- Global Health and Surgery
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Global Public Health Policies and Epidemiology
- Global Maternal and Child Health
- Diversity and Career in Medicine
- Global Health Care Issues
- Obesity, Physical Activity, Diet
- Climate Change and Health Impacts
- Healthcare Systems and Reforms
- Maternal and fetal healthcare
- Trauma and Emergency Care Studies
- Advances in Oncology and Radiotherapy
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Travel-related health issues
- Viral Infections and Outbreaks Research
- Healthcare cost, quality, practices
- Health Policy Implementation Science
- Child Nutrition and Water Access
- HIV/AIDS Impact and Responses
- Healthcare Systems and Challenges
- Global Healthcare and Medical Tourism
- Hip and Femur Fractures
- Bone fractures and treatments
Karolinska Institutet
2019-2024
London School of Hygiene & Tropical Medicine
2024
Duke University
2020-2022
Lund University
2013-2021
Duke Institute for Health Innovation
2020-2021
Karolinska University Hospital
2018-2019
University Hospital of Geneva
2018
Tropical Institute Of Community Health And Development
2018
Harvard University
2013-2017
University of Connecticut
2017
Abstract Background In 2015, six indicators were proposed to evaluate global progress towards access safe, affordable and timely surgical anaesthesia care. Although some have been adopted as core health indicators, none has evaluated systematically. The aims of this study assess the availability, comparability utility present available data updated estimates. Methods Nationally representative compiled for all World Health Organization (WHO) member states from 2010 2016 through contacts with...
BackgroundNon-communicable diseases (NCDs) are the leading cause of morbidity and mortality globally. We aimed to analyse trends in implementation WHO-recommended population-level policies associations with national geopolitical characteristics.MethodsWe calculated cross-sectional NCD policy scores for all 194 WHO member states from 2015, 2017, 2020 progress monitor reports, examined changes over time as well average by geographical region income level. developed a framework indicators...
Background Indicators to evaluate progress towards timely access safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed capture surgery, surgical workforce, volume, perioperative mortality rate, catastrophic impoverishing financial consequences of surgery. Despite being rapidly taken up practitioners, data points from which derive indicators not defined, limiting comparability across time or settings. We convened...
Non-communicable diseases (NCDs) are the world's leading cause of death and disability. Global implementation WHO-recommended NCD policies has been increasing with time, but in 2019 fewer than half these had implemented globally. In 2022, WHO released updated data on policy implementation, basis surveys conducted 2021 during COVID-19 pandemic. We sought to examine whether trajectory global changed this period.In repeated cross-sectional analysis, we used from 2015, 2017, 2020, 2022 progress...
Club foot is a common congenital deformity affecting 150 000-200 000 children every year. Untreated patients end up walking on the side or back of affected foot, with severe social and economic consequences. highly treatable by Ponseti method, non-invasive technique that has been described as suitable for use in resource-limited settings. To date, there no evaluation its cost-effectiveness ratio, defined cost averting one disability-adjusted life year (DALY), composite measure impact...
Non-communicable diseases (NCDs) are the leading cause of global death and disability. Tobacco, alcohol, unhealthy foods major contributing risk factors. WHO Member States have unanimously endorsed a set 12 policies designed to constrain sale these commodities, however, there myriad case studies commercial entities seeking undermine effective legislation in order protect their profits. We out quantify association between corporate financial influence implementation policies.We generated...
Introduction Longer travel times are associated with increased adverse maternal and perinatal outcomes. Geospatial modelling has been increasingly used to estimate geographic proximity in emergency obstetric care. In this study, we aimed assess the correlation between modelled patient-reported evaluate its clinical relevance. Methods Women who delivered by caesarean section nine hospitals were followed up home visits at 1 month year. Travel location before delivery facility where was...
Global health education is increasingly acknowledged as an opportunity for medical schools to prepare future practitioners the broad challenges of our time. The purpose this study was describe evolution global in Swedish and assess students' perceived needs such education.Data on were collected from all faculties Sweden years 2000-2013. In addition, 76% (439/577) students their final semester answered a structured questionnaire.Global offered at four Sweden's seven schools, most have had no...
Sierra Leone has the world's highest maternal mortality, partly due to low access caesarean section. Limited data are available guide improvement. In this study, we aimed analyse rate and mortality of sections in country.We conducted a retrospective study all reported in-facility deaths 2016. All facilities performing were visited. Data on retrieved from Maternal Death Surveillance Response database. Caesarean section was defined as perioperative mortality.In 2016, there 7357 Leone. This...
Introduction Emergency abdominal surgery outcomes represent an internationally important marker of healthcare quality and capacity. In this study, a novel approach to investigating global surgical is proposed, involving collaborative methodology using ‘snapshot’ clinical data collection over 2-week period. The primary aim identify relevant, modifiable practices (in terms process, equipment management) associated with best care for emergency surgery. Methods analysis This multicentre,...
Utilizing surgical services, including caesarean sections, can result in catastrophic expenditure and impoverishment. In 2010, Sierra Leone introduced the Free Health Care Initiative (FHCI), a national financial risk protection program for most vulnerable groups. Aim of this study was to investigate impoverishment related section evaluate impact FHCI.
Objective This study aimed to use qualitative interviews with surgical providers explore challenges and solutions providing anaesthesia care in Sierra Leone’s hospitals. Design Data were collected through anonymous, semistructured interviews. We used a framework approach analyse interview data determine themes relating that reported. Setting A purposive sample of 12 hospitals was selected throughout Leone include district referral varying ownership (private, non-governmental organisation...
<h3>ABSTRACT</h3> <h3>Background:</h3> While primary data on the unmet need for surgery in low- and middle-income countries is lacking, household surveys could provide an entry point to collect such data. We describe first development inclusion of questions a nationally representative Demographic Health Survey (DHS) Zambia. <h3>Method:</h3> Questions regarding surgical conditions were developed through iterative consultative process integrated into rollout DHS survey Zambia 2018 administered...