Ali Sié
Datos Biográficos
| ID | 738677 |
|---|---|
| NOMBRE | Ali Sié |
| NOMBRES | Ali |
| APELLIDO | Sié |
| FIRMA | SIÉ A |
| AFILIACIONES | Centre de Recherche en Santé de Nouna |
| ORCID | 0000-0002-3959-2520 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 81 |
| TOTAL DE CITAS | 32 |
| TOTAL COMO AUTOR | 81 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2009 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Youth insights on menstrual health and hygiene in Burkina Faso; a comparison of written versus spoken qualitative text
Understanding girls’ lived experiences with menstruation is essential yet can be challenging given the taboo nature of the topic. While diaries have not previously been employed as a data collection method among girls in this setting, the use of diaries could generate unique insights due to their private, reflective, and participant-led nature. Our study aimed to explore the menstrual health and hygiene experiences of schoolgirls in Burkina Faso,…
Opportunities and challenges for integrating family planning and nutrition policies and programmes in Burkina Faso
BACKGROUND: Despite known linkages between family planning (FP) and nutrition, there is little evidence on whether and how these services are integrated for women of reproductive age (WRA; aged 15-49 years) in Burkina Faso. This study aimed to obtain an overview of FP and nutrition policies and programmes in Burkina Faso to understand the value, current efforts, gaps and opportunities for integration. METHODS: In this mixed-methods study, we anal…
Leveraging connections between family planning and nutrition to improve the health of women
The global burden of malnutrition and unmet need for family planning (FP) among women of reproductive age remains high. Leveraging the epidemiological and programmatic links between FP and nutrition could help improve outcomes in both domains for women, with wider benefits to health and well-being. Here, we draw on findings from our recently concluded Family Planning and Nutrition Project, which synthesised epidemiological and programmatic linkag…
Integration of azithromycin mass administration to 1–11-month-old children into an existing health platform to reduce child mortality
BACKGROUND: Azithromycin mass drug administration (MDA) to ages 1-59 months can reduce childhood mortality; however, more evidence is needed to support targeting a narrower age range of 1-11 months. This trial assesses the efficacy of azithromycin MDA to 1-11-month-old children in reducing mortality in a real-world setting with integration of vitamin A delivery within the established Child Health Days platform in Burkina Faso. METHODS: Mortalite …
Assessing the role of interventions and climate on malaria mortality among children under five years of age
Background: Malaria is a preventable disease that causes serious illness and death. In 2022, it remained the leading cause of death among children under five years of age in Burkina Faso, despite significant intervention efforts over the past two decades. Research on the effects of interventions and climatic factors on malaria morbidity has expanded, but their effects on malaria mortality remain unclear. We aimed to estimate the effects of interv…
Time-varying factors predicting adolescent healthcare needs and utilization in a rural Burkina Faso cohort
Adolescent healthcare in low-income countries receives little attention despite their growing population share, significant health challenges and the critical role of youth in shaping future health outcomes. Current research remains largely cross-sectional, limiting capacity to assess causal processes relating to care need and use. We used longitudinal data to examine adolescent need for and use of healthcare in rural Burkina Faso, to identify se…
Caregiver Screening for Relapse Among Children Recently Recovered From Severe Acute Malnutrition
Relapse to acute malnutrition after recovery from severe acute malnutrition (SAM) is common. However, most programmatic resources are devoted to the acute phase of recovery, and fewer interventions are available for children recently discharged from outpatient nutritional programs. We evaluated the feasibility of training caregivers to screen for relapse using mid-upper arm circumference (MUAC) tapes for reducing time to detection of relapse amon…
Examining the effect of nearby armed conflict on access to maternal and child health services in Burkina Faso’s primary healthcare facilities
BACKGROUND: Armed conflict is increasing in sub-Saharan Africa, impacting access to vital health services. However, scant evidence exists on the effects of the recently escalated conflict in Burkina Faso, a country severely affected by rising violence. METHODS: We conducted a longitudinal study, aligning conflict event data from the Uppsala Conflict Data Program with Burkina Faso's Health Management Information System data spanning from 2013 to 2…
Accessibility and quality of care for adults with hypertension in rural Burkina Faso
Providing quality healthcare is essential to reduce the future burden of cardiovascular disease. We assessed the quality of care for people with hypertension in Burkina Faso using the Institute of Medicine (IoM) Quality Domains of effectiveness, timeliness of access, patient-centredness and equitability of care. We performed an analysis of cross-sectional household survey data collected from a population-representative sample of 4000 adults ≥40 y…
