Steven Gimbel
Datos Biográficos
| ID | 1201428 |
|---|---|
| NOMBRE | Steven Gimbel |
| NOMBRES | Steven |
| APELLIDO | Gimbel |
| FIRMA | GIMBEL S |
| AFILIACIONES | University of Washington |
| ORCID | 0000-0003-3330-1208 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAS | 17 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
Organisational factors associated with implementing action plans informed by routine health information system data in Mozambique
INTRODUCTION: Routine health information system (RHIS) data use remains limited in many low- and middle-income countries, with little evidence on factors that promote or hinder its use for improving health facility performance. This study examined patterns of translating RHIS data into action and explored organisational factors associated with successful implementation. METHODS: Data come from a sample of 36 facilities in Mozambique that particip…
Barriers and facilitators to implementing a single-visit, screen-and-treat approach with thermal ablation for cervical cancer prevention in Kenya
Cervical cancer continues to be a major global threat to women's health, with approximately 660,000 women diagnosed annually, 94% of whom are in low- and middle-income countries (LMICs). The high disease burden in LMICs is partly due to suboptimal adoption and widespread implementation of effective preventive interventions. This study explored drivers of implementation success and failure for a future single-visit, screen, and treat approach with…
Examining and classifying reasons for missing viral loads among adults living with HIV
Gaps in HIV RNA monitoring persist globally impeding the ability to determine clinical progress and outcomes. This study systematically evaluated provider (e.g., guideline non-adherence), system (e.g., laboratory error) and participant-level (e.g., refusal) drivers of missed viral load (VL) monitoring measurements among people with HIV in Kenya. Adults aged 18–65 years were followed across five health facilities in Kenya as part of a clinical tri…
Can audit and feedback improve health service readiness and delivery outcomes in a low-resource setting? Effectiveness results of the Ideas strategy from central Mozambique
Limited evidence exists on audit and feedback(A&F) in low-resource contexts. We tested the Integrated District Evidence-to-Action (IDEAs), a multicomponent A&F strategy in Mozambique’s maternal and child health (MCH) services. IDEAs include A&F meetings, readiness assessments, and facility support. We report the effectiveness results. IDEAs were implemented in 2016–2020 across two provinces, 12 districts, and 154 primary health facilities in Moza…
Optimizing healthcare for blood donors at risk of transfusion-transmissible infections
In the Peruvian Amazon, a significant proportion of replacement blood donors test reactive for HIV, HTLV-1/2, and other transfusion-transmissible infections but often receive no subsequent care. Optimizing healthcare for these individuals can mitigate adverse outcomes by enabling early diagnosis and management. Effective coordination between Blood Bank and Infectious Diseases services is essential to provide comprehensive care. To address this ch…
Determinants of translating routine health information system data into action in Mozambique
INTRODUCTION: Routine health information systems (RHISs) are an essential source of data to inform decisions and actions around health facility performance, but RHIS data use is often limited in low and middle-income country contexts. Determinants that influence RHIS data-informed decisions and actions are not well understood, and few studies have explored the relationship between RHIS data-informed decisions and actions. METHODS: This qualitativ…
Joke synonymy sensitivity among working comedians and the General Theory of Verbal Humor
Ruch et al. (1993. Toward an empirical verification of the general theory of verbal humor. Humor 6(2). 123–36.) found that ordinary college students perceived joke similarity in a pattern that largely but not completely matched the pattern predicted by the General Theory of Verbal Humor (GTVH, Attardo and Raskin. 1991. Script theory revis(it)ed: joke similarity and joke representation model. Humor 4(3–4). 293–47.). Stand-up comedians must not onl…
Personal Memories of the Early Analytic Philosophers
Inconsistent, Vague, and…Just? An Analysis of the National Football League’s 2021 Covid-19 Policy
The National Football League, the premier professional organization for American football, developed a policy concerning the protocol in cases where players contract COVID-19. This policy includes elements such as collective punishment that appear, at first glance, to be morally problematic. To the contrary, the policy is indeed morally acceptable as we should not think of organizations such as the NFL in the same way we think of governments in s…
Evaluation of Women's Empowerment in a Community-Based Human Papillomavirus Self-Sampling Social Entrepreneurship Program (Hope Project) in Peru
Introduction Understanding community women's relational and financial empowerment in social entrepreneurship could be the key to scaling up community-based human papillomavirus (HPV) self-sampling programs in low- and middle-income countries. The Hope Project, social entrepreneurship in Peru, trains women (Hope Ladies) to promote HPV self-sampling among other women in their communities. This study aims to evaluate the Hope Ladies' relational and …
The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique
In 2019, 93% of road traffic injury related mortality occurred in low- and middle-income countries, an estimated burden of 1.3 million deaths. This problem is growing; by 2030 road traffic injury will the seventh leading cause of death globally. This study both explores factors associated with RTIs in the central region of Mozambique, as well as pinpoints geographical “hotspots” of RTI incidence. A cross-sectional, population-level survey was car…
Personal Memories of the Early Analytic Philosophers
On the Fringe
“I Said Something Wrong”
Danny Boyle's film Yesterday (2019) is a contemporary morality play in which the main character, Jack Malik, a failing singer-songwriter, is magically sent to a different possible world in which the Beatles never existed. Possessing his memory of the Beatles’ catalogue in the new possible world, he is now in sole possession of an extremely valuable artifact. Recording and performing the songs of the Beatles and passing them off as his own, he bec…
