Saleem Sayani

ORCID: 0000-0003-3470-9475
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About
Contact & Profiles
Research Areas
  • Mobile Health and mHealth Applications
  • ICT in Developing Communities
  • Stroke Rehabilitation and Recovery
  • Vaccine Coverage and Hesitancy
  • Telemedicine and Telehealth Implementation
  • COVID-19 Digital Contact Tracing
  • Digital Mental Health Interventions
  • Health Literacy and Information Accessibility
  • COVID-19 and Mental Health
  • Acute Ischemic Stroke Management
  • Global Maternal and Child Health
  • Blood Pressure and Hypertension Studies
  • Breastfeeding Practices and Influences
  • Cardiovascular Health and Risk Factors
  • SARS-CoV-2 and COVID-19 Research
  • Obesity, Physical Activity, Diet
  • Grief, Bereavement, and Mental Health
  • Healthcare Systems and Reforms
  • Medication Adherence and Compliance
  • COVID-19 Pandemic Impacts
  • Technology Use by Older Adults
  • Gestational Diabetes Research and Management
  • Child Nutrition and Water Access
  • SARS-CoV-2 detection and testing
  • Medical Coding and Health Information

Aga Khan Development Network
2015-2025

Aga Khan University
2018-2024

Aga Khan University Hospital
2024

University Research Co (United States)
2023

Michael E. DeBakey VA Medical Center
2020

Baylor College of Medicine
2020

Maryland Department of Health
2012

Background: Despite evidence supporting telehealth provision in developed countries, there is limited regarding its economic benefits for patients living areas where access and cost present major barriers to health care, particularly low- middle-income countries (LMICs). This study explores the of telemedicine patients, terms times savings, potential role improving chronic disease outcomes. Methods: retrospective cross-sectional compared services with hypothetical in-person consultations, a...

10.1177/2040622319891587 article EN cc-by-nc Therapeutic Advances in Chronic Disease 2019-01-01

The recent proliferation of digital health technology in low- and middle-income countries has made it possible for community workers (CHWs) to use mobile (mHealth) perform tasks such as data collection training. Although most studies focus on the prospect apps motivate connect CHW, only a few have captured end-user experiences with mobile-based apps. We examined experience frontline move towards digitalized real-time record maternal childcare services remote areas Afghanistan Pakistan.Our...

10.2196/18414 article EN cc-by Journal of Medical Internet Research 2020-06-11

There is a dearth of specialized mental health workforce in low- and middle-income countries. Use mobile technology by frontline community workers (CHWs) gaining momentum Pakistan needs to be explored as an alternate strategy improve well-being.

10.2196/54272 article EN cc-by JMIR Research Protocols 2024-05-16

Pakistan faces significant challenges in attaining the Sustainable Development Goals for maternal and child health by 2030 target. Separate vertical programmes, governance due to paper-based systems, limited availability of data contribute system’s suboptimal functioning. An innovative mHealth tool, Hayat, was introduced remote areas digitalise record-keeping frontline workers, provide evidence-based awareness content dissemination, track performance through transparency enhanced...

10.47391/jpma.10624 article EN cc-by Journal of the Pakistan Medical Association 2025-01-26

<sec> <title>BACKGROUND</title> In low- and middle-income countries (LMICs), maternal, newborn, child health (MNCH) face significant challenges due to infrastructure limitations, access disparities, service delivery inefficiencies. To address these issues, the Sehatmandi mHealth application was deployed in 189 facilities across Afghanistan's Bamyan Badakhshan provinces, aiming enhance services through real-time data monitoring improved accountability. </sec> <title>OBJECTIVE</title> This...

10.2196/preprints.74923 preprint EN cc-by 2025-03-26

Background We developed and tested the effectiveness of a tailored health information technology driven intervention: “Talking Prescriptions” (Talking Rx) to improve medication adherence in resource challenged environment. Methods conducted parallel, randomized, controlled, assessor-blinded trial at Aga Khan University (AKU), Karachi, Pakistan. Adults with diagnosis cerebrovascular accident (CVA) or coronary artery disease (CAD) diagnosed least one month before enrollment, on anti-platelets...

10.1371/journal.pone.0197671 article EN public-domain PLoS ONE 2018-12-20

There has been a recent spate of mobile health (mHealth) app use for immunizations and other public concerns in low- middle-income countries. However, evidence largely focused on development or before-and-after effects awareness service coverage. is little the factors that facilitate adoption mHealth programs, which critical to effectively embed digital technology into mainstream systems.This study aimed provide qualitative experiences frontline staff district managers while engaging with...

10.2196/16081 article EN cc-by JMIR mhealth and uhealth 2019-12-16

Background Pakistan is the sixth most populous nation in world and has an estimated 4 million stroke survivors. Most survivors are taken care of by community-based caregivers, there no inpatient rehabilitation facilities. Objective The objective this study was to evaluate effectiveness safety locally designed 5-min movies rolled out order relevance that thematically delivered a 3-month program deliver poststroke education survivor caregiver dyads returning community. Methods This randomized...

