Mark Spigt
Biographic Data
| ID | 7674750 |
|---|---|
| NAME | Mark Spigt |
| GIVEN NAMES | Mark |
| FAMILY NAME | Spigt |
| SIGNATURE | SPIGT M |
| AFFILIATIONS | Maastricht University |
| ORCID | 0000-0002-6279-8068 |
| VERIFIED | Yes |
| TOTAL WORKS | 17 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 17 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
“They Push Her to Dance…, Devalue Her If She is a Virgin…, and Beat Her as a Sign of Love…”
Background Pastoralist adolescents and youth in Ethiopia’s Omo Valley live within social and structural conditions that may shape sexual risk and protection differently from settled populations.Objectives This study explored perceived risk and protective factors shaping sexual risk behaviors among Hamer pastoralist adolescents and youth aged 10–24 years in southern Ethiopia.Methods A qualitative descriptive study was conducted in selected kebeles…
Strengthening community engagement in pandemic preparedness
While knowledge of COVID-19 was relatively high, attitudes were only moderate and preventive practices remained low. The finding that only 35% of the population actively participated in COVID-19 response efforts highlights a critical gap in community engagement during health crises. From an emergency management perspective, this calls for more effective strategies to translate awareness into proactive involvement. The Ministry of Health and WHO m…
Unequal access
ASRH service utilization is notably low among agrarian and pastoralist communities compared to urban and semi-urban settings, pastoralists being more underserved. Promoting parental involvement, establishing SRH centers in schools and health institutions, and expanding access through mobile services for pastoralist communities are essential. Strengthened efforts by the health sector and stakeholders are critical to addressing gaps and ensuring eq…
Predictors of neonatal mortality in Ethiopia
Ethiopia is among the countries that have highest neonatal mortality in the world. Despite efforts to reduce neonatal mortality, the country has faced challenges in achieving national and global targets. The study aims to determine the trends and predictors of change in neonatal mortality in Ethiopia for the past 15 years. The study used Ethiopian Demographic Health Survey Datasets (EDHS) from 2005, 2011, and 2016. All live births of reproductive…
Engagement with mental health and health behavior change interventions
Low intervention engagement is common in mental health and health behavior change interventions, but research on engagement is scattered, and heterogeneity in the definition and measurement of engagement is large. To aid future engagement research, we conducted an integrative review in which we 1) discuss definitions of engagement, 2) highlight four complementary models of engagement, and 3) propose an integrative conceptual model of engagement. …
A qualitative study exploring perceptions of people living with HIV using antiretroviral therapy on self-management of healthy nutrition and the related healthcare service in Ethiopia
In Ethiopia, undernutrition is a quite common health problem among people living with HIV. Unlike in developed countries, nutritional counseling for people living with HIV has not received much attention. This study aimed to explore the perception of people living with HIV on their dietary practice and the existing health care service in Ethiopia. A phenomenological qualitative study was conducted in two hospitals in southern Ethiopia from March …
The challenge of dealing with non-Aids comorbidities for people living with HIV
As the cohort of People Living with HIV (PLHIV) ages, so does the spectrum and burden of non-AIDS define HIV-associated conditions (NARC). PLHIV are likely to need different and increased healthcare services. It requires health systems to adapt to this disease trend and conform to a chronic care model, which respects the distinct needs of the ageing population. In this article, we explore the lived experiences of PLHIV and their healthcare provid…
Barriers and facilitators to the implementation of nutrition interventions at primary health care units of Ethiopia
Accumulating evidence clearly shows poor implementation of nutrition interventions, in Ethiopia and other African countries, with many missed opportunities in the first 1000 days of life. Even though there are high-impact interventions in this critical period, little is known about the barriers and facilitators influencing their implementation. This paper aims to explore barriers and facilitators for the implementation of nutrition services for s…
Understanding the risk perception of visceral leishmaniasis exposure and the acceptability of sandfly protection measures among migrant workers in the lowlands of Northwest Ethiopia
This finding suggests that VL prevention interventions should focus on individuals' perceptions in order to promote consistent use of protective measures. The findings are highly useful in planning effective interventions against VL
Anaemia and its determinants among young children aged 6–23 months in Ethiopia (2005–2016)
Anaemia in children remains a significant public health threat. Recent numbers from Ethiopia showed that more than two-thirds of children under the age of 2 years were anaemic. This study aimed to investigate the determinants of anaemia throughout Ethiopia over 11 years, making use of the Ethiopian Demographic and Health Survey (EDHS) rounds 2005, 2011 and 2016. The EDHS made it possible to use data on blood tests and detailed questionnaires amon…
The association between acute malnutrition and water, sanitation, and hygiene among children aged 6–59 months in rural E thiopia
The causes of acute malnutrition-or "wasting"-are complex, and a better understanding of the underlying drivers is necessary in order to design effective interventions. Water, sanitation, and hygiene (WASH) practices may play a fundamental role in acute malnutrition, but more research is needed to confirm this relationship. We investigated the association between WASH practices and acute malnutrition among children 6 to 59 months of age in rural …
