Rohina Joshi
Dados Biográficos
| ID | 3927756 |
|---|---|
| NOME | Rohina Joshi |
| PRENOMES | Rohina |
| SOBRENOME | Joshi |
| ASSINATURA | JOSHI R |
| AFILIAÇÕES | UNSW Sydney |
| ORCID | 0000-0002-3374-401X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAÇÕES | 3 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2007 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Use of digital health in task-sharing for prevention and management of non-communicable diseases in Africa
Task-sharing with non-physician health workers (NPHWs), supported by digital health, has emerged as a critical strategy to address workforce shortage and improve the delivery of health services. The use of digital health shows promise in supporting task-sharing for the prevention and management of non-communicable diseases (NCDs) elsewhere; however, the evidence from Africa remains limited. This study aims to review the use of digital health in t…
Association of depression with glycaemic control in people living with diabetes in low- and middle-income countries
Exploring the implementation of community health worker program in Fiji
In Fiji, community health workers (CHWs) play a critical role in providing primary health care, especially in remote and hard-to-reach areas. This study aims to comprehensively explore the implementation of the CHW program and identify policy-implementation gaps that will strengthen the country’s primary health care. We conducted a qualitative exploratory study in Fiji’s six sub-divisions across the four administrative divisions—Central, Eastern,…
Task-sharing for non-communicable disease prevention and control in low- and middle-income countries in the context of health worker shortages
Health workers are pivotal for non-communicable disease (NCD) service delivery, yet often are unavailable in low- and middle-income countries (LMICs). There is limited evidence on what NCD-related tasks non-physician health workers (NPHWs) can perform and their effectiveness. This study aims to understand how task-sharing is used to improve NCD prevention and control in LMICs. We also explored barriers, facilitators, and unexpected consequences o…
Understanding implementation, adoption, and acceptability of the WHO package of essential noncommunicable (PEN) disease interventions in Fiji
The Package of Essential Noncommunicable (PEN) disease interventions in response to the high prevalence of cardiovascular diseases and diabetes was implemented in Fiji commencing in 2012. This study aimed to understand implementation outcomes, and its contextual influences. Semi-structured interviews with health workers and patients across Fiji was conducted. Thematic analysis was mapped to the health system building blocks to understand PEN serv…
The implementation of the Workforce Indicators of Staffing Needs (Wisn) method to improve access to health workforce in selected South-East Asian countries
The Workload Indicators of Staffing Needs (WISN) is a tool used to estimate health workforce requirements for national or sub-national regions and health facilities. We determined the implementation of WISN for six countries in the World Health Organization South-East Asia Region (WHO-SEAR). This research ascertained whether WISN’s recommendations were adopted and operationalised after the initial assessment. This will then help policymakers iden…
Cervical cancer prevention and control in Nigeria
Cervical cancer is a significant public health issue in Nigeria and a major cause of cancer-related morbidity and mortality among women. Equitable implementation of cervical cancer control programs alongside relevant policies and strategic plans is vital to reducing the burden of cervical cancer and improving the quality of life. Considering the role of policies in guiding program implementation, we reviewed Nigeria's cervical cancer policy lands…
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Investing in health workers
BACKGROUND: Return-of-service (RoS) schemes are investment strategies that governments use to increase the pool of health professionals through the issuing of bursaries and scholarships to health sciences students in return for service after graduation. Despite using these schemes for many years, Eswatini, South Africa, Botswana and Lesotho have not assessed the costs and return on investment of these schemes. This study aimed to assess the costs…
Strengthening policy engagement when scaling up interventions targeting non-communicable diseases
Policy engagement is an essential component of implementation research for scaling up interventions targeting non-communicable diseases (NCDs). It refers to the many ways that research team members, implementers and policymakers, who represent government decision-making, connect and interact to explore common interests. Well-conducted engagement activities foster co-production, local contextualization and assist in the successful translation of r…
“We just have to help”
Introduction: Nigeria's skilled health professional health workforce density is insufficient to achieve its national targets for non-communicable diseases (NCD) which include 25% reduction in the prevalence of diabetes and hypertension, particularly at the primary health care (PHC) level. This places a great demand on community health workers (CHWs) who constitute the majority of PHC workers. Traditionally, CHWs are mainly involved in infectious …
“We're on the ground, we know what needs to be done”
Background: Aboriginal Health Workers (AHWs) are core providers of primary health care (PHC) for First Nations peoples in Australia. However, the national AHW workforce is aging and in short supply. There is a poor understanding of the factors contributing to this attrition from the perspectives of AHWs themselves. This study aimed to systematically explore the current functioning and sustainability of AHWs in NSW PHC by amplifying AHW voices. Ma…
