David Beran
Biographic Data
| ID | 1539934 |
|---|---|
| NAME | David Beran |
| GIVEN NAMES | David |
| FAMILY NAME | Beran |
| SIGNATURE | BERAN D |
| AFFILIATIONS | University of Geneva |
| ORCID | 0000-0001-7229-3920 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Rethinking and redefining the definitions and how we measure availability and affordability of medicines and technologies for non-communicable diseases
Introduction Non-communicable diseases (NCDs) include cancers, cardiovascular diseases, diabetes, chronic respiratory disease and mental health
Perspectives of humanitarian actors on interprofessional care for persons living with diabetes
Background: Proper management of persons living with chronic diseases including diabetes requires collaboration between different health care providers. Yet in humanitarian settings, care is essentially provided by health services organised in silos, without coordination and inclusion of people living with various conditions. Interprofessional teamwork could be a means to address this, but this approach is rarely implemented in such contexts. Met…
Ensuring sexual and reproductive healthcare services amidst a pandemic
Nowadays there is an emerging interest on health system resilience capacity during emergencies as the one created by the COVID-19 Pandemic. This article contributes to this emerging field of studies by analysing the impact of the state ́s policy responses COVID-19 (as lockdowns) on the Peruvian health system, specifically on the delivery of non-covid services, sexual and reproductive health services, and describe the strategies deployed by health…
Implementation of a salt substitute intervention using social marketing in resourced-limited communities in Peru
Objective This study aimed to conduct a process evaluation of a salt substitute trial conducted in Peru. Methods Through semi-structured interviews of intervention participants, we documented and analyzed process evaluation variables as defined by the Medical Research Council Framework. This study was a stepped wedge trial conducted in Tumbes, Peru in 2014. The intervention was a community-wide replacement of regular salt (100% sodium) with “Salt…
A study is 21 times more likely to find unfavourable results about the nutrition label Nutri-Score if the authors declare a conflict of interest or the study is funded by the food industry
Many scientists and health professionals consider that scientific evidence that supports front-of-pack nutrition labelling, such as ‘Nutri-Score’, becomes mandatory in Europe to help consumers make healthier choices at the point of purchase. Politicians and political parties, food manufacturers and some agricultural sectors are opposed to nutrition labelling such as ‘Nutri-Score’ as they claim that scientific studies insufficiently support making…
Cómo la investigación influencia las políticas en salud
Editorial in Spanish - No abstract available
Changes in prevalence and the cascade of care for type 2 diabetes over ten years (2005-2015)
While the prevalence of diabetes in Mozambique has increased from 2005 to 2015, awareness and medication use have declined considerably. There is an urgent need to improve the capacity of primary health care and communities to detect, manage and prevent the occurrence of NCDs and their risk factors
Diagnostics and monitoring tools for noncommunicable diseases
A key component of any health system is the capacity to accurately diagnose individuals. One of the six building blocks of a health system as defined by the World Health Organization (WHO) includes diagnostic tools. The WHO’s Noncommunicable Disease Global Action Plan includes addressing the lack of diagnostics for noncommunicable diseases, through multi-stakeholder collaborations to develop new technologies that are affordable, safe, effective a…
Reforms in medical education
Human resources are one of the six building blocks of a health system. In order to ensure that these resources are adequately trained to meet the evolving needs of populations, medical education reforms are needed. In Kyrgyzstan, like in many other low- and middle-income countries, human resources for health are a key challenge for the health system in both the quantity and having their training aligned with the health system priorities. Here we …
Forty years after Alma-Ata
BACKGROUND: Four decades after the Alma-Ata Declaration, strengthening primary health care (PHC) remains a priority for health systems, especially in low- and middle-income countries (LMICs). Given the prominence of chronic diseases as a global health issue, PHC must include a wide range of components in order to provide adequate care. OBJECTIVE: To assess PHC preparedness to provide chronic care in Mozambique, Nepal and Peru, we used, as 'tracer…
Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (Extend project) inLilongwe, Malawi and Maputo, Mozambique
Findings from this study suggest that multi-faceted factors play a significant role to the implementation of DSMES programmes in LICs. In the future, EXTEND could be incorporated in the development of diabetes training and dedicated diabetes services in SSA healthcare systems, acting as an educational tool for both people with T2DM and HCPs. This project was supported by the Medical Research Council GCRF NCDs Foundation Awards 2016 Development Pa…
Report of the WHO independent high-level commission on NCDs
box The current WHO independent high-level commission on non-communicable diseases’ report lacks clear focus on addressing the issues of inequalities in non-communicable diseases. Much stronger recommendations are needed to ensure appropriate investment in strengthening and improving the quality of health systems, especially at primary healthcare. Governments, the private sector and other actors all need to be involved in finding sustainable solu…
