A5043738543- Global Maternal and Child Health
- Migration, Health and Trauma
- Global Health Workforce Issues
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Obesity and Health Practices
- Employment and Welfare Studies
- Migration and Labor Dynamics
- Demographic Trends and Gender Preferences
- Community Health and Development
- Global Public Health Policies and Epidemiology
- Cultural Competency in Health Care
- Public Health Policies and Education
- Healthcare Systems and Reforms
- Sex and Gender in Healthcare
- Global Health Care Issues
- Healthcare Policy and Management
- Health Services Management and Policy
- Social Policy and Reform Studies
- Feminist Theory and Gender Studies
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Healthcare Systems and Challenges
- Health Systems, Economic Evaluations, Quality of Life
University of Sheffield
2015-2024
University of New Mexico
2019
Faculty of Public Health
2017
Sheffield Hallam University
2007-2015
National Institute for Health Research
2013
University of Johannesburg
2013
Regent's University London
2013
St. Mary's College
2006
London School of Hygiene & Tropical Medicine
1994-2001
University of London
1994-1998
Health Care Use in NepalCONTEXT: Although gender inequality is often cited as a barrier to improving maternal health Nepal, little attention has been directed at understanding how sociocultural factors may influence the use of care.In particular, woman's position within her household affect receipt care deserves further investigation.METHODS: Data on ever-married women aged 15-49 from 2001 Nepal Demographic and Survey were analyzed explore three dimensions women's their household-decision...
An integrated analysis of detailed ethnography and large-scale survey data is presented to explore the gendered influences on women's uptake antenatal care (ANC) services in Punjab, Pakistan. Pregnancy its associated decisions were shown be normatively older domain, with pregnant women their husbands being distanced from decision-making process. Women who successfully claimed ANC did so not by overtly challenging dominant construction young femininity, but rather using existing structures...
Abstract Background The concept of “intersectionality” is increasingly employed within public health arenas, particularly in North America, and often heralded as offering great potential to advance inequalities research action. Given persistently poor progress towards tackling inequalities, recent calls reframe this agenda the United Kingdom Europe, possible contribution intersectionality deserves attention. Yet, no existing has examined professional stakeholder understandings perspectives...
Drawing on survey and ethnographic data, this article presents empirical evidence regarding the impact of work participation poor women's lives in urban Bangladesh. Working for pay is common among poor, married women Dhaka working commonly make an important contribution to household income. There that are more likely manage money, shop provisions move about outside home than non-working women. also appear better able accumulate personal assets take steps secure their own well-being. Despite...
There is substantial evidence that health and health-care experiences vary along ethnic lines the need to understand tackle inequalities has repeatedly been highlighted. Research into ethnicity raises ethical, theoretical methodological issues and, as volume of research in this area grows, so too do concerns regarding its scientific rigour reporting, contribution reducing inequalities. Guidance may be helpful encouraging researchers adopt standard practices design, conduct reporting...
Evidence suggests national- and community-level interventions are not reaching women living at the economic social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010-February 2011) village Punjab, Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, 5 maternal death case studies. Despite awareness birth complications treatment options, poverty dependence on richer, higher-caste people for cash transfers or...
Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern many countries. Progress on this agenda appears limited in England given the apparently strong legal policy framework. This disjuncture raises questions about how central government is translated into local services. Healthcare commissioning organisations a potentially powerful influence services, but have rarely been examined from an equity perspective. We undertook mixed method exploration English...
It is now widely accepted that context matters in evaluations of the health inequalities impact community-based social initiatives. Systems thinking offers a lens for uncovering dynamic relationship between such initiatives and their contexts. However, there are very few examples show how systems approach can be applied practice what kinds evidence produced when this happens. In paper, we use data from ethnographic fieldwork embedded within multi-site mixed method evaluation to demonstrate...
Ethnic diversity is a global phenomenon resulting from historical and contemporary movements of people.However, healthcare policy makers, practitioners, researchers have been slow to wake up this reality.We urgently need improve our understanding of, responses to, the health needs mobile ethnically diverse populations.
Abstract Chronic diseases and their inequalities amongst older adults are a significant public health challenge. Prevention treatment of chronic will benefit from insight into which population groups show greatest risk. Biomarkers indicators the biological mechanisms underlying disease. We analysed disparities in common set biomarkers at level using English national data (n = 16,437). Blood-based were HbA1c, total cholesterol C-reactive protein. Non-blood systolic blood pressure, resting...
Data on 661 married couples obtained from the 1988 Ghana Demographic and Health Survey were analyzed by multiple logistic regression to examine attitudes preferences of towards family size limitation contraceptive use as well degree communication discussion between husbands wives. Both husband wife in 77% shared like toward planning. 73% these approved Yet 39% wives either did not know or misreported their attitude. Even though 76% agreed that they wanted no more children only 44% reported...
Objective To understand why skilled birth attendance—an acknowledged strategy for reducing maternal deaths—has been effective in some settings but is failing Pakistan and to demonstrate the value of a theory‐driven approach evaluating implementation healthcare interventions. Design Implementation research was conducted using an institutional ethnographic approach. Setting population National programme local community levels Pakistan. Methods Observations, focus group discussions, in‐depth...
Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are high risk group for B. However, they an underserved population that infrequently accesses healthcare. This study sought to increase understanding of determinants testing and healthcare access among ethnicity living England. We obtain integrate insights different key stakeholders system. conducted six focus discussions 20...
There are growing calls for public health research to eschew linear models of cause and effect typical clinical research, instead embrace approaches that recognise the manifold, multi-lay...
There is a need for greater conceptual clarity in place-based initiatives that seek to give residents of disadvantaged neighbourhoods more control over action address the social determinants health inequalities at local level. In this article, we issue as it relates concepts participation and inclusion. We draw on qualitative data generated during first phase Communities Control Study, longitudinal multisite independent evaluation impact Big Local inequalities. resident-led area improvement...
This article-third in a series of three-uses theoretical frameworks described Part 1, and empirical markers reported 2, to present evidence on how power dynamics shifted during the early years major English community empowerment initiative. We demonstrate capabilities disadvantaged communities require exercise collective control over decisions/actions impacting their lives health (conceptualized as emancipatory power) these limiting were shaped by characteristics participatory spaces created...
Background To date, there has been little research into the causes of, and solutions to, loneliness among migrant ethnic minority people. Objectives The objectives were to synthesise available evidence produce new insights relating initiatives that aim address these populations, plus logic, functioning effects of such initiatives. Data sources Electronic database searches (MEDLINE, Applied Social Sciences Index Abstracts Science Citation via Web – no date restrictions applied), grey...
Public health researchers are increasingly encouraged to establish international collaborations and undertake cross-national comparative studies. To-date relatively few such studies have addressed migration, ethnicity health, but their number is growing. While it clear that divergent approaches research emerging, public not so far given considered attention the opportunities challenges presented by work. This paper contributes this debate drawing on experience of a recent study focused...