Wafaie W Fawzi
Datos Biográficos
| ID | 5460666 |
|---|---|
| NOMBRE | Wafaie W Fawzi |
| NOMBRES | Wafaie W |
| APELLIDO | Fawzi |
| FIRMA | FAWZI W W |
| AFILIACIONES | Harvard University |
| ORCID | 0000-0002-2908-600X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 112 |
| TOTAL DE CITAS | 11 |
| TOTAL COMO AUTOR | 112 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Interventions to promote early child development in the Middle East and North Africa Arab countries
The Middle East and North Africa Arab countries face several economic, political, and social challenges that negatively impact early child physical, cognitive, and emotional development. This scoping review aims to summarize the landscape of interventions designed to promote early child development in children under 5 years of age in the Middle East and North Africa Arab countries, highlighting knowledge gaps and areas for future research. We sea…
Prevalence and factors associated with anaemia among adolescents in Sub-Saharan Africa and India
Anaemia remains a major global health concern among adolescents. While regional and national studies report varying prevalence, cross-continental evidence is limited. This study examines anaemia prevalence and its determinants among adolescents in Sub-Saharan Africa and India. We analyzed cross-sectional data from 9,820 adolescents (10–19 years) in Burkina Faso, Ethiopia, Ghana, India, Nigeria, Tanzania, and Uganda . Hemoglobin levels were measur…
Advancing AI and data science for health in Africa
Background: Africa faces a shortage of health data scientists. Despite bearing 25% of the global disease burden, it has only 3% of the world's healthcare workforce and even less health data science expertise. As artificial intelligence and data science transform global healthcare, from disease surveillance to precision medicine, this capacity gap poses a significant threat to Africa's ability to address its health challenges and harness its growi…
Integration of family planning and nutrition programmes in 64 WHO member states of Africa, Eastern Mediterranean and South-East Asia regions
BACKGROUND: Family planning (FP) and nutrition services are essential for the health and well-being of girls and women in low- and middle-income countries (LMICs), yet evidence on their existing and potential integration is limited. Also, little is known about relevant national programmes and the views of health officials. METHODS: An on-line survey of national health ministry officials in member states of WHO Regions for Africa (AFRO), Eastern M…
Opportunities and challenges for integrating family planning and nutrition policies and programmes in Burkina Faso
BACKGROUND: Despite known linkages between family planning (FP) and nutrition, there is little evidence on whether and how these services are integrated for women of reproductive age (WRA; aged 15-49 years) in Burkina Faso. This study aimed to obtain an overview of FP and nutrition policies and programmes in Burkina Faso to understand the value, current efforts, gaps and opportunities for integration. METHODS: In this mixed-methods study, we anal…
Opportunities and challenges in integrating family planning and nutrition services in Tanzania
BACKGROUND: Integration of family planning (FP) and nutrition is critical for improving maternal and child health, yet evidence on effective integration remains limited in Tanzania. This study explored challenges and opportunities for integrated service delivery in Tanzania. METHODS: A mixed-methods approach was used, combining analysis of the 2022 Tanzania Demographic and Health Survey (n=15, 254 women), a desk review of 25 national documents, a…
Leveraging connections between family planning and nutrition to improve the health of women
The global burden of malnutrition and unmet need for family planning (FP) among women of reproductive age remains high. Leveraging the epidemiological and programmatic links between FP and nutrition could help improve outcomes in both domains for women, with wider benefits to health and well-being. Here, we draw on findings from our recently concluded Family Planning and Nutrition Project, which synthesised epidemiological and programmatic linkag…
The effects of antenatal interventions on gestational weight gain in low and middle-income countries
BACKGROUND: Gestational weight gain (GWG) during pregnancy is a critical factor that affects maternal and child health outcomes. The considerable burden of inadequate GWG and the rising tide of excessive GWG are overlooked challenges in low and middle-income countries (LMICs). METHODS: This systematic review assessed the impact of antenatal interventions on GWG in LMICs. Randomised controlled trials (RCTs) on antenatal interventions on GWG in LMI…
Social inequalities mediate temperature–child maltreatment associations in Africa
Diet and nutrition status of adult multidrug-resistant tuberculosis cases, household controls, and community controls in Mumbai, India
