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Pieternella Pieterse

@p-pieterse.bsky.social
206 followers 739 following 27 posts

Research fellow, Institute of Global Surgery, Royal College of Surgeons in Ireland. Health systems, human resources for health research, mainly Africa focused. PI of HRH in Sierra Leone study.

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Reposted by Pieternella Pieterse
Harvard T.H. Chan School of Public Health @hsph.harvard.edu · 08/10/2026
More hospitals across the U.S. are closing than opening, and urban hospitals are closing at the same rate as rural ones, according to a new study led by Harvard Chan School. Researchers also observed that the hospitals that close are more likely to be those serving socially vulnerable communities.
hsph.harvard.edu
Hospital closures on the rise in both rural and urban areas—particularly among safety-net hospitals | Harvard T.H. Chan School of Public Health
More hospitals across the U.S. are closing than opening, and urban hospitals are closing at the same rate as rural ones, according to a new Harvard Chan School study.
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Reposted by Pieternella Pieterse
ProPublica @propublica.org · 20/09/2026
ProPublica’s analysis of CDC data found that the rate of deaths involving ectopic pregnancies has nearly doubled. The spike alarmed many experts. One said it should “be a never event.”
propublica.org
Ectopic Pregnancy Deaths Have Nearly Doubled. It’s Worse in States With Abortion Bans.
With prompt and appropriate medical care, experts say, people shouldn’t die from an ectopic pregnancy. Women in Texas and Oklahoma have sued over delays in care, which, coupled with our new analysis, ...
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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 11/08/2026
I’ve seen a few people commenting today that the idea of separating the MMR vaccine into three separate shots might be a good strategy to get anti-vax parents to vaccinate. Absolutely not. Here’s why. First, countering anti-vax misinformation is like playing whack a mole. You bat down one lie…
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Onisillos @onisillos.bsky.social · 05/08/2026
"Perhaps most importantly, this outbreak must remain in the global conversation. In a world filled with competing humanitarian crises, attention is a finite resource … But epidemics do not disappear simply because the headlines move on." bktitanji.substack.com/p/weve-seen-...
bktitanji.substack.com
We've Seen This Ebola Story Before, We Cannot Afford to Repeat It
How delayed detection, conflict, funding gaps, and fading global attention allowed the largest Ebola outbreak in the Democratic Republic of the Congo's history to outpace the response
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Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 05/08/2026
🦟A malaria mutation linked to partial artemisinin resistance is spreading beyond its original hotspot in northwestern Tanzania. ACTs still work—but scientists say stronger genomic surveillance is urgent. 📰➡️ healthpolicy-watch.news/scientists-w... ✍️ @kizmakoye.bsky.social @mmv.org 📖 ⬇️ & 🔁🙏
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Leen Vanheer @leen-vanheer.bsky.social · 05/08/2026
Pleased to have our paper now published it Nature Microbiology! Read it below 👇🏻
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Reposted by Pieternella Pieterse
Dr Sanjana Hattotuwa @sanjanah.bsky.social · 13/05/2026
Good one by Robert Kitchin, over on Instagram. www.instagram.com/reel/DYRAaNT... #nzpol
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Pure Earth @pureearthnow.bsky.social · 11/05/2026
"Lucrative and deadly." The scrap trade in Ghana is complicated, and lead—the silent killer—can be found in the soil, the air, in cooking pots, and more. Spend 11 minutes with our new documentary, made by Pure Earth Ghana, exploring the complexity of contamination & the need for scaling protection.
youtube.com
How the Coalition Against Lead Pollution Is Protecting Ghana's Communities
YouTube video by Pure Earth
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Reposted by Pieternella Pieterse
The Dobson Family and Colin the Dalek @dobbersw.bsky.social · 08/05/2026
I still love the theory a Year 6 child proposed to me that David Attenborough is actually God and he got fed up with people not noticing the amazing things he'd created, so he made documentaries to show off.
David Attenborough and one of his creations.
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Dr Abeba Birhane @abeba.blacksky.app · 07/05/2026
a new investigative journalism audit of the Kenyan SHA system-AI that calculates affordability for access to healthcare-just dropped & its scandalous "The AI income predictor systematically overcharged those who could least afford it while undercharging the well-off" sha.africauncensored.online
sha.africauncensored.online
Hiding Behind AI
How SHA Was Used to Load Health System Costs Onto Poorest.
