Edward Fottrell
Datos Biográficos
| ID | 6159282 |
|---|---|
| NOMBRE | Edward Fottrell |
| NOMBRES | Edward |
| APELLIDO | Fottrell |
| FIRMA | FOTTRELL E |
| AFILIACIONES | University College London |
| ORCID | 0000-0003-0518-7161 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAS | 11 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
The feasibility of promoting recreational physical activity to manage type 2 diabetes in urban Bangladesh
Urbanisation has contributed to increased sedentary behaviour, which is a major risk factor for non-communicable diseases. In South Asia, the type 2 diabetes burden is rapidly increasing, and there is a need to understand the effect of different social categories, such as gender, socio-economic status, and diabetes status, in shaping opportunities to participate in physical activity. We used a rapid participatory qualitative research methodology …
A cluster randomised controlled trial of community groups using Participatory Learning and Action to prevent and control diabetes and intermediate hyperglycaemia in rural Bangladesh
Community mobilisation through Participatory Learning and Action (PLA) has been shown to be effective for a range of health outcomes, including diabetes. Using a cluster randomised controlled trial we evaluated the impact of a PLA community mobilisation intervention for diabetes prevention and control when implemented in rural Bangladesh in 2021–2022 and adapted to the evolving context of the COVID-19 pandemic. 108 PLA groups held a minimum of 13…
The burden of common mental disorders and their association with diabetes in rural Bangladesh
Background: Type 2 diabetes mellitus (T2DM) and common mental disorders (CMDs), including depression and anxiety, are significant public health challenges, particularly in low- and middle-income countries (LMICs). However, evidence on the distribution and associations between T2DM and CMDs in rural LMIC populations remains limited. We aimed to examine this relationship in a sample of adults from rural Bangladesh. Methods: In this cross-sectional …
Perceptions and knowledge of diabetes in poor urban communities in Accra, Ghana
Diabetes is a major public health concern, leading to costly and life-threating complications while significantly impacting quality of life. However, limited evidence exists on how diabetes is understood in poor urban communities in Africa, including Ghana. Evidence suggests that community beliefs about disease can shape health outcomes and influence intervention strategies. This cross-sectional qualitative study assessed perceptions and knowledg…
Non-communicable diseases, psychosocial wellbeing, and quality of life in Ga Mashie, Accra, Ghana
Diabetes, hypertension and obesity were associated with reduced QoL in Ga Mashie, Ghana. Further studies are needed to understand factors that influence health-related QoL among adults with NCDs, how these change over time, and to identify potential coping mechanisms that may influence this association
Changes in food quality and habits in urban Ghana
Respondents reported a shift from home cooking and communal meals toward eating out-of-home meals. The current dietary habits reflect a hybrid of modern foods with traditional foods. Food insecurity is high, and their diets provide little protection against chronic non-communicable diseases. This limits opportunities to move towards healthy diets and improved health outcomes as envisioned in the Agenda 2030
Community perspectives on the built environment, community stress, and the risk of diabetes and cardiovascular diseases in Accra, Ghana
The growing burden of diabetes and other non-communicable diseases in Africa demands greater understanding of the contextual drivers of risk factors, including the built environment. Cognitive Mapping (CM) is a participatory research approach that allows community members to visualise their environmental context through drawing. The maps express in visual form the situated knowledge of the environment from local perceptions of daily experiences. …
The cascade of hypertension prevalence, awareness, treatment, and control in urban-poor communities in Accra, Ghana
Hypertension is the leading modifiable risk factor for morbidity and mortality from cardiovascular diseases and poses a significant health challenge in low- and middle-income settings, including in sub-Saharan Africa. We set out to: (1) examine the prevalence, awareness, treatment and control of hypertension, and their associated factors, and (2) determine the prevalence of pre-hypertension and its associated factors in an urban poor setting in G…
Sex differences in social connectedness, health, and quality of life
Our study underscores the importance of examining sex-specific patterns in the relationships between social connectedness, QoL and health outcomes. Social connections appear to have both beneficial and non-beneficial effects, especially among women, although the magnitude of these effects was often small. This may reflect complex social dynamics shaped by cultural and traditional roles that differ by sex. Further research is needed to better unde…
Contextual awareness, response and evaluation (Care) of diabetes in poor urban communities in Ghana
Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over the past four decades. Two-thirds of the projected increases in global diabetes prevalence to 2045 are expected to come from low- and middle-income countries, including those in sub-Saharan Africa. Ghana is typical of this trend. However, there are gaps in evidence regarding the appropriate development of interventions and …
The contextual awareness, response and evaluation (Care) diabetes project