Lessons learned about co-creation
Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology to develop interventions aimed at the improvement of diagnosis and/or management of chronic diseases at the primary healthcare leve…
Forty years since Alma-Ata
Noncommunicable diseases, access to essential medicines and universal health coverage
Universal Health Coverage is key to reach the overall health-related Sustainable Development Goal, and within this, access to safe, effective, quality, and affordable essential medicines is critical. Currently, medicines for noncommunicable diseases in many countries are not available when needed and if they are present, are unaffordable. Countries face the challenges of rising prevalence of noncommunicable diseases due to increasing risk factors…
Disruption, changes, and adaptation
Chronic conditions are an increasing problem in Low- and Middle-Income Countries (LMICs) yet, the challenges faced by low-income populations with these conditions in such countries are not well understood. Based on in-depth interviews with people affected by chronic conditions and their family members, this paper describes the experience of patients suffering from diabetes or hypertension in rural communities of Mozambique, Nepal, and Peru. We an…
Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries
Only 198 articles were found over a 10 year period which demonstrates the limited published research on highly prevalent diseases in LMIC. This review shows the variety and complexity of approaches that have been tested to address HTN and DM in LMICs and highlights the elements of interventions needed to be addressed in order to strengthen delivery of care. Most studies reported little information regarding implementation processes to allow repli…
Precios, disponibilidad y asequibilidad de insulina en farmacias públicas y privadas en Perú
Objetive. Medir el precio, disponibilidad y asequibilidad de insulina y metformina, como comparador, en farmacias públicas y privadas en seis regiones del Perú. Métodos. Estudio transversal con uso de la metodología adaptada de la Organización Mundial de la Salud/Acción Internacional para la Salud (OMS/AIS). Se encuestaron farmacias públicas y privadas de seis regiones del Perú. Se recolectaron datos de disponibilidad y precio de insulina (todos …
The process of prioritization of non-communicable diseases in the global health policy arena
Although non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, the global policy response has not been commensurate with their health, economic and social burden. This study examined factors facilitating and hampering the prioritization of NCDs on the United Nations (UN) health agenda. Shiffman and Smith’s (Generation of political priority for global health initiatives: a framework and case study of maternal…
Addressing the double-burden of diabetes and tuberculosis
BACKGROUND: The incidence of diabetes and tuberculosis co-morbidity is rising, yet little work has been done to understand potential implications for health systems, healthcare providers and individuals. Kyrgyzstan is a priority country for tuberculosis control and has a 5% prevalence of diabetes in adults, with many health system challenges for both conditions. METHODS: Patient exit interviews collected data on demographic and socio-economic cha…
Towards sustainable partnerships in global health
Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for …
Partnerships in global health and collaborative governance
BACKGROUND: In 2007 the "Crisp Report" on international partnerships increased interest in Northern countries on the way their links with Southern partners operated. Since its establishment in 2007 the Division of Tropical and Humanitarian Medicine at the Geneva University Hospitals has developed a variety of partnerships. Frameworks to assess these partnerships are needed and recent attention in the field of public management on collaborative go…
Medicines availability for non-communicable diseases
BACKGROUND: In response to the global burden of non-communicable diseases (NCDs), the World Health Organization (WHO) has developed a Global Action Plan that includes a voluntary medicines target of 80% availability and affordability of essential medicines for the prevention and treatment of diabetes, cardiovascular disease and respiratory disease both in public and private health facilities. Reliable measures of medicines availability are needed…
Diabetes in an emergency context
The lessons learnt from this experience by Santé Diabète in Mali may be useful for other NGOs and the humanitarian response in general in addressing the challenge of managing non communicable diseases and diabetes in conflict and disaster situations in countries with weak health systems
Needs and Needs Assessments
It is argued that to improve health, health systems are required to meet people's needs and therefore health systems should identify these needs and find a way to prioritize these. For those with chronic diseases, these needs are necessary to manage their condition and go beyond purely the health system. A literature search found that studies published on identifying the needs of people with chronic diseases fall into the following categories: st…
Needs and Needs Assessments
It is argued that to improve health, health systems are required to meet people's needs and therefore health systems should identify these needs and find a way to prioritize these. For those with chronic diseases, these needs are necessary to manage their condition and go beyond purely the health system. A literature search found that studies published on identifying the needs of people with chronic diseases fall into the following categories: st…
