Estelle Sidze
Biographic Data
| ID | 6455849 |
|---|---|
| NAME | Estelle Sidze |
| GIVEN NAMES | Estelle |
| FAMILY NAME | Sidze |
| SIGNATURE | SIDZE E |
| AFFILIATIONS | African Population and Health Research Center |
| ORCID | 0000-0003-1866-3905 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 14 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Prevalence and risk factors of diarrhea among young children in Kenya’s drylands
Diarrhea is the third leading cause of malnutrition and mortality among children under five globally. Environmental and socioeconomic conditions in the drylands of sub-Saharan Africa may increase the risk of diarrhea, yet few studies have examined the factors in these settings. We therefore aimed to estimate the prevalence of diarrhea and identify potential risk factors among young children in Kenya drylands. Data are from a longitudinal populati…
Women's empowerment and mental well-being
Perinatal mental health is a significant concern globally, especially in low- and middle-income countries. Women's mental well-being is essential for managing daily stresses and positively contributing to their communities. Empowering women can enhance their health and that of their families. This paper explores how women's empowerment(WE) in rural Kenyan communities affects their maternal mental well-being and discusses the challenges and lesson…
The nexus of the risk of depression and residential mobility for urban poor mothers
Introduction: In Africa, the nexus between mental well-being and residential mobility is understudied, especially in urban settings. World Health Organization estimates show that the African continent, as a whole, has some of the world's highest rates of postpartum depressive disorders. Understanding how residential mobility shapes the risk of depression among urban poor mothers in African contexts is of high importance to public health, given th…
Factors Influencing Wasting in Children Under 5 in Arid Regions of Kenya
Child wasting is a major public health problem in low- and middle-income countries. Our study aimed to identify immediate, underlying and basic factors influencing wasting among children in Turkana and Samburu, two arid and semi-arid regions in Kenya. Data are from a longitudinal study of children under 3 years of age at baseline, with follow-up every 4 months for 2 years. Generalized estimating equations were used to assess risk factors of wasti…
Effect of safe water delivery plus water and sanitation hygiene behavior change communication on diarrheal disease prevalence among children under 5 years in a slum setting in Nairobi, Kenya
The intervention significantly reduced diarrheal disease prevalence in children under five years of age in the slum setting. Therefore, there is a need to expand the intervention to the remaining areas to reduce diarrheal disease morbidity and mortality
Does Marriage Benefit Maternal Mental Health? New Evidence from Nairobi, Kenya
It has long been known that marriage is a critical correlate of mental health, primarily through relationship quality and support from partner. However, in contexts where couples struggle to maintain a healthy relationship and marriage is an increasingly protracted process, the benefits of marriage for women's mental health are far from assured. In this analysis, we draw on survey and qualitative data from a longitudinal study in two low-income c…
Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties
Acute malnutrition in children under 5 years is persistent in Eastern Africa's arid and semiarid lands. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population-based longitudinal mixed-methods observational study. Qualitative and quantitative data were collected at Wave 1, but only quantitative data were collected during follow-up. Participants were a representative sample of ch…
The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services utilization in Kakamega, Kenya
The National Hospital Insurance Fund (NHIF) of Kenya was upgraded to improve access to healthcare for impoverished households, expand universal health coverage, and boost the uptake of essential reproductive, maternal, newborn and child health (RMNCH) services. However, premiums may be unaffordable for the poorest households. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) programme targets low-income women and their hous…
Reduced incidence of respiratory, gastrointestinal and malaria infections among children during the Covid-19 pandemic in Western Kenya
Background: Epidemics can cause significant disruptions of essential health care services. This was evident in West-Africa during the 2014-2016 Ebola outbreak, raising concerns that COVID-19 would have similar devastating consequences for the continent. Indeed, official facility-based records show a reduction in health care visits after the onset of COVID-19 in Kenya. Our question is whether this observed reduction was caused by lower access to h…
A tale of 22 cities
INTRODUCTION: Globally, the majority of births happen in urban areas. Ensuring that women and their newborns benefit from a complete package of high-quality care during pregnancy, childbirth and the postnatal period present specific challenges in large cities. We examine health service utilisation and content of care along the maternal continuum of care (CoC) in 22 large African cities. METHODS: 1 million inhabitants in 2015. Women with live birt…
Classroom implementation of national sexuality education curricula in four low- and middle-income countries
School-based comprehensive sexuality education (CSE) can help adolescents acquire crucial knowledge and skills to achieve their full potential, particularly in low- and middle-income countries with higher rates of negative sexual and reproductive outcomes. While many low- and middle-income countries have developed CSE curricula, little is known about how these are implemented in the classroom. This multi-country mixed-methods study analysed chall…
Large and persistent subnational inequalities in reproductive, maternal, newborn and child health intervention coverage in sub-Saharan Africa
Subnational inequalities have received limited attention in the monitoring of progress towards national and global health targets during the past two decades. Yet, such data are often a critical basis for health planning and monitoring in countries, in support of efforts to reach all with essential interventions. Household surveys provide a rich basis for interventions coverage indicators on reproductive, maternal, newborn and child health (RMNCH…
Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries
Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The …
