- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Heart Failure Treatment and Management
- Blood Pressure and Hypertension Studies
- Medication Adherence and Compliance
- Obesity, Physical Activity, Diet
- Cardiovascular Health and Risk Factors
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Diabetes Management and Education
- Emergency and Acute Care Studies
- Nursing Diagnosis and Documentation
- Health Systems, Economic Evaluations, Quality of Life
- Ophthalmology and Visual Health Research
- Global Health Care Issues
- Electronic Health Records Systems
- Family and Patient Care in Intensive Care Units
- Family Caregiving in Mental Illness
University of Birmingham
2020-2025
Sree Chitra Thirunal Institute for Medical Sciences and Technology
2024-2025
Centre for Chronic Disease Control
2019-2021
The Edgbaston Hospital
2021
UNSW Sydney
2019
Public Health Foundation of India
2018
Multiple long-term conditions (MLTCs) are a major public health challenge globally. Complexity in managing MLTCs and their adverse consequences confronts the healthcare systems India. However, data from India to understand how improve capacity manage multiple chronic limited. We aimed explore challenges providers (HCPs) face people with south Indian primary care setting. Semi-structured interviews were conducted HCPs four districts of Kerala, Key themes sub-themes identified using Framework...
Background Over the years, non-communicable diseases (NCDs), as well number of people with multiple chronic NCDs or multi-morbidity, are on a sharp rise globally, especially in low and middle-income countries (LMICs). This review attempts to deepen knowledge (policy landscape) how managing associated challenges addressed across health systems policies from India, South Africa Thailand. Methods We conducted search two engines (PubMed Google) websites national departments February 2022...
Background: India has adopted several policies toward improving access to healthcare and been an enthusiastic signatory global health achieve Universal Health Coverage (UHC). However, despite these policy commitments, there limited success in realizing goals. The COVID-19 pandemic highlighted the urgent need for system re-design amplified calls such reforms. Objectives: We seek understand views of a diverse group actors address following research questions: what are (i) conceptualizations...
Abstract Introduction Poor medical information transfer across healthcare visits and providers poses a potential threat to patient safety. Patient‐held health records (PHRs) may be used facilitate informational continuity, handover communication self‐management. However, there are conflicting opinions on the effectiveness of PHRs, other than in maternal child care. Moreover, experiences users PHRs low‐ middle‐income countries critical policy decisions but have rarely been researched. Aim...
<ns4:p><ns4:bold>Background:</ns4:bold> The objective of the study was to describe participants’ and providers’ perspectives barriers facilitators enrolment, participation adherence a structured lifestyle modification (SLM) interventions as part PROLIFIC trial in Kerala, India.</ns4:p><ns4:p> <ns4:bold>Methods:</ns4:bold> Family members who had been enrolled for 12-months or more family-based cardiovascular risk reduction intervention (PROLIFIC Trial) were purposively sampled interviewed...
Background Multimorbidity or multiple long-term conditions (MLTCs), the coexistence of two more chronic within an individual, presents a growing concern for healthcare systems and individuals’ well-being. However, we know little about experiences those living with MLTCs in low- middle-income countries (LMICs) such as India. We explore how people describe their illness, engagements services, challenges they face primary care settings Kerala, Methods designed qualitative descriptive study...
<ns4:p><ns4:bold>Background:</ns4:bold> The objective of the study was to describe participants’ and providers’ perspectives barriers facilitators enrolment, participation adherence a structured lifestyle modification (SLM) interventions as part PROLIFIC trial in Kerala, India.</ns4:p><ns4:p> <ns4:bold>Methods:</ns4:bold> Family members who had been enrolled for 12-months or more family-based cardiovascular risk reduction intervention (PROLIFIC Trial) were purposively sampled interviewed...
<ns4:p><ns4:bold>Background: </ns4:bold>Deficits in quality of care for patients with heart failure (HF) contribute to high mortality this population. This qualitative study aimed understand the barriers and facilitators high-quality HF Kerala, India.</ns4:p><ns4:p> <ns4:bold>Methods: </ns4:bold>Semi-structured, in-depth interviews were conducted a purposive sample health providers (n=13), caregivers (n=14). Additionally, focus group discussions (n=3) their caregivers. All transcribed...
Introduction Access to patients' documented medical information is necessary for building the informational continuity across different healthcare providers (HCP), particularly patients with non-communicable diseases (NCD). Patient-held health records (PHR) such as NCD notebooks have important information, which can contribute in outpatient settings diabetes and hypertension Kerala. We aimed use theoretical domains framework (TDF) identify perceived HCP factors influencing management...
Background: Deficits in quality of care for patients with heart failure (HF) contribute to high mortality this population. This qualitative study aims understand the barriers and facilitators high-quality HF Kerala, India. Methods: Semi-structured, in-depth interviews were conducted a purposive sample health providers (n=13), caregivers (n=14). Additionally, focus group discussions (n=3) their caregivers. All transcribed verbatim. Textual data analysed using thematic analysis. Results:...