Social Sciences: Social Statistics & Demography

Nyovani J Madise

Primary position:
Professor of Demography and Social Statistics
Other positions:
Co-Director Centre for Global Health, Population, Poverty and Policy

Background

The University of Southampton

Nyovani Madise obtained her PhD in 1993. It investigated the interface between birth interval length and infant mortality in Malawi using multilevel statistical modelling.

Before joining the University of Southampton in 1994, Nyovani worked as a lecturer in statistics at the University of Malawi. Nyovani co-directed Opportunities and Choices, a DFID-funded knowledge programme of research in reproductive health between 1999 and 2001, and she worked as a Senior Research Scientist at the African Population Health Research Centre in Nairobi.  Nyovani was the first director of the Centre for AIDS Research. Nyovani is co-Director of the Centre for Global Health, Population, Poverty, and Policy. She is also continuing to work on her research on child survival, nutrition, HIV/AIDS and family planning in sub-Saharan Africa.

Professor Nyovani J Madise's photo

"My research interests are in child and maternal health, HIV/AIDS, family planning and young people's sexual behaviour in the developing world."

Publications

The University of Southampton's electronic library (e-prints)

Article

Essendi, Hildah, Madise, Nyovani and Matthews, Zoe (2014) Perceptions of development by residents of a rural community in Kenya: a capability issue. Journal of African Studies and Development, 6, (4), 67-77. (doi:10.5897/JASD2014.0281).
Poppy, G.M., Chiotha, S., Eigenbrod, F., Harvey, C. A., Honzak, M., Hudson, Malcolm D., Jarvis, A., Madise, N.J., Schreckenberg, K., Shackleton, C.M., Villa, F. and Dawson, Terence P. (2014) Food security in a perfect storm: using the ecosystem services framework to increase understanding. Philosophical Transactions of The Royal Society B Biological Sciences, 369, (1639), 1-14. (doi:10.1098/rstb.2012.0288). (PMID:24535394).
Osorio, Ana Maria, Bolance, Catalina and Madise, Nyovani J. (2014) Community socioeconomic context and its influence on intermediary determinants of child health: evidence from Colombia. Journal of Biosocial Science (doi:10.1017/S0021932014000029). (PMID:24555557).
Kimani-Murage, Elizabeth, Kyobutungi, Catherine, Ezeh, Alex C, Wekesah, Frederick, Wanjohi, Milka, Muriuki, Peterrock, Musoke, Rachel N, Norris, Shane A, Griffiths, Paula and Madise, Nyovani J. (2013) Effectiveness of personalised, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in Nairobi slums: study protocol for a cluster randomised controlled trial. Trials, 14, (445) (doi:10.1186/1745-6215-14-445).
Owusu, N.O., Baffour-Awuah, B., Amoako Johnson, F., Mohan, J. and Madise, N.J. (2013) Examining intersectoral integration for malaria control programmes in an urban and a rural district in Ghana: a multinomial multilevel analysis. International Journal of Integrated Care, 13, 1-10.
Emina, Jacques B.O., Madise, Nyovani, Kuepie, Mathias, Zulu, Eliya M. and Ye, Yazoume (2013) Identifying HIV most-at-risk groups in Malawi for targeted interventions: a classification tree model. BMJOpen, 3, (5) (doi:10.1136/bmjopen-2012-002459).
Madise, Nyovani J., Ziraba, Abdhalah K., Inungu, Joseph, Khamadi, Samoel A., Ezeh, Alex, Zulu, Eliya M., Kebaso, John, Okoth, Vincent and Mwau, Matilu (2012) Are slum dwellers at heightened risk of HIV infection than other urban residents? Evidence from population-based HIV prevalence surveys in Kenya. Health & Place, 18, (5), 1144-1152. (doi:10.1016/j.healthplace.2012.04.003).
