A5063060683- Demographic Trends and Gender Preferences
- Global Maternal and Child Health
- Reproductive Health and Technologies
- Global Public Health Policies and Epidemiology
- Disaster Response and Management
- Poverty, Education, and Child Welfare
- Antibiotic Use and Resistance
- Adolescent Sexual and Reproductive Health
- Agricultural risk and resilience
- Patient Satisfaction in Healthcare
- Autism Spectrum Disorder Research
- Mental Health Treatment and Access
- Vaccine Coverage and Hesitancy
- Parasitic Diseases Research and Treatment
- Health Policy Implementation Science
- Sex work and related issues
- Mental Health and Patient Involvement
- Disaster Management and Resilience
- Social and Economic Development in India
- Health Promotion and Cardiovascular Prevention
- Health disparities and outcomes
- Global Health and Epidemiology
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Reforms
- Antibiotic Resistance in Bacteria
University of Sussex
2019-2024
Brighton and Sussex Medical School
2019-2024
University of Brighton
2024
Durham University
2010-2021
University of Manchester
2016-2021
National Institute for Health Research
2020
Newcastle University
2012-2016
Primary Health Care
2010-2012
Northumbria University
2009-2011
Independent University
2010
AbstractAbstractThis paper explores the perceived causes of infertility, treatment-seeking for infertility and consequences childlessness, particularly women, among a predominantly Muslim population in urban slums Dhaka Bangladesh. In-depth interviews were conducted with 60 women men randomly selected from Urban Surveillance System clusters International Centre Diarrhoea] Disease Research, Case studies 20 self-perceived infertile who had previously participated study on prevalence sexually...
This article explores the mismatch that exists between what unmarried adolescents in Bangladesh experience, want and need regard to their sexuality they receive from society, which negatively impacts on understanding of well-being. The findings provide a picture Bangladeshi adolescents' (12–18 years) sexual feelings, experiences, behaviours, anxieties concerns – particular relation desire, pleasure, power, masturbation, virginity, romantic love dating, arranged marriage how socio-sexual...
Abstract Background Over-prescribing and inappropriate use of antibiotics contributes to the emergence antimicrobial resistance (AMR). Few studies in low middle-income settings have employed qualitative approaches examine drivers antibiotic sale dispensing across full range healthcare providers (HCPs). We aimed explore understandings functions antibiotics; awareness AMR perceived patient or customer demand adherence among HCPs for human animal medicine Bangladesh. Methods used an...
Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including persistent feeling of insecurity loss self-esteem. This article aims to contextualize particular form sexual harassment, namely "eve teasing", experienced by Bangladeshi adolescent girls (12–18 years) which emerged from study behaviour carried out young people. The used qualitative methods participatory...
Research has documented that, around the world, women who are childless against their will suffer from an array of social, economic and emotional difficulties. The causes this suffering primarily related to gender position in society identity. This paper addresses impact class differences on gender-related socially very hierarchically structured Bangladesh. main method was gathering life histories illiterate rural poor educated urban middle-class women. experience strong stigma society, as...
Interactive Voice Response (IVR) platforms have been widely deployed in resource-limited settings. These systems tend to afford asynchronous push interactions, and within the context of health, provide medication reminders, descriptions symptoms tips on self-management. Here, we present development an IVR system for settings that enables real-time, synchronous interaction. Inspired by community radio, calls health are truly local, developed "Sehat ki Vaani". Sehat Vaani is a real-time...
Background To understand how to reduce antibiotic use, greater knowledge is needed about the complexities of access in countries with loose regulation or enforcement. This study aimed explore households Bangladesh were accessing antimicrobials for themselves and their domestic animals. Methods In-depth interviews conducted 48 one urban rural area. Households purposively sampled from two lower income strata, prioritising those under 5-year olds, older adults, household animals minority...
Abstract Introduction Few studies have reported antibiotic purchases from retail drug shops in relation to gender low and middle-income countries (LMICs). Using a One Health approach, we aimed examine dimensions of for humans animals use prescriptions Bangladesh. Methods We conducted customer observations 20 one rural urban area. Customer gender, purchases, prescription were recorded during four-hour observation (2 sessions 2 hours) each shop. included selling human medicine (n = 15); animal...
Introduction Global actions to reduce antimicrobial resistance (AMR) include optimising the use of medicines in human and animal health. In countries with weak healthcare regulation, this requires a greater understanding drivers antibiotic from perspective providers consumers. Bangladesh, there is limited research on household decision-making seeking relation consumption for humans livestock. Knowledge similarly lacking factors influencing supply demand antibiotics among qualified...
