- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
- Sepsis Diagnosis and Treatment
- Global Public Health Policies and Epidemiology
- Health Policy Implementation Science
- Antibiotics Pharmacokinetics and Efficacy
- Blood Pressure and Hypertension Studies
- Family and Patient Care in Intensive Care Units
- Hemodynamic Monitoring and Therapy
- Pneumonia and Respiratory Infections
- Pharmaceutical Practices and Patient Outcomes
- Nosocomial Infections in ICU
- Vaccine Coverage and Hesitancy
- Global Health Care Issues
- Antimicrobial Resistance in Staphylococcus
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Healthcare Policy and Management
- Pharmaceutical studies and practices
- COVID-19 and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Heparin-Induced Thrombocytopenia and Thrombosis
- Community Development and Social Impact
Johns Hopkins University
2019-2024
Global Environment Facility
2023-2024
World Bank
2022-2023
World Bank Group
2023
The University of Texas Health Science Center at Houston
2022
Henry Ford Hospital
2012-2022
Cedars-Sinai Medical Center
2022
Asian Development Bank
2022
University of Liège
2017-2021
Centre Hospitalier Universitaire de Liège
2016-2020
The Coronavirus Disease 2019 (COVID-19) pandemic has had wide-reaching direct and indirect impacts on population health. In low- middle-income countries, these can halt progress toward reducing maternal child mortality. This study estimates changes in health services utilization during the associated consequences for maternal, neonatal,
Abstract Background Systematic and behavioral interventions are needed to improve antibiotic use for common conditions like pneumonia. Methods Single pretest, post-test quasi-experiment in a 4-hospital health system metropolitan Detroit, Michigan. Hospitalized patients treated with anti-methicillin-resistant Staphylococcus aureus antipseudomonal antibiotics respiratory infections from August 1, 2015, through January 31, 2016, 2017, were eligible inclusion. Beginning May cultures no dominant...
Abstract Background Lessons from polio eradication efforts and the Global Polio Eradication Initiative (GPEI) are useful for improving health service delivery outcomes globally. The Synthesis Translation of Research Innovations (STRIPE) is a multi-phase project which aims to map, package disseminate knowledge initiatives as academic training programs. This paper discusses initial findings mapping around activities across multi-country context. Methods phase (January 2018 – December 2019)...
Despite substantial progress in improving maternal and newborn health, India continues to experience high rates of mortality stillbirths. One reason may be that many births happen health facilities lack advanced services-such as Caesarean section, blood transfusion, or intensive care. Stratification based on pregnancy risk factors is used guide 'high-risk' women facilities. To assess the utility stratification for guiding choice facility, we estimated frequency adverse outcomes among...
Expanding networks of government primary health centers (PHCs) to bring services closer communities is a longstanding policy objective in LMICs. In pluralistic systems, where public and private providers compete for patients, PHCs are often not the preferred source care. This study analyzes market care Indian state Bihar understand how choice provider influenced by distance, cost quality based on linked surveys rural households, PHCs, conducted 2019 2020. Most residents lived proximity...
Availability and appropriate use of personal protective equipment (PPE) is particular importance in Low Middle-Income countries (LMICs) where disease outbreaks other than COVID-19 are frequent health workers scarce. This study assesses the availability necessary PPE items during pandemic at facilities seven LMICs.Data were collected using a rapid-cycle survey among 1554 LMICs via phone-based surveys between August 2020 December 2021. We gathered data on World Health Organization...
The purpose of this study is to compare the in-hospital mortality rates between septic patients receiving statins and those that did not prior developing sepsis. We compared subgroups atorvastatin simvastatin because these two drugs differ in their pharmacologic properties.This was a retrospective analysis selected from an institutional data base hospitalized with were drawn 1,961 sepsis included who met selection criteria studied for HMG-CoA reductase inhibitor (statin) use both during...
Background Vaccine hesitancy remains a critical barrier in mitigating the effects of ongoing COVID-19 pandemic. The willingness health care workers (HCWs) to be vaccinated, and, turn, recommend vaccine for their patient population is an important strategy. This study aims understand uptake vaccines and reasoning among facility-based LMICs. Methods We conducted nationally representative phone-based rapid-cycle surveys across facilities six LMICs better hesitancy. gathered data on facility...