Effectiveness of return-of-service schemes for human resources for health retention
BACKGROUND: Governments use return-of-service (RoS) schemes to train, employ and retain health professionals in the public sector. We determined the effectiveness of RoS schemes in four Southern African countries. METHODS: This retrospective cohort study used databases of RoS beneficiaries from South Africa, Botswana, Eswatini and Lesotho. We ascertained the period of funding for beneficiaries between 2000 and 2010, study programme, selection cri…
Prioritising and planning scale-up research projects targeting non-communicable diseases
Fundamental to NCD scale-up research are (1) funding opportunities that reflect the complexity and time necessary to enable contextualisation; (2) investment in building multidisciplinary research capacity and leadership and (3) better networking to encourage cohesive action and align NCD-related scale-up research activities globally
Scope of health worker migration governance and its impact on emigration intentions among skilled health workers in Nigeria
The growing trends for skilled health worker (SHW) migration in Nigeria has led to increased concerns about achieving universal health coverage in the country. While a lot is known about drivers of SHW migration, including national/sub-national government’s inability to address them, not enough is known about its governance. Underpinning good governance systems is a commitment to human rights norms, that is, principles that enshrine non-discrimin…
Assessing the Diagnostic Accuracy of Physicians for Home Death Certification in Shanghai
Approximately 30% of deaths in Shanghai either occur at home or are not medically attended. The recorded cause of death (COD) in these cases may not be reliable. We applied the Smart Verbal Autopsy (VA) tool to assign the COD for a representative sample of home deaths certified by 16 community health centers (CHCs) from three districts in Shanghai, from December 2017 to June 2018. The results were compared with diagnoses from routine practice to …
Integrated Management of Diabetes and Tuberculosis in Rural India – Results From a Pilot Study
Introduction: The World Health Organization and International Union against Tuberculosis (TB) recommends screening patients with TB for Diabetes Mellitus (DM) at the initiation of treatment. There are few pilot studies which screen TB patients for DM, but none of them have documented the feasibility of managing TB patients with DM in the Indian healthcare setting. Operational research is needed to determine the best way to manage individuals with…
It is not all about salary
INTRODUCTION: Community health workers (CHWs) constitute the majority of primary healthcare (PHC) workers in Nigeria, yet little is understood about their motivations or the most effective interventions to meet their needs to ensure quality health coverage across the country. We aimed to identify factors that would motivate CHWs for quality service delivery. METHODS: A discrete-choice experiment was conducted among 300 CHWs across 44 PHC faciliti…
Exploring complementary and competitive relations between non-communicable disease services and other health extension programme services in Ethiopia
BACKGROUND: Ethiopia has recently revitalised its health extension programme (HEP) to address the rising burden of non-communicable diseases (NCDs). We examined the effects of existing essential HEP services on the uptake of NCD preventive services. METHODS: We applied a mixed-effect non-linear model with a logit link function to identify factors associated with a community resident's probability of receiving NCD prevention services through the H…
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
Are return-of-service bursaries an effective investment to build health workforce capacity? A qualitative study of key South African policymakers
Return-of-service schemes (RoS) or bursaries are used in South Africa and other nations to publicly fund the training of skilled health professionals in return for the beneficiary agreeing to return to serve in their local provinces on a year-for-year basis. This study aimed to understand insights of key policymakers in South African provinces to identify barriers and solutions to implementation of RoS schemes used to recruit and retain skilled h…
Improving the efficiency of scale-up and deployment of community health workers in Mali
Optimising the scale and deployment of community health workers (CHWs) is important for maximizing geographical accessibility of integrated primary health care (PHC) services. Yet little is known about approaches for doing so. We used geospatial analysis to model optimised scale-up and deployment of CHWs in Mali, to inform strategic and operational planning by the Ministry of Health and Social Development. Accessibility catchments were modelled b…
The organisation of primary health care service delivery for non-communicable diseases in Nigeria
As chronic diseases, non-communicable diseases (NCDs) require sustained person-centred and community-based care. Given its direct link to communities and households, Primary Health Care (PHC) is well positioned to achieve such care. In Nigeria, the national government has prioritized PHC system strengthening as a means of achieving national NCD targets. However, strengthening PHC systems for NCDs require re-organization of PHC service delivery, b…
Governance systems for skilled health worker migration, their public value and competing priorities
BACKGROUND: Governments worldwide participate in skilled health worker (SHW) migration agreements to protect access to health services in their countries. Previous studies have described the value offered by these agreements in separate source and destination country perspectives. OBJECTIVE: We sought to identify and summarise existing literature on shared value creation for both source and destination countries. METHOD: We conducted a systematic…