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Pieternella Pieterse @p-pieterse.bsky.social · 07/05/2026
Really important study, well done Dr Pineles and team!
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Sally Hayden @sallyhayd.bsky.social · 03/05/2026
A recent reader's review:
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Reposted by Pieternella Pieterse
Sally Hayden @sallyhayd.bsky.social · 23/03/2026
I’ll be back in Ireland briefly over Easter and doing this event at Maynooth University. It appears to be open to anyone. @maynoothuniversity.ie
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Sally Hayden @sallyhayd.bsky.social · 14/03/2026
Thank you, thank you, thank you to Channel 4 International editor & fellow author Lindsey Hilsum for providing the very first blurb for 'This is Also a Love Story'(!!!) It publishes in May & is available for preorder now: sallyhayden.net/2026/01/26/t...
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Sally Hayden @sallyhayd.bsky.social · 26/02/2026
"Record 129 press members killed in 2025; Israel responsible for 2/3 of deaths" - CPJ cpj.org/special-repo...
cpj.org
Record 129 press members killed in 2025; Israel responsible for 2/3 of deaths - Committee to Protect Journalists
Key findings Introduction At a time when armed conflict has reached historic levels around the world, journalist killings also reached an all-time high primarily due to the actions of one government: ...
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Madhu Pai, MD, PhD @madhupai.bsky.social · 06/09/2025
Toxic men and their war mongering will make sure that there is always money for bombs, but not enough for healthcare
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Joost Bastmeijer @joostbastmeijer.bsky.social · 12/08/2025
In Gambia is een babymeisje van een maand oud overleden nadat zij bij een illegale besnijdenis te veel bloed verloor. De dood van het meisje leverde in het West-Afrikaanse land grote verontwaardiging op. www.volkskrant.nl/buitenland/g...
volkskrant.nl
Gambiaans babymeisje overleden na een besnijdenis
In Gambia is een babymeisje van een maand oud overleden nadat zij bij een illegale besnijdenis te veel bloed verloor. De dood van het meisje leverde in het West-Afrikaanse land grote verontwaardiging ...
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Pieternella Pieterse @p-pieterse.bsky.social · 12/08/2025
Delighted to share that @federics.bsky.social and I just published a new paper, Employed but unpaid… which is an investigation into the challenges faced by Sierra Leone’s many (possibly as many as half of the clinical health workforce) so-called volunteer health workers. One of the first in-depth …
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Pieternella Pieterse @p-pieterse.bsky.social · 10/08/2025
It’s shocking that this needs to be said again and again, in 2025…
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Melissa Barber @mbarber.bsky.social · 07/08/2025
@doctorswithoutborders.org released a report this morning documenting the targeted, orchestrated killing of civilians at Gaza Humanitarian Foundation (GHF) aid distribution sites. Please read and do everything in your power to stop this. www.msf.org/not-aid-orch... 1/7
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Benjamin Braun @benbraun.social · 31/07/2025
Incredibly instructive reporting on what appears well on its way to becoming the biggest, most concentrated, most energy- and resource-intensive, and most speculative wave of capital investment ever. ig.ft.com/ai-data-cent...
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Kate Pickett @profkepickett.bsky.social · 31/07/2025
An important and eloquent letter from our friend and colleague, Roberto De Vogli - please read and share Break the selective silence on the genocide in Gaza - The Lancet www.thelancet.com/journals/lan...
thelancet.com
Break the selective silence on the genocide in Gaza
Substantial and well-documented evidence indicates a catastrophic public health emergency in Gaza (appendix pp 1–5), marked by severe food insecurity and alarming levels of malnutrition-related deaths...
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Pieternella Pieterse @p-pieterse.bsky.social · 27/06/2025
Just listened to the Nature podcast on this, fascinating. Congrats Dr Birhane
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New York Times Opinion @nytopinion.nytimes.com · 21/06/2025
“Children are dying because medicines have been abruptly cut off, and risks of Ebola, tuberculosis and other diseases reaching America are increasing — while medicines sit uselessly in warehouses,” our columnist @nickkristof.bsky.social writes of U.S.A.I.D. cuts in Liberia and Sierra Leone.
nytimes.com
Opinion | The Waste Musk Created
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Pieternella Pieterse @p-pieterse.bsky.social · 19/06/2025
Such a fascinating paper:
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Pieternella Pieterse @p-pieterse.bsky.social · 12/06/2025
My perspective piece in the Int J of Health Management and Planning was published today.
