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  1. Article ; Online: Militia-led attacks on health facilities and workers in Sudan.

    Osama, Tasnime / Dahab, Maysoon / Abdelgalil, Sara

    BMJ (Clinical research ed.)

    2022  Volume 376, Page(s) o241

    MeSH term(s) Health Facilities ; Military Personnel ; Sudan ; Violence
    Language English
    Publishing date 2022-01-28
    Publishing country England
    Document type Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o241
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Population mortality before and during the COVID-19 epidemic in two Sudanese settings: a key informant study.

    AbuKoura, Rahaf / Checchi, Francesco / Abdalla, Omama / Ibrahim, Omnia / Hemeadan, Ahmed Tom / Eldirdiri, Ahmed Ali Ahmed / Mohamed, Direeg Ismail / Ahmed, Aljaile / Ahmed, Abd Elhameed / Abdelmagid, Nada / Pepe, Pasquale / Dahab, Maysoon

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 701

    Abstract: Background: Population mortality is an important metric that sums information from different public health risk factors into a single indicator of health. However, the impact of COVID-19 on population mortality in low-income and crisis-affected ... ...

    Abstract Background: Population mortality is an important metric that sums information from different public health risk factors into a single indicator of health. However, the impact of COVID-19 on population mortality in low-income and crisis-affected countries like Sudan remains difficult to measure. Using a community-led approach, we estimated excess mortality during the COVID-19 epidemic in two Sudanese communities.
    Methods: Three sets of key informants in two study locations, identified by community-based research teams, were administered a standardised questionnaire to list all known decedents from January 2017 to February 2021. Based on key variables, we linked the records before analysing the data using a capture-recapture statistical technique that models the overlap among lists to estimate the true number of deaths.
    Results: We estimated that deaths per day were 5.5 times higher between March 2020 and February 2021 compared to the pre-pandemic period in East Gezira, while in El Obeid City, the rate was 1.6 times higher.
    Conclusion: This study suggests that using a community-led capture-recapture methodology to measure excess mortality is a feasible approach in Sudan and similar settings. Deploying similar community-led estimation methodologies should be considered wherever crises and weak health infrastructure prevent an accurate and timely real-time understanding of epidemics' mortality impact in real-time.
    MeSH term(s) Humans ; COVID-19 ; Black People ; Pandemics ; Poverty ; Public Health
    Language English
    Publishing date 2024-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-17298-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Changes in social mixing and attitudes and practices to precautionary measures in a maturing COVID-19 pandemic in six communities in Sudan: a qualitative study.

    Ahmed, Salma A E / AbuKoura, Rahaf / Ahmed, Abd Elhameed / Abdalla, Omama / Hassan, Omnia Kamal / Tom, Ahmed / Eldirdiri, Ahmed / Ismaeil, Drieg / Zainalabdeen, Israa / Nurelhuda, Nazik / Ahmed, Aljaile / Abdan, Afrah / Dahab, Maysoon / Abdelmagid, Nada

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 895

    Abstract: Introduction: With low COVID-19 vaccination coverage, non-pharmaceutical interventions were critical to mitigating the COVID-19 pandemic in Sudan. We explored changes in social contact patterns, risk perception, attitudes, and practices toward ... ...

    Abstract Introduction: With low COVID-19 vaccination coverage, non-pharmaceutical interventions were critical to mitigating the COVID-19 pandemic in Sudan. We explored changes in social contact patterns, risk perception, attitudes, and practices toward protective measures during an evolving COVID-19 outbreak in six illustrative communities in Sudan.
    Methods: This qualitative study took place in six communities in five Sudanese states using focus group discussions with community members and non-participant structured observations in public spaces between March 2021 and April 2021. A total of 117 participants joined 24 group discussions. We used a two-stage thematic analysis.
    Results: The perceived importance of compliance with individual preventative measures among those who believe in COVID-19 was higher than observed compliance with behaviors in most study sites. Adherence was consistently low and mainly driven by enforced movement restrictions. As restrictions were lifted, social contacts outside the household resumed pre-COVID-19 levels, and risk perception and individual and institutional adherence to protective measures diminished. We identified an environment that is socially and economically unsupportive of preventive practices, compounded by widespread rumours, misinformation, and mistrust in the government-led response. However, we identified new social habits that can contribute to reducing COVID-19 transmission.
    Conclusion: The unfavourable social and economic environment, coupled with the low visibility of the pandemic and pandemic response, has likely modulated the influence of higher risk perception on adopting precautionary behaviours by individuals. Governments and non-governmental actors should increase the visibility of the pandemic and pandemic response, enforce and incentivise infection control measures in public areas, promote emerging preventive social habits, and actively track and address rumours and misinformation related to COVID-19 and COVID-19 vaccines.
    MeSH term(s) Humans ; COVID-19 ; COVID-19 Vaccines ; Pandemics/prevention & control ; Sudan ; Attitude
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-03-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-024-18274-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Deaths, injuries and detentions during civil demonstrations in Sudan: a secondary data analysis.

