A5085461339- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Global Health and Surgery
- Global Health Care Issues
- Chronic Disease Management Strategies
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Healthcare Policy and Management
- Child Nutrition and Water Access
- Primary Care and Health Outcomes
- Vaccine Coverage and Hesitancy
- Opioid Use Disorder Treatment
- Global Health Workforce Issues
- HIV, Drug Use, Sexual Risk
- Healthcare cost, quality, practices
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health Treatment and Access
- COVID-19 epidemiological studies
- Ultrasound in Clinical Applications
- Telemedicine and Telehealth Implementation
- Prenatal Substance Exposure Effects
- Data-Driven Disease Surveillance
Possible Health
2015-2024
Harvard University
2013-2023
Brigham and Women's Hospital
2012-2023
Massachusetts General Hospital
2016-2023
Icahn School of Medicine at Mount Sinai
2017-2020
Kathmandu University
2019-2020
Tribhuvan University
2019-2020
Mangla Hospital and Research Center
2016-2017
Contra Costa Regional Medical Center
2017
Mount Sinai Hospital
2017
While primary care, obstetrical, and surgical services have started to expand in the world's poorest regions, there is only sparse literature on essential support systems that are required make these operations function. Diagnostic imaging critical effective rural healthcare delivery, yet it has been severely neglected by academic, public, private sectors. Currently, a large portion of population lacks access any form diagnostic imaging. In this paper we argue two modalities--diagnostic...
Mental illnesses are the largest contributors to global burden of non-communicable diseases. However, there is extremely limited access high quality, culturally-sensitive, and contextually-appropriate mental healthcare services. This situation persists despite availability interventions with proven efficacy improve patient outcomes. A partnerships network necessary for successful program adaptation implementation. We describe our as a case example that addresses challenges in delivering...
Nepal's Female Community Health Volunteer (FCHV) program has been described as an exemplary public-sector community health worker program. However, despite its merits, the still struggles to provide high-quality, accessible services nation-wide. Both in Nepal and globally, best practices for implementation are not yet known: there is a dearth of empiric research, research that done shown inconsistent results.Here we evaluate pilot designed strengthen Nepali government's FCHV network. The was...
Background: Global health academic partnerships are centered around a core tension: they often mirror or reproduce the very cross-national inequities seek to alleviate. On one hand, risk worsening power dynamics that perpetuate disparities; on other, form an essential response need for healthcare resources reach marginalized populations across globe.Objectives: This study characterizes broader landscape of global partnerships, including challenges developing ethical, equitable, and...
Problem In hospitals in rural, resource-limited settings, there is an acute need for simple, practical strategies to improve healthcare quality. Setting A district hospital remote western Nepal. Key measures improvement To provide a mechanism systems-level reflection so that staff can identify targets quality delivery. Strategies change develop morbidity and mortality conference (M&M) initiative aims facilitate structured analysis of patient care barriers providing care, which...
Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% these deaths occur in developing countries. Increasing antenatal care quality and completion, institutional delivery are key strategies reduce mortality, however there many implementation challenges rural resource-limited settings. In Nepal, 43% deliveries do not...
Over the last decade, extensive scientific and policy innovations have begun to reduce "quality chasm" - gulf between best practices actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely be equally acute deadly resource-limited areas. health systems scaled up impoverished areas, scale-up just foundation necessary deliver effective healthcare poor. This perspective piece describes a vision for global quality improvement movement...
Evidence-based medicines, technologies, and protocols exist to prevent many of the annual 300,000 maternal, 2.7 million neonatal, 9 child deaths, but they are not being effectively implemented utilized in rural areas. Nepal, one South Asia's poorest countries with over 80% its population living areas, exemplifies this challenge. Community health workers an important cadre low-income where human resources for care infrastructure limited. As local women, uniquely positioned understand...
Globally, electronic medical records are central to the infrastructure of modern healthcare systems. Yet vast majority have been designed for resource-rich environments and not feasible in settings poverty. Here we describe design implementation an record at a public sector district hospital rural Nepal, its subsequent expansion additional facility.DevelopmentThe was solve following elements delivery: 1) integration systems across inpatient, surgical, outpatient, emergency, laboratory,...
Background Surveillance systems are increasingly relying upon community-based or crowd-sourced data to complement traditional facilities-based sources. Data collected by community health workers during the routine course of care could combine early warning power collection with predictability and diagnostic regularity facility data. These inform public responses epidemics spatially-clustered endemic diseases. Here, we analyze on a daily basis clinical in rural Nepal. We evaluate if such...
Community health workers form the backbone of healthcare systems globally. The rapid expansion mobile communications represents an opportunity to improve productivity community in rural areas. Here, we describe a programme Nepal that aimed implement phone system for collecting surveillance data, yet did not reach its fullest potential due several management challenges during implementation programme. Despite early successes with itself, ultimately failed leadership transitions, poor process...
Access to high-quality antenatal care services has been shown be beneficial for maternal and child health. In 2016, the WHO published evidence-based recommendations that aim improve utilization, quality of care, patient experience. Prior research in Nepal a lack social support, birth planning, resources are barriers accessing rural communities. The success CenteringPregnancy participatory action women's groups suggests group models may both access delivered through empowerment creation...
<h3>ABSTRACT</h3> Community health workers (CHWs) are essential to primary care systems and a cost-effective strategy achieve the Sustainable Development Goals (SDGs). Nepal is strongly committed universal coverage SDGs. In 2017, Ministry of Health Population partnered with nongovernmental organization Nyaya pilot program aligned 2018 World Organization guidelines for CHWs. The includes CHWs who: (1) receive regular financial compensation; (2) meet minimum education level; (3) well...