Hani Mowafi
Biographic Data
| ID | 7780635 |
|---|---|
| NAME | Hani Mowafi |
| GIVEN NAMES | Hani |
| FAMILY NAME | Mowafi |
| SIGNATURE | MOWAFI H |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0001-6225-8048 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 1 |
| WORKS AS AUTHOR | 5 |
| WORKS AS EDITOR | 18 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Identifying barriers and facilitators to implementing triage systems in low- and middle-income countries
More than 50% of mortality and one-third of disabilities associated with a range of medical and surgical conditions may be prevented by a well-established Emergency Care System (ECS). The World Health Organization (WHO) has developed a framework that defines the essential ECS functions, including facility-based triage. This scoping review aims to identify the barriers and facilitators to facility-based triage implementation in low- and middle-inc…
Community risk perceptions and recommendations for drowning prevention
Drowning is a leading cause of injury-related mortality worldwide, with disproportionate impacts on low- and middle-income countries. West Bengal, India, is characterized by extensive exposure to natural water bodies and marked regional and urban–rural heterogeneity. There is limited research on community risk perceptions and contextual drivers of drowning in this area, which constrains the design of effective prevention strategies. This qualitat…
Unequal risk
Household locations of pedestrian injuries and fatalities are disproportionately concentrated in lower socioeconomic neighborhoods, reflecting deep-rooted disparities in urban infrastructure, pedestrian exposure, and traffic safety. This study analyzes the relationship between socioeconomic levels and pedestrian incidents in Cali, Colombia, focusing on both the residential locations of injured individuals and the physical locations of fatalities.…
Paediatric palliative care following hospital discharge
Palliative care (PC) is crucial for children with cancer to alleviate suffering and enhance quality of life. However, continuity of pediatric palliative care (PPC) can be disrupted by factors such as lack of knowledge, stigma, bureaucratic hurdles, inadequate referral systems, and staffing shortages. There is limited data on the prevalence and factors associated with non-continuity of PPC in Uganda. This study explores the prevalence and factors …
Social drivers and pediatric injury outcomes in Northern Tanzania
Trauma remains a leading cause of preventable childhood mortality and disability worldwide, with over 95% of pediatric injury-related deaths occurring in low- and middle-income countries (LMICs). Social drivers of health (SDH) – including socioeconomic status, insurance coverage, and community infrastructure – strongly influence these outcomes but remain underexplored in sub-Saharan Africa. To examine the association between selected SDH factors …
Epidemiological patterns of motorcycle-related injuries in Cameroon
Motorcycles are a common mode of transport in major Cameroonian cities, contributing to a rising burden of injuries among both users and pedestrians. These groups differ in exposure, mechanisms, and vulnerability, yet both bear a disproportionately high injury burden. However, comparative data on their epidemiological patterns and outcomes remain scarce. To support targeted prevention policies, we analysed trauma registry data to describe demogra…
Unmet need for health care services among Rohingya Refugees living in Cox’s Bazar and Bhasan Char in Bangladesh
Rohingya refugees in Bangladesh face major healthcare challenges, and access to services to those relocated to Bhasan Char is a growing global concern. This study explores the prevalence of unmet healthcare needs across physical and mental health conditions among Rohingya refugees, compare variations between camps in Cox’s Bazar and Bhasan Char, and identifies key determinants of unmet healthcare needs overall and by camp location. We analyzed da…
Postgraduate medical education in fragile conflict-affected settings
Postgraduate medical education (PGME) is a vital pillar of health system resilience, yet it faces catastrophic disruption in Fragile Conflict-Affected settings. This review maps the fragmented body of evidence (current practices, challenges, quality indicators, and accreditation mechanisms), synthesizes insights, and highlights research and policy gaps within PGME programs in these environments. This scoping review was guided by Arksey & O’Malley…
Testing the role of online group-based supervision for local humanitarian workers following a crisis
The 2023 Türkiye-Syria earthquakes caused widespread destruction, leaving millions without access to basic needs and services. Caring for Carers (C4C), an online group-based supervision program for Syrian mental health workers, started three months prior to the earthquakes. This study examined the role of this program in supporting the mental and occupational health of the participants following this crisis. A mixed-method longitudinal design was…
Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania
Lack of access to surgical care is common in low- and middle-income countries, where children and adolescents account for up to half of the population. However, the burden of surgical conditions and resources for children in Tanzania remains poorly defined. Our cross-sectional study aims to assess the epidemiology and outcomes of pediatric surgical procedures performed over one year at the Kilimanjaro Christian Medical Centre (KCMC), a tertiary c…
Peripheral extremity surgery performed during the Syrian conflict – A scoping review
The protracted Syrian conflict has devastated healthcare infrastructure across Syria with impacts on both the conflict and non-conflict related surgical needs of patients. This review summarises the literature related to peripheral limb surgery performed in Syria between March 2011 to January 2024 to determine the influence of the conflict on surgical capacity and provision. A systematic review based on Preferred Reporting Items for Systematic Re…
Resilience amid chaos
The Gaza healthcare system faces critical challenges due to ongoing war, with medical points (MPs) serving as essential healthcare providers. MPs are temporary healthcare service units established during emergencies or conflicts to provide essential medical care. This study assessed the operational status and resource availability of MPs in Gaza during wartime conditions. A cross-sectional online self-assessment survey conducted from October to D…
Factors influencing emergency dental care utilization among resettled Syrian refugee parents in Ontario
Regular dental visits are crucial for maintaining optimal oral health, yet adequate access to oral healthcare services remains a significant challenge for refugee populations, including resettled Syrian refugees in Ontario. This study aimed to assess the factors associated with visiting the dentist only for emergency care among resettled Syrian refugee parents in Ontario. A cross-sectional study of 540 Syrian refugee parents, who had resided in O…
A descriptive study of fatal drownings among children and adolescents in the United States, with a focus on retention pond deaths, 2004–2020
The objective of this study was to characterize fatal drownings among children and adolescents, with a focus on retention pond drownings, and identify risk factors for these fatalities using child death review data. We acquired 2004–2020 National Fatality Review-Case Reporting System data for drowning deaths among youth 0–19 years. Retention pond drownings were identified through case narratives. We analyzed demographics, primary caregiver, super…
The older the injured, the worse the outcomes
The number of older adults (>60 years) in Sub-Saharan Africa (SSA) is expected to double by 2050. This demographic shift has led to a rise in traumatic injuries among this population, with one in ten trauma patients in Tanzania being an older adult. Yet, geriatric specialization remains largely absent in many low- and middle-income countries (LMICs), including Tanzania. To inform strategies for optimizing care in this vulnerable group, we conduct…
Injury morbidity and mortality during conflict
The study highlights the immense human toll of the 2024 conflict in Lebanon on a population already crippled with economic crises and a fragile healthcare system. While vulnerable populations including women and children were heavily impacted, many blast victims were reported dead before hospital arrival due to limited access to timely care and the targeting of healthcare infrastructure. The findings underscore the violations of international hum…
Occupational injury severity among healthcare workers
This study highlighted significant determinants of injury severity among HCWs, emphasizing the critical need for targeted interventions for individuals at risk. Implementing comprehensive safety and wellness programs can enhance the overall health and safety of HCWs in high-stress environments
Damage to medical complexes in the Gaza Strip during the Israel–Hamas war
INTRODUCTION: Medical facilities are civilian objects specially protected during armed conflict by international humanitarian law (IHL). These protections are customarily applied regardless of the conflict, parties or contexts involved. Attacks on medical care have characterised the bombardment campaign of the Gaza Strip beginning 7 October 2023. This study presents evidence regarding patterns of damage to medical complexes relative to all other …
The burden of generational harm due to alcohol use in Tanzania
Background Rates of prenatal alcohol use in Sub-Saharan Africa (SSA) are increasing despite regulatory bodies urging pregnant women to abstain from alcohol. Tanzania has minimal policies, interventions, and educational programs addressing prenatal alcohol exposure. Consequently, a considerable number of mothers and their fetuses are exposed to alcohol, leading to serious health consequences like fetal alcohol spectrum disorder (FASD). Our study a…
