Clara Menéndez
Datos Biográficos
| ID | 5992762 |
|---|---|
| NOMBRE | Clara Menéndez |
| NOMBRES | Clara |
| APELLIDO | Menéndez |
| FIRMA | MENENDEZ C |
| AFILIACIONES | Manhiça Health Research Centre |
| ORCID | 0000-0002-2641-6907 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 0 |
Diagnostic accuracy of a simplified minimally invasive tissue sampling protocol for stillbirths in low-resource settings
Background Stillbirth rates remain unacceptably high in low- and middle-income countries (LMICs). Understanding the causes of death (CoD) is mandatory to develop effective strategies to reduce this high mortality. Minimally invasive tissue sampling (MITS) is a promising alternative to conventional autopsy (CA) but its validation in stillbirths remains limited. Existing evidence indicates that most samples of conventional MITS (c-MITS) lack diagno…
Disentangling Covid-19 vaccine hesitancy
The WHO identified vaccine hesitancy as a threat to global health in 2019, but it was the COVID-19 pandemic that brought it to the fore of public discussions. Despite efforts to account for context in public health frameworks, these fail to translate into analyses that meaningfully capture the local dynamics forging vaccine hesitancy, while dominant public narratives continue to offer decontextualised and monolithic portrayals of this multifacete…
Acceptability of dihydroartemisinin-piperaquine as malaria intermittent preventive treatment for pregnant women living with HIV in Southern Mozambique
The acceptability of DHA-PPQ among HIVPW appears to be influenced more by trust in healthcare providers rather than by the perceived benefits of the medication itself. Leveraging this trust to enhance awareness and understanding of DHA-PPQ's benefits could further improve its acceptability. Moreover, further implementation research focused on acceptability in a real-world environment is essential to deepen the understanding of DHA-PPQ acceptabili…
Over a decade of HIV infection prevalence and incidence among Mozambican pregnant women
The prevalence of HIV decreased while the overall incidence stayed similar in Mozambican pregnant women, during 2010 to 2021. However, both estimates remain unacceptably high, which indicates the need to revise current preventive policies and implement effective ones to improve HIV control among pregnant women
Assessing immunization coverage in Southern togo
The suboptimal immunization coverage and a high proportion of zero-dose children highlight the need to strengthen community engagement to improve vaccination awareness and ensure the effective and equitable delivery of PMC
Immunisation coverage and factors associated with incomplete immunisation in children under two during the Covid-19 pandemic in Sierra Leone
Though full immunisation coverage at district level improved compared with pre-pandemic district estimates from 2019, around one in three surveyed children had missed at least one basic routine vaccination and over half of eligible children had not received the recommended two doses of a measles-containing vaccine. These findings highlight the need to strengthen health systems to improve vaccination uptake in Sierra Leone, and to further explore …
Cost-effectiveness of community-based distribution of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria, and the Democratic Republic of Congo
INTRODUCTION: Malaria in pregnancy is a major driver of maternal and infant mortality in sub-Saharan Africa. The WHO recommends the administration of intermittent preventive treatment with sulfadoxine pyrimethamine (IPTp-SP) at antenatal care (ANC) visits. Despite being a highly cost-effective strategy, IPTp-SP coverage and uptake remains low. A pilot project was conducted to assess the cost-effectiveness (CE) of community-based delivery of IPTp …
The social dimensions of community delivery of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria and the Democratic Republic of the Congo
INTRODUCTION: Intermittent preventive treatment in pregnancy with sulphadoxine pyrimethamine (IPTp) is a key malaria prevention strategy in sub-Saharan African countries. We conducted an anthropological study as part of a project aiming to evaluate a community-based approach to the delivery of IPTp (C-IPTp) through community health workers (CHWs) in four countries (the Democratic Republic of Congo, Madagascar, Mozambique and Nigeria), to understa…
Accuracy of verbal autopsy, clinical data and minimally invasive autopsy in the evaluation of malaria-specific mortality
BACKGROUND: Global malaria mortality estimates are hindered by the low reliability of the verbal autopsy (VA) and the clinical records, the most common sources of information used to estimate malaria-specific mortality. We aimed to determine the accuracy of these tools, as well as of the minimally invasive autopsy (MIA), a needle-based postmortem sampling method, to identify malaria-specific mortality in a large series of deceased patients from M…
Acceptability of Clinical Trials on Covid-19 during Pregnancy among Pregnant Women and Healthcare Providers
