Lydia Kapiriri
Datos Biográficos
| ID | 247026 |
|---|---|
| NOMBRE | Lydia Kapiriri |
| NOMBRES | Lydia |
| APELLIDO | Kapiriri |
| FIRMA | KAPIRIRI L |
| AFILIACIONES | McMaster University |
| ORCID | 0000-0002-1237-6369 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAS | 29 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
“Healthy bodies, healthy minds”
Background: Menstrual hygiene management (MHM) can be challenging for women and girls living in conflict-affected low- and middle-income countries, where access to menstrual products, soap, water, and private sanitation facilities is often limited. In response to these challenges, the Canadian Red Cross, in partnership with the South Sudan Red Crescent and the South Sudanese Government, implemented the Healthy Bodies Healthy Minds (HBHM) program …
Access to healthcare amongst adolescent girls and young women in Ugandan artisanal and small-scale mining communities
BACKGROUND: Artisanal small scale-mining (ASM) provides work to many adolescent girls and young women (AGYW) in Uganda. AGYW working in ASM face a unique set of health challenges such as exposure to mercury, HIV and sexually transmitted infections. AGYW in ASM are more vulnerable since they work and live in remote areas with limited health infrastructure which may limit their access to care. However, the AGYW's access to care, including SRH care,…
A risky coping strategy
Artisanal and Small-Scale Mining (ASM) attracts some of the most vulnerable populations, including females who constitute close to half of the labor force. Among this group are adolescent girls and young women (AGYW) who, driven by poverty, engage in risky sexual behaviors that are detrimental to their health. The situation was dire during the COVID-19 lockdown. This paper examines the determinants of multiple sexual partnerships (MSPs) (operatio…
Determinants of sexually transmitted infections among adolescent girls and young women in artisanal and small-scale mining communities of Uganda
The results highlight the urgent need to respond to the high prevalence of self reported STIs among AGYW in ASM. The risk factors constitute multiple and intersecting vulnerabilities that require both preventive and curative interventions targeting female and male ASM workers and host communities, with emphasis on behavioral change and promotion of viable alternative sources of income. The ministries of Health, Gender, Labour and Social Developme…
I Was Scared That My Parents Would Find Out”
Women’s sexual behavior is regulated through notions of family honor, shame, modesty, and sexual purity in Bangladeshi culture. Little is known about the lived experiences of 1.5-generation Bangladeshi women who engage in premarital romantic/sexual relationships. Drawing on in-depth semi-structured interviews with ten 1.5-generation Bangladeshi women who immigrated to Canada as children or adolescents, this article uses a narrative inquiry method…
Evidence-Based Participatory Research Approaches for Last Mile Adolescent Girls and Young Women
There is increased interest in methods to achieve meaningful inclusion of traditionally marginalized and last mile populations in research. Adolescent girls and young women (AGYW) working in the artisanal small-scale mining (ASM) are an extremely marginalized group who, in addition to being excluded from decision making processes, tend to be excluded from research- even when the research is about them. There is a paucity of literature on the meth…
Stakeholder Perspectives of Experiential Education in Tertiary Institutions and Learning From Covid-19
Background Many universities in Canada offer experiential education (EE) opportunities for students that are both field-based and on-campus. Despite a commitment to EE, there is a paucity of information about various stakeholder perspectives of EE and the equity implications of the different approaches to EE. Furthermore, it is unclear how EE programs at universities changed in response to the COVID-19 pandemic and related restrictions. Purpose T…
A global comparative analysis of the criteria and equity considerations included in eighty-six national Covid-19 plans
Priority setting in times of crises
BACKGROUND: While priority setting is recognized as critical for promoting accountability and transparency in health system planning, its role in supporting rational, equitable and fair pandemic planning and responses is less well understood. This study aims to describe how priority setting was used to support planning in the initial stage of the pandemic response in a subset of countries in the Western Pacific Region (WPR). METHODS: We purposive…
Lessons learned from a global analysis of priority setting practices in pandemic response planning
How did European countries set health priorities in response to the Covid-19 threat? A comparative document analysis of 24 pandemic preparedness plans across the Euro region
The COVID-19 pandemic has forced governments across the world to consider how to prioritise the allocation of scarce resources. There are many tools and frameworks that have been designed to assist with the challenges of priority setting in health care. The purpose of this study was to examine the extent to which formal priority setting was evident in the pandemic plans produced by countries in the World Health Organisation's EURO region, during …
Stakeholder participation in the Covid-19 pandemic preparedness and response plans
A global comparative analysis of the the inclusion of priority setting in national Covid-19 pandemic plans
A comparative analysis of Covid-19 physical distancing policies in South Africa and Uganda
COVID-19 responses internationally have depended on physical distancing policies to manage virus transmission, given the initial absence of treatments and limitations on vaccine availability. Different jurisdictions have different contexts affecting their responses such as past epidemic experience, ratings of epidemic preparedness, and income level. COVID-19 responses in African countries have not been well-studied. A qualitative multiple embedde…
