubtype = {techreport}
}
Generally, EA boundaries from one census will form the basis for the EAs in the next census, with updates needed to account for new settlements and changes in population density. However, in countries where there hasn’t been a census for many years, often due to conflict or insecurity, EA boundaries can be incomplete, outdated, or missing altogether. The delineation of EAs is, therefore, a crucial pre-census activity but can often be particularly challenging and highly resource intensive. Creating EAs requires consideration of population and area size within each unit to ensure that they have approximately equal-sized populations and are a manageable size to be covered by census enumeration staff. To respond to this challenge, WorldPop has developed a semi-automatic approach of delineating pre-EAs to support census cartography. This approach utilises high-resolution gridded population estimates and digitised geographic features, including administrative boundaries, and natural and man-made features, such as rivers and roads, to divide the regions into small areas which are then merged to meet criteria specified for population size and geographic area.
The last census in DRC was conducted in 1984; consequently, a recent, national, digital EA dataset which can be used for cartography planning does not exist. GRID3 is supporting the realisation of a fully digital 2020 round census in the DRC and is working closely with the National Institute of Statistics and the DRC Census Bureau (Bureau Central de Recensement, BCR) to provide technical guidance regarding options for incorporating geospatial methodologies into census planning and census cartography. As the DRC Census Bureau prepares for the 2nd National Population and Housing Census (RGPH2), a new dataset of EA boundaries is needed. As part of GRID3’s work with the BCR, a field test was conducted to assess the feasibility of using a semi-automated approach for the delineation of pre-EA boundaries.
A preliminary pre-EA dataset was produced for the three test sites (Site 1: Quartier Kingu, Kinshasa (urban), Site 2: Quartier Dumi, Kinshasa (sub-urban), Site 3: Secteur Kasangulu, Kongo-Central (rural)) that span both rural and urban contexts. The geographic area covered by the three sites totalled 1,190 km2 and was sub-divided into approximately 312 pre-EAs. The pre-EAs created for the three test sites were classified as classes 1-3 depending on the degree to which the pre-EA boundaries followed visible features (e.g. roads). Class 1 being those pre-EAs with boundaries which fully followed visible features, class 2 boundaries followed visible features in part, and class 3 which didn’t follow visible features at all. A visual assessment was carried out by comparing the pre-EA boundaries with recent high-resolution satellite imagery. A subset of the pre-EAs (15 pre-EAs), covering classes 1, 2 and 3 were selected, and assessed in the field to check how the boundaries related to ground features and their feasibility as units for population enumeration. Class 1 pre-EAs were only found in urban contexts and tended to be bounded fully by roads, which were found to be simple for the field teams to follow. In class 2 and class 3 pre-EAs, the field teams were generally able to follow roads or tracks throughout the pre-EA to reach settlements, and ascertain when they had reached the boundary of the pre-EA using the maps and GPS location indicator on the tablets. The pre-EA boundaries were also created to avoid splitting settlements and therefore even in rural areas, the field teams were able to know where housing units needed to be enumerated.
A range of limitations with this work have been identified, both with the methods and equipment used in the field data collection and the methods and input data used to produce the pre-EA boundaries. Despite the identified limitations and the challenges encountered in the field, the findings from the field test were generally consistent, with the pre-EAs created by the semi-automated approach found to be suitable for population enumeration in the field. Overall the fieldwork was successfully conducted and expectations were met and even exceeded: the BCR found that the pre-EA outputs were found to help facilitate enumeration, as the BCR team could navigate within the pre-EA boundaries and know which housing units to enumerate. The findings of the field test indicate this semi-automated approach to creating pre-EAs has the potential to be used by the BCR to create pre-EAs in preparation for census cartography, and offers large savings in terms of time, labour and cost. Nonetheless, it would be expected that the pre-EA outputs created in the approach are carefully reviewed in the lab, and manually edited as needed prior to census cartography. Then whilst in the field, the pre-EA boundaries should be validated. Limitations associated with input datasets can be addressed through a comprehensive review of existing datasets, incorporating newly available feature extraction datasets as appropriate. Further development of the approach and potential solutions and suggestions to overcome the identified limitations are outlined and discussed in detail in the report.
