- Tuberculosis Research and Epidemiology
- Pneumonia and Respiratory Infections
- Pneumocystis jirovecii pneumonia detection and treatment
- HIV/AIDS Research and Interventions
- Diagnosis and treatment of tuberculosis
- Mycobacterium research and diagnosis
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Child Nutrition and Water Access
- HIV/AIDS Impact and Responses
- Global Public Health Policies and Epidemiology
- Infectious Diseases and Tuberculosis
- Diabetes Management and Research
- HIV/AIDS drug development and treatment
- COVID-19 Clinical Research Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- HIV, Drug Use, Sexual Risk
- Chronic Disease Management Strategies
- Antibiotic Use and Resistance
- HIV Research and Treatment
- Global Health and Surgery
- Diabetes and associated disorders
- Antibiotic Resistance in Bacteria
- COVID-19 epidemiological studies
- Diabetes Management and Education
Joslin Diabetes Center
2024-2025
World Health Organization Regional Office for South-East Asia
2014-2025
Yenepoya University
2019-2025
Maulana Azad Medical College
2025
Baptist Health Floyd
2024-2025
State Street (United States)
2025
Manipal College of Medical Sciences
2025
Lady Hardinge Medical College
2006-2025
National Institute of Allergy and Infectious Diseases
2025
National Institute of Pharmaceutical Education and Research
2025
Background While diabetes mellitus (DM) is a known risk factor for tuberculosis, the prevalence among TB patients in India unknown. Routine screening of DM may be an opportunity its early diagnosis and improved management might improve treatment outcomes. We conducted cross-sectional survey registered from June–July 2011 state Kerala, India, to determine DM. Methodology/Principal Findings A state-wide representative sample Kerala was interviewed screened using glycosylated hemoglobin...
DiabCare India 2011 was a cross-sectional study in patients with diabetes mellitus, undertaken to investigate the relationship between control, management and complications subset of urban Indian treated at referral care centres India.This cross-sectional, multicentre (330 centres) survey 6168 general hospitals, clinics across India. Patient data, including medical clinical examination reports during past year were collected their routine visit. The patients' physicians' perceptions about...
When the COVID-19 pandemic was announced in March 2020, there concern that TB and HIV programme services Malawi would be severely affected. We set up real-time monthly surveillance of activities eight health facilities Lilongwe to see if it possible counteract anticipated negative impact on case detection treatment testing. Aggregate data were collected during period (March 2020–February 2021) using an EpiCollect5 application compared with pre-COVID-19 2019–February 2020); these reports sent...
Background IPT with or without concomitant administration of ART is a proven intervention to prevent tuberculosis among PLHIV. However, there are few data on the routine implementation this and its effectiveness in settings limited resources. Objectives To measure level uptake reducing incidence cohort PLHIV enrolled into HIV care between 2007 2010 five hospitals southern Ethiopia. Methods A retrospective analysis electronic patient database was done. The independent effects no intervention,...
Background: In March 2018, the Government of India launched a direct benefit transfer (DBT) scheme to provide nutritional support for all tuberculosis (TB) patients in line with END TB strategy. Here, money (@INR 500 [~8 USD] per month) is deposited electronically into bank accounts beneficiaries. To avail benefit, are be notified NIKSHAY (web-based notification portal India's national programme) and account details. Once these details entered NIKSHAY, checked approved by programme...
Motivated human resource is the key to improve health system performance and retention of workers. There scanty literature on measuring motivation workers in India. Thus, objective this study was measure identify important aspects workers' North A mixed method design adopted. Under quantitative component, we interviewed randomly selected 62 community (CHWs) 18 sub-centres two blocks District Ambala, Haryana, India using a structured scale. In-depth interviews were also carried out with CHWs...
