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The role of constraints and information gaps in driving risky medicine purchasing practices in four African countries. (2024)
Journal Article
Wagnild, J. M., Akhter, N., Lee, D., Jayeola, B., Darko, D. M., Adeyeye, M. C., …Hampshire, K. (2024). The role of constraints and information gaps in driving risky medicine purchasing practices in four African countries. Health Policy and Planning, 39(4), 372–386. https://doi.org/10.1093/heapol/czae006

Substandard and falsified (SF) medical products pose a major threat to public health and socioeconomic development, particularly in low- and middle-income countries. In response, public education campaigns have been developed to alert consumers to th... Read More about The role of constraints and information gaps in driving risky medicine purchasing practices in four African countries..

Antimalarial stocking decisions among medicine retailers in Ghana: implications for quality management and control of malaria (2023)
Journal Article
Osman, A., Amoako Johnson, F., Mariwah, S., Amoako-Sakyi, D., Asiedu Owusu, S., Ekor, M., …Hampshire, K. (2023). Antimalarial stocking decisions among medicine retailers in Ghana: implications for quality management and control of malaria. BMJ Global Health, 6(Suppl 3), e013426. https://doi.org/10.1136/bmjgh-2023-013426

Global health efforts such as malarial control require efficient pharmaceutical supply chains to ensure effective delivery of quality-assured medicines to those who need them. However, very little is currently known about decision-making processes wi... Read More about Antimalarial stocking decisions among medicine retailers in Ghana: implications for quality management and control of malaria.

Antimalarial procurement in private-sector pharmaceutical outlets: decision-making complexities and implications for medicine quality in Tanzania (2023)
Journal Article
Mshana, G., Mayebe, T., Balira, R., Hamill, H., & Hampshire, K. (2023). Antimalarial procurement in private-sector pharmaceutical outlets: decision-making complexities and implications for medicine quality in Tanzania. BMJ Global Health, 6(Suppl 3), e010821. https://doi.org/10.1136/bmjgh-2022-010821

Poor-quality medicines are a major threat to healthcare provision in low-income countries. The problem exacerbates disease vulnerabilities of already disadvantaged populations including children, women, and the elderly. However, while the higher-leve... Read More about Antimalarial procurement in private-sector pharmaceutical outlets: decision-making complexities and implications for medicine quality in Tanzania.

Can a Smartphone Application Help Address Barriers to Reporting Substandard/Falsified Medical Products? A Pilot Study in Tanzania and Indonesia (2023)
Journal Article
Wagnild, J. M., Lee, D., Jayeola, B., Lukito, P. K., Fimbo, A., & Hampshire, K. (2023). Can a Smartphone Application Help Address Barriers to Reporting Substandard/Falsified Medical Products? A Pilot Study in Tanzania and Indonesia. Global Health: Science and Practice, 11(4), Article e2300034. https://doi.org/10.9745/ghsp-d-23-00034

Introduction:
Reporting is an essential component of efforts to combat the distribution and circulation of substandard and falsified (SF) medical products worldwide. However, little is known about why health care professionals (HCPs) do not report s... Read More about Can a Smartphone Application Help Address Barriers to Reporting Substandard/Falsified Medical Products? A Pilot Study in Tanzania and Indonesia.

"It is very difficult in this business if you want to have a good conscience": pharmaceutical governance and on-the-ground ethical labour in Ghana (2022)
Journal Article
Hampshire, K., Mariwah, S., Amoako-Sakyi, D., & Hamill, H. (2022). "It is very difficult in this business if you want to have a good conscience": pharmaceutical governance and on-the-ground ethical labour in Ghana. Global Bioethics, 33(1), 103 - 121. https://doi.org/10.1080/11287462.2022.2103899

The governance of pharmaceutical medicines entails complex ethical decisions that should, in theory, be the responsibility of democratically accountable government agencies. However, in many Low- and Middle-Income Countries (LMICs), regulatory and he... Read More about "It is very difficult in this business if you want to have a good conscience": pharmaceutical governance and on-the-ground ethical labour in Ghana.

Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice (2022)
Journal Article
Ahmed, S., Chase, L. E., Wagnild, J., Akhter, N., Sturridge, S., Clarke, A., …Hampshire, K. (2022). Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice. International Journal for Equity in Health, 21(1), Article 49. https://doi.org/10.1186/s12939-021-01615-y

Background: The deployment of Community Health Workers (CHWs) is widely promoted as a strategy for reducing health inequities in low- and middle-income countries (LMIC). Yet there is limited evidence on whether and how CHW programmes achieve this. Th... Read More about Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.

Out of the boxes, out of the silos: The need of interdisciplinary collaboration to reduce poor-quality medical products in the supply chain (2022)
Journal Article
Masini, T., Macé, C., Heide, L., Hamill, H., Hampshire, K., Newton, P. N., & Ravinetto, R. (2022). Out of the boxes, out of the silos: The need of interdisciplinary collaboration to reduce poor-quality medical products in the supply chain. Research in Social and Administrative Pharmacy, 18(9), https://doi.org/10.1016/j.sapharm.2022.03.006

In this paper, we argue that understanding and addressing the problem of poor-quality medical products requires a more interdisciplinary approach than has been evident to date. While prospective studies based on rigorous standardized methodologies ar... Read More about Out of the boxes, out of the silos: The need of interdisciplinary collaboration to reduce poor-quality medical products in the supply chain.

The role of support groups in the management of Parkinson’s disease in Kenya: Sociality, information and legitimacy (2021)
Journal Article
Fothergill-Misbah, N., Moffatt, S., Mwithiga, H., Hampshire, K., & Walker, R. (2022). The role of support groups in the management of Parkinson’s disease in Kenya: Sociality, information and legitimacy. Global Public Health, 17(8), 1773-1783. https://doi.org/10.1080/17441692.2021.1954227

Parkinson’s disease (PD) is the second most common neurodegenerative disease globally. It is a progressive neurological disorder which can lead to a decline in wellbeing and quality of life for people living with PD (PwP) and their families/caregiver... Read More about The role of support groups in the management of Parkinson’s disease in Kenya: Sociality, information and legitimacy.

“Old people problems”, uncertainty and legitimacy: Challenges with diagnosing Parkinson's disease in Kenya (2021)
Journal Article
Fothergill-Misbah, N., Walker, R., Kwasa, J., Hooker, J., & Hampshire, K. (2021). “Old people problems”, uncertainty and legitimacy: Challenges with diagnosing Parkinson's disease in Kenya. Social Science & Medicine, 282, https://doi.org/10.1016/j.socscimed.2021.114148

Very little is known about the experience of people living with Parkinson's disease (PD) in low- and middle-income countries, such as those in sub-Saharan Africa. The number of specialists in the region is low and awareness is limited among the popul... Read More about “Old people problems”, uncertainty and legitimacy: Challenges with diagnosing Parkinson's disease in Kenya.

Mobile phone use and the welfare of community health nurses in Ghana: An analysis of unintended costs (2021)
Journal Article
Abane, A. M., Mariwah, S., Owusu, S. A., Kasim, A., Robson, E., & Hampshire, K. (2021). Mobile phone use and the welfare of community health nurses in Ghana: An analysis of unintended costs. World Development Perspectives, 23, Article 100317. https://doi.org/10.1016/j.wdp.2021.100317

The use of mobile phones is fast transforming the healthcare delivery landscape in Ghana. A substantial number of health facilities are now dependent on mobile phones to facilitate their work. Evidence of the use of mobile phones in Ghana’s healthcar... Read More about Mobile phone use and the welfare of community health nurses in Ghana: An analysis of unintended costs.