We expect the findings of the field test in DRC to be transferable to other similar contexts, with the approach having applicability in countries with no recent digital EAs. We also expect the approach could be adapted to update digital EA boundaries in contexts with outdated EA datasets, but this should be explored through further research and testing in such contexts.
Worth noting that in close collaboration with GeoData at the University of Southampton, UNFPA and multiple national statistical offices around the world, WorldPop has now converted the automatic delineation script to a user-friendly tool which require minimal GIS skill to run.
Kantamah, Abdul Ganiyu; Dwomoh, Duah; Amuasi, Susan Ama; Dotse-Gborgbortsi, Winfred; Kubio, Chrysantus; Apraku, Edward Anane; Timbire, Jonas Kolong; Nonvignon, Justice
Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana Journal Article
In: Scientific Reports, vol. 13, no. 3004, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana},
author = {Abdul Ganiyu Kantamah and Duah Dwomoh and Susan Ama Amuasi and Winfred Dotse-Gborgbortsi and Chrysantus Kubio and Edward Anane Apraku and Jonas Kolong Timbire and Justice Nonvignon},
url = {https://doi.org/10.1038/s41598-023-29683-w
},
doi = {10.1038/s41598-023-29683-w},
year = {2023},
date = {2023-02-21},
journal = {Scientific Reports},
volume = {13},
number = {3004},
abstract = {Maternal and child mortality are of public health concern. Most of these deaths occur in rural communities of developing countries. Technology for maternal and child health (T4MCH) is an intervention introduced to increase Maternal and Child Health (MCH) services utilization and continuum of care in some health facilities across Ghana. The objective of this study is to assess the impact of T4MCH intervention on MCH services utilization and continuum of care in the Sawla-Tuna-Kalba District in the Savannah Region of Ghana. This is a quasi-experimental study with a retrospective review of records of MCH services of women who attended antenatal services in some selected health centers in the Bole (comparison district) and Sawla-Tuna-Kalba (intervention district) of the Savannah region, Ghana. A total of 469 records were reviewed, 263 in Bole and 206 in Sawla-Tuna-Kalba. A multivariable modified Poisson and logistic regression models with augmented inverse-probability weighted regression adjustment based on propensity scores were used to quantify the impact of the intervention on service utilization and continuum of care. The implementation of T4MCH intervention increased antenatal care attendance, facility delivery, postnatal care and continuum of care by 18 percentage points (ppts) [95% CI - 17.0, 52.0], 14 ppts [95% CI 6.0%, 21.0%], 27 ppts [95% CI 15.0, 26.0] and 15.0 ppts [95% CI 8.0, 23.0] respectively compared to the control districts. The study showed that T4MCH intervention improved antenatal care, skilled delivery, postnatal services utilization, and continuum of care in health facilities in the intervention district. The intervention is recommended for a scale-up in other rural areas of Northern Ghana and the West-African sub-region.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Pezzulo, Carla; Tejedor-Garavito, Natalia; Chan, Ho Man Theophilus; Dreoni, Ilda; Kerr, David; Ghosh, Samik; Bonnie, Amy; Bondarenko, Maksym; Salasibew, Mihretab; Tatem, Andrew J.
