Christine Ngaruiya
Associate Professor of Emergency Medicine (Adult Clinical Academic)
Bio
Christine Ngaruiya, MD, MSc, DTM&H is an Associate Professor in the Stanford Department of Emergency Medicine (DEM), and the Population and Global Health Research Director for the department.
Previously she was on faculty in the Department of Emergency Medicine (DEM) at Yale University. She completed the Global Health and International Emergency Medicine fellowship in the Yale DEM in 2015, while also matriculating with a Master of Science and Diploma in Tropical Medicine and International Health from the London School of Hygiene and Tropical Medicine. Her research interests center on: noncommunicable diseases, barriers to care, community-based participatory research and implementation science with a particular focus on Africa.
Some past honors include: the Emergency Medicine Resident’s Association (EMRA) Augustine D’Orta Award for outstanding community and grassroots involvement, Harambe Entrepreneur Alliance Associate and the 2014 Harambe Pfizer Fellow Award for social entrepreneurship, the 2016 University of Nebraska Outstanding International Alumnus award, the 2018 Young Physician award of the Global Emergency Medicine Academy at the Society for Academic Emergency Medicine, the 2019 Yale School of Medicine Leonard Tow Humanism in Medicine for clinical excellence and compassionate care, being selected as 1 of 30 WomenLift Health Women Leaders in Global Health in 2021, 1 of 25 US Schmidt Futures International Strategy Forum fellows in 2023, and as 1 of 100 National Academy of Sciences US-Africa Frontiers in STEM fellows in 2024.
She has held several national and international leadership positions including with: the Society of Academic Emergency Medicine, the Consortium of Universities for Global Health (CUGH) as current co-chair of the Research Committee (2024-2026), the African Federation for Emergency Medicine (AFEM) and WomenLift Health. She was also a founding member of the Yale Network for Global Noncommunicable Disease (NGN). Her work has been funded by Yale University, the NIH, Gates Foundation, World Bank, USAID, the American Psychiatric Association, among others. She has served on a number of NIH panels related to global NCD topics, and has lectured both nationally and internationally on the same.
She is the global NCD section editor for PLOS Global Public Health, and also a fervent writer in the non-traditional sphere on global NCDs. To that end, she was selected as one of twenty Yale Public Voice Fellows for 2015-2016 from across campus with more than 20 publications in outlets such as Time, Huffington Post, Medium, and The Hill on the topic.
Clinical Focus
- Emergency Medicine
Honors & Awards
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Case and Photo Competition Awardee, Society for Academic Emergency Medicine (2014)
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HEA Associate (1 of 30 selected internationally) for social entrepreneurship in Africa, Harambe Entrepreneur Alliance (HEA) (2014)
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Harambe Pfizer Fellow Award (1 of 2 internationally), Harambe Entrepreneur Alliance (HEA) (2014)
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Top Ten Poster Award, African Congress of Emergency Medicine, Addis Ababa, Ethiopia (2014)
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Yale Public Voices Fellow (1 of 20 faculty selected from across campus), The OpEd project (2015)
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Outstanding International Alumnus, Nebraska Alumni Association (2016)
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Young Physician award, Global Emergency Medicine Academy (GEMA), Society for Academic Emergency Medicine (SAEM) (2018)
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Leonard Tow Humanism in Medicine Award, Yale School of Medicine (2019)
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Outstanding teaching faculty of the year, APP residency, Department of Emergency Medicine, Yale School of Medicine (2020)
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WomenLift Health Women Leaders in Global Health Journey (1 of 25 women selected nationally), Stanford University/ Gates Foundation (2020)
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Outstanding teaching faculty of the year, Emergency Medicine residency, Department of Emergency Medicine, Yale School of Medicine (2022)
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Top Poster Award, Stanford Research Park Annual Symposium, Palo Alto, California (2023)
Boards, Advisory Committees, Professional Organizations
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Fellow, Stanford Center for Innovation in Global Health (2024 - Present)
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Fellow, Stanford King Center on Global Development (2024 - Present)
Professional Education
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Fellowship: Yale School of Medicine Dept of Emergency Medicine (2015) CT
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Board Certification: American Board of Emergency Medicine, Emergency Medicine (2014)
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Residency: Univ of North Carolina Chapel Hill Emergency Medicine Residency (2013) NC
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Medical Education: University of Nebraska College of Medicine (2010) NE
Stanford Advisees
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Postdoctoral Faculty Sponsor
Linda Kimaru -
Postdoctoral Research Mentor
Linda Kimaru
All Publications
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Bridging gaps in automated acute myocardial infarction detection between high-income and low-income countries.
PLOS global public health
2024; 4 (6): e0003240
View details for DOI 10.1371/journal.pgph.0003240
View details for PubMedID 38941326
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A proposed guide to reducing bias and improving assessments of decolonization in global health research
FRONTIERS IN EDUCATION
2024; 9
View details for DOI 10.3389/feduc.2024.1233343
View details for Web of Science ID 001249753400001
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Self-care and healthcare seeking practices among patients with hypertension and diabetes in rural Uganda.
PLOS global public health
2023; 3 (12): e0001777
Abstract
BACKGROUND: Implementing effective self-care practices for non-communicable diseases (NCD) prevents complications and morbidity. However, scanty evidence exists among patients in rural sub-Saharan Africa (SSA). We sought to describe and compare existing self-care practices among patients with hypertension (HTN) and diabetes (DM) in rural Uganda.METHODS: Between April and August 2019, we executed a cross-sectional investigation involving 385 adult patients diagnosed with HTN and/or DM. These participants were systematically randomly selected from three outpatient NCD clinics in the Nakaseke district. Data collection was facilitated using a structured survey that inquired about participants' healthcare-seeking patterns, access to self-care services, education on self-care, medication compliance, and overall health-related quality of life. We utilized Chi-square tests and logistic regression analyses to discern disparities in self-care practices, education, and healthcare-seeking actions based on the patient's conditions.RESULTS: Of the 385 participants, 39.2% had only DM, 36.9% had only HTN, and 23.9% had both conditions (HTN/DM). Participants with DM or both conditions reported more clinic visits in the past year than those with only HTN (P = 0.005). Similarly, most DM-only and HTN/DM participants monitored their weight monthly, unlike those with only HTN (P<0.0001). Participants with DM or HTN/DM were more frequently educated about their health condition(s), dietary habits, and weight management than those with only HTN. Specifically, education about their conditions yielded adjusted odds ratios (aOR) of 5.57 for DM-only and 4.12 for HTN/DM. Similarly, for diet, aORs were 2.77 (DM-only) and 4.21 (HTN/DM), and for weight management, aORs were 3.62 (DM-only) and 4.02 (HTN/DM). Medication adherence was notably higher in DM-only participants (aOR = 2.19). Challenges in self-care were significantly more reported by women (aOR = 2.07) and those above 65 years (aOR = 5.91), regardless of their specific condition(s).CONCLUSION: Compared to rural Ugandans with HTN-only, participants with DM had greater utilization of healthcare services, exposure to self-care education, and adherence to medicine and self-monitoring behaviors. These findings should inform ongoing efforts to improve and integrate NCD service delivery in rural SSA.
View details for DOI 10.1371/journal.pgph.0001777
View details for PubMedID 38079386