- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Health and Trauma
- Health disparities and outcomes
- Health and Conflict Studies
- Global Health Care Issues
- Global Cancer Incidence and Screening
- Air Quality and Health Impacts
- Colorectal Cancer Screening and Detection
- Climate Change and Health Impacts
- Economic and Financial Impacts of Cancer
- HIV/AIDS Impact and Responses
- Mental Health Treatment and Access
- Chronic Disease Management Strategies
- Pharmaceutical Economics and Policy
- Frailty in Older Adults
- Health Promotion and Cardiovascular Prevention
- Diabetes Management and Research
- Healthcare and Environmental Waste Management
- Hypothalamic control of reproductive hormones
- Cancer Risks and Factors
- Emotional Intelligence and Performance
- Psychology of Moral and Emotional Judgment
Saint Joseph University
2017-2025
Queen Margaret University
2018-2024
Bridge University
2022-2023
World Health Organization - Pakistan
2022-2023
Institute of Public Health Bengaluru
2022
Ministry of Public Health
2017-2019
Lebanese University
2018
American University of Beirut
2016-2018
Institute for Health Metrics and Evaluation
2017-2018
University of Washington
2018
BackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment risk factor exposure attributable burden disease. By providing estimates over long time series, this study can monitor trends critical to health surveillance inform policy debates on the importance addressing risks in context.MethodsWe used comparative framework developed for previous iterations GBD estimate levels exposure, deaths, disability-adjusted life-years...
The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for health-related SDGs is essential decision makers as they aim to improve health populations. As part Global Burden Diseases, Injuries, Risk Factors Study 2016 (GBD 2016), we measured 37 50 SDG indicators over period 1990-2016 188 countries, then on basis these past trends, projected 2030.
<title>Abstract</title> Lebanon’s recent history has been marked by intersecting crises, including a severe economic collapse, the Beirut port explosion, and COVID-19 pandemic. Amidst this "polycrisis," healthcare system become increasingly reliant on international humanitarian assistance. This paper examines how these overlapping crises have affected provision of care for children with thalassemia, neglected non-communicable disease (NCD), within <italic>Médecins Sans Frontières...
The rapid adoption of telemedicine during the COVID-19 pandemic showcased its capacity to revolutionize healthcare by augmenting accessibility, decreasing expenses, and improving patient outcomes. This study evaluated Lebanon's preparedness for implementation tele-mental health, concentrating on identifying critical factors affecting mental health experts. A self-administered questionnaire was created disseminated through email practitioners in Lebanon. employed Extended Technology...
Non-communicable diseases (NCDs) disproportionately affect people living in fragile contexts marked by poor governance and health systems struggling to deliver quality services for the benefit of all. This combination can lead erosion trust system, affecting health-seeking behaviours ability individuals sustain their health. In this cross-country multiple-case study, we analyse role NCD contexts. Our analysis triangulates multiple data sources, including semi-structured interviews (n = 102)...
Abstract Background Non-communicable diseases (NCD) present an increasing global health challenge, particularly for settings affected by fragility where access to care may be disrupted, and high-quality continuous delivery is difficult achieve. This study documents the complex dynamics of NCD prevention management in fragile setting rural Beqaa, Lebanon. Methods Participatory system methods were used, including 30 semi-structured interviews three Group Model Building (GMB) workshops....
Evaluation of bone marrow involvement (BMI) is paramount in diffuse large B-cell lymphoma (DLBCL) for prognostic and therapeutic reasons. PET/CT scanner (PET) now a routine examination the staging DLBCL with implications. This study evaluates role PET detecting compared to biopsy (BMB). monocentric included 54 patients diagnosed between 2009 2013 who had FDG pre-treatment setting. A correlation analysis detection BMI by BMB was performed. evaluation and/or an overall 2-year survival were...
Waterpipe tobacco smoking (WTS) has become a serious public health threat in the Middle East and beyond. To estimate prevalence rates of cigarette WTS among Lebanese women describe characteristics associated with each behavior. Secondary analysis women's data obtained national survey 2010. Of 2,255 selected women, 78 percent reported no or past long-term WTS. Among 12 regular waterpipe smokers, 40 were light users (mean three heads weekly), while 60 heavy 11 per week). About 70 never...