Participation of pregnant women in clinical trials entails challenges mainly related to concerns about the risks for fetuses. We undertook a qualitative study from June to October 2020 to assess the acceptability of participating in COVID-19 clinical trials among pregnant women in Spain. Phenomenology and grounded theory were used as methodological approaches. Semi-structured interviews were conducted with 24 pregnant women and six healthcare pro…
The evolution of minimally invasive tissue sampling in postmortem examination
Trust, community health workers and delivery of intermittent preventive treatment of malaria in pregnancy
This qualitative study is part of a project aiming to evaluate a community-based approach to the delivery of intermittent preventive treatment of malaria in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) through community health workers (CHWs) in four sub-Saharan African countries: the Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria. The study aimed to understand the factors that influence the anticipated acceptability …
Uncertainties, Fear and Stigma
Similar to other epidemics, knowledge about Zika virus (ZIKV) relies upon information often coming from outside the health system. This study aimed to explore views, perceptions and attitudes towards ZIKV among migrant women from Central and South America, diagnosed with ZIKV infection during pregnancy, and to comprehend healthcare professionals' perceptions of ZIKV. An exploratory qualitative study, based on phenomenology and grounded theory, wa…
Inequalities in sub-Saharan African women’s and girls’ health opportunities and outcomes
BACKGROUND: Maternal and reproductive health services are far from universalization and important gaps exist in their distribution across groups of women in sub-Saharan Africa (SSA). The aim of this study is to determine the magnitude of this unequal distribution of maternal and reproductive health-related opportunities and outcomes and to identify the major sources of inequality. METHODS: Demographic and Health Surveys data were used to analyse …
Socio-anthropological methods to study the feasibility and acceptability of the minimally invasive autopsy from the perspective of local communities
The minimally invasive autopsy (MIA), an innovative approach for obtaining post-mortem samples of key organs, is increasingly being recognized as a robust methodology for cause of death (CoD) investigation, albeit so far limited to pilot studies and research projects. A better understanding of the real causes of death in middle- and low-income countries, where underlying causes of death are seldom determined, would allow improved health planning,…
Costs associated with delivering HPV vaccination in the context of the first year demonstration programme in southern Mozambique
The average economic cost per dose was lower than the ones recently reported for low- and middle-income countries. However, our estimation of the financial cost per FIG was higher than the ones observed elsewhere (ranging from US$2.49 in India to US$20.36 in Vietnam) due to the high percentage of out-of-school girls which, reduced vaccine coverage and, therefore, reduced the denominator. Due to budget constraints, if Mozambique is to implement na…
Sexual and Reproductive Health and Rights in the Time of Zika in Latin America and the Caribbean
Severe malnutrition among children under the age of 5 years admitted to a rural district hospital in southern Mozambique
Objective To describe the burden, clinical characteristics and prognostic factors of severe malnutrition in children under the age of 5 years. Design Retrospective study of hospital-based data systematically collected from January 2001 to December 2010. Setting Rural Mozambican district hospital. Subjects All children aged Results During the 10-year long study surveillance, 274 813 children belonging to Manhiça's Demographic Surveillance System w…
P2-404 High HIV prevalence rates in a semi-rural area of southern Mozambique
Introduction Southern African countries bear an inordinate burden of the global HIV/AIDS pandemic. Monitoring the epidemiology dynamics is critical to identify populations at greatest risk for the infection and assess the maturity of the epidemic. Methods A cross-sectional population-based study was designed to determine age and sex-specific community HIV prevalence in adults aged 18–47 years old living in Manhiça district, in southern Mozambique…
Paediatric referrals in rural Tanzania
BACKGROUND: Referral is a critical part of appropriate primary care and of the Integrated Management of Childhood Illness (IMCI) strategy. We set out to study referrals from the aspect both of primary level facilities and the referral hospital in Kilombero District, southern Tanzania. Through record review and a separate prospective study we estimate referral rates, report on delays in reaching referral care and summarise the appropriateness of p…
Sin obras prominentes en esta página.