A subnational reproductive, maternal, newborn, child, and adolescent health and development atlas of India Journal Article
In: Scientific Data, vol. 10, iss. 86, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {A subnational reproductive, maternal, newborn, child, and adolescent health and development atlas of India},
author = {Carla Pezzulo and Natalia Tejedor-Garavito and Ho Man Theophilus Chan and Ilda Dreoni and David Kerr and Samik Ghosh and Amy Bonnie and Maksym Bondarenko and Mihretab Salasibew and Andrew J. Tatem },
url = {https://www.nature.com/articles/s41597-023-01961-2},
doi = {10.1038/s41597-023-01961-2},
year = {2023},
date = {2023-02-10},
journal = {Scientific Data},
volume = {10},
issue = {86},
abstract = {Understanding the fine scale and subnational spatial distribution of reproductive, maternal, newborn, child, and adolescent health and development indicators is crucial for targeting and increasing the efficiency of resources for public health and development planning. National governments are committed to improve the lives of their people, lift the population out of poverty and to achieve the Sustainable Development Goals. We created an open access collection of high resolution gridded and district level health and development datasets of India using mainly the 2015–16 National Family Health Survey (NFHS-4) data, and provide estimates at higher granularity than what is available in NFHS-4, to support policies with spatially detailed data. Bayesian methods for the construction of 5 km × 5 km high resolution maps were applied for a set of indicators where the data allowed (36 datasets), while for some other indicators, only district level data were produced. All data were summarised using the India district administrative boundaries. In total, 138 high resolution and district level datasets for 28 indicators were produced and made openly available.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Qader, Sarchil Hama; Utazi, Chigozie Edson; Priyatikanto, Rhorom; Najmaddin, Peshawa; Hama-Ali, Emad Omer; Khwarahm, Nabaz R.; Tatem, Andrew J.; Dash, Jadu
Exploring the use of Sentinel-2 datasets and environmental variables to model wheat crop yield in smallholder arid and semi-arid farming systems Journal Article
In: Science of The Total Environment, vol. 869, no. 161716, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Exploring the use of Sentinel-2 datasets and environmental variables to model wheat crop yield in smallholder arid and semi-arid farming systems},
author = {Sarchil Hama Qader and Chigozie Edson Utazi and Rhorom Priyatikanto and Peshawa Najmaddin and Emad Omer Hama-Ali and Nabaz R. Khwarahm and Andrew J. Tatem and Jadu Dash},
url = {https://doi.org/10.1016/j.scitotenv.2023.161716},
doi = {10.1016/j.scitotenv.2023.161716},
year = {2023},
date = {2023-01-24},
urldate = {2023-01-24},
journal = {Science of The Total Environment},
volume = {869},
number = {161716},
abstract = {Low levels of agricultural productivity are associated with the persistence of food insecurity, poverty, and other socio-economic stresses. Mapping and monitoring agricultural dynamics and production in real-time at high spatial resolution are essential for ensuring food security and shaping policy interventions. However, an accurate yield estimation might be challenging in some arid and semi-arid regions since input datasets are generally scarce, and access is restricted due to security challenges. This work examines how well Sentinel-2 satellite sensor-derived data, topographic and climatic variables, can be used as covariates to accurately model and predict wheat crop yield at the farm level using statistical models in low data settings of arid and semi-arid regions, using Sulaimani governorate in Iraq as an example. We developed a covariate selection procedure that assessed the correlations between the covariates and their relationships with wheat crop yield. Potential non-linear relationships were investigated in the latter case using regression splines. In the absence of substantial non-linear relationships between the covariates and crop yield, and residual spatial autocorrelation, we fitted a Bayesian multiple linear regression model to model and predict crop yield at 10 m resolution. Out of the covariates tested, our results showed significant relationships between crop yield and mean cumulative NDVI during the growing season, mean elevation, mean end of the season, mean maximum temperature and mean the start of the season at the farm level. For in-sample prediction, we estimated an R2 value of 51 % for the model, whereas for out-of-sample prediction, this was 41 %, both of which indicate reasonable predictive performance. The calculated root-mean-square error for out-of-sample prediction was 69.80, which is less than the standard deviation of 89.23 for crop yield, further showing that the model performed well by reducing prediction variability. Besides crop yield estimates, the model produced uncertainty metrics at 10 m resolution. Overall, this study showed that Sentinel-2 data can be valuable for upscaling field measurement of crop yield in arid and semi-arid regions. In addition, the environmental covariates can strengthen the model predictive power. The method may be applicable in other areas with similar environments, particularly in conflict zones, to increase the availability of agricultural statistics.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Dotse-Gborgbortsi, Winfred; Tatem, Andrew J; Matthews, Zoe; Alegana, Victor A; Ofosu, Anthony; Wright, Jim A
In: BMJ Open, vol. 13, iss. 1, 2023.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data},
author = {Winfred Dotse-Gborgbortsi and Andrew J Tatem and Zoe Matthews and Victor A Alegana and Anthony Ofosu and Jim A Wright},
url = {http://dx.doi.org/10.1136/bmjopen-2022-066792},
doi = {10.1136/bmjopen-2022-066792},
year = {2023},
date = {2023-01-18},
journal = {BMJ Open},
volume = {13},
issue = {1},
abstract = {Objectives: To investigate how the quality of maternal health services and travel times to health facilities affect birthing service utilisation in Eastern Region, Ghana.
