A5022005351- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Health Care Issues
- Healthcare Policy and Management
- Global Public Health Policies and Epidemiology
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Blood Pressure and Hypertension Studies
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Global Health Workforce Issues
- Diabetes Management and Education
- Viral Infections and Outbreaks Research
- Disaster Response and Management
- Corruption and Economic Development
- Cervical Cancer and HPV Research
- Child Nutrition and Water Access
- Health and Conflict Studies
- HIV/AIDS Research and Interventions
- Employment and Welfare Studies
- Vaccine Coverage and Hesitancy
- Migration, Health and Trauma
- Global Security and Public Health
- Healthcare Systems and Public Health
- Global Health and Surgery
London School of Hygiene & Tropical Medicine
2016-2025
University of London
2006-2025
Faculty of Public Health
2013-2024
Ghana College of Physicians and Surgeons
2024
Ghana Health Service
2024
Leibniz Institute for Prevention Research and Epidemiology - BIPS
2023-2024
Office of Adolescent Health
2020
Amsterdam UMC Location University of Amsterdam
2016
University of Amsterdam
2016
University of California, San Francisco
2013
Existing definitions and measurement approaches of quality health care often fail to address the complexities involved in understanding care. It is perceptions quality, rather than clinical indicators that drive service utilization are essential increasing demand. Here we reflect on nature how influence systems what such indicate about within systems. We discuss six specific challenges related conceptualization care: perceived as a driver utilization; concept shaped over time through...
In the past decade, countries that emerged from Soviet Union have experienced major changes in inherited model of health care, which was centrally planned and provided universal, free access to basic care. The underlying principle universality remains, but coexists with new funding delivery systems growing out-of-pocket payments.To examine patterns determinants care utilization, extent payment for settings is obtained Armenia, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia,...
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness health systems face shock. It brought into sharp focus idea that need not only be stronger but also more 'resilient'. In this article, we argue responding shocks is an important aspect resilience, examining system behaviour four types contemporary shocks: financial crisis Europe from 2008 onwards; climate change disasters; EVD 2013-16; refugee migration Europe. Based on...
To assess accessibility and affordability of health care in eight countries the former Soviet Union.Primary data collection conducted 2010 Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Moldova, Russia, Ukraine.Cross-sectional household survey using multistage stratified random sampling.Data were collected standardized questionnaires with subjects aged 18+ on demographic, socioeconomic, access characteristics. Descriptive multivariate regression analyses used.Almost half respondents who...
Health worker motivation can potentially affect the provision of health services. Low morale among workforce undermine quality service and drive workers away from profession. While presence high-quality, motivated staff is a key aspect system performance, it also one most difficult factors to measure.We assessed as part baseline assessment for strengthening intervention in three rural districts Zambia. The (Better Outcomes Through Mentoring Assessment (BHOMA)) aims increase through training,...
Hypertension is a leading cause of premature death worldwide and the most important modifiable risk factor for cardiovascular disease. Effective screening programs, communication with patients, regular monitoring, adherence to treatment are essential successful management but may be challenging in health systems facing resource constraints. This qualitative study explored patients’ knowledge, attitudes, behaviour care seeking experiences relation detection, control hypertension Colombia. We...
Effective policies to control hypertension require an understanding of its distribution in the population and barriers people face along pathway from detection through treatment control. One key factor is household wealth, which may enable or limit a household's ability access health care services adequately such chronic condition. This study aims describe scale patterns wealth-related inequalities awareness, 21 countries using baseline data Prospective Urban Rural Epidemiology study. A...