Are there sex differences in completeness of death registration and quality of cause of death statistics? Results from a global analysis
Although in most countries analysed there was no clear bias against females in death registration, there was clear evidence in a few countries of systematic undercounting of female deaths which substantially reduces the utility of mortality data. In countries with cause of death data, it was only of marginally poorer quality for females than males
Recalibration of a Framingham risk equation for a rural population in India
BACKGROUND: Coronary heart disease (CHD) risk estimation tools are a simple means of identifying those at high risk in a community and hence a potentially cost-effective strategy for CHD prevention in resource-poor countries. Since India has few local data upon which to develop such a tool de novo, in this study a Framingham risk equation has been recalibrated to estimate CHD risks in a population from rural India and the sensitivity of the metho…
New challenges for verbal autopsy
The challenge of balancing methodological research rigour and practical needs in low-income settings
A roundtable discussion was held with 29 experienced Public Health researchers and policy makers from 9 countries at an international conference in Australia. Their experiences were discussed about establishing and maintaining research projects and health programs in developing countries. This paper aims to (1) Highlight methodological issues relevant to the conduct of research and development in low income settings as discussed at the roundtable…
Recalibration of a Framingham risk equation for a rural population in India
BACKGROUND: Coronary heart disease (CHD) risk estimation tools are a simple means of identifying those at high risk in a community and hence a potentially cost-effective strategy for CHD prevention in resource-poor countries. Since India has few local data upon which to develop such a tool de novo, in this study a Framingham risk equation has been recalibrated to estimate CHD risks in a population from rural India and the sensitivity of the metho…
Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review
New challenges for verbal autopsy
Cardiovascular disease risk and comparison of different strategies for blood pressure management in rural India
Clinical Trials Registry of India CTRI/2013/06/003753 , 14 June 2013
How to assess and prepare health systems in low- and middle-income countries for integration of services—a systematic review
Process evaluation in the field
This research demonstrates the important role of process evaluation in understanding implementation process of complex interventions. This can help to highlight a broad range of system requirements such as new policies and capacity building to support implementation. Process evaluation is crucial in understanding contextual factors that may impact intervention implementation which is important in considering whether or not the intervention can be…
A health care labyrinth
This qualitative study highlights and explores some of the barriers to childhood cancer care in India. Our findings show that referral pathways are intrinsically linked to the treatment experience and there should be better recognition of the financial and emotional challenges faced by the family that occur prior to definitive diagnosis and treatment. This information would help inform various stakeholders and contribute to improved interventions…
Non-Medical prescribing policies
Access to care for childhood cancers in India
Although participants acknowledged that accessing childhood cancer care in India is limited by several barriers, perceptions of these barriers varied. Our findings illustrate that health care provider perceptions are shaped by their experiences, interests and standpoints, which are useful towards informing policy for childhood cancers within UHC
Are there sex differences in completeness of death registration and quality of cause of death statistics? Results from a global analysis
Although in most countries analysed there was no clear bias against females in death registration, there was clear evidence in a few countries of systematic undercounting of female deaths which substantially reduces the utility of mortality data. In countries with cause of death data, it was only of marginally poorer quality for females than males
Why do strategies to strengthen primary health care succeed in some places and fail in others? Exploring local variation in the effectiveness of a community health worker managed digital health interv…
INTRODUCTION: Digital health interventions (DHIs) have huge potential as support modalities to identify and manage cardiovascular disease (CVD) risk in resource-constrained settings, but studies assessing them show modest effects. This study aims to identify variation in outcomes and implementation of SMARTHealth India, a cluster randomised trial of an ASHA-managed digitally enabled primary healthcare (PHC) service strengthening strategy for CVD …
Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care
Background Non-communicable diseases (NCDs) now account for about 71% and 32% of all the deaths globally and in Ethiopia. Primary health care (PHC) is a vital instrument to address the ever-increasing burden of NCDs and is the best strategy for delivering integrated and equitable NCD care. We explored the capacity and readiness of Ethiopia’s PHC system to deliver integrated, people-centred NCD services. Methods A qualitative study was conducted i…
Aligning policymaking in decentralized health systems