    Dahab, Maysoon / Abdelmagid, Nada / Kodouda, Ahmed / Checchi, Francesco

    Conflict and health

    2019  Volume 13, Page(s) 16

    Abstract: Background: Since December 2018, the latest wave of anti-government protests in Sudan has led to deaths, injuries and detentions. We estimated the number of people killed and described patterns of deaths, injuries and detentions up to 9 April 2019.: ... ...

    Abstract Background: Since December 2018, the latest wave of anti-government protests in Sudan has led to deaths, injuries and detentions. We estimated the number of people killed and described patterns of deaths, injuries and detentions up to 9 April 2019.
    Methods: We tabulated data from three publicly available lists maintained by Sudanese civil society sources (the Independent Movement, the Sudan Doctors' Union and the "Lest We Forget" project), and applied to these a capture-recapture statistical technique that models the overlap among lists to estimate the number of deaths not on any list.
    Results: We estimated that about 117 civilians were killed in demonstrations during the above period, a considerably larger number than hitherto reported. Most decedents and injury victims were shot.
    Conclusions: This analysis demonstrates the importance of real-time data on political violence collected by civil society initiatives. The de facto Sudanese government should immediately cease attacks against peaceful civilian protesters and put in place guarantees for their safety.
    Language English
    Publishing date 2019-05-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2273783-2
    ISSN 1752-1505
    ISSN 1752-1505
    DOI 10.1186/s13031-019-0199-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Governance of Childhood Vaccination Services in Crisis Settings: A Scoping Review.

    Abdelmagid, Nada / Southgate, Rosamund J / Alhaffar, Mervat / Ahmed, Matab / Bani, Hind / Mounier-Jack, Sandra / Dahab, Maysoon / Checchi, Francesco / Sabahelzain, Majdi M / Nor, Barni / Rao, Bhargavi / Singh, Neha S

    Vaccines

    2023  Volume 11, Issue 12

    Abstract: The persistence of inadequate vaccination in crisis-affected settings raises concerns about decision making regarding vaccine selection, timing, location, and recipients. This review aims to describe the key features of childhood vaccination intervention ...

    Abstract The persistence of inadequate vaccination in crisis-affected settings raises concerns about decision making regarding vaccine selection, timing, location, and recipients. This review aims to describe the key features of childhood vaccination intervention design and planning in crisis-affected settings and investigate how the governance of childhood vaccination is defined, understood, and practised. We performed a scoping review of 193 peer-reviewed articles and grey literature on vaccination governance and service design and planning. We focused on 41 crises between 2010 and 2021. Following screening and data extraction, our analysis involved descriptive statistics and applying the governance analysis framework to code text excerpts, employing deductive and inductive approaches. Most documents related to active outbreaks in conflict-affected settings and to the mass delivery of polio, cholera, and measles vaccines. Information on vaccination modalities, target populations, vaccine sources, and funding was limited. We found various interpretations of governance, often implying hierarchical authority and regulation. Analysis of governance arrangements suggests a multi-actor yet fragmented governance structure, with inequitable actor participation, ineffective actor collaboration, and a lack of a shared strategic vision due to competing priorities and accountabilities. Better documentation of vaccination efforts during emergencies, including vaccination decision making, governance, and planning, is needed. We recommend empirical research within decision-making spaces.
    Language English
    Publishing date 2023-12-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines11121853
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Finding the fragments: community-based epidemic surveillance in Sudan.

