Ronald W Snow
Datos Biográficos
| ID | 258770 |
|---|---|
| NOMBRE | Ronald W Snow |
| NOMBRES | Ronald W |
| APELLIDO | Snow |
| FIRMA | SNOW R W |
| AFILIACIONES | Kenya Medical Research Institute |
| ORCID | 0000-0003-3725-6088 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAS | 63 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1985 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Trends in malaria prevalence among school-age children in Mainland Tanzania, 2015–2023
In high-transmission areas, school-aged children have higher malaria prevalence and contribute significantly to the transmission reservoir. Malaria infections can be asymptomatic or present with symptoms which may contribute to anaemia, severe illness and fatal malaria. This analysis provides trends of malaria prevalence and associated risk factors among school-aged children in mainland Tanzania. Data for this analysis were obtained from nationwi…
Inpatient and postdischarge mortality among children with anaemia and malaria parasitaemia in Kenya
BACKGROUND: Anaemia and malaria are leading causes of paediatric hospitalisation and inpatient mortality in sub-Saharan Africa. However, there is limited empirical data on survival following hospital discharge. We aimed to estimate independent effects of anaemia and malaria parasitaemia on inpatient and 1 year postdischarge mortality among Kenyan children. METHODS: A retrospective cohort study among children admitted to Kilifi County Hospital (KC…
Geographic accessibility to public and private health facilities in Kenya in 2021
Objectives: To achieve universal health coverage, adequate geographic access to quality healthcare services is vital and should be characterized periodically to support planning. However, in Kenya, previous assessments of geographic accessibility have relied on public health facility lists only, assembled several years ago. Here, for the first time we assemble a geocoded list of public and private health facilities in 2021 and make use of this up…
Geospatial mapping of timely access to inpatient neonatal care and its relationship to neonatal mortality in Kenya
Globally, 2.4 million newborns die in the first month of life, with neonatal mortality rates (NMR) per 1,000 livebirths being highest in sub-Saharan Africa. Improving access to inpatient newborn care is necessary for reduction of neonatal deaths in the region. We explore the relationship between distance to inpatient hospital newborn care and neonatal mortality in Kenya. Data on service availability from numerous sources were used to map hospital…
Modelling geographic access and school catchment areas across public primary schools to support subnational planning in Kenya
Understanding the location of schools relative to the population they serve is important to contextualise the time, students must travel and to define school catchment areas (SCAs) for planning. We assembled a spatio-temporal database of public primary schools (PPS), population density of school-going children (SGC), and factors affecting travel in 2009 and 2020 in Kenya. We combined the assembled datasets within cost distance and cost allocation…
Subnational estimates of factors associated with under-five mortality in Kenya
BACKGROUND: To improve child survival, it is necessary to describe and understand the spatial and temporal variation of factors associated with child survival beyond national aggregates, anchored at decentralised health planning units. Therefore, we aimed to provide subnational estimates of factors associated with child survival while elucidating areas of progress, stagnation and decline in Kenya. METHODS: Twenty household surveys and three popul…
Defining service catchment areas in low-resource settings
Defining an accurate, representative service catchment area is important for computing population denominators for disease mapping and efficient public planning, including health, education and social care.\n \nThe growth in population settlement modelling techniques and provision of geocoded service databases has fuelled an increase in local and regional service access mapping to examine coverage and equity in much of sub-Saharan African countri…
Accuracy of verbal autopsy, clinical data and minimally invasive autopsy in the evaluation of malaria-specific mortality
BACKGROUND: Global malaria mortality estimates are hindered by the low reliability of the verbal autopsy (VA) and the clinical records, the most common sources of information used to estimate malaria-specific mortality. We aimed to determine the accuracy of these tools, as well as of the minimally invasive autopsy (MIA), a needle-based postmortem sampling method, to identify malaria-specific mortality in a large series of deceased patients from M…
Plasmodium falciparum parasite prevalence in East Africa
The High Burden High Impact (HBHI) strategy for malaria encourages countries to use multiple sources of available data to define the sub-national vulnerabilities to malaria risk, including parasite prevalence. Here, a modelled estimate of Plasmodium falciparum from an updated assembly of community parasite survey data in Kenya, mainland Tanzania, and Uganda is presented and used to provide a more contemporary understanding of the sub-national mal…
Competing interests, clashing ideas and institutionalizing influence
