Choolwe Jacobs
Dados Biográficos
| ID | 3583519 |
|---|---|
| NOME | Choolwe Jacobs |
| PRENOMES | Choolwe |
| SOBRENOME | Jacobs |
| ASSINATURA | JACOBS C |
| AFILIAÇÕES | University of Zambia |
| ORCID | 0000-0002-7741-1962 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Appropriateness of digital vending machines and mobile phone applications in increasing access to HIV testing among adolescents and young people aged 18–24 in an urban community in Zambia
Antenatal care utilization and low birth weight in Zambia
Low birth weight (LBW) poses a formidable threat to child survival and development in sub-Saharan Africa. Although antenatal care (ANC) is the standard clinical channel for delivering maternal and fetal health interventions, the extent to which increased ANC visits lower the likelihood of LBW in Zambia is not fully known. This study evaluated the relationship between ANC attendance frequency and LBW using nationally representative data. A cross-s…
Determinants of disability three months after hospital discharge among patients with road traffic injuries at the university teaching hospital
The global community faces a significant disability burden from road traffic injuries (RTIs). This study investigated factors associated with disability three months after hospital discharge among patients with RTIs at the University Teaching Hospital, Lusaka, Zambia. We analysed secondary data from a prospective observational study, conducted between October 2021 and April 2022, of adults aged ≥ 18 with moderate-to-severe RTIs. Patients were con…
Silent struggles
Primary dysmenorrhea is a common gynecological disorder among females of reproductive age characterized by painful menstrual cramps without any underlying conditions; however, this condition is under-recognised in clinical and educational settings. Primary dysmenorrhea significantly impacts quality of life and thus affects the daily activities, academic performance and overall wellbeing of affected individuals. In Zambia, particularly in Lusaka D…
Exploring the perceived impact and influence of women leaders across sub-Saharan Africa on health policy and gender equity
INTRODUCTION: Women make up a significant portion of the global health workforce but are under-represented in leadership roles. In sub-Saharan Africa (SSA), 70% of the health workforce is women, yet only 38% hold leadership positions in health ministries. This gap can lead to gender biases in health research and policymaking, perpetuating systemic gender biases. Despite these barriers, women leaders are making an impact globally. However, evidenc…
Levels and determinants of person-centred maternity care among women living in urban informal settlements
BACKGROUND: Sub-Saharan Africa's rapid urbanisation has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measures levels of person-centred maternity care (PCMC) and identifies determinants of PCMC among women living in urban informal settlements in Nairobi, Lusaka and Ouagadougou. METHODS: We conducted phone, home-based …
Women’s experiences with the use of traditional medicine during childbirth in selected areas of Zambia
While motherhood is often a positive and fulfilling experience, for many women, it is associated with suffering, pain, ill-health, and even death. Like in many African countries, some Zambian communities rely on traditional medicines to mitigate birth related challenges and make motherhood a more positive experience. Most researchers emphasise that the safety of traditional medicines is particularly important for pregnant women. This qualitative …
Determinants of Covid-19 vaccine uptake among persons with disabilities in three selected districts of Zambia
COVID-19, is still a public health threat due to uncertainties around the potential evolution of the virus, changes in clinical characteristics, and the introduction of new prevention and therapeutic modalities. Persons with Disabilities (PWDs) were among the most highly affected groups by the COVID-19 pandemic due to their underlying conditions. This study aimed to establish the prevalence and identify the determinants of COVID-19 vaccine uptake…
Predictors of perinatal mortality in the seven major hospitals of Lusaka Zambia
Background In 2023, approximately 2.3 million babies globally were lost before birth or within the first week of life, primarily due to preventable causes. Global perinatal mortality declined from 5.7 million in 2000 to 4.1 million by the end of 2015. However, despite this progress, for example 45% of all stillbirths were reported from high-income countries, which contribute less than 2% of the global burden of stillbirths. Perinatal mortality ra…
Knowledge and practices of birth preparedness and complication readiness among pregnant women in Eastern Province, Zambia
Birth preparedness and complication readiness are key strategies for reducing maternal and neonatal mortality. This study aimed to explore the knowledge and practices of birth preparedness and complication readiness among pregnant women attending antenatal care in selected health facilities, using qualitative insights to identify barriers, facilitators and cultural factors. A phenomenological qualitative approach was used to explore pregnant wome…
Outcomes of children aged 2–59 months with chest indrawing pneumonia managed on an outpatient basis in selected primary health facilities in Zambia
