A5013156515- Healthcare Policy and Management
- Global Maternal and Child Health
- Mosquito-borne diseases and control
- Dental Health and Care Utilization
- Malaria Research and Control
- Economic Growth and Development
- Migration and Labor Dynamics
- Income, Poverty, and Inequality
- HIV/AIDS Impact and Responses
- Healthcare Systems and Reforms
- Dental Education, Practice, Research
- Global Health Workforce Issues
- Dengue and Mosquito Control Research
- Dental Research and COVID-19
- Reproductive Health and Technologies
- HIV/AIDS Research and Interventions
- Assisted Reproductive Technology and Twin Pregnancy
- Dental Radiography and Imaging
- Health Systems, Economic Evaluations, Quality of Life
- Employment and Welfare Studies
- Child Nutrition and Water Access
- Food Security and Health in Diverse Populations
- Obesity and Health Practices
- Congenital Diaphragmatic Hernia Studies
- Biomedical Ethics and Regulation
Brandeis University
2017-2025
University of Massachusetts Chan Medical School
2021-2023
Sanofi (France)
2018
Following publication of results from two phase-3 clinical trials in 10 countries or territories, endemic began licensing the first dengue vaccine 2015. Using a published mathematical model, we evaluated cost-effectiveness vaccination populations similar to those at trial sites same Latin American and Asian countries. Our main scenarios (30-year horizon, 80% coverage) entailed 3-dose routine vaccinations costing US$20/dose beginning age 9, potentially supplemented by catch-up programs 4-...
<title>Abstract</title> <bold>Introduction</bold> Although long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) have made significant contributions to malaria reduction, they are hampered by sustainability issues, increasing insecticide resistance, operational challenges, low uptake, retention, compliance. Newer more effective complementary interventions needed address these issues. A non-pyrethroid insecticide-treated wall lining (ITWL) was piloted challenges....
The Massachusetts Medicaid and Children's Health Insurance Program launched the Flexible Services to address food insecurity through partnerships with social service organizations under its Section 1115 demonstration waiver. We evaluated effects of nutritional services (or Food Is Medicine programs) on health care use costs during first three-year program cycle (January 2020-March 2023). Our analyses pooled data 20,403 participants from seventeen accountable organizations. In propensity...
Wolbachia are bacteria that inhibit dengue virus replication within the mosquito. A cluster-randomized trial in Indonesia found reduced virologically-confirmed cases by 77.1%. Previous models predicted to be highly cost-effective Indonesia, Vietnam, and Brazil. To inform decisions about future extensions Colombia, we performed economic evaluations of potential deployments 11 target cities. We assembled numbers distribution severity reported from Colombia's national disease surveillance...
Abstract Objectives We aimed to quantify the impact of dental caries and missing anterior teeth on employment, estimate a routine visit health teeth, benefits expanding coverage for nonelderly adults. Methods used 2013–2014 Continuous National Health Nutritional Examination Survey develop problem index (DPI) using tooth counts surface conditions. estimated DPI employment with logistic regression, controlling seven demographic socioeconomic covariates. within 6 months as proxy access...
Informed decisions concerning emerging technologies against dengue require knowledge about the disease's economic cost and each stakeholder's potential benefits from better control. To generate such data for Indonesia, we reviewed recent literature, analyzed expenditure utilization two hospitals primary care facilities in Yogyakarta city, interviewed 67 patients hospital, ambulatory, not medically attended settings. We derived of a episode by outcome, setting, breakdown payer. then...
Design This study surveyed patients with stored frozen embryos and developed tested an intervention through a randomized trial to support subjects consider embryo disposition options (EDOs), especially donation for family building. Methods Based on review of literature EDOs, the authors mailed 2-page anonymous survey 1,053 in Massachusetts (USA) elicit their feelings about embryos. Target had cryopreserved ≥1 year not indicated EDO. Survey respondents were next between usual care (control...
ABSTRACT. To improve access to affordable primary health care and preventive services, in 2019 Rwanda’s Ministry of Health inaugurated eight laboratory-equipped second-generation posts (SGHPs) the Bugesera District. Patient fees through insurance system ( mutuelles ) funded most operational costs a public–private partnership. This prospective, controlled trial evaluated posts’ impact cost-effectiveness. Our evaluation matched rural cells containing these control without formal posts. We...
ABSTRACT Background and Aims Wolbachia are bacteria that inhibit dengue virus replication within the mosquito. A cluster-randomized trial found reduced virologically-confirmed cases by 77% previous models predicted to be highly cost-effective in Indonesia, Vietnam, Brazil. Colombia, was introduced Aburrá Valley 2015 Cali 2020. To inform decisions about future extensions, we performed economic evaluations of potential expansion deployments 11 target Colombian cities. Methods We assembled...
Achieving universal health coverage is a strategic goal for the Government of Jordan. Estimating cost expanding to vulnerable Jordanians under Civil Insurance Programme (CIP) an important step towards achieving this goal.This study aimed estimate and fiscal impact insurance Jordanians.We identified quantified estimated their utilization services provided at Ministry Health facilities using allocation macrocosting approaches. We calculated annual actuarial per person expansion.It was that...
Some cultural and social factors may discourage the use of modern family planning (MFP) methods. The purpose this study was to better understand barriers norms that might affect women's ability take optimal advantage free services offered by Jordanian Ministry Health (MOH).Using a qualitative descriptive design, 7 focus group discussions were conducted from January February 2018, with purposive sample 52 married women. Each consisted 6-12 participants. Ethical approvals obtained. Data...
Background: In 2014, the Joint United Nations Programme on HIV/AIDS (UNAIDS) introduced 90-90-90 goals to eliminate AIDS epidemic. Namibia was first African country meet these goals. Objective: To construct a comparative historical narrative of international and government responses epidemic in two countries, identify enabling non-enabling factors key mitigate pandemic. Methods: We conducted desk review public documents, peer-reviewed articles, media reports evaluate actions taken by Ghana’s...
Abstract Background Despite widespread use of long-lasting insecticidal nets (LLINs) and other tools, malaria caused 409,000 deaths worldwide in 2019. While indoor residual spraying (IRS) is an effective supplement, IRS moderately expensive logistically challenging. In endemic areas, requires yearly application just before the main rainy season potential interim reapplications. A new technology, insecticide-treated wall liner (ITWL), might overcome these challenges. Methods We conducted a...
Background: Favorable attitudes toward modern family planning methods (MFPMs) among Jordanian and Syrian women do not always translate into behavioral changes, the availability cost of MFPMs appear to be related either prior stalls in fertility rates Jordan or current likely temporary decline rates. This study aimed determine whether economics (BE)-based interventions influence use any method, use, continuation pregnancy Jordan. The BE-based included personalized text messaging augmented...
We performed an economic analysis of a new technology used in antenatal care (ANC) clinics, the ANC panel. Introduced 2019-2020 five Rwandan districts, panel screens for four infections [hepatitis B virus (HBV), human immunodeficiency (HIV), malaria, and syphilis] using blood from single fingerstick. It increases scope sensitivity screening over conventional testing.We developed applied Excel-based epidemiologic model to perform cost-effectiveness cost-benefit analyses this Kenya, Rwanda,...