This article explores how malaria control in sub-Saharan Africa is shaped in important ways by political and economic considerations within the contexts of aid-recipient nations and the global health community. Malaria control is often assumed to be a technically driven exercise: the remit of public health experts and epidemiologists who utilize available data to select the most effective package of activities given available resources. Yet resea…
Can we use local climate zones for predicting malaria prevalence across sub-Saharan African cities
Malaria burden is increasing in sub-Saharan cities because of rapid and uncontrolled urbanization. Yet very few studies have studied the interactions between urban environments and malaria. Additionally, no standardized urban land-use/land-cover has been defined for urban malaria studies. Here, we demonstrate the potential of local climate zones (LCZs) for modeling malaria prevalence rate ( Pf PR 2-10 ) and studying malaria prevalence in urban se…
Investigating the spatial variation and risk factors of childhood anaemia in four sub-Saharan African countries
Anaemia control measures in Malawi, Tanzania and Uganda need to account for internal spatial heterogeneity evident in these countries. Efforts in assessing the local district-specific causes of childhood anaemia within each country should be focused on
Sub national variation and inequalities in under-five mortality in Kenya since 1965
Kenya has made huge progress in child survival since independence. However, U5M remains high and heterogeneous with substantial differences between counties. Better use of the current resources through focused allocation is required to achieve further reductions, reduce inequalities and increase the likelihood of achieving Sustainable Development Goal 3·2 on U5M by 2030
Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015
Background Timely access to emergency care can substantially reduce mortality. International benchmarks for access to emergency hospital care have been established to guide ambitions for universal health care by 2030. However, no Pan-African database of where hospitals are located exists; therefore, we aimed to complete a geocoded inventory of hospital services in Africa in relation to how populations might access these services in 2015, with foc…
Coverage of routine reporting on malaria parasitological testing in Kenya, 2015–2016
BACKGROUND: Following the launch of District Health Information System 2 across facilities in Kenya, more health facilities are now capable of carrying out malaria parasitological testing and reporting data as part of routine health information systems, improving the potential value of routine data for accurate and timely tracking of rapidly changing disease epidemiology at fine spatial resolutions. OBJECTIVES: This study evaluates the current co…
Forecasting paediatric malaria admissions on the Kenya Coast using rainfall
BACKGROUND: Malaria is a vector-borne disease which, despite recent scaled-up efforts to achieve control in Africa, continues to pose a major threat to child survival. The disease is caused by the protozoan parasite Plasmodium and requires mosquitoes and humans for transmission. Rainfall is a major factor in seasonal and secular patterns of malaria transmission along the East African coast. OBJECTIVE: The goal of the study was to develop a model …
Ownership and use of mobile phones among health workers, caregivers of sick children and adult patients in Kenya
BACKGROUND: The rapid growth in mobile phone penetration and use of Short Message Service (SMS) has been seen as a potential solution to improve medical and public health practice in Africa. Several studies have shown effectiveness of SMS interventions to improve health workers' practices, patients' adherence to medications and availability of health facility commodities. To inform policy makers about the feasibility of facility-based SMS interve…
Population Distribution, Settlement Patterns and Accessibility across Africa in 2010
The spatial distribution of populations and settlements across a country and their interconnectivity and accessibility from urban areas are important for delivering healthcare, distributing resources and economic development. However, existing spatially explicit population data across Africa are generally based on outdated, low resolution input demographic data, and provide insufficient detail to quantify rural settlement patterns and, thus, accu…
Quantifying the Impact of Human Mobility on Malaria
Mobile Phone “Hot Spots” An obstacle to developing effective national malaria control programs is a lack of understanding of human movements, which are an important component of disease transmission. As mobile phones have become increasingly ubiquitous, it is now possible to collect individual-level, longitudinal data on human movements on a massive scale. Wesolowski et al. (p. 267 ) analyzed mobile phone call data records representing the travel…
Progress towards implementation of ACT malaria case-management in public health facilities in the Republic of Sudan
Five years following change of the policy from chloroquine to ACTs and 3 years before the end of the new malaria strategic plan chloroquine was successfully phased out from public facilities in Sudan, however, an important gap remained in the availability of ACTs, diagnostic capacities and coverage with malaria case-management activities. The national scale-up of diagnostics, using the findings of this survey as well as future qualitative researc…