The role of seasonal malaria chemoprevention in the effect of azithromycin on child mortality
The objective of this study was to examine whether the effect of mass Azithromycin (AZ) distribution on all-cause mortality among children under 5 varies with seasonal malaria chemoprevention (SMC) administration season or coverage. This was a secondary analysis of the Community Health with Azithromycin Trial (CHAT), a cluster-randomized, placebo-controlled trial of twice-yearly AZ treatment in 341 communities in the Nouna District, Burkina Faso.…
Perceptions and predictors of Covid-19 vaccine hesitancy among healthcare providers across five countries in sub-Saharan Africa
The African continent has some of the world’s lowest COVID-19 vaccination rates. While the limited availability of vaccines is a contributing factor, COVID-19 vaccine hesitancy among healthcare providers (HCP) is another factor that could adversely affect efforts to control infections on the continent. We sought to understand the extent of COVID-19 vaccine hesitancy among HCP, and its contributing factors in Africa. We evaluated COVID-19 vaccine …
Assessing heat exposure and its effects on farmer health, harvest yields, and nutrition
Rising temperatures in Africa present an increasing threat to agricultural productivity and public health, particularly among subsistence farming communities reliant on rain-fed agriculture. Heat exposure can impair farmers' work capacity, disrupt harvests, and heighten health risks, especially for young children vulnerable to undernutrition. The Heat to Harvest (H2H) study investigates how environmental heat exposure influences farmers' physiolo…
The evolution of facility-based deliveries at primary healthcare centres during an insecurity and conflict crisis in Burkina Faso
This research provides crucial insights for strengthening Burkina Faso's health system resilience to conflict by spatially identifying how facility characteristics and geo-spatial determinants shape healthcare disruptions. Mapping these elements at a fine scale enables adaptive policy interventions and dynamic resource allocation based on evolving conflict dynamics, enhancing obstetric care during conflict. By integrating the applied geospatial m…
It is because we women do not have a voice to be heard” - perceptions of gender-based discrimination and its relevance to health
Gender-based discrimination (GBD) remains a pervasive determinant of health inequity for women globally, yet its systemic and culturally embedded forms in low- and middle-income countries are underexplored. This study explores women’s lived experiences of GBD in Burkina Faso, Ghana and Tanzania, highlighting how intersecting social and institutional norms influence access to health care, education, employment, financial resources and the resultin…
Acceptability of cool roofs
Providing communities with technical information regarding how the cool roof functions and can be maintained may support uptake via acceptability. Desirability of the roof may be achieved via a combination of highlighting the indoor cooling of the roof as reported by users, sharing of results with the community so that they have an insight into the effects of the roof, and feedback regarding the products useability and durability
Effectiveness of a comic book intervention on mental health literacy among adolescents and youth in Burkina Faso
This trial has been registered on the German Clinical Trials Register (DRKS), with the registration number DRKS00034242
Physical effort during labour and behavioural adaptations in response to heat stress among subsistence farmers in Burkina Faso
A Cross-Sectional Study of Sexual Health and Well-Being in Married or Cohabitating Middle-Aged and Older Adults in Nouna, Burkina Faso
Sexual health and well-being is important for middle-aged and older adults, but knowledge is limited on prevalence and determinants in countries in Sub-Saharan Africa. We analyzed cross-sectional data collected in 2021 from married or cohabitating adults age ≥ 40 in Nouna, Burkina Faso. Sexual health and well-being were measured using the Sexual Relationships and Activities Questionnaire. Descriptive statistics and multivariable logistic models w…
Prepared for the polycrisis? The need for complexity science and systems thinking to address global and national evidence gaps
The Sustainable Development Goals are far off track. The convergence of global threats such as climate change, conflict and the lasting effects of the COVID-19 pandemic—among others—call for better data and research evidence that can account for the complex interactions between these threats. In the time of polycrisis, global and national-level data and research evidence must address complexity. Viewed through the lens of ‘systemic risk’, there i…
Mass azithromycin for prevention of child mortality among children with acute malnutrition
