Christopher R Sudfeld
Dados Biográficos
| ID | 5465973 |
|---|---|
| NOME | Christopher R Sudfeld |
| PRENOMES | Christopher R |
| SOBRENOME | Sudfeld |
| ASSINATURA | SUDFELD C R |
| AFILIAÇÕES | Harvard Global Health Institute |
| ORCID | 0000-0002-3203-3638 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2015 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Predictive and concurrent validity of caregiver reported early childhood development assessments
Many directly assessed and caregiver-reported measures of early childhood development (ECD) are used to monitor outcomes and evaluate interventions in low- and middle-income countries (LMICs). Many assessments of ECD for children 0–3 years old have robust psychometric properties, but relatively little is known about their ability to predict later developmental and learning outcomes. To address questions about predictive and concurrent validity, w…
Longitudinal Patterns of Adherence to Oral HIV Pre-Exposure Prophylaxis Among At-Risk Women in Tanga, Tanzania
There is scarcity of evidence on the changes over time of adherence to oral HIV pre-exposure prophylaxis (PrEP) among female sex workers. Therefore, we assessed the changes of adherence to PrEP over 12 months and influencing factors for suboptimal adherence and explored strategies to optimize adherence to oral PrEP among female sex workers in Tanzania. Convergence analysis was conducted involving 313 respondent driven sampled participants in the …
Impact of HIV-related stigma on quality of life among people with HIV
HIV-related stigma affects the well-being and quality of life of people with HIV (PHIV). To evaluate the impact of HIV-related stigma on the quality of life among PHIV in Dar es Salaam, we conducted a qualitative study between December 2021 and June 2022. We enrolled participants in the Dar es Salaam Urban Cohort Study who were from the Ilala Municipality of Dar es Salaam. Using a semi-structured discussion guide, three focus group discussions (F…
Alcohol Use, Risky Alcohol Use, and Associated Factors Among Adults Living with HIV in Urban Dar es Salaam, Tanzania
Alcohol use and risky alcohol use are associated with health, social, and psychological complications and may interfere with HIV/AIDS treatment. This study assessed the prevalence and factors associated with alcohol use and risky alcohol use among adults living with HIV in Dar-es-Salaam, Tanzania. This cross-sectional study included data from 771 adults living with HIV on antiretroviral therapy (ART) who were enrolled in a non-inferiority cluster…
Is rotavirus aetiology in young children with acute diarrhoea associated with sociodemographic and clinical factors, including rotavirus vaccination status? A secondary cross-sectional analysis of the…
INTRODUCTION: One of the leading causes of global child mortality continues to be diarrhoea where rotavirus contributed to about 24% of deaths among all diarrhoeal deaths, mostly in low-income and middle-income countries. Rotavirus vaccination programmes have contributed to the reduction of mortality from 24% to 19% in rotavirus infections among hospitalised children, but the burden of rotaviral diarrhoea remains high, especially in settings with…
Hypertensive disorders of pregnancy and perinatal outcomes
INTRODUCTION: Hypertensive disorders of pregnancy (HDP) have been linked with increased risk for maternal and offspring complications in high-income settings. However, in resource-limited settings, studies with robust measurement of HDP, including severity and timing, and perinatal outcomes are limited. METHODS: We analysed data from two prospective cohorts of nulliparous women in India (n=10 570 pregnancies) and Tanzania (n=10 299 pregnancies) w…
Effect of prenatal multiple micronutrient supplements and medium-quantity lipid-based nutritional supplements on maternal weight gain and infant birth weight in rural Niger
INTRODUCTION: The risk of adverse birth outcomes, such as low birth weight ( 0.05). We found no effect of MMN or MQ-LNS on maternal haemoglobin concentration or anaemia in the second and third trimesters (p values >0.05). CONCLUSION: There was no statistically significant difference in birth weight, maternal weight gain or anaemia by prenatal nutritional supplementation strategy. However, statistical power in the trial was limited. A combination …
Low-dose calcium supplementation during pregnancy in low and middle-income countries
Calcium supplementation during pregnancy can reduce the risk of preeclampsia and preterm birth. Few countries have implemented WHO-recommended high-dose calcium supplementation (1500–2000mg/day), due to adherence and cost concerns. However, low-dose calcium supplementation (one 500mg tablet daily) has recently been shown to be similarly efficacious as high-dose supplementation. We assessed the cost-effectiveness of low-dose calcium supplementatio…