What are effective strategies to respond to the psychological impacts of working on the frontlines of a public health emergency
Background: The COVID-19 pandemic has disrupted the healthcare and public health sectors. The impact of working on the frontlines as a healthcare or public health professional has been well documented. Healthcare organizations must support the psychological and mental health of those responding to future public health emergencies. Objective: This systematic review aims to identify effective interventions to support healthcare workers' mental heal…
Was priority setting included in the Canadian Covid-19 pandemic planning and preparedness? A comparative analysis of Covid-19 pandemic plans from eight provinces and three territories
“But…I survived”
Studies that assess the association between race and health have focused intently on the cumulative impact of continuous exposure to racism over an extended period. While these studies have contributed significantly to the general understanding of the life experiences and health status of racialized people, few studies have explicitly bridged the experiences of aging with gender and the wide structural barriers and social factors that have shaped…
Exploring economic and health interventions to support adolescents’ resilience and coping in mining communities
Economic resilience interventions for last mile youth include policy advocacy. • Health resilience interventions focus on sexual and reproductive health. • Effective interventions are multi-level, multi-sectoral, and multi-stakeholder. Economic and social disruptions, such as the global COVID-19 pandemic, heighten the vulnerability of adolescents. These disruptions exacerbate health and economic inequities which are further compounded in informal…
Narrative analysis of exclusion from social participation and loneliness among Black older adults in Ontario, Canada
Social participation is an effective way to reduce loneliness among older adults. However, little is known about Black older adults’ (BOAs’) poor participation in social programs. This study thus explores the varied factors that shape BOAs’ participation in social programs and services and how lack of social participation contributes to loneliness. 13 BOAs with mean age of 63.8 participated in this narrative study. Misrepresentation of BOAs in so…
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
Priority setting during the Covid-19 pandemic
Development of vaccines is a major breakthrough in the fight against the SARS-CoV-2 virus. Much attention has been paid to how to prioritise between patient groups for vaccination and how to ensure equity, especially in low-income countries, but there are other important decisions that need to be made. These decisions include: (a) choosing between the various vaccines that will become available, (b) continuing to invest in other aspects of the CO…
A framework to support the integration of priority setting in the preparedness, alert, control and evaluation stages of a disease pandemic
The COVID-19 pandemic, where the need-resource gap has necessitated decision makers in some contexts to ration access to life-saving interventions, has demonstrated the critical need for systematic and fair priority setting and resource allocation mechanisms. Disease outbreaks are becoming increasingly common and priority setting lessons from previous disease outbreaks could be better harnessed to inform decision making and planning for future di…
Methodological and Practical Considerations in Rapid Qualitative Research
Rapid qualitative research (RQR) studies are increasingly employed to inform decision-making in public health emergencies. Despite this trend, there remains a lack of clarity around what these studies actually involve in terms of methodological processes and practical considerations or challenges. Our team conducted a global RQR study during the COVID-19 pandemic. In this article, we provide a detailed account of our methodological processes and …
Applying priority-setting frameworks
Beyond cost-effectiveness, morbidity and mortality
The framework facilitated a more comprehensive evaluation of HIV priority setting. While there were successful areas, the process could be strengthened by minimizing undue influence of external actors, and support the legitimate institutions to set priorities and implement them. These should also institute mechanisms for publicizing the decisions, appeals and increased accountability. While this paper looked at HIV, the framework is flexible enou…
Fairness and accountability for reasonableness. Do the views of priority setting decision makers differ across health systems and levels of decision making
Methodological and Practical Considerations in Rapid Qualitative Research
Rapid qualitative research (RQR) studies are increasingly employed to inform decision-making in public health emergencies. Despite this trend, there remains a lack of clarity around what these studies actually involve in terms of methodological processes and practical considerations or challenges. Our team conducted a global RQR study during the COVID-19 pandemic. In this article, we provide a detailed account of our methodological processes and …
Narrative analysis of exclusion from social participation and loneliness among Black older adults in Ontario, Canada
Social participation is an effective way to reduce loneliness among older adults. However, little is known about Black older adults’ (BOAs’) poor participation in social programs. This study thus explores the varied factors that shape BOAs’ participation in social programs and services and how lack of social participation contributes to loneliness. 13 BOAs with mean age of 63.8 participated in this narrative study. Misrepresentation of BOAs in so…
Who is in and who is out? A qualitative analysis of stakeholder participation in priority setting for health in three districts in Uganda
