A5043398138- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Global Public Health Policies and Epidemiology
- Global Health Care Issues
- Child Nutrition and Water Access
- Healthcare Policy and Management
- COVID-19 Pandemic Impacts
- Public Health Policies and Education
- SARS-CoV-2 and COVID-19 Research
- Disaster Response and Management
- Child and Adolescent Health
- Innovation and Socioeconomic Development
- Human Resource Development and Performance Evaluation
- Migration, Health and Trauma
- Hepatitis Viruses Studies and Epidemiology
- Viral gastroenteritis research and epidemiology
- Community Development and Social Impact
- Health disparities and outcomes
- Employment and Welfare Studies
- Blood Pressure and Hypertension Studies
- Politics and Conflicts in Afghanistan, Pakistan, and Middle East
- Viral Infections and Outbreaks Research
Charles Sturt University
2025
Aga Khan University
2019-2024
American University in Cairo
2023
Bridge University
2020-2023
World Health Organization Regional Office for the Eastern Mediterranean
2023
Aga Khan University Hospital
2021-2023
University of Hong Kong
2023
Aga Khan University
2017-2020
University of Toronto
2020
Multiple Coronavirus Disease 2019 (COVID-19) vaccines appear to be safe and efficacious, but only high-income countries have the resources procure sufficient vaccine doses for most of their eligible populations. The World Health Organization has published guidelines prioritisation, impact projections focused on countries, few incorporate economic considerations. To address this evidence gap, we projected health different vaccination scenarios in Sindh Province, Pakistan (population: 48 million).
Objectives COVID-19 has altered health sector capacity in low-income and middle-income countries (LMICs). Cost data to inform evidence-based priority setting are urgently needed. Consequently, this paper, we calculate the full economic costs of clinical management 79 LMICs under different epidemiological scenarios. Methods We used country-specific projections from a dynamic transmission model determine number cases, hospitalisations deaths over 1 year four mitigation defined response for...
<title>Abstract</title> Identifying the critical modifiable risk factors for anxiety and depression is crucial reducing increasing burden of mental illness among reproductive-aged women 15–49 years in Nepal. We investigated Population Attributable Fractions (PAFs) generalized disorder major depressive attributable to potentially reproductive-age women. This cross-sectional study analysed data from Nepal Demographic Health Survey 2022. Multilevel logistic regression analyses determined odds...
Policy makers need to be rapidly informed about the potential equity consequences of different COVID-19 strategies, alongside their broader health and economic impacts. While there are complex models inform both macro-economic impact, few tools available assess impacts interventions.
COBRA-BPS (Control of Blood Pressure and Risk Attenuation-Bangladesh, Pakistan, Sri Lanka), a multicomponent, community health-worker (CHW)-led hypertension management program, has been shown to be effective in rural communities South Asia. This paper presents the acceptability multicomponent intervention among key stakeholders.We conducted post-implementation interviews 87 stakeholder including 23 health workers (CHWs), 19 physicians 45 patients 15 randomized Bangladesh, Lanka. We used...
Background: Pakistan developed its first national Essential Package of Health Services (EPHS) as a key step towards accelerating progress in achieving Universal Coverage (UHC). We describe the rationale, aims, systematic approach followed to EPHS development, methods adopted, outcomes process, challenges encountered, and lessons learned. Methods: design was led by Ministry National Services, Regulations & Coordination. The adopted were technically guided Disease Control Priorities 3...
Background: Countries designing a health benefit package (HBP) to support progress towards universal coverage (UHC) require robust cost-effectiveness evidence. This paper reports on Pakistan’s approach assessing the applicability of global evidence country context as part HBP design process. Methods: A seven-step process was developed and implemented with Disease Control Priority 3 (DCP3) project partners assess incremental ratios (ICER) Pakistan. First, scope interventions be assessed...
Introduction. Pakistan has the highest childhood mortality associated with diarrheal diseases. The objective of this study is to identify underlying factors contributing lack knowledge among mothers regarding vaccine’s efficacy in prevention diarrhea. Methodology. Secondary data was analyzed from a cross-sectional household survey Northern eligible households having under-2-year children. Univariate and multivariate logistic regression analyses were carried out. Results. Only 30% had...
Background: The Federal Ministry of National Health Services, Regulations and Coordination (MNHSR&C) in Pakistan has committed to progress towards Universal Coverage (UHC) by 2030 providing an essential package for health services (EPHS). Starting 2019, the Disease Control Priorities 3 (DCP3) evidence framework was used guide development Pakistan’s EPHS. In this paper, we describe methods results a rapid costing approach inform EPHS design process. Methods: A total 167 unit costs were...