Human capital and lifetime income gains of scaling-up small-quantity lipid nutrient supplements among children under 2 years
Undernutrition in early childhood is associated with adverse health and developmental outcomes later in life and remains a persistent global public health problem. Providing small-quantity lipid nutrient supplements (SQ-LNS) to children aged 6-24 months improves child growth and neurodevelopmental outcomes, but the potential long-term benefits to human capital have not been previously estimated. We estimated the potential returns to schooling and…
Adolescents and young adults dating and HIV perceptions
The study investigates the interplay between adolescent dating behaviours and HIV perceptions in Chad, where adolescents and young adults (AYA) aged 15-24 years are disproportionately affected. Four focus group discussions (n = 48) were conducted with high school students in N'Djamena, stratified into beneficiaries and non-beneficiaries of a peer education programme. Using a phenomenological approach and the Colaizzi method in ATLAS.ti, we examin…
Household Food Insecurity, Growth and Development of Preschool Children
Household food insecurity (HFI) remains a challenge globally and is recognized as a risk factor for poor child nutritional outcomes for infants and young children. However, few studies have evaluated the associations of HFI with the growth and development of preschool children. This study assessed the association of HFI with growth and development outcomes among preschool-aged children in rural Pakistan and explored potential differences in the m…
Diet and Care Mediate the Effects of Parenting and Nutrition Interventions on Childhood Infections
The effect of community-based multi-input interventions that promote health, nutrition, and development on childhood infections, and the pathways that explain these effects remain unclear. We conducted a secondary analysis of a factorial-designed clustered randomized controlled trial (N = 1489) conducted in rural Pakistan to estimate the effects of responsive stimulation and enhanced nutrition (responsive feeding and multiple micronutrient powder…
I Stopped to Prove them Wrong
High discontinuation of pre-exposure prophylaxis (PrEP) among high-risk women undermines its effectiveness. However, there is limited evidence on the reasons for PrEP discontinuation among female sex workers in sub-Saharan Africa. Exploring population-specific reasons for PrEP discontinuation will guide the design of client-centered strategies. Thus, we explored the reasons for PrEP discontinuation among female sex workers in Tanzania using mixed…
Maternal Trauma history, Maternal Mental health, and Child Behavior
Experiences, acceptability and barriers to calcium supplementation during pregnancy in Dar es Salaam, Tanzania
Calcium supplementation in pregnancy is recommended in contexts with low dietary calcium intake to reduce the risk of pre-eclampsia and its complications. The World Health Organisation suggested high-dose calcium supplementation (1500-2000 mg/day), divided into three doses and taken at different times from daily iron-folic supplements. We conducted a mixed methods evaluation study to assess experiences, acceptability and barriers to high-dose cal…
Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500- 10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we f…
Safe infant feeding in healthcare facilities
Infants need to receive care in environments that limit their exposure to pathogens. Inadequate water, sanitation, and hygiene (WASH) environments and suboptimal infection prevention and control practices in healthcare settings contribute to the burden of healthcare-associated infections, which are particularly high in low-income settings. Specific research is needed to understand infant feeding preparation in healthcare settings, a task involvin…
Association of Sociodemographic Factors and Maternal Educational Attainment with Child Development among Families Living below the Poverty Line in the State of Ceará, Northeastern Brazil
Maternal educational attainment has been identified as relevant to several child health and development outcomes. This study aimed to evaluate the association of sociodemographic and maternal education factors with child development in families living below the poverty line. A cross-sectional study was conducted through telephone contact from May to July 2021 in Ceará, a state in Northeastern Brazil. The study population comprised families with c…