Children with acute malnutrition are at high risk of morality. Mass azithromycin distribution reduces all-cause mortality among children aged 1–59 months, and effects may be greater in underweight infants. Here, we evaluate the efficacy of azithromycin for reducing all-cause mortality in children aged 6–59 months with acute malnutrition (mid-upper arm circumference, MUAC, P -value for interaction on the relative scale = 0.09; P -value for interac…
Anaemia among school‐going adolescents in Burkina Faso
Adolescence, a stage of growth between 10 and 19 years, is a transitional period of intense cognitive, emotional and physical development. Though iron deficiency is the leading cause of morbidity and mortality among this age group, nutritional interventions targeting adolescents are rare. To inform policy and practice aimed at adolescent health, we established the burden of anaemia among school-going adolescents in Center West Burkina Faso and in…
Impact of Climate Variability and Interventions on Malaria Incidence and Forecasting in Burkina Faso
The interaction between climatic factors and interventions varied across zones, with the best forecasting performance in the cooler/wet zone. Zone-specific intervention planning and model development adjustments are essential for more efficient early-warning systems
Relationship satisfaction and metabolic health parameters
Higher relationship satisfaction may lead to increased body weight among Burkinabe adults aged 40 years and older, and depressive symptoms may be a mediator in this association
Neonatal anthropometric indicators of infant growth and mortality in Burkina Faso
Objective: Most evidence supporting screening for undernutrition is for children aged 6–59 months. However, the highest risk of mortality and highest incidence of wasting occurs in the first 6 months of life. We evaluated relationships between neonatal anthropometric indicators, including birth weight, weight-for-age Z -score (WAZ), weight-for-length Z-score (WLZ), length-for-age Z -score (LAZ) and mid-upper arm circumference (MUAC) and mortality…
Widening the lens of population-based health research to climate change impacts and adaptation
Background: Climate change significantly impacts health in low-and middle-income countries (LMICs), exacerbating vulnerabilities. Comprehensive data for evidence-based research and decision-making is crucial but scarce. Health and Demographic Surveillance Sites (HDSSs) in Africa and Asia provide a robust infrastructure with longitudinal population cohort data, yet they lack climate-health specific data. Acquiring this information is essential for…
Measuring Contraceptive Autonomy at Two Sites in Burkina Faso
There is growing consensus in the family planning community around the need for novel measures of autonomy. Existing literature highlights the tension between efforts to pursue contraceptive targets and maximize uptake on the one hand, and efforts to promote quality, person‐centeredness, and contraceptive autonomy on the other hand. Here, we pilot a novel measure of contraceptive autonomy, measuring it at two Health and Demographic Surveillance S…
Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It
Unmet need for contraception is a widely used but frequently misunderstood indicator. Although calculated from measures of pregnancy intention and current contraceptive use, unmet need is commonly used as a proxy measure for (1) lack of access to contraception and (2) desire to use it. Using data from a survey in Burkina Faso, we examine the extent to which unmet need corresponds with and diverges from these two concepts, calculating sensitivity,…
Health insurance and health-seeking behavior
Feeling Younger in Rural Burkina Faso
Middle-aged and older adults in Nouna felt less young than similar age groups in Western studies. One of the reasons may be that youthfulness is less of a value outside Western cultures. As in Western studies, parts of the variation in SA can be explained by health parameters
Migration sélective des adultes et inégalités face au décès entre milieux urbains et ruraux au Burkina Faso
En prenant l'exemple du Burkina Faso, où les migrations du milieu rural vers le milieu urbain continuent d'alimenter abondamment le processus d'urbanisation, cette recherche teste les effets nets de la migration sur le différentiel de mortalité entre milieux urbains et ruraux chez les adultes de 15 à 74 ans. Elle s'appuie sur les informations recueillies dans les observatoires de population situés à la campagne (Nouna) et en ville (Ouagadougou) s…
Provider payment methods and health worker motivation in community-based health insurance
Impairment in Activities of Daily Living and Unmet Need for Care Among Older Adults
Prevalence of ADL impairment and unmet need was high in this setting. Variation in impairment across the population highlighted key groups for future interventions. Unmet need for care was highest in middle-aged adults, indicating a gap in care provision
Decreasing childhood mortality and increasing proportion of malaria deaths in rural Burkina Faso
Decreasing childhood mortality and increasing proportion of malaria deaths in rural Burkina Faso
BACKGROUND: Malaria is the leading cause of death among children less than five years of age in sub-Saharan Africa (SSA), however, precise estimates on the burden of malaria are lacking. The aim of this study was to describe temporal trends for malaria and all-cause mortality by combining a series of clinical and intervention studies conducted in Burkina Faso. METHODS: Data from a demographic surveillance system was used to follow-up children und…