India accounts for the largest national proportion of global multi-drug resistant (MDR-TB) cases and TB mortality. However, evidence on the role of diet and nutrition in MDR-TB infection remains limited. This study aimed to multifacetedly evaluate and compare diet and nutrition status of MDR-TB cases and controls in high TB-burden slum areas of Mumbai. We recruited 352 pulmonary MDR-TB cases receiving domiciliary treatment, household controls, an…
Predictors of anaemia incidence and remission among adolescents
Background: Anaemia remains a major public health challenge among adolescents in low- and middle-income countries (LMICs). However, longitudinal evidence on its incidence and remission during this critical period is limited. Most existing studies assess anaemia cross-sectionally, providing limited insight into its progression or potential reversibility. We aimed to examine the dynamics of anaemia during adolescence, estimating incidence and remis…
Alcohol Use, Risky Alcohol Use, and Associated Factors Among Adults Living with HIV in Urban Dar es Salaam, Tanzania
Alcohol use and risky alcohol use are associated with health, social, and psychological complications and may interfere with HIV/AIDS treatment. This study assessed the prevalence and factors associated with alcohol use and risky alcohol use among adults living with HIV in Dar-es-Salaam, Tanzania. This cross-sectional study included data from 771 adults living with HIV on antiretroviral therapy (ART) who were enrolled in a non-inferiority cluster…
Prayas
Purpose: The PRAYAS Individual Patient Data Meta-analysis (IPD-MA) database aims to estimate the prevalence of anemia among children under 18 years, non-pregnant and non-lactating (NPNL) women, and pregnant women (by trimester), with further stratification by age group, year, and region of India. Beyond prevalence, it seeks to address the etiological contribution of iron and other erythropoietic micronutrient deficiencies and to evaluate the effe…
Family planning and nutrition
INTRODUCTION: Contraceptive use may affect women's nutritional status through birth spacing, parity, age at first birth, menstruation changes, and increased income. To inform the integration of family planning with nutrition interventions, we synthesised evidence linking the use of family planning to nutritional outcomes in women of reproductive age (15-49 years) and adolescents (10-19 years) in low- and middle-income countries (LMICs). METHODS: …
Perspectives on integrating family planning and nutrition
BACKGROUND: Limited information is available on the value of integrating family planning and nutrition services to improve related outcomes among women of reproductive age and effective approaches to achieve this. This study aimed to ascertain the perspectives and experiences of global and regional stakeholders about integrating family planning and nutrition services, examine facilitators and barriers and identify opportunities and considerations…
Hypertensive disorders of pregnancy and perinatal outcomes
INTRODUCTION: Hypertensive disorders of pregnancy (HDP) have been linked with increased risk for maternal and offspring complications in high-income settings. However, in resource-limited settings, studies with robust measurement of HDP, including severity and timing, and perinatal outcomes are limited. METHODS: We analysed data from two prospective cohorts of nulliparous women in India (n=10 570 pregnancies) and Tanzania (n=10 299 pregnancies) w…
Integrating family planning with nutrition and other sexual and reproductive health services in low-income and middle-income countries
INTRODUCTION: Integrating family planning with nutrition could address unmet family planning needs and malnutrition in low-income and middle-income countries (LMICs). Integrating family planning with sexual reproductive health (SRH) services may provide valuable insights as well. This scoping review synthesised evidence from published and grey literature on interventions integrating family planning with nutrition or SRH services in LMICs. METHODS…
Nutrition and reproductive potential of women in low- and middle-income countries
INTRODUCTION: Nutrition plays a critical role in key physiological processes related to reproduction. However, there is limited understanding of the impact of nutritional factors and interventions on the reproductive outcomes of women in low- and middle-income countries (LMICs). METHODS: This systematic review and meta-analysis aimed to synthesise evidence regarding the impact of nutritional factors and interventions on the reproductive outcomes …
Low-dose calcium supplementation during pregnancy in low and middle-income countries
Calcium supplementation during pregnancy can reduce the risk of preeclampsia and preterm birth. Few countries have implemented WHO-recommended high-dose calcium supplementation (1500–2000mg/day), due to adherence and cost concerns. However, low-dose calcium supplementation (one 500mg tablet daily) has recently been shown to be similarly efficacious as high-dose supplementation. We assessed the cost-effectiveness of low-dose calcium supplementatio…
