The Experts below are selected from a list of 181758 Experts worldwide ranked by ideXlab platform
Somnath Chatterji - One of the best experts on this subject based on the ideXlab platform.
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socioeconomic inequalities in risk factors for non communicable diseases in low Income and middle Income countries results from the world health survey
BMC Public Health, 2012Co-Authors: Ahmad Reza Hosseinpoor, Nicole Bergen, Anton E Kunst, Shirley Harper, Regina Guthold, Dag Rekve, Edouard Tursan Despaignet, Nirmala Naidoo, Somnath ChatterjiAbstract:Background Monitoring inequalities in non communicable disease risk factor prevalence can help to inform and target effective interventions. The prevalence of current daily smoking, low fruit and vegetable consumption, physical inactivity, and heavy episodic alcohol drinking were quantified and compared across wealth and education levels in low- and middle-Income Country groups.
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socioeconomic inequality in the prevalence of noncommunicable diseases in low and middle Income countries results from the world health survey
BMC Public Health, 2012Co-Authors: Ahmad Reza Hosseinpoor, Nicole Bergen, Shanthi Mendis, Sam Harper, Emese Verdes, Anton E Kunst, Somnath ChatterjiAbstract:Background Noncommunicable diseases are an increasing health concern worldwide, but particularly in low- and middle-Income countries. This study quantified and compared education- and wealth-based inequalities in the prevalence of five noncommunicable diseases (angina, arthritis, asthma, depression and diabetes) and comorbidity in low- and middle-Income Country groups.
Sharif Ismail - One of the best experts on this subject based on the ideXlab platform.
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health system functionality in a low Income Country in the midst of conflict the case of yemen
Health Policy and Planning, 2017Co-Authors: Naseeb Qirbi, Sharif IsmailAbstract:Background Although the literature on effects of armed conflict on population health is extensive, detailed assessments of effects on public health 'systems' are few. This article aims to help address this deficit through the medium of a case study on Yemen, describing health system and health outcome performance prior to the internationalisation of the conflict there in March 2015, before assessing the impact of war on health system functionality since that time. Method Review of peer- and non-peer reviewed literature from 2005 to 2016 from academic sources, multilateral organizations, donors and governmental and non-governmental organizations, augmented by secondary data analysis. Results Despite significant health system weaknesses and structural vulnerabilities pre-conflict, there were important improvements in selected health outcome measures in Yemen up to early 2015 (life expectancy, and infant and maternal mortality, e.g.), partly driven by a fragile health sector that was heavily reliant on out-of-pocket expenditure, and hampered by weak service penetration especially in rural areas. High intensity conflict has resulted in rising mortality and injury rates since March 2015, the first decline in life expectancy and increase in child and maternal mortality in Yemen for some years, and worsening levels of malnutrition. Service delivery has become increasingly challenging in the context of a funding crisis, destruction of health facilities, widespread shortages of essential medicines and equipment across the Country, and governance fragmentation. Conclusion Conflict in Yemen has resulted in humanitarian disaster on a wide scale in a short period of time, and crippled an already weak health system. Important areas of uncertainty remain, however, including the scale of health worker flight, and the extent to which alternative providers have stepped in to fill widening service gaps as the conflict has unfolded. Planning for longer-term health system reconstruction should begin as soon as possible.
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Health system functionality in a low-Income Country in the midst of conflict: the case of Yemen.
Health Policy and Planning, 2017Co-Authors: Naseeb Qirbi, Sharif IsmailAbstract:Although the literature on effects of armed conflict on population health is extensive, detailed assessments of effects on public health 'systems' are few. This article aims to help address this deficit through the medium of a case study on Yemen, describing health system and health outcome performance prior to the internationalisation of the conflict there in March 2015, before assessing the impact of war on health system functionality since that time. Review of peer- and non-peer reviewed literature from 2005 to 2016 from academic sources, multilateral organizations, donors and governmental and non-governmental organizations, augmented by secondary data analysis. Despite significant health system weaknesses and structural vulnerabilities pre-conflict, there were important improvements in selected health outcome measures in Yemen up to early 2015 (life expectancy, and infant and maternal mortality, e.g.), partly driven by a fragile health sector that was heavily reliant on out-of-pocket expenditure, and hampered by weak service penetration especially in rural areas. High intensity conflict has resulted in rising mortality and injury rates since March 2015, the first decline in life expectancy and increase in child and maternal mortality in Yemen for some years, and worsening levels of malnutrition. Service delivery has become increasingly challenging in the context of a funding crisis, destruction of health facilities, widespread shortages of essential medicines and equipment across the Country, and governance fragmentation. Conflict in Yemen has resulted in humanitarian disaster on a wide scale in a short period of time, and crippled an already weak health system. Important areas of uncertainty remain, however, including the scale of health worker flight, and the extent to which alternative providers have stepped in to fill widening service gaps as the conflict has unfolded. Planning for longer-term health system reconstruction should begin as soon as possible. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
Ahmad Reza Hosseinpoor - One of the best experts on this subject based on the ideXlab platform.