The process of prioritization of non-communicable diseases in the global health policy arena
Although non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, the global policy response has not been commensurate with their health, economic and social burden. This study examined factors facilitating and hampering the prioritization of NCDs on the United Nations (UN) health agenda. Shiffman and Smith’s (Generation of political priority for global health initiatives: a framework and case study of maternal…
Non-communicable diseases in Mozambique
Mozambique is located on the East Coast of Africa bordering South Africa, Zimbabwe, Zambia, Malawi and Tanzania and is one of the poorest countries in the world. Currently NCDs account for 28% of deaths in Mozambique. Risk factors such as tobacco and alcohol use and poor diet are present in both urban and rural settings. Diseases such as hypertension and diabetes affect large proportions of the population, but people are often unaware of their co…
Medicines availability for non-communicable diseases
BACKGROUND: In response to the global burden of non-communicable diseases (NCDs), the World Health Organization (WHO) has developed a Global Action Plan that includes a voluntary medicines target of 80% availability and affordability of essential medicines for the prevention and treatment of diabetes, cardiovascular disease and respiratory disease both in public and private health facilities. Reliable measures of medicines availability are needed…
Diabetes in an emergency context
The lessons learnt from this experience by Santé Diabète in Mali may be useful for other NGOs and the humanitarian response in general in addressing the challenge of managing non communicable diseases and diabetes in conflict and disaster situations in countries with weak health systems
Needs and Needs Assessments
It is argued that to improve health, health systems are required to meet people's needs and therefore health systems should identify these needs and find a way to prioritize these. For those with chronic diseases, these needs are necessary to manage their condition and go beyond purely the health system. A literature search found that studies published on identifying the needs of people with chronic diseases fall into the following categories: st…
Towards sustainable partnerships in global health
Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for …
Partnerships in global health and collaborative governance
BACKGROUND: In 2007 the "Crisp Report" on international partnerships increased interest in Northern countries on the way their links with Southern partners operated. Since its establishment in 2007 the Division of Tropical and Humanitarian Medicine at the Geneva University Hospitals has developed a variety of partnerships. Frameworks to assess these partnerships are needed and recent attention in the field of public management on collaborative go…
Addressing the double-burden of diabetes and tuberculosis
BACKGROUND: The incidence of diabetes and tuberculosis co-morbidity is rising, yet little work has been done to understand potential implications for health systems, healthcare providers and individuals. Kyrgyzstan is a priority country for tuberculosis control and has a 5% prevalence of diabetes in adults, with many health system challenges for both conditions. METHODS: Patient exit interviews collected data on demographic and socio-economic cha…
Forty years since Alma-Ata
Noncommunicable diseases, access to essential medicines and universal health coverage
Universal Health Coverage is key to reach the overall health-related Sustainable Development Goal, and within this, access to safe, effective, quality, and affordable essential medicines is critical. Currently, medicines for noncommunicable diseases in many countries are not available when needed and if they are present, are unaffordable. Countries face the challenges of rising prevalence of noncommunicable diseases due to increasing risk factors…
Disruption, changes, and adaptation
Chronic conditions are an increasing problem in Low- and Middle-Income Countries (LMICs) yet, the challenges faced by low-income populations with these conditions in such countries are not well understood. Based on in-depth interviews with people affected by chronic conditions and their family members, this paper describes the experience of patients suffering from diabetes or hypertension in rural communities of Mozambique, Nepal, and Peru. We an…
Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low- and middle-income countries
Only 198 articles were found over a 10 year period which demonstrates the limited published research on highly prevalent diseases in LMIC. This review shows the variety and complexity of approaches that have been tested to address HTN and DM in LMICs and highlights the elements of interventions needed to be addressed in order to strengthen delivery of care. Most studies reported little information regarding implementation processes to allow repli…
Precios, disponibilidad y asequibilidad de insulina en farmacias públicas y privadas en Perú
Objetive. Medir el precio, disponibilidad y asequibilidad de insulina y metformina, como comparador, en farmacias públicas y privadas en seis regiones del Perú. Métodos. Estudio transversal con uso de la metodología adaptada de la Organización Mundial de la Salud/Acción Internacional para la Salud (OMS/AIS). Se encuestaron farmacias públicas y privadas de seis regiones del Perú. Se recolectaron datos de disponibilidad y precio de insulina (todos …
The process of prioritization of non-communicable diseases in the global health policy arena
