The Lancet Obstetrics, Gynaecology, & Women's Health, Volume 1, Issue 4, December 2025, Pages e270-e280
CRADLE-5 is the first pragmatic stepped-wedge trial of a Vital Signs Alert device in a low-income country, evaluating its effectiveness and scale-up across eight districts in Sierra Leone, where maternal mortality rates remain one of the highest globally. The study involved over 93,000 deliveries, trained 2,100+ health workers, and assessed outcome variations across districts and facilities.
This qualitative study explored challenges faced by upper primary mathematics teachers in Rwanda following the switch to English as the medium of instruction.
Sexual & Reproductive Healthcare, 2025, 101122
This study identifies key barriers to quality maternal and newborn healthcare in Zanzibar, including resource shortages, poor working conditions, and cultural factors, emphasizing the need for improved infrastructure and culturally sensitive approaches to enhance health outcomes.

