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Francis Osei

University of Ghana

65 publications · 392 citations · ORCID 0000-0003-1094-813X

Global Maternal and Child HealthTechnology Adoption and User BehaviourHIV/AIDS Research and InterventionsChild Nutrition and Water AccessVaccine Coverage and Hesitancy

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To what extent does maternal access to improved water and sanitation facilities mediate the relationship between maternal undernutrition and child developmental outcomes during the first 1,000 days?

Why this gap exists: While the retrieved papers confirm the individual importance of WASH access for child nutrition [0], maternal undernutrition for child development [5, 8], and the critical nature of the first 1,000 days [5], none of the provided abstracts directly analyze the specific mediating role of water and sanitation facilities in the relationship between maternal undernutrition and child developmental outcomes.

Sources

  1. Household water, sanitation, and hygiene access and its impact on nutritional outcomes in children under five: evidence from Pakistan.BMC public health, 2026
  2. Early childhood development and stunting: Findings from the MAL‐ED birth cohort study in BangladeshMaternal and Child Nutrition, 2019
  3. Policy and Structural Drivers of Malnutrition in Afghan Women: Evidence and Interventions.International journal of women's health, 2026
  4. COVID-19 pandemic and mitigation strategies: implications for maternal and child health and nutritionAmerican Journal of Clinical Nutrition, 2020
  5. Maternal and child undernutrition 3: what works? Interventions for maternal and child undernutrition and survivalChild: Care, Health and Development, 2008
  6. Nutrition as the Foundation of Human Capital: Pathways to Holistic Development.Maternal & child nutrition, 2026
  7. The impacts of maternal iron deficiency and being overweight during pregnancy on neurodevelopment of the offspring.The British journal of nutrition, 2017
  8. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling studyThe Lancet Global Health, 2020
  9. Prevalence of undernutrition and its associated factors among pregnant women attending antenatal care service in public hospitals in Mogadishu, Somalia.PloS one, 2026
  10. Concurrent wasting and stunting among under‐five children in Niakhar, SenegalMaternal & Child Nutrition, 2018

What is the comparative efficacy of digital versus in-person delivery of mental health interventions for mitigating the increased risk of perinatal depression and anxiety in low-income and middle-income countries during future pandemic-like disruptions?

Why this gap exists: While abstracts [6] and [8] compare digital and in-person delivery during the pandemic, they are set in high-income contexts (Spain, unspecified high-income), and abstract [7] focuses on LMICs but lacks a comparative digital vs. in-person design, leaving the specific question of comparative efficacy in LMICs unresolved.

Sources

  1. Mobile Health for Perinatal Depression and Anxiety: Scoping ReviewJournal of Medical Internet Research, 2020
  2. Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey StudyJournal of Medical Internet Research, 2020
  3. A Preventive Social Media Intervention for Perinatal Depression and Anxiety in Regional, Rural, and Remote Communities: Participatory Co-Design Study.Journal of medical Internet research, 2026
  4. Risk-Stratified Screening for Perinatal Depression and Anxiety: Integrating Sexual Function, Self-Esteem, and Psychosocial Context.Diagnostics (Basel, Switzerland), 2026
  5. A Brief Intervention for the Treatment of Anxiety in Pregnancy: A Pilot Randomized Controlled Trial (The TAP Study).Psychotherapy and psychosomatics, 2026
  6. Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic ReviewJournal of Medical Internet Research, 2021
  7. Engagement, efficacy, and experiences of psychotherapy for perinatal populations with depression and anxiety during the COVID-19 pandemic.Frontiers in psychiatry, 2025
  8. Integration of stepped care for perinatal mood and anxiety disorders among women attending maternal and child health clinics in Kenya: Protocol for a cluster randomized controlled trial.PloS one, 2026
  9. Internet-based interdisciplinary therapeutic group (Grupo Interdisciplinar Online, GIO) for perinatal anxiety and depression-a randomized pilot study during COVID-19.Archives of women's mental health, 2024
  10. Detecting anxiety and depression in dialogues: a multi-label and explainable approachde Arriba-Pérez, F., García-Méndez, S. (2024). Detecting anxiety and depression in dialogues: a multi-label and explainable approach. In Proceedings of the 3rd AIxIA Workshop on Artificial Intelligence For Healthcare (pp. 257-271), 2024
  11. Community Interventions for Addressing Postpartum Depression Across the United States: A Narrative Review.Cureus, 2026
  12. Perspectives and support needs for a spouse-inclusive digital intervention for perinatal depression and anxiety: a qualitative study.Women's health nursing (Seoul, Korea), 2026
  13. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta‐analytic update of the evidenceWorld Psychiatry, 2016
  14. Association between maternal and neonatal outcomes and psychosocial risk levels in pregnant women: a convergent parallel mixed methods study protocol.Reproductive health, 2026
  15. Detecting anxiety and depression in dialogues: a multi-label and explainable approachde Arriba-Pérez, F., García-Méndez, S. (2024). Detecting anxiety and depression in dialogues: a multi-label and explainable approach. In Proceedings of the 3rd AIxIA Workshop on Artificial Intelligence For Healthcare (pp. 257-271), 2024
  16. Multitask learning for recognizing stress and depression in social mediaOnline Social Networks and Media (Volumes: 37-38, September 2023), 2023
  17. Digital Cognitive Behavioral Therapy for Insomnia Versus Sleep Hygiene Education for Prevention of Perinatal Depression: Protocol for a Randomized Clinical Trial.JMIR research protocols, 2026

What is the comparative efficacy of household water treatment interventions versus improved water source infrastructure in reducing stunting among children under five in low- and middle-income countries?