Are hospitals collateral damage? Assessing geospatial proximity of 2000 lb bomb detonations to hospital facilities in the Gaza Strip from October 7 to November 17, 2023
After attacks in Israel led by Hamas militants on October 7, 2023, Israel launched a major military campaign in the Gaza Strip that has featured an unprecedented scale of destruction. This has included the use of highly destructive weapons in a densely populated area. Mark-84 bombs (M-84s) are 2000 lb air-dropped explosive munitions with the capacity to damage infrastructure and kill or cause severe injury hundreds of meters away. This study exam…
Patterns of facility and patient related factors to the orthopedic and trauma admissions at the Kenyatta National Hospital
Inappropriate utilization of higher-level health facilities and ineffective management of the referral processes in resource-limited settings is increasingly becoming a concern in health care management in developing countries. This is characterized by self-referrals and frequent bypassing of nearest health facilities coupled with low formal referral mechanisms. This scenario lends itself to a situation where uncomplicated medical conditions are …
Alcohol use among emergency medicine department patients in Tanzania
Background Alcohol is a leading behavioral risk factor for death and disability worldwide. Tanzania has few trained personnel and resources for treating unhealthy alcohol use. In Emergency Medicine Departments (EMDs), alcohol is a well-known risk factor for injury patients. At Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania, 30% of EMD injury patients (IP) test positive for alcohol upon arrival to the ED. While the IP population is…
Post-disaster quality of life among older survivors five years after the Bam earthquake
Older people are among the most vulnerable in major disasters. In their aftermath, it is crucial to institute efforts that will maintain a high level of elders' quality of life (QoL). This paper presents QoL assessments of elderly survivors five years after the Bam earthquake in Iran, and evaluates the determinants. A cross-sectional analysis of 210 randomly-selected survivors was carried out in 2008 using the WHOQOL-BREF questionnaire. A compari…
Post-disaster quality of life among older survivors five years after the Bam earthquake
Older people are among the most vulnerable in major disasters. In their aftermath, it is crucial to institute efforts that will maintain a high level of elders' quality of life (QoL). This paper presents QoL assessments of elderly survivors five years after the Bam earthquake in Iran, and evaluates the determinants. A cross-sectional analysis of 210 randomly-selected survivors was carried out in 2008 using the WHOQOL-BREF questionnaire. A compari…
Post-disaster quality of life among older survivors five years after the Bam earthquake
Older people are among the most vulnerable in major disasters. In their aftermath, it is crucial to institute efforts that will maintain a high level of elders' quality of life (QoL). This paper presents QoL assessments of elderly survivors five years after the Bam earthquake in Iran, and evaluates the determinants. A cross-sectional analysis of 210 randomly-selected survivors was carried out in 2008 using the WHOQOL-BREF questionnaire. A compari…
Alcohol use among emergency medicine department patients in Tanzania
Background Alcohol is a leading behavioral risk factor for death and disability worldwide. Tanzania has few trained personnel and resources for treating unhealthy alcohol use. In Emergency Medicine Departments (EMDs), alcohol is a well-known risk factor for injury patients. At Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania, 30% of EMD injury patients (IP) test positive for alcohol upon arrival to the ED. While the IP population is…
Damage to medical complexes in the Gaza Strip during the Israel–Hamas war
INTRODUCTION: Medical facilities are civilian objects specially protected during armed conflict by international humanitarian law (IHL). These protections are customarily applied regardless of the conflict, parties or contexts involved. Attacks on medical care have characterised the bombardment campaign of the Gaza Strip beginning 7 October 2023. This study presents evidence regarding patterns of damage to medical complexes relative to all other …
The burden of generational harm due to alcohol use in Tanzania
Background Rates of prenatal alcohol use in Sub-Saharan Africa (SSA) are increasing despite regulatory bodies urging pregnant women to abstain from alcohol. Tanzania has minimal policies, interventions, and educational programs addressing prenatal alcohol exposure. Consequently, a considerable number of mothers and their fetuses are exposed to alcohol, leading to serious health consequences like fetal alcohol spectrum disorder (FASD). Our study a…
Are hospitals collateral damage? Assessing geospatial proximity of 2000 lb bomb detonations to hospital facilities in the Gaza Strip from October 7 to November 17, 2023
