Kate A Ward
Dados Biográficos
| ID | 5481324 |
|---|---|
| NOME | Kate A Ward |
| PRENOMES | Kate A |
| SOBRENOME | Ward |
| ASSINATURA | WARD K A |
| AFILIAÇÕES | MRC Unit the Gambia |
| ORCID | 0000-0001-7034-6750 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAÇÕES | 55 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1984 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Understanding factors that impact patient access and engagement with biomedical and traditional care for hip fractures in The Gambia
Across Africa, the average age of the population is increasing, leading to a rise in health challenges such as hip fractures. Surgical fixation is the standard of care for hip fracture in older adults. In The Gambia, traditional bone setters (TBS) remain an important source of fracture care, though concerns exist regarding complications. In resource-constrained settings, system constraints may also result in post-operative complications. Currentl…
Traditional bone setter practices and the interaction with biomedical care in the treatment of hip fractures in The Gambia
A growing ageing population in Africa underscores the need to reorient health systems to provide care for non-communicable conditions impacting older populations such as hip fractures. In The Gambia, the number of hip fractures are expected to quadruple for both men and women in the next 30 years. This is comparable to hip fracture incidence rates in other South and West African countries. Moreover, mortality rates post-hip fracture are 2–3 fold …
Prevalence and types of lower limb conditions in Nepal
Background Understanding the burden of lower limb conditions (LLCs) is essential for effective health planning, yet data in low-resource settings like Nepal is scarce. LLCs, encompassing diverse issues such as pain, injuries and amputations, can profoundly impact mobility, well-being, and livelihoods. With limited healthcare access and growing non-communicable diseases, the scale and impact of LLCs in Nepal remain unknown. This study estimates th…
Measuring wealth for health research in rural and urban settings in three African countries
Wealth indices enable socioeconomic status measurement: however, their reliability, validity and data collection and computation efficiency can be improved. This analysis aimed to generate four wealth indices in five geographical settings (rural and urban Gambia, rural and urban South Africa and urban Zimbabwe), to compare and validate these indices and formulate recommendations for wealth measurement in Africa. Population-based cross-sectional d…
Age- and sex-specific incidence rates and future projections for hip fractures in Zimbabwe
INTRODUCTION: Population ageing in Africa is increasing healthcare demands. Hip fractures require multidisciplinary care and are considered an indicator condition for age-related health services. We aimed to estimate current hip fracture incidence in Zimbabwe, compare rates against other regional estimates and estimate future fracture numbers. METHODS: All hip fracture cases in adults aged ≥40 years, presenting to any hospital in Harare over 2 ye…
Challenges to fracture service availability and readiness provided by allopathic and traditional health providers
Background: Populations in Africa are ageing, hence the number of age-related fragility fractures, including hip fractures, is rising. Hip fractures are an indicator condition for older adult health provision, as they require a multifaceted pathway of care. To enable health service planning, detailed national-level understanding of current fracture service provision is needed. Methods: The WHO Service Availability & Readiness Assessment survey wa…
Behaviour change interventions improve maternal and child nutrition in sub-Saharan Africa
Evidence that nutrition-specific and nutrition-sensitive interventions can improve maternal and child nutrition status in sub-Saharan Africa is inconclusive. Using behaviour change theory and techniques in intervention design may increase effectiveness and make outcomes more predictable. This systematic review aimed to determine whether interventions that included behaviour change functions were effective. Six databases were searched systematical…
Investing in human development and building state resilience in fragile contexts
Maternal and early malnutrition have negative health and developmental impacts over the life-course. Consequently, early nutrition support can provide significant benefits into later life, provided the later life contexts allow. This study examines the limits of siloed investments in nutrition and illustrates how ignoring life-course contextual constraints limits human development benefits and exacerbates inequality, particularly in fragile conte…
What values drive communities’ nutrition priorities in a resource constrained urban area in South Africa
Our study demonstrates how public engagement can facilitate the incorporation of community values and programmatic preferences into nutrition priority setting, enabling a responsive approach to local community needs, especially in resource constrained contexts. Findings could guide policy makers to facilitate more appropriate decisions and to improve nutrition in the first 1000 days of life
Nutrition in adolescent growth and development
Engaging community members in setting priorities for nutrition interventions in rural northern Ghana
