Choolwe Jacobs
YOU?
Author Swipe
View article: Causes of community deaths by verbal autopsy among persons with HIV in 33 districts in Zambia, 2020–2023
Causes of community deaths by verbal autopsy among persons with HIV in 33 districts in Zambia, 2020–2023 Open
Zambia has achieved improvements in life expectancy among persons living with HIV (PLHIV) because of high antiretroviral therapy (ART) coverage, which should improve survival due to reductions in AIDS-defining conditions. However, recent e…
Women’s experiences with the use of traditional medicine during childbirth in selected areas of Zambia Open
While motherhood is often a positive and fulfilling experience, for many women, it is associated with suffering, pain, ill-health, and even death. Like in many African countries, some Zambian communities rely on traditional medicines to mi…
Pedalling Progress? Assessing the Long-Term Impact of a Bicycle Intervention on Adolescent Maternal and Child Health in Zambia Open
This study evaluates the long-term impact of a gender-transformative intervention that provided bicycles to adolescent girls in rural Zambia to enhance school attendance and empowerment. Implemented in 2017 across 100 schools, the interven…
View article: Determinants of timely malaria treatment among under-five children attending public health facilities in Kisumu East sub-county, Kenya: a health facility-based cross-sectional study
Determinants of timely malaria treatment among under-five children attending public health facilities in Kisumu East sub-county, Kenya: a health facility-based cross-sectional study Open
Background Despite evidence that most child malaria deaths occur at home shortly after symptom onset, receiving timely malaria treatment remains a significant challenge. Timely malaria treatment, defined as early diagnosis and prompt admin…
Surgery-related obstetric fistulas across health facilities in sub-Saharan African countries: systematic review and meta-analysis Open
Background Surgery-related (iatrogenic) obstetric fistulas are a major public health threat in sub-Saharan Africa (SSA), but the actual burden is largely unknown due to a paucity of data. This review aimed to collate empirical evidence on …
View article: Assessing the appropriateness of dissemination strategies and the role of community-based volunteers in promoting insecticide-treated bed nets in Kalumbila District, Zambia: A qualitative study
Assessing the appropriateness of dissemination strategies and the role of community-based volunteers in promoting insecticide-treated bed nets in Kalumbila District, Zambia: A qualitative study Open
Introduction: Despite global efforts to eliminate malaria, it remains a significant issue. Insecticide-treated nets (ITNs) are widely available and cost-effective, yet their adoption and proper use are often hindered. Understanding the cha…
View article: Magnitude of perinatal mortality in sub-Saharan Africa since 2000: a systematic review and meta-analysis protocol
Magnitude of perinatal mortality in sub-Saharan Africa since 2000: a systematic review and meta-analysis protocol Open
Background A lot of unborn and newly born babies continue to die during pregnancy, childbirth and in the first week of life. Over 5,1 million stillbirths and neonatal deaths occur globally each year with 98% of these in low-middle-income c…
View article: Magnitude of Perinatal Mortality in Sub-Saharan Africa: A Systematic Review and Meta-Analysis of Observational Studies
Magnitude of Perinatal Mortality in Sub-Saharan Africa: A Systematic Review and Meta-Analysis of Observational Studies Open
Background In 2023, an estimated 2.3 million newborns died globally, nearly half of all under-five deaths. Although global perinatal mortality has declined, sub-Saharan Africa continues to carry a disproportionate burden. This study aimed …
View article: Factors associated with health worker adoption of facial and environmental hygiene promotion in the ‘SAFE strategy’ for trachoma elimination in Western Province, Zambia
Factors associated with health worker adoption of facial and environmental hygiene promotion in the ‘SAFE strategy’ for trachoma elimination in Western Province, Zambia Open
Background Trachoma is responsible for the blindness or visual impairment of about 1.9 million people and causes about 1.4% of all blindness worldwide. In Zambia, trachoma is endemic and Western Province is one of the most affected provinc…
View article: Predictors of perinatal mortality in the seven major hospitals of Lusaka Zambia: A case control study
Predictors of perinatal mortality in the seven major hospitals of Lusaka Zambia: A case control study Open
Background In 2023, approximately 2.3 million babies globally were lost before birth or within the first week of life, primarily due to preventable causes. Global perinatal mortality declined from 5.7 million in 2000 to 4.1 million by the …
View article: Determinants of hospital mortality among patients presenting with Traumatic Brain Injury at the University Teaching Hospital, Lusaka, Zambia
Determinants of hospital mortality among patients presenting with Traumatic Brain Injury at the University Teaching Hospital, Lusaka, Zambia Open
Background: Traumatic brain injury (TBI) is a major cause of mortality and long-term disability and economic loss to society. Studies on TBI are scarce and mostly originate from high-income countries. Low- and middle-income countries (LMIC…
Knowledge and practices of birth preparedness and complication readiness among pregnant women in Eastern Province, Zambia: A qualitative study Open
Birth preparedness and complication readiness are key strategies for reducing maternal and neonatal mortality. This study aimed to explore the knowledge and practices of birth preparedness and complication readiness among pregnant women at…
View article: Determinants of acceptability of schistosomiasis mass drug administration among primary school children in Busega District, Northwestern Tanzania
Determinants of acceptability of schistosomiasis mass drug administration among primary school children in Busega District, Northwestern Tanzania Open
