A5045710429- Tuberculosis Research and Epidemiology
- Vaccine Coverage and Hesitancy
- Pneumonia and Respiratory Infections
- Pneumocystis jirovecii pneumonia detection and treatment
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Diagnosis and treatment of tuberculosis
- Diverse Scientific Research Studies
- COVID-19 epidemiological studies
- SARS-CoV-2 detection and testing
- HIV/AIDS Research and Interventions
- Immune responses and vaccinations
- Biotechnology and Related Fields
- SARS-CoV-2 and COVID-19 Research
- Pharmaceutical Quality and Counterfeiting
- Viral Infections and Outbreaks Research
- Digital Imaging for Blood Diseases
- Ethics in Clinical Research
- Innovation and Socioeconomic Development
- Healthcare cost, quality, practices
McGill University
2023-2025
Institute of Public Health Bengaluru
2015-2023
National Institution for Transforming India Aayog
2022
Instituut voor Tropische Geneeskunde
2016-2018
Background Successful point-of-care testing, namely ensuring the completion of test and treat cycle in same encounter, has immense potential to reduce diagnostic treatment delays, impact patient outcomes. However, having rapid tests is not enough, as many barriers may prevent their successful implementation testing programs. Qualitative research on practices help identify such across different points care health systems. Methods In this exploratory qualitative study, we conducted 78...
India's Revised National Tuberculosis (TB) Control Programme (RNTCP) offers free TB diagnosis and treatment. But more than 50% of patients seek care from private practitioners (PPs), where is managed sub-optimally. In India, there dearth studies capturing experiences when they navigate through health facilities to care. Also, less information available on how PPs make decisions refer cases RNTCP. We conducted this study understand the factors influencing patient's therapeutic itineraries...
The core objective of any point-of-care (POC) testing program is to ensure that will result in an actionable management decision (e.g. referral, confirmatory test, treatment), within the same clinical encounter POC continuum). This can but does not have involve rapid tests. Most studies on focus one specific test and disease a particular healthcare setting. paper describes actors, technologies practices involved diagnosing major diseases five Indian settings – home, community, clinics,...
Introduction The COVID-19 pandemic was an unprecedented challenge to health systems worldwide and had a severe impact on tuberculosis (TB) case notifications service delivery. India, Indonesia Nigeria are high TB-burden countries where the majority of initial care-seeking happens in private sector. objectives this study were (1) explore policy-makers’ perspectives sector TB delivery (2) identify cross-cutting insights for preparedness with respect Methods From May November 2021, 33...
Point-of-care testing promises to cut diagnostic and treatment delays by ensuring patients receive a management decision based on test within one encounter with provider. Adding STS work diagnostics the sociology of diagnosis, this paper examines involved in enacting point-of-care testing, how technology features embedded assumptions regarding patients. Using focus group discussions providers India, results reveal overlaps, detours frictions along pathways. Diagnosing at point care requires...
The COVID-19 pandemic created unprecedented challenges in the field of global health. Nigeria, Indonesia and India are three high tuberculosis (TB) burden countries with large private health sectors. Both TB sector faced these because COVID-19. This study aimed to compare control measures policies provision care services gain insights from policymakers on how affected healthcare sector, each country adapted, identify lessons learned for system preparedness.
Abstract Objectives To assess a multicomponent intervention to improve private practitioners ( PP s) involvement in referral of presumptive pulmonary TB PTB ) cases the Revised National Control Programme RNTCP for sputum examination. Methods Randomised controlled trial. We randomly allocated all 189 eligible s Tumkur city, South India, or control arm. The intervention, implemented between December 2014 and January 2016, included two sets activities, one targeted at health system...
Tumkur District, South India.To assess the participation of for-profit, formal private practitioners (PPs) under Revised National Tuberculosis Control Programme's (RNTCP's) public-private mix (PPM) schemes and document their contribution to RNTCP pulmonary tuberculosis (TB) case finding.RNTCP reports at district TB centre were reviewed. PPs mapped referrals presumptive cases during 2011 assessed using laboratory registers designated microscopy centres (DMCs).None 424 had signed up for any...
Background: In India, Revised National Tuberculosis (TB) control programme (RNTCP) offers free diagnosis and treatment for TB, based on the Directly Observed Treatment Short (DOTS) course strategy. Under RNTCP, sputum conversion rate (SCR), at end of 2 months is an important operational indicator, which ideally expected to be 90%. Objectives: The objective present work was investigate factors associated with low SCR in Sira TB unit, Tumkur District, India. Material Methods: It a...
The Lancet Commission on Diagnostics highlighted a huge gap in access to diagnostic testing even for basic tests, particularly at the primary care level, and emphasised need countries include diagnostics as part of their universal health coverage benefits packages. Despite poor state diagnostic-related services low-income middle-income (LMICs), little is known about extent which are included benefit We conducted an analysis seven Asian LMICs-Cambodia, India, Indonesia, Nepal, Pakistan,...
Objectives In India, retail private pharmacists (RPPs) are often patients’ first point of contact for diseases, including tuberculosis (TB). We assessed the factors influencing RPPs’ referral patients with chest symptoms to National TB Elimination Programme (NTEP) and way business is carried out reference drugs. Design conducted semistructured interviews a purposive sample 41 RPPs in South Indian district between May October 2013. Data were collected from urban areas (21 RPPs) rural (20...
Background: Tuberculosis remains a major public health problem in India. The objective of this study was to assess the knowledge, attitude and practices with respect knowledge TB among selected urban slums‟ population between age group 18 – 65 years Mysore city, Karnataka, South Design: Community based cross-sectional survey 10 randomly slums 500 systematically individuals. Study carried out from January February 2015 using WHO (KAP) tool. Results: Overall about low (percent mean 45.7), no...
![Graphic][1]</img> Acknowledgements All EPHP 2016 abstracts were independently peer-reviewed by two experts. We thank the following experts, in alphabetical order: Asha Kilaru, Ashish Kumar Upadhyay, Amitabha Sarkar, Bart Criel, Bontha Babu, … [1]: /embed/inline-graphic-1.gif
Interview guide 1. Patients under PPM-DOTS. Questionnaire for in-depth interviews of TB patients PPM-DOTS (DOCX 29 kb)