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Wim Aalbers @wimaalbers.nl · 05/06/2025
Help ons. We kunnen niet meer.. Pieter Derks youtu.be/jWBuexEdZ_M...
youtu.be
Pieter Derks over het gevallen kabinet
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Pieternella Pieterse @p-pieterse.bsky.social · 14/05/2025
Why are more people not talking about this? Surely this needs to be made clear to a general public, some of whom really haven’t thought of this?!
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RCSI Institute of Global Surgery @rcsiglobalsurgery.bsky.social · 13/05/2025
(Part 1) Dr Pieternella Pieterse’s Research Ireland-funded study: What impact do unsalaried health workers in Sierra Leone have on healthcare delivery?... #Globalsurgery #GlobalSurgeryDay #GlobalSurgery10 @rcsi.bsky.social @researchireland.ie @p-pieterse.bsky.social
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Kim Weeden @weedenkim.bsky.social · 07/05/2025
One of grants frozen at Cornell: $6.7M (4 yrs) to develop heart pumps for babies born w/ heart defects. It took decades of work to get to point of prepping device for in-human clinical trials. No private company could do this. The cruelty of the Trump administration is heartbreaking. So to speak.
news.cornell.edu
Research at risk: Life-saving heart pumps for babies | Cornell Chronicle
After receiving a stop-work order from the federal government, the future of a device to help children with heart defects is uncertain.
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Pieternella Pieterse @p-pieterse.bsky.social · 07/05/2025
My colleague and I returned to Sierra Leone to share our research findings last week. Due to a lack of funding for health (low priority + minimal tax income) health worker graduates are engaged in public health sector jobs on ‘voluntary’ = unsalaried basis. In primary care half of all staff is…
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Pieternella Pieterse @p-pieterse.bsky.social · 06/05/2025
New WHO report “health gap targets will be missed, largely due to a lack of political will to tackle the structural drivers of poor health”
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Gijs Brekelmans @gys.bsky.social · 03/05/2025
Here's a nice story for you: A group of young migrants in an asylum center in the Netherlands was gifted a fun day out to amusement park De Efteling. But after remarks on social media by asylum minister Faber, the trip was canceled. Today, crowd funds raised over 100,000 euros for a day out.
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Pieternella Pieterse @p-pieterse.bsky.social · 03/05/2025
This is a truly inspiring group, a rare spark of hope in an otherwise bleak time for international cooperation and collaboration for the greater good of the planet and its peoples.
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Kristof Decoster @kristofdecoster.bsky.social · 03/05/2025
‘This is insane:’ New NIH policy on funding foreign scientists stirs outrage | Science | AAAS www.science.org/content/arti...
science.org
‘This is insane:’ New NIH policy on funding foreign scientists stirs outrage
Agency will make researchers outside United States seek grants of their own rather than “subawards” from U.S. scientists
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NPR @npr.org · 02/05/2025
The acting U.S. attorney in Washington, D.C., has sent letters to several leading medical journals asking for information about their editorial practices.
npr.org
Medical journals hit with threatening letters from Justice Department
The acting U.S. attorney in Washington, D.C., has sent letters to several leading medical journals asking for information about their editorial practices.
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Peter Rebeiro, PhD, MHS @prebeiro.bsky.social · 02/05/2025
American scientists: maybe just pretending as though we aren't subject to the capricious whims of a mad king *isn't* a sensible strategy? The damage to #research, to scientific progress, & to #PublicHealth is going to be generational. We *must* respond accordingly. www.nature.com/articles/d41...
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Jaime Manzano @jaimemanzano.bsky.social · 02/05/2025
🛑 Jan 24, 2025: the U.S. freezes all foreign aid — including PEPFAR. 7 countries. 90 days. HIV treatment disrupted. Waivers? Incomplete. A new @thelancet.bsky.social study models the fallout. The results are devastating. 👇 www.thelancet.com/journals/ecl... #HealthPolicy 🧪🛟 💊🌐
thelancet.com
The impact of the PEPFAR funding freeze on HIV deaths and infections: a mathematical modelling study of seven countries in sub-Saharan Africa
The sudden cessation of PEPFAR funding likely results in tens of thousands of HIV deaths and new infections. These losses of life and health should compel the United States government to rapidly and f...