Monitoring, reporting and regulating medicine quality: tensions between theory and practice in Tanzania (2021)
Journal Article
Hamill, H., David-Barrett, E., Mwanga, J. R., Mshana, G., & Hampshire, K. (2021). Monitoring, reporting and regulating medicine quality: tensions between theory and practice in Tanzania. BMJ Global Health, 6(Supplement 3), Article e003043. https://doi.org/10.1136/bmjgh-2020-003043

In 2012, the WHO launched its Global Surveillance and Monitoring System (GSMS) for substandard and falsified medicines, with the aim of improving the quality of reporting and using the data to inform post-market surveillance and build regulatory capa... Read More about Monitoring, reporting and regulating medicine quality: tensions between theory and practice in Tanzania.

Informal mhealth at scale in Africa: Opportunities and challenges (2021)
Journal Article
Hampshire, K., Mwase-Vuma, T., Alemu, K., Abane, A., Munthali, A., Awoke, T., …Kasim, A. (2021). Informal mhealth at scale in Africa: Opportunities and challenges. World Development, 140, https://doi.org/10.1016/j.worlddev.2020.105257

The extraordinary global growth of digital connectivity has generated optimism that mobile technologies can help overcome infrastructural barriers to development, with ‘mobile health’ (mhealth) being a key component of this. However, while ‘formal’ (... Read More about Informal mhealth at scale in Africa: Opportunities and challenges.

Formalising ‘informal’ mHealth in Ghana: Opportunities and challenges for Universal Health Coverage (UHC) (2021)
Journal Article
Mariwah, S., Machistey Abane, A., Asiedu Owusu, S., Kasim, A., Robson, E., Castelli, M., & Hampshire, K. (2022). Formalising ‘informal’ mHealth in Ghana: Opportunities and challenges for Universal Health Coverage (UHC). Global Public Health, 17(5), 768-781. https://doi.org/10.1080/17441692.2021.1874467

While mobile phones promise to be an important tool for bridging the healthcare gaps in resource-poor areas in developing countries, scalability and sustainability of mobile phones for health (mhealth) interventions still remain a major challenge. Me... Read More about Formalising ‘informal’ mHealth in Ghana: Opportunities and challenges for Universal Health Coverage (UHC).

Being shown samples of composted, granulated faecal sludge strongly influences acceptability of its use in peri-urban subsistence agriculture (2020)
Journal Article
Roxburgh, H., Hampshire, K., Tilley, E. A., Oliver, D. M., & Quilliam, R. S. (2020). Being shown samples of composted, granulated faecal sludge strongly influences acceptability of its use in peri-urban subsistence agriculture. Resources, conservation & recycling. X, 7, Article 100041. https://doi.org/10.1016/j.rcrx.2020.100041

Using human excreta derived fertiliser (HEDF) in agriculture reduces dependence on diminishing phosphorus rock reserves, improves soil health, and facilitates sustainable nutrient recycling. Such schemes have particular scope for expansion in peri-ur... Read More about Being shown samples of composted, granulated faecal sludge strongly influences acceptability of its use in peri-urban subsistence agriculture.

Power, danger, and secrecy – a socio-cultural examination of menstrual waste management in urban Malawi (2020)
Journal Article
Hampshire, K., Kaliwo, T., Tilley, E. A., Oliver, D. M., & Quilliam, R. S. (2020). Power, danger, and secrecy – a socio-cultural examination of menstrual waste management in urban Malawi. PLoS ONE, 15(6), Article e0235339. https://doi.org/10.1371/journal.pone.0235339

Menstrual blood is not just a physical substance; it is laden with symbolism and often powerfully stigmatised. It is important to understand local perceptions and attitudes towards menstrual blood, as well as the preferred practices of menstruating w... Read More about Power, danger, and secrecy – a socio-cultural examination of menstrual waste management in urban Malawi.