Design: The study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data.
Setting: 131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana.
Participants: Women who gave birth in health facilities in the Eastern Region, Ghana in 2017.
Outcome measures: The count of women giving birth, the quality of birthing care services and the geographic coverage of birthing care services.
Results: As travel time from women’s place of residence to the health facility increased up to two (2) hours, the utilisation rate markedly decreased. Higher quality of maternal health services haves a larger, positive effect on utilisation rates than service proximity. The quality of maternal health services was higher in hospitals than in primary care facilities. Most women (88.6%) travelling via mechanised transport were within two2 hours of any birthing service. The majority (56.2%) of women were beyond the two2 -hour threshold of critical comprehensive emergency obstetric and newborn care (CEmONC) services. Few CEmONC services were in urban centres, disadvantaging rural populations.
Conclusions: To increase birthing service utilisation in Ghana, higher quality health facilities should be located closer to women, particularly in rural areas. Beyond Ghana, routinely collected birth records could be used to understand the interaction of service proximity and quality.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Design: The study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data.
Setting: 131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana.
Participants: Women who gave birth in health facilities in the Eastern Region, Ghana in 2017.
Outcome measures: The count of women giving birth, the quality of birthing care services and the geographic coverage of birthing care services.
Results: As travel time from women’s place of residence to the health facility increased up to two (2) hours, the utilisation rate markedly decreased. Higher quality of maternal health services haves a larger, positive effect on utilisation rates than service proximity. The quality of maternal health services was higher in hospitals than in primary care facilities. Most women (88.6%) travelling via mechanised transport were within two2 hours of any birthing service. The majority (56.2%) of women were beyond the two2 -hour threshold of critical comprehensive emergency obstetric and newborn care (CEmONC) services. Few CEmONC services were in urban centres, disadvantaging rural populations.
Conclusions: To increase birthing service utilisation in Ghana, higher quality health facilities should be located closer to women, particularly in rural areas. Beyond Ghana, routinely collected birth records could be used to understand the interaction of service proximity and quality.
Boi-Dsane, Naa A. A.; Dzudzor, Bartholomew; Alhassan, Yakubu; Aheto, Justice M. K.
Prevalence of common adverse events experienced following COVID‐19 vaccination and its associated factors in Ghana: Cross‐sectional study design Journal Article
In: Health Science Reports, vol. 6, iss. 1, no. e1012, 2022.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Prevalence of common adverse events experienced following COVID‐19 vaccination and its associated factors in Ghana: Cross‐sectional study design},
author = {Naa A. A. Boi-Dsane and Bartholomew Dzudzor and Yakubu Alhassan and Justice M. K. Aheto },
url = {https://doi.org/10.1002/hsr2.1012
},
doi = {10.1002/hsr2.1012},
year = {2022},
date = {2022-12-24},
journal = {Health Science Reports},
volume = {6},
number = {e1012},
issue = {1},
abstract = {The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) pandemic devasted the general life of people and various human activities across the globe, and Ghana is of no exception. This led to development of vaccines within record time to combat morbidity and mortality associated with the virus. In Ghana, COVID-19 vaccines were introduced in addition to existing COVID-19 protocols. However, the vaccines have adverse events among those who received them. In this study, we determined the prevalence of some common adverse events of the COVID-19 vaccines and its associated sociodemographic factors in Ghana.
