Catherine Kyobutungi
Biographic Data
| ID | 3562576 |
|---|---|
| NAME | Catherine Kyobutungi |
| GIVEN NAMES | Catherine |
| FAMILY NAME | Kyobutungi |
| SIGNATURE | KYOBUTUNGI C |
| AFFILIATIONS | African Population and Health Research Center |
| ORCID | 0000-0002-5344-5631 |
| VERIFIED | Yes |
| TOTAL WORKS | 81 |
| TOTAL CITATIONS | 40 |
| AUTHOR COUNT | 76 |
| EDITOR COUNT | 5 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Water against stone
Visa restrictions
Trends in demographic and health survey publications based on a bibliometric analysis
Background The Demographic and Health Surveys (DHS) Program, launched in 1984, provides high-quality population health data that underpins a vast body of global health research. However, the scale and growth patterns of DHS-based publications remain underexplored, particularly as donor funding uncertainties threaten program sustainability.Objective We examine temporal trends in DHS-based research output from 1984 to 2025, quantifying growth patte…
Recovery and long-term health outcomes of Sars-CoV-2 infection in a prospective cohort in an urban setting, Kenya
Background Evidence on long COVID remains limited in sub-Saharan countries.Objective This study explored the occurrence of COVID-19-related symptoms and factors affecting recovery and long COVID severity in Nairobi, Kenya.Methods A prospective cohort of individuals testing positive for SARS-CoV-2 between February 2022 and February 2023 was followed until June 2023. COVID-19-related symptoms were assessed every three months. Time to recovery was a…
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Navigating time equity
Since the start of the COVID-19 pandemic, there have been a surge in calls for equity to protect the world from future crises. Calls have emphasized equitable distribution of vaccines, a fair access and benefit sharing (ABS) system, and health systems strengthening, all leading to negotiation of a Pandemic Treaty
Strengthening diagnostic capacity in Africa as a key pillar of public health and pandemic preparedness
All hands on deck
Between 2000 and 2015, great progress was made to drive down malaria, with incidence and mortality rates from the disease falling by 27% and 50% respectively [1]. This was a result of effective programming and the increased global attention and funding for the disease. However, since 2015 the mortality rate has fallen by less than 2% and the funding gap has continued to widen from US$ 2.6 billion in 2019 to US$ 3.8 billion in 2021 [1]. The COVID-…
From vaccine to visa apartheid, how anti-Blackness persists in global health
What do history and fighting with your brother or sister have in common? Conflict. Looking at the history of national interactions over the centuries, we see a recurrence of conflicts frequently leading to wars that cost dearly in terms of lives, property, the environment, and the well-being of society. Although conflicts are an unavoidable part of personal and national life, we can learn how to deal with them constructively and non-violently. Th…
Editors as allies
The mission of PLOS Global Public Health is to address deeply entrenched inequities in global health and make impactful research visible and accessible to health professionals, policymakers, and local communities. We are committed to amplifying the voices of underrepresented and historically excluded communities and are deliberate and intentional about equity, diversity, and inclusion at all levels-editors, editorial boards, peer reviewers and au…
Global health and the elite capture of decolonization
Global Health is experiencing a moment of reckoning over the field’s legacy and current structuring in a world facing multiple, intersecting challenges to health. While “decolonization” has emerged as the dominant frame to imagine change in the field, what the concept refers to and entails has become increasingly unclear. Despite warnings, the concept is now being used by elite Global North institutions and organization to imagine their reformati…
How we classify countries and people—and why it matters
Telling our own story in global health–experience from Nigeria
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019
BACKGROUND: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. METHODS: We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blo…
Analysis of OpenStreetMap Data Quality at Different Stages of a Participatory Mapping Process
This paper examines OpenStreetMap data quality at different stages of a participatory mapping process in seven slums in Africa and Asia. Data were drawn from an OpenStreetMap-based participatory mapping process developed as part of a research project focusing on understanding inequalities in healthcare access of slum residents in the Global South. Descriptive statistics and qualitative analysis were employed to examine the following research ques…
PLOS Global Public Health, charting a new path towards equity, diversity and inclusion in global health
Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories
BACKGROUND: Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. METHODS: For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease …
Impact of the societal response to Covid-19 on access to healthcare for non-Covid-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan
INTRODUCTION: With COVID-19, there is urgency for policymakers to understand and respond to the health needs of slum communities. Lockdowns for pandemic control have health, social and economic consequences. We consider access to healthcare before and during COVID-19 with those working and living in slum communities. METHODS: In seven slums in Bangladesh, Kenya, Nigeria and Pakistan, we explored stakeholder perspectives and experiences of healthc…
Measurement and accountability for maternal, newborn and child health