Background: Zambia has a high burden of child pneumonia, with approximately 6000 children under five dying annually from this condition. We aimed to gather evidence about the outcomes two weeks after enrolment for children 2-59 months with chest indrawing pneumonia who were managed in primary health care facilities in Zambia. Methods: This was a prospective cohort study conducted between October 2022 and April 2024 in eight primary health care fa…
Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care
Background: Experience of care is typically measured through client exit surveys administered in the facility. Evidence suggests that such measures suffer from courtesy reporting bias whereby respondents do not accurately report on their experiences while in the facility. We explored the presence of courtesy bias by comparing women's reported experience of person-centred maternity care (PCMC) from facility-based client exit surveys to mobile phon…
Stakeholder mapping for a complex and diverse population
This paper's focus on creating a sampling universe of women leaders in RMNCAH-N and immunization in SSA fills a gap in current operational and implementation research. The insights derived from the adaptation and application of this methodology highlight the value of a structured approach to capturing the complexities of stakeholder and leadership dynamics in global health, particularly when applied to systematically map health topics or discipli…
Leadership dynamics in health
Pedalling Progress? Assessing the Long-Term Impact of a Bicycle Intervention on Adolescent Maternal and Child Health in Zambia
This study evaluates the long-term impact of a gender-transformative intervention that provided bicycles to adolescent girls in rural Zambia to enhance school attendance and empowerment. Implemented in 2017 across 100 schools, the intervention aimed to reduce travel barriers and improve educational access. Using an experimental design with a final sample of 1615 adolescent girls (676 treatment, 939 control) in 92 school clusters, we estimate the …
Availability and readiness of public health facilities to provide differentiated service delivery models for HIV treatment in Zambia
Background There is persistent pressure on countries with a high burden of HIV infection to reach desired targets for HIV treatment outcomes. This has led to moving from the “one-size-fits-all” model to differentiated service delivery (DSD) models, which are meant to be more patient-centered and efficient but without compromising on the quality of patient care. However, for DSD models to be efficient, facilities should have indicators of HIV serv…
Factors associated with the ability of adolescent girls and young women (Agyw) in sexual unions to negotiate for safer sex. An analysis of data from the 2018 Zambia Demographic and Health Survey (ZDHS…
The ability of AGYW to negotiate for safer sex is key in the fight against the Human Immunodeficiency Virus (HIV). We determined the prevalence of safer sex negotiation among AGYW in sexual unions aged 15–24 and its associated factors in Zambia. Of 1879 respondents, 78.0% (1466) had the ability to negotiate for safer sex (ANSS). While adjusting for other variables in the model, condom use at last sex with the most recent partner (AOR 4.08, 95% CI…
Trends and Inequalities in Maternal and Newborn Health Services for Unplanned Settlements of Lusaka City, Zambia
Living conditions and other factors in urban unplanned settlements present unique challenges for improving maternal and newborn health (MNH), yet MNH inequalities associated with such challenges are not well understood. This study examined trends and inequalities in coverage of MNH services in the last 20 years in unplanned and planned settlements of Lusaka City, Zambia. Geospatial information was used to map Lusaka's settlements and health facil…
Perceptions of youth-friendly sexual and reproductive health services in selected Higher and Tertiary Education Institutions of Zambia
The recognition of the need for Adolescent and Youth-Friendly Health Services (AYFHS) is growing. It is important to ensure the provision of high-quality sexual and reproductive health (SRH) services that cater to the unique needs of adolescents and young people (AYP). Adolescents and young people spend a significant amount of time in Higher and Tertiary Education Institutions (HTEIs) where adolescent friendly services are needed. However, there …
Going deeper with health equity measurement
Multi-tier equity measures provided similarly plausible and precise estimates as conventional measures for most comparisons, except mortality among some wealth deciles, and wealth tertiles by province. This suggests that related research could readily use these multi-tier measures to gain deeper insights on inequality patterns for both health coverage and impact indicators, given sufficient samples. Future household survey analyses using fit-for-…
Coverage, Trends, and Inequalities of Maternal, Newborn, and Child Health Indicators among the Poor and Non-Poor in the Most Populous Cities from 38 Sub-Saharan African Countries
Rapid urbanization is likely to be associated with suboptimal access to essential health services. This is especially true in cities from sub-Saharan Africa (SSA), where urbanization is outpacing improvements in infrastructure. We assessed the current situation in regard to several markers of maternal, newborn, and child health, including indicators of coverage of health interventions (demand for family planning satisfied with modern methods, at …
