Agnes Binagwaho
Dados Biográficos
| ID | 1258449 |
|---|---|
| NOME | Agnes Binagwaho |
| PRENOMES | Agnes |
| SOBRENOME | Binagwaho |
| ASSINATURA | BINAGWAHO A |
| AFILIAÇÕES | University of Global Health Equity |
| ORCID | 0000-0002-6779-3151 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAÇÕES | 11 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Integrating gender-inclusive initiatives in medical school in Rwanda
Purpose Significant gender disparities exist in the medical field. Medical schools play an important role in promoting gender inclusion, which can lead to increased gender equity in clinical settings. This study explores participants’ experiences and gender perspectives at the University of Global Health Equity (UGHE) in Rwanda, which is prioritizing gender inclusion across several initiatives.Materials and methods This is a qualitative study wit…
Validation of the Child Depression Screening Tool in three African settings
The unavailability of reliable, easy-to-use depression screening tools adapted for Sub-Saharan African children is a significant barrier to the treatment of childhood depression. We thus adapted the Child Depression Screening Tool (CDST) to the South African (SA), Senegalese (S) and Rwandan (R) contexts, as a tool to screen for depression in children suffering from chronic illnesses, trauma and difficulties related to COVID-19, family and communi…
Mitigating the impact of Covid-19 on primary healthcare interventions for the reduction of under-5 mortality in Bangladesh
The COVID-19 pandemic posed unprecedented challenges and threats to health systems, particularly affecting delivery of evidence-based interventions (EBIs) to reduce under-5 mortality (U5M) in resource-limited settings such as Bangladesh. We explored the level of disruption of these EBIs, strategies and contextual factors associated with preventing or mitigating service disruptions, and how previous efforts supported the work to maintain EBIs duri…
Evidence of health system resilience in primary health care for preventing under-five mortality in Rwanda and Bangladesh
Background: The coronavirus disease 2019 (COVID-19) pandemic led to disruptions of health service delivery in many countries; some were more resilient in either limiting or rapidly responding to the disruption than others. We used mixed methods implementation research to understand factors and strategies associated with resiliency in Rwanda and Bangladesh, focussing on how evidence-based interventions targeting amenable under-five mortality that …
Sustainability in global health
Designing and implementing equity-based pandemic preparedness and response learning modules
BACKGROUND: The COVID-19 pandemic has had disproportionate impacts across race, social class, and geography. Insufficient attention has been paid to addressing the massive inequities worsened by COVID-19. In July 2020, Partners In Health (PIH) and the University of Global Health Equity (UGHE) delivered a four-module short course, 'An Equity Approach to Pandemic Preparedness and Response: Emerging Insights from COVID-19 Global Response Leaders.' O…
A gender and diversity inclusion audit at the University of Global Health Equity, Rwanda
This article discusses the University of Global Health Equity (UGHE)’s use of a Gender Equity and Diversity Inclusion Audit as a tool to mainstream gender and minority groups’ inclusion. The internal audit analysed gender and minority groups’ inclusiveness, sensitivity and/or awareness in institutional programmes, projects, plans, practices and policies, and identified the gaps within. This article gives an overview on why and how UGHE (Rwanda) c…
Building back fairer in public health policy requires collective action with and for the most vulnerable in society
The authors gratefully acknowledge the inputs of Professor Tim Carey Director of the Institute of Global Health Equity Research at the University for Global Health Equity to earlier drafts
Commitment to gender equality through gender sensitive financing
box Since the 1970s, countries across the globe and various institutions have declared their commitment to gender equality.1 The United Nations (UN) held the First World Conference on Women in Mexico City in 1975, bringing together representatives from 133 countries.2 The conference that cemented the world’s commitment to gender equality was the UN Fourth World Conference on Women in 1995 which brought together 17 000 official participants and 30…
Hierarchy of qualities in global health partnerships
Despite the exponential growth of global health partnerships (GHPs) over the past 20 years, evidence for their effectiveness remains limited. Furthermore, many partnerships are dysfunctional as a result of inequitable partnership benefits, low trust and accountability and poor evaluation and quality improvement practices. In this article, we describe a theoretical model for partnerships developed by seven global health experts. Through semistruct…
