Alayne M Adams
Biographic Data
| ID | 635602 |
|---|---|
| NAME | Alayne M Adams |
| GIVEN NAMES | Alayne M |
| FAMILY NAME | Adams |
| SIGNATURE | ADAMS A M |
| AFFILIATIONS | McGill University |
| ORCID | 0000-0002-0961-9825 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 178 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 7 |
Co-developing a framework to guide school-based substance use prevention (SSUP) interventions in Ghana
Substance use among young people is a global public health challenge with a high burden in African countries, including Ghana. Behavioural interventions implemented in schools can be effective in preventing substance use among young people in Ghana; however, these interventions are currently lacking. Evidence-based frameworks can contribute to the design and implementation of behavioural school-based substance use prevention interventions; howeve…
The political economy of tobacco of Zimbabwe: An analysis of stakeholder perspectives
Tobacco continues to be viewed as a path to economic development by some governments, including Zimbabwe, despite widespread knowledge of tobacco’s negative consequences for users, farmers and the environment. Zimbabwe is one of the top five tobacco producers in the world and the largest tobacco producer in the African region. Zimbabwe’s focus on tobacco production creates difficulties for the implementation of the World Health Organization Frame…
Contextual factors impacting WHO Framework Convention on Tobacco Control implementation in Africa—a scoping review
According to the World Health Organization (WHO), tobacco use causes over 8 million deaths annually including 1.3 million due to second-hand exposure. Furthermore, data from the Tobacco Atlas show that the tobacco industry continues to target new markets in the WHO African region, one of two regions where absolute numbers of smokers continue to increase. Understanding context contributes to policy formulation and implementation ensuring relevance…
“We have to look deeper into why”: Perspectives on problem identification and prioritization of women’s and girls’ health across United Nations agencies
Eliminating gender inequality and promoting population health are stand-alone goals in the Sustainable Development Goals (SDGs). It is crucial to understand goal setting and policy making processes aimed at promoting gender and health equality given the entrenched and structural natures of these inequalities. Our research examines the process of problem and solution representation, priority setting, and factors that shape the policymaking process…
Anti-Black racism in Canadian health care: A qualitative study of diverse perceptions of racism and racial discrimination among Black adults in Montreal, Quebec
Perceptions of anti-Black racism and racial discrimination in Canadian health care are complex and may include intra-racial group differences. This study begins to address the dearth of empirical research documenting experiences of anti-Black racism in health care in Quebec, highlighting a continued need for serious consideration of the ways in which racism may manifest in the province, as well as a need for anti-racist advocacy. Advancing racial…
Anti-Black discrimination in primary health care: A qualitative study exploring internalized racism in a Canadian context
Our study suggests that multiple levels of racism, including internalized racism, must be addressed in efforts to promote health and health care equity among racialized minority groups, and particularly within Black communities
Mitigating mental health and wellbeing challenges among young populations: A scan of youth-led initiatives across Canada to inform psychosocial program development
Food systems determinants of nutritional health and wellbeing in urban informal settlements: A scoping review in LMICs
INTRODUCTION: Increasing food and nutritional inequities are apparent in urban settings across Low- and Middle-Income Countries (LMICs), along with nutrition transition towards ultra-processed diets high in fat, sugar, and salt. In urban informal settlements, characterized by insecurity and inadequate housing and infrastructure, food systems dynamics and their nutritional implications are poorly understood. OBJECTIVES: This paper explores the foo…
Exploring social determinants of health in a Saudi Arabian primary health care setting: The need for a multidisciplinary approach
Enabling more socially accountable care requires a multipronged approach including leadership from the Ministry of Health, hospital administrations and medical schools. In particular, there is a need for: 1) training physicians to help patients in navigating social challenges; 2) improving clinical/administrative interprofessional teams, 3) mobilizing local communities in addressing social challenges; and 4) advocating for intersectoral action to…
Mobilising demand for primary health care services among urban slums: Insights from a case study in Bangladesh
This qualitative case study examines a pilot community mobilisation initiative to increase access to qualified primary health care services among slum dwellers in Bangladesh. Emerging from analysis are a series of key considerations in the design and implementation of mobilisation activities in poor urban settlements. These include who best to mobilise in highly stratified social settings; how to bridge communities in need with outside resources;…