Palpable purpura resulting from cocaine and levamisole coingestion has been reported with increasing frequency over the last several years as distribution of this drug combination becomes more universal. Toxicity ingestion dangerous is difficult to diagnose due multitude possible clinical presentations, variety adulterants, elusive nature given its short half-life limited availability detection methods. Levamisole a chemotherapeutic immunomodulatory agent currently marketed veterinary...
Non-communicable disease programmes can be strengthened by systematically identifying implementation challenges and translating them into questions that answered through appropriate research, say <b>David H Peters colleagues</b>
Responsive primary health-care facilities are the foundation of resilient health systems, yet little is known about facility-level processes that contribute to continuity essential services during a crisis. This paper describes aspects facility resilience coronavirus disease 2019 (COVID-19) in eight countries. Rapid-cycle phone surveys were conducted with managers Bangladesh, Burkina Faso, Chad, Guatemala, Guinea, Liberia, Malawi and Nigeria between August 2020 December 2021. Responses...
Abstract Background Complex global initiatives, like the Global Polio Eradication Initiative (GPEI), have prevented millions of paralyses and improved health status diverse populations. Despite logistical challenges these initiatives must overcome at several levels, scant methods exist for systematically identifying reaching a range actors involved in their implementation. As result, efforts to document lessons learned from such are often incomplete. This paper describes development...
Abstract Background Afghanistan and Nigeria are two of the three remaining polio endemic countries. While these countries have unique sociocultural characteristics, they share major risk factors. This paper describes countries’ shared contexts highlights important lessons on implementing eradication activities among hard-to-reach populations relevant for future global health programs. Methods A grey literature review Global Polio Eradication Initiative (GPEI) followed by an online survey was...
Abstract Background Previous initiatives have aimed to document the history and legacy of Smallpox Eradication Program (SEP) Global Polio Initiative (GPEI). In this multi-pronged scoping review, we explored evolution learning from SEP GPEI implementation over time at global country levels inform other health programs. Methods Three related reviews literature were conducted; searched for documents on 1) 2) via online database searches also conducted national-level grey in seven purposively...
Background: During and after the SARS-CoV-2 (COVID-19) pandemic, many countries experienced declines in immunization that have not fully recovered to pre-pandemic levels. This study uses routine health facility data estimate variability between within post-pandemic service recovery for BCG, DPT1, DPT3. Methods: After adjusting reporting completeness outliers, interrupted time series regression was used expected volume each subnational unit, using an interruption point of March 2020. We...
Quality of CareEmbedding implementation research to cross the quality care chasm during covid-19 pandemic and beyondMichael Peters colleagues argue that concerted efforts embed can improve health services, even in most challenging operating environments • Donors, policymakers, implementers, researchers all have critical part play prioritising embeddedness strengthening learning capacity systems on 11 December
To assess the strength of implementation family planning programs targeting youth (15-24) in Malawi with a specific focus on and Youth-Friendly Health Services program.We conducted 9781 mobile phone interviews facility in-Charge Nurses health workers (health workers, surveillance assistants [HSAs] community-based distribution agent [CBDAs]) who provide (FP) services across 28 districts. Responses were entered tablet using Open Data Kit. They summarized presented R, Stata (College Station,...
The case of a patient whose International Normalized Ratio (INR) became elevated due to probable interaction between ceftaroline and warfarin is reported.A 65-year-old African-American man developed an INR >18.0 after completing 12 days therapy for the treatment cellulitis while taking therapy. was on his history deep vein thrombosis lower extremity pulmonary embolism, consistently therapeutic approximately 2 years before reported no known drug allergies, had adverse reactions, recent...
Objective Out-of-hospital cardiac arrest (OHCA) in pediatrics is a devastating event associated with poor survival rates. Although telephone dispatcher-assisted cardiopulmonary resuscitation (CPR; T-CPR) instructions improve the frequency and quality of bystander CPR for OHCA adults, this support remains undeveloped children. Our objective was to assess effectiveness pediatric T-CPR protocol untrained trained bystanders. Secondarily, we sought determine feasibility ventilation such protocol....
The purpose of this study was to improve antimicrobial management and outcomes critically ill patients with community-acquired pneumonia (CAP) through implementation a pharmacist-driven bundle for ordering evidence-based diagnostic tests in medical intensive care unit (MICU). An inpatient collaborative practice agreement (CPA) established MICU pharmacists order criteria-driven testing CAP from November 2017–March 2018. Adults admitted the started on empiric antibiotics were included....