    Ibrahim, Mona / Abdelmagid, Nada / AbuKoura, Rahaf / Khogali, Alhadi / Osama, Tasnime / Ahmed, Aljaile / Alabdeen, Israa Zain / Ahmed, Salma A E / Dahab, Maysoon

    Global health research and policy

    2023  Volume 8, Issue 1, Page(s) 20

    Abstract: Sudan faces inter-sectional health risks posed by escalating violent conflict, natural hazards and epidemics. Epidemics are frequent and overlapping, particularly resurgent seasonal outbreaks of diseases such as malaria, cholera. To improve response, the ...

    Abstract Sudan faces inter-sectional health risks posed by escalating violent conflict, natural hazards and epidemics. Epidemics are frequent and overlapping, particularly resurgent seasonal outbreaks of diseases such as malaria, cholera. To improve response, the Sudanese Ministry of Health manages multiple disease surveillance systems, however, these systems are fragmented, under resourced, and disconnected from epidemic response efforts. Inversely, civic and informal community-led systems have often organically led outbreak responses, despite having limited access to data and resources from formal outbreak detection and response systems. Leveraging a communal sense of moral obligation, such informal epidemic responses can play an important role in reaching affected populations. While effective, localised, and organised-they cannot currently access national surveillance data, or formal outbreak prevention and response technical and financial resources. This paper calls for urgent and coordinated recognition and support of community-led outbreak responses, to strengthen, diversify, and scale up epidemic surveillance for both national epidemic preparedness and regional health security.
    MeSH term(s) Humans ; Sudan/epidemiology ; Disease Outbreaks/prevention & control ; Epidemics ; Cholera/epidemiology ; Cholera/prevention & control ; Malaria
    Language English
    Publishing date 2023-06-09
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ISSN 2397-0642
    ISSN (online) 2397-0642
    DOI 10.1186/s41256-023-00300-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Finding the fragments

    Mona Ibrahim / Nada Abdelmagid / Rahaf AbuKoura / Alhadi Khogali / Tasnime Osama / Aljaile Ahmed / Israa Zain Alabdeen / Salma A. E. Ahmed / Maysoon Dahab

    Global Health Research and Policy, Vol 8, Iss 1, Pp 1-

    community-based epidemic surveillance in Sudan

    2023  Volume 4

    Abstract: Abstract Sudan faces inter-sectional health risks posed by escalating violent conflict, natural hazards and epidemics. Epidemics are frequent and overlapping, particularly resurgent seasonal outbreaks of diseases such as malaria, cholera. To improve ... ...

    Abstract Abstract Sudan faces inter-sectional health risks posed by escalating violent conflict, natural hazards and epidemics. Epidemics are frequent and overlapping, particularly resurgent seasonal outbreaks of diseases such as malaria, cholera. To improve response, the Sudanese Ministry of Health manages multiple disease surveillance systems, however, these systems are fragmented, under resourced, and disconnected from epidemic response efforts. Inversely, civic and informal community-led systems have often organically led outbreak responses, despite having limited access to data and resources from formal outbreak detection and response systems. Leveraging a communal sense of moral obligation, such informal epidemic responses can play an important role in reaching affected populations. While effective, localised, and organised—they cannot currently access national surveillance data, or formal outbreak prevention and response technical and financial resources. This paper calls for urgent and coordinated recognition and support of community-led outbreak responses, to strengthen, diversify, and scale up epidemic surveillance for both national epidemic preparedness and regional health security.
    Keywords Global health security ; Epidemic surveillance ; Health policy ; Low-income country ; Community-led surveillance ; Public aspects of medicine ; RA1-1270
    Subject code 306
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: The Governance of Childhood Vaccination Services in Crisis Settings

    Nada Abdelmagid / Rosamund J. Southgate / Mervat Alhaffar / Matab Ahmed / Hind Bani / Sandra Mounier-Jack / Maysoon Dahab / Francesco Checchi / Majdi M. Sabahelzain / Barni Nor / Bhargavi Rao / Neha S. Singh

    Vaccines, Vol 11, Iss 12, p

    A Scoping Review

    2023  Volume 1853

    Abstract: The persistence of inadequate vaccination in crisis-affected settings raises concerns about decision making regarding vaccine selection, timing, location, and recipients. This review aims to describe the key features of childhood vaccination intervention ...