Noncommunicable diseases (NCDs) are leading causes of death globally and in Nigeria they account for 29% of total deaths. Nigeria’s health system is decentralized. Fragmentation in governance in federalised countries with decentralised health systems is a well-recognised challenge to coherent national health policymaking. The policy response to the rising NCD burden therefore requires strategic intent by national and sub-national governments. Thi…
Lessons Learnt during the Implementation of Wisn for Comprehensive Primary Health Care in India, South Africa and Peru
While India and South Africa had unique experiences with the integration of WISN in their health system, none of the countries has yet benefited from the implementation of WISN due to financial, infrastructure and technical challenges. Since the methodology developed by the Peruvian Ministry of Health is context-specific, its implementation has been promising for health workforce planning. The learnings from these countries' experiences will prov…
Improving cause of death certification in the Philippines
Standardized VA combined with physician diagnosis using the SmartVA Auto-Analyse support tool was readily used by MHOs in the Philippines and can improve the quality of death certification of home deaths
Feasibility and validity of using death surveillance data and SmartVA for fact and cause of death in clinical trials in rural China
BACKGROUND: In rural China, mortality surveillance data may be an alternative to primary data collection in clinical trials; SmartVA (verbal autopsy) is also a potential alternative for endpoint adjudication. The feasibility and validity of both need to be assessed. METHODS: We used mortality data from the first 24 months of the China Salt Substitute and Stroke Study (SSaSS) trial and assessed the agreement between (1) mortality surveillance data…
Assessing the Diagnostic Accuracy of Physicians for Home Death Certification in Shanghai
Approximately 30% of deaths in Shanghai either occur at home or are not medically attended. The recorded cause of death (COD) in these cases may not be reliable. We applied the Smart Verbal Autopsy (VA) tool to assign the COD for a representative sample of home deaths certified by 16 community health centers (CHCs) from three districts in Shanghai, from December 2017 to June 2018. The results were compared with diagnoses from routine practice to …
Integrated Management of Diabetes and Tuberculosis in Rural India – Results From a Pilot Study
Introduction: The World Health Organization and International Union against Tuberculosis (TB) recommends screening patients with TB for Diabetes Mellitus (DM) at the initiation of treatment. There are few pilot studies which screen TB patients for DM, but none of them have documented the feasibility of managing TB patients with DM in the Indian healthcare setting. Operational research is needed to determine the best way to manage individuals with…
It is not all about salary
INTRODUCTION: Community health workers (CHWs) constitute the majority of primary healthcare (PHC) workers in Nigeria, yet little is understood about their motivations or the most effective interventions to meet their needs to ensure quality health coverage across the country. We aimed to identify factors that would motivate CHWs for quality service delivery. METHODS: A discrete-choice experiment was conducted among 300 CHWs across 44 PHC faciliti…
Exploring complementary and competitive relations between non-communicable disease services and other health extension programme services in Ethiopia
BACKGROUND: Ethiopia has recently revitalised its health extension programme (HEP) to address the rising burden of non-communicable diseases (NCDs). We examined the effects of existing essential HEP services on the uptake of NCD preventive services. METHODS: We applied a mixed-effect non-linear model with a logit link function to identify factors associated with a community resident's probability of receiving NCD prevention services through the H…
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
Are return-of-service bursaries an effective investment to build health workforce capacity? A qualitative study of key South African policymakers
Return-of-service schemes (RoS) or bursaries are used in South Africa and other nations to publicly fund the training of skilled health professionals in return for the beneficiary agreeing to return to serve in their local provinces on a year-for-year basis. This study aimed to understand insights of key policymakers in South African provinces to identify barriers and solutions to implementation of RoS schemes used to recruit and retain skilled h…
Improving the efficiency of scale-up and deployment of community health workers in Mali
Optimising the scale and deployment of community health workers (CHWs) is important for maximizing geographical accessibility of integrated primary health care (PHC) services. Yet little is known about approaches for doing so. We used geospatial analysis to model optimised scale-up and deployment of CHWs in Mali, to inform strategic and operational planning by the Ministry of Health and Social Development. Accessibility catchments were modelled b…
The organisation of primary health care service delivery for non-communicable diseases in Nigeria
As chronic diseases, non-communicable diseases (NCDs) require sustained person-centred and community-based care. Given its direct link to communities and households, Primary Health Care (PHC) is well positioned to achieve such care. In Nigeria, the national government has prioritized PHC system strengthening as a means of achieving national NCD targets. However, strengthening PHC systems for NCDs require re-organization of PHC service delivery, b…
Medicine (30 obras) · Nursing (21 obras) · Business (20 obras) · Global Maternal and Child Health (18 obras) · Political science (15 obras) · Environmental health (14 obras) · Public health (14 obras) · Healthcare Systems and Reforms (12 obras) · Economic growth (11 obras) · Economics (10 obras)