Health service utilisation during the Covid-19 pandemic in sub-Saharan Africa in 2020
INTRODUCTION: There are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women's, Children's and Adolescents' Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation. METHOD…
Prioritizing gender equity and intersectionality in Canadian global health institutions and partnerships
Despite governmental efforts to close the gender gap and global calls including Sustainable Development Goal 5 to promote gender equality, the sobering reality is that gender inequities continue to persist in Canadian global health institutions. Moreover, from health to the economy, security to social protection, COVID-19 has exposed and heightened pre-existing inequities, with women, especially marginalized women, being disproportionately impact…
Acceptability and associated factors of indoor residual spraying for malaria control by households in Luangwa district of Zambia
The global burden of malaria has increased from 227 million cases in 2019 to 247 million cases in 2020. Indoor residual spraying (IRS) remains one of the most effective control strategies for malaria. The current study sought to measure the acceptability level and associated factors of indoor residual spraying. A cross sectional study was conducted from October to November 2020 in sixteen urban and rural communities of Luangwa district using a cl…
Gender disparities and associated factors to intention to getting a second dose of Covid-19 AstraZeneca vaccine among adult populations in selected facilities of Lusaka, Zambia
As COVID-19 vaccines are becoming more available, there is also a growing need to understand the population receiving the doses, existing inequalities and the intention to getting the second vaccine dose among the populations that receive the vaccines. We evaluated gender inequalities and intention to uptake of the second dose of COVID-19 AstraZeneca vaccine among adult populations in selected urban facilities of Lusaka, Zambia. A cross-sectional…
Coverage, Trends, and Inequalities of Maternal, Newborn, and Child Health Indicators among the Poor and Non-Poor in the Most Populous Cities from 38 Sub-Saharan African Countries
Rapid urbanization is likely to be associated with suboptimal access to essential health services. This is especially true in cities from sub-Saharan Africa (SSA), where urbanization is outpacing improvements in infrastructure. We assessed the current situation in regard to several markers of maternal, newborn, and child health, including indicators of coverage of health interventions (demand for family planning satisfied with modern methods, at …
Effects of economic support, comprehensive sexuality education and community dialogue on sexual behaviour
Adolescent girls in Sub-Saharan Africa are at high risk of poor sexual and reproductive health outcomes. We present findings from a cluster-randomised trial in rural Zambia on the effects of economic support, comprehensive sexuality education (CSE) and community dialogue on sexual activity, contraceptive use and beliefs among adolescent girls. We recruited 157 schools in 2016, and all girls in grade 7 were invited to participate. Schools were ran…
Women's decision-making and uptake of services to prevent mother-to-child HIV transmission in Zambia
Women's empowerment is associated with engagement in some areas of healthcare, but its role in prevention of mother-to-child HIV transmission (PMTCT) services has not been previously considered. In this secondary analysis, we investigated the association of women's decision-making and uptake of health services for PMTCT. Using data from population-based household surveys, we included women who reported delivery in the 2-year period prior to the s…
Factors shaping the implementation of the Safe strategy for trachoma using the Consolidated Framework for Implementation Research
They say that I have lost my integrity by breaking my virginity”
There is a need for the teachers to undergo training on how to handle young mothers and have a flexible time-table to accommodate adolescent school going mothers when they miss lessons to attend to their babies. Non-parenting school girls should be counseled so that they do not stigmatize adolescent mothers. Parents need to be educated on how to deal with adolescent mothers in the community. The guidance office should have a qualified psychosocia…
Predictors of Health Seeking Behaviours for Common Childhood Illnesses in Poor Resource Settings in Zambia, A Community Cross Sectional Study
Background: Developing countries, including Zambia, account for larger share of child morbidities and mortalities due to common childhood illnesses. Studies on wider determinants of behaviour pertaining to treatment seeking for childhood febrile illnesses in poor resource settings are limited. This study investigated health seeking behaviours of mothers in poor resource settings of Zambia and identified associated factors. Methods: Secondary data…
Health service utilisation during the Covid-19 pandemic in sub-Saharan Africa in 2020
INTRODUCTION: There are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women's, Children's and Adolescents' Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation. METHOD…
Prioritizing gender equity and intersectionality in Canadian global health institutions and partnerships