Moore, Ann M., Madise, Nyovani and Awusabo-Asare, Kofi (2012) Unwanted sexual experiences among young men in four sub-Saharan African countries: prevalence and context. Culture, Health & Sexuality, 14, (9), Summer Issue, 1021-1035. (doi:10.1080/13691058.2012.713119).
Amoako Johnson, Fiifi, Padmadas, Sabu S., Chandra, Hukum, Matthews, Zoe and Madise, Nyovani (2012) Estimating unmet need for contraception by district within Ghana: an application of small-area estimation techniques. Population Studies, 66, (2), 105-122. (doi:10.1080/00324728.2012.678585). (PMID:22553978).
Fotso, Jean Christophe, Madise, Nyovani, Baschieri, Angela, Cleland, John, Zulu, Eliya, Mutua, Martin Kavao and Essendi, Hildah (2012) Child growth in urban deprived settings: does household poverty status matter? At which stage of child development? Health & Place, 18, (2), 375-384. (doi:10.1016/j.healthplace.2011.12.003). (PMID:22221652).
Chepngeno-Langat, Gloria, Falkingham, Jane, Madise, Nyovani and Evandrou, Maria (2012) Concern about HIV and AIDS among older people in the slums of Nairobi, Kenya. Risk Analysis (doi:10.1111/j.1539-6924.2011.01765.x).
Kimani-Murage, Elizabeth, Madise, Nyovani J., Fotso, Jean-Christophe, Kyobutungi, Catherine, Mutua, Martin K., Gitau, Tabither and Yatich, Nelly (2011) Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health, 11, (396) (doi:10.1186/1471-2458-11-396). (PMID:21615957).
Bocquier, Phillipe, Madise, N.J. and Zulu, Eliya M. (2011) Is there an urban advantage in child survival in sub-Saharan Africa? Evidence from 18 countries in the 1990s. Demography, 48, (2), 531-558. (doi:10.1007/s13524-011-0019-2). (PMID:21590463).
Kandala, Ngianga-Bakwin, Brodish, Paul, Buckner, Bates, Foster, Susan and Madise, Nyovani (2011) Millennium development goal 6 and HIV infection in Zambia: what can we learn from successive household surveys? Aids, 25, (1), 95-106. (doi:10.1097/QAD.0b013e328340fe0f). (PMID:21099671).
Johnson, Fiifi Amoako and Madise, Nyovani J. (2011) Targeting women at risk of unintended pregnancy in Ghana: Should geography matter? Sexual & Reproductive Healthcare, 2, (1), 29-35. (doi:10.1016/j.srhc.2010.10.003). (PMID:21147456).
Matthews, Zoe, Channon, Andrew A.R., Neal, Sarah, Osrin, David, Madise, Nyovani and Stones, William (2010) Examining the ‘‘Urban Advantage’’ in maternal health care in developing countries. PLoS Medicine, 7, (9), e1000327-[7pp]. (doi:10.1371/journal.pmed.1000327).
Ndugwa, Robert, Cleland, John, Madise, Nyovani, Fotso, Jean-Christophe and Zulu, Eliya (2010) Menstrual pattern, sexual behaviors and contraceptive use among postpartum women in Nairobi slums. Journal of Urban Health (doi:10.1007/s11524-010-9452-6). (PMID:20449772).
Ziraba, Abdallah K, Madise, N.J., Matilu, Mwau, Zulu, Eliya, Kebaso, John, Khamadi, Samoel, Okoth, Vincent and Ezeh, Alex (2010) The effect of participant non-response on the HIV prevalence estimates in a population based survey in two informal settlements in Nairobi city. Population Health Metrics (Submitted).
Kimani-Murage, Elizabeth W., Holding, Penny A., Fotso, Jean-Christophe, Kahurani, Elizabeth N., Madise, Nyovani J., Ezeh, Alex C. and Zulu, Eliya M. (2010) Food security and nutritional outcomes among urban poor orphans in Nairobi, Kenya. Journal of Urban Health (doi:10.1007/s11524-010-9491-z).
Undie, Chi-Chi, Ziraba, Abdhalah Kasiira, Madise, Nyovani, Kebaso, John and Kimani-Murage, Elizabeth (2009) 'If you start thinking positively, you won't miss sex': narratives of sexual (in)activity among people living with HIV in Nairobi's informal settlements. Culture, Health & Sexuality,, 11, (8), 767-782. (doi:10.1080/13691050903105031).
Ziraba, Abdhalah Kasiira, Nyovani, Madise, Samuel, Mills, Catherine, Kyobutungi and Alex, Ezeh (2009) Maternal mortality in the informal settlements of Nairobi city: what do we know? Reproductive Health, 6, (6) (doi:10.1186/1742-4755-6-6).