10.2196/12113 article EN cc-by JMIR mhealth and uhealth 2019-07-19

Objective Remote or mobile consulting is being promoted to strengthen health systems, deliver universal coverage and facilitate safe clinical communication during coronavirus disease 2019 beyond. We explored whether a viable option for communities with minimal resources in low- middle-income countries. Methods reviewed evidence published since 2018 about countries undertook scoping study (pre-coronavirus disease) two rural settings (Pakistan Tanzania) five urban slums (Kenya, Nigeria...

10.1177/20552076211033425 article EN cc-by-nc-nd Digital Health 2021-01-01

Objective The poorest populations of the world lack access to quality healthcare. We defined key components consulting via mobile technology (mConsulting), explored whether mConsulting can fill gaps in healthcare for poor and spatially marginalised (specifically rural slum populations) low- middle-income countries, considered implications its take-up. Methods utilised realist methodology. First, we undertook a scoping review health literature searched examples mConsulting. Second, formed our...

10.1177/2055207620919594 article EN cc-by-nc-nd Digital Health 2020-01-01

Background: In Pakistan, poor antenatal and postnatal coverage, has accounted for nearly 70% of preventable maternal deaths. Interventions implemented to improve uptake care (PNC) services have not shown significant improvements. Recent increase in cellphone penetration brought forward mHealth as a potential strategy enhance (ANC) PNC uptake. The objective this study was explore if technology is feasible preventive healthcare peri-urban areas Karachi. Methods: employed an exploratory...

10.21037/jhmhp.2017.10.02 article EN Journal of Hospital Management and Health Policy 2017-11-08

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...

10.1177/2333794x241235746 article EN cc-by-nc Global Pediatric Health 2024-01-01

Vascular disease, manifesting as myocardial infarction and stroke, is a major cause of morbidity mortality, especially in low- middle-income countries. Current estimates are that only one six patients have good adherence to medications very few sufficient health literacy. Our aim explore the effectiveness acceptability Prescription Interactive Voice Response (IVR) Talking Prescriptions (Talking Rx) SMS reminders increasing medication literacy Pakistani with vascular disease. This randomized,...

10.1186/s13063-016-1244-1 article EN cc-by Trials 2016-03-05

Adequate intake of macro- and micronutrients adoption an active lifestyle during pregnancy are essential for optimum maternal fetal health offspring development. Dietary counseling advice regarding adequate physical activity integral components antenatal care. Personalized coaching through the use mobile (mHealth) that supports behavior modification is innovative approach needs exploration.Our primary aim to assess efficacy mHealth program in improving diet, supplement use, pregnancy....

10.2196/31611 article EN cc-by JMIR Research Protocols 2021-09-21

To promote a systems-based approach for the early detection and downstaging of breast cancer at presentation in remote mountainous region Gorno Badakhshan Autonomous Oblast (GBAO), Tajikistan, by introducing awareness into community training health care professionals clinical evaluation (CBE).Through public-private partnership between Ministry Health, Aga Khan Health Services, Board, we organized screening trained family medicine doctors (FMDs) nurses (FMNs) CBE. We identified CBE master...

10.1200/jgo.17.00103 article EN cc-by-nc-nd Journal of Global Oncology 2018-01-25

Isolated communities in remote regions of Afghanistan, Kyrgyz Republic, Pakistan and Tajikistan lack access to high-quality, low-cost health care services, forcing them travel distant parts the country, bearing an unnecessary financial burden. The eHealth Programme under Central Asia Health Systems Strengthening (CAHSS) Project, a joint initiative between Aga Khan Foundation, Canada Government Canada, was initiated 2013 with aim utilize Information Communication Technologies link...

10.3233/978-1-61499-505-0-128 article EN Studies in health technology and informatics 2015-01-01

Two thirds of the global mortality stroke is borne by low and middle income countries (LMICs). Pakistan world's sixth most populous country with a stroke-vulnerable population without single dedicated chronic care center. In order to provide evidence for viable solution responsive this health gap, leveraging existing >70% mobile phone density, we thought it rational test effectiveness phone-based video intervention short 5-minute movies educate support survivors their primary...

10.1186/s13063-016-1175-x article EN cc-by Trials 2016-01-27

Abstract Objective Remote or mobile consulting (mConsulting) is being promoted to strengthen health systems, deliver universal coverage and facilitate safe clinical communication during COVID-19 beyond. We explored whether mConsulting a viable option for communities with minimal resources in low- middle-income countries (LMICs). Methods reviewed evidence published since 2018 about LMICs undertook scoping study (pre-COVID) two rural settings (Pakistan, Tanzania) five urban slums (Kenya,...

10.1101/2020.11.12.20229955 preprint EN cc-by-nc-nd medRxiv (Cold Spring Harbor Laboratory) 2020-11-15

e19189 Background: Although cancer is a global health concern, resource-limited countries (RLCs) experience higher mortality and morbidity compared with high-income countries. Knowledge gaps inadequate training are some of the many barriers to safe effective patient care in RLCs. Oncology nursing as subspecialty does not readily exist RLCs, such Kenya Tanzania; staff learn essential clinical skills on job no structured training. Advanced practitioners critical identifying knowledge deficits...

10.1200/jco.2020.38.15_suppl.e19189 article EN Journal of Clinical Oncology 2020-05-20
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