    Abstract The persistence of inadequate vaccination in crisis-affected settings raises concerns about decision making regarding vaccine selection, timing, location, and recipients. This review aims to describe the key features of childhood vaccination intervention design and planning in crisis-affected settings and investigate how the governance of childhood vaccination is defined, understood, and practised. We performed a scoping review of 193 peer-reviewed articles and grey literature on vaccination governance and service design and planning. We focused on 41 crises between 2010 and 2021. Following screening and data extraction, our analysis involved descriptive statistics and applying the governance analysis framework to code text excerpts, employing deductive and inductive approaches. Most documents related to active outbreaks in conflict-affected settings and to the mass delivery of polio, cholera, and measles vaccines. Information on vaccination modalities, target populations, vaccine sources, and funding was limited. We found various interpretations of governance, often implying hierarchical authority and regulation. Analysis of governance arrangements suggests a multi-actor yet fragmented governance structure, with inequitable actor participation, ineffective actor collaboration, and a lack of a shared strategic vision due to competing priorities and accountabilities. Better documentation of vaccination efforts during emergencies, including vaccination decision making, governance, and planning, is needed. We recommend empirical research within decision-making spaces.
    Keywords vaccination ; governance ; humanitarian ; scoping review ; Medicine ; R
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Under-reporting of deaths limits our understanding of true burden of covid-19.

    Whittaker, Charles / Walker, Patrick G T / Alhaffar, Mervat / Hamlet, Arran / Djaafara, Bimandra A / Ghani, Azra / Ferguson, Neil / Dahab, Maysoon / Checchi, Francesco / Watson, Oliver J

    BMJ (Clinical research ed.)

    2021  Volume 375, Page(s) n2239

    MeSH term(s) COVID-19/mortality ; Disease Notification ; Global Burden of Disease ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-10-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.n2239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Acceptability and feasibility of strategies to shield the vulnerable during the COVID-19 outbreak: a qualitative study in six Sudanese communities.

    Abdelmagid, Nada / Ahmed, Salma A E / Nurelhuda, Nazik / Zainalabdeen, Israa / Ahmed, Aljaile / Fadlallah, Mahmoud Ali / Dahab, Maysoon

    BMC public health

    2021  Volume 21, Issue 1, Page(s) 1153

    Abstract: Background: Shielding of high-risk groups from coronavirus disease (COVID-19) has been suggested as a realistic alternative to severe movement restrictions during the COVID-19 epidemic in low-income countries. The intervention entails the establishment ... ...

    Abstract Background: Shielding of high-risk groups from coronavirus disease (COVID-19) has been suggested as a realistic alternative to severe movement restrictions during the COVID-19 epidemic in low-income countries. The intervention entails the establishment of 'green zones' for high-risk persons to live in, either within their homes or in communal structures, in a safe and dignified manner, for extended periods of time during the epidemic. To our knowledge, this concept has not been tested or evaluated in resource-poor settings. This study aimed to explore the acceptability and feasibility of strategies to shield persons at higher risk of severe COVID-19 outcomes, during the COVID-19 epidemic in six communities in Sudan.
    Methods: We purposively sampled participants from six communities, illustrative of urban, rural and forcibly-displaced settings. In-depth telephone interviews were held with 59 members of households with one or more members at higher risk of severe COVID-19 outcomes. Follow-up interviews were held with 30 community members after movement restrictions were eased across the country. All interviews were audio-recorded, transcribed verbatim, and analysed using a two-stage deductive and inductive thematic analysis.
    Results: Most participants were aware that some people are at higher risk of severe COVID-19 outcomes but were unaware of the concept of shielding. Most participants found shielding acceptable and consistent with cultural inclinations to respect elders and protect the vulnerable. However, extra-household shielding arrangements were mostly seen as socially unacceptable. Participants reported feasibility concerns related to the reduced socialisation of shielded persons and loss of income for shielding families. The acceptability and feasibility of shielding strategies were reduced after movement restrictions were eased, as participants reported lower perception of risk in their communities and increased pressure to comply with social commitments outside the house.
    Conclusion: Shielding is generally acceptable in the study communities. Acceptability is influenced by feasibility, and by contextual changes in the epidemic and associated policy response. The promotion of shielding should capitalise on the cultural and moral sense of duty towards elders and vulnerable groups. Communities and households should be provided with practical guidance to implement feasible shielding options. Households must be socially, psychologically and financially supported to adopt and sustain shielding effectively.
    MeSH term(s) Aged ; COVID-19 ; Disease Outbreaks ; Feasibility Studies ; Humans ; SARS-CoV-2 ; Sudan/epidemiology
    Language English
    Publishing date 2021-06-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-021-11187-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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