Diabetes is estimated to affect between 3.3% and 8.3% of adults in Ghana, and prevalence is expected to rise. The lack of cost-effective diabetes prevention programmes designed specifically for the Ghanaian population warrants urgent attention. The Contextual Awareness, Response and Evaluation (CARE): Diabetes Project in Ghana is a mixed methods study that aims to understand diabetes in the Ga Mashie area of Accra, identify opportunities for comm…
Stakeholder perceptions on scaling-up community-led interventions for prevention and control of non-communicable diseases in Bangladesh
Research highlighted the need for a preventative community engagement strategy to address NCDs, and the potential to utilise existing cadres to scale-up community-led interventions. It will be important to work with key stakeholders to address gender issues and ensure flexibility and responsiveness to community concerns. We indicate areas for further implementation research to develop scaled-up models of community-led interventions to address NCD…
Changes in non-communicable diseases, diet and exercise in a rural Bangladesh setting before and after the first wave of Covid-19
Prevalence of non-communicable diseases (NCDs) is high in rural Bangladesh. Given the complex multi-directional relationships between NCDs, COVID-19 infections and control measures, exploring pandemic impacts in this context is important. We conducted two cross-sectional surveys of adults ≥30-years in rural Faridpur district, Bangladesh, in February to March 2020 (survey 1, pre-COVID-19), and January to March 2021 (survey 2, post-lockdown). A new…
Scoping review of community health participatory research projects in Ghana
BACKGROUND: Community health participation is an essential tool in health research and management where community members, researchers and other relevant stakeholders contribute to the decision-making processes. Though community participation processes can be complex and challenging, evidence from previous studies have reported significant value of engaging with community in community health projects. OBJECTIVE: To identify the nature and extent …
Equity impact of participatory learning and action community mobilisation and mHealth interventions to prevent and control type 2 diabetes and intermediate hyperglycaemia in rural Bangladesh
BACKGROUND: A cluster randomised trial of mHealth and participatory learning and action (PLA) community mobilisation interventions showed that PLA significantly reduced the prevalence of intermediate hyperglycaemia and type 2 diabetes mellitus (T2DM) and the incidence of T2DM among adults in rural Bangladesh; mHealth improved knowledge but showed no effect on glycaemic outcomes. We explore the equity of intervention reach and impact. METHODS: Int…
Maternal mortality in the covid-19 pandemic
Estimating causes of death where there is no medical certification
Over the past 70 years, significant advances have been made in determining the causes of death in populations not served by official medical certification of cause at the time of death using a technique known as Verbal Autopsy (VA). VA involves an interview of the family or caregivers of the deceased after a suitable bereavement interval about the circumstances, signs and symptoms of the deceased in the period leading to death. The VA interview d…
Data innovation in response to Covid-19 in Somalia
BACKGROUND: During the COVID-19 pandemic, the importance of reliable public health data has been highlighted, as well as the multiple challenges in collecting it, especially in low income and conflict-affected countries. Somalia reported its first confirmed case of COVID-19 on 16 March 2020 and has experienced fluctuating infection levels since then. OBJECTIVES: To monitor the impact of COVID-19 on beneficiaries of a long-term cash transfer progr…
Refining circumstances of mortality categories (Comcat)
BACKGROUND: Recognising that the causes of over half the world's deaths pass unrecorded, the World Health Organization (WHO) leads development of Verbal Autopsy (VA): a method to understand causes of death in otherwise unregistered populations. Recently, VA has been developed for use outside research environments, supporting countries and communities to recognise and act on their own health priorities. We developed the Circumstances of Mortality …
Learning from a diabetes mHealth intervention in rural Bangladesh
There is an urgent need for population-based interventions to slow the growth of the diabetes epidemic in low-and middle-income countries. We tested the effectiveness of a population-based mHealth voice messaging intervention for T2DM prevention and control in rural Bangladesh through a cluster randomised controlled trial. mHealth improved knowledge and awareness about T2DM but there was no detectable effect on T2DM occurrence. We conducted mixed…
Care-seeking and managing diabetes in rural Bangladesh
ISRCTN41083256 . Registered on 30/03/2016
Participatory learning and action cycles with women's groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women's groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Participatory learning and action cycles with women’s groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women’s groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Developing a theory-driven contextually relevant mHealth intervention
In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour
The epidemiology of ‘bewitchment’ as a lay-reported cause of death in rural South Africa
BACKGROUND: Cases of premature death in Africa may be attributed to witchcraft. In such settings, medical registration of causes of death is rare. To fill this gap, verbal autopsy (VA) methods record signs and symptoms of the deceased before death as well as lay opinion regarding the cause of death; this information is then interpreted to derive a medical cause of death. In the Agincourt Health and Demographic Surveillance Site, South Africa, aro…
