Osondu Ogbuoji
Biographic Data
| ID | 293375 |
|---|---|
| NAME | Osondu Ogbuoji |
| GIVEN NAMES | Osondu |
| FAMILY NAME | Ogbuoji |
| SIGNATURE | OGBUOJI O |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0003-2472-6861 |
| VERIFIED | Yes |
| TOTAL WORKS | 34 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 2 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Evaluating global health programmes targeting under-5 mortality
Reducing the under-5 mortality rate (U5MR) is a key public health priority and remains a persistent challenge in low- and middle-income countries. Many interventions have been developed in attempts to lower U5MR through partnerships between governments, funding partners, researchers, product developers and non-governmental organisations. The well-intentioned desire to use data to set priorities has led to many large-scale evaluations that specify…
Using country-level variables to discover country clusters beyond traditional health policy and performance metrics
HIV remains a major public health challenge, with 1.4 million new infections and 31.6 million people accessing antiretroviral treatment in 2024. In many countries, HIV services have been provided through vertical programs, which, although highly successful in bringing treatment to people living with HIV since the early 2000s, are unlikely to sustain progress beyond donor dependency. The increasing push towards Universal Health Coverage (UHC), whi…
Who benefits from the donor-supported malaria programme in Enugu State, Nigeria? A benefit incidence analysis
Nigeria bears the highest global burden of malaria, accounting for 25% of cases and 19% of deaths worldwide. Development partners provide substantial support for malaria prevention and treatment in Nigeria. This study examines the financial burden of malaria on households and the benefit incidence of donor-supported bed net services in Enugu State, Nigeria. We conducted an interview-administered household survey in urban, semi-urban and rural reg…
Cost of Sauti ya Vijana (SYV), a mental health intervention for young people living with HIV in Tanzania
Sauti ya Vijana (SYV) is a ten-session, group-based mental health and life skills intervention targeting young people living with HIV (YPLWH) in Tanzania. By addressing mental health distress and promoting self-efficacy and resilience to HIV-related stigma and disclosure, SYV aims to improve adherence to antiretroviral therapy (ART) and virologic suppression. A pilot randomized controlled trial (RCT) of SYV was conducted in Moshi, Tanzania, from …
Recruitment and engagement of a cohort of women living with HIV in Nigeria
Nigeria has a high burden of mother to child transmission (MTCT) of HIV. There is paucity of large-scale prospective cohort studies to provide insight into the reasons for the abysmal MTCT indices. This paper describes the baseline characteristics of women living with HIV who signed consent to participate in future clinical or implementation trials. The Nigeria Implementation Science Alliance (NISA) developed an open multicentre prospective cohor…
Global Disparities in Premature Mortality
In this cross-sectional study, disparities in PPD were likely to reflect major inequality in access to health-enhancing technologies and living standards, as well as context-specific obstacles. Technological and medical advancements leading to universal health benefits need to be rapidly and fairly disseminated
Differential effect of China’s Zero Markup Drug Policy on provider-induced demand in secondary and tertiary hospitals
Following the marketization of China’s health system in the 1980’s, the government allowed public hospitals to markup the price of certain medications by 15% to compensate for reduced revenue from government subsidies. This incentivized clinicians to induce patient demand for drugs which resulted in higher patient out-of-pocket payments, higher overall medical expenditure, and poor health outcomes. In 2009, China introduced the Zero Markup Drug P…
Cost-effectiveness analysis of proactive home visits compared with site-based community health worker care on antenatal care outcomes in Mali
INTRODUCTION: Despite recommendations from the WHO, antenatal care (ANC) coverage remains low in many low-income and middle-income countries (LMICs). Community health workers (CHWs) can play an important role in expanding ANC coverage through pregnancy identification, provision of health education, screening for complications, delivery of therapeutic care and referral to higher levels of care. However, despite the success of CHW programmes in var…
Strengthening regulation for medical products in Tanzania
Improving medicines regulation can lead to better population health, but how this process works in low- and middle-income countries remains underexplored. Tanzania’s pharmaceutical sector is often cited as a successful example of a well-functioning regulatory system in a developing country, attributed to the work of the Tanzania Food and Drugs Authority (TFDA), now the Tanzania Medicines and Medical Devices Authority (TMDA). This raises the quest…
