Richard A Powell
Biographic Data
| ID | 4620155 |
|---|---|
| NAME | Richard A Powell |
| GIVEN NAMES | Richard A |
| FAMILY NAME | Powell |
| SIGNATURE | POWELL R A |
| AFFILIATIONS | Imperial College London |
| ORCID | 0000-0003-4968-3714 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
“…I feel like I am just staying here waiting for death”
Refugees and migrants with advanced illness frequently face fragmented and inconsistent access to health services. Structural barriers delay symptom management, undermine continuity of care, and limit access to palliative support. A clearer understanding of their lived experiences is essential to inform equitable health system responses and inclusive models of care. This study explored the lived experiences of individuals with advanced illness in…
From disease- to people-centred pandemic management
The difference in excess mortality between countries during the COVID-19 pandemic and various country experiences demonstrate the potential of the levers in promoting a more just and effective health emergency response. These same levers and strategies can promote more inclusive and socially just health systems
Valuing the Spiritual
Medical narrative and religious norm driving cut type and medicalization changes in female genital mutilation/cutting in Somaliland
The authors' aim was to examine if the nature of female genital mutilation/cutting (FGM/C) in Somaliland is changing and any contributing factors. In this mixed method qualitative study the researchers used 24 focus groups, 20 key informant interviews and 28 in-depth interviews with multiple stakeholders. We found a shift from the pharaonic to Sunna cut, an age decrease at which FGM/C is performed and an increase in its medicalization. Shift in c…
Self-care, social norms and anomie during Covid-19
The distribution of tetrodotoxin (TTX)-sensitive and -insensitive Na + currents and their modulation by serotonin (5HT) and prostaglandin E 2 (PGE 2 ) was studied in four different types of dorsal root ganglion (DRG) cell bodies (types 1, 2, 3, and 4), which were previously identified on the basis of differences in membrane properties (Cardenas et al., 1995). Types 1 and 2 DRG cells expressed TTX-insensitive Na + currents, whereas types 3 and 4 D…
Female genital mutilation and the Sustainable Development Goals
Comprised of all procedures involving partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons (World Health Organization [WHO
A novel symptom cluster analysis among ambulatory HIV/Aids patients in Uganda
Symptom clusters are gaining importance given HIV/AIDS patients experience multiple, concurrent symptoms. This study aimed to: determine clusters of patients with similar symptom combinations; describe symptom combinations distinguishing the clusters; and evaluate the clusters regarding patient socio-demographic, disease and treatment characteristics, quality of life (QOL) and functional performance. This was a cross-sectional study of 302 adult …
The HIV basic care package
An evidence-based basic care package (BCP) of seven interventions (Family testing, Cotrimoxazole, Condoms, Multivitamins, Access to safe water treatment, Isoniazid preventive therapy (IPT), and Insecticide-treated bednet) has been advocated to prevent infections among people with HIV in low-income settings. We examined the availability and receipt of the BCP in HIV outpatient clinics in Kenya and Uganda. A survey of 120 PEPFAR-funded facilities d…
The presence of CD4 counts for the management of HIV patients in East Africa
New WHO guidance stipulates six-monthly CD4 testing and treatment initiation at CD4 less than 350. This study aimed to determine the presence of CD4 results in patient records across five care facilities in Kenya, and to identify factors associated with the presence of CD4 count. This is a cross-sectional study of consecutive outpatients. Participants completed self-reported outcomes of demographics, and both physical and mental health dimensions…
Multi-centred mixed-methods Pepfar HIV care & support public health evaluation
This novel mixed methods protocol will permit transparent presentation of subsequent dataset results publication, and offers a substantive model of protocol design to measure and integrate key activities and outcomes that underpin a public health approach to disease management in a low-income setting
Health Care in Europe for Women with Genital Mutilation
The increasing number of immigrants from African countries practicing female genital mutilation (FGM) has raised concern in Europe. Health care professionals have developed three main responses: (1) technical guidelines for clinical management; (2) codes of conduct on quality of care; and (3) specialised health services for medical and psychological care and counselling. Much remains to be done, however, to ensure adequate care in Europe: (1) med…
Attitudes of Men Towards Family Planning in Mbeya Region, Tanzania
Family planning programmes in Tanzania date back to the 1950s. By the early 1990s, however, only 5-10% of women of childbearing age used contraceptives in the country. Low contraceptive prevalence in Tanzania is reportedly attributable to men's opposition to family planning. This paper employs focus groups to explore the role of Tanzanian men in family planning. More specifically, it presents a rural-urban comparison of the attitudes of men in Mb…
Focus Groups
This paper introduces focus group methodology and discusses its relevance to those researching health care provision. As a qualitative data collection technique, the focus group has advantages over other qualitative methods, such as the in-depth interview and nominal group technique. This paper highlights these advantages after providing guidelines on group composition, the management of group discussion and the process of analysing results.
