Emelda A Okiro

Datos Biográficos

ID6735990
NOMBREEmelda A Okiro
NOMBRESEmelda A
APELLIDOOkiro
FIRMAOKIRO E A
AFILIACIONESKenya Medical Research Institute
ORCID0000-0001-9543-8360
VERIFICADOSí
TOTAL DE OBRAS15
TOTAL DE CITAS1
TOTAL COMO AUTOR15
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2017
AÑO MÁS RECIENTE DE PUBLICACIÓN2026
ÍNDICE H1

  • Impact of travel time to health facilities on perinatal outcomes

    Open AccessSanam Roder-DeWan, Marwa Ramadan et al.ARTICLEJournal of Global Health2026

    Background: Evidence-based global guidance on safe travel time for small or sick newborns who require transfer to health facilities after birth is lacking. A two-hour threshold is frequently cited in low- and middle-income countries (LMICs), while 30 minutes is commonly used in high-income countries (HICs). Although these thresholds are widely referenced, their empirical basis and consistency across levels of newborn care and journey types have n…

  • Geographic accessibility to public and private health facilities in Kenya in 2021

    Open AccessAngela K Moturi, Laurissa Suiyanka et al.ARTICLEFrontiers in Public Health2022

    Objectives: To achieve universal health coverage, adequate geographic access to quality healthcare services is vital and should be characterized periodically to support planning. However, in Kenya, previous assessments of geographic accessibility have relied on public health facility lists only, assembled several years ago. Here, for the first time we assemble a geocoded list of public and private health facilities in 2021 and make use of this up…

  • Progress towards achieving child survival goals in Kenya after devolution

    Open AccessNoel K Joseph, Peter M Macharia et al.ARTICLEPLOS Global Public Health2022

    Subnational projections of under-5 mortality (U5M) have increasingly become an essential planning tool to support Sustainable Development Goals (SDGs) agenda and strategies for improving child survival. To support child health policy, planning, and tracking child development goals in Kenya, we projected U5M at units of health decision making. County-specific annual U5M were estimated using a multivariable Bayesian space-time hierarchical model ba…

  • Geospatial mapping of timely access to inpatient neonatal care and its relationship to neonatal mortality in Kenya

    Open AccessPaul Ouma, Lucas Malla et al.ARTICLEPLOS Global Public Health2022

    Globally, 2.4 million newborns die in the first month of life, with neonatal mortality rates (NMR) per 1,000 livebirths being highest in sub-Saharan Africa. Improving access to inpatient newborn care is necessary for reduction of neonatal deaths in the region. We explore the relationship between distance to inpatient hospital newborn care and neonatal mortality in Kenya. Data on service availability from numerous sources were used to map hospital…

  • Modelling geographic access and school catchment areas across public primary schools to support subnational planning in Kenya

    Open AccessPeter M Macharia, Angela K Moturi et al.ARTICLEChildren s Geographies2022Citada por: 1Referencias: 4

    Understanding the location of schools relative to the population they serve is important to contextualise the time, students must travel and to define school catchment areas (SCAs) for planning. We assembled a spatio-temporal database of public primary schools (PPS), population density of school-going children (SGC), and factors affecting travel in 2009 and 2020 in Kenya. We combined the assembled datasets within cost distance and cost allocation…

  • The effects of armed conflict on the health of women and children

    Open AccessEran Bendavid, Ties Boerma et al.ARTICLEThe Lancet2021

  • Subnational estimates of factors associated with under-five mortality in Kenya

    Open AccessPeter M Macharia, Noel K Joseph et al.ARTICLEBMJ Global Health2021

    BACKGROUND: To improve child survival, it is necessary to describe and understand the spatial and temporal variation of factors associated with child survival beyond national aggregates, anchored at decentralised health planning units. Therefore, we aimed to provide subnational estimates of factors associated with child survival while elucidating areas of progress, stagnation and decline in Kenya. METHODS: Twenty household surveys and three popul…