Modeling the global impact of reducing out-of-pocket costs for children’s surgical care
Over 1.7 billion children lack access to surgical care, mostly in low- and middle-income countries (LMICs), with substantial risks of catastrophic health expenditures (CHE) and impoverishment. Increasing interest in reducing out-of-pocket (OOP) expenditures as a tool to reduce the rate of poverty is growing. However, the impact of reducing OOP expenditures on CHE remains poorly understood. The purpose of this study was to estimate the global impa…
A cost-effectiveness analysis of a South African pregnancy support grant
Poverty among expectant mothers often results in sub-optimal maternal nutrition and inadequate antenatal care, with negative consequences on child health outcomes. South Africa has a child support grant that is available from birth to those in need. This study aims to determine whether a pregnancy support grant, administered through the extension of the child support grant, would be cost-effective compared to the existing child support grant alon…
Are households with under-five children in Nigeria socioeconomically disadvantaged
Although the sociodemographic and economic contributors to under-five mortality are well established, very little research has been done to assess the levels of disadvantage under-five children in Nigeria face along these dimensions. Nigeria has the second-highest under-five mortality rate (U5MR) in the world (111 deaths per 1000 live births) and contributed to the highest number of annual under-five deaths globally in 2020 (844,321 deaths). The …
Health reform in Nigeria
Over the past decade, Nigeria has seen major attempts to strengthen primary health care, through the Saving One Million Lives (SOML) initiative, and to move towards universal health care, through the National Health Act. Both initiatives were successfully adopted, but faced political and institutional challenges in implementation and sustainability. We analyse these programmes from a political economy perspective, examining barriers to and facili…
United Kingdom aid cuts
Background: The United Kingdom (UK) used to be the second largest bilateral provider of official development assistance (ODA) for health. However, in 2021 the UK government cut its annual aid budget by 30%. We aim to understand how these cuts might affect financing for health systems in UK aid recipient countries. Methods: We conducted a retrospective analysis of domestic and external funding for 134 countries that received UK aid for the 2019-20…
Investing in a global pooled-funding mechanism for late-stage clinical trials of poverty-related and neglected diseases
INTRODUCTION: Poverty-related and neglected diseases (PRNDs) cause over three million deaths annually. Despite this burden, there is a large gap between actual funding for PRND research and development (R&D) and the funding needed to launch PRND products from the R&D pipeline. This study provides an economic evaluation of a theoretical global pooled-funding mechanism to finance late-stage clinical trials of PRND products. METHODS: We modelled thr…
Strategic donor behaviour and country vulnerability in health aid transitions
BACKGROUND: When countries reach the middle-income threshold, many multilateral donors, including Gavi, the Vaccine Alliance (Gavi), begin to withdraw their official development assistance (ODA), known as graduation. We hypothesised that bilateral donors might follow Gavi's lead, except in countries where they have strategic interests. We aim to understand how bilateral donors behave after a recipient country graduates from Gavi support and how b…
Tracking financing for global common goods for health
Objective: Tracking global health funding is a crucial but time consuming and labor-intensive process. This study aimed to develop a framework to automate the tracking of global health spending using natural language processing (NLP) and machine learning (ML) algorithms. We used the global common goods for health (CGH) categories developed by Schäferhoff et al. to design and evaluate ML models. Methods: We used data curated by Schäferhoff et al.,…
Equity assessment of childhood immunisation at national and subnational levels in Myanmar
INTRODUCTION: Myanmar, a conflict-affected geographically and ethnically diverse lower middle-income country, was in the donor transition phase for health prior to the political unrest of the last year. This study analyses the distribution of benefit and utilisation of basic childhood vaccinations from the highly donor-dependent Expanded Program on Immunization for populations of different socioeconomic status (SES). METHODS: We conducted a benef…
Coverage of social assistance in Ethiopia during the Covid-19 pandemic
OBJECTIVE: In a pandemic, government assistance is essential to support the most vulnerable households as they face health and economic challenges. However, government assistance is effective only when it reaches vulnerable households in time. In this paper, we estimated the timeliness of government assistance for the most vulnerable households (ie, the poor households) in Ethiopia during its COVID-19 response of 2020. In particular, we conducted…
