Stuart Sweeney
Dados Biográficos
| ID | 94966 |
|---|---|
| NOME | Stuart Sweeney |
| PRENOMES | Stuart |
| SOBRENOME | Sweeney |
| ASSINATURA | SWEENEY S |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0003-4233-9080 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAÇÕES | 72 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Projected population level impact and cost-effectiveness of clinic and community-based tuberculosis screening approaches
The South African National Department of Health have set ambitious targets to scale up TB testing, focusing primarily on clinic attendees. In the context of declining funding for TB care and prevention, the most cost-effective approaches for targeting testing should be identified. We developed a mathematical model of TB in South Africa, explicitly incorporating clinic attendance by sex and HIV/ART status. We simulated six screening approaches ove…
Crack-cocaine use practices, harms and respiratory problems
The use of stimulants, such as crack-cocaine, is a global public health concern. Crack-cocaine use is increasing in the UK, but available data is focused on those who inject or also use opioids. To address this gap, characteristics of people using crack-cocaine in England, including respiratory problems among those who smoke, and variation in these by gender are described. Adults self-reporting crack-cocaine use in the past 28 days, recruited by …
Social Vulnerability, Locational Vulnerability, and Uncertainty in Wildfire Risk Index Construction
Over the past two decades, methods to measure and account for social vulnerability, or the ability of a community to prepare for, cope with, and recover from a natural disaster, have rapidly proliferated. Recognizing the multifaceted nature of vulnerability, researchers and practitioners now seek to combine social with locational (physical) vulnerability into singular indexes designed to identify areas of high risk. Central to such efforts are co…
Impact of fluoroquinolone resistance on the cost-effectiveness of empiric treatment for multidrug- or rifampicin-resistant tuberculosis
The WHO recommends the bedaquiline, pretomanid, and linezolid (BPaL) regimen with the additional fluoroquinolone antibiotic moxifloxacin (BPaLM) for initial treatment of multidrug- or rifampicin-resistant tuberculosis (MDR/RR-TB). However, fluoroquinolone drug susceptibility testing (DST) coverage for MDR/RR-TB is only around 55% globally, and the efficacy of moxifloxacin may be compromised in settings with high fluoroquinolone resistance. We ext…
Crises and complexity
The end of the COVID-19 global health emergency presents an opportunity to reflect on actions needed to enhance the effectiveness of responses to any future shocks. We highlight critical areas requiring attention from researchers and research commissioners to enhance the identification and adoption of ‘good value’ interventions, and we discuss the complexities of evidence-informed decision-making across multiple sectors, the evolving role of mode…
Food security change in the college student population due to the Covid-19 pandemic
The COVID-19 pandemic killed over one million people in the United States and the disease itself, combined with policies implemented to minimize its spread, dramatically increased both unemployment and food insecurity throughout the nation. College students, who have high rates of food insecurity during non-pandemic times, were heavily impacted by the pandemic as campus closures caused large changes in living conditions and business closures led …
Uncertainty in tuberculosis clinical decision-making
Tuberculosis is a major infectious disease worldwide, but currently available diagnostics have suboptimal accuracy, particularly in patients unable to expectorate, and are often unavailable at the point-of-care in resource-limited settings. Test/treatment decision are, therefore, often made on clinical grounds. We hypothesized that contextual factors beyond disease probability may influence clinical decisions about when to test and when to treat …
Cost-effectiveness of short, oral treatment regimens for rifampicin resistant tuberculosis
Current options for treating tuberculosis (TB) that is resistant to rifampicin (RR-TB) are few, and regimens are often long and poorly tolerated. Following recent evidence from the TB-PRACTECAL trial countries are considering programmatic uptake of 6-month, all-oral treatment regimens. We used a Markov model to estimate the incremental cost-effectiveness of three regimens containing bedaquiline, pretomanid and linezolid (BPaL) with and without mo…
Global urban population exposure to extreme heat
Significance Increased extreme heat exposure from both climate change and the urban heat island effect threatens rapidly growing urban settlements worldwide. Yet, because we do not know where urban population growth and extreme heat intersect, we have limited capacity to reduce the impacts of urban extreme heat exposure. Here, we leverage fine-resolution temperature and population data to measure urban extreme heat exposure for 13,115 cities from…
Stark choices