This study used “Choosing All Together” (CHAT), a deliberative engagement tool to prioritise nutrition interventions and to understand reasons for intervention choices of a rural community in northern Ghana. The study took an exploratory cross-sectional design and used a mixed method approach to collect data between December 2020 and February 2021. Eleven nutrition interventions were identified through policy reviews, interaction with different s…
Children born during the hunger season are at a higher risk of severe acute malnutrition
Heightened food insecurity in the hunger season increases the risk of severe acute malnutrition (SAM) in childhood. This study examined the association of season of birth with SAM in a Guinean Sahelian ecological zone. We analyzed routine health and sociodemographic surveillance data from the Navrongo Health and Socio-demographic Surveillance System collected between 2011 and 2018. January-June, the period of highest food insecurity, was defined …
Realising the potential human development returns to investing in early and maternal nutrition
The benefits of interventions which improve early nutrition are well recognised. These benefits, however, only accrue to the extent that later life circumstances allow. Consequently, in adverse contexts many of the benefits will never be realised, particularly for the most vulnerable, exacerbating inequality. Returns to investment in early nutrition could be improved if we identified contextual factors constraining their realisation and intervent…
Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana
Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana's recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitat…
The association between social isolation and musculoskeletal health in older community-dwelling adults
Social isolation was associated with higher odds of having depressive symptoms and predicted the development of poor physical capability 6 years later. Further longitudinal studies that include loneliness as a covariate are warranted
Community perspectives on maternal and child health during nutrition and economic transition in sub-Saharan Africa
Objective: To explore community perceptions on maternal and child nutrition issues in Sub-Saharan Africa. Design: Thirty focus groups with men and women from three communities facilitated by local researchers. Setting: One urban (Soweto, South Africa) and two rural settings (Navrongo, Ghana and Nanoro, Burkina Faso) at different stages of economic transition. Participants: Two hundred thirty-seven men and women aged 18–55 years, mostly subsistenc…
How do we improve adolescent diet and physical activity in India and sub-Saharan Africa? Findings from the Transforming Adolescent Lives through Nutrition (Talent) consortium
Objective: Adolescent diet, physical activity and nutritional status are generally known to be sub-optimal. This is an introduction to a special issue of papers devoted to exploring factors affecting diet and physical activity in adolescents, including food insecure and vulnerable groups. Setting Eight settings including urban, peri-urban and rural across sites from five different low- and middle-income countries. Design: Focus groups with adoles…
Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa
Objective: To explore, from the perspectives of adolescents and caregivers, and using qualitative methods, influences on adolescent diet and physical activity in rural Gambia. Design: Six focus group discussions (FGD) with adolescents and caregivers were conducted. Thematic analysis was employed across the data set. Setting: Rural region of The Gambia, West Africa. Participants: Participants were selected using purposive sampling. Four FGD, condu…
Food insecurity, diet quality and body composition
Objective: To determine whether food security, diet diversity and diet quality are associated with anthropometric measurements and body composition among women of reproductive age. The association between food security and anaemia prevalence was also tested. Design: Secondary analysis of cross-sectional data from the Healthy Life Trajectories Initiative (HeLTI) study. Food security and dietary data were collected by an interviewer-administered qu…
A maternal “mixed, high sugar” dietary pattern is associated with fetal growth
This study examined associations between a maternal "mixed, high sugar" dietary pattern during pregnancy and ultrasound-determined fetal growth in 495 urban African women and explored whether these associations were independent of maternal baseline body mass index (BMI) and gestational weight gain (GWG). Linear mixed effects modelling (LMM) was used to test the associations between maternal mixed, high sugar dietary pattern score, baseline BMI (k…
Critical windows for nutritional interventions against stunting
Distorted Views Through the Glass Ceiling
The article explores the issue of whether women's under‐representation in senior management positions can be explained in part by the messages they are given about the promotion process and the requirements of senior jobs. Through interviews with over 50 male and female junior and senior managers in a UK high street bank, issues relating to the required personality and behaviour characteristics seen to be associated with success and with the long…
Women at Work
Distorted Views Through the Glass Ceiling