Modelling improved efficiency in healthcare referral systems for the urban poor using a geo-referenced health facility data: The case of Sylhet City Corporation, Bangladesh
For both maternal and emergency/critical care services, significant distance reductions can be achieved for public, NGO and private facilities that avert burden on Sylhet City's largest public tertiary hospital. GIS-informed analyses can help strengthen coordination between service providers and contribute to more effective and equitable referral systems in Bangladesh and similar countries
Contracting-out urban primary health care in Bangladesh: A qualitative exploration of implementation processes and experience
This study calls attention to factors that need to be addressed to successfully implement CO projects, both in Bangladesh and similar countries. Country ownership is crucial for adapting and integrating CO in national health systems. Concurrent processes must be ensured to develop local CO capacity. CO modalities must be adaptable and responsive to changing context, while operating within an agreed-upon and appropriate legal framework with a stro…
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014
Reflecting on recent success around socioeconomic and gender equity in child mortality, and the weak legacy of nutrition policy in Bangladesh, we suggest that nutrition programming energies be focused specifically on the most disadvantaged and applied at scale to close socioeconomic gaps in stunting prevalence
Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist ev…
Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh
In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of he…
Measuring social networks cross-culturally
Women’s Social Power, Child Nutrition and Poverty in Mali
While the macro-level association between poverty and child malnutrition is well-established, the concept of ‘poverty’ and its operationalization in terms of measures of socioeconomic status shed little or no light on the mechanisms through which malnutrition is created and/or prevented. This paper investigates a woman’s social power, one such mechanism that may mediate the impact of poverty on childhood nutrition. This micro-level factor is exam…
Women's social networks and child survival in Mali
Gender, socioeconomic development and health-seeking behaviour in Bangladesh
Demystifying Nonparticipation in Microcredit: A Population-Based Analysis
Chronic Energy Deficiency in Women From Rural Bangladesh: Some Socioeconomic Determinants
This paper explores a number of socioeconomic factors thought to explain the wide prevalence of undernutrition among rural Bangladeshi women. The 1992 baseline survey data of the BRAC-ICDDR,B Joint Research Project at Matlab were used. Anthropometry was performed on a random sub-sample of 1462 currently married, non-pregnant women between 15 and 49 years of age. Women's nutritional status was defined in terms of Body Mass Index (BMI = wt in kg/ht…
Towards a conceptual framework of household coping: Reflections from rural West Africa
The study and application of household coping have largely been confined to the problems of famine and food insecurity. Based on field insights from West Africa, this paper argues that understanding how households cope and allocate resources in times of crisis is of immense value to a broad array of development interventions. It also introduces a conceptual framework that evaluates household coping in exogenous and endogenous contexts. The applic…
Socioeconomic stratification by wealth ranking: Is it valid
Household strategies to cope with the economic costs of illness
Seasonal variations in nutritional risk among children in central Mali
This paper examines the effect of seasonality on the nutritional risk of a cohort of 67 under‐fives in rural Mali. In the year of study (1988–89), distinct seasonal trends are apparent for all nutritional indicators: a gradual improvement occurring in the dry season followed by a decline in the rainy season. While significant, these variations are not of sufficient magnitude to affect the prevalence of children falling below ‐2 standard deviation…
Household strategies to cope with the economic costs of illness
Women's social networks and child survival in Mali
Gender, socioeconomic development and health-seeking behaviour in Bangladesh
Towards a conceptual framework of household coping: Reflections from rural West Africa
The study and application of household coping have largely been confined to the problems of famine and food insecurity. Based on field insights from West Africa, this paper argues that understanding how households cope and allocate resources in times of crisis is of immense value to a broad array of development interventions. It also introduces a conceptual framework that evaluates household coping in exogenous and endogenous contexts. The applic…
Demystifying Nonparticipation in Microcredit: A Population-Based Analysis
Socioeconomic stratification by wealth ranking: Is it valid
Food Insecurity in Mali: Exploring the Role of the Moral Economy
