Publications by authors named "Gregory Ganda"

Article Synopsis
  • International health financing programs in low- and middle-income countries often operate separately from local funding, which can lead to inefficiencies in healthcare delivery and poor health outcomes.
  • The ConnDx initiative, implemented in private health facilities in Kisumu, Kenya, utilized digital diagnostics to objectively identify and monitor health funds for malaria diagnosis among patients with fever, detecting 2,199 cases out of 11,689.
  • ConnDx's data-driven approach not only revealed malaria hotspots and informed patient behavior, but it also suggested a potential 25% reduction in costs while improving care quality, aiding local health policymakers in effectively targeting interventions for better health coverage.
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Introduction: In Africa almost half of healthcare services are delivered through private sector providers. These are often underused in national public health responses. To support and accelerate the public sector's COVID-19 response, we facilitated recruitment of additional private sector capacity by initiating a public-private partnership (PPP) in Kisumu County, Kenya.

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Purpose: Nearly half of Kenyan women with breast cancer present with advanced disease-owing partially to limited patient education and screening limitations in low- and middle-income countries. With increasing access to nurse-led cervical cancer screening (CCS) in government clinics in Kenya, we investigated provider-perceived barriers and facilitators to integrating clinical breast examinations (CBEs) with ongoing CCS programs in Kisumu County, Kenya.

Methods: CCS providers within the Ministry of Health Clinics in Kisumu County, Kenya, were recruited to participate in a two-phase, sequential, mixed methods study.

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Background: Cervical cancer screening is slowly transitioning from Pappanicolaou cytologic screening to primary Visual Inspection with Acetic Acid (VIA) or HPV testing as an effort to enhance early detection and treatment. However, an effective triage tests needed to decide who among the VIA or HPV positive women should receive further diagnostic evaluation to avoid unnecessary colposcopy referrals is still lacking. Evidence from experimental studies have shown potential usefulness of Squamous Cell Carcinoma Antigen (SCC Ag), Macrophage Colony Stimulating Factor (M-CSF), Vascular Endothelial Growth Factor (VEGF), MicroRNA, p16INKa / ki-67, HPV E6/E7/mRNA, and DNA methylation biomarkers in detecting premalignant cervical neoplasia.

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