A5005346246- Diabetes Management and Education
- Mental Health Treatment and Access
- Global Public Health Policies and Epidemiology
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Migration and Labor Dynamics
- Digital Mental Health Interventions
- Healthcare Systems and Reforms
- Health disparities and outcomes
- Global Maternal and Child Health
- Child Nutrition and Water Access
- Mental Health and Patient Involvement
- Diabetes Management and Research
- Artificial Intelligence in Healthcare
- Community Health and Development
- Primary Care and Health Outcomes
- Family Caregiving in Mental Illness
- Cardiac Health and Mental Health
- Global Health and Epidemiology
- COVID-19 and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Nephrotoxicity and Medicinal Plants
- Urban Agriculture and Sustainability
- Schizophrenia research and treatment
Hull York Medical School
2021-2025
University of York
2020-2025
University College London
2013-2022
University College Lahore
2022
Monash University
2020
University of London
2014
Strategies are needed to prevent and control type 2 diabetes intermediate hyperglycaemia, which together affect roughly a third of adults in Bangladesh. We aimed assess the effects mHealth community mobilisation on prevalence hyperglycaemia among general adult population rural Bangladesh, effect these interventions incidence people with within study population.DMagic was three-arm, cluster-randomised trial participatory mobilisation, mobile phone messaging, usual care (control) 96 villages...
Non-communicable diseases (NCDs) are increasing in low-income settings. We conducted a survey of risk factors, blood pressure and glucose rural Bangladesh assessed variations by age, sex wealth.We surveyed random sample 12 280 adults aged >30 years 96 villages Bangladesh. Fieldworkers measured an insulin tolerance test with repeat 120 min post ingestion. Blood pressure, anthropometric, socioeconomic, lifestyle behavioural factors data were also collected. Data analysed to describe the...
Species of Aristolochia are associated with aristolochic acid nephropathy (AAN), a renal interstitial fibrosis and upper urinary tract cancer (UUC). Aristolochic has been reported in ten countries but its true incidence is unknown most likely underestimated. By combining an ethnobotanical phytochemical approach we provide evidence for the risk AAN occurring Bangladesh. More specifically, assess intra-specific variation analogues medicinally used indica samples from Bangladesh.Ethnobotanical...
Self-management is crucial in mitigating the impacts of a growing non-communicable disease (NCD) burden, particularly Low and Middle-Income countries. What influences self-management these settings, however, poorly understood. We aimed to identify determinants high NCD region South Asia explore how they influence self-management. A systematic mixed-studies review was conducted. Key electronic databases [MEDLINE (1946+), Embase (1974+), PsycInfo (1967+) CINAHL (EBSCOhost)] March 2022 (and...
Bangladesh has a rich traditional plant-medicine use, drawing on Ayurveda and Unami medicine. How these practices translate into people׳s homes lives vary. Furthermore, the overlap between food medicine is blurred context-specific. This paper explores food–medicine interface as experienced by Bengali women in their homes, context of transnational generational changes. The aim to explore medicines Sylhet. objectives are influences medicinal plant practice scrutinise how catagories decided....
Introduction Understanding context and how this can be systematically assessed incorporated is crucial to successful implementation. We describe has been (including exploration or evaluation) in Global Alliance for Chronic Diseases (GACD) implementation research projects focused on improving health people with at risk of chronic disease contextual lessons were into the intervention process. Methods Using a web-based semi-structured questionnaire, we conducted cross-sectional survey collect...
Background: mHealth interventions have huge potential to reach large numbers of people in resource poor settings but been criticised for lacking theory-driven design and rigorous evaluation. This paper shares the process we developed when developing an awareness raising behaviour change focused intervention, through applying behavioural theory in-depth qualitative research. It addresses important gap research regarding use formative develop intervention.Objectives: To a contextually relevant...
Population knowledge of how to prevent, detect and control diabetes is critical public health initiatives tackle the disease. We undertook a cross-sectional survey adults in rural Bangladesh estimate practices related diabetes.In 96 villages Faridpur district, trained fieldworkers surveyed 12 140 randomly selected men women aged ≥30. They collected data on sociodemographic status, history blood urine glucose testing. Fasting 2-hour post-glucose load capillary tests ascertained diabetic...
<sec> <title>BACKGROUND</title> Type II Diabetes Mellitus (TIIDM) is a critical global health issue, especially in low-and middle-income countries (LMICs) like Afghanistan and Pakistan, where many cases remain undiagnosed specialized care costly. Community Health Participatory Research (CHPR) actively involves community members addressing issues, with Learning Action (PLA) being one such CHPR approach. The D-Magic trial Bangladesh utilized PLA through group-based approach communities...