Associations Between Social Support and Symptoms of Antenatal Depression with Infant Growth and Development Among Mothers Living with HIV in Tanzania
The impact of a community health worker intervention on uptake of antenatal care
The provision of high-quality antenatal care (ANC) is important for preventing maternal and newborn mortality and morbidity, but only around half of pregnant women in Tanzania attended four or more ANC visits in 2019. Although there is emerging evidence on the benefit of community health worker (CHW) interventions on ANC uptake, few large-scale pragmatic trials have been conducted. This pragmatic cluster-randomized trial, implemented directly thr…
Priority setting in early childhood development
BACKGROUND: Early childhood development (ECD) sets the foundation for healthy and successful lives with important ramifications for education, labour market outcomes and other domains of well-being. Even though a large number of interventions that promote ECD have been implemented and evaluated globally, there is currently no standardised framework that allows a comparison of the relative cost-effectiveness of these interventions. METHODS: We fir…
Covid-19 and children’s screen time in Ceará, Brazil
In the present study, we assessed changes in screen time exposure among 3–6-year-old children in Ceará, Brazil, in 2017 and in 2020 during the pandemic. We analyzed data from a state-wide repeated cross-sectional survey. The COVID impact research was conducted by phone interviews. American Academy of Pediatrics (AAP) and World Health Organization (WHO) guidelines were used to define elevated screen exposure. During the COVID-19 pandemic, the prop…
Large gains in schooling and income are possible from minimizing adverse birth outcomes in 121 low- and middle-income countries
While the global contributions of adverse birth outcomes to child morbidity and mortality is relatively well documented, the potential long-term schooling and economic consequences of adverse birth outcomes has not been estimated. We sought to quantify the potential schooling and lifetime income gains associated with reducing the excess prevalence of adverse birth outcomes in 121 low- and middle-income countries. We used a linear deterministic mo…
Burden of HIV-related stigma and associated factors among women living with depression accessing PMTCT services in Dar es Salaam, Tanzania
HIV-related stigma represents a potent risk factor for a range of poor health outcomes, including mental health symptoms, treatment non-adherence, and substance use. Understanding the role of HIV-related stigma in promoting healthcare outcomes is critical for vulnerable populations, such as pregnant women living with HIV, in contexts with continued high rates of HIV and associated stigma, such as sub-Saharan Africa. The current study examined a r…
Childhood Diarrhea Prevalence and Uptake of Oral Rehydration Solution and Zinc Treatment in Nigeria
Given the disproportionate burden of childhood diarrhea deaths in Nigeria, this study assessed the prevalence and predictors of the disease and the uptake of ORS and zinc supplementation as treatments in a population-based national survey. Cross-sectional data from the 2018 Nigeria Demographic Health Survey were used. A log-Poisson regression was used to estimate the relative risks (RR) for the individual-level predictors of childhood diarrhea an…
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Linear Growth and Child Development in Low- and Middle-Income Countries
Risk Factors for Childhood Stunting in 137 Developing Countries
BACKGROUND: Stunting affects one-third of children under 5 y old in developing countries, and 14% of childhood deaths are attributable to it. A large number of risk factors for stunting have been identified in epidemiological studies. However, the relative contribution of these risk factors to stunting has not been examined across countries. We estimated the number of stunting cases among children aged 24-35 mo (i.e., at the end of the 1,000 days…
Early Childhood Developmental Status in Low- and Middle-Income Countries
BACKGROUND: The development of cognitive and socioemotional skills early in life influences later health and well-being. Existing estimates of unmet developmental potential in low- and middle-income countries (LMICs) are based on either measures of physical growth or proxy measures such as poverty. In this paper we aim to directly estimate the number of children in LMICs who would be reported by their caregivers to show low cognitive and/or socio…