Stakeholder participation is relevant in strengthening priority setting processes for health worldwide, since it allows for inclusion of alternative perspectives and values that can enhance the fairness, legitimacy and acceptability of decisions. Low-income countries operating within decentralized systems recognize the role played by sub-national administrative levels (such as districts) in healthcare priority setting. In Uganda, decentralization…
How effective has the essential health package been in improving priority setting in low income countries
Using burden of disease information for health planning in developing countries
Evidence-Based Participatory Research Approaches for Last Mile Adolescent Girls and Young Women
There is increased interest in methods to achieve meaningful inclusion of traditionally marginalized and last mile populations in research. Adolescent girls and young women (AGYW) working in the artisanal small-scale mining (ASM) are an extremely marginalized group who, in addition to being excluded from decision making processes, tend to be excluded from research- even when the research is about them. There is a paucity of literature on the meth…
Whose priorities count? Comparison of community‐identified health problems and Burden‐of‐Disease‐assessed health priorities in a district in Uganda
Objectives The aim of the study was to compare health problems as defined quantitatively by the Burden of Disease study to those defined by the community. The secondary aim was to explore the potential for using qualitative participatory methodologies as tools for planing and priority setting. Design Interviews and group discussions with a purposely sampled set of community members ( n =51) and community leaders ( n =6). The Nominal group techniq…
Public participation in health planning and priority setting at the district level in Uganda
OBJECTIVE: To explore the experiences of the public and leaders with participatory planning and priority setting in health, in a decentralized district in Uganda. METHODOLOGY: An exploratory qualitative approach, involving in-depth interviews with health planners at the national, district and community levels (n = 12), and five group discussions at community level with women (two groups), men, youths and adolescents (n = 51). The analysis adapted…
Using burden of disease information for health planning in developing countries
Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world
Setting Priorities in Global Child Health Research Investments
This article provides detailed guidelines for the implementation of systematic method for setting priorities in health research investments that was recently developed by Child Health and Nutrition Research Initiative (CHNRI). The target audience for the proposed method are international agencies, large research funding donors, and national governments and policy-makers. The process has the following steps: (i) selecting the managers of the proce…
Fairness and accountability for reasonableness. Do the views of priority setting decision makers differ across health systems and levels of decision making
The case for conducting first-in-human (phase 0 and phase 1) clinical trials in low and middle income countries
While FIH trials have historically not been conducted in LMICs, the situation in some of these countries has changed. Hence, we have argued that FIH should be conducted in LMICs for products meant primarily for conditions that are most prevalent in those contexts; provided the necessary protections for human subjects are sufficient
How effective has the essential health package been in improving priority setting in low income countries
‘ … They should understand why … ' The knowledge, attitudes and impact of the HIV criminalisation law on a sample of HIV+ women living in Ontario
Over 60 countries criminalise 'the "willful" transmission of HIV'. Such a law has the potential to hinder public health interventions. There is limited literature discussing the perceptions of this law and the impact, it has had on HIV-positive women. This paper describes the knowledge of and attitudes of this law by HIV-positive women living in Ontario; and their experiences with its application. Three group discussions (n = 10) and 17 in-depth …
How do development assistance partners conceptualise and prioritise evidence in Priority Setting (PS) for health programmes relevant to low income countries? A qualitative study
There is limited literature on how donors conceptualise and prioritise evidence in healthcare priority setting (PS) affecting low income countries (LICs). We interviewed 35 donors and reviewed their websites to describe how they conceptualise, prioritise and perceive the role evidence plays in their organisation’s healthcare prioritisation affecting LICs. There was a correlation between the respondents’ organisation and how they conceptualised an…
The unfunded priorities
BACKGROUND: The double burden of infectious diseases coupled with noncommunicable diseases poses unique challenges for priority setting and for achieving equitable action to address the major causes of disease burden in health systems already impacted by limited resources. Noncommunicable disease control is an important global health and development priority. However, there are challenges for translating this global priority into local priorities…
Priority setting for disease outbreaks in Uganda
Priority setting (PS) and resource allocation during health emergencies are key factors influencing an effective response. However, there is limited understanding of how priorities and resource allocation during disease outbreaks occur and the extent to which these processes are successful. This paper, based on 23 in-depth interviews with policy makers and a review of policy and emergency preparedness documents, used a PS evaluation framework to …
Beyond cost-effectiveness, morbidity and mortality
The framework facilitated a more comprehensive evaluation of HIV priority setting. While there were successful areas, the process could be strengthened by minimizing undue influence of external actors, and support the legitimate institutions to set priorities and implement them. These should also institute mechanisms for publicizing the decisions, appeals and increased accountability. While this paper looked at HIV, the framework is flexible enou…