This article examines the concept of the 'moral economy' and its relevance to understanding food insecurity in Mali. It argues that focusing solely on market-based explanations for food insecurity overlooks the complex social and cultural factors that shape access to food. The study explores how moral values, social norms, and reciprocal obligations influence food distribution and consumption patterns within Malian communities. It highlights the …
Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh
In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of he…
Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist ev…
Anti-Black discrimination in primary health care: A qualitative study exploring internalized racism in a Canadian context
Our study suggests that multiple levels of racism, including internalized racism, must be addressed in efforts to promote health and health care equity among racialized minority groups, and particularly within Black communities
Food Insecurity in Mali: Exploring the Role of the Moral Economy
This article examines the concept of the 'moral economy' and its relevance to understanding food insecurity in Mali. It argues that focusing solely on market-based explanations for food insecurity overlooks the complex social and cultural factors that shape access to food. The study explores how moral values, social norms, and reciprocal obligations influence food distribution and consumption patterns within Malian communities. It highlights the …
Seasonal variations in nutritional risk among children in central Mali
This paper examines the effect of seasonality on the nutritional risk of a cohort of 67 under‐fives in rural Mali. In the year of study (1988–89), distinct seasonal trends are apparent for all nutritional indicators: a gradual improvement occurring in the dry season followed by a decline in the rainy season. While significant, these variations are not of sufficient magnitude to affect the prevalence of children falling below ‐2 standard deviation…
Household strategies to cope with the economic costs of illness
Socioeconomic stratification by wealth ranking: Is it valid
Chronic Energy Deficiency in Women From Rural Bangladesh: Some Socioeconomic Determinants
This paper explores a number of socioeconomic factors thought to explain the wide prevalence of undernutrition among rural Bangladeshi women. The 1992 baseline survey data of the BRAC-ICDDR,B Joint Research Project at Matlab were used. Anthropometry was performed on a random sub-sample of 1462 currently married, non-pregnant women between 15 and 49 years of age. Women's nutritional status was defined in terms of Body Mass Index (BMI = wt in kg/ht…
Towards a conceptual framework of household coping: Reflections from rural West Africa
The study and application of household coping have largely been confined to the problems of famine and food insecurity. Based on field insights from West Africa, this paper argues that understanding how households cope and allocate resources in times of crisis is of immense value to a broad array of development interventions. It also introduces a conceptual framework that evaluates household coping in exogenous and endogenous contexts. The applic…
Demystifying Nonparticipation in Microcredit: A Population-Based Analysis
Gender, socioeconomic development and health-seeking behaviour in Bangladesh
Women’s Social Power, Child Nutrition and Poverty in Mali
While the macro-level association between poverty and child malnutrition is well-established, the concept of ‘poverty’ and its operationalization in terms of measures of socioeconomic status shed little or no light on the mechanisms through which malnutrition is created and/or prevented. This paper investigates a woman’s social power, one such mechanism that may mediate the impact of poverty on childhood nutrition. This micro-level factor is exam…
Women's social networks and child survival in Mali
Measuring social networks cross-culturally
Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh
In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of he…
Trends and determinants of inequities in childhood stunting in Bangladesh from 1996/7 to 2014
Reflecting on recent success around socioeconomic and gender equity in child mortality, and the weak legacy of nutrition policy in Bangladesh, we suggest that nutrition programming energies be focused specifically on the most disadvantaged and applied at scale to close socioeconomic gaps in stunting prevalence
Lessons learned in using realist evaluation to assess maternal and newborn health programming in rural Bangladesh
Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in real life contexts can affect intervention effectiveness. This paper reflects on an experience in applying the tenets of realist ev…
Contracting-out urban primary health care in Bangladesh: A qualitative exploration of implementation processes and experience
This study calls attention to factors that need to be addressed to successfully implement CO projects, both in Bangladesh and similar countries. Country ownership is crucial for adapting and integrating CO in national health systems. Concurrent processes must be ensured to develop local CO capacity. CO modalities must be adaptable and responsive to changing context, while operating within an agreed-upon and appropriate legal framework with a stro…