The associations of ever using and/or repeating a mammography test with psychosocial and socio-demographic factors were surveyed in 2014 among Lebanese women ≥ 40. A sample 2400 was selected across Lebanon. Variables significant bivariate various types behaviors entered multivariate analysis. Of the total, 105 (4·4%) had never heard as tool for early breast cancer detection. Among remaining 2295, 45% used it, whom 10% obtained it first time within 12 months preceding survey. Repeaters 67%...
Objectives This study aimed to assess the capacities and governance of Lebanon’s health system throughout response COVID-19 pandemic until August 2020. Design A qualitative based on semi-structured interviews. Setting Lebanon, February–August Participants Selected participants were directly or indirectly involved in national organisational Lebanon. Results total 41 included study. ‘Hardware’ found be responsive yet deeply influenced by challenging context. The workforce showed high levels...
Exposure to Ultraviolet radiation (UVR) is a major risk factor for skin cancer. Data about UVR knowledge and exposure behaviors in the Lebanese population are scarce. To evaluate association between risks knowledge, attitudes, among university students aim of promoting primary prevention We conducted quantitative cross-sectional study January March 2022. An online survey was sent Saint Joseph University Lebanon consisting 5 sections: sociodemographic data, health status, protection...
Diabetes mellitus in all its forms has been rapidly increasing worldwide, especially the Eastern Mediterranean Region.This national study aimed to assess prevalence and clinical aspects of diabetes Lebanon with special focus on type 1 (T1DM).A multistage, random household sample survey was conducted, using face-to-face interviews questionnaire per household. A total 4500 households were selected from areas based a pre-existing sampling frame Lebanese population.The previously diagnosed...
ABSTRACT Country-specific hip fracture incidence rates (IRs) and longevity allow the Fracture Risk Assessment Tool (FRAX) to be adapted individual countries. Secular trends can affect tool calibration. Data on IRs in Middle East is scarce, long-term secular trend studies are nonexistent. Using Ministry of Public Health registry, we calculated age- sex-specific Lebanon, from 2006 2017, among individuals aged ≥50 years. We used Kendall's tau-b (τb) test determine correlation between time IRs,...
Northwest Syria (NWS) is a complex and extremely fragile operating environment, with more than 2.8 million people needing humanitarian assistance. To support common standard of care delivery enable coordination among the multiple providers in NWS, WHO developed an Essential Health Services package (EHSP) 2016-17 subsequently supported facility network model to deliver EHSP. This article provides evaluation date, aiming inform further development draw wider lessons for application similar...
Abstract Background Northwest Syria (NWS) is a conflict area with challenging political, economic, demographic and social dynamics. The region has high number of internally displaced persons increasingly disrupted delivery basic services, including healthcare. Mental health needs have been increasing in the while infrastructure capacity sector negatively affected by conflict. This study aimed to explore provision mental psychosocial support (MHPSS) services communities NWS (including...
Abstract Introduction Lebanon is a middle-income country facing substantial fragility features. Its health profile shows high burden of NCD morbidity and mortality. This paper intends to analyse the political economy prevention control in Lebanon. Methods study adopted literature-based case research design using problem-driven analysis framework. A total 94 peer-reviewed articles documents from grey literature published before June 2019 were retrieved analysed. Results Lebanon’s instability...
This study aims to evaluate trends in the increasing costs of oncology drugs procured by Lebanese Ministry Public Health (MOPH) between 2014 and 2016 assess impact introduction mid-2015 new immunotherapy for treatment lung cancer on overall specific that treatment.A secondary analysis data from MOPH Cancer Drug Scientific Committee base was conducted using a total 18,133 files 2016.Over 3-year period, about $140 million (USD) spent free drug dispensing program. The expenditures increased 27%...
Introduction: Dementia characterized by gradual cognitive decline is an increasing public health problem due to population ageing. This study aims at assessing the prevalence and determinants of among Lebanese older adults.Methods: Secondary analysis data from a cross-sectional sample 502 elders two governorates was conducted. Cognitive assessed using Arabic Version 16-item Informant Questionnaire on Decline for adults (A-IQCODE 16). A multivariable logistic regression model associations...