Although non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, the global policy response has not been commensurate with their health, economic and social burden. This study examined factors facilitating and hampering the prioritization of NCDs on the United Nations (UN) health agenda. Shiffman and Smith’s (Generation of political priority for global health initiatives: a framework and case study of maternal…
Report of the WHO independent high-level commission on NCDs
box The current WHO independent high-level commission on non-communicable diseases’ report lacks clear focus on addressing the issues of inequalities in non-communicable diseases. Much stronger recommendations are needed to ensure appropriate investment in strengthening and improving the quality of health systems, especially at primary healthcare. Governments, the private sector and other actors all need to be involved in finding sustainable solu…
Lessons learned about co-creation
Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology to develop interventions aimed at the improvement of diagnosis and/or management of chronic diseases at the primary healthcare leve…
Diagnostics and monitoring tools for noncommunicable diseases
A key component of any health system is the capacity to accurately diagnose individuals. One of the six building blocks of a health system as defined by the World Health Organization (WHO) includes diagnostic tools. The WHO’s Noncommunicable Disease Global Action Plan includes addressing the lack of diagnostics for noncommunicable diseases, through multi-stakeholder collaborations to develop new technologies that are affordable, safe, effective a…
Reforms in medical education
Human resources are one of the six building blocks of a health system. In order to ensure that these resources are adequately trained to meet the evolving needs of populations, medical education reforms are needed. In Kyrgyzstan, like in many other low- and middle-income countries, human resources for health are a key challenge for the health system in both the quantity and having their training aligned with the health system priorities. Here we …
Forty years after Alma-Ata
BACKGROUND: Four decades after the Alma-Ata Declaration, strengthening primary health care (PHC) remains a priority for health systems, especially in low- and middle-income countries (LMICs). Given the prominence of chronic diseases as a global health issue, PHC must include a wide range of components in order to provide adequate care. OBJECTIVE: To assess PHC preparedness to provide chronic care in Mozambique, Nepal and Peru, we used, as 'tracer…
Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (Extend project) inLilongwe, Malawi and Maputo, Mozambique
Findings from this study suggest that multi-faceted factors play a significant role to the implementation of DSMES programmes in LICs. In the future, EXTEND could be incorporated in the development of diabetes training and dedicated diabetes services in SSA healthcare systems, acting as an educational tool for both people with T2DM and HCPs. This project was supported by the Medical Research Council GCRF NCDs Foundation Awards 2016 Development Pa…
Cómo la investigación influencia las políticas en salud
Editorial in Spanish - No abstract available
Changes in prevalence and the cascade of care for type 2 diabetes over ten years (2005-2015)
While the prevalence of diabetes in Mozambique has increased from 2005 to 2015, awareness and medication use have declined considerably. There is an urgent need to improve the capacity of primary health care and communities to detect, manage and prevent the occurrence of NCDs and their risk factors
Implementation of a salt substitute intervention using social marketing in resourced-limited communities in Peru
Objective This study aimed to conduct a process evaluation of a salt substitute trial conducted in Peru. Methods Through semi-structured interviews of intervention participants, we documented and analyzed process evaluation variables as defined by the Medical Research Council Framework. This study was a stepped wedge trial conducted in Tumbes, Peru in 2014. The intervention was a community-wide replacement of regular salt (100% sodium) with “Salt…
A study is 21 times more likely to find unfavourable results about the nutrition label Nutri-Score if the authors declare a conflict of interest or the study is funded by the food industry
Many scientists and health professionals consider that scientific evidence that supports front-of-pack nutrition labelling, such as ‘Nutri-Score’, becomes mandatory in Europe to help consumers make healthier choices at the point of purchase. Politicians and political parties, food manufacturers and some agricultural sectors are opposed to nutrition labelling such as ‘Nutri-Score’ as they claim that scientific studies insufficiently support making…
Ensuring sexual and reproductive healthcare services amidst a pandemic
Nowadays there is an emerging interest on health system resilience capacity during emergencies as the one created by the COVID-19 Pandemic. This article contributes to this emerging field of studies by analysing the impact of the state ́s policy responses COVID-19 (as lockdowns) on the Peruvian health system, specifically on the delivery of non-covid services, sexual and reproductive health services, and describe the strategies deployed by health…
Rethinking and redefining the definitions and how we measure availability and affordability of medicines and technologies for non-communicable diseases
Introduction Non-communicable diseases (NCDs) include cancers, cardiovascular diseases, diabetes, chronic respiratory disease and mental health
Medicine (25 works) · Nursing (15 works) · Political science (15 works) · Public health (13 works) · Economic growth (11 works) · Global Public Health Policies and Epidemiology (11 works) · Environmental health (10 works) · Health care (10 works) · Business (9 works) · Economics (8 works)