Modelling improved efficiency in healthcare referral systems for the urban poor using a geo-referenced health facility data: The case of Sylhet City Corporation, Bangladesh
For both maternal and emergency/critical care services, significant distance reductions can be achieved for public, NGO and private facilities that avert burden on Sylhet City's largest public tertiary hospital. GIS-informed analyses can help strengthen coordination between service providers and contribute to more effective and equitable referral systems in Bangladesh and similar countries
Mobilising demand for primary health care services among urban slums: Insights from a case study in Bangladesh
This qualitative case study examines a pilot community mobilisation initiative to increase access to qualified primary health care services among slum dwellers in Bangladesh. Emerging from analysis are a series of key considerations in the design and implementation of mobilisation activities in poor urban settlements. These include who best to mobilise in highly stratified social settings; how to bridge communities in need with outside resources;…
Exploring social determinants of health in a Saudi Arabian primary health care setting: The need for a multidisciplinary approach
Enabling more socially accountable care requires a multipronged approach including leadership from the Ministry of Health, hospital administrations and medical schools. In particular, there is a need for: 1) training physicians to help patients in navigating social challenges; 2) improving clinical/administrative interprofessional teams, 3) mobilizing local communities in addressing social challenges; and 4) advocating for intersectoral action to…
Food systems determinants of nutritional health and wellbeing in urban informal settlements: A scoping review in LMICs
INTRODUCTION: Increasing food and nutritional inequities are apparent in urban settings across Low- and Middle-Income Countries (LMICs), along with nutrition transition towards ultra-processed diets high in fat, sugar, and salt. In urban informal settlements, characterized by insecurity and inadequate housing and infrastructure, food systems dynamics and their nutritional implications are poorly understood. OBJECTIVES: This paper explores the foo…
Contextual factors impacting WHO Framework Convention on Tobacco Control implementation in Africa—a scoping review
According to the World Health Organization (WHO), tobacco use causes over 8 million deaths annually including 1.3 million due to second-hand exposure. Furthermore, data from the Tobacco Atlas show that the tobacco industry continues to target new markets in the WHO African region, one of two regions where absolute numbers of smokers continue to increase. Understanding context contributes to policy formulation and implementation ensuring relevance…
“We have to look deeper into why”: Perspectives on problem identification and prioritization of women’s and girls’ health across United Nations agencies
Eliminating gender inequality and promoting population health are stand-alone goals in the Sustainable Development Goals (SDGs). It is crucial to understand goal setting and policy making processes aimed at promoting gender and health equality given the entrenched and structural natures of these inequalities. Our research examines the process of problem and solution representation, priority setting, and factors that shape the policymaking process…
Anti-Black racism in Canadian health care: A qualitative study of diverse perceptions of racism and racial discrimination among Black adults in Montreal, Quebec
Perceptions of anti-Black racism and racial discrimination in Canadian health care are complex and may include intra-racial group differences. This study begins to address the dearth of empirical research documenting experiences of anti-Black racism in health care in Quebec, highlighting a continued need for serious consideration of the ways in which racism may manifest in the province, as well as a need for anti-racist advocacy. Advancing racial…
Anti-Black discrimination in primary health care: A qualitative study exploring internalized racism in a Canadian context
Our study suggests that multiple levels of racism, including internalized racism, must be addressed in efforts to promote health and health care equity among racialized minority groups, and particularly within Black communities
Mitigating mental health and wellbeing challenges among young populations: A scan of youth-led initiatives across Canada to inform psychosocial program development
The political economy of tobacco of Zimbabwe: An analysis of stakeholder perspectives
Tobacco continues to be viewed as a path to economic development by some governments, including Zimbabwe, despite widespread knowledge of tobacco’s negative consequences for users, farmers and the environment. Zimbabwe is one of the top five tobacco producers in the world and the largest tobacco producer in the African region. Zimbabwe’s focus on tobacco production creates difficulties for the implementation of the World Health Organization Frame…
Medicine (19 works) · Economic growth (15 works) · Economics (15 works) · Political science (15 works) · Public health (14 works) · Sociology (14 works) · Population (12 works) · Environmental health (11 works) · Geography (11 works) · Global Maternal and Child Health (10 works)