An online snowball cross-sectional survey was conducted between April and June 2021 among 240 people who had taken at least one dose of any of the COVID-19 vaccines approved in Ghana. The penalized binary logistic regression model was used to assess the factors associated with experience of at least one adverse event and the experience of number of adverse events using Stata version 16.
Among the 240 participants, 88.2% had experienced at least one adverse event. The most common adverse event after the first dose was pain at injection site (65.8%), headache (57.5%), tiredness (55.8%), fever (51.7%), chills (39.6%), and muscle pains (38.3%). Experience of adverse events was 16 times higher among those who took their vaccines in Ghana (adjusted odd ratio [AOR]: 16.2, 95% confidence interval [CI]: 1.98–132.56, p = 0.009), 94% less among those who took AstraZeneca (India) compared to AstraZeneca (Oxford) (AOR: 0.06, 95% CI: 0.01–0.37, p = 0.002) and 86% less among 40–49 years compared with less than 30 years old (AOR: 0.14, 95% CI: 0.03–0.58, p = 0.007).
Pain at the injection site, headache, tiredness, fever, chills, and muscle pains were the most frequently reported adverse events. The study identified country of vaccination, country of origin of AstraZeneca vaccine and age to be associated with adverse events of vaccination.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
An online snowball cross-sectional survey was conducted between April and June 2021 among 240 people who had taken at least one dose of any of the COVID-19 vaccines approved in Ghana. The penalized binary logistic regression model was used to assess the factors associated with experience of at least one adverse event and the experience of number of adverse events using Stata version 16.
Among the 240 participants, 88.2% had experienced at least one adverse event. The most common adverse event after the first dose was pain at injection site (65.8%), headache (57.5%), tiredness (55.8%), fever (51.7%), chills (39.6%), and muscle pains (38.3%). Experience of adverse events was 16 times higher among those who took their vaccines in Ghana (adjusted odd ratio [AOR]: 16.2, 95% confidence interval [CI]: 1.98–132.56, p = 0.009), 94% less among those who took AstraZeneca (India) compared to AstraZeneca (Oxford) (AOR: 0.06, 95% CI: 0.01–0.37, p = 0.002) and 86% less among 40–49 years compared with less than 30 years old (AOR: 0.14, 95% CI: 0.03–0.58, p = 0.007).
Pain at the injection site, headache, tiredness, fever, chills, and muscle pains were the most frequently reported adverse events. The study identified country of vaccination, country of origin of AstraZeneca vaccine and age to be associated with adverse events of vaccination.
Nnanatu, Chibuzor Christopher; Fagbamigbe, Adeniyi Francis; Afuecheta, Emmanuel; Utazi, Chigozie Edson
In: Applied Spatial Analysis and Policy, 2022.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Spatially Varying Intergenerational Changes in the Prevalence of Female Genital Mutilation/Cutting in Nigeria: Lessons Learnt from a Recent Household Survey},
author = {Chibuzor Christopher Nnanatu and Adeniyi Francis Fagbamigbe and Emmanuel Afuecheta and Chigozie Edson Utazi},
editor = {Vikram Aditya},
url = {https://doi.org/10.1007/s12061-022-09497-5
},
doi = {10.1007/s12061-022-09497-5},
year = {2022},
date = {2022-12-20},
urldate = {2023-12-20},
journal = {Applied Spatial Analysis and Policy},
abstract = {Considering the concerted investments in anti-female genital mutilation/cutting (FGM/C) campaigns championed by the Nigerian government and non-governmental organizations, research findings suggest that reduction in intergenerational (mother-to-daughter) prevalence of FGM/C in Nigeria has been very slow. What can we learn from the 2018 Nigerian Demographic and Health Survey (2018 NDHS) about the roles of the key drivers of mother-to-daughter FGM/C prevalence in Nigeria? Here, drawing upon the 2018 NDHS dataset, we provided a context-specific study on the geographical patterns and the enabling factors of intergenerational trends in FGM/C among Nigerian women aged 15 – 49 years and their daughters aged 0 – 14 years. Using Bayesian semi-parametric geo-additive regression model, we simultaneously