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socioeconomic inequalities in risk factors for non communicable diseases in low Income and middle Income countries results from the world health survey
BMC Public Health, 2012Co-Authors: Ahmad Reza Hosseinpoor, Nicole Bergen, Anton E Kunst, Shirley Harper, Regina Guthold, Dag Rekve, Edouard Tursan Despaignet, Nirmala Naidoo, Somnath ChatterjiAbstract:Background Monitoring inequalities in non communicable disease risk factor prevalence can help to inform and target effective interventions. The prevalence of current daily smoking, low fruit and vegetable consumption, physical inactivity, and heavy episodic alcohol drinking were quantified and compared across wealth and education levels in low- and middle-Income Country groups.
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socioeconomic inequality in the prevalence of noncommunicable diseases in low and middle Income countries results from the world health survey
BMC Public Health, 2012Co-Authors: Ahmad Reza Hosseinpoor, Nicole Bergen, Shanthi Mendis, Sam Harper, Emese Verdes, Anton E Kunst, Somnath ChatterjiAbstract:Background Noncommunicable diseases are an increasing health concern worldwide, but particularly in low- and middle-Income countries. This study quantified and compared education- and wealth-based inequalities in the prevalence of five noncommunicable diseases (angina, arthritis, asthma, depression and diabetes) and comorbidity in low- and middle-Income Country groups.
Juan Carlos Puyana - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a Hospital Electronic Surgical Registry in a Lower-Middle-Income Country
World Journal of Surgery, 2016Co-Authors: Mohini Dasari, Marcelo Garbett, Elizabeth Miller, Gustavo M. Machain, Juan Carlos PuyanaAbstract:Background While the benefits of using electronic health records (EHRs) in both developed and low- and middle-Income countries are known, the barriers to implementing EHRs in lower-middle-Income countries have not been fully characterized. We assessed organizational readiness for implementation of a mobile (tablet-based) EHR, to create a real-time electronic surgical registry, in a busy lower-middle-Income Country hospital. Methods Six semi-structured focus groups were conducted with hospital administrators, faculty surgeons, surgical residents, interns, nurses and medical students in a large urban hospital in Asuncion, Paraguay. Focus groups were conducted over the course of three weeks during the pre-implementation phase to identify barriers to implementation. Focus group data were coded using the Theoretical Domains Framework (TDF), which are 12 validated domains related to behavior change. Results Reinforcement, environmental context/resources and roles/responsibilities were the most relevant TDF domains that emerged. Residents and students were more uncertain than faculty and department heads about who would enforce the use of the tool in place of paper charting. Internet quality was a concern raised by all. The local, normative hierarchical structure within the surgical department, including piecemeal communication between the department heads and the residents about roles and responsibilities, was a major perceived barrier to implementation. Conclusions Uncertainties about reinforcement, roles and responsibilities for using a novel EHR tool, and technology infrastructure are potential barriers to address in the pre-implementation phase of introducing an EHR to a lower-middle-Income Country surgical service. Addressing these potential barriers with all stakeholders prior to implementation will be a critical next step in this effort.
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Implementation of a Hospital Electronic Surgical Registry in a Lower-Middle-Income Country.
World Journal of Surgery, 2016Co-Authors: Mohini Dasari, Marcelo Garbett, Elizabeth Miller, Gustavo M. Machain, Juan Carlos PuyanaAbstract:Background While the benefits of using electronic health records (EHRs) in both developed and low- and middle-Income countries are known, the barriers to implementing EHRs in lower-middle-Income countries have not been fully characterized. We assessed organizational readiness for implementation of a mobile (tablet-based) EHR, to create a real-time electronic surgical registry, in a busy lower-middle-Income Country hospital.
Allan Okrainec - One of the best experts on this subject based on the ideXlab platform.
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barriers to the uptake of laparoscopic surgery in a lower middle Income Country
Surgical Endoscopy and Other Interventional Techniques, 2013Co-Authors: Ian Choy, Simon Kitto, Nii Armah Aduaryee, Allan OkrainecAbstract:Background Despite the significant improvements in surgical care in developed countries, the adoption of laparoscopy in lower-middle-Income countries (LMICs) has been sporadic and minimal. Although the most quoted explanation for this has been an apparent lack of resources and training, recent studies have demonstrated that these constraints may not be the only significant barrier. The overall aim of this study was to analyze barriers to the adoption of laparoscopic surgery at a hospital in an LMIC.