Paediatric referrals in rural Tanzania
BACKGROUND: Referral is a critical part of appropriate primary care and of the Integrated Management of Childhood Illness (IMCI) strategy. We set out to study referrals from the aspect both of primary level facilities and the referral hospital in Kilombero District, southern Tanzania. Through record review and a separate prospective study we estimate referral rates, report on delays in reaching referral care and summarise the appropriateness of p…
P2-404 High HIV prevalence rates in a semi-rural area of southern Mozambique
Introduction Southern African countries bear an inordinate burden of the global HIV/AIDS pandemic. Monitoring the epidemiology dynamics is critical to identify populations at greatest risk for the infection and assess the maturity of the epidemic. Methods A cross-sectional population-based study was designed to determine age and sex-specific community HIV prevalence in adults aged 18–47 years old living in Manhiça district, in southern Mozambique…
Severe malnutrition among children under the age of 5 years admitted to a rural district hospital in southern Mozambique
Objective To describe the burden, clinical characteristics and prognostic factors of severe malnutrition in children under the age of 5 years. Design Retrospective study of hospital-based data systematically collected from January 2001 to December 2010. Setting Rural Mozambican district hospital. Subjects All children aged Results During the 10-year long study surveillance, 274 813 children belonging to Manhiça's Demographic Surveillance System w…
Sexual and Reproductive Health and Rights in the Time of Zika in Latin America and the Caribbean
Inequalities in sub-Saharan African women’s and girls’ health opportunities and outcomes
BACKGROUND: Maternal and reproductive health services are far from universalization and important gaps exist in their distribution across groups of women in sub-Saharan Africa (SSA). The aim of this study is to determine the magnitude of this unequal distribution of maternal and reproductive health-related opportunities and outcomes and to identify the major sources of inequality. METHODS: Demographic and Health Surveys data were used to analyse …
Socio-anthropological methods to study the feasibility and acceptability of the minimally invasive autopsy from the perspective of local communities
The minimally invasive autopsy (MIA), an innovative approach for obtaining post-mortem samples of key organs, is increasingly being recognized as a robust methodology for cause of death (CoD) investigation, albeit so far limited to pilot studies and research projects. A better understanding of the real causes of death in middle- and low-income countries, where underlying causes of death are seldom determined, would allow improved health planning,…
Costs associated with delivering HPV vaccination in the context of the first year demonstration programme in southern Mozambique
The average economic cost per dose was lower than the ones recently reported for low- and middle-income countries. However, our estimation of the financial cost per FIG was higher than the ones observed elsewhere (ranging from US$2.49 in India to US$20.36 in Vietnam) due to the high percentage of out-of-school girls which, reduced vaccine coverage and, therefore, reduced the denominator. Due to budget constraints, if Mozambique is to implement na…
The evolution of minimally invasive tissue sampling in postmortem examination
Trust, community health workers and delivery of intermittent preventive treatment of malaria in pregnancy
This qualitative study is part of a project aiming to evaluate a community-based approach to the delivery of intermittent preventive treatment of malaria in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) through community health workers (CHWs) in four sub-Saharan African countries: the Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria. The study aimed to understand the factors that influence the anticipated acceptability …
Uncertainties, Fear and Stigma
Similar to other epidemics, knowledge about Zika virus (ZIKV) relies upon information often coming from outside the health system. This study aimed to explore views, perceptions and attitudes towards ZIKV among migrant women from Central and South America, diagnosed with ZIKV infection during pregnancy, and to comprehend healthcare professionals' perceptions of ZIKV. An exploratory qualitative study, based on phenomenology and grounded theory, wa…
Accuracy of verbal autopsy, clinical data and minimally invasive autopsy in the evaluation of malaria-specific mortality
BACKGROUND: Global malaria mortality estimates are hindered by the low reliability of the verbal autopsy (VA) and the clinical records, the most common sources of information used to estimate malaria-specific mortality. We aimed to determine the accuracy of these tools, as well as of the minimally invasive autopsy (MIA), a needle-based postmortem sampling method, to identify malaria-specific mortality in a large series of deceased patients from M…