“I’m Not A Freshi”: Culture Shock, Puberty and Growing Up As British-Bangladeshi Girls (2020)
Journal Article
Houghton, L. C., Troisi, R., Sommer, M., Katki, H. A., Booth, M., Choudhury, O. A., & Hampshire, K. R. (2020). “I’m Not A Freshi”: Culture Shock, Puberty and Growing Up As British-Bangladeshi Girls. Social Science & Medicine, 258, Article 113058. https://doi.org/10.1016/j.socscimed.2020.113058

Early puberty is a risk factor for adult diseases and biomedical and psychosocial research implicate growth (in height and weight) and stress as modifiable drivers of early puberty. Seldom have studies examined these drivers simultaneously or concurr... Read More about “I’m Not A Freshi”: Culture Shock, Puberty and Growing Up As British-Bangladeshi Girls.

Maternal and Non-maternal Caregivers’ Practices in Drug Administration to Children during Illness (2019)
Journal Article
Owusu, S. A., Owusu, R. A., & Hampshire, K. (2021). Maternal and Non-maternal Caregivers’ Practices in Drug Administration to Children during Illness. Child Care in Practice, 27(3), 295-309. https://doi.org/10.1080/13575279.2019.1664986

As work practices and living arrangements change, many mothers, who are often primary child caregivers, have to make some decisions as they try to balance childcare with paid work. Increasingly, childcare is shared between parents and other caregiver... Read More about Maternal and Non-maternal Caregivers’ Practices in Drug Administration to Children during Illness.

Managing uncertainty in medicine quality in Ghana: The cognitive and affective basis of trust in a high-risk, low-regulation context (2019)
Journal Article
Hamill, H., Hampshire, K., Mariwah, S., Amoako-Sakyi, D., Kyei, A., & Castelli, M. (2019). Managing uncertainty in medicine quality in Ghana: The cognitive and affective basis of trust in a high-risk, low-regulation context. Social Science & Medicine, 234, Article 112369. https://doi.org/10.1016/j.socscimed.2019.112369

Where regulation is weak, medicine transactions can be characterised by uncertainty over the drug quality and efficacy, with buyers shouldering the greater burden of risk in exchanges that are typically asymmetric. Drawing on in-depth interviews (N =... Read More about Managing uncertainty in medicine quality in Ghana: The cognitive and affective basis of trust in a high-risk, low-regulation context.

Mobile phones, gender, and female empowerment in sub-Saharan Africa: studies with African youth (2019)
Journal Article
Porter, G., Hampshire, K., Abane, A., Munthali, A., Robson, E., De Lannoy, A., …Owusu, S. (2020). Mobile phones, gender, and female empowerment in sub-Saharan Africa: studies with African youth. Information Technology for Development, 26(1), 180-193. https://doi.org/10.1080/02681102.2019.1622500

Data from qualitative and survey research with young people in 24 locations (urban and rural) across Ghana, Malawi, and South Africa expose the complex interplay between phone ownership and usage, female empowerment, and chronic poverty in Africa. We... Read More about Mobile phones, gender, and female empowerment in sub-Saharan Africa: studies with African youth.

The Role of Trust in a Self-Organizing Pharmaceutical Supply Chain Model with Variable Drug Quality and Imperfect Information (2019)
Journal Article
Ackland, G., Chattoe-Brown, E., Hamill, H., Hampshire, K., Mariwah, S., & Mshana, G. (2019). The Role of Trust in a Self-Organizing Pharmaceutical Supply Chain Model with Variable Drug Quality and Imperfect Information. Journal of Artificial Societies and Social Simulation, 22(2), Article 5. https://doi.org/10.18564/jasss.3984

We present an Agent-Based Model (hereafter ABM) for a pharmaceutical supply chain operating under conditions of weak regulation and imperfect information, exploring the possibility of poor quality medicines and their detection. Our interest is to dem... Read More about The Role of Trust in a Self-Organizing Pharmaceutical Supply Chain Model with Variable Drug Quality and Imperfect Information.