Determinants of substance use among adolescents aged 10–19 years in Tanga Region, Eastern Tanzania
Background Despite adolescents making up a significant part of the global population, they have high rates of substance use, linked to various health problems and risky behaviours and increased risk of negative social, cognitive, and physical consequences. Studies on substance use and related risk behaviours among adolescents in Tanzania are crucial for informing targeted interventions and policies to safeguard the health and development of this …
Perceptions and predictors of Covid-19 vaccine hesitancy among healthcare providers across five countries in sub-Saharan Africa
The African continent has some of the world’s lowest COVID-19 vaccination rates. While the limited availability of vaccines is a contributing factor, COVID-19 vaccine hesitancy among healthcare providers (HCP) is another factor that could adversely affect efforts to control infections on the continent. We sought to understand the extent of COVID-19 vaccine hesitancy among HCP, and its contributing factors in Africa. We evaluated COVID-19 vaccine …
Diet and Care Mediate the Effects of Parenting and Nutrition Interventions on Childhood Infections
The effect of community-based multi-input interventions that promote health, nutrition, and development on childhood infections, and the pathways that explain these effects remain unclear. We conducted a secondary analysis of a factorial-designed clustered randomized controlled trial (N = 1489) conducted in rural Pakistan to estimate the effects of responsive stimulation and enhanced nutrition (responsive feeding and multiple micronutrient powder…
Assessment of heatwave impacts on child feeding practices across 36 low-income and middle-income countries
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…
Double-duty actions addressing the double burden of malnutrition among adolescents aged 10–19
Background: The global adolescent population faces the challenge of the double burden of malnutrition (DBM), characterized by the coexistence of undernutrition and overweight/obesity, including diet-related non-communicable diseases (NCDs). This dual challenge, prevalent across various socio-economic backgrounds, necessitates double-duty actions, i.e., integrated interventions designed to concurrently address both sets of conditions. These action…
The effect of vitamin A supplementation on the growth of preschool children in the Sudan
OBJECTIVES: This study assessed the effect of vitamin A supplementation at 6-month intervals on child growth. METHODS: Sudanese children (n = 28,740) 6 to 72 months of age were weighed and measured at baseline and at each of three follow-up visits. RESULTS: Periodic vitamin A supplementation had no effect on the rate of weight or height gain in the total population or on the incidence of wasting, stunting, or wasting and stunting among children w…
Are home gardening programs a sustainable way to improve nutrition? Lessons from a cluster-randomized controlled trial in Rufiji, Tanzania
The effect of vitamin A supplementation on the growth of preschool children in the Sudan
OBJECTIVES: This study assessed the effect of vitamin A supplementation at 6-month intervals on child growth. METHODS: Sudanese children (n = 28,740) 6 to 72 months of age were weighed and measured at baseline and at each of three follow-up visits. RESULTS: Periodic vitamin A supplementation had no effect on the rate of weight or height gain in the total population or on the incidence of wasting, stunting, or wasting and stunting among children w…
Predictors of HIV-1 serostatus disclosure
OBJECTIVES: To examine the socio-demographic and behavioral factors predictive of women's disclosure of an HIV-positive test result in Dar es Salaam, Tanzania. DESIGN: From April 1995 to May 2000, 1078 HIV-positive pregnant women participated in an ongoing randomized trial on micronutrients and HIV-1 vertical transmission and progression. Disclosure to a partner or to a female relative was assessed 2 months after post-test counseling and at 6 mon…
Validity of the Hopkins Symptom Checklist‐25 amongst HIV‐positive pregnant women in Tanzania
Objective: To validate the Hopkins Symptom Checklist‐25 (HSCL‐25) for use as a depression screen amongst human immuno‐deficiency virus (HIV) positive pregnant women. Method: Amongst 903 (mean age 24.8 years) HIV‐positive pregnant women, a two‐phased design included measures for health‐related quality of life, perceived social support, and the HSCL‐25 screen for depressive (HSCL‐15 subscale) and anxiety symptoms. The Structured Clinical Interview …
Depressive Symptoms Increase Risk of HIV Disease Progression and Mortality Among Women in Tanzania
The effect of depression on HIV disease progression was examined among 996 HIV-positive Tanzanian women participating in a trial on micronutrients and pregnancy outcomes, vertical transmission, and disease progression. Depression and social support were measured 2 months after HIV screening and every 6 to 12 months thereafter. Depression measures from pregnancy and more than 12 months postpartum were included in this analysis. Participants' clini…