Johnson, Fiifi Amoako and Madise, Nyovani J. (2009) Examining the geographical heterogeneity associated with risk of mistimed and unwanted pregnancy in Ghana. Journal of Biosocial Science, 41, (2), 249-267. (doi:10.1017/S0021932008003179).
Fotso, Jean-Christophe, Ezeh, Alex, Madise, Nyovani, Ziraba, Abdhallah and Ogollah, Reuben (2009) What does access to maternal care mean among the urban poor? Factors associated with use of appropriate maternal health services in the slum settlements of Nairobi, Kenya. Maternal and Child Health Journal, 13, (1), 130-137. (doi:10.1007/s10995-008-0326-4). (PMID:18297380).
Chepngeno-Langat, Gloria, Falkingham, Jane, Madise, Nyovani J. and Evandrou, Maria (2009) Socioeconomic differentials between HIV caregivers and noncaregivers: is there a selection effect? A case of older people living in Nairobi City. Research on Ageing, 32, (1), 67-96. (doi:10.1177/0164027509348116).
Ziraba, Abdhalah K., Mills, Samuel, Madise, Nyovani, Saliku, Teresa and Fotso, Jean-Christophe (2009) The state of emergency obstetric care services in Nairobi informal settlements and environs: results from a maternity health facility survey. BMC Health Services Research, 9, (46), 1-8. (doi:10.1186/1472-6963-9-46).
Ye, Yazoume, Madise, Nyovani, Ndugwa, Robert, Ochola, Sam and Snow, Robert W. (2009) Fever treatment in the absence of malaria transmission in an urban informal settlement in Nairobi, Kenya. Malaria Journal, 8, 160-[7pp]. (doi:10.1186/1475-2875-8-160).
Kanyighe, C., Channon, A.R., Tadesse, E., Madise, N., Changole, J., Bakuwa, E., Malunga, E. and Stones, R.W. (2008) Determinants of post-partum maternal mortality at Queen Elizabeth Central Hospital, Blantyre, Malawi: a case control study 2001-2002. African Journal of Reproductive Health, 12, (3), 35-48.
Madise, N.J., Zulu, E. and Ciera, J. (2008) Poverty linked to early sexual debut and low condom use in Africa [Digest]. International Family Planning Perspectives, 34, (2), 99-100.
Madise, N., Zulu, E. and Ciera, J. (2007) Is poverty a driver for risky sexual behaviour? Evidence from national surveys of adolescents from four African countries. African Journal of Reproductive Health, 11, (3), 83-98.
Guiella, G. and Madise, N. (2007) HIV/AIDS and sexual-risk behaviors among adolescents: factors influencing the use of condoms in Burkina Faso. African Journal of Reproductive Health, 11, (3), 182-196.
Floyd, S., Crampin, A.C., Glynn, J., Madise, N., Mwenebabu, M., Mkhondia, S., Ngwira, B., Zaba, B. and Fine, P.E.M (2007) The social and economic impact of parental HIV on children in northern Malawi: retrospective population-based cohort study. AIDS Care, 19, (6), 781-790. (doi:10.1080/09540120601163227).
Moore, A.M., Awusabo-Asare, K., Madise, M., John-Langba, J. and Kumi-Kyereme, A. (2007) Coerced first sex among adolescent girls in sub-Saharan Africa: prevalence and context. African Journal of Reproductive Health, 11, (3), 62-82.
Kandala, N. B. M., Magadi, M.A. and Madise, N.J. (2006) An investigation of district spatial variations of childhood diarrhea and fever in Malawi. Social Science and Medicine, 62, (5), 1138-1152. (doi:10.1016/j.socscimed.2005.07.028).
Stephenson, Rob, Baschieri, Angela, Clements, Steve, Hennink, Monique and Madise, Nyovani (2006) Contextual influences on the use of health facility for childbirth in Africa. American Journal of Public Health, 96, (1), 84-93. (doi:10.2105/AJPH.2004.057422).
Hennink, M. and Madise, Nyovani J. (2005) Influence of user fees on contraceptive use in Malawi. African Population Studies, 20, (2), 125-141.