Acceptability of Clinical Trials on Covid-19 during Pregnancy among Pregnant Women and Healthcare Providers
Participation of pregnant women in clinical trials entails challenges mainly related to concerns about the risks for fetuses. We undertook a qualitative study from June to October 2020 to assess the acceptability of participating in COVID-19 clinical trials among pregnant women in Spain. Phenomenology and grounded theory were used as methodological approaches. Semi-structured interviews were conducted with 24 pregnant women and six healthcare pro…
The social dimensions of community delivery of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria and the Democratic Republic of the Congo
INTRODUCTION: Intermittent preventive treatment in pregnancy with sulphadoxine pyrimethamine (IPTp) is a key malaria prevention strategy in sub-Saharan African countries. We conducted an anthropological study as part of a project aiming to evaluate a community-based approach to the delivery of IPTp (C-IPTp) through community health workers (CHWs) in four countries (the Democratic Republic of Congo, Madagascar, Mozambique and Nigeria), to understa…
Cost-effectiveness of community-based distribution of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria, and the Democratic Republic of Congo
INTRODUCTION: Malaria in pregnancy is a major driver of maternal and infant mortality in sub-Saharan Africa. The WHO recommends the administration of intermittent preventive treatment with sulfadoxine pyrimethamine (IPTp-SP) at antenatal care (ANC) visits. Despite being a highly cost-effective strategy, IPTp-SP coverage and uptake remains low. A pilot project was conducted to assess the cost-effectiveness (CE) of community-based delivery of IPTp …
Immunisation coverage and factors associated with incomplete immunisation in children under two during the Covid-19 pandemic in Sierra Leone
Though full immunisation coverage at district level improved compared with pre-pandemic district estimates from 2019, around one in three surveyed children had missed at least one basic routine vaccination and over half of eligible children had not received the recommended two doses of a measles-containing vaccine. These findings highlight the need to strengthen health systems to improve vaccination uptake in Sierra Leone, and to further explore …
Diagnostic accuracy of a simplified minimally invasive tissue sampling protocol for stillbirths in low-resource settings
Background Stillbirth rates remain unacceptably high in low- and middle-income countries (LMICs). Understanding the causes of death (CoD) is mandatory to develop effective strategies to reduce this high mortality. Minimally invasive tissue sampling (MITS) is a promising alternative to conventional autopsy (CA) but its validation in stillbirths remains limited. Existing evidence indicates that most samples of conventional MITS (c-MITS) lack diagno…
Disentangling Covid-19 vaccine hesitancy
The WHO identified vaccine hesitancy as a threat to global health in 2019, but it was the COVID-19 pandemic that brought it to the fore of public discussions. Despite efforts to account for context in public health frameworks, these fail to translate into analyses that meaningfully capture the local dynamics forging vaccine hesitancy, while dominant public narratives continue to offer decontextualised and monolithic portrayals of this multifacete…
Acceptability of dihydroartemisinin-piperaquine as malaria intermittent preventive treatment for pregnant women living with HIV in Southern Mozambique
The acceptability of DHA-PPQ among HIVPW appears to be influenced more by trust in healthcare providers rather than by the perceived benefits of the medication itself. Leveraging this trust to enhance awareness and understanding of DHA-PPQ's benefits could further improve its acceptability. Moreover, further implementation research focused on acceptability in a real-world environment is essential to deepen the understanding of DHA-PPQ acceptabili…
Over a decade of HIV infection prevalence and incidence among Mozambican pregnant women
The prevalence of HIV decreased while the overall incidence stayed similar in Mozambican pregnant women, during 2010 to 2021. However, both estimates remain unacceptably high, which indicates the need to revise current preventive policies and implement effective ones to improve HIV control among pregnant women
Assessing immunization coverage in Southern togo
The suboptimal immunization coverage and a high proportion of zero-dose children highlight the need to strengthen community engagement to improve vaccination awareness and ensure the effective and equitable delivery of PMC
Medicine (18 obras) · Environmental health (13 obras) · Public health (11 obras) · Global Maternal and Child Health (8 obras) · Nursing (8 obras) · Internal Medicine (6 obras) · Malaria (6 obras) · Malaria Research and Control (6 obras) · Pediatrics (6 obras) · Political science (6 obras)