Factors associated with mortality in HIV-infected and uninfected patients with pulmonary tuberculosis
Mortality among HIV-infected TB patients is high despite the use of effective anti-TB therapy. Most deaths occur after successful completion of therapy, an indication that patients die from causes other than TB. HIV infection is the strongest independent predictor of mortality in this cohort
Predictors of breastfeeding cessation among HIV‐infected women in Dar es Salaam, Tanzania
This paper examines predictors of breastfeeding cessation among a cohort of human immunodeficiency virus (HIV)-infected women. This was a prospective follow-up study of HIV-infected women who participated in a randomized micronutrient supplementation trial conducted in Dar es Salaam, Tanzania. 795 HIV-infected Tanzanian women with singleton newborns were utilized from the cohort for this analysis. The proportion of women breastfeeding declined fr…
Predictors and consequences of anaemia among antiretroviral-naïve HIV-infected and HIV-uninfected children in Tanzania
Objective Predictors and consequences of childhood anaemia in settings with high HIV prevalence are not well known. The aims of the present study were to identify maternal and child predictors of anaemia among children born to HIV-infected women and to study the association between childhood anaemia and mortality. Design Prospective cohort study. Maternal characteristics during pregnancy and Hb measurements at 3-month intervals from birth were av…
Non-communicable diseases in sub-Saharan Africa
BACKGROUND: Sub-Saharan Africa (SSA) has a disproportionate burden of both infectious and chronic diseases compared with other world regions. Current disease estimates for SSA are based on sparse data, but projections indicate increases in non-communicable diseases (NCDs) caused by demographic and epidemiologic transitions. We review the literature on NCDs in SSA and summarize data from the World Health Organization and International Agency for R…
Anaemia among Egyptian Children between 2000 and 2005
Anaemia remains the most prevalent nutritional disorder among women and children in the Middle East and North Africa region. We examined anaemia trends using data from the Egyptian Demographic and Health Surveys. Between 2000 and 2005, the prevalence of anaemia (defined as haemoglobin concentrations <11 g dL(-1) ) increased from 37.04% to over 52% among Egyptian children between 12 months and 36 months of age. We examined the associations of thes…
Maternal obesity trends in Egypt 1995–2005
According to the World Health Organization (WHO), 46% of adult females in Egypt are obese. This research was aimed at documenting obesity trends and identifying the populations most at risk for obesity. Using data from the 1995 and 2005 Egyptian Demographic and Health Surveys a linear model was employed to seek associations between household wealth, urban/rural residence, governorate of residence, employment status, parity and age and increases i…
Relationship of exclusive breast-feeding to infections and growth of Tanzanian children born to HIV-infected women
Objective We examined the relationships between exclusive breast-feeding and the risks of respiratory, diarrhoea and nutritional morbidities during the first 2 years of life among children born to women infected with HIV-1. Design We prospectively determined the incidence of respiratory illnesses, diarrhoea, fever, hospitalizations, outpatient visits and nutritional morbidities. Generalized estimating equations were used to estimate the relative …
Effect of multivitamin supplements on weight gain during pregnancy among HIV ‐negative women in T anzania
Multivitamin supplementation has been shown to reduce the risk of low birthweight. This effect could be mediated through gestational weight gain. However, the effect of multivitamin supplementation on weight gain during pregnancy has not been fully studied. The objective of this study was to examine the effects of multivitamins on pregnancy weight gain. We enrolled 8468 HIV-negative women from Dar es Salaam, Tanzania, in a randomised, placebo-con…
Post‐natal anaemia and iron deficiency in HIV‐infected women and the health and survival of their children
Prenatal iron supplementation may improve pregnancy outcomes and decrease the risk of child mortality. However, little is known about the importance of post-natal maternal iron status for child health and survival, particularly in the context of HIV infection. We examined the association of maternal anaemia and hypochromic microcytosis, an erythrocyte morphology consistent with iron deficiency, with child health and survival in the first two to f…
Predictors of anaemia and iron deficiency in HIV-infected pregnant women in Tanzania