Griffiths, P., Madise, N., Matthews, Z. and Whitworth, A. (2004) A tale of two continents: comparing determinants of child nutritional status from selected African and Asian regions. Health & Place, 10, (2), 183-199. (doi:10.1016/j.healthplace.2003.07.001).
Magadi, Monica, Diamond, Ian, Madise, Nyovani and Smith, Peter (2004) Pathways of the determinants of unfavourable birth outcomes in Kenya. Journal of Biosocial Science, 36, (2), 153-176. (doi:10.1017/S0021932003006163).
Ngianga-Bakwin, Kandala and Madise, Nyovani (2004) The spatial epidemiology of childhood diseases in Malawi and Zambia. African Population Studies, 19, (Supplement B), 199-226.
Clements, Steve and Madise, Nyovani (2004) Who is being served least by family planning providers? A study of modern contraceptive use in Ghana, Tanzania and Zimbabwe. African Journal of Reproductive Health, 8, (2), 124-136.
Akwara, Priscilla A., Madise, Nyovani Janet and Hinde, Andrew (2003) Perception of risk of HIV/AIDS and sexual behaviour in Kenya. Journal of Biosocial Science, 35, (3), 385-411. (doi:10.1017/S0021932003003857).
Madise, N.J., Banda, E.M. and Benaya, K.W. (2003) Infant mortality in Zambia: socioeconomic and demographic determinants. Social Biology, 50, (1-2), 148-166.
Tuoane, Maletela, Diamond, Ian and Madise, Nyovani (2003) Use of family planning in Lesotho: the importance of quality of care and access. African Population Studies, 18, (2), 105-132.
Tuoane, Maletela, Madise, Nyovani Janet and Diamond, Ian (2003) Provision of family planning services in Lesotho. International Family Planning Perspectives, 30, (2), 77-86.
Crampin, Amelia C., Floyd, Sian, Glynn, Judith R., Madise, Nyovani, Nyondo, Andrew, Khondowe, Masiya M., Njoka, Chance L., Kanyongoloka, Huxley, Ngwira, Bagrey, Zaba, Basia and Fine, Paul E.M. (2003) The long-term impact of HIV and orphanhood on the mortality and physical well-being of children in rural Malawi. AIDS, 17, (3), 389-397. (doi:10.1097/01.aids.0000042939.55529.a8).
Magadi, Monica, Madise, Nyovani and Diamond, Ian (2001) Factors associated with unfavourable birth outcomes in Kenya. Journal of Biosocial Science, 33, (2), 199-225. (doi:10.1017/S0021932001001997).
Magadi, Monica, Madise, Nyovani and Diamond, Ian, Hollander, D. (ed.) (2001) In Kenya, the risk of poor birth outcomes is highest for a woman's first child. International Family Planning Perspectives [Digest], 27, (3), 156-157.
Magadi, Monica, Diamond, Ian and Madise, Nyovani (2001) Analysis of factors associated with maternal mortality in Kenyan hospitals. Journal of Biosocial Science, 33, (3), 375-389. (doi:10.1017/S0021932001003753).
Magadi, Monica A., Madise, Nyovani J. and Rodrigues, Roberto N. (2000) Variations in antenatal care between women of different communities in Kenya. APHRC Working Papers
Magadi, Monica Akinyi, Madise, Nyovani Janet and Rodrigues, Roberto Nascimento (2000) Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities. Social Science and Medicine, 51, (4), 551-561. (doi:10.1016/S0277-9536(99)00495-5).
Magadi, Monica, Diamond, Ian and Madise, Nyovani (2000) Patient socio-demographic characteristics and hospital factors associated with maternal mortality in Kenyan hospitals. APHRC Working Papers
Madise, Nyovani J., Matthews, Zoë and Margetts, Barrie (1999) Heterogeneity of child nutritional status between households: a comparison of six sub-Saharan African countries. Population Studies, 53, (3), 331-343. (doi:10.1080/00324720308092).
Madise, N.J. and Mpoma, M.O. (1997) Child malnutrition and feeding practices in Malawi. Food and Nutrition Bulletin, 18, (2), 190-201.
Madise, N.J. and Diamond, I. (1995) Determinants of infant mortality in Malawi: an analysis to control for death clustering within families. Journal of Biosocial Science, 27, (1), 95-106.