Why this gap exists: While the retrieved literature confirms associations between water quality and child growth (e.g., Abstracts 2, 5, 8), no study directly compares the efficacy of household water treatment interventions against improved water source infrastructure for reducing stunting, leaving the specific comparative question unresolved.

Sources

  1. Determinants of stunting in Indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reductionBMC Public Health, 2016
  2. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling studyThe Lancet Global Health, 2020
  3. Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled trialThe Lancet Global Health, 2018
  4. Effects of Water Pollution on Human Health and Disease Heterogeneity: A ReviewFrontiers in Environmental Science, 2022
  5. Associated factors with malnutrition among children under-5 years old in Somaliland: evidence from Somaliland health and demographic survey of 2020.BMC public health, 2026
  6. Safe Drinking Water and Its Impact on Children's Growth and Development: A Systematic Review.International journal of environmental research and public health, 2026
  7. Modelling the impact of dietary diversity on child nutrition in Pakistan: a machine learning analysis with Shapley Additive exPlanations and Boruta interpretability.Journal of global health, 2026
  8. Effectiveness of interventions to improve drinking water, sanitation, and handwashing with soap on risk of diarrhoeal disease in children in low-income and middle-income settings: a systematic review and meta-analysisThe Lancet, 2022
  9. Effect of Household Source of Drinking Water on Malnutrition among under Five Children in Ethiopia: Systematic Review and Meta-Analysis2026
  10. Water Bridging Dynamics of Polymerase Chain Reaction in the Gauge Theory Paradigm of Quantum FieldsWater 2017, 9, 339, 2018

What is the comparative efficacy of digital or telehealth lactation support versus traditional face-to-face peer support on breastfeeding exclusivity rates during pandemic-related social restrictions?

Why this gap exists: While Abstract [3] confirms the general effectiveness of digital health interventions on breastfeeding practices and Abstract [0] notes the cancellation of face-to-face peer support during the pandemic, the retrieved evidence does not contain a direct comparative study between digital/telehealth lactation support and traditional face-to-face peer support specifically regarding exclusivity rates during social restrictions.

How do specific cultural beliefs regarding 'insufficient milk' in rural South African communities mediate the relationship between maternal dietary diversity and the introduction of prelacteal feeds?

Why this gap exists: While the retrieved papers discuss general breastfeeding barriers in South Africa [8] and cultural influences in other regions like Ethiopia [6] and Malaysia [9], none specifically address the mediation of 'insufficient milk' beliefs on the relationship between maternal dietary diversity and prelacteal feeds in rural South African communities.

Sources

  1. African Political Systems.American Sociological Review, 1940
  2. Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: a post-program comparison studyNutrition Journal, 2019
  3. Trends and determinants of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2000 to 2016International Breastfeeding Journal, 2019
  4. Marketing of commercial milk formula: a system to capture parents, communities, science, and policyThe Lancet, 2023
  5. Facilitators, barriers, and factors determining the willingness to donate human milk among postpartum mothers in a tertiary women's hospital in Nepal: a cross-sectional study.International breastfeeding journal, 2026
  6. Assessment of Infant and Young Child Feeding Practices among Mothers Attending Maternal and Child Health Clinic at a Tertiary Hospital, North Karnataka, India - A Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 2025
  7. Sociocultural and structural influences on infant and young child feeding in pastoralist communities of Afar, Ethiopia: a qualitative phenomenological study.BMJ open, 2026
  8. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic reviewInternational Breastfeeding Journal, 2020
  9. Facilitators and barriers associated with breastfeeding among mothers attending primary healthcare facilities in Mpumalanga, South Africa.Frontiers in nutrition, 2023
  10. Assessing the Influence of Cultural Beliefs and Practices on Early Breastfeeding Initiation Rates in Rural Sarawak Communities, MalaysiaScientific Journal of Pediatrics, 2023

What is the comparative effectiveness of telemedicine versus traditional in-person care in maintaining essential antenatal coverage and reducing maternal mortality in low-income and middle-income countries during future health system shocks?

Why this gap exists: While abstracts [4], [7], [8], and [9] discuss digital tools and maternity care in low- and middle-income countries, none provide a direct comparative effectiveness analysis of telemedicine versus in-person care regarding maternal mortality during health system shocks, leaving the specific question unresolved.

Sources

  1. COVID-19 and resilience of healthcare systems in ten countriesNature Medicine, 2022
  2. Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income CountriesFrontiers in Public Health, 2021
  3. Social Impacts and Responses Related to COVID-19 in Low- and Middle-income CountriesOpenDocs (Institute of Development Studies), 2020
  4. Seizing the moment to rethink health systemsThe Lancet Global Health, 2021
  5. Use of mHealth in promoting maternal and child health in “BIMARU” states of India “A health system strengthening strategy”: Systematic literature reviewPLOS Digital Health, 2024
  6. Investments for effective functionality of health systems towards Universal Health Coverage in Africa: A scoping reviewPLOS Global Public Health, 2022
  7. Infant and young child feedingOECD eBooks, 2023
  8. Facilitators and barriers to the implementation of a Mobile Health Wallet for pregnancy-related health care: A qualitative study of stakeholders’ perceptions in MadagascarPLoS ONE, 2020
  9. The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services utilization in Kakamega, Kenya: a cluster randomized controlled trialHealth Policy and Planning, 2024
  10. Seeking digital maternity healthcare during the pandemic health system shock: a systematic review of women's experiences in low- and middle-income countriesFrontiers in Reproductive Health, 2026

Publications