OBJECTIVES: COVID-19 has altered health sector capacity in low-income and middle-income countries (LMICs). Cost data to inform evidence-based priority setting are urgently needed. Consequently, in this paper, we calculate the full economic health sector costs of COVID-19 clinical management in 79 LMICs under different epidemiological scenarios. METHODS: We used country-specific epidemiological projections from a dynamic transmission model to dete…
Exploring equity in health and poverty impacts of control measures for Sars-CoV-2 in six countries
BACKGROUND: Policy makers need to be rapidly informed about the potential equity consequences of different COVID-19 strategies, alongside their broader health and economic impacts. While there are complex models to inform both potential health and macro-economic impact, there are few tools available to rapidly assess potential equity impacts of interventions. METHODS: We created an economic model to simulate the impact of lockdown measures in Pak…
Agricultural change and resilience
Measuring income for catastrophic cost estimates
There is increasing global policy interest in estimating catastrophic costs incurred by households because of ill health, and growing need for information on disease-specific household cost data. There are several methodological approaches used to estimate income and no current consensus on the best method for estimating income in the context of a survey at the health facility. We compared six different approaches to estimate catastrophic cost am…
The patient costs of care for those with TB and HIV
BACKGROUND: This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. METHODS: We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health care clinics in Ekurhuleni North Sub-District, South Africa. We collected information on visits to health facilities, direct and ind…
Impact of integration of sexual and reproductive health services on consultation duration times
The lack of human resources is a key challenge in scaling up of HIV services in Africa's health care system. Integrating HIV services could potentially increase their effectiveness and optimize the use of limited resources and clinical staff time. We examined the impact of integration of provider initiated HIV counselling and testing (PITC) and family planning (FP counselling and FP provision) services on duration of consultation to assess the im…
Numbers, systems, people
Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) …
Impact of Integrated Services on HIV Testing
The impact of integrated reproductive health and HIV services on HIV testing and counseling (HTC) uptake was assessed among 882 Kenyan family planning clients using a nonrandomized cohort design within six intervention and six “comparison” facilities. The effect of integration on HTC goals (two tests over two years) was assessed using conditional logistic regression to test four “integration” exposures: a training and reorganization intervention;…
Firm location, interaction, and local characteristics
Ethnic Dimensions of Guatemala’s Stalled Transition
In some contemporary populations, fertility levels appear to plateau, with women maintaining a consistently high level of fertility for a relatively extended period. Because this plateau does not reflect the historical patterns observed in Europe, the focus of most studies on fertility patterns, mechanisms underlying the plateau and the reinstatement of a decline have not been fully explored and are not fully understood. Through the construction …
Open Trade, Price Supports, and Regional Price Behavior in Mexican Maize Markets
We analyze wholesale maize prices in 12 Mexican markets from 1998 to 2010, a period when markets became more open to inter- and intranational trade. We ask how the influence of global and local forces on Mexican maize prices changed during this period. We also explore how the strength of global and local forces varies across maize-producing regions. In general, we expect the influence of global forces to increase and local forces to decrease as m…
Correlates of Maize Land and Livelihood Change Among Maize Farming Households in Mexico
Financing India's Imperial Railways, 1875–1914
The Indian railway network began as a liberal experiment to promote trade and commerce, the distribution of food and military mobility. Sweeney's study focuses on Britain's largest overseas investment project during the nineteenth century, offering a new perspective on the Anglo-Indian experience
The costs of accessible quality assured syphilis diagnostics
OBJECTIVES: To determine the costs of Rapid Syphilis Test (RSTs) as compared with rapid plasma reagin (RPR) when implemented in a Tanzanian setting, and to determine the relative impact of a quality assurance (QA) system on the cost of RST implementation. METHODS: The incremental costs for RPR and RST screening programmes in existing antenatal care settings in Geita District, Tanzania were collected for 9 months in subsequent years from nine heal…
Growing buildings in corn fields
