A5071955578- Tuberculosis Research and Epidemiology
- Pneumonia and Respiratory Infections
- COVID-19 Clinical Research Studies
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- COVID-19 epidemiological studies
- COVID-19 diagnosis using AI
- Pneumocystis jirovecii pneumonia detection and treatment
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- HIV/AIDS Research and Interventions
- Antibiotic Use and Resistance
- Aging and Gerontology Research
- Pharmaceutical Practices and Patient Outcomes
- HIV/AIDS Impact and Responses
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- HIV, Drug Use, Sexual Risk
- Immune responses and vaccinations
- Diabetes Management and Research
- Respiratory viral infections research
- Social Media and Politics
- Healthcare Systems and Challenges
- Identity, Memory, and Therapy
- Diversity and Career in Medicine
University of Waterloo
2022-2025
McGill University
2020-2025
McGill University Health Centre
2020-2025
Université de Montréal
2017-2021
Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal
2020
Centre Hospitalier de l’Université de Montréal
2018
Institute of Human Virology
2013
University of the Western Cape
2013
The COVID-19 pandemic has caused widespread disruptions to tuberculosis (TB) care and service delivery in 2020, setting back progress the fight against TB by several years. As newer variants continue devastate many low middle-income countries 2021, extent of this setback is likely increase. Despite these challenges, community can draw on comprehensive approaches used manage help restore mitigate impact TB. Our team developed 'Swiss Cheese Model for Ending TB' illustrate that it only through...
Nigeria has the second largest share of undiagnosed TB cases in world and a large private health sector estimated to be point initial care-seeking for 67% patients. There is evidence that COVID-19 restrictions disrupted healthcare provision, but insufficient data on how provision changed as result pandemic. We conducted qualitative interviews survey assess impact pandemic, government response disruptions providers experienced, particularly services. Using mixed methods, we targeted...
The COVID-19 pandemic is thought to have undone years’ worth of progress in the fight against tuberculosis (TB). For instance, Indonesia, a high TB burden country, case notifications decreased by 14% and treatment coverage 47% during COVID-19. We sought better understand impact on detection using two cross-sectional surveys conducted before (2018) after onset (2021). These allowed us quantify delays that individuals with who eventually received at private providers faced while trying access...
Pre-COVID-19, individuals with tuberculosis (TB) in Nigeria were often underdiagnosed and untreated. TB services mostly the public sector only 15% of new cases 2019 reported from private sector. Reports highlighted challenges accessing care sector, which accounted for 67% all initial care-seeking. Our study examined patients' health seeking pathways Nigeria's explored any changes to during COVID-19.
Abstract Background Indonesia has the second highest incidence of tuberculosis in world. While 74% people with first accessed private health sector when seeking care for their symptoms, only 18% notifications originate sector. Little is known about impact COVID-19 pandemic on Using unannounced standardized patient visits to providers, we aimed measure quality during pandemic. Methods A cross-sectional study was conducted using patients Bandung City, West Java, Indonesia. Ten completed 292...
The COVID-19 pandemic has impacted health systems and programs across the world. For tuberculosis (TB), it is predicted to set back progress by at least twelve years. Public private mix (PPM)has made a vital contribution reach End TB targets with ten-fold rise in notifications from providers between 2012 2019. This due large part efforts of intermediary agencies, which aggregate demand providers. put these gains risk over past year. In this rapid assessment, representatives 15 agencies seven...
Memory plays a crucial role in cognitive health. Social isolation (SI) and loneliness (LON) are recognized risk factors for global cognition, although their combined effects on memory have been understudied the literature. This study used three waves of data over six years from Canadian Longitudinal Study Aging to examine whether SI LON individually jointly associated with community-dwelling middle-aged older adults (n = 14,208). was assessed question: "In last week, how often did you feel...
Despite the availability of free drug-resistant tuberculosis (DR-TB) care in Nigeria since 2011, country continues to tackle low case notification and treatment rates. In 2018, 11% an estimated 21,000 cases were diagnosed 9% placed on treatment. These rates are nevertheless a marked improvement from 2015 when only 3.4% 2.3% 29,000 cases. This study describes Nigerian DR-TB cascade 2013 2017 considers factors influencing gaps care.Our utilized mixed-method design. For quantitative component,...
### Summary box In 2019, 10.0 million people developed tuberculosis (TB) yet 2.9 million were not notified to National TB programmes (NTPs).1 This is largely due limited accessibility healthcare services, underdeveloped health reporting systems, insufficient human resources and poor linkages between private providers national authorities.2 There are various global initiatives address this challenge, including the Find.Treat.All #EndTB initiative End strategy which aims reduce incidence by...
Reducing systemic inequities in testing, access to care, social protection – and the scientific process is essential end TB. Incorporating science methods expertise on inequity into mainstream TB response would help ensure that political commitments equity move beyond symbolic gestures. We convened a meeting between scientists, people with lived experience, civil society community members discuss within global response. Here, we propose five means by which lens can strengthen equitable,...
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...
The tuberculosis (TB) program was massively disrupted due to the COVID-19 pandemic, which may have impacted on an increase in costs for people with TB (PWTB) and their households. We aimed quantify pre-treatment out-of-pocket factors associated these from patients’ perspective during pandemic Bandung, Indonesia. Adults pulmonary were interviewed using a structured questionnaire this cross-sectional study recruiting 7 hospitals, 59 private practitioners, 10 community health centers (CHCs)...
Tuberculosis (TB) is an infectious disease closely intertwined with stigma, discrimination, and the social determinants of health. Communities people affected by TB are experts in their care pathways, but field continues to fall short meaningfully engaging communities research. This a missed opportunity improve quality, relevance, person-centeredness, positive impact, sustainability research outputs. We acknowledge important progress that has been made date regarding community engagement TB,...
Although health promotion scholars encourage researchers in the field to adopt a broad definition of and wide lens on factors which shape it, critics have noted that research continues be focused downstream individual behavior, downplaying powerful role structural determinants. We argue increased use qualitative approaches could support shift away from clinically defined disease towards practices advance community well-being empowerment. focus three overlapping tensions, namely inclination...
India's dominant private healthcare sector is the destination for 60-85% of initial tuberculosis care-seeking. The COVID-19 pandemic in India drastically affected TB case notifications first half 2020. In this survey, we assessed impact wave on providers, and changes they adopted their practice due to pandemic.
Abstract 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 policymakers’ perspectives sector TB delivery Nigeria; (2) identify cross-cutting lessons learned for preparedness with respect Methods From May –...
The coronavirus disease 2019 (COVID-19) has emerged as a serious threat to global public health, demanding urgent action and causing unprecedented worldwide change in short space of time. This devastated economies, infringed on individual freedoms, taken an toll healthcare systems worldwide. As 1 April 2020, over million cases COVID-19 have been reported 204 countries territories, resulting more than 51,000 deaths. Yet, against the backdrop pandemic, lies older, insidious with much greater...
Abstract Background Despite progress in tuberculosis (TB) control globally, TB continues to be a leading cause of death from infectious diseases, claiming 1.2 million lives 2018; 214,000 these deaths were due drug resistant strains. Of the estimated 10 cases globally 2018, 24% Africa, with Nigeria and South Africa making up most numbers. ranks 6th world for burden, an 4.3% multi-drug resistance new cases. However, country had one lowest case detection rates, at incident 2018 - well below WHO...