The article explores the issue of whether women's under‐representation in senior management positions can be explained in part by the messages they are given about the promotion process and the requirements of senior jobs. Through interviews with over 50 male and female junior and senior managers in a UK high street bank, issues relating to the required personality and behaviour characteristics seen to be associated with success and with the long…
Women at Work
Distorted Views Through the Glass Ceiling
The article explores the issue of whether women's under‐representation in senior management positions can be explained in part by the messages they are given about the promotion process and the requirements of senior jobs. Through interviews with over 50 male and female junior and senior managers in a UK high street bank, issues relating to the required personality and behaviour characteristics seen to be associated with success and with the long…
Critical windows for nutritional interventions against stunting
A maternal “mixed, high sugar” dietary pattern is associated with fetal growth
This study examined associations between a maternal "mixed, high sugar" dietary pattern during pregnancy and ultrasound-determined fetal growth in 495 urban African women and explored whether these associations were independent of maternal baseline body mass index (BMI) and gestational weight gain (GWG). Linear mixed effects modelling (LMM) was used to test the associations between maternal mixed, high sugar dietary pattern score, baseline BMI (k…
Realising the potential human development returns to investing in early and maternal nutrition
The benefits of interventions which improve early nutrition are well recognised. These benefits, however, only accrue to the extent that later life circumstances allow. Consequently, in adverse contexts many of the benefits will never be realised, particularly for the most vulnerable, exacerbating inequality. Returns to investment in early nutrition could be improved if we identified contextual factors constraining their realisation and intervent…
Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana
Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana's recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitat…
The association between social isolation and musculoskeletal health in older community-dwelling adults
Social isolation was associated with higher odds of having depressive symptoms and predicted the development of poor physical capability 6 years later. Further longitudinal studies that include loneliness as a covariate are warranted
Community perspectives on maternal and child health during nutrition and economic transition in sub-Saharan Africa
Objective: To explore community perceptions on maternal and child nutrition issues in Sub-Saharan Africa. Design: Thirty focus groups with men and women from three communities facilitated by local researchers. Setting: One urban (Soweto, South Africa) and two rural settings (Navrongo, Ghana and Nanoro, Burkina Faso) at different stages of economic transition. Participants: Two hundred thirty-seven men and women aged 18–55 years, mostly subsistenc…
How do we improve adolescent diet and physical activity in India and sub-Saharan Africa? Findings from the Transforming Adolescent Lives through Nutrition (Talent) consortium
Objective: Adolescent diet, physical activity and nutritional status are generally known to be sub-optimal. This is an introduction to a special issue of papers devoted to exploring factors affecting diet and physical activity in adolescents, including food insecure and vulnerable groups. Setting Eight settings including urban, peri-urban and rural across sites from five different low- and middle-income countries. Design: Focus groups with adoles…
Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa
Objective: To explore, from the perspectives of adolescents and caregivers, and using qualitative methods, influences on adolescent diet and physical activity in rural Gambia. Design: Six focus group discussions (FGD) with adolescents and caregivers were conducted. Thematic analysis was employed across the data set. Setting: Rural region of The Gambia, West Africa. Participants: Participants were selected using purposive sampling. Four FGD, condu…
Food insecurity, diet quality and body composition
Objective: To determine whether food security, diet diversity and diet quality are associated with anthropometric measurements and body composition among women of reproductive age. The association between food security and anaemia prevalence was also tested. Design: Secondary analysis of cross-sectional data from the Healthy Life Trajectories Initiative (HeLTI) study. Food security and dietary data were collected by an interviewer-administered qu…
Nutrition in adolescent growth and development
Engaging community members in setting priorities for nutrition interventions in rural northern Ghana
This study used “Choosing All Together” (CHAT), a deliberative engagement tool to prioritise nutrition interventions and to understand reasons for intervention choices of a rural community in northern Ghana. The study took an exploratory cross-sectional design and used a mixed method approach to collect data between December 2020 and February 2021. Eleven nutrition interventions were identified through policy reviews, interaction with different s…
Children born during the hunger season are at a higher risk of severe acute malnutrition