Perspectives of frontline health workers on transition from development assistance for health in Ghana
Many Low-income countries depend on development assistance for health (DAH) to finance the health sector. The transition of these countries to middle-income status has led to reduction in effective aid from development partners while these countries are expected to graduate from global funding agencies such as Gavi the vaccine alliance, with implications for service delivery. The aim of this study was to explore the perspectives of frontline heal…
Estimated Monetary Value of Future Research Clarifying Uncertainties Around the Optimal Adult Hearing Screening Schedule
In this economic evaluation of US adult hearing screening, large uncertainty around the optimal adult hearing screening schedule was identified. Future research on hearing screening has a high potential value so is likely justified
Integrating Data to Evaluate a Global Health Grand Challenge
This article describes the integrated, mixed methods (MM) design used to evaluate the Saving Lives at Birth (SL@B) program. SL@B is a multi-stakeholder, donor-supported global health initiative to tackle maternal and neonatal mortality via innovation. Since SL@B’s launch in 2011, the program has supported 116 innovations through 147 awards around the globe. The evaluation for this large and complex program included a largely retrospective MM desi…
The impacts of donor transitions on health systems in middle-income countries
As countries graduate from low-income to middle-income status, many face losses in development assistance for health and must ‘transition’ to greater domestic funding of their health response. If improperly managed, donor transitions in middle-income countries (MICs) could present significant challenges to global health progress. No prior knowledge synthesis has comprehensively surveyed how donor transitions can affect health systems in MICs. We …
Transitioning from donor aid for health
BACKGROUND: Ghana's shift from low-income to middle-income status will make it ineligible to receive concessional aid in the future. While transition may be a reflection of positive changes in a country, such as economic development or health progress, a loss of support from donor agencies could have negative impacts on health system performance and population health. We aimed to identify key challenges and opportunities that Ghana will face in d…
Redressing the impact of Covid-19 on medical education in Africa
As part of an ethics course, health professions students were asked to identify ethical issues and to propose resolutions before and after a class discussion of a case involving confidentiality and substance abuse. Students listed an average of 2.4 issues before and 3.6 issues after the discussion. After discussion 50 per cent of students made explicit changes in their proposed resolution. Opinions varied widely on breaching confidentiality and t…
Trends in the completeness of birth registration in Nigeria
Nigeria is a signatory to the Convention on the Rights of the Child, which identifies birth registration as a childâ s right. However, it is unclear how much progress has been made toward attaining universal birth registration in the country
Characteristics of Children Eligible for Public Health Insurance but Uninsured
Trends in the completeness of birth registration in Nigeria
Nigeria is a signatory to the Convention on the Rights of the Child, which identifies birth registration as a childâ s right. However, it is unclear how much progress has been made toward attaining universal birth registration in the country
Dynamic modeling approaches to characterize the functioning of health systems
Which delivery model innovations can support sustainable HIV treatment
The rapid scale-up of antiretroviral treatment (ART) for HIV since the mid-2000s, mostly through disease-specific or "vertical" programmes, has been a highly successful undertaking, which averted millions of deaths and prevented many new infections. However, the dynamics of the HIV epidemic and changing political and financial commitment to fight the disease will likely require new models for the delivery of ART over the coming decades if the pro…
Incentivising wealthy nations to participate in the Covid-19 Vaccine Global Access Facility (Covax)
box Progress in developing COVID-19 vaccines has been rapid: the first clinical trial of a vaccine candidate began in Seattle, USA on 16 March 2020—just 63 days after China shared the genetic sequence of SARS-CoV-2, the virus that causes COVID-19. As of 12 November 2020, there were 48 candidate vaccines in clinical trials.1 Given standard attrition rates, we can expect at least a handful of COVID-19 vaccines to eventually be launched. However, de…
The impact of Covid-19 on HIV financing in Nigeria
COVID-19, the most devastating pandemic since the 1918 influenza pandemic, has had severe health and economic impacts, including in Nigeria. Nigeria has the third largest HIV epidemic worldwide. Despite the onset of COVID-19, efforts to control HIV cannot be abandoned. HIV funding must be protected from the ongoing shocks to the Nigerian economy, so that Nigeria does not lose the health gains achieved over the past decades. Bold proactive steps a…