Objective Anaemia is common during pregnancy, and prenatal Fe supplementation is the standard of care. However, the persistence of anaemia despite Fe supplementation, particularly in HIV infection, suggests that its aetiology may be more complex and warrants further investigation. The present study was conducted to examine predictors of incident haematological outcomes in HIV-infected pregnant women in Tanzania. Design Prospective cohort study. C…
Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries
The effect of multiple anthropometric deficits on child mortality
Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries
BACKGROUND: Low- and middle-income countries continue to experience a large burden of stunting; 148 million children were estimated to be stunted, around 30-40% of all children in 2011. In many of these countries, foetal growth restriction (FGR) is common, as is subsequent growth faltering in the first 2 years. Although there is agreement that stunting involves both prenatal and postnatal growth failure, the extent to which FGR contributes to stu…
Associations of Suboptimal Growth with All-Cause and Cause-Specific Mortality in Children under Five Years
BACKGROUND: Child undernutrition affects millions of children globally. We investigated associations between suboptimal growth and mortality by pooling large studies. METHODS: Pooled analysis involving children 1 week to 59 months old in 10 prospective studies in Africa, Asia and South America. Utilizing most recent measurements, we calculated weight-for-age, height/length-for-age and weight-for-height/length Z scores, applying 2006 WHO Standards…
Dietary Patterns, Nutrient Intake, and Sociodemographic Characteristics in HIV-Infected Tanzanian Pregnant Women
Routinely collected dietary intakes were available for 925 HIV-infected pregnant women participating in a longitudinal clinical trial of vitamin supplementation in Dar es Salaam, Tanzania. Information on sociodemographic and economic characteristics was recorded. Dietary macronutrient intakes were computed and analyzed using the Tanzania Food Composition Tables. Women's age, parity, education level, and economic independence were positively relat…
The contribution of preterm birth and intrauterine growth restriction to childhood undernutrition in T anzania
Objectives were to examine the growth patterns of preterm and growth-restricted infants and to evaluate the associations of prematurity and intrauterine growth restriction (IUGR) with risk of stunting, wasting and underweight. Data from a cohort of HIV-negative pregnant women-infant pairs were collected prospectively in Tanzania. Small for gestational age [SGA, birthweight (BW) <10th percentile] was used as proxy for IUGR. Anthropometry was measu…
Linear Growth and Child Development in Low- and Middle-Income Countries
Gender differences in diet and nutrition among adults initiating antiretroviral therapy in Dar es Salaam, Tanzania
Human immunodeficiency virus (HIV)-infected males have poor treatment outcomes after initiation of antiretroviral therapy (ART) compared to HIV-infected women. Dietary factors might mediate the association between sex and disease progression. However, the gender difference in diet among HIV-infected individuals in sub-Saharan Africa is largely unknown. The objective of this study was to examine differences in dietary intake among HIV-infected men…
Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal
Objective The main objectives were to assess the adequacy of the micronutrient intakes of lactating women in a peri-urban area in Nepal and to describe the relationships between micronutrient intake adequacy, dietary diversity and sociodemographic variables. Design A cross-sectional survey was performed during 2008–2009. We used 24 h dietary recall to assess dietary intake on three non-consecutive days and calculated the probability of adequacy (…
Risk Factors for Childhood Stunting in 137 Developing Countries
BACKGROUND: Stunting affects one-third of children under 5 y old in developing countries, and 14% of childhood deaths are attributable to it. A large number of risk factors for stunting have been identified in epidemiological studies. However, the relative contribution of these risk factors to stunting has not been examined across countries. We estimated the number of stunting cases among children aged 24-35 mo (i.e., at the end of the 1,000 days…
Early Childhood Developmental Status in Low- and Middle-Income Countries
BACKGROUND: The development of cognitive and socioemotional skills early in life influences later health and well-being. Existing estimates of unmet developmental potential in low- and middle-income countries (LMICs) are based on either measures of physical growth or proxy measures such as poverty. In this paper we aim to directly estimate the number of children in LMICs who would be reported by their caregivers to show low cognitive and/or socio…
Medicine (91 obras) · Child Nutrition and Water Access (69 obras) · Environmental health (68 obras) · Demography (46 obras) · Internal Medicine (40 obras) · Population (34 obras) · Tanzania (34 obras) · Confidence interval (27 obras) · Psychological intervention (25 obras) · Public health (25 obras)