A5052225522- Mental Health Treatment and Access
- COVID-19 and Mental Health
- Health disparities and outcomes
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Child and Adolescent Psychosocial and Emotional Development
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- Digital Mental Health Interventions
- Blood Pressure and Hypertension Studies
- Community Health and Development
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Climate Change and Health Impacts
- Nutritional Studies and Diet
- Mobile Health and mHealth Applications
- Sodium Intake and Health
- COVID-19 epidemiological studies
- Substance Abuse Treatment and Outcomes
- Obesity, Physical Activity, Diet
- Migration, Health and Trauma
- Resilience and Mental Health
- Health Policy Implementation Science
- Family Caregiving in Mental Illness
George Institute for Global Health
2016-2025
UNSW Sydney
2018-2025
Imperial College London
2023-2025
Manipal Academy of Higher Education
2020-2025
George Institute for Global Health
2016-2025
The George Institute for Global Health
2018-2023
Institute for Health Metrics and Evaluation
2018-2022
Peking University
2022
University College London
2021
University of Oxford
2013-2020
In this article, we evaluate the current state of universal school‐based mental health prevention. We argue that field is at another pivotal turning point, with many unanswered questions. As youth issues rise in prominence and prevalence, schools increasingly adopt well‐being programmes. However, recent large‐scale trials have reported varied effects, raising questions about their effectiveness. critically analyse these findings place them a global context. contend results high‐income...
Abstract Background Chronic diseases are the leading cause of premature death and disability in world with overnutrition a primary diet-related ill health. Excess energy intake, saturated fat, sugar, salt derived from processed foods major disease burden. Our objective is to compare nutritional composition between countries, food companies, over time. Design Surveys will be done each participating country using standardized methodology. Information on nutrient for product sought either...
<h3>Importance</h3> Poorly controlled hypertension is a leading global public health problem requiring new treatment strategies. <h3>Objective</h3> To assess whether low-dose triple combination antihypertensive medication would achieve better blood pressure (BP) control vs usual care. <h3>Design, Setting, and Participants</h3> Randomized, open-label trial of BP therapy care for adults with (systolic >140 mm Hg and/or diastolic >90 Hg; or in patients diabetes chronic kidney disease:...
A significant number of people with mental illness do not use health services to receive treatment for their symptoms. This study examined the hypothesis that social network and support affect service use.Data were from Baltimore cohort Epidemiologic Catchment Area study, a prospective gathered data over four time points. in 1993-1996 (N=1,920) 2004-2005 (N=1,071). The indicators relation types (general medical, within general specialty psychiatric, other human services) multivariate...
Purpose: To evaluate the psychological impact of COVID 19 crisis on ophthalmologists-in-training and practising ophthalmologists during lockdown in India. Methods: An online survey was completed by ophthalmology trainees lockdown. The information collected included demographics (age, gender), domicile (state, union territory), current professional status (in training or practising), type practice (solo, group, institutional, governmental, non-governmental), marital (married, single),...
Cardiovascular disease (CVD) is the major cause of premature death and disability in India yet few people at risk CVD are able to access best practice health care. Mobile (mHealth) a promising solution, but very mHealth interventions have been subjected robust evaluation India.The objectives were develop multifaceted, mobile clinical decision support system (CDSS) for management evaluate it use by public nonphysician care workers (NPHWs) physicians rural Indian setting.Plain language rules...
About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% them receive any health care. Stigma, lack adequate professionals and services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting mobile-technology based electronic decision support systems to enhance ability primary care workers provide evidence-based stress, depression, suicidal risk 30 remote villages state Andhra Pradesh, India.The Systematic Medical...
The COVID pandemic has been devastating for not only its direct impact on lives, physical health, socio-economic status of individuals, but also mental health. Some individuals are affected psychologically more severely and will need additional care. However, the current health system is so fragmented focused caring those infected that management illness neglected. An integrated approach needed to strengthen system, service providers research manage problems related develop robust strategies...
Objective: To analyse trends in mortality from suicide over the period 1965–99. Method: Data were derived WHO database, including data for 47 countries. Results: In European Union (EU), all age peaked at 16.1/100 000 men 1980–84, and declined thereafter to 14.4/100 1995–98. females, fall was 29% reach 4.6/100 000. A similar pattern of observed several eastern contrast, rose substantially Russian Federation, 37.7/100 males 1985–89 58.3/100 1995–98 (+55%), 9.5/100 (+12%) females. USA most...
Maulik PK, Eaton WW, Bradshaw CP. The effect of social networks and support on common mental disorders following specific life events. Objective: This study examined the association between events while accounting for supports. Method: Participants included 1920 adults in Baltimore Epidemiologic Catchment Area Cohort who were interviewed 1993–1996, whom 1071 re‐interviewed 2004–2005. Generalized estimating equations used to analyze data. Results: Social from friends, spouse or relatives was...
Background Stigma related to mental health is a major barrier help-seeking resulting in large treatment gap low- and middle-income countries (LMIC). This study assessed changes knowledge, attitude behaviour, stigma among participants exposed an anti-stigma campaign. Method The campaign, using multi-media interventions, was part of the SMART Mental Health Project, conducted for 3 months, across 42 villages rural Andhra Pradesh, South India. Mixed-methods evaluation two pre-post design....
Background Cardiovascular diseases (CVD) are rising in India resulting major health system challenges. Methods Eighteen primary centre (PHC) clusters rural Andhra Pradesh were randomised over three, 6-month steps to an intervention comprising: (1) household CVD risk assessments by village-based community workers (CHWs) using a mobile tablet device; (2) electronic referral and clinical decision support for PHC doctors; (3) tracking follow-up care. Independent data collectors screened people...
Hypertension is a major risk factor for cardiovascular disease, leading cause of premature death and disability in India. Since access to health services poor rural India Accredited Social Health Activists (ASHAs) are available throughout maternal child health, potential solution improving hypertension control by utilising this workforce. We aimed develop implement training package ASHAs identify the community, evaluate effectiveness program using Kirkpatrick Evaluation Model. The was part...
Background New methods are required to manage hypertension in resource-poor settings. We hypothesised that a community health worker (CHW)–led group-based education and monitoring intervention would improve control of blood pressure (BP). Methods findings conducted baseline community-based survey followed by cluster randomised controlled trial people with 3 rural regions South India, each at differing stages epidemiological transition. Participants hypertension, defined as BP ≥ 140/90 mm Hg...
Abstract Stigma, discrimination, poor help seeking, dearth of mental health professionals, inadequate services and facilities all adversely impact the treatment gap. Service utilization by community is influenced cultural beliefs literacy levels. We conducted a situational analysis in light little information available on related stigma, service provision Haryana, state Northern India. This involved: (a) qualitative key informant interviews; (b) facility records review; (c) policy document...