What will we choose to learn from the Covid-19 pandemic
Light has long been known to modulate sleep, but recent discoveries support its use as an effective nocturnal stimulus for eliciting sleep in certain rodents. “Photosomnolence” is mediated by classical and ganglion cell photoreceptors and occurs despite the ongoing high levels of locomotion at the time of stimulus onset. Brief photic stimuli trigger rapid locomotor suppression, sleep, and a large drop in core body temperature (Tc; Phase 1), follo…
Child mortality associated with maternal HIV status
INTRODUCTION: Child mortality remains highest in regions of the world most affected by HIV/AIDS. The aim of this study was to assess child mortality rates in relation to maternal HIV status from 2005 to 2015, the period of rapid HIV treatment scale-up in Rwanda. METHODS: We used data from the 2005, 2010 and 2015 Rwanda Demographic Health Surveys to derive under-2 mortality rates by survey year and mother's HIV status and to build a multivariable …
Gender-Based Violence Against Women
The Lancet NCDI Poverty Commission
Covid-Score
BACKGROUND: Understanding public perceptions of government responses to COVID-19 may foster improved public cooperation. Trust in government and population risk of exposure may influence public perception of the response. Other population-level characteristics, such as country socio-economic development, COVID-19 morbidity and mortality, and degree of democratic government, may influence perception. METHODS AND FINDINGS: We developed a novel ten-…
Learning from Exemplars in Global Health
To minimise these negative indirect effects, countries will need to consider all domains of health systems, including demand, supply, resources and social determinants. To this end, learning from countries that have improved health outcomes amid other crises could provide helpful strategies. Some of the strategies used by these positive outlier countries include clear national leadership, datadriven targeting, community-focused health services an…
A framework for identifying and learning from countries that demonstrated exemplary performance in improving health outcomes and systems
This paper introduces a framework for conducting and disseminating mixed methods research on positive outlier countries that successfully improved their health outcomes and systems. We provide guidance on identifying exemplar countries, assembling multidisciplinary teams, collecting and synthesising pre-existing evidence, undertaking qualitative and quantitative analyses, and preparing dissemination products for various target audiences. Through …
Trends in burden and risk factors associated with childhood stunting in Rwanda from 2000 to 2015
Though overall stunting rates have improved nationally, these gains have been uneven. Furthering ongoing national policies to address these disparities while also working to reduce the overall risk of malnutrition will be necessary for Rwanda to reach its overall economic and health equity goals
The legal determinants of health
Investing in Development A Practical Plan to Achieve the Millennium Development Goals
This book presents the findings & recommendations of the UN Millennium Project to achieve the Millennium Development Goals (MDGs). It describes the importance of the MDGs and gives an explanation of the progress. The book provides recommendations to be implemented at the country level
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage
Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015
IMPORTANCE: Cancer is the second leading cause of death worldwide. Current estimates on the burden of cancer are needed for cancer control planning. OBJECTIVE: To estimate mortality, incidence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs) for 32 cancers in 195 countries and territories from 1990 to 2015. EVIDENCE REVIEW: Cancer mortality was estimated using vital registration system dat…
Measuring the health-related Sustainable Development Goals in 188 countries
BACKGROUND: In September, 2015, the UN General Assembly established the Sustainable Development Goals (SDGs). The SDGs specify 17 universal goals, 169 targets, and 230 indicators leading up to 2030. We provide an analysis of 33 health-related SDG indicators based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015). METHODS: We applied statistical methods to systematically compiled data to estimate the performance of…
Assessing the twinning model in the Rwandan Human Resources for Health Program
BACKGROUND: Because of the shortage of health professionals, particularly in specialty areas, Rwanda initiated the Human Resources for Health (HRH) Program. In this program, faculty from United States teaching institutions (USF) "twin" with Rwandan Faculty (RF) to transfer skills. This paper assesses the twinning model, exploring USF and RF goal setting, satisfaction and perceptions of the effectiveness of skill transfer within the twinning model…