At the onset of the Sustainable Development Goals, in 2015, a group of global health experts delivered a call to action for an improved measurement system for women's and children's health. Five principles were defined, including having a focused set of core indicators, making data relevant to countries, investing in innovations, embedding equity measures and supportive global leadership. Five years later, in 2020, a second meeting reviewed progr…
Enhancing science preparedness for health emergencies in Africa through research capacity building
Editorial (no available abstract)
Need for an Integrated Deprived Area "Slum" Mapping System (Ideamaps) in Low- and Middle-Income Countries (LMICs)
Ninety percent of the people added to the planet over the next 30 years will live in African and Asian cities, and a large portion of these populations will reside in deprived neighborhoods defined by slum conditions, informal settlement, or inadequate housing. The four current approaches to neighborhood deprivation mapping are largely siloed, and each fall short of producing accurate, timely, and comparable maps that reflect local contexts. The …
Rising rural body-mass index is the main driver of the global obesity epidemic in adults
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3–6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean B…
Magnitude and predictors of normal-weight central obesity– the AWI-Gen study findings
Background: Normal-weight central obesity is associated with higher mortality than general obesity as defined by body mass index, particularly in the absence of central fat distribution.Objective: The aim of this study was to examine the magnitude and predictors of normal-weight central obesity in an urban informal settlement setting in Kenya.Methods: We used data from the AWI-Gen study, a cross-sectional survey targeting randomly selected consen…
Gender responsive multidisciplinary doctoral training program
Doctoral training has increasingly become the requirement for faculty in institutions of higher learning in Africa. Africa, however, still lacks sufficient capacity to conduct research, with just 1.4% of all published research authored by African researchers. Similarly, women in Sub-Saharan Africa only constitute 30% of the continent's researchers, and correspondingly publish little research. Challenging these gendered inequities requires a gende…
A comparison of all-cause and cause-specific mortality by household socioeconomic status across seven INDEPTH network health and demographic surveillance systems in sub-Saharan Africa
BACKGROUND: Understanding socioeconomic disparities in all-cause and cause-specific mortality can help inform prevention and treatment strategies. OBJECTIVES: To quantify cause-specific mortality rates by socioeconomic status across seven health and demographic surveillance systems (HDSS) in five countries (Ethiopia, Kenya, Malawi, Mozambique, and Nigeria) in the INDEPTH Network in sub-Saharan Africa. METHODS: We linked demographic residence data…
Need for an Integrated Deprived Area "Slum" Mapping System (Ideamaps) in Low- and Middle-Income Countries (LMICs)
Ninety percent of the people added to the planet over the next 30 years will live in African and Asian cities, and a large portion of these populations will reside in deprived neighborhoods defined by slum conditions, informal settlement, or inadequate housing. The four current approaches to neighborhood deprivation mapping are largely siloed, and each fall short of producing accurate, timely, and comparable maps that reflect local contexts. The …
Vulnerability to Food Insecurity in Urban Slums
Food and nutrition security is critical for economic development due to the role of nutrition in healthy growth and human capital development. Slum residents, already grossly affected by chronic poverty, are highly vulnerable to different forms of shocks, including those arising from political instability. This study describes the food security situation among slum residents in Nairobi, with specific focus on vulnerability associated with the 200…
Increase in facility-based deliveries associated with a maternal health voucher programme in informal settlements in Nairobi, Kenya
OBJECTIVE: To measure whether there was an association between the introduction of an output-based voucher programme and the odds of a facility-based delivery in two Nairobi informal settlements. DATA SOURCES: Nairobi Urban Health and Demographic Surveillance System (NUHDSS) and two cross-sectional household surveys in Korogocho and Viwandani informal settlements in 2004-05 and 2006-08. METHODS: Odds of facility-based delivery were estimated befo…
Fatal Injuries in the Slums of Nairobi and their Risk Factors
Injuries contribute significantly to the rising morbidity and mortality attributable to non-communicable diseases in the developing world. Unfortunately, active injury surveillance is lacking in many developing countries, including Kenya. This study aims to describe and identify causes of and risk factors for fatal injuries in two slums in Nairobi city using a demographic surveillance system framework. The causes of death are determined using ver…
Trends in Causes of Adult Deaths among the Urban Poor
Does Socioeconomic Inequality in Health Persist among Older People Living in Resource-Poor Urban Slums
Using self-reported health that assesses functionality or disability status, this paper investigates whether there are any differences in health status among older people living in a deprived area of Nairobi, Kenya. Data from a cross-sectional survey of 2,037 men and women aged 50 years and older are used to examine the association between socioeconomic position and self-reported health status across 6 health domains. Education, occupation, a wea…
All-cause and Cardiovascular mortality among ethnic German immigrants from the Former Soviet Union