The use of insecticide treated nets by age
In malaria-endemic Africa, school-aged children are the least protected with ITNs but represent the greatest reservoir of infections. With increasing school enrollment rates, school-delivery of ITNs should be considered as an approach to reach universal ITNs coverage and improve the likelihood of impacting upon parasite transmission
Promoting the social value of research in Kenya
Reconciling national treatment policies and drug regulation in Kenya
Malaria is the second largest public health challenge (after HIV/AIDS) in Kenya, with an estimated 34 000 children dying from the direct effects of infection each year. It accounts for over a third of all consultations in government clinics (DOMC 2001). The typical Kenyan child will use antimalarial drugs at least four times in a year (Spencer et al.1987). Economic losses due to malaria are also large (Gallup and Sachs 2001). As matters of public…
The cost of uncomplicated childhood fevers to Kenyan households
The management of uncomplicated childhood fevers imposes substantial costs on Kenyan households. Achieving substantial improvements in the numbers of fevers treated within 48 hours at a HCF with an effective antimalarial drug (Scenario 1) will not impose additional costs on households. Achieving additional improvements in fevers treated promptly at a HCF (Scenario 2) will impose additional costs on some households roughly equal to average cash ex…
Intra-Household Relations and Treatment Decision-Making for Childhood Illness
This study, conducted on the Kenyan coast, assesses the effect of intra-household relations on maternal treatment-seeking. Rural and urban Mijikenda mothers’ responses to childhood fevers in the last 2 weeks ( n =317), and to childhood convulsions in the previous year ( n =43), were documented through survey work. The intra-household relations and decision-making dynamics surrounding maternal responses were explored through in-depth individual an…
Estimating Maternal Mortality
This paper describes a new indirect technique for deriving population-based estimates of maternal mortality. The technique, called the "sisterhood method," is relevant to developing countries where the alternative data sources and approaches to estimation are often inadequate and inappropriate. The sisterhood method uses the proportions of adult sisters dying during pregnancy, childbirth, or the puerperium reported by adults during a census or su…
Child malaria treatment practices among mothers in Kenya
Promoting the social value of research in Kenya
Maternal mobility across the rural-urban divide
This paper describes the mobility patterns, rural-urban linkages and household structures for a low-income neighbourhood on the outskirts of Mombasa, Kenya's main port, and a rural settlement 60 kilometres away. Drawing on interviews with a sample of mothers resident in each location, it documents their perceptions of the advantages and disadvantages of rural and urban life, and shows the continuous interchange between the two areas. It also high…
The Effect of Delivery Mechanisms on the Uptake of Bed Net Re-Impregnation in Kilifi District, Kenya
The results of recently completed trials in Africa of insecticide-treated bed nets (ITBN) offer new possibilities for malaria control. These experimental trials aimed for high ITBN coverage combined with high re-treatment rates. Whilst necessary to understand protective efficacy, the approaches used to deliver the intervention provide few indications of what coverage of net re-treatment would be under operational conditions. Varied delivery and f…
Modelling geographic access and school catchment areas across public primary schools to support subnational planning in Kenya
Understanding the location of schools relative to the population they serve is important to contextualise the time, students must travel and to define school catchment areas (SCAs) for planning. We assembled a spatio-temporal database of public primary schools (PPS), population density of school-going children (SGC), and factors affecting travel in 2009 and 2020 in Kenya. We combined the assembled datasets within cost distance and cost allocation…
Age, machismo, and the drinking locations of drunken drivers
Driving under the influence (DUI) of alcoholic beverages continues to be one of our nation's most serious social problems despite massive efforts to identify effective countermeasures. The high alcohol‐related motor‐vehicle‐crash death rate among the young is particularly alarming. This paper examines the frequency with which convicted DUI offenders drink in seven different types of drinking places, compares the drinking locations of younger and …
Age, machismo, and the drinking locations of drunken drivers
Driving under the influence (DUI) of alcoholic beverages continues to be one of our nation's most serious social problems despite massive efforts to identify effective countermeasures. The high alcohol‐related motor‐vehicle‐crash death rate among the young is particularly alarming. This paper examines the frequency with which convicted DUI offenders drink in seven different types of drinking places, compares the drinking locations of younger and …
Estimating Maternal Mortality
