Amy Guo
University of North Carolina at Chapel Hill
ContaminationRural areaCross-sectional studyBusinessHealth careInfection controlGeographyImproved water sourceJob satisfactionPsychological interventionAccountabilityLead (geology)Improved sanitationTanzaniaClean handsContext (language use)SanitationService (business)Water qualityCanned foodsMedical trainingDistribution systemWater sourceDisease transmissionRural health careAdverse outcomesLow and middle income countriesHealth consequencesWest africanEnvironmental scienceService (economics)CurriculumPollutionWater industryHygieneService delivery frameworkMedicineMetalloidWater supplyEnvironmental health
7Publications
4H-index
35Citations
Publications 7
Newest
#1Donald Fejfar (UNC: University of North Carolina at Chapel Hill)H-Index: 3
#2Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
Last. Ryan Cronk (UNC: University of North Carolina at Chapel Hill)H-Index: 20
view all 6 authors...
Healthcare provider (HCP) satisfaction is important for staff retention and effective health service delivery. Inadequate resources, understaffing, and ineffective organizational structure may reduce HCP satisfaction in low- and middle-income countries (LMICs). Some qualitative studies have described links between environmental conditions and job satisfaction in HCPs; however, few studies have explored this link using survey data. This study explores associations between HCP satisfaction and wat...
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#1Michael Fisher (UNC: University of North Carolina at Chapel Hill)H-Index: 28
#2Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
Last. Jamie Bartram (UNC: University of North Carolina at Chapel Hill)H-Index: 69
view all 9 authors...
Background: Exposure to toxic metals (TMs) such as lead can cause lifelong neurodevelopmental impairment and other adverse outcomes. TMs enter drinking water from human activity, geogenic contamina...
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#1Ryan Cronk (UNC: University of North Carolina at Chapel Hill)H-Index: 20
#2Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
Last. Jamie Bartram (UNC: University of North Carolina at Chapel Hill)H-Index: 69
view all 4 authors...
Abstract Improving access to water, sanitation, and hygiene (WaSH) and menstrual hygiene management (MHM) in schools is important to achieve Sustainable Development Goals (SDGs) 3 and 6. Inadequate WaSH and MHM in schools adversely affect student health and educational performance, as well as teacher satisfaction. However, there is little evidence describing factors associated with WaSH services and MHM in schools. We conducted 2,690 surveys and collected 1,946 water samples at randomly selected...
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#1Ryan Cronk (UNC: University of North Carolina at Chapel Hill)H-Index: 20
#2Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
Last. Jamie Bartram (UNC: University of North Carolina at Chapel Hill)H-Index: 69
view all 7 authors...
Abstract Adequate environmental conditions, comprising sufficient environmental hygiene items (e.g. gloves, soap, and disinfectant), adequate infrastructure (e.g. sanitation facilities, water supply), a clean environment, and hygienic behaviors in healthcare facilities (HCFs) are necessary for safe care in maternity wards. Few data are available describing environmental conditions in maternity wards in rural areas of low- and middle-income countries (LMICs). We collected data on these conditions...
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Exposure to toxic metals and metalloids (TMs) such as arsenic and lead at levels of concern is associated with lifelong adverse health consequences. As exposure to TMs from paint, leaded gasoline, canned foods, and other consumer products has decreased in recent decades, the relative contribution of drinking water to environmental TM exposure and associated disease burdens has increased. We conducted a rapid review from June to September 2019 to synthesize information on the sources of TM contam...
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#1Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
#2Jamie Bartram (UNC: University of North Carolina at Chapel Hill)H-Index: 69
Abstract Many healthcare facilities (HCFs) in rural areas of low- and middle-income countries (LMICs) lack safe, sufficient water supplies. We sought to understand which factors affect water quality in rural HCF in LMICs. In Ethiopia, Ghana, Honduras, India, Kenya, Malawi, Mali, Mozambique, Niger, Rwanda, Tanzania, Uganda, Zambia, and Zimbabwe, doctors and nurses were interviewed at over 2000 outpatient HCFs about their water source, staff training, and management practices. Water samples were a...
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#1Amy Guo (UNC: University of North Carolina at Chapel Hill)H-Index: 4
#2J. Michael Bowling (UNC: University of North Carolina at Chapel Hill)H-Index: 29
Last. Georgia Kayser (UCSD: University of California, San Diego)H-Index: 12
view all 4 authors...
: Safe and sufficient water, sanitation, and hygiene (WaSH) prevent the spread of disease in health-care facilities (HCFs). Little research has been conducted on WaSH in HCF in sub-Saharan Africa. We carried out a cross-sectional study of WaSH in 1,318 randomly selected rural HCF (hospitals, health centers, health posts, and clinics) in regions throughout Ethiopia, Kenya, Mozambique, Rwanda, Uganda, and Zambia. Methods included questionnaires with head doctors and nurses to document WaSH access,...
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