Urban growth continues to rise globally, especially in and around small cities and peri-urban areas of the developing world. In Mexico, a culture of maize production still exists alongside rapid urban and industrial growth, which exemplifies a hybridized urban-rural landscape. This paper discusses a study of household land-use and livelihood strategies in the Toluca Metropolitan Area, west of Mexico City, a traditional maize-growing region that h…
Selling Maize in Mexico
The last decade of the twentieth century was heralded as the 'end of agrarian reform' in Mexico and the initiation of a new era of market-led agricultural policy and practice. The impact of neoliberalism and the North American Free Trade Agreement on smallholder maize production has been widely conceived as negative, associated with ecological degradation, rural emigration and cultural erosion. Yet, some twenty years later, all evidence suggests …
Understanding peri-urban maize production through an examination of household livelihoods in the Toluca Metropolitan Area, Mexico
Agrarian Winners of Neoliberal Reform
While the detrimental impact of neoliberal policy on Mexico's maize smallholders is well researched, little attention has been paid to the rise of maize in the northern state of Sinaloa. Sinaloa's entry into maize has restructured the geography of national supply, and generated a new national confidence in white maize self-sufficiency. Using semi-structured interviews and secondary data, we document the primary social and political drivers of Sin…
Correlates of Maize Land and Livelihood Change Among Maize Farming Households in Mexico
Selling Maize in Mexico
The last decade of the twentieth century was heralded as the 'end of agrarian reform' in Mexico and the initiation of a new era of market-led agricultural policy and practice. The impact of neoliberalism and the North American Free Trade Agreement on smallholder maize production has been widely conceived as negative, associated with ecological degradation, rural emigration and cultural erosion. Yet, some twenty years later, all evidence suggests …
Numbers, systems, people
Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) …
Growing buildings in corn fields
Urban growth continues to rise globally, especially in and around small cities and peri-urban areas of the developing world. In Mexico, a culture of maize production still exists alongside rapid urban and industrial growth, which exemplifies a hybridized urban-rural landscape. This paper discusses a study of household land-use and livelihood strategies in the Toluca Metropolitan Area, west of Mexico City, a traditional maize-growing region that h…
Pathways to marriage and cohabitation in Central America
The notion that increasing prevalence of cohabitation relative to marriage, and increasing age at first marriage are part of a broader shift in societal norms -- a second demographic transition -- is now well supported by studies focused on US and European
The patient costs of care for those with TB and HIV
BACKGROUND: This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. METHODS: We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health care clinics in Ekurhuleni North Sub-District, South Africa. We collected information on visits to health facilities, direct and ind…
Impact of Integrated Services on HIV Testing
The impact of integrated reproductive health and HIV services on HIV testing and counseling (HTC) uptake was assessed among 882 Kenyan family planning clients using a nonrandomized cohort design within six intervention and six “comparison” facilities. The effect of integration on HTC goals (two tests over two years) was assessed using conditional logistic regression to test four “integration” exposures: a training and reorganization intervention;…
Agricultural change and resilience
Measuring income for catastrophic cost estimates
There is increasing global policy interest in estimating catastrophic costs incurred by households because of ill health, and growing need for information on disease-specific household cost data. There are several methodological approaches used to estimate income and no current consensus on the best method for estimating income in the context of a survey at the health facility. We compared six different approaches to estimate catastrophic cost am…
Ethnic Dimensions of Guatemala’s Stalled Transition
In some contemporary populations, fertility levels appear to plateau, with women maintaining a consistently high level of fertility for a relatively extended period. Because this plateau does not reflect the historical patterns observed in Europe, the focus of most studies on fertility patterns, mechanisms underlying the plateau and the reinstatement of a decline have not been fully explored and are not fully understood. Through the construction …
Impact of integration of sexual and reproductive health services on consultation duration times
The lack of human resources is a key challenge in scaling up of HIV services in Africa's health care system. Integrating HIV services could potentially increase their effectiveness and optimize the use of limited resources and clinical staff time. We examined the impact of integration of provider initiated HIV counselling and testing (PITC) and family planning (FP counselling and FP provision) services on duration of consultation to assess the im…
