- Healthcare Systems and Reforms
- Global Health Care Issues
- Global Maternal and Child Health
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Global Public Health Policies and Epidemiology
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- Healthcare Policy and Management
- Respiratory Support and Mechanisms
- Health Systems, Economic Evaluations, Quality of Life
- Global Health and Epidemiology
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Global Health Workforce Issues
- Child Nutrition and Water Access
- Delphi Technique in Research
- Blood Pressure and Hypertension Studies
- Income, Poverty, and Inequality
- Agricultural risk and resilience
- Family and Patient Care in Intensive Care Units
- Cardiac Health and Mental Health
- Pharmaceutical Economics and Policy
- Primary Care and Health Outcomes
- Diabetes Management and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
The George Institute for Global Health
2016-2024
The University of Melbourne
2016-2024
Melbourne Health
2024
National Council of Applied Economic Research
2024
Monash University
2013-2023
The University of Western Australia
2023
Curtin University
2023
Australian National University
2023
Western Sydney University
2023
RMIT University
2023
<h3>Background</h3> Pulmonary rehabilitation is a cornerstone of care for COPD but uptake traditional centre-based programmes poor. We assessed whether home-based pulmonary rehabilitation, delivered using minimal resources, had equivalent outcomes to rehabilitation. <h3>Methods</h3> A randomised controlled equivalence trial with 12 months follow-up. Participants stable were randomly assigned receive 8 weeks by either the standard outpatient model, or new model including one home visit and...
India launched the 'Rashtriya Swasthya Bima Yojana' (RSBY) health insurance scheme for poor in 2008. Utilising 3 waves (1999-2000, 2004-05 and 2011-12) of household level data from nationally representative surveys National Sample Survey Organisation (NSSO) (N = 346,615) district RSBY administrative on enrolment, we estimated causal effects out-of-pocket expenditure. Using 'difference-in-differences' methods households matched districts find that did not affect likelihood inpatient spending,...
Improving stroke services is critical for reducing the global burden. The World Stroke Organization-World Health Organization-Lancet Neurology Commission on conducted a survey of status in low and middle-income countries (LMICs) compared to high-income countries.Using validated Organization comprehensive questionnaire, we collected data along four pillars quadrangle (surveillance, prevention, acute stroke, rehabilitation) 84 across regions economic strata. also non-communicable diseases 194...
This study examines the claim that AIDS epidemic will slow pace of economic growth. We do this by examining association, across 51 developing and industrial countries for which we were able to assemble data, between changes in prevalence rate growth GDP per capita. Our analysis uses well-established empirical equations control a variety factors possibly correlated with might also influence account possible simultaneity relationship main finding is has had an insignificant effect on capita...
In India, Non Communicable Diseases (NCDs) and injuries account for an estimated 62% of the total age-standardized burden forgone Disability Adjusted Life Years (DALYs). Public private financing clinical services to reduce NCD is a major challenge.We used National Sample Survey Organization (NSSO) survey data from 1995-96 2004 covering nearly 200 thousand households assess healthcare utilization patterns out pocket health spending by disease category. For this purpose, self-reported diseases...
Both China and India have recently committed to injecting new public funds into health care. countries are now deciding how best channel the additional produce benefits for their populations. In this paper we analyze well care systems of performed what determines performance. Based on analysis, suggest that money alone, channeled through insurance infrastructure strengthening, is inadequate address current problems unaffordable heavy financial risk, future challenges posed by aging...
Background The major efficacy trials on diabetes prevention have used resource-intensive approaches to identify high-risk individuals and deliver lifestyle interventions. Such strategies are not feasible for wider implementation in low- middle-income countries (LMICs). We aimed evaluate the effectiveness of a peer-support intervention preventing type 2 among identified basis simple risk score. Methods findings Kerala Diabetes Prevention Program was cluster-randomized controlled trial...
Pulmonary rehabilitation is an effective treatment for people with chronic respiratory disease but delivered to <5% of eligible individuals. This study investigated whether home-based telerehabilitation was equivalent centre-based pulmonary in disease.A multicentre randomised controlled trial assessor blinding, powered equivalence undertaken. Individuals a referred at four participating sites (one rural) were and using concealed allocation or telerehabilitation. Both programmes two times per...
Abstract The rapid ageing of India's population, in conjunction with migration out rural areas and the continued concentration working population informal sector, has highlighted need for better economic security arrangements elderly. Traditional family ties that have been key to ensuring a modicum such are beginning fray, increased longevity is making care elderly more expensive. As result, at risk being poor or falling into poverty. In parallel its efforts address this issue, Government...
We assessed the burden of cancer on households' out-of-pocket health spending, non-medical consumption, workforce participation, and debt asset sales using data from a nationally representative morbidity survey in India for 2004 nearly 74 thousand households. Propensity scores were used to match households containing member diagnosed with (i.e. cancer-affected households) similar socioeconomic demographic characteristics (controls). Our estimates are based 1,645 chosen through matching....
In the background of ongoing health sector reforms in India, paper investigates magnitude and trends out-of-pocket catastrophic payments for key population sub-groups. Data from three rounds nationally representative consumer expenditure surveys (1999–2000, 2004–05 2011–12) were pooled to assess changes over time a range -related outcome indicators poorest 20% households, scheduled caste tribe households Muslims relative their better-off/majority religion counterparts. Our results suggest...
This paper presents findings on hysterectomy prevalence from a 2010 cross-sectional household survey of 2,214 rural and 1,641 urban, insured uninsured women in low-income households Ahmedabad city district Gujarat, India. The study investigated why was leading reason for use health insurance by SEWA, women's organisation that operates community-based scheme. Of women, 9.8% 5.3% urban had hysterectomy, compared to 7.2% 4.0%, respectively, women. Approximately one-third all hysterectomies were...
Although smaller as a proportion of total population than Western Europe or Japan, almost 15% Australia's is aged 65 years and over expected to increase nearly 22.5% by 2050. Health policy makers in Australia have tried multiple approaches address the growing health care needs an aging related burden noncommunicable conditions (NCDs). We assess how these interventions-in primary care, hospital services private insurance-have influenced outcomes draw inferences from their successes some main...
Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings mixed-methods study estimate incidence and identify predictors hysterectomy setting Gujarat, India. The estimated hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than reported from other countries, at relatively low mean age 36 years. There strong evidence...