Despite governmental efforts to close the gender gap and global calls including Sustainable Development Goal 5 to promote gender equality, the sobering reality is that gender inequities continue to persist in Canadian global health institutions. Moreover, from health to the economy, security to social protection, COVID-19 has exposed and heightened pre-existing inequities, with women, especially marginalized women, being disproportionately impact…
Acceptability and associated factors of indoor residual spraying for malaria control by households in Luangwa district of Zambia
The global burden of malaria has increased from 227 million cases in 2019 to 247 million cases in 2020. Indoor residual spraying (IRS) remains one of the most effective control strategies for malaria. The current study sought to measure the acceptability level and associated factors of indoor residual spraying. A cross sectional study was conducted from October to November 2020 in sixteen urban and rural communities of Luangwa district using a cl…
Gender disparities and associated factors to intention to getting a second dose of Covid-19 AstraZeneca vaccine among adult populations in selected facilities of Lusaka, Zambia
As COVID-19 vaccines are becoming more available, there is also a growing need to understand the population receiving the doses, existing inequalities and the intention to getting the second vaccine dose among the populations that receive the vaccines. We evaluated gender inequalities and intention to uptake of the second dose of COVID-19 AstraZeneca vaccine among adult populations in selected urban facilities of Lusaka, Zambia. A cross-sectional…
Effects of economic support, comprehensive sexuality education and community dialogue on sexual behaviour
Adolescent girls in Sub-Saharan Africa are at high risk of poor sexual and reproductive health outcomes. We present findings from a cluster-randomised trial in rural Zambia on the effects of economic support, comprehensive sexuality education (CSE) and community dialogue on sexual activity, contraceptive use and beliefs among adolescent girls. We recruited 157 schools in 2016, and all girls in grade 7 were invited to participate. Schools were ran…
Perceptions of youth-friendly sexual and reproductive health services in selected Higher and Tertiary Education Institutions of Zambia
The recognition of the need for Adolescent and Youth-Friendly Health Services (AYFHS) is growing. It is important to ensure the provision of high-quality sexual and reproductive health (SRH) services that cater to the unique needs of adolescents and young people (AYP). Adolescents and young people spend a significant amount of time in Higher and Tertiary Education Institutions (HTEIs) where adolescent friendly services are needed. However, there …
Going deeper with health equity measurement
Multi-tier equity measures provided similarly plausible and precise estimates as conventional measures for most comparisons, except mortality among some wealth deciles, and wealth tertiles by province. This suggests that related research could readily use these multi-tier measures to gain deeper insights on inequality patterns for both health coverage and impact indicators, given sufficient samples. Future household survey analyses using fit-for-…
Coverage, Trends, and Inequalities of Maternal, Newborn, and Child Health Indicators among the Poor and Non-Poor in the Most Populous Cities from 38 Sub-Saharan African Countries
Rapid urbanization is likely to be associated with suboptimal access to essential health services. This is especially true in cities from sub-Saharan Africa (SSA), where urbanization is outpacing improvements in infrastructure. We assessed the current situation in regard to several markers of maternal, newborn, and child health, including indicators of coverage of health interventions (demand for family planning satisfied with modern methods, at …
Availability and readiness of public health facilities to provide differentiated service delivery models for HIV treatment in Zambia
Background There is persistent pressure on countries with a high burden of HIV infection to reach desired targets for HIV treatment outcomes. This has led to moving from the “one-size-fits-all” model to differentiated service delivery (DSD) models, which are meant to be more patient-centered and efficient but without compromising on the quality of patient care. However, for DSD models to be efficient, facilities should have indicators of HIV serv…
Factors associated with the ability of adolescent girls and young women (Agyw) in sexual unions to negotiate for safer sex. An analysis of data from the 2018 Zambia Demographic and Health Survey (ZDHS…
The ability of AGYW to negotiate for safer sex is key in the fight against the Human Immunodeficiency Virus (HIV). We determined the prevalence of safer sex negotiation among AGYW in sexual unions aged 15–24 and its associated factors in Zambia. Of 1879 respondents, 78.0% (1466) had the ability to negotiate for safer sex (ANSS). While adjusting for other variables in the model, condom use at last sex with the most recent partner (AOR 4.08, 95% CI…
Trends and Inequalities in Maternal and Newborn Health Services for Unplanned Settlements of Lusaka City, Zambia