Dietary iron and calcium intakes during pregnancy are associated with lower risk of prematurity, stillbirth and neonatal mortality among women in Tanzania
Objective Prematurity, stillbirth and other adverse birth outcomes remain major concerns in resource-limited settings. Poor dietary intake of micronutrients during pregnancy has been associated with increased risk of adverse outcomes. We determined the relationships between dietary Fe and Ca intakes during pregnancy and risks of adverse birth outcomes among HIV-negative women. Design Women’s diet was assessed through repeated 24 h diet recalls in…
Effect of a community health worker delivered health, nutrition and responsive stimulation package and conditional cash transfers on child development and growth in rural Tanzania
ISRCTN10323949 , Retrospectively registered on October 3, 2017
Anemia prevalence and etiology among women, men, and children in Ethiopia
ClinicalTrials.gov, NCT04002466 . Registered on 28 June 2019. Retrospectively registered
Healthy Options
The trial is registered under clinicaltrials.gov (NCT02039973). Retrospectively registered on January 20, 2014
Population-level effective coverage of adolescent weekly iron and folic acid supplementation is low in rural West Bengal, India
Objective: To assess the coverage of the adolescent weekly iron and folic acid supplementation (WIFS) programme in rural West Bengal, India. Design: We conducted a population-based cross-sectional survey of intended WIFS programme beneficiaries (in-school adolescent girls and boys and out-of-school adolescent girls). Setting: Birbhum Health and Demographic Surveillance System. Participants: A total of 4448 adolescents 10–19 years of age participa…
Effect of a home-based health, nutrition and responsive stimulation intervention and conditional cash transfers on child development and growth
INTRODUCTION: Evidence on the effects of community health worker (CHW) interventions and conditional cash transfers (CCTs) on child growth and development in sub-Saharan Africa remains sparse. METHODS: We conducted a single-blind, cluster-randomised controlled trial of an integrated home-visiting health, nutrition and responsive stimulation intervention alone and in combination with CCTs to promote antenatal and child clinic attendance from 2017 …
Health-related quality of life among adults living with HIV
Few studies have examined health-related quality of life (HRQoL) among people living with HIV (PLWHIV) in Eastern Europe and Central Asia. We conducted a cross-sectional survey of 180 PLWHIV aged 18 years+ in Armenia who were on cART and used the 36-Item Short-Form Health Survey to assess HRQoL. The highest HRQoL domain score was 85.3 (SD 24.7) for physical functioning, followed by 82.1 (SD 25.0) for pain, 77.9 (SD 24.2) for social functioning, 7…
Child diet and mother–child interactions mediate intervention effects on child growth and development
This study examined whether child diet and mother-child interactions mediated the effects of a responsive stimulation and nutrition intervention delivered from 2009 to 2012 to 1324 children aged 0-24 months living in rural Pakistan. Results showed that the intervention improved children's cognitive, language and motor development through child diet and mother-child interactions. Although the intervention did not improve child growth or socio-emot…
Exploring the relationships between wasting and stunting among a cohort of children under two years of age in Niger
ClinicalTrials.gov Identifier: NCT02145000
The role of chicken management practices in children’s exposure to environmental contamination
Clinical trials number: NCT03152227 ; Retrospectively registered at ClinicalTrials.gov on May 12, 2012
Anemia and associated factors among adolescent girls and boys at 10–14 years in rural western China
Anemia was a mild public health problem among young adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group
Screen time and early childhood development in Ceará, Brazil
Excess screen time exposure was highly prevalent and independently associated with poorer development outcomes among children under 5 years of age in Ceará, Brazil
Depression and Viral Suppression Among Adults Living with HIV in Tanzania
Effects of a community health worker delivered intervention on maternal depressive symptoms in rural Tanzania
Maternal depression affects one in four women in sub-Saharan Africa, yet evidence on effective and scalable interventions is limited. Our objective was to evaluate the effect of a community health worker (CHW) delivered home visit responsive stimulation, health and nutrition intervention, and conditional cash transfers (CCTs) for antenatal care and child growth monitoring attendance on maternal depressive symptoms. We conducted a cluster-randomiz…
