Nyovani J Madise
- Primary position:
- Professor of Demography and Social Statistics
- Other positions:
- Co-Director Centre for Global Health, Population, Poverty and Policy
"My research interests are in child and maternal health, HIV/AIDS, family planning and young people's sexual behaviour in the developing world."
Nyovani Madise is Professor of Demography and Social Statistics at the University of Southampton. She previously taught Mathematics & Statistics at the University of Malawi and held the position of Senior Research Scientist at the African Population and Health Research Center in Kenya. Her research focuses on the social determinants of health, with a focus on untangling the influence of poverty on maternal and child health, nutritional status, and reproductive health in low income countries.
Nyovani’s currently research projects include, interventions to promote exclusive breastfeeding among the urban and rural poor; the dual burden of malnutrition and over-nutrition among women and children; contraceptive use and high fertility in sub-Saharan Africa; adolescents’ reproductive health; and quantifying the linkages between food security and the ecosystem services.
Nyovani also co-leads the Centre for Global Health, Population, Poverty, and Policy (GHP3) and she is a co-founder of the Poverty and Sexual and Reproductive Health Network, which has evolved from an ESRC Seminar Series which sought to examine the links between poverty and sexual and reproductive health in middle and low income countries. Current work in this area includes understanding the linkages between unplanned pregnancies and poverty, and sexual and reproductive health needs of marginalized adolescents.
The University of Southampton's electronic library (e-prints)
My research interests are in child and maternal health, HIV/AIDS, family planning and reproductive health, and nutritional health in the developing world.
My work on maternal and child health involves the analysis of large datasets to understand inequities in access to maternal and child health care. Recent projects in this area have included work published in Demography journal which involved the analysis of DHS data from 18 African countries to understand the link between urbanization and child mortality and a paper published in PLoS Medicine which analysed data from 30 countries to examine the so called “urban advantage” in maternal health care in developing countries. I have also conducted empirical research in two slums in Nairobi City to document the maternal mortality ratios in those communities in comparison to other areas of Kenya. We also showed the sub-standard quality of maternity health care for women who reside in these slums.
On HIV/AIDS, my work involves the analysis of population-based HIV sero surveys in Malawi and Kenya to characterise the risks of HIV infection. We were first to document the high risk of HIV infection in slums in Nairobi City relative to risks among other slum dwellers and rural residents. I have also looked at protective and risk factors associated with HIV among adolescents in sub-Saharan Africa.
Since 2012, I have been working with a large consortium named “ASSETS” to examine nutritional health and food security and their link to ecosystem services. This work is taking place in Malawi and Colombia, and involves bringing out contrasts between communities who live near forests and those further away.
I am leading a Poverty and Sexual and Reproductive Health network, which has evolved from an ESRC Seminar Series which examined the links between poverty and sexual and reproductive health in middle and low income countries. Current work in this area includes understanding the concept of “unmet need” for family planning and the consequences of unintended childbearing on women’s and children’s health.
Evaluation of Interventions
I am currently involved in the evaluation of two interventions. The first is to examine the social and economic effects of rural electrification in rural Kenya. Our role is to conduct a social science evaluation of the wellbeing, health, and livelihoods of people in rural villages, and the changes if any, after electrification. We are using a case-control approach and difference-in-difference analytical techniques.
In two Nairobi slums, we are evaluating the effectiveness of personalised nutrition counselling for pregnant women and their infants to see if we can encourage good nutrition during pregnancy, promote exclusive breastfeeding for the first 6 months, and ensure appropriate complementary feeding from 6 months onwards.