Living conditions and other factors in urban unplanned settlements present unique challenges for improving maternal and newborn health (MNH), yet MNH inequalities associated with such challenges are not well understood. This study examined trends and inequalities in coverage of MNH services in the last 20 years in unplanned and planned settlements of Lusaka City, Zambia. Geospatial information was used to map Lusaka's settlements and health facil…
Exploring the perceived impact and influence of women leaders across sub-Saharan Africa on health policy and gender equity
INTRODUCTION: Women make up a significant portion of the global health workforce but are under-represented in leadership roles. In sub-Saharan Africa (SSA), 70% of the health workforce is women, yet only 38% hold leadership positions in health ministries. This gap can lead to gender biases in health research and policymaking, perpetuating systemic gender biases. Despite these barriers, women leaders are making an impact globally. However, evidenc…
Levels and determinants of person-centred maternity care among women living in urban informal settlements
BACKGROUND: Sub-Saharan Africa's rapid urbanisation has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measures levels of person-centred maternity care (PCMC) and identifies determinants of PCMC among women living in urban informal settlements in Nairobi, Lusaka and Ouagadougou. METHODS: We conducted phone, home-based …
Women’s experiences with the use of traditional medicine during childbirth in selected areas of Zambia
While motherhood is often a positive and fulfilling experience, for many women, it is associated with suffering, pain, ill-health, and even death. Like in many African countries, some Zambian communities rely on traditional medicines to mitigate birth related challenges and make motherhood a more positive experience. Most researchers emphasise that the safety of traditional medicines is particularly important for pregnant women. This qualitative …
Determinants of Covid-19 vaccine uptake among persons with disabilities in three selected districts of Zambia
COVID-19, is still a public health threat due to uncertainties around the potential evolution of the virus, changes in clinical characteristics, and the introduction of new prevention and therapeutic modalities. Persons with Disabilities (PWDs) were among the most highly affected groups by the COVID-19 pandemic due to their underlying conditions. This study aimed to establish the prevalence and identify the determinants of COVID-19 vaccine uptake…
Predictors of perinatal mortality in the seven major hospitals of Lusaka Zambia
Background In 2023, approximately 2.3 million babies globally were lost before birth or within the first week of life, primarily due to preventable causes. Global perinatal mortality declined from 5.7 million in 2000 to 4.1 million by the end of 2015. However, despite this progress, for example 45% of all stillbirths were reported from high-income countries, which contribute less than 2% of the global burden of stillbirths. Perinatal mortality ra…
Knowledge and practices of birth preparedness and complication readiness among pregnant women in Eastern Province, Zambia
Birth preparedness and complication readiness are key strategies for reducing maternal and neonatal mortality. This study aimed to explore the knowledge and practices of birth preparedness and complication readiness among pregnant women attending antenatal care in selected health facilities, using qualitative insights to identify barriers, facilitators and cultural factors. A phenomenological qualitative approach was used to explore pregnant wome…
Outcomes of children aged 2–59 months with chest indrawing pneumonia managed on an outpatient basis in selected primary health facilities in Zambia
Background: Zambia has a high burden of child pneumonia, with approximately 6000 children under five dying annually from this condition. We aimed to gather evidence about the outcomes two weeks after enrolment for children 2-59 months with chest indrawing pneumonia who were managed in primary health care facilities in Zambia. Methods: This was a prospective cohort study conducted between October 2022 and April 2024 in eight primary health care fa…
Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care
Background: Experience of care is typically measured through client exit surveys administered in the facility. Evidence suggests that such measures suffer from courtesy reporting bias whereby respondents do not accurately report on their experiences while in the facility. We explored the presence of courtesy bias by comparing women's reported experience of person-centred maternity care (PCMC) from facility-based client exit surveys to mobile phon…
Stakeholder mapping for a complex and diverse population
This paper's focus on creating a sampling universe of women leaders in RMNCAH-N and immunization in SSA fills a gap in current operational and implementation research. The insights derived from the adaptation and application of this methodology highlight the value of a structured approach to capturing the complexities of stakeholder and leadership dynamics in global health, particularly when applied to systematically map health topics or discipli…
Leadership dynamics in health
Medicine (20 obras) · Environmental health (17 obras) · Global Maternal and Child Health (16 obras) · Public health (12 obras) · Population (11 obras) · Demography (10 obras) · Nursing (10 obras) · Geography (7 obras) · Political science (7 obras) · Adolescent Sexual and Reproductive Health (6 obras)