Equity impact of participatory learning and action community mobilisation and mHealth interventions to prevent and control type 2 diabetes and intermediate hyperglycaemia in rural Bangladesh
BACKGROUND: A cluster randomised trial of mHealth and participatory learning and action (PLA) community mobilisation interventions showed that PLA significantly reduced the prevalence of intermediate hyperglycaemia and type 2 diabetes mellitus (T2DM) and the incidence of T2DM among adults in rural Bangladesh; mHealth improved knowledge but showed no effect on glycaemic outcomes. We explore the equity of intervention reach and impact. METHODS: Int…
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Formative evaluation of a participatory women's group intervention to improve reproductive and women's health outcomes in rural Bangladesh
Participatory women's groups have considerable potential to improve women's health knowledge, but evidence of impact on certain outcomes is lacking. Further formative work and intervention development is needed to optimise the impact of this approach for women's health
The effect of participatory women's groups on infant feeding and child health knowledge, behaviour and outcomes in rural Bangladesh
BACKGROUND: Despite efforts to reduce under-5 mortality rates worldwide, an estimated 6.6 million under-5 children die every year. Community mobilisation through participatory women's groups has been shown to improve maternal and newborn health in rural settings, but little is known about the potential of this approach to improve care and health in children after the newborn period. METHODS: Following on from a cluster-randomised controlled trial…
The North-South information highway
BACKGROUND: Less than 2% of scientific publications originate in low-income countries. Transfer of information from South to North and from South to South is grossly limited and hinders understanding of global health, while Northern-generated information fails to adequately address the needs of a Southern readership. METHODS: A survey of a new generation of health researchers from nine low-income countries was conducted using a combination of ema…
Dying to count
Reliable cause-specific mortality data constitute a crucial resource for health monitoring, service planning and prioritisation. However, in the majority of the world's poorest settings, systematic health and vital event surveillance systems are weak or non-existent. As such, deaths are not counted and causes of death remain unregistered for more than two-thirds of the world's population.For researchers, health workers and policy makers in resour…
Strengthening standardised interpretation of verbal autopsy data
BACKGROUND: Verbal autopsy (VA) is the only available approach for determining the cause of many deaths, where routine certification is not in place. Therefore, it is important to use standards and methods for VA that maximise efficiency, consistency and comparability. The World Health Organization (WHO) has led the development of the 2012 WHO VA instrument as a new standard, intended both as a research tool and for routine registration of deaths…
The epidemiology of ‘bewitchment’ as a lay-reported cause of death in rural South Africa
BACKGROUND: Cases of premature death in Africa may be attributed to witchcraft. In such settings, medical registration of causes of death is rare. To fill this gap, verbal autopsy (VA) methods record signs and symptoms of the deceased before death as well as lay opinion regarding the cause of death; this information is then interpreted to derive a medical cause of death. In the Agincourt Health and Demographic Surveillance Site, South Africa, aro…
Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings
Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring
OBJECTIVE: Verbal autopsy (VA) is a systematic approach for determining causes of death (CoD) in populations without routine medical certification. It has mainly been used in research contexts and involved relatively lengthy interviews. Our objective here is to describe the process used to shorten, simplify, and standardise the VA process to make it feasible for application on a larger scale such as in routine civil registration and vital statist…
Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work
BACKGROUND: Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and education to health. This paper reviews the current evidence on the specific impacts of mobile technologies on tangible health outcomes (…
Electronic data capture in a rural African setting
BACKGROUND: As hardware for electronic data capture (EDC), such as smartphones or tablets, becomes cheaper and more widely available, the potential for using such hardware as data capture tools in routine healthcare and research is increasing. OBJECTIVE: We aim to highlight the advantages and disadvantages of four EDC systems being used simultaneously in rural Malawi: two for Android devices (CommCare and ODK Collect), one for PALM and Windows OS…
The development and experience of epidemiological transition theory over four decades
Local perceptions of causes of death in rural South Africa
BACKGROUND: Understanding how lay people perceive the causes of mortality and their associated risk factors is important for public health. In resource-limited settings, where verbal autopsy (VA) is used as the most expedient method of determining cause of death, it is important to understand how pre-existing concepts of cause of death among VA-informants may influence their VA-responses and the consequential impact on cause of death assessment. …
The effect of participatory women's groups on infant feeding and child health knowledge, behaviour and outcomes in rural Bangladesh
