A5060675696- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Healthcare Policy and Management
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- Health disparities and outcomes
- Child Nutrition and Water Access
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Employment and Welfare Studies
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Maternal and Neonatal Healthcare
- Patient Satisfaction in Healthcare
- Medical Malpractice and Liability Issues
- Global Health Workforce Issues
- Healthcare Quality and Management
- BRCA gene mutations in cancer
- Patient Safety and Medication Errors
- Spondyloarthritis Studies and Treatments
- Breastfeeding Practices and Influences
- Reproductive Health and Contraception
- Healthcare Systems and Technology
- Demographic Trends and Gender Preferences
- Infant Nutrition and Health
Queen Mary University of London
2020-2025
London School of Hygiene & Tropical Medicine
2016-2025
University of London
2020-2022
Iran University of Medical Sciences
2020
Tabriz University of Medical Sciences
2020
Tehran University of Medical Sciences
2020
Kashan University of Medical Sciences
2020
Universität Hamburg
2019
Maastricht University
2009-2015
NIHR School for Public Health Research
2015
The cost-effectiveness of population-based panel testing for high- and moderate-penetrance ovarian cancer (OC)/breast (BC) gene mutations is unknown. We evaluate the BRCA1/BRCA2/RAD51C/RAD51D/BRIP1/PALB2 mutation compared with clinical criteria/family history (FH) in unselected general population women. A decision-analytic model comparing lifetime costs effects criteria/FH-based BRCA1/BRCA2 those fulfilling criteria/strong FH (≥10% probability) all women age 30 years or older. Analyses are...
The World Health Organization (WHO) actively promotes breastfeeding as the optimal source of nourishment for infants and young children. However, not all newborns have access to breast milk, leading deprivation its nutritional benefits or incurring financial burdens from alternative feeding options. Establishing Human Milk Banks (HMBs) can help ensure equitable donated human milk. several factors may hinder milk donation. This study aims identify influencing donation HMBs in Iran. We...
<h3>Background</h3> Risk-reducing salpingo-oophorectomy (RRSO) is the most effective intervention to prevent ovarian cancer (OC). It only available high-risk women with >10% lifetime OC risk. This threshold has not been formally tested for cost-effectiveness. <h3>Objective</h3> To specify risk thresholds RRSO being cost-effective preventing in premenopausal women. <h3>Methods</h3> The costs as well effects of surgical prevention (‘RRSO’) were compared over a ‘no RRSO’ using decision...
Background BRCA carrier identification offers opportunities for early diagnoses, targeted treatment and cancer prevention. We evaluate BRCA- detection rates in general Ashkenazi Jewish (AJ) populations across Greater London estimate time-to-detection of all identifiable carriers. Methods data from 1993 to 2014 were obtained National Health Service genetic laboratories compared with modelled predictions prevalence published literature geographical UK Office Statistics. Proportion carriers...
An estimated 5·1 million stillbirths and neonatal deaths occur annually. Household surveys, most notably the Demographic Health Survey (DHS), run in more than 90 countries are main data source from highest burden regions, but data-quality concerns remain. We aimed to compare two questionnaires: a full birth history module with additional questions on pregnancy losses (FBH+; current DHS standard) (FPH), which collects information all livebirths, stillbirths, miscarriages, deaths.Women...
To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised both Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, content care. As facility births increase, monitoring using routine in DHIS2...
Progress in reducing maternal and neonatal deaths stillbirths is impeded by data gaps, especially regarding coverage quality of care hospitals. We aimed to assess the validity indicators newborn health-care around time birth survey routine facility register data.Every Newborn-BIRTH Indicators Research Tracking Hospitals was an observational study five hospitals Bangladesh, Nepal, Tanzania. included women their babies who consented on admission hospital. Exclusion critiera at were no fetal...
Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the theory of planned behavior to assess which factors influence self-care controlling hypertension.In this cross-sectional study, five hundred patients with at leastaone-year history diagnosed participated study. The data collection tool was designed behavior. Structural equation modeling estimate main parameters.For behaviors, ninety-six (19.2%)...
Abstract Background and Aims People with inflammatory bowel disease (IBD) often experience pain, fatigue incontinence are at an increased risk of anxiety depression. Our aim was to assess the impact these symptoms on health‐related quality life (QoL) in IBD. Methods In IBD‐BOOST survey, over 26,000 people IBD across UK were approached; 8486 participant‐completed surveys returned. Participants' QoL measured using EQ‐5D‐5L questionnaire their calculated a scale ranging from 1 (perfect health)...
Objectives To investigate the association of individual patient health with their characteristics, including income deprivation, ethnicity and gender, size, quality staffing general practices, how these associations income-related inequality vary across chronic conditions, regions age bands. Design Using observational pooled cross-sectional survey data linked on practice clinical deprivation at Lower-Layer Super Output Area level. Ordinary least-squares multiple regression models estimated...
In the bio-psycho-social model of health, role contextual factors, either environmental or personal, is recognised.To assess impact a number factors on self-reported disease-specific and generic health-related quality life in patients with ankylosing spondylitis (AS).522 AS from Canada Australia completed postal questionnaire including sociodemographic variables, disease activity (Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)) function Functional (BASFI)) (ASQoL EQ-5D)...
Every Newborn-INDEPTH" (EN-INDEPTH) study protocol for a randomised comparison of household survey modules measuring stillbirths and neonatal deaths in five Health
Abstract Background Countries with the highest burden of maternal and newborn deaths stillbirths often have little information on these deaths. Since over 81% births worldwide now occur in facilities, using routine facility data could reduce this gap. We assessed availability, quality, utility labour delivery ward register five hospitals Bangladesh, Nepal, Tanzania. This paper forms baseline assessment for Every Newborn -Birth Indicators Research Tracking Hospitals (EN-BIRTH) study. Methods...
To achieve Sustainable Development Goals and Universal Health Coverage, programmatic data are essential. The Every Newborn Action Plan, agreed by all United Nations member states >80 development partners, includes an ambitious Measurement Improvement Roadmap. Quality of care at birth is prioritised both Ending Preventable Maternal Mortality strategies, hence metrics need to advance from health service contact alone, content care. As facility births increase, monitoring using routine in DHIS2...
Globally, the number and proportion of people aged 60 years older is growing fast. As age, health needs become more complex, system's responsiveness to people's requires evidence-informed policies. Hence, this study explores factors affecting policy development process for in Iran. We conducted 32 interviewers with 21 interviews key informants involved making related people. Qualitative data were analyzed using thematic analysis. Actors stakeholders, structure, selected processes, care...
Abstract Informal payments can be found across Europe, Africa, Asia and South America. Despite its hidden nature, they pose an important policy issue. Reported as being widespread, the true scale scope of informal payment are unknown, estimations differ among studies. We look at Russian health care sector where existence has persisted for decades. present payments, well patterns their determinants. discuss reasons discrepancies in implications ongoing reforms.
Abstract Background The process of medical tariffs setting in Iran remains to be a contentious issue and is heavily criticized by many stakeholders. This paper explores the experience health care services Iranian system over last five decades. Methods We analyzed data collected through literature review reviews official documents developed at various levels using inductive deductive content analysis. Twenty-two face-to-face semi-structured interviews supplemented Data were analysed...