In contrast to our hypothesis on migrants' health, overall and CVD mortality among Aussiedler is lower than in Germany's general population. Possible explanations are a substantially better health status of Aussiedler in the FSU as compared to the local average, a higher perceived socio-economic status of Aussiedler in Germany, or selection effects. SMR differences between substrata need further exploration, and risk factor data are needed
The burden of disease profile of residents of Nairobi's slums
BACKGROUND: With increasing urbanization in sub-Saharan Africa and poor economic performance, the growth of slums is unavoidable. About 71% of urban residents in Kenya live in slums. Slums are characteristically unplanned, underserved by social services, and their residents are largely underemployed and poor. Recent research shows that the urban poor fare worse than their rural counterparts on most health indicators, yet much about the health of …
Local scale prediction of Plasmodium falciparum malaria transmission in an endemic region using temperature and rainfall
BACKGROUND: To support malaria control strategies, prior knowledge of disease risk is necessary. Developing a model to explain the transmission of malaria, in endemic and epidemic regions, is of high priority in developing health system interventions. We develop, fit and validate a non-spatial dynamic model driven by meteorological conditions that can capture seasonal malaria transmission dynamics at the village level in a malaria holoendemic are…
HIV/Aids and the health of older people in the slums of Nairobi, Kenya
Poor health outcomes among older people affected by HIV/AIDS highlight the need for policies that target them in the fight against HIV/AIDS if they are to play their envisaged care giving and other traditional roles
Health inequalities among older men and women in Africa and Asia
BACKGROUND: Declining rates of fertility and mortality are driving demographic transition in all regions of the world, leading to global population ageing and consequently changing patterns of global morbidity and mortality. Understanding sex-related health differences, recognising groups at risk of poor health and identifying determinants of poor health are therefore very important for both improving health trajectories and planning for the heal…
The health and well-being of older people in Nairobi's slums
BACKGROUND: Globally, it is estimated that people aged 60 and over constitute more than 11% of the population, with the corresponding proportion in developing countries being 8%. Rapid urbanisation in sub-Saharan Africa (SSA), fuelled in part by rural-urban migration and a devastating HIV/AIDS epidemic, has altered the status of older people in many SSA societies. Few studies have, however, looked at the health of older people in SSA. This study …
Ageing and adult health status in eight lower-income countries
BACKGROUND: Globally, ageing impacts all countries, with a majority of older persons residing in lower- and middle-income countries now and into the future. An understanding of the health and well-being of these ageing populations is important for policy and planning; however, research on ageing and adult health that informs policy predominantly comes from higher-income countries. A collaboration between the WHO Study on global AGEing and adult h…
Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya
The study indicates poor adherence to WHO recommendations for breastfeeding and infant feeding practices. Interventions and further research should pay attention to factors such as cultural practices, access to and utilization of health care facilities, child feeding education, and family planning
Fatal Injuries in the Slums of Nairobi and their Risk Factors
Injuries contribute significantly to the rising morbidity and mortality attributable to non-communicable diseases in the developing world. Unfortunately, active injury surveillance is lacking in many developing countries, including Kenya. This study aims to describe and identify causes of and risk factors for fatal injuries in two slums in Nairobi city using a demographic surveillance system framework. The causes of death are determined using ver…
Does Socioeconomic Inequality in Health Persist among Older People Living in Resource-Poor Urban Slums
Using self-reported health that assesses functionality or disability status, this paper investigates whether there are any differences in health status among older people living in a deprived area of Nairobi, Kenya. Data from a cross-sectional survey of 2,037 men and women aged 50 years and older are used to examine the association between socioeconomic position and self-reported health status across 6 health domains. Education, occupation, a wea…
SP4-20 Influence of socio-cultural practices on HIV infection in two Nairobi slums; a cross-sectional study
Background HIV/AIDS is the leading cause of death in Africa accounting for more than 20% of all deaths. Major concerns have been expressed regarding the continued rise of HIV infections among specific cultural groupings. Objective To describe the association between socio-cultural practices (circumcision and pubic hair removal) and HIV infection risk in informal urban settlements. Methods Data were collected from the Nairobi Urban Health and Demo…
P2-149 Behavioural risk factors for CVD among adult slum dwellers in Nairobi
Introduction About 80% of deaths from non-communicable diseases (NCD) occur in developing countries and behavioural risk factors that underlie the burden of major NCD are on the rise in SSA. However, most research and development work has focused on communicable diseases such as malaria and HIV/AIDS while neglecting NCD. This study aims to contribute to the state of knowledge on the prevalence of modifiable risk factors for NCD specifically cardi…