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Peter Rebeiro, PhD, MHS @prebeiro.bsky.social · 02/05/2025
We are in an *extraordinarily* dangerous moment for democracy, civil rights, & #PublicHealth. Share this video as widely as you can. Educate everyone you're able to. It's past time to push back *forcefully* against the ignorance & cruelty threatening us. www.youtube.com/watch?v=8H34...
youtube.com
RFK Jr. & HHS: Last Week Tonight with John Oliver (HBO)
YouTube video by LastWeekTonight
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Needhi Bhalla 💅🏽 @needhibhalla.bsky.social · 25/04/2025
I keep coming back to this super effective framing: resistance to DEI and expanding equity is an attempt to maintain a monopoly over power, access, influence and opportunity
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 24/04/2025
Vaccines save lives. Pass it on.
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Edward Nirenberg @enirenberg.bsky.social · 23/04/2025
I don't get how anyone can possibly be okay with ending the WHI. This study has accrued decades of data from 42000 women and it is still going. It helps to address critical research gaps that have been allowed to go unfilled because of durable misogyny and provides invaluable insight into aging.
science.org
NIH cancels its first and largest study centered on women
The Women’s Health Initiative has produced numerous influential findings
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Hakeem Jefferson @hakeemjefferson.bsky.social · 15/04/2025
Every chance you get, say “fuck you” to authoritarian demands. One of the regime’s tools is making people believe resistance is futile—that acquiescence is the only option. But especially for those with power and privilege, the most basic, necessary act is to say: FUCK YOU.
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Madhu Pai, MD, PhD @madhupai.bsky.social · 12/04/2025
Why and how academic medicine must champion diversity, equity, inclusion, and accessibility @arghavansallesmd.medsky.social @ananyatb.bsky.social @oniblackstock.bsky.social & colleagues @thelancet.bsky.social www.thelancet.com/journals/lan...
thelancet.com
Why and how academic medicine must champion diversity, equity, inclusion, and accessibility
US President Donald Trump has launched a series of Executive Actions1 to dismantle diversity, equity, inclusion, and accessibility efforts; defund scientific research; and freeze federal funds and pro...
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Sally Hayden @sallyhayd.bsky.social · 15/04/2025
Just came through to my email #Sudan #Ireland
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News Eye @newseye.bsky.social · 07/02/2025
US farmers sold $2 billion of food to USAID. Not any more. - US farmers provided 41% of food delivered by USAID - $340M of purchases/shipments are now paused. Over 680,000 tonnes. - Food stranded in Houston - Aid stopped in transit. The world’s poor starving, food rotting & US farmers screwed.
washingtonpost.com
Gutting USAID threatens billions of dollars for U.S. farms, businesses
U.S. businesses that sold goods and services to USAID are in limbo, including American farms dealing in rice, wheat and soybeans.
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Pieternella Pieterse @p-pieterse.bsky.social · 21/03/2025
Presentation and poster at the EUPHA @eupha.bsky.social Health and Care Workforce midterm conference on Budapest
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Pieternella Pieterse @p-pieterse.bsky.social · 14/03/2025
#AfricanHealthEconomics conference 2025, Kigali.
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RCSI Institute of Global Surgery @rcsiglobalsurgery.bsky.social · 05/03/2025
At the #RCSIResearchDay poster viewing, Dr @p-pieterse.bsky.social IGS Research Fellow, was sharing invaluable work with our RCSI colleagues on, "Unsalaried clinical health workers in Sierra Leone - What this means for public healthcare delivery." @rcsi.bsky.social @researchireland.bsky.social
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ProPublica @propublica.org · 03/03/2025
NEW: One million children will go untreated for severe malnutrition, up to 166,000 people will die from malaria and 200,000 more children will be paralyzed by polio over the next decade, internal memos estimated. The USAID programs were cut anyway. By Brett Murphy and @annamaria.bsky.social
propub.li
Internal Memos: Senior USAID Leaders Warned Trump Appointees of Hundreds of Thousands of Deaths From Closing Agency
One million children will go untreated for severe malnutrition, up to 166,000 people will die from malaria and 200,000 more children will be paralyzed by polio over the next decade, the memos estimate...
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