Transitioning from donor aid for health
BACKGROUND: Ghana's shift from low-income to middle-income status will make it ineligible to receive concessional aid in the future. While transition may be a reflection of positive changes in a country, such as economic development or health progress, a loss of support from donor agencies could have negative impacts on health system performance and population health. We aimed to identify key challenges and opportunities that Ghana will face in d…
Redressing the impact of Covid-19 on medical education in Africa
As part of an ethics course, health professions students were asked to identify ethical issues and to propose resolutions before and after a class discussion of a case involving confidentiality and substance abuse. Students listed an average of 2.4 issues before and 3.6 issues after the discussion. After discussion 50 per cent of students made explicit changes in their proposed resolution. Opinions varied widely on breaching confidentiality and t…
Progress in the face of cuts
In the coming years, about a dozen middle-income countries are excepted to transition out of development assistance for health (DAH) based on their economic growth. This anticipated loss of external funds at a time when there is a need for accelerated progress towards universal health coverage (UHC) is a source of concern. Evaluating country readiness for transition towards country ownership of health programmes is a crucial step in making progre…
Did the poor gain from India’s health policy interventions? Evidence from benefit-incidence analysis, 2004–2018
Improvement in infrastructure and service provisioning through NHM route in the public facilities appears to have relatively benefited the poor. Yet they received a relatively smaller health subsidy than the rich when utilising inpatient and outpatient health services. Inequality continues to persist across all healthcare services in private health sector. Although the NHM remained committed to broader expansion of health care services, a singula…
The Impact of Immediate Initiation of Antiretroviral Therapy on Patients' Healthcare Expenditures
Immediate initiation of antiretroviral therapy (ART) for all people living with HIV has important health benefits but implications for the economic aspects of patients' lives are still largely unknown. This stepped-wedge cluster-randomized controlled trial aimed to determine the causal impact of immediate ART initiation on patients' healthcare expenditures in Eswatini. Fourteen healthcare facilities were randomly assigned to transition at one of …
Tracking financing for global common goods for health
Objective: Tracking global health funding is a crucial but time consuming and labor-intensive process. This study aimed to develop a framework to automate the tracking of global health spending using natural language processing (NLP) and machine learning (ML) algorithms. We used the global common goods for health (CGH) categories developed by Schäferhoff et al. to design and evaluate ML models. Methods: We used data curated by Schäferhoff et al.,…
Equity assessment of childhood immunisation at national and subnational levels in Myanmar
INTRODUCTION: Myanmar, a conflict-affected geographically and ethnically diverse lower middle-income country, was in the donor transition phase for health prior to the political unrest of the last year. This study analyses the distribution of benefit and utilisation of basic childhood vaccinations from the highly donor-dependent Expanded Program on Immunization for populations of different socioeconomic status (SES). METHODS: We conducted a benef…
Coverage of social assistance in Ethiopia during the Covid-19 pandemic
OBJECTIVE: In a pandemic, government assistance is essential to support the most vulnerable households as they face health and economic challenges. However, government assistance is effective only when it reaches vulnerable households in time. In this paper, we estimated the timeliness of government assistance for the most vulnerable households (ie, the poor households) in Ethiopia during its COVID-19 response of 2020. In particular, we conducted…
Perspectives of frontline health workers on transition from development assistance for health in Ghana
Many Low-income countries depend on development assistance for health (DAH) to finance the health sector. The transition of these countries to middle-income status has led to reduction in effective aid from development partners while these countries are expected to graduate from global funding agencies such as Gavi the vaccine alliance, with implications for service delivery. The aim of this study was to explore the perspectives of frontline heal…
Estimated Monetary Value of Future Research Clarifying Uncertainties Around the Optimal Adult Hearing Screening Schedule
In this economic evaluation of US adult hearing screening, large uncertainty around the optimal adult hearing screening schedule was identified. Future research on hearing screening has a high potential value so is likely justified