This paper describes a new indirect technique for deriving population-based estimates of maternal mortality. The technique, called the "sisterhood method," is relevant to developing countries where the alternative data sources and approaches to estimation are often inadequate and inappropriate. The sisterhood method uses the proportions of adult sisters dying during pregnancy, childbirth, or the puerperium reported by adults during a census or su…
Response
Perceptions of symptoms of severe childhood malaria among Mijikenda and Luo residents of Coastal Kenya
Effective community based malaria control programmes require an understanding of current perceptions of malaria as a disease and its severe manifestations. Quantitative and qualitative surveys of mothers on the Kenyan Coast suggest that fever is conceptualised in biomedical terms whereas the aetiology of severe malaria is perceived to be of more complex cultural origin. This is reflected in the treatments sought for convulsions. The results are d…
Child malaria treatment practices among mothers in Kenya
Evaluating the community education programme of an insecticide-treated bed net trial on the Kenyan coast
Increased interest in the potential contribution of insecticide-impregnated bed nets (ITBN) to malaria control has led to research efforts to determine the impact and sustainability of ITBN programmes in differing environments. There is a need to develop effective, feasible educational strategies that will both inform and motivate community members, and thus maximize the correct usage of ITBN. This is especially true in communities where indigeno…
The Effect of Delivery Mechanisms on the Uptake of Bed Net Re-Impregnation in Kilifi District, Kenya
The results of recently completed trials in Africa of insecticide-treated bed nets (ITBN) offer new possibilities for malaria control. These experimental trials aimed for high ITBN coverage combined with high re-treatment rates. Whilst necessary to understand protective efficacy, the approaches used to deliver the intervention provide few indications of what coverage of net re-treatment would be under operational conditions. Varied delivery and f…
Intra-Household Relations and Treatment Decision-Making for Childhood Illness
This study, conducted on the Kenyan coast, assesses the effect of intra-household relations on maternal treatment-seeking. Rural and urban Mijikenda mothers’ responses to childhood fevers in the last 2 weeks ( n =317), and to childhood convulsions in the previous year ( n =43), were documented through survey work. The intra-household relations and decision-making dynamics surrounding maternal responses were explored through in-depth individual an…
Maternal mobility across the rural-urban divide
This paper describes the mobility patterns, rural-urban linkages and household structures for a low-income neighbourhood on the outskirts of Mombasa, Kenya’s main port, and a rural settlement 60 kilometres away. Drawing on interviews with a sample of mothers resident in each location, it documents their perceptions of the advantages and disadvantages of rural and urban life, and shows the continuous interchange between the two areas. It also high…
Maternal mobility across the rural-urban divide
This paper describes the mobility patterns, rural-urban linkages and household structures for a low-income neighbourhood on the outskirts of Mombasa, Kenya's main port, and a rural settlement 60 kilometres away. Drawing on interviews with a sample of mothers resident in each location, it documents their perceptions of the advantages and disadvantages of rural and urban life, and shows the continuous interchange between the two areas. It also high…
The cost of uncomplicated childhood fevers to Kenyan households
The management of uncomplicated childhood fevers imposes substantial costs on Kenyan households. Achieving substantial improvements in the numbers of fevers treated within 48 hours at a HCF with an effective antimalarial drug (Scenario 1) will not impose additional costs on households. Achieving additional improvements in fevers treated promptly at a HCF (Scenario 2) will impose additional costs on some households roughly equal to average cash ex…
Reconciling national treatment policies and drug regulation in Kenya
Malaria is the second largest public health challenge (after HIV/AIDS) in Kenya, with an estimated 34 000 children dying from the direct effects of infection each year. It accounts for over a third of all consultations in government clinics (DOMC 2001). The typical Kenyan child will use antimalarial drugs at least four times in a year (Spencer et al.1987). Economic losses due to malaria are also large (Gallup and Sachs 2001). As matters of public…
Promoting the social value of research in Kenya
The use of insecticide treated nets by age
In malaria-endemic Africa, school-aged children are the least protected with ITNs but represent the greatest reservoir of infections. With increasing school enrollment rates, school-delivery of ITNs should be considered as an approach to reach universal ITNs coverage and improve the likelihood of impacting upon parasite transmission
Population Distribution, Settlement Patterns and Accessibility across Africa in 2010
The spatial distribution of populations and settlements across a country and their interconnectivity and accessibility from urban areas are important for delivering healthcare, distributing resources and economic development. However, existing spatially explicit population data across Africa are generally based on outdated, low resolution input demographic data, and provide insufficient detail to quantify rural settlement patterns and, thus, accu…