Transwomen are one of the most marginalised groups globally, with their experiences prejudice significantly impacting access to dental care and leading social isolation. This study aimed explore transwomen in accessing oral health services Khyber Pakhtunkhwa, Pakistan. A qualitative phenomenological design was utilised gain in-depth insights. Eight were purposively recruited from districts Haripur, Abbottabad, Mansehra Hazara division Semi-structured interviews conducted Urdu, transcribed,...
Abstract Background Diabetes is 7th largest cause of death worldwide, and prevalence increasing rapidly in low-and middle-income countries. There an urgent need to develop test interventions prevent control diabetes the theory about how such can be effective. We conducted a participatory learning action (PLA) intervention with community groups rural Bangladesh which was evaluated through cluster randomised controlled trial. large reduction combined type 2 intermediate hyperglycaemia PLA...
Increasing rates of type 2 diabetes mellitus place a substantial burden on health care services, communities, families and individuals living with the disease or at risk developing it. Estimates combined prevalence intermediate hyperglycaemia in Bangladesh vary, can be as high 30% adult population. Despite such prevalence, awareness control its factors are limited. Prevention complications demand increased action positive influences behaviours lifestyle choices. In this study, we will test...
The use of herbal medicines during pregnancy is very high globally and previous studies have pointed out possible associations with adverse outcomes. Nevertheless, the safety in under-explored low-income countries experiencing maternal neonatal complications. We investigated between self-reported Mwanamphepo (a group commonly used to induce or hasten labour) outcomes rural Malawi. conducted a cross-sectional analysis secondary household data relating 8219 births that occurred 2005 2010...
We evaluate the effectiveness of psychological interventions for depression in people with NCDs South Asia and explore individual, organizational, policy-level barriers facilitators implementation scaling up these interventions. Eight databases (and local web pages) were searched May 2022. conducted random effects models to pooled effect on NCDs. extracted policy level facilitators. found five randomized control trials, nine qualitative studies, 35 documents that fitted inclusion criteria....
Seizure liability remains a significant cause of attrition throughout drug development. Advances in stem cell biology coupled with an increased understanding the role ion channels seizure offer opportunity for new paradigm screening. We assessed activity 15 pro-seizurogenic compounds (7 CNS active therapies, 4 GABA receptor antagonists, and other reported seizurogenic compounds) using automated electrophysiology against panel 14 (Nav1.1, Nav1.2, Nav1.6, Kv7.2/7.3, Kv7.3/7.5, Kv1.1, Kv4.2,...
Non-communicable diseases (NCDs) predispose households to exorbitant healthcare expenditures in health systems where there is no access effective financial protection for healthcare. This study assessed the economic burden associated with rising of type-2 diabetes (T2D) and hypertension comorbidity management, its implications seeking urban Accra.
Background Community health participation is an essential tool in research and management where community members, researchers other relevant stakeholders contribute to the decision-making processes. Though processes can be complex challenging, evidence from previous studies have reported significant value of engaging with projects.Objective To identify nature extent involvement participatory (CHPR) projects Ghana draw lessons for design a new project on diabetes intervention Accra called...
Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over past four decades. Two-thirds of projected increases diabetes to 2045 are expected come from low- middle-income countries, including those sub-Saharan Africa. Ghana is typical this trend. However, there gaps evidence regarding appropriate development interventions well-targeted policies for prevention treatment that pay due attention relevant local conditions...
Co-morbidity of depression with other non-communicable diseases (NCDs) worsens clinical outcomes for both conditions. Low- and middle-income countries need to strengthen mechanisms detection management co-morbid within NCDs. The Behavioural Activation Comorbid Depression in Non-communicable Disease (BEACON) study explored the acceptability feasibility integrating a brief intervention (behavioural activation, BA) into NCD services healthcare facilities Bangladesh Pakistan. Face-to-face...
Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand factors that affect management rural Bangladesh order make recommendations how care could be better delivered. Methods Survey data from community-based random sample 12,047 adults aged 30 years above identified 292 individuals self-reported prior diagnosis Data on...
Focusing only on biomedical targets neglects the important role that psychosocial factors play in effective diabetes self-management. This study aims to understand lived experiences of children with Type 1 Diabetes (T1DM) Kenya. Children ( n = 15) participated focus group discussions and photo diary data collection. Focus semi-structured interviews were also conducted caregivers 14). We describe an adaptation over time, identifying four overarching themes: knowledge awareness, economic...