Background: In India, a new care package consisting of (i) daily regimen with fixed-dose combination drugs, collected once-a-month and self-administered by the patient, (ii) 'one stop service' at antiretroviral treatment (ART) centre for both HIV tuberculosis (TB) (iii) technology-enabled adherence support (99DOTS, which required patients to give missed phone call after consuming drugs) was piloted TB among HIV-infected patients. Conventional included intermittent (drugs consumed...
There was concern that the COVID-19 pandemic would adversely affect TB and HIV programme services in Kenya. We set up real-time monthly surveillance of activities 18 health facilities Nairobi so interventions could be implemented to counteract anticipated declining trends. Aggregate data were collected reported heads during period (March 2020–February 2021) using EpiCollect5 compared with pre-COVID 2019–February 2020). During period, there an overall decrease people presumptive pulmonary...
Inappropriate use of antibiotics during the COVID-19 pandemic has potential to increase burden antimicrobial resistance. In this study, we report on prevalence antibiotic and its associated factors among suspected confirmed patients admitted 35 health facilities in Sierra Leone from March 2020–March 2021. This was a cross-sectional study using routinely collected patient data. Of 700 patients, 47% received antibiotics. The majority (73%) belonged ’WATCH’ group antibiotics, which are highly...
ABSTRACT This paper relates the key findings of optimal economic enforcement literature to practical issues enforcing forest and wildlife management access restrictions in developing countries. Our experiences, particularly from Tanzania eastern India, provide detail pragmatic facing those responsible for protecting natural resources. We identify large gaps theoretical that limit its ability inform management, including limited funding cost recovery, multiple tiers incentives officers,...
Background With changing demographic patterns in the context of a high tuberculosis (TB) burden country, like India, there is very little information on clinical and factors associated with poor treatment outcome sub-group older TB patients. The study aimed to assess proportion patients (60 years age more), compare type outcomes between other (less than 60 age) describe characteristics any associations outcomes. Methods A retrospective cohort involving review records from April June 2011 12...
Background Drug-resistant tuberculosis (DR-TB) is a looming threat to control in India. However, no countrywide prevalence data are available. The burden of DR-TB HIV-co-infected patients likewise unknown. Undiagnosed and untreated among HIV-infected major cause mortality morbidity. We aimed assess the (defined as resistance any anti-TB drug) attending public antiretroviral treatment (ART) centers greater metropolitan Mumbai, Methods A cross-sectional survey was conducted adults children...
Despite being a recognized standard of tuberculosis (TB) care internationally, mandatory TB case notification brings forth challenges from the private sector. Only three cases were notified in 2013 by practitioners compared to 2000 yearly public sector Alappuzha district. The study objective was explore knowledge, opinion and barriers regarding Notification among offering services Alappuzha, Kerala state, India.This mixed-methods with quantitative (survey) qualitative components conducted...
India reports the largest number of multidrug-resistant tuberculosis cases in world; yet, no longitudinal study has assessed factors related to treatment outcomes under programmatic conditions public sector.To describe demographic, clinical, and risk characteristics associated with for all patients registered Revised National Tuberculosis Control Programme, Kerala State, from January 1, 2009 June 30, 2010.Cox regression methods were used calculate adjusted hazard ratios 95% confidence...
Poverty and poor nutrition are associated with the risk of developing tuberculosis (TB). Socioeconomic factors may interfere anti-tuberculosis treatment compliance its outcome. We examined whether providing nutritional support (monthly supply rice lentil beans) to TB patients who live below poverty line was outcome.This a retrospective cohort study sputum smear-positive pulmonary living (income <$1.25 per day) registered for in two rural districts West Bengal, India during 2012 2013....
Background The number of people living with HIV on antiretroviral treatment (ART) in Myanmar has been increasing rapidly recent years. This study aimed to estimate rates virological failure first-line ART and switching second-line due at the Integrated Care program (IHC). Methods Routinely collected data all adolescent adult patients who were initiated IHC between 2005 2015 retrospectively analyzed. cumulative hazard estimated. Crude adjusted ratios calculated using Cox regression model...
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'....