A5029674919- Migration, Health and Trauma
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Health and Conflict Studies
- Tuberculosis Research and Epidemiology
- Mental Health Treatment and Access
- Vibrio bacteria research studies
- Quality and Safety in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Biomedical and Engineering Education
- Health Policy Implementation Science
- COVID-19 epidemiological studies
- Chronic Disease Management Strategies
- Complex Systems and Decision Making
- HIV/AIDS Impact and Responses
- Healthcare Policy and Management
- Evaluation and Performance Assessment
- Employment and Welfare Studies
- Family Caregiving in Mental Illness
- Vaccine Coverage and Hesitancy
- Global Health Care Issues
- Primary Care and Health Outcomes
- Parasites and Host Interactions
- Parasitic Diseases Research and Treatment
Queen Margaret University
2018-2024
Bridge University
2022-2023
World Health Organization - Pakistan
2022-2023
Imperial College London
2021
American University of Beirut
2020
University of Edinburgh
2020
University of Birmingham
2014-2017
Resilience is increasingly recognised as a key process mitigating the impact of shocks and stressors on functioning. The literature individual community resilience being extended to address characteristics resilient service delivery systems in contexts adversity. validity utility capacity-oriented framework (including absorption, adaptation transformation) examined with respect functioning United Nations Relief Works Agency for Palestine Refugees Near East (UNRWA) health Lebanon Jordan...
The growing burden of non-communicable diseases in low- and middle-income countries presents substantive challenges for health systems. This is also the case fragile, post-conflict post-Ebola Sierra Leone, where NCDs represent an increasingly significant disease (around 30% adult men women have raised blood pressure). To date, documentation system opportunities NCD prevention control limited such settings. paper aims to identify provision care highlight lessons Leone other fragile states...
Health system resilience reflects the ability to continue service delivery in face of extraordinary shocks. We examined case United Nations Relief and Works Agency (UNRWA) its services Palestine refugees Syria during ongoing crisis identify factors enabling resilience. The study is a retrospective qualitative utilizing diverse methods. conducted 35 semi-structured interviews with UNRWA clinical administrative professionals engaged health over period conflict. Through group model building...
Available evidence on mental health and psychosocial problems in Lebanon is limited. Recent quantitative data suggests a high prevalence among Syrian refugees their Lebanese host communities, with significant treatment gaps both populations. This study aims to determine how refugee communities perceive health, identify seeking behaviors barriers access two contrasting contexts of fragility.A comparative qualitative design was adopted whereby total 36 semi-structured interviews refugees'...
Introduction Non-communicable diseases (NCDs) are the leading cause of mortality globally. In Africa, they expected to increase by 25% 2030. However, very little is known about community perceptions risk factors and influencing health-seeking behaviour, especially in fragile settings. Understanding these critical effectively address this epidemic, low-resource Methods We use participatory group model building techniques probe knowledge NCD conditions their causes, patterns for NCDs affecting...
Non-communicable diseases (NCDs) disproportionately affect people living in fragile contexts marked by poor governance and health systems struggling to deliver quality services for the benefit of all. This combination can lead erosion trust system, affecting health-seeking behaviours ability individuals sustain their health. In this cross-country multiple-case study, we analyse role NCD contexts. Our analysis triangulates multiple data sources, including semi-structured interviews (n = 102)...
Abstract Background Non-communicable diseases (NCD) present an increasing global health challenge, particularly for settings affected by fragility where access to care may be disrupted, and high-quality continuous delivery is difficult achieve. This study documents the complex dynamics of NCD prevention management in fragile setting rural Beqaa, Lebanon. Methods Participatory system methods were used, including 30 semi-structured interviews three Group Model Building (GMB) workshops....
There is a high risk of Mycobacterium tuberculosis (Mtb) transmission in healthcare facilities burden settings. WHO guidelines on (TB) infection prevention and control (IPC) recommend range measures to reduce These were evaluated primarily based evidence for their effects workers hospitals. To estimate the overall impact IPC interventions, it necessary also consider community-wide TB incidence mortality.We developed an individual-based model Mtb households, primary (PHC) clinics, all other...
Nigeria accounts for a substantial cholera burden globally, particularly in its northeast region, where insurgency is persistent and widespread. We used participatory group model building workshops to explore enablers barriers implementing known interventions, including water, sanitation hygiene, surveillance laboratory, case management, community engagement, oral vaccine, leadership coordination, as well exploring leverage points interventions collaboration. The study engaged key...
Background The establishment of Child Friendly Spaces ( CFS s) has become a widespread intervention targeting protection and support for displaced children in humanitarian contexts. There is lack evidence impact these interventions with respect to both short‐term outcomes longer‐term developmental trajectories. Methods We collected data from caregivers Congolese refugee residing Rwamwanja Refugee Settlement at three timepoints. To assess s, we compared indicators assessed shortly after...
Background Elevated rates of tuberculosis in healthcare workers demonstrate the high rate Mycobacterium (Mtb ) transmission health facilities high-burden settings. In context a project taking whole systems approach to infection prevention and control (IPC), we aimed evaluate potential impact conventional novel IPC measures on Mtb patients other clinic attendees. Methods An individual-based model patient movements through clinics, ventilation waiting areas, was developed, parameterised using...
Abstract Background Evidence suggests wide variability in the provision of mental healthcare across countries. Countries experiencing fragility related risks suffer from a high burden mental-ill health and additionally have limited capacity to scale up services given financial human resource shortages. Integration into routine primary care is one potential strategy for enhancing service availability, however little known about experiences currently active providers involved psychosocial...
Abstract Background Due to the COVID-19 pandemic and political crisis, Myanmar’s health system has suspended routine services while struggling respond pandemic. Many people who need continuous care, like pregnant women with chronic illnesses, have been facing challenges in seeking receiving essential services. This study explored community practices coping mechanisms, including their views on stressors. Methods was a cross-sectional qualitative based 12 in-depth-interviews persons...
The 2030 Global Task Force on Cholera Control Roadmap hinges strengthening the implementation of multistranded cholera interventions, including community engagement and health system strengthening. However, a composite picture specific facilitators barriers for these interventions any overlapping factors existing between two, is lacking. Therefore, this study aims to address shortcoming, focusing cholera-reporting countries, which are disproportionately affected by may be endemic. A scoping...
Abstract Tuberculosis infection prevention and control (TB IPC) measures are a cornerstone of policy, but diverse variably implemented. Limited attention has been paid to the health system environment which influences successful implementation these measures. We used qualitative dynamics group-model-building methods 1) develop causal map interlinked drivers Mycobacterium tuberculosis (Mtb) transmission in South African primary care facilities turn, helped us 2) identify plausible IPC...
Nosocomial
Northwest Syria (NWS) is a complex and extremely fragile operating environment, with more than 2.8 million people needing humanitarian assistance. To support common standard of care delivery enable coordination among the multiple providers in NWS, WHO developed an Essential Health Services package (EHSP) 2016-17 subsequently supported facility network model to deliver EHSP. This article provides evaluation date, aiming inform further development draw wider lessons for application similar...