Infant mortality and causes of infant deaths in rural Ethiopia
The IMR for the four-year period was lower than the national and regional estimates. Our findings suggest the need to improve the newborn care, and empower teenagers to delay teenage pregnancy and attain higher levels of education
How much do the physician review and InterVA model agree in determining causes of death? a comparative analysis of deaths in rural Ethiopia
If the InterVA were used in place of the existing PR process, the overall diagnosis would be fairly similar. The methods had better agreement in important public health diseases like; TB, perinatal causes, and pneumonia/sepsis; and lower in cardiovascular diseases and neoplasms. Therefore, both methods need to be validated against a gold-standard diagnosis of death
Applying the InterVA-4 model to determine causes of death in rural Ethiopia
BACKGROUND: In Ethiopia, most deaths take place at home and routine certification of cause of death by physicians is lacking. As a result, reliable cause of death (CoD) data are often not available. Recently, a computerized method for interpretation of verbal autopsy (VA) data, called InterVA, has been developed and used. It calculates the probability of a set of CoD given the presence of circumstances, signs, and symptoms reported during VA inte…
The influence of father's child feeding knowledge and practices on children's dietary diversity
Infant and young child feeding has been recognised as an essential element to improve growth of children, especially in developing countries where malnutrition among children and its dire consequences are very prevalent. However, little attention has been paid on the influence of fathers on child feeding practices, although fathers are very important in raising well-adjusted, happy and successful children. Therefore, this study aimed to assess th…
The SMILE study
Despite our relatively low response rates, we trust that, because of the longitudinal character of the study and the high absolute number of participants, our database contains a valuable set of information.SMILE is a longitudinal cohort with a long follow-up period (15 years). The long follow-up and the unique combination of the two data collection strategies will enable us to disentangle causal relationships. Furthermore, patient-reported chara…
Cognitive Changes Predict Continued Recovery of Erectile Functioning Versus Relapse After Discontinuation of Sildenafil Treatment for Male Erectile Dysfunction
OBJECTIVE: To examine whether erectile functioning after termination of sildenafil intake in men with psychogenic ED (erectile dysfunction) can be predicted with psychological measures. METHOD: The subjects in a nonrandomized controlled trial were 65 heterosexual men with acquired psychogenic ED, aged 54.2 +/- 11 years. Sildenafil medication was taken as required before sexual activity, up to two times per week. Response to a global end point que…
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Cognitive Changes Predict Continued Recovery of Erectile Functioning Versus Relapse After Discontinuation of Sildenafil Treatment for Male Erectile Dysfunction
OBJECTIVE: To examine whether erectile functioning after termination of sildenafil intake in men with psychogenic ED (erectile dysfunction) can be predicted with psychological measures. METHOD: The subjects in a nonrandomized controlled trial were 65 heterosexual men with acquired psychogenic ED, aged 54.2 +/- 11 years. Sildenafil medication was taken as required before sexual activity, up to two times per week. Response to a global end point que…
The SMILE study
Despite our relatively low response rates, we trust that, because of the longitudinal character of the study and the high absolute number of participants, our database contains a valuable set of information.SMILE is a longitudinal cohort with a long follow-up period (15 years). The long follow-up and the unique combination of the two data collection strategies will enable us to disentangle causal relationships. Furthermore, patient-reported chara…
Applying the InterVA-4 model to determine causes of death in rural Ethiopia
BACKGROUND: In Ethiopia, most deaths take place at home and routine certification of cause of death by physicians is lacking. As a result, reliable cause of death (CoD) data are often not available. Recently, a computerized method for interpretation of verbal autopsy (VA) data, called InterVA, has been developed and used. It calculates the probability of a set of CoD given the presence of circumstances, signs, and symptoms reported during VA inte…
The influence of father's child feeding knowledge and practices on children's dietary diversity
Infant and young child feeding has been recognised as an essential element to improve growth of children, especially in developing countries where malnutrition among children and its dire consequences are very prevalent. However, little attention has been paid on the influence of fathers on child feeding practices, although fathers are very important in raising well-adjusted, happy and successful children. Therefore, this study aimed to assess th…
Infant mortality and causes of infant deaths in rural Ethiopia
The IMR for the four-year period was lower than the national and regional estimates. Our findings suggest the need to improve the newborn care, and empower teenagers to delay teenage pregnancy and attain higher levels of education
How much do the physician review and InterVA model agree in determining causes of death? a comparative analysis of deaths in rural Ethiopia
If the InterVA were used in place of the existing PR process, the overall diagnosis would be fairly similar. The methods had better agreement in important public health diseases like; TB, perinatal causes, and pneumonia/sepsis; and lower in cardiovascular diseases and neoplasms. Therefore, both methods need to be validated against a gold-standard diagnosis of death