Early childhood development in Rwanda
BACKGROUND: Early childhood development (ECD) is a critical period that continues to impact human health and productivity throughout the lifetime. Failing to provide policies and programs that support optimal developmental attainment when such services are financially and logistically feasible can result in negative population health, education and economic consequences that might otherwise be avoided. Rwanda, with its commitment to rights-based …
Learning from Success
Community-Based Health Financing and Child Stunting in Rural Rwanda
Objectives. We analyzed the likelihood of rural children (aged 6–24 months) being stunted according to whether they were enrolled in Mutuelles, a community-based health-financing program providing health insurance to rural populations and granting them access to health care, including nutrition services. Methods. We retrieved health facility data from the District Health System Strengthening Tool and calculated the percentage of rural health cent…
Trends and social differentials in child mortality in Rwanda 1990–2010
BACKGROUND: Rwanda has embarked on ambitious programmes to provide equitable health services and reduce mortality in childhood. Evidence from other countries indicates that advances in child survival often have come at the expense of increasing inequity. Our aims were to analyse trends and social differentials in mortality before the age of 5 years in Rwanda from 1990 to 2010. METHODS: We performed secondary analyses of data from three Demographi…
The Right of Children in Developing Countries to Be Born and Live HIV-Free
This article centers on HIV/AIDS in developing countries specifically those in sub-Saharan Africa. It discusses access to antiretroviral therapy (ART) and its progress in this region and focuses in on breastfeeding versus replacement feeding for the children of HIV-positive mothers
Integrating HIV clinical services into primary health care in Rwanda
BACKGROUND: With the intensive scale-up of care and treatment for HIV/AIDS in developing countries, some fear that intensified attention to HIV programs may overwhelm health care systems and lead to declines in delivery of other primary health care. Few data exist that confirm negative or positive synergies on health care provision generally resulting from HIV-dedicated programs. METHODS: Using a retrospective observational design we compare aggr…
From Medical Rationing to Rationalizing the Use of Human Resources for Aids Care and Treatment in Africa
With a global commitment to scaling up AIDS care and treatment in resource‐poor settings for some of the most HIV‐affected countries in Africa, availability of antiretroviral treatment is no longer the principal obstacle to expanding access to treatment. A shortage of trained healthcare personnel to initiate treatment and manage patients represents a more challenging barrier to offering life‐saving treatment to all patients in need. Physician‐cen…
Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance
High HIV risk behavior among men who have sex with men in Kigali, Rwanda
Rwanda has responded strongly to HIV/AIDS, but prevention among men who have sex with men (MSM) has not yet been addressed due to a strong cultural resistance to homosexuality, and a lack of data showing the public health value of attending to the sexual health needs of this group. We conducted an exploratory study on HIV risk among MSM in Kigali using snowball sampling involving peer leaders. The 99 respondents were demographically, socially, an…
A question of maturity
This article examines international, regional and national sources of law with respect to the rights of children and considers how a strict age of majority affects adolescents' access to health care. Using Rwanda as a case study, this article outlines how a high age of majority, combined with mandatory parental consent, creates barriers for Rwandan adolescents to prevent human immunodeficiency virus (HIV) transmission, learn their status and rece…
Adolescents and the right to health
Under international, regional, and domestic law, adolescents are entitled to measures ensuring the highest attainable standard of health. For HIV/AIDS, this is essential as adolescents lack many social and economic protections and are disproportionately vulnerable to the effects of the disease. In many countries, legal protections do not always ensure access to health care for adolescents, including for HIV/AIDS prevention, treatment, and care. U…
Global health 2035
countries can be reduced by 2035 through inexpensive population-based and clinical interventions. Fiscal policies are an especially promising lever for reducing this burden.