Background Schistosomiasis is endemic in Tanzania, with a prevalence ranging between 12.7% to 87.6%. Mass drug administration (MDA) with praziquantel is the main recommended choice of preventive treatment for the disease. Low treatment cov…
Outcomes of children aged 2–59 months with chest indrawing pneumonia managed on an outpatient basis in selected primary health facilities in Zambia Open
Children with chest indrawing pneumonia were successfully treated with oral amoxicillin in an outpatient setting, improving access to treatment and reducing costs for both health care systems and families. This approach also helps reduce t…
View article: Determinants of COVID-19 vaccine uptake among persons with disabilities in three selected districts of Zambia
Determinants of COVID-19 vaccine uptake among persons with disabilities in three selected districts of Zambia Open
COVID-19, is still a public health threat due to uncertainties around the potential evolution of the virus, changes in clinical characteristics, and the introduction of new prevention and therapeutic modalities. Persons with Disabilities (…
Willingness to use digital application to increase awareness and enhance uptake of family planning services amongst women of reproductive age in Zambia Open
Introduction: Despite progress over the last decade, uptake of family planning services remains a challenge in Zambia. Interventions delivered by mobile phone could help increase uptake and continuation of contraception, particularly among…
View article: Adherence to and factors moderating the implementation of childhood TB contact tracing guidelines in selected facilities in Ndola District, Zambia: a cross-sectional study
Adherence to and factors moderating the implementation of childhood TB contact tracing guidelines in selected facilities in Ndola District, Zambia: a cross-sectional study Open
Background The current prevalence of tuberculosis (TB) in Zambian children is well above the World Health Organization regional average indicating missed opportunities for diagnosis and treatment. One of the key strategies aimed at ending …
View article: Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care: evidence from urban informal settlements in Nairobi and Lusaka
Assessing courtesy reporting bias in facility-based surveys on person-centred maternity care: evidence from urban informal settlements in Nairobi and Lusaka Open
We did not detect significant courtesy reporting bias in PCMC in facility-based client exit surveys in the context of urban informal settlements in Nairobi and Lusaka. Experience of PCMC can be measured through in-facility client exit surv…
View article: Integrating WHO’s digital adaptation kit for antenatal care into BornFyne-PNMS: insights from Cameroon
Integrating WHO’s digital adaptation kit for antenatal care into BornFyne-PNMS: insights from Cameroon Open
Background Digital health innovations represent unique opportunities to address maternal, newborn, and child health challenges in Sub-Saharan Africa. In 2021, the World Health Organization (WHO) launched the Digital Adaptation Kits (DAKs) …
Hidden Cities, Hidden Gaps: Measuring Facility Readiness for Maternal and Newborn Health Services and its Association with Person-Centered Maternity Care in Urban Informal Settlements of Nairobi, Lusaka and Ouagadougou cities Open
Background In sub-Saharan Africa, maternal and newborn deaths remain disproportionately higher among low-income populations, and they are associated with delivery in poorly equipped facilities and a shortage of staff to manage birth compli…
View article: Antibiotic prescription patterns and associated symptoms in children living with HIV at Arthur Davison Children’s Hospital in Ndola, Zambia
Antibiotic prescription patterns and associated symptoms in children living with HIV at Arthur Davison Children’s Hospital in Ndola, Zambia Open
Background Children with human immunodeficiency virus (HIV) infection are disproportionately susceptible to bacterial infections. There are a wide range of antibacterial agents available to manage HIV positive children with bacterial infec…
View article: Levels and determinants of person-centred maternity care among women living in urban informal settlements: evidence from client exit surveys in Nairobi, Lusaka and Ouagadougou
Levels and determinants of person-centred maternity care among women living in urban informal settlements: evidence from client exit surveys in Nairobi, Lusaka and Ouagadougou Open
Background Sub-Saharan Africa’s rapid urbanisation has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measure…
View article: Factors that shape the integration of HIV and TB services in Zomba District, Malawi
Factors that shape the integration of HIV and TB services in Zomba District, Malawi Open
The effective integration of HIV and TB services is contingent upon addressing systemic and contextual barriers while leveraging facilitating factors. Enhancing health worker capacity, ensuring consistent supply chains, and fostering stron…
View article: Levels and Determinants of Person-Centered Maternity Care Among Women Living in Urban Informal Settlements: Evidence from Client Exit Surveys in Nairobi, Lusaka and Ouagadougou
Levels and Determinants of Person-Centered Maternity Care Among Women Living in Urban Informal Settlements: Evidence from Client Exit Surveys in Nairobi, Lusaka and Ouagadougou Open
Background Sub-Saharan Africa’s rapid urbanization has led to the sprawling of urban informal settlements. The urban poorest women are more likely to experience worse health outcomes and poor treatment during childbirth. This study measure…
Prevalence of Primary Dysmenorrhea and Its Associated Risk Factors among Adolescent Girls in Selected Schools of Lusaka District, Zambia Open
Background: Dysmenorrhea is a common gynecological issue among young females. However, no studies in Zambia have examined the prevalence and associated factors of primary dysmenorrhea among adolescent girls. This study aimed to determine t…