Adam Biran
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View article: Evaluation of Nyumba Ni Choo: A National Campaign to Promote Improved Sanitation in Tanzania Between 2016–2020
Evaluation of Nyumba Ni Choo: A National Campaign to Promote Improved Sanitation in Tanzania Between 2016–2020 Open
This paper presents an evaluation of the means by which the Tanzanian government’s most recent National Sanitation Campaign (2016–2020) achieved its outcomes with respect to increased coverage of improved sanitation facilities. (By the pro…
View article: Healthcare provision for cancer survivors with chronic bowel symptoms post pelvic radiotherapy. “… and then you're kind of cast adrift”: A qualitative study
Healthcare provision for cancer survivors with chronic bowel symptoms post pelvic radiotherapy. “… and then you're kind of cast adrift”: A qualitative study Open
Our findings suggest a need for raising awareness of late-effects of pelvic-radiotherapy among patients and health professionals encompassing recognition of symptoms and awareness of treatments and support and for accelerating access to sp…
View article: Patient experiences and expectations of faecal immunochemical testing for investigation of colorectal cancer symptoms: a cross-sectional qualitative interview study with patients and practitioners in the UK
Patient experiences and expectations of faecal immunochemical testing for investigation of colorectal cancer symptoms: a cross-sectional qualitative interview study with patients and practitioners in the UK Open
Objectives Faecal immunochemical testing (FIT) is now commonplace in the UK to prioritise symptomatic patients for urgent gastrointestinal investigation. The test requires a stool sample to be collected at home by the patient and returned …
View article: BSG/ACPGBI guidance on the management of colorectal polyps in patients with limited life expectancy
BSG/ACPGBI guidance on the management of colorectal polyps in patients with limited life expectancy Open
Background Determining optimal management of colorectal polyps in patients with limited life expectancy of under 10 years can be difficult, due to challenges balancing an uncertain natural history of polyp progression to symptomatic malign…
View article: Translating Formative Research into Intervention Content: Experiences with Face Washing for Trachoma Control in Rural Ethiopia
Translating Formative Research into Intervention Content: Experiences with Face Washing for Trachoma Control in Rural Ethiopia Open
Face washing for trachoma, like most public health improvements, necessitates behaviour change, yet traditional educational interventions frequently fail to achieve this goal. Behavioural science frameworks offer guidance to develop altern…
View article: Practitioner perspectives on symptomatic faecal immunochemical testing in the UK: a qualitative interview study
Practitioner perspectives on symptomatic faecal immunochemical testing in the UK: a qualitative interview study Open
Background Faecal immunochemical testing (FIT) is now core to the management of patients presenting in primary care with symptoms of possible colorectal cancer. Patients with a positive FIT (≥10 μg haemoglobin [Hb]/g faeces) qualify for an…
View article: From pelvic radiation to social isolation: a qualitative study of survivors’ experiences of chronic bowel symptoms after pelvic radiotherapy
From pelvic radiation to social isolation: a qualitative study of survivors’ experiences of chronic bowel symptoms after pelvic radiotherapy Open
View article: From Pelvic Radiation to Social Isolation: A Qualitative Study of Survivors’ Experiences of Chronic Bowel Symptoms after Pelvic Radiotherapy
From Pelvic Radiation to Social Isolation: A Qualitative Study of Survivors’ Experiences of Chronic Bowel Symptoms after Pelvic Radiotherapy Open
Purpose We explored survivors’ experiences of chronic bowel symptoms following pelvic radiotherapy, strategies employed in living with these symptoms, effects on daily activities and roles at home and in the workplace. Methods Semi-structu…
View article: A Systematic Review of Population-Based Studies of Chronic Bowel Symptoms in Cancer Survivors following Pelvic Radiotherapy
A Systematic Review of Population-Based Studies of Chronic Bowel Symptoms in Cancer Survivors following Pelvic Radiotherapy Open
Pelvic radiotherapy can damage surrounding tissue and organs, causing chronic conditions including bowel symptoms. We systematically identified quantitative, population-based studies of patient-reported bowel symptoms following pelvic radi…
View article: A qualitative cross-sectional study exploring the implementation of disability-inclusive WASH policy commitments in Svay Reing and Kampong Chhnang Provinces, Cambodia