Shared learning in an interconnected world
The notion of "reverse innovation"--that some insights from low-income countries might offer transferable lessons for wealthier contexts--is increasingly common in the global health and business strategy literature. Yet the perspectives of researchers and policymakers in settings where these innovations are developed have been largely absent from the discussion to date. In this Commentary, we present examples of programmatic, technological, and r…
Community-Based Accompaniment and Psychosocial Health Outcomes in HIV-Infected Adults in Rwanda
Global, regional, and national incidence and mortality for HIV, tuberculosis, and malaria during 1990–2013
Toward utilization of data for program management and evaluation
BACKGROUND: Health data can be useful for effective service delivery, decision making, and evaluating existing programs in order to maintain high quality of healthcare. Studies have shown variability in data quality from national health management information systems (HMISs) in sub-Saharan Africa which threatens utility of these data as a tool to improve health systems. The purpose of this study is to assess the quality of Rwanda's HMIS data over…
Impact of implementing performance-based financing on childhood malnutrition in Rwanda
PBF may have a protective association with particular forms of malnutrition among children under-5 years in Rwanda. These findings warrant further investigation in relation to the impact of implementing innovative financing schemes on health outcomes
Twenty years of improving access to healthcare in Rwanda
Chapter 17 describes the establishment and development of a patient-centred healthcare delivery platform in Rwanda, breaking geographic barriers by ensuring equitable distribution of health facilities aligned to the administrative structure of the country, and also by mitigating financial barriers with a community based insurance system that has provided coverage for more than 90% of the population by 2011. It emphasizes the importance of a holis…
Women and Health
Design, testing, and scale-up of medical devices for global health
Products with high efficacy and low cost are desirable in all market sectors and environments, particularly in settings where resources are limited. The health sectors of developing nations are an example of this basic economic principle as constrained financial and human resources must be budgeted toward large (and often, growing) populations’ health needs. However, the cost and quality characteristics that are absolutely necessary in resource-l…
Depression, adherence and attrition from care in HIV-infected adults receiving antiretroviral therapy
BACKGROUND: A better understanding of the relationship between depression and HIV-related outcomes, particularly as it relates to adherence to treatment, is critical to guide effective support and treatment of individuals with HIV and depression. We examined whether depression was associated with attrition from care in a cohort of 610 HIV-infected adults in rural Rwanda and whether this relationship was mediated through suboptimal adherence to tr…
Trends and social differentials in child mortality in Rwanda 1990–2010
BACKGROUND: Rwanda has embarked on ambitious programmes to provide equitable health services and reduce mortality in childhood. Evidence from other countries indicates that advances in child survival often have come at the expense of increasing inequity. Our aims were to analyse trends and social differentials in mortality before the age of 5 years in Rwanda from 1990 to 2010. METHODS: We performed secondary analyses of data from three Demographi…
Measuring the health-related Sustainable Development Goals in 188 countries
BACKGROUND: In September, 2015, the UN General Assembly established the Sustainable Development Goals (SDGs). The SDGs specify 17 universal goals, 169 targets, and 230 indicators leading up to 2030. We provide an analysis of 33 health-related SDG indicators based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015). METHODS: We applied statistical methods to systematically compiled data to estimate the performance of…
Assessing the twinning model in the Rwandan Human Resources for Health Program
BACKGROUND: Because of the shortage of health professionals, particularly in specialty areas, Rwanda initiated the Human Resources for Health (HRH) Program. In this program, faculty from United States teaching institutions (USF) "twin" with Rwandan Faculty (RF) to transfer skills. This paper assesses the twinning model, exploring USF and RF goal setting, satisfaction and perceptions of the effectiveness of skill transfer within the twinning model…
Early childhood development in Rwanda
BACKGROUND: Early childhood development (ECD) is a critical period that continues to impact human health and productivity throughout the lifetime. Failing to provide policies and programs that support optimal developmental attainment when such services are financially and logistically feasible can result in negative population health, education and economic consequences that might otherwise be avoided. Rwanda, with its commitment to rights-based …
Learning from Success
Community-Based Health Financing and Child Stunting in Rural Rwanda
Objectives. We analyzed the likelihood of rural children (aged 6–24 months) being stunted according to whether they were enrolled in Mutuelles, a community-based health-financing program providing health insurance to rural populations and granting them access to health care, including nutrition services. Methods. We retrieved health facility data from the District Health System Strengthening Tool and calculated the percentage of rural health cent…
Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015
IMPORTANCE: Cancer is the second leading cause of death worldwide. Current estimates on the burden of cancer are needed for cancer control planning. OBJECTIVE: To estimate mortality, incidence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs) for 32 cancers in 195 countries and territories from 1990 to 2015. EVIDENCE REVIEW: Cancer mortality was estimated using vital registration system dat…
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage
Medicine (33 obras) · Global Maternal and Child Health (22 obras) · Political science (22 obras) · Economic growth (18 obras) · Public health (18 obras) · Economics (17 obras) · Environmental health (17 obras) · Business (14 obras) · Health care (14 obras) · Nursing (13 obras)