Integrating Data to Evaluate a Global Health Grand Challenge
This article describes the integrated, mixed methods (MM) design used to evaluate the Saving Lives at Birth (SL@B) program. SL@B is a multi-stakeholder, donor-supported global health initiative to tackle maternal and neonatal mortality via innovation. Since SL@B’s launch in 2011, the program has supported 116 innovations through 147 awards around the globe. The evaluation for this large and complex program included a largely retrospective MM desi…
The impacts of donor transitions on health systems in middle-income countries
As countries graduate from low-income to middle-income status, many face losses in development assistance for health and must ‘transition’ to greater domestic funding of their health response. If improperly managed, donor transitions in middle-income countries (MICs) could present significant challenges to global health progress. No prior knowledge synthesis has comprehensively surveyed how donor transitions can affect health systems in MICs. We …
United Kingdom aid cuts
Background: The United Kingdom (UK) used to be the second largest bilateral provider of official development assistance (ODA) for health. However, in 2021 the UK government cut its annual aid budget by 30%. We aim to understand how these cuts might affect financing for health systems in UK aid recipient countries. Methods: We conducted a retrospective analysis of domestic and external funding for 134 countries that received UK aid for the 2019-20…
Investing in a global pooled-funding mechanism for late-stage clinical trials of poverty-related and neglected diseases
INTRODUCTION: Poverty-related and neglected diseases (PRNDs) cause over three million deaths annually. Despite this burden, there is a large gap between actual funding for PRND research and development (R&D) and the funding needed to launch PRND products from the R&D pipeline. This study provides an economic evaluation of a theoretical global pooled-funding mechanism to finance late-stage clinical trials of PRND products. METHODS: We modelled thr…
Strategic donor behaviour and country vulnerability in health aid transitions
BACKGROUND: When countries reach the middle-income threshold, many multilateral donors, including Gavi, the Vaccine Alliance (Gavi), begin to withdraw their official development assistance (ODA), known as graduation. We hypothesised that bilateral donors might follow Gavi's lead, except in countries where they have strategic interests. We aim to understand how bilateral donors behave after a recipient country graduates from Gavi support and how b…
Differential effect of China’s Zero Markup Drug Policy on provider-induced demand in secondary and tertiary hospitals
Following the marketization of China’s health system in the 1980’s, the government allowed public hospitals to markup the price of certain medications by 15% to compensate for reduced revenue from government subsidies. This incentivized clinicians to induce patient demand for drugs which resulted in higher patient out-of-pocket payments, higher overall medical expenditure, and poor health outcomes. In 2009, China introduced the Zero Markup Drug P…
Cost-effectiveness analysis of proactive home visits compared with site-based community health worker care on antenatal care outcomes in Mali
INTRODUCTION: Despite recommendations from the WHO, antenatal care (ANC) coverage remains low in many low-income and middle-income countries (LMICs). Community health workers (CHWs) can play an important role in expanding ANC coverage through pregnancy identification, provision of health education, screening for complications, delivery of therapeutic care and referral to higher levels of care. However, despite the success of CHW programmes in var…
Strengthening regulation for medical products in Tanzania
Improving medicines regulation can lead to better population health, but how this process works in low- and middle-income countries remains underexplored. Tanzania’s pharmaceutical sector is often cited as a successful example of a well-functioning regulatory system in a developing country, attributed to the work of the Tanzania Food and Drugs Authority (TFDA), now the Tanzania Medicines and Medical Devices Authority (TMDA). This raises the quest…
Modeling the global impact of reducing out-of-pocket costs for children’s surgical care
Over 1.7 billion children lack access to surgical care, mostly in low- and middle-income countries (LMICs), with substantial risks of catastrophic health expenditures (CHE) and impoverishment. Increasing interest in reducing out-of-pocket (OOP) expenditures as a tool to reduce the rate of poverty is growing. However, the impact of reducing OOP expenditures on CHE remains poorly understood. The purpose of this study was to estimate the global impa…
Global Maternal and Child Health (23 works) · Medicine (23 works) · Economics (17 works) · Economic growth (15 works) · Political science (15 works) · Business (13 works) · Public health (12 works) · Health care (11 works) · Environmental health (10 works) · Healthcare Systems and Reforms (10 works)