Using high spatial resolution remote sensing for risk mapping of malaria occurrence in the Nouna district, Burkina Faso
INTRODUCTION: Malaria control measures such as early diagnosis and treatment, intermittent treatment of pregnant women, impregnated bed nets, indoor spraying and larval control measures are difficult to target specifically because of imprecise estimates of risk at a small-scale level. Ways of estimating local risks for malaria are therefore important. METHODS: A high-resolution satellite view from the SPOT 5 satellite during 2008 was used to gene…
Cooking fuels and the push for cleaner alternatives
INTRODUCTION: More than 95% of the population in Burkina Faso uses some form of solid biomass fuel. When these fuels are burned in traditional, inefficient stoves, pollutant levels within and outside the home can be very high. This can have important consequences for both health and climate change. Thus, the push to switch to cleaner burning fuels is advantageous. However, there are several considerations that need to be taken into account when c…
The Health and Demographic Surveillance System (HDSS) in Nouna, Burkina Faso, 1993–2007
The Nouna Health and Demographic Surveillance System (HDSS) is located in rural Burkina Faso and has existed since 1992. Currently, it has about 78,000 inhabitants. It is a member of the International Network for the Demographic Evaluation of Populations and Their Health in Developing Countries (INDEPTH), a global network of members who conducts longitudinal health and demographic evaluation of populations in low- and middle-income countries. The…
Using community wealth ranking to identify the poor for subsidies
Access to health-care is low in developing countries. Poor people are less likely to seek care than those who are better off. Community-based health insurance (CBI) aims to improve healthcare utilisation by removing financial barriers, unfortunately CBI has been less effective in securing equity than expected. Poor people, who probably require greater protection from catastrophic health expenses, are less likely to enrol in such schemes. Therefor…
HIV treatment and reproductive health in the health system in Burkina Faso
Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using national and district budgets related to disease burden, policy documents, organizational structures, and coordination and implementation…
Measuring self-reported health in low-income countries
BACKGROUND: National surveys in low-income countries increasingly rely on self-reported measures of health. The ease, speed, and economy of collecting self-reports of health make such collection attractive for rapid appraisals. However, the interpretation of these measures is complicated since different cultures understand and respond to the same question in different ways. OBJECTIVE: The aim of this pilot study was to develop a culturally sensit…
Weather and mortality
BACKGROUND: A growing body of evidence points to the emission of greenhouse gases from human activity as a key factor in climate change. This in turn affects human health and wellbeing through consequential changes in weather extremes. At present, little is known about the effects of weather on the health of sub-Saharan African populations, as well as the related anticipated effects of climate change partly due to scarcity of good quality data. W…
Econometric analysis to evaluate the effect of community-based health insurance on reducing informal self-care in Burkina Faso
OBJECTIVE: This study examines the role of community-based health insurance (CBHI) in influencing health-seeking behaviour in Burkina Faso, West Africa. Community-based health insurance was introduced in Nouna district, Burkina Faso, in 2004 with the goal to improve access to contracted providers based at primary- and secondary-level facilities. The paper specifically examines the effect of CBHI enrolment on reducing the prevalence of seeking mod…
Health insurance and health-seeking behavior
Does enrollment status in community-based insurance lead to poorer quality of care? Evidence from Burkina Faso
In 2004, a community-based health insurance (CBI) scheme was introduced in Nouna health district, Burkina Faso, with the objective of improving financial access to high quality health services. We investigate the role of CBI enrollment in the quality of care provided at primary-care facilities in Nouna district, and measure differences in objective and perceived quality of care and patient satisfaction between enrolled and non-enrolled population…
Emira
BACKGROUND: Malaria control is based on early treatment of cases and on vector control. The current measures for malaria vector control in Africa are mainly based on long-lasting insecticide treated nets (LLINs) and to a much smaller extent on indoor residual spraying (IRS). A third pillar in the fight against the malaria vector, larval source management (LSM), has virtually not been used in Africa since the ban of DDT in the 1960s. Within the li…
Cause-specific childhood mortality in Africa and Asia