controlled for the effects of individual-level, community-level and unobserved geographical factors. We learnt that although there has been an overall decline in mother-to-daughter prevalence of FGM/C, the practice persists in Nigeria largely due to geographical location and social norm related factors – risk was high among daughters of circumcised women and daughters of women who supported the continuation of FGM/C. We identified Kano, Kaduna, Imo and Bauchi states as the hotspots and there was an increased risk of FGM/C among daughters of women who lived in the neigbouring states of Jigawa and Yobe. Daughters of circumcised women were about 2.7 times more likely to be cut. We recommend the development of tailored community-level interventions targeting circumcised women in the hotspot states and their neighbours to ensure a total eradication of female circumcision in Nigeria by the year 2030.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
CE, Utazi; JM, Aheto; A, Wigley; N, Tejedor-Garavito; A, Bonnie; CC, Nnanatu; J, Wagai; C, Williams; H, Setayesh; AJ, Tatem; FT, Cutts
In: Vaccine, vol. 41, iss. 1, pp. 170-181, 2022.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {Mapping the distribution of zero-dose children to assess the performance of vaccine delivery strategies and their relationships with measles incidence in Nigeria},
author = {Utazi CE and Aheto JM and Wigley A and Tejedor-Garavito N and Bonnie A and Nnanatu CC and Wagai J and Williams C and Setayesh H and Tatem AJ and Cutts FT},
url = {https://doi.org/10.1016/j.vaccine.2022.11.026
},
doi = {10.1016/j.vaccine.2022.11.026},
year = {2022},
date = {2022-11-19},
urldate = {2023-11-19},
journal = {Vaccine},
volume = {41},
issue = {1},
pages = {170-181},
abstract = {Geographically precise identification and targeting of populations at risk of vaccine-preventable diseases has gained renewed attention within the global health community over the last few years. District level estimates of vaccination coverage and corresponding zero-dose prevalence constitute a potentially useful evidence base to evaluate the performance of vaccination strategies. These estimates are also valuable for identifying missed communities, hence enabling targeted interventions and better resource allocation. Here, we fit Bayesian geostatistical models to map the routine coverage of the first doses of diphtheria-tetanus-pertussis vaccine (DTP1) and measles-containing vaccine (MCV1) and corresponding zero-dose estimates in Nigeria at 1x1 km resolution and the district level using geospatial data sets. We also map MCV1 coverage before and after the 2019 measles vaccination campaign in the northern states to further explore variations in routine vaccine coverage and to evaluate the effectiveness of both routine immunization (RI) and campaigns in reaching zero-dose children. Additionally, we map the spatial distributions of reported measles cases during 2018 to 2020 and explore their relationships with MCV zero-dose prevalence to highlight the public health implications of varying performance of vaccination strategies across the country. Our analysis revealed strong similarities between the spatial distributions of DTP and MCV zero dose prevalence, with districts with the highest prevalence concentrated mostly in the northwest and the northeast, but also in other areas such as Lagos state and the Federal Capital Territory. Although the 2019 campaign reduced MCV zero-dose prevalence substantially in the north, pockets of vulnerabilities remained in areas that had among the highest prevalence prior to the campaign. Importantly, we found strong correlations between measles case counts and MCV RI zero-dose estimates, which provides a strong indication that measles incidence in the country is mostly affected by RI coverage. Our analyses reveal an urgent and highly significant need to strengthen the country’s RI program as a longer-term measure for disease control, whilst ensuring effective campaigns in the short term.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Utazi, C. Edson; Aheto, Justice M. K.; Wigley, Adelle; Tejedor-Garavito, Natalia; Bonnie, Amy; Nnanatu, Chris; Wagai, John; Williams, Cheryl; Setayesh, Hamidrez; J.Tatem, Andrew
In: Vaccine, 2022.