Coronavirus disease 2019, food security and maternal mental health in Ceará, Brazil
Objective: To quantify the change in the risk of food insecurity and maternal mental disorder (MMD) before and during the coronavirus disease 2019 (COVID-19) pandemic. Design: Repeated cross-sectional survey. Between 17 July and 10 September 2020, mother–child pairs who were enrolled in a population-based survey in 2017 were re-contacted by telephone for consent and to complete a telephonic COVID-19 survey. We used the Brazilian Food Insecurity S…
Priority setting in early childhood development
BACKGROUND: Early childhood development (ECD) sets the foundation for healthy and successful lives with important ramifications for education, labour market outcomes and other domains of well-being. Even though a large number of interventions that promote ECD have been implemented and evaluated globally, there is currently no standardised framework that allows a comparison of the relative cost-effectiveness of these interventions. METHODS: We fir…
Covid-19 and children’s screen time in Ceará, Brazil
In the present study, we assessed changes in screen time exposure among 3–6-year-old children in Ceará, Brazil, in 2017 and in 2020 during the pandemic. We analyzed data from a state-wide repeated cross-sectional survey. The COVID impact research was conducted by phone interviews. American Academy of Pediatrics (AAP) and World Health Organization (WHO) guidelines were used to define elevated screen exposure. During the COVID-19 pandemic, the prop…
Large gains in schooling and income are possible from minimizing adverse birth outcomes in 121 low- and middle-income countries
While the global contributions of adverse birth outcomes to child morbidity and mortality is relatively well documented, the potential long-term schooling and economic consequences of adverse birth outcomes has not been estimated. We sought to quantify the potential schooling and lifetime income gains associated with reducing the excess prevalence of adverse birth outcomes in 121 low- and middle-income countries. We used a linear deterministic mo…
Burden of HIV-related stigma and associated factors among women living with depression accessing PMTCT services in Dar es Salaam, Tanzania
HIV-related stigma represents a potent risk factor for a range of poor health outcomes, including mental health symptoms, treatment non-adherence, and substance use. Understanding the role of HIV-related stigma in promoting healthcare outcomes is critical for vulnerable populations, such as pregnant women living with HIV, in contexts with continued high rates of HIV and associated stigma, such as sub-Saharan Africa. The current study examined a r…
Childhood Diarrhea Prevalence and Uptake of Oral Rehydration Solution and Zinc Treatment in Nigeria
Given the disproportionate burden of childhood diarrhea deaths in Nigeria, this study assessed the prevalence and predictors of the disease and the uptake of ORS and zinc supplementation as treatments in a population-based national survey. Cross-sectional data from the 2018 Nigeria Demographic Health Survey were used. A log-Poisson regression was used to estimate the relative risks (RR) for the individual-level predictors of childhood diarrhea an…
Positive Parenting Behaviors and Child Development in Ceará, Brazil
Parenting practices have been identified as a key determinant of children’s developmental outcomes. The aim of this study was to evaluate the association of parenting practices with child development in a cross-sectional population-based study in a low-income state in northeastern Brazil. The study included data on 3566 caregiver–child pairs, and the children were aged 0–66 months. Positive parenting behaviors (PPBs) were conceptualized in areas …
Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania
Globally, increasing rates of facility-based childbirth enable early intervention for small vulnerable newborns. We describe health system-level inputs, current feeding, and discharge practices for moderately low birthweight (MLBW) infants (1500- 10% less than their birthweight; 18.8% of infants were discharged with weights below facility-specific policy [1800g in India, 1500g in Malawi, and 2000g in Tanzania]. Based on descriptive analysis, we f…
Medicine (35 obras) · Child Nutrition and Water Access (24 obras) · Environmental health (22 obras) · Population (15 obras) · Psychological intervention (15 obras) · Public health (15 obras) · Tanzania (14 obras) · Demography (13 obras) · Pediatrics (12 obras) · Internal Medicine (11 obras)