Background: The Disease Control Priorities 3 (DCP3) project provides long-term support to Pakistan in the development and implementation of its universal health coverage essential package services (UHC-EPHS). This paper reports on priority setting process used design EPHS during period 2019-2020, employing framework evidence-informed deliberative processes (EDPs), a tool for with explicit aim optimising legitimacy decision-making benefit packages. Methods: We planned six steps two workshops...
BACKGROUND: In Pakistan&rsquo;s high child mortality context, a large-scale Lady Health Worker (LHW) Program raises the need to look at whether LHWs are delivering their key mandate as agents of change for health. This study examines quantity and quality LHW interactions with mothers health impact on mothers&#39; knowledge practices.
 
 METHODS: 1,968 children &lt;2 years (n=1,968) were interviewed through cross-sectional survey in two rural districts Pakistan focusing...
Abstract Background Multiple COVID-19 vaccines appear to be safe and efficacious, but only high-income countries have the resources procure sufficient vaccine doses for most of their eligible populations. The World Health Organization has published guidelines prioritisation, impact projections focused on countries, few incorporate economic considerations. To address this evidence gap, we projected health different vaccination scenarios in Sindh province, Pakistan (population: 48 million)....
Understanding health-seeking behaviors of caregivers is important to reduce child mortality. Several factors influence decision-making related childhood illnesses.The objective this study was gather caretaker narratives develop a comprehensive understanding the context and process caregiving at household level during all stages an episode diarrhea pneumonia in children <5.Using narrative interview approach, stories from <5 were collected rural district Sindh Pakistan. Eleven households with...
Background: Rapid urbanization has led to emergence of squatter settlements with poor infrastructure and compromised basic amenities. These conditions expose vulnerable groups like women children serious health risks. This paper presents the status maternal child in a settlement Karachi.Methods: Health Demographic Surveillance System was established Sultanabad, Karachi. Households were eligible be enrolled if there married woman 15-49 years age. Data on socio-demographic, indicators...
In the megacity of Karachi, which has a population more than 24 million, 9.2 million people (approximately 40 per cent) live in squatter settlements. Communities here are characterised by low socioeconomic settings, crowded living conditions, inadequate water and sanitation facilities, poor health-related behaviours. Such conditions create an environment favourable to spread communicable diseases like tuberculosis (TB), hepatitis dengue. 
 Since 1985, Department Community Health...
Abstract “Coronavirus Disease 2019” (C19) is a respiratory illness caused by “new Coronavirus” SARS-CoV-2. The C19 pandemic, which engulfed the world in 2021, also national epidemic Pakistan, who responded with initial forced lockdowns (15-30 March 2020) and subsequent switch to smart lockdown strategy, and, 31 December 2020, Pakistan had managed limit confirmed cases case fatalities 482,506 (456 per 100,000) 10,176 (4.8 100,000). early successful follow-up move central coordination...
Background: National immunization program staff have limited prior training in economics, despite a need to make difficult economic choices financing and operating their programs.Teaching Vaccine Economics Everywhere (TVEE) is an international consortium of 4 universities that provides vaccine economics mid-career managers policy-makers low-and middle-income countries.Since 2017, TVEE has provided short workshops at four regional hubs using curriculum developed real data scenarios tailored...
Planning is called 'economic' because both economics and planning seek to make human life fuller richer by the same modus operandi, namely, harnessing utilising limited resources for attaining a combination of unlimited objectives. To be effective, must cover all aspects man's life; his hopes aspirations should kept in view deciding what can done with available given period. There are thus three clear-cut stages planning: a) determination objectives, b) assessment resources, c) drawing up...
Abstract Background Access to health services is an important way reduce child mortality and influenced by health-seeking behaviors of caregivers. There are numerous contextual factors that affect behaviors, such as distance services, transportation, treatment cost, caregiver access household finances, perceived quality available providers, availability comprehension information, social religious norms (including gender-based mobility), severity illness. Objective The objective this study...
<h3>Objective</h3> The health systems costs of COVID-19 are high in many countries, including Pakistan. Without increases fiscal space, interventions likely to displace other activities within the system. We reflect on inclusion Pakistan's Essential Package Health Services (EPHS) and, from a financial optimisation perspective, propose which should be displaced ensure highest possible overall utility budgetary constraints. <h3>Methods</h3> estimated all 88 currently included EPHS and...