Browsing by Author "Sinharoy SS"

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    Gender equality and quality of life must be central to the design and delivery of sanitation.
    (2025-Jan-22) Marphatia AA; Simiyu S; Flint O'Kane M; Alexander KT; Nascimento de Castro ACA; Azcona G; Boni-Morkla PE; Bukachi SA; Busienei P; Caruso BA; Chase C; Chipungu J; Dwivedi A; Johnston R; Khurana I; Kome A; Kuria W; Labadia J; Makoni F; Mberu B; Mojumdar S; Mule J; Namatende Sakwa L; Njeri N; Oliveira de Souza FA; Pandolfelli L; Ramunenyiwa P; Ray I; Reddy M; Saha PK; Sinha U; Sinharoy SS; Slaymaker T; Uguru E; Uhl K; Young SL; Ross I; Cumming O; Re Sustainability Limited, Hyderabad, India.; Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK akanksha.marphatia@lshtm.ac.uk.; Department of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya.; Department of Anthropology, Northwestern University, Evanston, Illinois, USA.; Energy and Resources Group, UC Berkeley, Berkeley, California, USA.; Great Ormond Street Institute of Child Health, UCL, London, UK.; African Population and Health Research Center, Nairobi, Kenya.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.; World Vision Kenya, Nairobi, Kenya.; Parmarth Samaj Sevi Sansthan, Jalaun, India.; Bill and Melinda Gates Foundation, Seattle, Washington, USA.; African Ministers Council on Water, Abuja, Nigeria.; Centre for Policy Research, New Delhi, India.; School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC, Canada.; Department of Environmental Health and Sanitation, Government of Kenya, Nairobi, Kenya.; Tarun Bharat Sangh, Bheekampura - Kishori, India.; Research and Data Section, UN Women, New York, New York, USA.; Water Sanitation and Hygiene Team, UNICEF India, New Delhi, India.; Water and Sanitation for the Urban Poor, Dhaka, Bangladesh.; Department of Water and Sanitation, Government of South Africa, Pretoria, South Africa.; CARE, Atlanta, Georgia, USA.; CARE South Sudan, Juba, Sudan.; Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.; Water Global Practice, World Bank Group, Washington, DC, USA.; Center for Infectious Disease Research in Zambia, Lusaka, Zambia.; Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.; Ministry of Sanitation and Water Resources, Government of Ghana, Accra, Ghana.; SNV, Netherlands, The Hague, Netherlands.; National Basic Water and Sanitation Agency, Federal Government of Brazil, Brasilia, Brazil.; Division of Data, Analytics, Planning and Monitoring, UNICEF, New York, New York, USA.; CIDRZ; Centre for Infectious Disease Research in Zambia (CIDRZ)
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    Prevalence of heavy menstrual bleeding and associations with physical health and wellbeing in low-income and middle-income countries: a multinational cross-sectional study.
    (2023-Nov) Sinharoy SS; Chery L; Patrick M; Conrad A; Ramaswamy A; Stephen A; Chipungu J; Reddy YM; Doma R; Pasricha SR; Ahmed T; Chiwala CB; Chakraborti N; Caruso BA; Athena Infonomics, Chennai, India.; Department of Civil Engineering and International Training Network, Bangladesh University of Engineering and Technology, Dhaka, Bangladesh.; Population Health and Immunity Division, The Walter and Eliza Hall Institute, Melbourne, VIC, Australia.; Indian Institute for Human Settlements, Chennai, India.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: sheela.sinharoy@emory.edu.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA.; Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.; Lusaka Water Supply and Sanitation Company, Lusaka, Zambia.; CIDRZ; Centre for Infectious Disease Research in Zambia (CIDRZ)
    BACKGROUND: Data on the prevalence of heavy menstrual bleeding in low-income and middle-income countries (LMICs) are scarce. We aimed to assess the validity of a scale to measure heavy menstrual bleeding and calculate its prevalence in southern Asia and sub-Saharan Africa, and to examine associations between heavy menstrual bleeding and health outcomes. METHODS: Between Aug 2, 2021 and June 14, 2022, we surveyed 6626 women across ten cities (Meherpur and Saidpur, Bangladesh; Warangal, Narsapur, and Tiruchirappalli, India; Kathmandu, Nepal; Dakar, Senegal; Nairobi, Kenya; Kampala, Uganda; and Lusaka, Zambia), including questions on demographics, health, and the SAMANTA scale, a six-item measure of heavy menstrual bleeding. We conducted confirmatory factor analysis to assess construct validity of the SAMANTA scale, calculated the prevalence of heavy menstrual bleeding, and used regression analyses to examine associations of heavy menstrual bleeding with health outcomes. FINDINGS: 4828 women were included in the final analytic sample. Factor analysis indicated a one-factor model representing heavy menstrual bleeding. In the pooled analytic sample, 2344 (48·6%) of 4828 women were classified as experiencing heavy menstrual bleeding, and the prevalence was lowest in Dakar (126 [38·3%] of 329 women) and Kampala (158 [38·4%] of 411 women) and highest in Kathmandu (326 [77·6%] of 420 women). Experiencing heavy menstrual bleeding was significantly associated with feeling tired or short of breath during the menstrual period (risk ratio 4·12 (95% CI 3·45 to 4·94) and reporting worse self-rated physical health (adjusted odds ratio 1·27, 95% CI 1·08 to 1·51), but was not associated with subjective wellbeing (β -3·34, 95% CI -7·04 to 0·37). INTERPRETATION: Heavy menstrual bleeding is highly prevalent and adversely impacts quality of life in women across LMIC settings. Further attention is urgently needed to understand determinants and identify and implement solutions to this problem. FUNDING: Bill & Melinda Gates Foundation, United States Agency for International Development, National Institutes of Health.