BACKGROUND: Despite efforts to reduce under-5 mortality rates worldwide, an estimated 6.6 million under-5 children die every year. Community mobilisation through participatory women's groups has been shown to improve maternal and newborn health in rural settings, but little is known about the potential of this approach to improve care and health in children after the newborn period. METHODS: Following on from a cluster-randomised controlled trial…
Stillbirths
An estimated 2.6 million third trimester stillbirths occurred in 2015 (uncertainty range 2.4-3.0 million). The number of stillbirths has reduced more slowly than has maternal mortality or mortality in children younger than 5 years, which were explicitly targeted in the Millennium Development Goals. The Every Newborn Action Plan has the target of 12 or fewer stillbirths per 1000 births in every country by 2030. 94 mainly high-income countries and …
National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000
BACKGROUND: Previous estimates have highlighted a large global burden of stillbirths, with an absence of reliable data from regions where most stillbirths occur. The Every Newborn Action Plan (ENAP) targets national stillbirth rates (SBRs) of 12 or fewer stillbirths per 1000 births by 2030. We estimate SBRs and numbers for 195 countries, including trends from 2000 to 2015. METHODS: We collated SBR data meeting prespecified inclusion criteria from…
Formative evaluation of a participatory women's group intervention to improve reproductive and women's health outcomes in rural Bangladesh
Participatory women's groups have considerable potential to improve women's health knowledge, but evidence of impact on certain outcomes is lacking. Further formative work and intervention development is needed to optimise the impact of this approach for women's health
Growth and body composition of children aged 2–4 years after exposure to community mobilisation women’s groups in Bangladesh
BACKGROUND: Women's groups interventions in Bangladesh reduced neonatal deaths by 38% and improved hygienic delivery, newborn care practices and breast feeding. We explore the longer-term impact of exposure to women's groups during pregnancy on child growth at 2-4 years. METHODS: We performed a cross-sectional survey of child anthropometric measures (analysed as z-scores) among children born to women who had participated in the women's groups int…
Developing a theory-driven contextually relevant mHealth intervention
In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Maternal mortality in the covid-19 pandemic
Estimating causes of death where there is no medical certification
Over the past 70 years, significant advances have been made in determining the causes of death in populations not served by official medical certification of cause at the time of death using a technique known as Verbal Autopsy (VA). VA involves an interview of the family or caregivers of the deceased after a suitable bereavement interval about the circumstances, signs and symptoms of the deceased in the period leading to death. The VA interview d…
Data innovation in response to Covid-19 in Somalia
BACKGROUND: During the COVID-19 pandemic, the importance of reliable public health data has been highlighted, as well as the multiple challenges in collecting it, especially in low income and conflict-affected countries. Somalia reported its first confirmed case of COVID-19 on 16 March 2020 and has experienced fluctuating infection levels since then. OBJECTIVES: To monitor the impact of COVID-19 on beneficiaries of a long-term cash transfer progr…
Refining circumstances of mortality categories (Comcat)
BACKGROUND: Recognising that the causes of over half the world's deaths pass unrecorded, the World Health Organization (WHO) leads development of Verbal Autopsy (VA): a method to understand causes of death in otherwise unregistered populations. Recently, VA has been developed for use outside research environments, supporting countries and communities to recognise and act on their own health priorities. We developed the Circumstances of Mortality …
Learning from a diabetes mHealth intervention in rural Bangladesh
There is an urgent need for population-based interventions to slow the growth of the diabetes epidemic in low-and middle-income countries. We tested the effectiveness of a population-based mHealth voice messaging intervention for T2DM prevention and control in rural Bangladesh through a cluster randomised controlled trial. mHealth improved knowledge and awareness about T2DM but there was no detectable effect on T2DM occurrence. We conducted mixed…
Care-seeking and managing diabetes in rural Bangladesh
ISRCTN41083256 . Registered on 30/03/2016
Participatory learning and action cycles with women's groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women's groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Participatory learning and action cycles with women’s groups to prevent neonatal death in low-resource settings
WHO recommends participatory learning and action cycles with women’s groups as a cost-effective strategy to reduce neonatal deaths. Coverage is a determinant of intervention effectiveness, but little is known about why cost-effectiveness estimates vary significantly. This article reanalyses primary cost data from six trials in India, Nepal, Bangladesh and Malawi to describe resource use, explore reasons for differences in costs and cost-effective…
Medicine (30 obras) · Environmental health (17 obras) · Global Maternal and Child Health (16 obras) · Public health (14 obras) · Nursing (11 obras) · Diabetes Management and Education (10 obras) · Psychological intervention (10 obras) · Psychology (10 obras) · Computer Science (9 obras) · Political science (9 obras)