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Dr David Gathara

Assistant Professor - NEST

United Kingdom

David is a health systems researcher with over ten years’ experience working within the field of health systems and services evaluation in the Kenyan health system as an epidemiologist. Prior to joining LSHTM in 2020, he worked with KEMRI Wellcome Trust Research Programme where he led work on nursing services research aimed at understanding the role of nurses in the delivery of quality care and the implications of the nursing workforce deficit on the care provided. He also co-led the ‘Health Services that Deliver for Newborns’ (HSD-N) programme of work whose focus is understanding the burden, need and access of newborn care services as well as evaluating the quality of newborn care services.

Affiliations

Department of Infectious Disease Epidemiology and International Health
Faculty of Epidemiology and Population Health

Research

Over, the last 10 years, David’s research work has spanned i) development of routine data capture methods, ii) evaluation of clinical and nursing quality of care within hospitals, iii) development of metrics for nursing quality of care, iv) set-up and data management for pragmatic clinical trials, v) exploration of the application of various statistical methods (propensity score analysis, multi-level models and statistical process control) to routine data and vi) evaluation of multifaced complex interventions using multiple and/or mixed methods.

He has broad interests’ in the use of quantitative and qualitative methods in identify quality of care gaps, development of routine data capture methods and the use of this data for effective decision making although with a bias on how human resources for health more specifically the nursing workforce influences the quality of care provided. His future work aims at developing human resource interventions as well as optimising approaches for nursing care provision.

Within LSHTM, David is part of the NEST360 team and will be focusing on generating evidence for interventions required for small and sick newborns using a health systems approach.

Research Area
Child health
Complex interventions
Evaluation
Global Health
Health services research
Health systems
Health workers
Neonatal health
Quality improvement
Epidemiology
Nursing
Operational research
Implementation science
Mixed methods research
Disease and Health Conditions
Malaria
Sepsis
Tropical diseases
Tuberculosis
Respiratory diseases
Country
Kenya
Malawi
Nigeria
Tanzania
Region
Sub-Saharan Africa (developing only)

Selected Publications

How to do no harm: empowering local leaders to make care safer in low-resource settings.
Vincent, CA; Mboga, M; GATHARA, D; Were, F; Amalberti, R; English, M;
2021
Archives of disease in childhood
Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study.
GATHARA, D; Serem, G; Murphy, GA V; Abuya, N; Kuria, R; Tallam, E; English, M;
2018
BMJ open
To adopt or adapt an existing neonatal core outcome set in Kenya: a study protocol
Karumbi, J; GATHARA, D; Young, B; Williamson, P;
2023
Trials
Survey Questions for LMIC stakeholders
Karumbi, J; Gorst, S; GATHARA, D; Young, B; Williamson, P;
2023
PLOS Global Public Health
Characterising support and care assistants in formal hospital settings: a scoping review
Kagonya, VA; Onyango, OO; Maina, M; GATHARA, D; English, M; Imam, A;
2023
Human resources for health
Protecting small and sick newborn care in the COVID-19 pandemic: multi-stakeholder qualitative data from four African countries with NEST360
Steege, R; Mwaniki, H; Ogueji, IA; Baraka, J; Salimu, S; KUMAR, MB; Kawaza, K; Odedere, O; Shamba, D; Bokea, H; Chiume, M; Adudans, S; Ezeaka, C; Paul, C; Banyira, L; Lungu, G; Salim, N; Zimba, E; Ngwala, S; Tarus, A; Bohne, C; GATHARA, D; LAWN, JE;
2023
BMC pediatrics
Neonatal inpatient dataset for small and sick newborn care in low- and middle-income countries: systematic development and multi-country operationalisation with NEST360.
CROSS, JH; Bohne, C; Ngwala, SK; Shabani, J; Wainaina, J; Dosunmu, O; Kassim, I; PENZIAS, RE; Tillya, R; GATHARA, D; Zimba, E; Ezeaka, VC; Odedere, O; Chiume, M; Salim, N; Kawaza, K; Lufesi, N; Irimu, G; Tongo, OO; Malla, L; Paton, C; DAY, LT; Oden, M; Richards-Kortum, R; Molyneux, EM; ... With NEST360 Neonatal Inpatient Dataset Learning G,
2023
BMC pediatrics
The influence of internship training experience on Kenyan and Ugandan doctors' career intentions and decisions: a qualitative study
Zhao, Y; Mbuthia, D; Ankomisyani, DS; Blacklock, C; GATHARA, D; Molyneux, S; Nicodemo, C; Okello, TR; Rutebemberwa, E; Tweheyo, R; English, M;
2023
Global health action
Development and validation of a new measurement instrument to assess internship experience of medical doctors in low-income and middle-income countries
Zhao, Y; Jalloh, S; Lam, PK; Kwarshak, YK; Mbuthia, D; Misago, N; Namedre, M; Phương, NT B; Qaloewa, S; Summers, R; Tang, K; Tweheyo, R; Wills, B; Zhang, F; Nicodemo, C; GATHARA, D; English, M;
2023
BMJ global health
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