Global health systems partnerships
While there is room for improvement on the country ownership aspects of the partnership, the expanded, diverse and inclusive collaboration of institutions and organizations that implemented the Mozambique HPV vaccine demonstration project was effective and efficient. We recommend that the country adapt a similar model during national scale up of HPV vaccination
The prevalence of hypertension and its distribution by sociodemographic factors in Central Mozambique
Background Hypertension (HTN) is a major risk factor for cardiovascular diseases, and its prevalence has been rising in low- and middle-income countries. The current study describes HTN prevalence in central Mozambique, association between wealth and blood pressure (BP), and HTN monitoring and diagnosis practice among individuals with elevated BP. Methods The study used data from a cross-sectional, representative household survey conducted in Man…
How to evaluate the implementation of complex health programmes in low-income settings
Vaccination, like most other public health services, relies on a complex package of intervention components, functioning systems and committed actors to achieve universal coverage. Despite significant investment in immunization programmes, national coverage trends have slowed and equity gaps have grown. This paper describes the design and implementation of the Gavi Full Country Evaluations, a multi-country, prospective, mixed-methods approach who…
Counseling for improving adherence to antiretroviral treatment
Implementation strategy and cost of Mozambique’s HPV vaccine demonstration project
National adaptation and scale-up of Mozambique's school-based HPV vaccine strategy may result in substantial costs depending on dosing. For sustainability, stakeholders will need to negotiate vaccine price and achieve higher efficiency in startup activities and demand creation
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
Austerity and the "sector-wide approach" to health
Wait and consult times for primary healthcare services in central Mozambique
BACKGROUND: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. DESIGN: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. RESULTS: Mean wait…
The experience of Chinese physicians in the national health diplomacy programme deployed to Sudan
Chinese Medical Teams have been working in developing countries since 1963 as a health diplomacy strategy. In 2010, 1252 Chinese medical personnel were assigned to 48 countries. We conducted a review of Chinese literature and governmental websites to describe the history and current distribution of Chinese Medical Teams around the world. In addition, we interviewed members of a 36-member Chinese Medical Team deployed to Sudan (primarily about the…
The excellent health of Einstein studies
When physics challenges philosophy to a dual
Austerity and the "sector-wide approach" to health
A tautology is a tautology (or is it)
How to evaluate the implementation of complex health programmes in low-income settings
Vaccination, like most other public health services, relies on a complex package of intervention components, functioning systems and committed actors to achieve universal coverage. Despite significant investment in immunization programmes, national coverage trends have slowed and equity gaps have grown. This paper describes the design and implementation of the Gavi Full Country Evaluations, a multi-country, prospective, mixed-methods approach who…
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
Restoring Ambiguity to Achinstein's Account of Evidence
In The Book of Evidence, Peter Achinstein argues against the long-standing claim that ‘evidence’ is ambiguous in possessing a sense of confirming evidence and a sense of supporting evidence. He argues that explications of supporting evidence will necessarily violate his contentions that evidence is a discontinuous ‘threshold concept’ and that any philosophical account of supporting evidence will be too weak to be useful to working scientists. But…
An Intervening Cause Counterexample to Railton's DNP Model of Explanation
Peter Railton (1978) has introduced the influential deductive-nomological-probabilistic (DNP) model of explanation which is the culmination of a tradition of formal, non-pragmatic accounts of scientific explanation. The other models in this tradition have been shown to be susceptible to a class of counterexamples involving intervening causes which speak against their sufficiency. This treatment has never been extended to the DNP model; we contend…
Deep tautologies
The standard understanding of tautologies is that they are semantically vacuous. Yet tautological utterances occur frequently in conversational discourse. One approach contends that apparent tautological statements are either genuinely tautologous and thereby semantically vacuous or are what we term “pseudo-tautologies”, i.e., sentences that only bear a formal syntactic resemblance to tautologies but are not in fact tautologous. Another approach …
Un-conventional wisdom
The greening of white pride
At first glance, it is surprising that contemporary racist organizations like the Ku Klux Klan advertise a pro‐environmental stance. This fact, however, might be expected by Luc Ferry, who argues for a connection between the racism and nature protection laws of the Third Reich. Ferry argues that a non‐anthropocentric approach to nature makes it easier to dehumanize humans so that a non‐anthropocentric environmental ethic can transform into racist…
Restoring Ambiguity to Achinstein's Account of Evidence
In The Book of Evidence, Peter Achinstein argues against the long-standing claim that ‘evidence’ is ambiguous in possessing a sense of confirming evidence and a sense of supporting evidence. He argues that explications of supporting evidence will necessarily violate his contentions that evidence is a discontinuous ‘threshold concept’ and that any philosophical account of supporting evidence will be too weak to be useful to working scientists. But…
A tautology is a tautology (or is it)