  • Defining service catchment areas in low-resource settings

    Open AccessPeter M Macharia, Nicolas Ray et al.ARTICLEBMJ Global Health2021

    Defining an accurate, representative service catchment area is important for computing population denominators for disease mapping and efficient public planning, including health, education and social care.\n \nThe growth in population settlement modelling techniques and provision of geocoded service databases has fuelled an increase in local and regional service access mapping to examine coverage and equity in much of sub-Saharan African countri…

  • The indirect impact of Covid-19 pandemic on inpatient admissions in 204 Kenyan hospitals

    Open AccessSteven Wambua, Lucas Malla et al.ARTICLEPLOS Global Public Health2021

    The first case of severe acute respiratory coronavirus 2 (SARS-CoV-2) was identified in March 2020 in Kenya resulting in the implementation of public health measures (PHM) to prevent large-scale epidemics. We aimed to quantify the impact of COVID-19 confinement measures on access to inpatient services using data from 204 Kenyan hospitals. Data on monthly admissions and deliveries from the District Health Information Software version 2 (DHIS 2) we…

  • A vulnerability index for Covid-19

    Open AccessPeter M Macharia, Noel K Joseph et al.ARTICLEBMJ Global Health2020

    BACKGROUND: Response to the coronavirus disease 2019 (COVID-19) pandemic calls for precision public health reflecting our improved understanding of who is the most vulnerable and their geographical location. We created three vulnerability indices to identify areas and people who require greater support while elucidating health inequities to inform emergency response in Kenya. METHODS: Geospatial indicators were assembled to create three vulnerabi…

  • Spatial and temporal distribution of infectious disease epidemics, disasters and other potential public health emergencies in the World Health Organisation Africa region, 2016–2018

    Open AccessAmbrose Talisuna, Ambrose Otau TALISUNA et al.ARTICLEGlobalization and Health2020

    BACKGROUND: Emerging and re-emerging diseases with pandemic potential continue to challenge fragile health systems in Africa, creating enormous human and economic toll. To provide evidence for the investment case for public health emergency preparedness, we analysed the spatial and temporal distribution of epidemics, disasters and other potential public health emergencies in the WHO African region between 2016 and 2018. METHODS: We abstracted dat…

  • Spatial access inequities and childhood immunisation uptake in Kenya

    Open AccessNoel K Joseph, Peter M Macharia et al.ARTICLEBMC Public Health2020

    Travel time to immunising health facilities is a barrier to uptake of childhood vaccines in regions with suboptimal accessibility (> 2-h). Strategies that address access barriers in the hardest to reach communities are needed to enhance equitable access to immunisation services in Kenya

  • Sub national variation and inequalities in under-five mortality in Kenya since 1965

    Open AccessPeter M Macharia, Emanuele Giorgi et al.ARTICLEBMC Public Health2019

    Kenya has made huge progress in child survival since independence. However, U5M remains high and heterogeneous with substantial differences between counties. Better use of the current resources through focused allocation is required to achieve further reductions, reduce inequalities and increase the likelihood of achieving Sustainable Development Goal 3·2 on U5M by 2030

  • Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015

    Open AccessPaul Ouma, Paul O Ouma et al.ARTICLEThe Lancet Global Health2018

    Background Timely access to emergency care can substantially reduce mortality. International benchmarks for access to emergency hospital care have been established to guide ambitions for universal health care by 2030. However, no Pan-African database of where hospitals are located exists; therefore, we aimed to complete a geocoded inventory of hospital services in Africa in relation to how populations might access these services in 2015, with foc…

  • Coverage of routine reporting on malaria parasitological testing in Kenya, 2015–2016

    Open AccessJoseph K Maina, Peter M Macharia et al.ARTICLEGlobal Health Action2017

    BACKGROUND: Following the launch of District Health Information System 2 across facilities in Kenya, more health facilities are now capable of carrying out malaria parasitological testing and reporting data as part of routine health information systems, improving the potential value of routine data for accurate and timely tracking of rapidly changing disease epidemiology at fine spatial resolutions. OBJECTIVES: This study evaluates the current co…