Abstract | Links | BibTeX | Tags: Measles vaccination, Nigeria, zero dose
@article{nokey,
title = {Mapping the distribution of zero-dose children to assess the performance of vaccine delivery strategies and their relationships with measles incidence in Nigeria},
author = {C. Edson Utazi and Justice M. K. Aheto and Adelle Wigley and Natalia Tejedor-Garavito and Amy Bonnie and Chris Nnanatu and John Wagai and Cheryl Williams and Hamidrez Setayesh and Andrew J.Tatem},
doi = {10.1016/j.vaccine.2022.11.026},
year = {2022},
date = {2022-11-19},
urldate = {2022-11-19},
journal = {Vaccine},
abstract = {Geographically precise identification and targeting of populations at risk of vaccine-preventable diseases has gained renewed attention within the global health community over the last few years. District level estimates of vaccination coverage and corresponding zero-dose prevalence constitute a potentially useful evidence base to evaluate the performance of vaccination strategies. These estimates are also valuable for identifying missed communities, hence enabling targeted interventions and better resource allocation. Here, we fit Bayesian geostatistical models to map the routine coverage of the first doses of diphtheria-tetanus-pertussis vaccine (DTP1) and measles-containing vaccine (MCV1) and corresponding zero-dose estimates in Nigeria at 1x1 km resolution and the district level using geospatial data sets. We also map MCV1 coverage before and after the 2019 measles vaccination campaign in the northern states to further explore variations in routine vaccine coverage and to evaluate the effectiveness of both routine immunization (RI) and campaigns in reaching zero-dose children. Additionally, we map the spatial distributions of reported measles cases during 2018 to 2020 and explore their relationships with MCV zero-dose prevalence to highlight the public health implications of varying performance of vaccination strategies across the country. Our analysis revealed strong similarities between the spatial distributions of DTP and MCV zero dose prevalence, with districts with the highest prevalence concentrated mostly in the northwest and the northeast, but also in other areas such as Lagos state and the Federal Capital Territory. Although the 2019 campaign reduced MCV zero-dose prevalence substantially in the north, pockets of vulnerabilities remained in areas that had among the highest prevalence prior to the campaign. Importantly, we found strong correlations between measles case counts and MCV RI zero-dose estimates, which provides a strong indication that measles incidence in the country is mostly affected by RI coverage. Our analyses reveal an urgent and highly significant need to strengthen the country’s RI program as a longer-term measure for disease control, whilst ensuring effective campaigns in the short term.},
keywords = {Measles vaccination, Nigeria, zero dose},
pubstate = {published},
tppubtype = {article}
}
Chamberlain, Heather R.; Lazar, Attila N.; Tatem, Andrew J.
High-resolution estimates of social distancing feasibility, mapped for urban areas in sub-Saharan Africa Journal Article
In: Scientific Data, vol. 9, no. 711 (2022), 2022.
Abstract | Links | BibTeX | Tags:
@article{nokey,
title = {High-resolution estimates of social distancing feasibility, mapped for urban areas in sub-Saharan Africa},
author = {Heather R. Chamberlain and Attila N. Lazar and Andrew J. Tatem },
url = {https://doi.org/10.1038/s41597-022-01799-0
},
doi = {10.1038/s41597-022-01799-0},
year = {2022},
date = {2022-11-18},
urldate = {2023-11-18},
journal = {Scientific Data},
volume = {9},
number = {711 (2022)},
abstract = {Social distancing has been widely-implemented as a public health measure during the COVID-19 pandemic. Despite widespread application of social distancing guidance, the feasibility of people adhering to such guidance varies in different settings, influenced by population density, the built environment and a range of socio-economic factors. Social distancing constraints however have only been identified and mapped for limited areas. Here, we present an ease of social distancing index, integrating metrics on urban form and population density derived from new multi-country building footprint datasets and gridded population estimates. The index dataset provides estimates of social distancing feasibility, mapped at high-resolution for urban areas across 50 countries in sub-Saharan Africa.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}