A5006109598- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Medical and Biological Sciences
- Healthcare Systems and Reforms
- Pharmaceutical Practices and Patient Outcomes
- Pharmaceutical Economics and Policy
- HIV/AIDS Research and Interventions
- Chronic Disease Management Strategies
- HIV/AIDS Impact and Responses
- Blood Pressure and Hypertension Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Gestational Diabetes Research and Management
- Primary Care and Health Outcomes
- Global Health and Surgery
- Health Systems, Economic Evaluations, Quality of Life
- HIV-related health complications and treatments
- Innovations in Medical Education
- Healthcare Systems and Technology
- Diabetes Management and Education
- Medication Adherence and Compliance
- Health Policy Implementation Science
- Food Security and Health in Diverse Populations
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Poverty, Education, and Child Welfare
Indiana University – Purdue University Indianapolis
2015-2025
Purdue University West Lafayette
2015-2024
University of Indianapolis
2012-2024
Moi University
2013-2024
American College of Clinical Pharmacy
2018-2024
AMPATH
2013-2023
Olympic Park Sports Medicine Centre
2023
John Brown University
2020-2022
Johns Hopkins University
2020-2022
American Association of Colleges of Pharmacy
2016-2022
The Diabetes in Pregnancy Study Group of India (DIPSI) guidelines recommend the non-fasting 75-g oral glucose tolerance test (OGTT) as a single-step screening and diagnostic for gestational diabetes mellitus (GDM). aim this study was to compare DIPSI criteria with World Health Organization (WHO) 1999 International Association Groups (IADPSG) GDM. A total 1,031 pregnant women attending antenatal clinics urban rural Tamil Nadu, India, underwent OGTT both fasting states, 2-3 days apart. Venous...
The burdens of hypertension and diabetes are increasing in low- middle-income countries (LMICs). It is important to identify patients with these conditions early the disease process. goal this study, therefore, compare community- versus home-based screening for Kenya.This was a feasibility study conducted by Academic Model Providing Access Healthcare (AMPATH) program Webuye, town western Kenya. Home-based (door-to-door) occurred March 2010 community-based November 2011. HIV counselors were...
The Academic Model Providing Access to Healthcare (AMPATH) has been a model academic partnership in global health for nearly three decades, leveraging the power of public-sector medical center and tripartite mission – service, education, research challenges delivering care low-income setting. Drawing our mandate from needs population, we have scaled up service delivery HIV care, over last decade, expanded focus on non-communicable chronic diseases, system strengthening, population more...
The aim of the study was to evaluate usefulness capillary blood glucose (CBG) for diagnosis gestational diabetes mellitus (GDM) in resource-constrained settings where venous plasma (VPG) estimations may be impossible. Consecutive pregnant women (n = 1031) attending antenatal clinics southern India underwent 75-g oral tolerance test (OGTT). Fasting, 1- and 2-h VPG (AU2700 Beckman, Fullerton, CA) CBG (One Touch Ultra-II, LifeScan) were simultaneously measured. Sensitivity specificity estimated...
To compare physical activity (PA) patterns in pregnant woman with and without gestational diabetes (GDM) to assess the effects of an exercise intervention on change PA patterns, blood glucose levels pregnancy outcomes GDM women.For first objective, were studied 795 women GDM. For second Women India Gestational Diabetes Strategy-Model Care (WINGS-MOC) evaluated 151 out 189 was assessed using a validated questionnaire pedometer. Changes glycemic parameters neonatal evaluated.Overall, only 10%...
AimsAmong diabetes mellitus (DM) patients with poor glycemic control enrolled into a self-monitoring of blood glucose (SMBG) program in Kenya, to assess the level SMBG adherence, its associated factors and relation (defined as HbA1c <7% and/or 2% absolute reduction relative baseline).MethodsIn this retrospective cohort study, we used routinely collected data during 2012–2013. We assessed adherence by dividing number tests performed recommended. A ≥80% was considered 'good adherence'....
To determine the prevalence of Gestational Diabetes Mellitus (GDM) in urban and rural Tamil Nadu southern India, using International Association Pregnancy Study Groups (IADPSG) World Health Organization (WHO) 1999 criteria for GDM. A total 2121 pregnant women were screened GDM from antenatal clinics government primary health centres Kancheepuram district (n = 520) private maternity Chennai city 1601) between January 2013 to December 2014. Oral glucose tolerance tests (OGTT) done after an...
Abstract Objectives A pressing challenge in low and middle-income countries (LMIC) is inadequate access to essential medicines, especially for chronic diseases. The Revolving Fund Pharmacy (RFP) model an initiative provide high-quality medications consistently patients, using revenues generated from the sale of sustainably resupply medications. This article describes utilization RFPs developed by Academic Model Providing Access Healthcare (AMPATH) with aim stimulating implementation similar...
During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact COVID-19 pandemic and recent flooding disasters on care delivery in western Kenya. We conducted ten individual in-depth interviews providers across four facilities. used an iterative integrated inductive deductive data analysis approach generate themes. First, increased structural interruptions created exacerbating strain Second, there physical...
Retrospective studies of hospitalized HIV-infected patients have noted a high occurrence drug-related errors, ranging from 5% to 30%.To prospectively evaluate errors in antiretroviral (ARV) prescribing the inpatient setting hospital tertiary care center and association risk factors with errors.HIV-infected who received continued their ARVs for HIV infection on admission large academic teaching between January April 2006 were included this study. The assessment these was conducted daily basis...
T he global burden of diabetes mellitus (DM) is in- creasing exponentially, with the highest increases occurring in low-and middle-income countries (LMICs). 1,2In 2015, 415 million (8.8%) world's population had DM, two thirds those sub-Saharan Africa region remaining undiagnosed. 3his pandemic resulted 5 DM-associated deaths globally.The prevalence DM expected to reach 10.4% by 2040.Tuberculosis (TB) remains a major cause morbidity and mortality worldwide, an estimated 10.4 people developing...
To determine postpartum glucose tolerance status among women with gestational diabetes mellitus (GDM) recruited under the Women In India GDM Strategy (WINGS) Model of Care (MOC).Through WINGS MOC programme, 212 were followed till delivery between November 2013 and August 2015. All advised to return for a oral test (OGTT) 6-12weeks after delivery. A multivariate logistic regression (MLR) model was developed identify risk factors dysglycemia which defined as presence (DM) or...
Early diagnosis of gestational diabetes mellitus (GDM) is crucial to prevent short term delivery risks and long effects such as cardiovascular metabolic diseases in the mother infant. Diagnosing GDM Sub-Saharan Africa (SSA) however, remains sub-optimal due associated logistical cost barriers for resource-constrained populations. A cost-effective strategy screen settings are therefore urgently required. We conducted this study determine prevalence assess utility various point care (POC)...
Abstract Background Non-communicable disease (NCD) care in Sub-Saharan Africa is challenging due to barriers including poverty and insufficient health system resources. Local culture context can impact the success of interventions should be integrated early intervention design. Human-centered design (HCD) a methodology that used engage stakeholders evaluation tailor-make meet their specific needs. Methods We created Design Team professionals, patients, microfinance officers, community...