Firm location, interaction, and local characteristics
Open Trade, Price Supports, and Regional Price Behavior in Mexican Maize Markets
We analyze wholesale maize prices in 12 Mexican markets from 1998 to 2010, a period when markets became more open to inter- and intranational trade. We ask how the influence of global and local forces on Mexican maize prices changed during this period. We also explore how the strength of global and local forces varies across maize-producing regions. In general, we expect the influence of global forces to increase and local forces to decrease as m…
The costs of accessible quality assured syphilis diagnostics
OBJECTIVES: To determine the costs of Rapid Syphilis Test (RSTs) as compared with rapid plasma reagin (RPR) when implemented in a Tanzanian setting, and to determine the relative impact of a quality assurance (QA) system on the cost of RST implementation. METHODS: The incremental costs for RPR and RST screening programmes in existing antenatal care settings in Geita District, Tanzania were collected for 9 months in subsequent years from nine heal…
Quality of life of patients with Fabry disease
Indian railroading
This article provides a case study of four late nineteenth-century share flotations of Indian railway companies. It highlights an important gap in the historiography of Indian railway finance, which has focused on the period up to 1875. The role of N. M. Rothschild as lead underwriter and its relationship with the India Office, managing agents, and investors is analysed. This gives an evolving picture of mutual dependence between the City and Whi…
Combining insights from quantile and ordinal regression
Understanding peri-urban maize production through an examination of household livelihoods in the Toluca Metropolitan Area, Mexico
The costs of accessible quality assured syphilis diagnostics
OBJECTIVES: To determine the costs of Rapid Syphilis Test (RSTs) as compared with rapid plasma reagin (RPR) when implemented in a Tanzanian setting, and to determine the relative impact of a quality assurance (QA) system on the cost of RST implementation. METHODS: The incremental costs for RPR and RST screening programmes in existing antenatal care settings in Geita District, Tanzania were collected for 9 months in subsequent years from nine heal…
Growing buildings in corn fields
Urban growth continues to rise globally, especially in and around small cities and peri-urban areas of the developing world. In Mexico, a culture of maize production still exists alongside rapid urban and industrial growth, which exemplifies a hybridized urban-rural landscape. This paper discusses a study of household land-use and livelihood strategies in the Toluca Metropolitan Area, west of Mexico City, a traditional maize-growing region that h…
Selling Maize in Mexico
The last decade of the twentieth century was heralded as the 'end of agrarian reform' in Mexico and the initiation of a new era of market-led agricultural policy and practice. The impact of neoliberalism and the North American Free Trade Agreement on smallholder maize production has been widely conceived as negative, associated with ecological degradation, rural emigration and cultural erosion. Yet, some twenty years later, all evidence suggests …
Pathways to marriage and cohabitation in Central America
The notion that increasing prevalence of cohabitation relative to marriage, and increasing age at first marriage are part of a broader shift in societal norms -- a second demographic transition -- is now well supported by studies focused on US and European
Agrarian Winners of Neoliberal Reform
While the detrimental impact of neoliberal policy on Mexico's maize smallholders is well researched, little attention has been paid to the rise of maize in the northern state of Sinaloa. Sinaloa's entry into maize has restructured the geography of national supply, and generated a new national confidence in white maize self-sufficiency. Using semi-structured interviews and secondary data, we document the primary social and political drivers of Sin…
Correlates of Maize Land and Livelihood Change Among Maize Farming Households in Mexico
Financing India's Imperial Railways, 1875–1914
The Indian railway network began as a liberal experiment to promote trade and commerce, the distribution of food and military mobility. Sweeney's study focuses on Britain's largest overseas investment project during the nineteenth century, offering a new perspective on the Anglo-Indian experience
Firm location, interaction, and local characteristics
Ethnic Dimensions of Guatemala’s Stalled Transition
In some contemporary populations, fertility levels appear to plateau, with women maintaining a consistently high level of fertility for a relatively extended period. Because this plateau does not reflect the historical patterns observed in Europe, the focus of most studies on fertility patterns, mechanisms underlying the plateau and the reinstatement of a decline have not been fully explored and are not fully understood. Through the construction …
Open Trade, Price Supports, and Regional Price Behavior in Mexican Maize Markets