BACKGROUND: Childhood mortality, particularly in the first 5 years of life, is a major global concern and the target of Millennium Development Goal 4. Although the majority of childhood deaths occur in Africa and Asia, these are also the regions where such deaths are least likely to be registered. The INDEPTH Network works to alleviate this problem by collating detailed individual data from defined Health and Demographic Surveillance sites. By re…
Nesting doctoral students in collaborative North–South partnerships for health systems research
BACKGROUND: The European Union (EU) supports North-South Partnerships and collaborative research projects through its Framework Programmes and Horizon 2020. There is limited research on how such projects can be harnessed to provide a structured platform for doctoral level studies as a way of strengthening health system research capacity in sub-Saharan Africa (SSA). OBJECTIVE: The aim of this study was to explore the challenges of, and facilitatin…
HIV/Aids-related mortality in Africa and Asia
BACKGROUND: As the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to assess the mortality burden of the pandemic from individual data. OBJECTIVE: To present standardised comparisons of HIV/AIDS-related m…
Mortality from external causes in Africa and Asia
BACKGROUND: Mortality from external causes, of all kinds, is an important component of overall mortality on a global basis. However, these deaths, like others in Africa and Asia, are often not counted or documented on an individual basis. Overviews of the state of external cause mortality in Africa and Asia are therefore based on uncertain information. The INDEPTH Network maintains longitudinal surveillance, including cause of death, at populatio…
Adult non-communicable disease mortality in Africa and Asia
BACKGROUND: Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among muc…
Malaria mortality in Africa and Asia
BACKGROUND: Malaria continues to be a major cause of infectious disease mortality in tropical regions. However, deaths from malaria are most often not individually documented, and as a result overall understanding of malaria epidemiology is inadequate. INDEPTH Network members maintain population surveillance in Health and Demographic Surveillance System sites across Africa and Asia, in which individual deaths are followed up with verbal autopsies…
Cause-specific mortality in Africa and Asia
BACKGROUND: Because most deaths in Africa and Asia are not well documented, estimates of mortality are often made using scanty data. The INDEPTH Network works to alleviate this problem by collating detailed individual data from defined Health and Demographic Surveillance sites. By registering all deaths over time and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to …
The INDEPTH standard population for low- and middle-income countries, 2013
Crude rates such as the crude death rate are functions of both the age-specific rates and the age composition of a population. However, differences in the age structure between two populations or two time periods can result in specious differences in the corresponding crude rates making direct comparisons between populations or across time inappropriate. Therefore, when comparing crude rates between populations, it is desirable to eliminate or mi…
Provider payment methods and health worker motivation in community-based health insurance
Measuring population health
BACKGROUND: There are more than 40 Health and Demographic Surveillance System (HDSS) sites in 19 different countries. The running costs of HDSS sites are high. The financing of HDSS activities is of major importance, and adding external health surveys to the HDSS is challenging. To investigate the ways of improving data quality and collection efficiency in the Nouna HDSS in Burkina Faso, the stand-alone data collection activities of the HDSS and …
Health insurance and child mortality in rural Burkina Faso
BACKGROUND: Micro health insurance schemes have been implemented across developing countries as a means of facilitating access to modern medical care, with the ultimate aim of improving health. This effect, however, has not been explored sufficiently. OBJECTIVE: We investigated the effect of enrolment into community-based health insurance on mortality in children under 5 years of age in a health and demographic surveillance system in Nouna, Burki…
Using a community-based definition of poverty for targeting poor households for premium subsidies in the context of a community health insurance in Burkina Faso
Policies targeting the poorest require the establishment of effective selection strategies. These policies are well-conditioned by proper identification of the poor people. Community perceptions and criteria of poverty are grounded in reality, to better appreciate the issue. It is crucial to take these perceptions into account in undertaking community development actions which target the poor. For most community-based health insurance schemes wit…
Medicine (66 obras) · Environmental health (53 obras) · Population (38 obras) · Global Maternal and Child Health (34 obras) · Demography (26 obras) · Geography (25 obras) · Public health (24 obras) · Health care (19 obras) · Nursing (17 obras) · Psychological intervention (15 obras)