Who is in and who is out? A qualitative analysis of stakeholder participation in priority setting for health in three districts in Uganda
Stakeholder participation is relevant in strengthening priority setting processes for health worldwide, since it allows for inclusion of alternative perspectives and values that can enhance the fairness, legitimacy and acceptability of decisions. Low-income countries operating within decentralized systems recognize the role played by sub-national administrative levels (such as districts) in healthcare priority setting. In Uganda, decentralization…
Applying priority-setting frameworks
Priority setting during the Covid-19 pandemic
Development of vaccines is a major breakthrough in the fight against the SARS-CoV-2 virus. Much attention has been paid to how to prioritise between patient groups for vaccination and how to ensure equity, especially in low-income countries, but there are other important decisions that need to be made. These decisions include: (a) choosing between the various vaccines that will become available, (b) continuing to invest in other aspects of the CO…
A framework to support the integration of priority setting in the preparedness, alert, control and evaluation stages of a disease pandemic
The COVID-19 pandemic, where the need-resource gap has necessitated decision makers in some contexts to ration access to life-saving interventions, has demonstrated the critical need for systematic and fair priority setting and resource allocation mechanisms. Disease outbreaks are becoming increasingly common and priority setting lessons from previous disease outbreaks could be better harnessed to inform decision making and planning for future di…
Methodological and Practical Considerations in Rapid Qualitative Research
Rapid qualitative research (RQR) studies are increasingly employed to inform decision-making in public health emergencies. Despite this trend, there remains a lack of clarity around what these studies actually involve in terms of methodological processes and practical considerations or challenges. Our team conducted a global RQR study during the COVID-19 pandemic. In this article, we provide a detailed account of our methodological processes and …
Priority setting and equity in Covid-19 pandemic plans
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such emergencies compete with routine programmes for the available health resources, strain health systems and shift health-care attention and resources towards containing the spread of the epidemic and treating those that fall seriously ill. This paper is part of a larger global study, the aim of which is to evaluate the degr…
What are effective strategies to respond to the psychological impacts of working on the frontlines of a public health emergency
Background: The COVID-19 pandemic has disrupted the healthcare and public health sectors. The impact of working on the frontlines as a healthcare or public health professional has been well documented. Healthcare organizations must support the psychological and mental health of those responding to future public health emergencies. Objective: This systematic review aims to identify effective interventions to support healthcare workers' mental heal…
Was priority setting included in the Canadian Covid-19 pandemic planning and preparedness? A comparative analysis of Covid-19 pandemic plans from eight provinces and three territories
“But…I survived”
Studies that assess the association between race and health have focused intently on the cumulative impact of continuous exposure to racism over an extended period. While these studies have contributed significantly to the general understanding of the life experiences and health status of racialized people, few studies have explicitly bridged the experiences of aging with gender and the wide structural barriers and social factors that have shaped…
Exploring economic and health interventions to support adolescents’ resilience and coping in mining communities
Economic resilience interventions for last mile youth include policy advocacy. • Health resilience interventions focus on sexual and reproductive health. • Effective interventions are multi-level, multi-sectoral, and multi-stakeholder. Economic and social disruptions, such as the global COVID-19 pandemic, heighten the vulnerability of adolescents. These disruptions exacerbate health and economic inequities which are further compounded in informal…
Narrative analysis of exclusion from social participation and loneliness among Black older adults in Ontario, Canada
Social participation is an effective way to reduce loneliness among older adults. However, little is known about Black older adults’ (BOAs’) poor participation in social programs. This study thus explores the varied factors that shape BOAs’ participation in social programs and services and how lack of social participation contributes to loneliness. 13 BOAs with mean age of 63.8 participated in this narrative study. Misrepresentation of BOAs in so…
Stakeholder Perspectives of Experiential Education in Tertiary Institutions and Learning From Covid-19
Background Many universities in Canada offer experiential education (EE) opportunities for students that are both field-based and on-campus. Despite a commitment to EE, there is a paucity of information about various stakeholder perspectives of EE and the equity implications of the different approaches to EE. Furthermore, it is unclear how EE programs at universities changed in response to the COVID-19 pandemic and related restrictions. Purpose T…
Medicine (31 obras) · Political science (28 obras) · Health Systems, Economic Evaluations, Quality of Life (18 obras) · Business (16 obras) · Economic growth (16 obras) · Economics (16 obras) · Environmental health (14 obras) · Sociology (14 obras) · Global Maternal and Child Health (13 obras) · Nursing (13 obras)