Robert W Snow
Biographic Data
| ID | 3930556 |
|---|---|
| NAME | Robert W Snow |
| GIVEN NAMES | Robert W |
| FAMILY NAME | Snow |
| SIGNATURE | SNOW R W |
| AFFILIATIONS | Population and Health Unit, KEMRI - Wellcome Trust Research Programme, Nairobi, Kenya |
| VERIFIED | No |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 56 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1989 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 3 |
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…
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…
Interventions to improve district-level routine health data in low-income and middle-income countries
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…
Spatial and spatio-temporal methods for mapping malaria risk
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
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…
Child malaria treatment practices among mothers in Kenya
Response
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…
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
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
Child malaria treatment practices among mothers in Kenya
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…
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
Spatial and spatio-temporal methods for mapping malaria risk
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
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…
Interventions to improve district-level routine health data in low-income and middle-income countries
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…
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…
Medicine (17 works) · Environmental health (11 works) · Malaria (10 works) · Geography (9 works) · Public health (9 works) · Malaria Research and Control (8 works) · Economic growth (6 works) · Global Maternal and Child Health (6 works) · Mosquito-borne diseases and control (6 works) · Population (6 works)