The association between acute malnutrition and water, sanitation, and hygiene among children aged 6–59 months in rural E thiopia
The causes of acute malnutrition-or "wasting"-are complex, and a better understanding of the underlying drivers is necessary in order to design effective interventions. Water, sanitation, and hygiene (WASH) practices may play a fundamental role in acute malnutrition, but more research is needed to confirm this relationship. We investigated the association between WASH practices and acute malnutrition among children 6 to 59 months of age in rural …
Anaemia and its determinants among young children aged 6–23 months in Ethiopia (2005–2016)
Anaemia in children remains a significant public health threat. Recent numbers from Ethiopia showed that more than two-thirds of children under the age of 2 years were anaemic. This study aimed to investigate the determinants of anaemia throughout Ethiopia over 11 years, making use of the Ethiopian Demographic and Health Survey (EDHS) rounds 2005, 2011 and 2016. The EDHS made it possible to use data on blood tests and detailed questionnaires amon…
Barriers and facilitators to the implementation of nutrition interventions at primary health care units of Ethiopia
Accumulating evidence clearly shows poor implementation of nutrition interventions, in Ethiopia and other African countries, with many missed opportunities in the first 1000 days of life. Even though there are high-impact interventions in this critical period, little is known about the barriers and facilitators influencing their implementation. This paper aims to explore barriers and facilitators for the implementation of nutrition services for s…
Understanding the risk perception of visceral leishmaniasis exposure and the acceptability of sandfly protection measures among migrant workers in the lowlands of Northwest Ethiopia
This finding suggests that VL prevention interventions should focus on individuals' perceptions in order to promote consistent use of protective measures. The findings are highly useful in planning effective interventions against VL
A qualitative study exploring perceptions of people living with HIV using antiretroviral therapy on self-management of healthy nutrition and the related healthcare service in Ethiopia
In Ethiopia, undernutrition is a quite common health problem among people living with HIV. Unlike in developed countries, nutritional counseling for people living with HIV has not received much attention. This study aimed to explore the perception of people living with HIV on their dietary practice and the existing health care service in Ethiopia. A phenomenological qualitative study was conducted in two hospitals in southern Ethiopia from March …
The challenge of dealing with non-Aids comorbidities for people living with HIV
As the cohort of People Living with HIV (PLHIV) ages, so does the spectrum and burden of non-AIDS define HIV-associated conditions (NARC). PLHIV are likely to need different and increased healthcare services. It requires health systems to adapt to this disease trend and conform to a chronic care model, which respects the distinct needs of the ageing population. In this article, we explore the lived experiences of PLHIV and their healthcare provid…
Predictors of neonatal mortality in Ethiopia
Ethiopia is among the countries that have highest neonatal mortality in the world. Despite efforts to reduce neonatal mortality, the country has faced challenges in achieving national and global targets. The study aims to determine the trends and predictors of change in neonatal mortality in Ethiopia for the past 15 years. The study used Ethiopian Demographic Health Survey Datasets (EDHS) from 2005, 2011, and 2016. All live births of reproductive…
Engagement with mental health and health behavior change interventions
Low intervention engagement is common in mental health and health behavior change interventions, but research on engagement is scattered, and heterogeneity in the definition and measurement of engagement is large. To aid future engagement research, we conducted an integrative review in which we 1) discuss definitions of engagement, 2) highlight four complementary models of engagement, and 3) propose an integrative conceptual model of engagement. …
Strengthening community engagement in pandemic preparedness
While knowledge of COVID-19 was relatively high, attitudes were only moderate and preventive practices remained low. The finding that only 35% of the population actively participated in COVID-19 response efforts highlights a critical gap in community engagement during health crises. From an emergency management perspective, this calls for more effective strategies to translate awareness into proactive involvement. The Ministry of Health and WHO m…
Unequal access
ASRH service utilization is notably low among agrarian and pastoralist communities compared to urban and semi-urban settings, pastoralists being more underserved. Promoting parental involvement, establishing SRH centers in schools and health institutions, and expanding access through mobile services for pastoralist communities are essential. Strengthened efforts by the health sector and stakeholders are critical to addressing gaps and ensuring eq…
“They Push Her to Dance…, Devalue Her If She is a Virgin…, and Beat Her as a Sign of Love…”
Background Pastoralist adolescents and youth in Ethiopia’s Omo Valley live within social and structural conditions that may shape sexual risk and protection differently from settled populations.Objectives This study explored perceived risk and protective factors shaping sexual risk behaviors among Hamer pastoralist adolescents and youth aged 10–24 years in southern Ethiopia.Methods A qualitative descriptive study was conducted in selected kebeles…
Medicine (13 works) · Environmental health (9 works) · Public health (7 works) · Child Nutrition and Water Access (6 works) · Global Maternal and Child Health (6 works) · Nursing (6 works) · Population (6 works) · Pediatrics (5 works) · Psychological intervention (5 works) · Biostatistics (4 works)