My research focuses on the social and health system factors underlying disparities in reproductive, maternal, neonatal, and child health (RMNCH). I am particularly interested in how RMNCH outcomes are shaped by quality of care in health facilities as well as by social determinants. I also seek to contribute to improved measurement of quality of care, particularly person-centered care, and to the development of evidence-based interventions to improve RMNCH outcomes and reduce disparities.
My PhD dissertation examined sources of disparities in quality of antenatal care and how this affects use of skilled birth attendants and birth outcomes in sub-Saharan Africa. My post-doctoral work focused on measurement of person-centered maternity care (PCMC) and family planning; research into sources of disparities in PCMC and barriers to providing PCMC; and design and evaluation of interventions to improve quality of care including PCMC — in Kenya, Ghana, and India. I have also conducted research on the health and reproductive behavior of migrants from Africa, and on the consequences of food insecurity in the United States.
My current projects include an NICHD K award on addressing provider stress and unconscious bias to improve quality of person-centered maternal health care in Kenya; a UCSF Preterm Birth Initiative grant on measurement of PCMC among women at risk for preterm birth in California; and a Gates-funded project to improve quality of care (including PCMC) through low-tech simulation training of providers in India.
I obtained my Bachelor of Medicine and Surgery (MBChB) from the University of Ghana Medical School, and an MPH with a certificate in Global Health and a PhD in Public Health from the University of California, Los Angeles. I also completed a post-doctoral fellowship with the Preterm Birth Initiative at UCSF.