Heightened food insecurity in the hunger season increases the risk of severe acute malnutrition (SAM) in childhood. This study examined the association of season of birth with SAM in a Guinean Sahelian ecological zone. We analyzed routine health and sociodemographic surveillance data from the Navrongo Health and Socio-demographic Surveillance System collected between 2011 and 2018. January-June, the period of highest food insecurity, was defined …
Behaviour change interventions improve maternal and child nutrition in sub-Saharan Africa
Evidence that nutrition-specific and nutrition-sensitive interventions can improve maternal and child nutrition status in sub-Saharan Africa is inconclusive. Using behaviour change theory and techniques in intervention design may increase effectiveness and make outcomes more predictable. This systematic review aimed to determine whether interventions that included behaviour change functions were effective. Six databases were searched systematical…
Investing in human development and building state resilience in fragile contexts
Maternal and early malnutrition have negative health and developmental impacts over the life-course. Consequently, early nutrition support can provide significant benefits into later life, provided the later life contexts allow. This study examines the limits of siloed investments in nutrition and illustrates how ignoring life-course contextual constraints limits human development benefits and exacerbates inequality, particularly in fragile conte…
What values drive communities’ nutrition priorities in a resource constrained urban area in South Africa
Our study demonstrates how public engagement can facilitate the incorporation of community values and programmatic preferences into nutrition priority setting, enabling a responsive approach to local community needs, especially in resource constrained contexts. Findings could guide policy makers to facilitate more appropriate decisions and to improve nutrition in the first 1000 days of life
Age- and sex-specific incidence rates and future projections for hip fractures in Zimbabwe
INTRODUCTION: Population ageing in Africa is increasing healthcare demands. Hip fractures require multidisciplinary care and are considered an indicator condition for age-related health services. We aimed to estimate current hip fracture incidence in Zimbabwe, compare rates against other regional estimates and estimate future fracture numbers. METHODS: All hip fracture cases in adults aged ≥40 years, presenting to any hospital in Harare over 2 ye…
Challenges to fracture service availability and readiness provided by allopathic and traditional health providers
Background: Populations in Africa are ageing, hence the number of age-related fragility fractures, including hip fractures, is rising. Hip fractures are an indicator condition for older adult health provision, as they require a multifaceted pathway of care. To enable health service planning, detailed national-level understanding of current fracture service provision is needed. Methods: The WHO Service Availability & Readiness Assessment survey wa…
Understanding factors that impact patient access and engagement with biomedical and traditional care for hip fractures in The Gambia
Across Africa, the average age of the population is increasing, leading to a rise in health challenges such as hip fractures. Surgical fixation is the standard of care for hip fracture in older adults. In The Gambia, traditional bone setters (TBS) remain an important source of fracture care, though concerns exist regarding complications. In resource-constrained settings, system constraints may also result in post-operative complications. Currentl…
Traditional bone setter practices and the interaction with biomedical care in the treatment of hip fractures in The Gambia
A growing ageing population in Africa underscores the need to reorient health systems to provide care for non-communicable conditions impacting older populations such as hip fractures. In The Gambia, the number of hip fractures are expected to quadruple for both men and women in the next 30 years. This is comparable to hip fracture incidence rates in other South and West African countries. Moreover, mortality rates post-hip fracture are 2–3 fold …
Prevalence and types of lower limb conditions in Nepal
Background Understanding the burden of lower limb conditions (LLCs) is essential for effective health planning, yet data in low-resource settings like Nepal is scarce. LLCs, encompassing diverse issues such as pain, injuries and amputations, can profoundly impact mobility, well-being, and livelihoods. With limited healthcare access and growing non-communicable diseases, the scale and impact of LLCs in Nepal remain unknown. This study estimates th…
Measuring wealth for health research in rural and urban settings in three African countries
Wealth indices enable socioeconomic status measurement: however, their reliability, validity and data collection and computation efficiency can be improved. This analysis aimed to generate four wealth indices in five geographical settings (rural and urban Gambia, rural and urban South Africa and urban Zimbabwe), to compare and validate these indices and formulate recommendations for wealth measurement in Africa. Population-based cross-sectional d…
Medicine (17 obras) · Environmental health (13 obras) · Child Nutrition and Water Access (12 obras) · Psychological intervention (7 obras) · Sociology (7 obras) · Business (6 obras) · Food Security and Health in Diverse Populations (6 obras) · Geography (6 obras) · Gerontology (6 obras) · Obesity, Physical Activity, Diet (6 obras)