The experience of Chinese physicians in the national health diplomacy programme deployed to Sudan
Chinese Medical Teams have been working in developing countries since 1963 as a health diplomacy strategy. In 2010, 1252 Chinese medical personnel were assigned to 48 countries. We conducted a review of Chinese literature and governmental websites to describe the history and current distribution of Chinese Medical Teams around the world. In addition, we interviewed members of a 36-member Chinese Medical Team deployed to Sudan (primarily about the…
Wait and consult times for primary healthcare services in central Mozambique
BACKGROUND: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. DESIGN: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. RESULTS: Mean wait…
Austerity and the "sector-wide approach" to health
Donor data vacuuming
In this essay, we seek to understand how the stunning rise of data vacuuming, necessitated by the pretense of 'partnership' within global health, has fundamentally altered how routine health data in poor countries is collected, analyzed, prioritized, and used to inform management and policy. Writing as a team of authors with experiences on multiple sides of global health partnerships in the United States, Mozambique, Nepal, Lesotho, Kenya, and Co…
Counseling for improving adherence to antiretroviral treatment
Implementation strategy and cost of Mozambique’s HPV vaccine demonstration project
National adaptation and scale-up of Mozambique's school-based HPV vaccine strategy may result in substantial costs depending on dosing. For sustainability, stakeholders will need to negotiate vaccine price and achieve higher efficiency in startup activities and demand creation
Global health systems partnerships
While there is room for improvement on the country ownership aspects of the partnership, the expanded, diverse and inclusive collaboration of institutions and organizations that implemented the Mozambique HPV vaccine demonstration project was effective and efficient. We recommend that the country adapt a similar model during national scale up of HPV vaccination
The prevalence of hypertension and its distribution by sociodemographic factors in Central Mozambique
Background Hypertension (HTN) is a major risk factor for cardiovascular diseases, and its prevalence has been rising in low- and middle-income countries. The current study describes HTN prevalence in central Mozambique, association between wealth and blood pressure (BP), and HTN monitoring and diagnosis practice among individuals with elevated BP. Methods The study used data from a cross-sectional, representative household survey conducted in Man…
How to evaluate the implementation of complex health programmes in low-income settings
Vaccination, like most other public health services, relies on a complex package of intervention components, functioning systems and committed actors to achieve universal coverage. Despite significant investment in immunization programmes, national coverage trends have slowed and equity gaps have grown. This paper describes the design and implementation of the Gavi Full Country Evaluations, a multi-country, prospective, mixed-methods approach who…
“I Said Something Wrong”
Danny Boyle's film Yesterday (2019) is a contemporary morality play in which the main character, Jack Malik, a failing singer-songwriter, is magically sent to a different possible world in which the Beatles never existed. Possessing his memory of the Beatles’ catalogue in the new possible world, he is now in sole possession of an extremely valuable artifact. Recording and performing the songs of the Beatles and passing them off as his own, he bec…
Personal Memories of the Early Analytic Philosophers
Inconsistent, Vague, and…Just? An Analysis of the National Football League’s 2021 Covid-19 Policy
The National Football League, the premier professional organization for American football, developed a policy concerning the protocol in cases where players contract COVID-19. This policy includes elements such as collective punishment that appear, at first glance, to be morally problematic. To the contrary, the policy is indeed morally acceptable as we should not think of organizations such as the NFL in the same way we think of governments in s…
Evaluation of Women's Empowerment in a Community-Based Human Papillomavirus Self-Sampling Social Entrepreneurship Program (Hope Project) in Peru
Introduction Understanding community women's relational and financial empowerment in social entrepreneurship could be the key to scaling up community-based human papillomavirus (HPV) self-sampling programs in low- and middle-income countries. The Hope Project, social entrepreneurship in Peru, trains women (Hope Ladies) to promote HPV self-sampling among other women in their communities. This study aims to evaluate the Hope Ladies' relational and …
The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique
In 2019, 93% of road traffic injury related mortality occurred in low- and middle-income countries, an estimated burden of 1.3 million deaths. This problem is growing; by 2030 road traffic injury will the seventh leading cause of death globally. This study both explores factors associated with RTIs in the central region of Mozambique, as well as pinpoints geographical “hotspots” of RTI incidence. A cross-sectional, population-level survey was car…
Personal Memories of the Early Analytic Philosophers
On the Fringe
Determinants of translating routine health information system data into action in Mozambique
INTRODUCTION: Routine health information systems (RHISs) are an essential source of data to inform decisions and actions around health facility performance, but RHIS data use is often limited in low and middle-income country contexts. Determinants that influence RHIS data-informed decisions and actions are not well understood, and few studies have explored the relationship between RHIS data-informed decisions and actions. METHODS: This qualitativ…
The excellent health of Einstein studies
When physics challenges philosophy to a dual
Medicine (13 obras) · Global Maternal and Child Health (10 obras) · Political science (10 obras) · Philosophy (9 obras) · Business (8 obras) · Environmental health (7 obras) · Epistemology (7 obras) · Nursing (7 obras) · Population (7 obras) · Economics (6 obras)