A qualitative cross-sectional study exploring the implementation of disability-inclusive WASH policy commitments in Svay Reing and Kampong Chhnang Provinces, Cambodia Open
Background The Government of Cambodia references core concepts of human rights of people with disabilities in their water, sanitation and hygiene (WASH) policies and guidance. However, few references clearly articulate activities to achiev…
View article: Formative Research Using Settings and Motives to Explore Child Faeces Disposal and Management in Rural Solomon Islands
Formative Research Using Settings and Motives to Explore Child Faeces Disposal and Management in Rural Solomon Islands Open
Unsafe child faeces management can lead to adverse health and wellbeing outcomes for children. In Solomon Islands, diarrhoeal disease is a leading cause of under-5 mortality, though there is limited research into CFM practices and promotio…
View article: The effect of improving solid waste collection on waste disposal behaviour and exposure to environmental risk factors in urban low‐income communities in Pakistan
The effect of improving solid waste collection on waste disposal behaviour and exposure to environmental risk factors in urban low‐income communities in Pakistan Open
Objective To estimate the effect of improving waste collection services on waste disposal behaviour and exposure to environmental risk factors in urban, low‐income communities in Pakistan. Methods We enrolled six low‐income communities in …
View article: The Inclusion of Rights of People with Disabilities and Women and Girls in Water, Sanitation, and Hygiene Policy Documents and Programs of Bangladesh and Cambodia: Content Analysis Using EquiFrame
The Inclusion of Rights of People with Disabilities and Women and Girls in Water, Sanitation, and Hygiene Policy Documents and Programs of Bangladesh and Cambodia: Content Analysis Using EquiFrame Open
People with disabilities and as women and girls face barriers to accessing water, sanitation, and hygiene (WASH) services and facilities that fully meet their needs, especially in low- and middle-income countries. Women and girls with disa…
View article: A cluster-randomised trial to evaluate an intervention to promote handwashing in rural Nigeria
A cluster-randomised trial to evaluate an intervention to promote handwashing in rural Nigeria Open
Handwashing with soap at critical times helps prevent diarrhoeal diseases. Changing handwashing practices through behaviour change communication remains a challenge. This study designed and tested a scalable intervention to promote handwas…
View article: Comparison of Face Washing and Face Wiping Methods for Trachoma Control: A Pilot Study
Comparison of Face Washing and Face Wiping Methods for Trachoma Control: A Pilot Study Open
Eye-to-eye transmission of Chlamydia trachomatis, the causative agent of trachoma, may be plausibly interrupted if faces are kept free of ocular and nasal discharge. Between April and June 2018, 83 children aged 1-9 years with activ…
View article: Are current approaches for measuring access to clean water and sanitation inclusive of people with disabilities? Comparison of individual- and household-level access between people with and without disabilities in the Tanahun district of Nepal
Are current approaches for measuring access to clean water and sanitation inclusive of people with disabilities? Comparison of individual- and household-level access between people with and without disabilities in the Tanahun district of Nepal Open
People with disabilities face substantial challenges to meeting their WASH needs, particularly in using services autonomously, consistently, hygienically, with dignity and privacy, and without pain or fear of abuse. These challenges are no…
View article: Selecting behaviour change priorities for trachoma ‘F’ and ‘E’ interventions: A formative research study in Oromia, Ethiopia
Selecting behaviour change priorities for trachoma ‘F’ and ‘E’ interventions: A formative research study in Oromia, Ethiopia Open
Existing norms and enabling factors in this context favour the development of interventions to improve facial cleanliness as more feasible than those that reduce unsafe faeces disposal. Interventions to increase the frequency of bathing an…
View article: Effect of Neighborhood Sanitation Coverage on Fecal Contamination of the Household Environment in Rural Bangladesh
Effect of Neighborhood Sanitation Coverage on Fecal Contamination of the Household Environment in Rural Bangladesh Open
