A5062756331- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Global Health Care Issues
- Medical Malpractice and Liability Issues
- Health Policy Implementation Science
- Global Public Health Policies and Epidemiology
- Global Health Workforce Issues
- Ethics in medical practice
- Maternal Mental Health During Pregnancy and Postpartum
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Family and Patient Care in Intensive Care Units
- Mental Health and Patient Involvement
- Patient Satisfaction in Healthcare
- Mental Health Treatment and Access
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Healthcare Quality and Management
- Vaccine Coverage and Hesitancy
- Vietnamese History and Culture Studies
- Child Nutrition and Water Access
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
The George Institute for Global Health
2018-2025
The University of Melbourne
2018-2025
Gokhale Institute of Politics and Economics
2016-2024
National Council of Applied Economic Research
2024
Royal Tropical Institute
2010-2020
Health Service Executive
2018
Community health workers (CHWs) are increasingly recognized as an integral component of the workforce needed to achieve public goals in low- and middle-income countries (LMICs). Many factors intersect influence CHW performance. A systematic review with a narrative analysis was conducted identify contextual influencing performance CHWs. We searched six databases for quantitative, qualitative, mixed-methods studies that included CHWs working promotional, preventive or curative primary care...
Responsiveness is a key objective of national health systems. Responsive systems anticipate and adapt to existing future needs, thus contributing better outcomes. Of all the objectives, responsiveness least studied, which perhaps reflects lack comprehensive frameworks that go beyond normative characteristics responsive services. This paper contributes growing, yet limited, knowledge on this topic. Herewith, we review current for understanding drawing these, as well from wider public services...
Community health workers (CHWs) have a unique position between communities and the sector. The strength of CHWs' relationships with both sides influences their motivation performance. This qualitative comparative study aimed at understanding similarities differences in how CHWs, sector were shaped different Sub-Saharan African settings. demonstrates complex interplay on trust actors Mechanisms influencing feelings (dis)connectedness, (un)familiarity serving same goals, perceptions received...
The recent publication of the WHO guideline on support to optimise community health worker (CHW) programmes illustrates renewed attention for need strengthen performance CHWs. Performance partly depends motivation, which in turn is influenced by incentives. This paper aims critically analyse use incentives and their link with improving CHW motivation. We undertook a comparative analysis linkages between motivation based existing datasets qualitative studies six countries. These had used...
With a maternal mortality ratio of 789 per 100,000 live births, and contraceptive prevalence rate 4.7%, South Sudan has one the worst reproductive health situations in world. Understanding social norms around sexuality reproduction, across different ethnic groups, is key to developing implementing locally appropriate public responses. A qualitative study was conducted state Western Bahr el Ghazal (WBeG) explore shaping decisions about family planning among Fertit community. Data were...
There are fragmentations in Iran's health insurance system. Multiple funds exist, without adequate provisions for transfer or redistribution of cross subsidy among them. risk pools, including several private secondary schemes, have resulted a tiered system with inequitable benefit packages different segments the population. Also fragmentation might contributed to inefficiency systems, low financial protection against healthcare expenditures insured persons, high coinsurance rates, notable...
In India, over the last decade, a series of stewardship failures in health system, particularly medical profession, have led to massive erosion trust these institutions. many low- and middle-income countries (LMICs), situation is similar has reached crisis proportions; this requires urgent attention. This paper draws on insights from recent developments argue that purely control-based regulatory response as being currently envisaged by Parliament Supreme Court runs risk undermining trusting...
In China, most primary health care institutes (PHCIs) support ground-level medical services which are essential to residents' levels. The Chinese government implemented a reform in 2009 strengthen PHCIs through increased fiscal inputs. However, how efficiently these inputs were converted into PHCIs' remains unclear. We aimed examine the efficiency of and investigate if any changes occurred following implementation reform. aggregated data from Hainan's 18 districts (2011-21), treating those...
Introduction: This paper explores the development of Realist Implementation Action Research Lab (RIAL), a participatory learning site aimed at addressing health disparities among Adivasi communities in India. Despite national improvements, Adivasis face significant inequities. RIAL employs realist-inspired, theory-driven design to co-create solutions with communities, fostering collaboration diverse stakeholders. The discusses insights from establishment RIAL, focusing on strategies...
Objectives This paper presents the results of a realist evaluation that aimed to understand how, why and under what circumstances Red Cross (RC) capacity-building intervention influences motivation performance RC community health volunteers involved in delivery an immunisation programme Kampala, Uganda. Method Given complexity intervention, we adopted as our methodological approach case study design. Data collection included document review, participant observation interviews. The constant...
Over the last 20 years, community health workers (CHWs) have become a mainstay of human resources for in many low- and middle-income countries (LMICs). A large body research chronicles CHWs' experience their work. In this study we focus on 2 narratives that stand out literature. The first is idea social, economic system contexts intersect to undermine work, key factor underpinning LMIC systems tend view CHWs as just an 'extra pair hands' be called upon provide 'technical fixes.' show dynamic...
Approximately 15% of women in low-and middle-income countries experience common perinatal mental disorders. Yet, many women, even if diagnosed with health conditions, are untreated due to poor quality care, limited accessibility, knowledge, and stigma. This paper describes how health-related stigma influences pregnant women's decisions not disclose their conditions seek treatment Vietnam, all which exacerbate inequitable access maternal healthcare. A mixed-method realist study was conducted,...
Drawing on interviews conducted in 2019-2020, across twenty villages India, this paper unpacks how people with chronic illness navigate complex care-seeking terrain. We show the act of seeking care involves navigating through personal, family, social, economic, cultural, and most importantly, difficult health systems spaces-and entails making moral, financial choices. absence reliable accessible points first contact for primary results running from pillar to post, taking wrong turns,...