We analyze wholesale maize prices in 12 Mexican markets from 1998 to 2010, a period when markets became more open to inter- and intranational trade. We ask how the influence of global and local forces on Mexican maize prices changed during this period. We also explore how the strength of global and local forces varies across maize-producing regions. In general, we expect the influence of global forces to increase and local forces to decrease as m…
The patient costs of care for those with TB and HIV
BACKGROUND: This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. METHODS: We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health care clinics in Ekurhuleni North Sub-District, South Africa. We collected information on visits to health facilities, direct and ind…
Impact of integration of sexual and reproductive health services on consultation duration times
The lack of human resources is a key challenge in scaling up of HIV services in Africa's health care system. Integrating HIV services could potentially increase their effectiveness and optimize the use of limited resources and clinical staff time. We examined the impact of integration of provider initiated HIV counselling and testing (PITC) and family planning (FP counselling and FP provision) services on duration of consultation to assess the im…
Numbers, systems, people
Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) …
Impact of Integrated Services on HIV Testing
The impact of integrated reproductive health and HIV services on HIV testing and counseling (HTC) uptake was assessed among 882 Kenyan family planning clients using a nonrandomized cohort design within six intervention and six “comparison” facilities. The effect of integration on HTC goals (two tests over two years) was assessed using conditional logistic regression to test four “integration” exposures: a training and reorganization intervention;…
Agricultural change and resilience
Measuring income for catastrophic cost estimates
There is increasing global policy interest in estimating catastrophic costs incurred by households because of ill health, and growing need for information on disease-specific household cost data. There are several methodological approaches used to estimate income and no current consensus on the best method for estimating income in the context of a survey at the health facility. We compared six different approaches to estimate catastrophic cost am…
Global urban population exposure to extreme heat
Significance Increased extreme heat exposure from both climate change and the urban heat island effect threatens rapidly growing urban settlements worldwide. Yet, because we do not know where urban population growth and extreme heat intersect, we have limited capacity to reduce the impacts of urban extreme heat exposure. Here, we leverage fine-resolution temperature and population data to measure urban extreme heat exposure for 13,115 cities from…
Stark choices
OBJECTIVES: COVID-19 has altered health sector capacity in low-income and middle-income countries (LMICs). Cost data to inform evidence-based priority setting are urgently needed. Consequently, in this paper, we calculate the full economic health sector costs of COVID-19 clinical management in 79 LMICs under different epidemiological scenarios. METHODS: We used country-specific epidemiological projections from a dynamic transmission model to dete…
Exploring equity in health and poverty impacts of control measures for Sars-CoV-2 in six countries
BACKGROUND: Policy makers need to be rapidly informed about the potential equity consequences of different COVID-19 strategies, alongside their broader health and economic impacts. While there are complex models to inform both potential health and macro-economic impact, there are few tools available to rapidly assess potential equity impacts of interventions. METHODS: We created an economic model to simulate the impact of lockdown measures in Pak…
Cost-effectiveness of short, oral treatment regimens for rifampicin resistant tuberculosis
Current options for treating tuberculosis (TB) that is resistant to rifampicin (RR-TB) are few, and regimens are often long and poorly tolerated. Following recent evidence from the TB-PRACTECAL trial countries are considering programmatic uptake of 6-month, all-oral treatment regimens. We used a Markov model to estimate the incremental cost-effectiveness of three regimens containing bedaquiline, pretomanid and linezolid (BPaL) with and without mo…
Food security change in the college student population due to the Covid-19 pandemic
The COVID-19 pandemic killed over one million people in the United States and the disease itself, combined with policies implemented to minimize its spread, dramatically increased both unemployment and food insecurity throughout the nation. College students, who have high rates of food insecurity during non-pandemic times, were heavily impacted by the pandemic as campus closures caused large changes in living conditions and business closures led …
Economics (15 obras) · Medicine (15 obras) · Business (12 obras) · Geography (12 obras) · Population (12 obras) · Economic growth (9 obras) · Environmental health (9 obras) · Health care (8 obras) · Agriculture (7 obras) · Nursing (7 obras)