The short-term economic effects of Covid-19 on low-income households in rural Kenya
This research assesses how low-income households in rural Kenya coped with the immediate economic consequences of the COVID-19 pandemic. It uses granular financial data from weekly household interviews covering six weeks before the first case was detected in Kenya to five weeks after during which various containment measures were implemented. Based on household-level fixed-effects regressions, our results suggest that income from work decreased w…
Towards comprehensive sexuality education
The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. Based on an analysis of current policy and legal framew…
Providers, Unmarried Young Women, and Post‐Abortion Care in Kenya
Young women and girls in Kenya face challenges in access to abortion care services. Using in‐depth and focus group interviews, we explored providers’ constructions of these challenges. In general, providers considered abortion to be commonplace in Kenya; reported being regularly approached to offer abortion‐related care and services; and articulated the structural, contextual, and personal challenges they faced in serving young post‐abortion care…
Factors associated with repeat induced abortion in Kenya
The findings point to the need to address the reasons why women with first time induced abortion do not have the necessary information to prevent unintended pregnancies and further induced abortions. Possible explanations linked to the quality of post-abortion family planning and coverage of long-acting methods should be explored
Does the Quality of Parent–Child Connectedness Matter for Adolescents’ Sexual Behaviors in Nairobi Informal Settlements
Young Women’s Access to and Use of Contraceptives
CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15-29…
Effect of HIV status on fertility intention and contraceptive use among women in nine sub-Saharan African countries
BACKGROUND: Expanding access to antiretroviral therapy (ART) means that HIV is no longer a death sentence. This change has implications for reproductive decisions and behaviors of HIV-infected individuals. DESIGN: Using multiple rounds of biomarker data from Demographic and Health Surveys (2004-2012) in nine sub-Saharan African countries, we compare patterns of associations between HIV status and fertility intention and between current use of mod…
Effects of parenting practices on sexual risk-taking among young people in Cameroon
Reproductive health programs and interventions for preventing young people's risky sexual behaviors in sub-Saharan African settings must take into account the protective effects of parent-child relationships and the significance of parental monitoring over time
Reproductive health financing in Kenya
Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data are drawn from Kenyan budget estimates, reproductive health accounts, and the Resource Flows Project database and compare budgets a…
The short-term economic effects of Covid-19 on low-income households in rural Kenya
This research assesses how low-income households in rural Kenya coped with the immediate economic consequences of the COVID-19 pandemic. It uses granular financial data from weekly household interviews covering six weeks before the first case was detected in Kenya to five weeks after during which various containment measures were implemented. Based on household-level fixed-effects regressions, our results suggest that income from work decreased w…
Reproductive health financing in Kenya
Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data are drawn from Kenyan budget estimates, reproductive health accounts, and the Resource Flows Project database and compare budgets a…
Does the Quality of Parent–Child Connectedness Matter for Adolescents’ Sexual Behaviors in Nairobi Informal Settlements
Effects of parenting practices on sexual risk-taking among young people in Cameroon
Reproductive health programs and interventions for preventing young people's risky sexual behaviors in sub-Saharan African settings must take into account the protective effects of parent-child relationships and the significance of parental monitoring over time
Reproductive health financing in Kenya
Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data are drawn from Kenyan budget estimates, reproductive health accounts, and the Resource Flows Project database and compare budgets a…
Young Women’s Access to and Use of Contraceptives
CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15-29…
Effect of HIV status on fertility intention and contraceptive use among women in nine sub-Saharan African countries
BACKGROUND: Expanding access to antiretroviral therapy (ART) means that HIV is no longer a death sentence. This change has implications for reproductive decisions and behaviors of HIV-infected individuals. DESIGN: Using multiple rounds of biomarker data from Demographic and Health Surveys (2004-2012) in nine sub-Saharan African countries, we compare patterns of associations between HIV status and fertility intention and between current use of mod…
Factors associated with repeat induced abortion in Kenya
The findings point to the need to address the reasons why women with first time induced abortion do not have the necessary information to prevent unintended pregnancies and further induced abortions. Possible explanations linked to the quality of post-abortion family planning and coverage of long-acting methods should be explored
Does the Quality of Parent–Child Connectedness Matter for Adolescents’ Sexual Behaviors in Nairobi Informal Settlements
Providers, Unmarried Young Women, and Post‐Abortion Care in Kenya
Young women and girls in Kenya face challenges in access to abortion care services. Using in‐depth and focus group interviews, we explored providers’ constructions of these challenges. In general, providers considered abortion to be commonplace in Kenya; reported being regularly approached to offer abortion‐related care and services; and articulated the structural, contextual, and personal challenges they faced in serving young post‐abortion care…
Towards comprehensive sexuality education
The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. Based on an analysis of current policy and legal framew…
Large and persistent subnational inequalities in reproductive, maternal, newborn and child health intervention coverage in sub-Saharan Africa
Subnational inequalities have received limited attention in the monitoring of progress towards national and global health targets during the past two decades. Yet, such data are often a critical basis for health planning and monitoring in countries, in support of efforts to reach all with essential interventions. Household surveys provide a rich basis for interventions coverage indicators on reproductive, maternal, newborn and child health (RMNCH…
Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries
Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The …
The short-term economic effects of Covid-19 on low-income households in rural Kenya
This research assesses how low-income households in rural Kenya coped with the immediate economic consequences of the COVID-19 pandemic. It uses granular financial data from weekly household interviews covering six weeks before the first case was detected in Kenya to five weeks after during which various containment measures were implemented. Based on household-level fixed-effects regressions, our results suggest that income from work decreased w…
Classroom implementation of national sexuality education curricula in four low- and middle-income countries
School-based comprehensive sexuality education (CSE) can help adolescents acquire crucial knowledge and skills to achieve their full potential, particularly in low- and middle-income countries with higher rates of negative sexual and reproductive outcomes. While many low- and middle-income countries have developed CSE curricula, little is known about how these are implemented in the classroom. This multi-country mixed-methods study analysed chall…
A tale of 22 cities
INTRODUCTION: Globally, the majority of births happen in urban areas. Ensuring that women and their newborns benefit from a complete package of high-quality care during pregnancy, childbirth and the postnatal period present specific challenges in large cities. We examine health service utilisation and content of care along the maternal continuum of care (CoC) in 22 large African cities. METHODS: 1 million inhabitants in 2015. Women with live birt…
Reduced incidence of respiratory, gastrointestinal and malaria infections among children during the Covid-19 pandemic in Western Kenya
Background: Epidemics can cause significant disruptions of essential health care services. This was evident in West-Africa during the 2014-2016 Ebola outbreak, raising concerns that COVID-19 would have similar devastating consequences for the continent. Indeed, official facility-based records show a reduction in health care visits after the onset of COVID-19 in Kenya. Our question is whether this observed reduction was caused by lower access to h…
Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties
Acute malnutrition in children under 5 years is persistent in Eastern Africa's arid and semiarid lands. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population-based longitudinal mixed-methods observational study. Qualitative and quantitative data were collected at Wave 1, but only quantitative data were collected during follow-up. Participants were a representative sample of ch…
The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services utilization in Kakamega, Kenya
The National Hospital Insurance Fund (NHIF) of Kenya was upgraded to improve access to healthcare for impoverished households, expand universal health coverage, and boost the uptake of essential reproductive, maternal, newborn and child health (RMNCH) services. However, premiums may be unaffordable for the poorest households. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) programme targets low-income women and their hous…
Women's empowerment and mental well-being
Perinatal mental health is a significant concern globally, especially in low- and middle-income countries. Women's mental well-being is essential for managing daily stresses and positively contributing to their communities. Empowering women can enhance their health and that of their families. This paper explores how women's empowerment(WE) in rural Kenyan communities affects their maternal mental well-being and discusses the challenges and lesson…
The nexus of the risk of depression and residential mobility for urban poor mothers
Introduction: In Africa, the nexus between mental well-being and residential mobility is understudied, especially in urban settings. World Health Organization estimates show that the African continent, as a whole, has some of the world's highest rates of postpartum depressive disorders. Understanding how residential mobility shapes the risk of depression among urban poor mothers in African contexts is of high importance to public health, given th…
Factors Influencing Wasting in Children Under 5 in Arid Regions of Kenya
Child wasting is a major public health problem in low- and middle-income countries. Our study aimed to identify immediate, underlying and basic factors influencing wasting among children in Turkana and Samburu, two arid and semi-arid regions in Kenya. Data are from a longitudinal study of children under 3 years of age at baseline, with follow-up every 4 months for 2 years. Generalized estimating equations were used to assess risk factors of wasti…
Effect of safe water delivery plus water and sanitation hygiene behavior change communication on diarrheal disease prevalence among children under 5 years in a slum setting in Nairobi, Kenya
The intervention significantly reduced diarrheal disease prevalence in children under five years of age in the slum setting. Therefore, there is a need to expand the intervention to the remaining areas to reduce diarrheal disease morbidity and mortality
Does Marriage Benefit Maternal Mental Health? New Evidence from Nairobi, Kenya
It has long been known that marriage is a critical correlate of mental health, primarily through relationship quality and support from partner. However, in contexts where couples struggle to maintain a healthy relationship and marriage is an increasingly protracted process, the benefits of marriage for women's mental health are far from assured. In this analysis, we draw on survey and qualitative data from a longitudinal study in two low-income c…
Prevalence and risk factors of diarrhea among young children in Kenya’s drylands
Diarrhea is the third leading cause of malnutrition and mortality among children under five globally. Environmental and socioeconomic conditions in the drylands of sub-Saharan Africa may increase the risk of diarrhea, yet few studies have examined the factors in these settings. We therefore aimed to estimate the prevalence of diarrhea and identify potential risk factors among young children in Kenya drylands. Data are from a longitudinal populati…
Medicine (16 works) · Environmental health (15 works) · Population (12 works) · Adolescent Sexual and Reproductive Health (9 works) · Economic growth (9 works) · Global Maternal and Child Health (9 works) · Poverty, Education, and Child Welfare (9 works) · Reproductive health (8 works) · Demography (7 works) · Economics (7 works)