P2-232 Cardiovascular disease conditions
Introduction The burden of Non-communicable diseases, including cardiovascular diseases (CVD), and their risk factors are rising in Sub Saharan Africa. In Kenya, prevalence of overweight and obesity among reproductive-age females almost doubled over a fifteen-year period (13%–23%) between 1993 and 2008. This may be attributable to rapid urbanisation and unhealthy lifestyles. Little is known about prevalence and awareness levels of CVD in Sub Saha…
P2-432 Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi, Kenya
Introduction Little evidence exists on breastfeeding and infant feeding practices in urban slums in sub-Saharan Africa. Our aim was to assess breastfeeding and infant feeding practices in Nairobi slums with reference to WHO recommendations. Methods Data from a longitudinal study conducted in two Nairobi slums are used. The study involves 4299 children aged 0–42 months, born between September 2006 and January 2010, for the period they were infants…
Data Resource Profile
Population ageing is rapidly becoming a global issue and will have a major impact on health policies and programmes. The World Health Organization's Study on global AGEing and adult health (SAGE) aims to address the gap in reliable data and scientific knowledge on ageing and health in low- and middle-income countries. SAGE is a longitudinal study with nationally representative samples of persons aged 50+ years in China, Ghana, India, Mexico, Russ…
Time-series analysis of weather and mortality patterns in Nairobi's informal settlements
BACKGROUND: Many studies have established a link between weather (primarily temperature) and daily mortality in developed countries. However, little is known about this relationship in urban populations in sub-Saharan Africa. OBJECTIVES: The objective of this study was to describe the relationship between daily weather and mortality in Nairobi, Kenya, and to evaluate this relationship with regard to cause of death, age, and sex. METHODS: We utili…
Correlates of HIV-status awareness among adults in Nairobi slum areas
The prevalence of HIV in the adult population in slum areas in Nairobi, Kenya, is higher than for residents in the city as a whole. This disparity suggests that the characteristics of slum areas may adversely influence the HIV-prevention strategies directed at reducing the national prevalence of HIV. The objective of the study was to identify some of the sociodemographic and behavioural correlates of HIV-status awareness among the adult populatio…
Inequalities in non-communicable diseases and effective responses
Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach
INTRODUCTION: Cardiovascular disease (CVD) is a leading cause of death in sub-Saharan Africa (SSA), with annual deaths expected to increase to 2 million by 2030. Currently, most national health systems in SSA are not adequately prepared for this epidemic. This is especially so in slum settlements where access to formal healthcare and resources is limited. OBJECTIVE: To develop and introduce a model of cardiovascular prevention in the slums of Nai…
InterVA versus Spectrum
BACKGROUND: The Spectrum computer package is used to generate national AIDS mortality estimates in settings where vital registration systems are lacking. Similarly, InterVA-4 (the latest version of the InterVA programme) is used to estimate cause-of-mortality data in countries where cause-specific mortality data are not available. OBJECTIVE: This study aims to compare trends in adult AIDS-related mortality estimated by Spectrum with trends from t…
Community Perceptions of Air Pollution and Related Health Risks in Nairobi Slums
Air pollution is among the leading global risks for mortality and responsible for increasing risk for chronic diseases. Community perceptions on exposure are critical in determining people's response and acceptance of related policies. Therefore, understanding people' perception is critical in informing the design of appropriate intervention measures. The aim of this paper was to establish levels and associations between perceived pollution and h…
HIV mortality in urban slums of Nairobi, Kenya 2003–2010
Population-level HIV mortality in Nairobi's slums was significantly lower in the approximate period coinciding with the scale-up of ART provision in Kenya. However, further studies that incorporate ART coverage data in mortality estimates are needed. Such information will enhance our understanding of the full impact of ART scale-up in reducing adult mortality among marginalized slum populations in Kenya
Increase in facility-based deliveries associated with a maternal health voucher programme in informal settlements in Nairobi, Kenya
OBJECTIVE: To measure whether there was an association between the introduction of an output-based voucher programme and the odds of a facility-based delivery in two Nairobi informal settlements. DATA SOURCES: Nairobi Urban Health and Demographic Surveillance System (NUHDSS) and two cross-sectional household surveys in Korogocho and Viwandani informal settlements in 2004-05 and 2006-08. METHODS: Odds of facility-based delivery were estimated befo…
HIV/Aids-related mortality in Africa and Asia
BACKGROUND: As the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to assess the mortality burden of the pandemic from individual data. OBJECTIVE: To present standardised comparisons of HIV/AIDS-related m…
Adult non-communicable disease mortality in Africa and Asia
BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among muc…
Medicine (73 works) · Environmental health (60 works) · Population (44 works) · Public health (39 works) · Demography (37 works) · Geography (26 works) · Global Public Health Policies and Epidemiology (20 works) · Economic growth (19 works) · Gerontology (19 works) · Global Maternal and Child Health (19 works)