After attacks in Israel led by Hamas militants on October 7, 2023, Israel launched a major military campaign in the Gaza Strip that has featured an unprecedented scale of destruction. This has included the use of highly destructive weapons in a densely populated area. Mark-84 bombs (M-84s) are 2000 lb air-dropped explosive munitions with the capacity to damage infrastructure and kill or cause severe injury hundreds of meters away. This study exam…
Patterns of facility and patient related factors to the orthopedic and trauma admissions at the Kenyatta National Hospital
Inappropriate utilization of higher-level health facilities and ineffective management of the referral processes in resource-limited settings is increasingly becoming a concern in health care management in developing countries. This is characterized by self-referrals and frequent bypassing of nearest health facilities coupled with low formal referral mechanisms. This scenario lends itself to a situation where uncomplicated medical conditions are …
Testing the role of online group-based supervision for local humanitarian workers following a crisis
The 2023 Türkiye-Syria earthquakes caused widespread destruction, leaving millions without access to basic needs and services. Caring for Carers (C4C), an online group-based supervision program for Syrian mental health workers, started three months prior to the earthquakes. This study examined the role of this program in supporting the mental and occupational health of the participants following this crisis. A mixed-method longitudinal design was…
Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania
Lack of access to surgical care is common in low- and middle-income countries, where children and adolescents account for up to half of the population. However, the burden of surgical conditions and resources for children in Tanzania remains poorly defined. Our cross-sectional study aims to assess the epidemiology and outcomes of pediatric surgical procedures performed over one year at the Kilimanjaro Christian Medical Centre (KCMC), a tertiary c…
Peripheral extremity surgery performed during the Syrian conflict – A scoping review
The protracted Syrian conflict has devastated healthcare infrastructure across Syria with impacts on both the conflict and non-conflict related surgical needs of patients. This review summarises the literature related to peripheral limb surgery performed in Syria between March 2011 to January 2024 to determine the influence of the conflict on surgical capacity and provision. A systematic review based on Preferred Reporting Items for Systematic Re…
Resilience amid chaos
The Gaza healthcare system faces critical challenges due to ongoing war, with medical points (MPs) serving as essential healthcare providers. MPs are temporary healthcare service units established during emergencies or conflicts to provide essential medical care. This study assessed the operational status and resource availability of MPs in Gaza during wartime conditions. A cross-sectional online self-assessment survey conducted from October to D…
Factors influencing emergency dental care utilization among resettled Syrian refugee parents in Ontario
Regular dental visits are crucial for maintaining optimal oral health, yet adequate access to oral healthcare services remains a significant challenge for refugee populations, including resettled Syrian refugees in Ontario. This study aimed to assess the factors associated with visiting the dentist only for emergency care among resettled Syrian refugee parents in Ontario. A cross-sectional study of 540 Syrian refugee parents, who had resided in O…
A descriptive study of fatal drownings among children and adolescents in the United States, with a focus on retention pond deaths, 2004–2020
The objective of this study was to characterize fatal drownings among children and adolescents, with a focus on retention pond drownings, and identify risk factors for these fatalities using child death review data. We acquired 2004–2020 National Fatality Review-Case Reporting System data for drowning deaths among youth 0–19 years. Retention pond drownings were identified through case narratives. We analyzed demographics, primary caregiver, super…
The older the injured, the worse the outcomes
The number of older adults (>60 years) in Sub-Saharan Africa (SSA) is expected to double by 2050. This demographic shift has led to a rise in traumatic injuries among this population, with one in ten trauma patients in Tanzania being an older adult. Yet, geriatric specialization remains largely absent in many low- and middle-income countries (LMICs), including Tanzania. To inform strategies for optimizing care in this vulnerable group, we conduct…
Injury morbidity and mortality during conflict
The study highlights the immense human toll of the 2024 conflict in Lebanon on a population already crippled with economic crises and a fragile healthcare system. While vulnerable populations including women and children were heavily impacted, many blast victims were reported dead before hospital arrival due to limited access to timely care and the targeting of healthcare infrastructure. The findings underscore the violations of international hum…
