A5058199464- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Pharmaceutical Economics and Policy
- Blood Pressure and Hypertension Studies
- Global Health Care Issues
- Malaria Research and Control
- Economic Growth and Development
- Pharmaceutical Quality and Counterfeiting
- Health Systems, Economic Evaluations, Quality of Life
- Diverse Scientific Research Studies
- Mobile Health and mHealth Applications
- HIV/AIDS Impact and Responses
- Cardiac Health and Mental Health
- Medication Adherence and Compliance
- Cardiovascular Health and Risk Factors
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Community Health and Development
- International Development and Aid
- Complementary and Alternative Medicine Studies
- Health Promotion and Cardiovascular Prevention
- Global Health Workforce Issues
- Diabetes Management and Research
- Historical Psychiatry and Medical Practices
London School of Hygiene & Tropical Medicine
2016-2025
Faculty of Public Health
2013-2024
Academic Medical Center
2016
University of Amsterdam
2016
University of London
2014-2015
Non-communicable diseases (NCDs) are the leading cause of death globally. In 2014, United Nations committed to reducing premature mortality from NCDs, including by burden healthcare costs. Since Prospective Urban and Rural Epidemiology (PURE) Study has been collecting health expenditure data households with NCDs in 18 countries.Using PURE Study, we estimated risk catastrophic spending impoverishment among at least one person (cardiovascular disease, diabetes, kidney cancer respiratory...
There is little evidence on the use of secondary prevention medicines for cardiovascular disease by socioeconomic groups in countries at different levels economic development.
Effective policies to control hypertension require an understanding of its distribution in the population and barriers people face along pathway from detection through treatment control. One key factor is household wealth, which may enable or limit a household's ability access health care services adequately such chronic condition. This study aims describe scale patterns wealth-related inequalities awareness, 21 countries using baseline data Prospective Urban Rural Epidemiology study. A...
Community health workers (CHWs) are an important cadre of the primary care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was early adopter CHW model for delivery PHC, launching Barangay (village) Health Worker (BHW) programme 1980s, yet little is known about factors that motivate sustain BHWs' largely voluntary involvement. This study aims to address this gap by examining lived experiences roles BHWs urban rural sites Philippines.This cross-sectional...
As with most technology-driven change, e-pharmacy markets have expanded faster than the pace of regulation, particularly in low- and middle-income countries. We developed applied a checklist to assess compliance best practices regulations by e-pharmacies serving clients India Kenya, two countries contrasting regulatory environments. defined as businesses selling prescription-only medicines directly consumers through websites or apps. identified universe online searches, captured data using...
Background Private for-profit outlets are important treatment sources for malaria in most endemic countries. However, these constitute only the last link a chain of businesses that includes manufacturers, importers and wholesalers, all which influence availability, price quality antimalarials patients can access. We present evidence on composition, characteristics operation distribution chains comprise them six countries (Benin, Cambodia, Democratic Republic Congo, Nigeria, Uganda Zambia)....
Introduction Understanding explanatory models is important for hypertension, a leading risk factor cardiovascular disease and stroke. This article aims to determine what adult patients with hypertension in the Philippines attribute their condition to, how these views might be explained implications are management. Methods qualitative study drawing on 71 semistructured interviews (40 initial 31 follow-up) four focus group discussions diagnosed hypertension. The setting was urban rural...
Traditional, complementary and alternative medicine (TCAM) is used to treat a broad range of conditions. In low- middle-income countries (LMICs), TCAM use particularly common among those with low socio-economic status. To better understand the patterns impact on management non-communicable diseases in these populations, this study examines prevalence characteristics for hypertension, its determinants, association hypertension outcomes wellbeing low-income adults two Southeast Asian at...
Community health workers in low- and middle-income country primary care systems are well suited to perform essential functions on the frontlines of Covid-19 pandemic responses. However, clear coordinated guidance, updated infection control training, reliable access personal protective equipment must be ensured order deploy them safely effectively. With these additional responsibilities, community also supported ensure that hard-fought gains population health, including progress...
Hypertension, a major risk factor for non-communicable diseases, remains poorly controlled in many countries. In the Philippines, it is still one of leading causes preventable deaths despite accessibility and availability essential technologies medicine to detect treat hypertension. This paper characterizes 'therapeutic itineraries' people with hypertension from poor communities rural urban settings Philippines. We employ longitudinal qualitative methodology comprised repeat interviews...
Social capital, characterised by trust, reciprocity and cooperation, is positively associated with a number of health outcomes. We test the hypothesis that among hypertensive individuals, those greater social capital are more likely to have their hypertension detected, treated controlled.Cross-sectional data from 21 countries in Prospective Urban Rural Epidemiology study were collected covering 61 229 individuals aged 35-70 years, households 656 communities which they live. Outcomes include...
The private for-profit sector is an important source of treatment for malaria. However, patients face high prices the recommended uncomplicated malaria, artemisinin combination therapies (ACTs), which makes them more likely to receive cheaper, less effective non-artemisinin (nATs). This study seeks better understand consumer antimalarial by documenting and exploring pricing behaviour retailers wholesalers. Using data collected in 2009–10, we present survey estimates retail prices, wholesale-...
Introduction Hypertension is a leading contributor to the global burden of disease. While safe and effective treatment exists, blood pressure control poor in many countries, often reflecting barriers at levels health systems services as well broader level patients’ sociocultural contexts. This study examines how these interact facilitate or hinder hypertension control, taking into account characteristics service provision components social Methods analysis The study, set Malaysia...
The rise of digital mobile communications has made possible novel research methods that can provide a better understanding patients’ experience non-communicable diseases. This study explores the opportunities and challenges in employing “digital diaries” via phones to track lived experiences people with hypertension Philippines. Following in-depth interviews, 40 hypertensive adults were invited submit diaries over 12 months. Mobile found be an efficient way reaching participants, although it...
Abstract Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year‐long fieldwork in Philippines that involved semi‐structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through their knowledge practice emerge them. inspiration Annemarie Mol’s work on notion ‘multiplicity’ disease, our analysis was informed by a commitment privileging patients’ multiple ontologies...
In many low-income countries, the private commercial sector plays an important role in provision of malaria treatment. However, quality care it provides is often poor, with artemisinin combination therapy (ACT) generally being too costly for consumers. Decreasing ACT prices critical improving treatment outcomes and reducing spread resistance. Yet limited evidence exists on factors influencing retailers' pricing decisions. This study investigates determinants price mark-ups anti-malarial...
Lived experiences of chronic conditions are marked by fluidity and change, which should be considered if care is to truly patient-centered. Seeking capture this fluidity, we used digital diaries via mobile phones communicate with hypertensive patients in the Philippines over approximately 12 months. This paper draws on Strong Structuration Theory conceptualize complex array factors shaping participants’ usage (and non-usage) diaries, thereby offering a comprehensive understanding how were...