Enteric pathogens can be transmitted within the household and the surrounding neighborhood. The objective of this study was to understand the effect of neighborhood-level sanitation coverage on contamination of the household environment wi…
View article: Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala
Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala Open
People with disabilities in Guatemala experience greater difficulties in accessing sanitation facilities and practicing hygienic behaviours than their peers without disabilities. More data collection is needed using detailed tools to detec…
View article: Access to water and sanitation among people with disabilities: results from cross-sectional surveys in Bangladesh, Cameroon, India and Malawi
Access to water and sanitation among people with disabilities: results from cross-sectional surveys in Bangladesh, Cameroon, India and Malawi Open
Objectives To assess access to adequate water, sanitation and hygiene (WASH) among people with disabilities at the household and individual level. Design Cross-sectional surveys. Setting Data were included from five district-level or regio…
View article: A Cross Sectional Study of the Association between Sanitation Type and Fecal Contamination of the Household Environment in Rural Bangladesh
A Cross Sectional Study of the Association between Sanitation Type and Fecal Contamination of the Household Environment in Rural Bangladesh Open
We conducted a cross sectional study to assess 1) the association between access to basic sanitation and fecal contamination of sentinel toy balls and 2) if other sanitation factors such as shared use and cleanliness are associated with fe…
View article: A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi
A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi Open
Community-led total sanitation (CLTS) is a common method for promoting sanitation in low-income settings. This cluster-randomized trial evaluated an intervention to improve inclusion of people with disability in CLTS through training facil…
View article: A faecal exposure assessment of farm workers in Accra, Ghana: a cross sectional study
A faecal exposure assessment of farm workers in Accra, Ghana: a cross sectional study Open
This study found exposure to soil as the critical pathway of pathogen risk in wastewater farmers, and that this risk exceeded recommended health targets. The study recommends the incorporation of hand-to-mouth events, the use of actual pat…
View article: A cross-sectional survey to assess household sanitation practices associated with uptake of “Clean Team” serviced home toilets in Kumasi, Ghana
A cross-sectional survey to assess household sanitation practices associated with uptake of “Clean Team” serviced home toilets in Kumasi, Ghana Open
“Clean Team” provides serviced, free-standing toilets as a sanitation option in low-income areas of Kumasi, Ghana. A cross-sectional survey was carried out to assess sanitation and hygiene practices in 199 Clean Team households and 201 nei…
View article: A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi
A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi Open
Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study …
View article: Risk Perceptions of Wastewater Use for Urban Agriculture in Accra, Ghana
Risk Perceptions of Wastewater Use for Urban Agriculture in Accra, Ghana Open
Poor food hygiene is a significant risk to public health globally, but especially in low and middle-income countries where access to sanitation, and general hygiene remain poor. Food hygiene becomes even more pertinent when untreated, or p…
View article: Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India
Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India Open
We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low-income urban households in Kerala, India.…
View article: Use of Behavior Change Techniques in Clean Cooking Interventions: A Review of the Evidence and Scorecard of Effectiveness
Use of Behavior Change Techniques in Clean Cooking Interventions: A Review of the Evidence and Scorecard of Effectiveness Open
Despite decades of effort, around 2.8 billion people still rely on solid fuels to meet domestic energy needs. There is robust evidence this causes premature death and chronic disease, as well as wider economic, social, and environmental pr…
View article: Strengthening the role of WASH and disabilities in Bangladesh
Strengthening the role of WASH and disabilities in Bangladesh Open
In 2014, the London School of Hygiene and Tropical Medicine and IRC obtained a grant from the Australian Development and Research Awards Scheme) to research accessibility to sanitation in relation with disabilities in Bangladesh and Malawi…