Occupational injury severity among healthcare workers
This study highlighted significant determinants of injury severity among HCWs, emphasizing the critical need for targeted interventions for individuals at risk. Implementing comprehensive safety and wellness programs can enhance the overall health and safety of HCWs in high-stress environments
Identifying barriers and facilitators to implementing triage systems in low- and middle-income countries
More than 50% of mortality and one-third of disabilities associated with a range of medical and surgical conditions may be prevented by a well-established Emergency Care System (ECS). The World Health Organization (WHO) has developed a framework that defines the essential ECS functions, including facility-based triage. This scoping review aims to identify the barriers and facilitators to facility-based triage implementation in low- and middle-inc…
Community risk perceptions and recommendations for drowning prevention
Drowning is a leading cause of injury-related mortality worldwide, with disproportionate impacts on low- and middle-income countries. West Bengal, India, is characterized by extensive exposure to natural water bodies and marked regional and urban–rural heterogeneity. There is limited research on community risk perceptions and contextual drivers of drowning in this area, which constrains the design of effective prevention strategies. This qualitat…
Unequal risk
Household locations of pedestrian injuries and fatalities are disproportionately concentrated in lower socioeconomic neighborhoods, reflecting deep-rooted disparities in urban infrastructure, pedestrian exposure, and traffic safety. This study analyzes the relationship between socioeconomic levels and pedestrian incidents in Cali, Colombia, focusing on both the residential locations of injured individuals and the physical locations of fatalities.…
Paediatric palliative care following hospital discharge
Palliative care (PC) is crucial for children with cancer to alleviate suffering and enhance quality of life. However, continuity of pediatric palliative care (PPC) can be disrupted by factors such as lack of knowledge, stigma, bureaucratic hurdles, inadequate referral systems, and staffing shortages. There is limited data on the prevalence and factors associated with non-continuity of PPC in Uganda. This study explores the prevalence and factors …
Social drivers and pediatric injury outcomes in Northern Tanzania
Trauma remains a leading cause of preventable childhood mortality and disability worldwide, with over 95% of pediatric injury-related deaths occurring in low- and middle-income countries (LMICs). Social drivers of health (SDH) – including socioeconomic status, insurance coverage, and community infrastructure – strongly influence these outcomes but remain underexplored in sub-Saharan Africa. To examine the association between selected SDH factors …
Epidemiological patterns of motorcycle-related injuries in Cameroon
Motorcycles are a common mode of transport in major Cameroonian cities, contributing to a rising burden of injuries among both users and pedestrians. These groups differ in exposure, mechanisms, and vulnerability, yet both bear a disproportionately high injury burden. However, comparative data on their epidemiological patterns and outcomes remain scarce. To support targeted prevention policies, we analysed trauma registry data to describe demogra…
Unmet need for health care services among Rohingya Refugees living in Cox’s Bazar and Bhasan Char in Bangladesh
Rohingya refugees in Bangladesh face major healthcare challenges, and access to services to those relocated to Bhasan Char is a growing global concern. This study explores the prevalence of unmet healthcare needs across physical and mental health conditions among Rohingya refugees, compare variations between camps in Cox’s Bazar and Bhasan Char, and identifies key determinants of unmet healthcare needs overall and by camp location. We analyzed da…
Postgraduate medical education in fragile conflict-affected settings
Postgraduate medical education (PGME) is a vital pillar of health system resilience, yet it faces catastrophic disruption in Fragile Conflict-Affected settings. This review maps the fragmented body of evidence (current practices, challenges, quality indicators, and accreditation mechanisms), synthesizes insights, and highlights research and policy gaps within PGME programs in these environments. This scoping review was guided by Arksey & O’Malley…
Medicine (13 works) · Environmental health (9 works) · Health care (8 works) · Poison control (7 works) · Population (7 works) · Health and Conflict Studies (6 works) · Injury Epidemiology and Prevention (6 works) · Injury prevention (6 works) · Occupational safety and health (6 works) · Medical emergency (5 works)