In a context where motherhood is an integral part of woman's stereotype, being childless devastating experience. We explore how these so‐called deviant women manage this situation. The objective article to contribute the debate regarding infertile women's agency, resilience, and resistance. This based on anthropological fieldwork among urban middle‐class rural poor women. Their life histories reveal that in Bangladesh, pro‐natalist, patriarchal society, are not passive victims, but rather...
This article examines challenges facing implementation of likely mHealth programmes in rural India. Based on fieldwork Andhra Pradesh 2014, and taking as exemplars two chronic medical 'conditions' - type 2 diabetes depression we look at ways which people one area currently access treatment; also explore how adults there use mobile phones daily life, to gauge the realistic likelihood uptake for possible initiatives. We identify very different pathways care these conditions, highlight...
Obesity is a global burden, which significantly increases the risk of non-communicable diseases (NCDs). More than quarter adults in United Kingdom are obese, but prevalence varies by ethnicity, and South Asians have largest burden NCDs. This paper assesses how sex, generation, region interplay to vary predisposition obesity-related (OR) NCDs among UK Bangladeshis.We used National Institute for Health Care Excellence suggested grading combining body mass index waist circumference define...
Abstract Background Patient feedback in the English NHS is now widespread and digital methods are increasingly used. Adoption of depends on socio-technical contextual factors, alongside human agency lived experience. Moreover, introduction these may be perceived as disruptive organisational clinical routines. The focus this paper implementation a particular intervention that was co-designed with health professionals patients (the DEPEND study). Methods conceptualised complex thus study...
The link between high fertility and poverty is well established. However, this paper shows how infertility may also generate among childless families in Bangladesh. An ethnographic study was conducted, involving various qualitative research methods that revealed economic consequences to be one of the crucial sequelae childlessness This details poverty/fertility relationship dependent on social institutional characteristics, including patriarchal values, education, urban-rural location health...
Co-morbidity of depression with other non-communicable diseases (NCDs) worsens clinical outcomes for both conditions. Low- and middle-income countries need to strengthen mechanisms detection management co-morbid within NCDs. The Behavioural Activation Comorbid Depression in Non-communicable Disease (BEACON) study explored the acceptability feasibility integrating a brief intervention (behavioural activation, BA) into NCD services healthcare facilities Bangladesh Pakistan. Face-to-face...
The way we collect and use patient experience data is vital to optimise the quality safety of health services. Yet, some patients carers do not give feedback because limited ways collected, analysed presented. In this study, worked together with researchers, staff, carer participants, public involvement engagement (PPIE) contributors, co-design new tools for collection in multiple settings. This paper outlines how range PPIE research activities enabled data.Eight contributors represented a...
Abstract This analysis challenges a tendency in public health and the social sciences to associate India's medical pluralism with distinction between biomedicine, as homogeneous entity, its non‐biomedical ‘others’. We argue that this overdrawn dichotomy obscures important part played by ‘informal’ biomedical practice, an issue salience well beyond India. Based on qualitative study rural Andhra Pradesh, South India, we focus figure little discussed academic literature – Registered Medical...
Abstract Background Cardiovascular disorders (CVD) are the single greatest cause of mortality worldwide. In UK, National Health Service (NHS) has launched an initiative health checks over and above current care to tackle CVD. However, uptake Checks is poor in disadvantaged communities. This protocol paper sets out a UK-based study (Sussex Nottingham) aiming co-produce community delivered CVD risk assessment coaching intervention support members reduce their The overall aim project implement...
South Asia is a hotspot for antimicrobial resistance due largely to over-the-counter antibiotic sales humans and animals from lack of policy compliance among healthcare providers. Additionally, there high population density infectious disease burden. This paper describes the development social behavioural change communication (SBCC) increase appropriate use antibiotics.We used formative research explore contextual drivers sales, purchase, consumption/use promotion four groups: 1) households,...
Abstract More than one billion people are affected by neglected tropical diseases (NTDs) and many of these preventable. While the grouping conditions as NTDs has generated vast mapping, mass drug administration surveillance programmes, there is growing evidence gaps weaknesses in purely biomedical approaches, need for responses that also recognise social determinants health. In order to unpack political NTDs, it important view problem from a science perspective. Given this background, Social...
Background Collecting NHS patient experience data is critical to ensure the delivery of high-quality services. Data are obtained from multiple sources, including service-specific surveys and widely used generic surveys. There concerns about timeliness feedback, that some groups patients carers do not give feedback free-text may be useful but difficult analyse. Objective To understand how improve collection usefulness in services for people with long-term conditions using digital capture...