Book

Wittenberg, J.A., Munthali, A., Moore, E., Zulu, N., Madise, M., Mkandawire, F., Limbani, L., Darabi, L. and Konyani, S. (2007) Protecting the next generation in Malawi: new evidence on adolescent sexual and reproductive health needs, New York, Guttmacher Institute, 49pp. (Protecting the next generation).
Madise, N., Stones, R.W. and McEachran, J. (2001) Code of standards and ethics for reproductive health research, Southampton, UK, Opportunities and Choices Programme, Univeversity of Southampton

Book Section

Madise, Nyovani, Fotso, Jean-Christophe, Ezeh, Alex and Ciera, James (2008) Progress toward the child mortality millennium goal in urban sub-Saharan Africa: the dynamics of population growth, immunization and access to clean water. In, Proceedings of the United Nations Expert Group Meeting on Population Distribution, Urbanization, Internal Migration and Development. , United Nations, 231-243.
Nyarko, P., Madise, N. and Diamond, I. (1999) Infant mortality and the pace of childbearing in Ghana: some evidence of son preference. In, Third African Population Conference, Durban, South Africa, 6-10 December 1999. The African Population in the 21st Century [Troisieme Conference Africaine sur la Population, La Population Africaine au 21e Siecle]. Third African Population Conference: The African Population in the 21st Century Dakar, Senegal, Union for African Population Studies, 619-644.
Madise, N.J. (1996) Child mortality in Malawi: further evidence of death clustering within families. In, Powell, R.A., Mwageni, E.A. and Ankomah, A. (eds.) Population Dynamics: Some Past and Emerging Issues. Exeter, UK, University of Exeter, 27-35.

Monograph

Stephenson, Rob, Clements, Steve, Baschieri, Angela, Hennink, Monique and Madise, Nyovani (2004) Contextual influences on the use of health facilities for childbirth in Africa. Southampton, UK, Southampton Statistical Sciences Research Institute, 35pp. (S3RI Applications and Policy Working Papers, (A04/18) ).
Hennink, Monique and Madise, Nyovani (2004) Appropriateness of User Fees for Reproductive Health in Malawi. Southampton, UK, Southampton Statistical Sciences Research Institute, 24pp. (S3RI Applications and Policy Working Papers, (A04/17) ).
Kandala, N. B., Magadi, M. A. and Madise, N. J. (2004) An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi. Southampton, UK, Southampton Statistical Sciences Research Institute, 35pp. (S3RI Applications and Policy Working Papers, (A04/14) ).
Clements, Steve, Baschieri, Angela, Hennink, Monique, Madise, Nyovani and Stephenson, Rob (2004) Explaining areal variations in contraceptive use in East Africa. Southampton, UK, Southampton Statistical Sciences Research Institute, 22pp. (S3RI Applications and Policy Working Papers, (A04/01) ).
Magadi, Monica, Diamond, Ian, Madise, Nyovani and Smith, Peter (2003) Pathways of the determinants of unfavourable birth outcomes in Kenya. Southampton, UK, Southampton Statistical Sciences Research Institute, 37pp. (S3RI Applications and Policy Working Papers, (A03/03) ).
Madise, Nyovani, Stephenson, Rob, Holmes, David and Matthews, Zoë (2003) Impact of estimation techniques on regression analysis: an application to survey data on child nutritional status in five African countries. Southampton, UK, Southampton Statistical Sciences Research Institute, 26pp. (S3RI Applications and Policy Working Papers, (A03/07) ).
Nyarko, Philomena, Madise, Nyovani and Diamond, Ian (2003) Child loss and fertility behaviour in Ghana. Southampton, UK, Southampton Statistical Sciences Research Institute, 25pp. (S3RI Applications and Policy Working Papers, (A03/08) ).
Madise, Nyovani, Matthews, Zoë and Whitworth, Alison (2003) A tale of two continents: Infant death clustering in India and sub-Saharan Africa. Southampton, UK, Southampton Statistical Sciences Research Institute, 42pp. (S3RI Applications and Policy Working Papers, (A03/14) ).
Madise, N.J., Hennink, M., Kainja, E. and Dambula, I. (2002) Appropriateness of user fees for reproductive health services in Malawi. Southampton, UK, Southampton University, 2pp. (Poverty and Equity in Reproductive Health Series, (Factsheet 7) ).
Sheppard, Zoe, Madise, Nyovani and Hennink, Monique (2001) Gender and risk of HIV in Ghana and Uganda. Southampton, UK, Southampton University (Opportunities and Choices).
 

Research

Research Interests

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.

Other Research Projects

Rural Electrification Project

Maternal, Infant and Young Child Nutrition (MIYCN)

Research project

ASSETS: Attaining sustainable services from ecosystems

Contact

Professor Nyovani J Madise
Social Statistics & Demography
Social Sciences
University of Southampton
Southampton
SO17 1BJ
United Kingdom

Room Number: 58/4017

Telephone: (023) 8059 2534
Email: N.J.Madise@soton.ac.uk