Quantifying the Impact of Human Mobility on Malaria
Mobile Phone “Hot Spots” An obstacle to developing effective national malaria control programs is a lack of understanding of human movements, which are an important component of disease transmission. As mobile phones have become increasingly ubiquitous, it is now possible to collect individual-level, longitudinal data on human movements on a massive scale. Wesolowski et al. (p. 267 ) analyzed mobile phone call data records representing the travel…
Progress towards implementation of ACT malaria case-management in public health facilities in the Republic of Sudan
Five years following change of the policy from chloroquine to ACTs and 3 years before the end of the new malaria strategic plan chloroquine was successfully phased out from public facilities in Sudan, however, an important gap remained in the availability of ACTs, diagnostic capacities and coverage with malaria case-management activities. The national scale-up of diagnostics, using the findings of this survey as well as future qualitative researc…
Ownership and use of mobile phones among health workers, caregivers of sick children and adult patients in Kenya
BACKGROUND: The rapid growth in mobile phone penetration and use of Short Message Service (SMS) has been seen as a potential solution to improve medical and public health practice in Africa. Several studies have shown effectiveness of SMS interventions to improve health workers' practices, patients' adherence to medications and availability of health facility commodities. To inform policy makers about the feasibility of facility-based SMS interve…
Forecasting paediatric malaria admissions on the Kenya Coast using rainfall
BACKGROUND: Malaria is a vector-borne disease which, despite recent scaled-up efforts to achieve control in Africa, continues to pose a major threat to child survival. The disease is caused by the protozoan parasite Plasmodium and requires mosquitoes and humans for transmission. Rainfall is a major factor in seasonal and secular patterns of malaria transmission along the East African coast. OBJECTIVE: The goal of the study was to develop a model …
Coverage of routine reporting on malaria parasitological testing in Kenya, 2015–2016
BACKGROUND: Following the launch of District Health Information System 2 across facilities in Kenya, more health facilities are now capable of carrying out malaria parasitological testing and reporting data as part of routine health information systems, improving the potential value of routine data for accurate and timely tracking of rapidly changing disease epidemiology at fine spatial resolutions. OBJECTIVES: This study evaluates the current co…
Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015
Background Timely access to emergency care can substantially reduce mortality. International benchmarks for access to emergency hospital care have been established to guide ambitions for universal health care by 2030. However, no Pan-African database of where hospitals are located exists; therefore, we aimed to complete a geocoded inventory of hospital services in Africa in relation to how populations might access these services in 2015, with foc…
Sub national variation and inequalities in under-five mortality in Kenya since 1965
Kenya has made huge progress in child survival since independence. However, U5M remains high and heterogeneous with substantial differences between counties. Better use of the current resources through focused allocation is required to achieve further reductions, reduce inequalities and increase the likelihood of achieving Sustainable Development Goal 3·2 on U5M by 2030
Can we use local climate zones for predicting malaria prevalence across sub-Saharan African cities
Malaria burden is increasing in sub-Saharan cities because of rapid and uncontrolled urbanization. Yet very few studies have studied the interactions between urban environments and malaria. Additionally, no standardized urban land-use/land-cover has been defined for urban malaria studies. Here, we demonstrate the potential of local climate zones (LCZs) for modeling malaria prevalence rate ( Pf PR 2-10 ) and studying malaria prevalence in urban se…
Investigating the spatial variation and risk factors of childhood anaemia in four sub-Saharan African countries
Anaemia control measures in Malawi, Tanzania and Uganda need to account for internal spatial heterogeneity evident in these countries. Efforts in assessing the local district-specific causes of childhood anaemia within each country should be focused on
Subnational estimates of factors associated with under-five mortality in Kenya
BACKGROUND: To improve child survival, it is necessary to describe and understand the spatial and temporal variation of factors associated with child survival beyond national aggregates, anchored at decentralised health planning units. Therefore, we aimed to provide subnational estimates of factors associated with child survival while elucidating areas of progress, stagnation and decline in Kenya. METHODS: Twenty household surveys and three popul…
Medicine (30 obras) · Geography (21 obras) · Environmental health (20 obras) · Malaria (16 obras) · Malaria Research and Control (15 obras) · Global Maternal and Child Health (14 obras) · Economic growth (12 obras) · Public health (12 obras) · Mosquito-borne diseases and control (11 obras) · Demography (10 obras)