Focus Groups in Mental Health Research
Most mental health researchers rely upon quantitative methods of data collection. Whilst such methods are commonly seen as reliable, qualitative methods are often seen as more valid. Despite the value of qualitative methods of data collection, however, many researchers denigrate their use. Qualitative research is often viewed as lacking in scientific rigour. This paper explores the use of the focus group as a qualitative instrument to enhance the…
Self-care, social norms and anomie during Covid-19
The distribution of tetrodotoxin (TTX)-sensitive and -insensitive Na + currents and their modulation by serotonin (5HT) and prostaglandin E 2 (PGE 2 ) was studied in four different types of dorsal root ganglion (DRG) cell bodies (types 1, 2, 3, and 4), which were previously identified on the basis of differences in membrane properties (Cardenas et al., 1995). Types 1 and 2 DRG cells expressed TTX-insensitive Na + currents, whereas types 3 and 4 D…
Focus Groups
This paper introduces focus group methodology and discusses its relevance to those researching health care provision. As a qualitative data collection technique, the focus group has advantages over other qualitative methods, such as the in-depth interview and nominal group technique. This paper highlights these advantages after providing guidelines on group composition, the management of group discussion and the process of analysing results.
Focus Groups in Mental Health Research
Most mental health researchers rely upon quantitative methods of data collection. Whilst such methods are commonly seen as reliable, qualitative methods are often seen as more valid. Despite the value of qualitative methods of data collection, however, many researchers denigrate their use. Qualitative research is often viewed as lacking in scientific rigour. This paper explores the use of the focus group as a qualitative instrument to enhance the…
Attitudes of Men Towards Family Planning in Mbeya Region, Tanzania
Family planning programmes in Tanzania date back to the 1950s. By the early 1990s, however, only 5-10% of women of childbearing age used contraceptives in the country. Low contraceptive prevalence in Tanzania is reportedly attributable to men's opposition to family planning. This paper employs focus groups to explore the role of Tanzanian men in family planning. More specifically, it presents a rural-urban comparison of the attitudes of men in Mb…
Health Care in Europe for Women with Genital Mutilation
The increasing number of immigrants from African countries practicing female genital mutilation (FGM) has raised concern in Europe. Health care professionals have developed three main responses: (1) technical guidelines for clinical management; (2) codes of conduct on quality of care; and (3) specialised health services for medical and psychological care and counselling. Much remains to be done, however, to ensure adequate care in Europe: (1) med…
Multi-centred mixed-methods Pepfar HIV care & support public health evaluation
This novel mixed methods protocol will permit transparent presentation of subsequent dataset results publication, and offers a substantive model of protocol design to measure and integrate key activities and outcomes that underpin a public health approach to disease management in a low-income setting
The HIV basic care package
An evidence-based basic care package (BCP) of seven interventions (Family testing, Cotrimoxazole, Condoms, Multivitamins, Access to safe water treatment, Isoniazid preventive therapy (IPT), and Insecticide-treated bednet) has been advocated to prevent infections among people with HIV in low-income settings. We examined the availability and receipt of the BCP in HIV outpatient clinics in Kenya and Uganda. A survey of 120 PEPFAR-funded facilities d…
The presence of CD4 counts for the management of HIV patients in East Africa
New WHO guidance stipulates six-monthly CD4 testing and treatment initiation at CD4 less than 350. This study aimed to determine the presence of CD4 results in patient records across five care facilities in Kenya, and to identify factors associated with the presence of CD4 count. This is a cross-sectional study of consecutive outpatients. Participants completed self-reported outcomes of demographics, and both physical and mental health dimensions…
A novel symptom cluster analysis among ambulatory HIV/Aids patients in Uganda
Symptom clusters are gaining importance given HIV/AIDS patients experience multiple, concurrent symptoms. This study aimed to: determine clusters of patients with similar symptom combinations; describe symptom combinations distinguishing the clusters; and evaluate the clusters regarding patient socio-demographic, disease and treatment characteristics, quality of life (QOL) and functional performance. This was a cross-sectional study of 302 adult …
Female genital mutilation and the Sustainable Development Goals
Comprised of all procedures involving partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons (World Health Organization [WHO
Valuing the Spiritual
Medical narrative and religious norm driving cut type and medicalization changes in female genital mutilation/cutting in Somaliland
The authors' aim was to examine if the nature of female genital mutilation/cutting (FGM/C) in Somaliland is changing and any contributing factors. In this mixed method qualitative study the researchers used 24 focus groups, 20 key informant interviews and 28 in-depth interviews with multiple stakeholders. We found a shift from the pharaonic to Sunna cut, an age decrease at which FGM/C is performed and an increase in its medicalization. Shift in c…
Self-care, social norms and anomie during Covid-19
The distribution of tetrodotoxin (TTX)-sensitive and -insensitive Na + currents and their modulation by serotonin (5HT) and prostaglandin E 2 (PGE 2 ) was studied in four different types of dorsal root ganglion (DRG) cell bodies (types 1, 2, 3, and 4), which were previously identified on the basis of differences in membrane properties (Cardenas et al., 1995). Types 1 and 2 DRG cells expressed TTX-insensitive Na + currents, whereas types 3 and 4 D…
From disease- to people-centred pandemic management
The difference in excess mortality between countries during the COVID-19 pandemic and various country experiences demonstrate the potential of the levers in promoting a more just and effective health emergency response. These same levers and strategies can promote more inclusive and socially just health systems
“…I feel like I am just staying here waiting for death”
Refugees and migrants with advanced illness frequently face fragmented and inconsistent access to health services. Structural barriers delay symptom management, undermine continuity of care, and limit access to palliative support. A clearer understanding of their lived experiences is essential to inform equitable health system responses and inclusive models of care. This study explored the lived experiences of individuals with advanced illness in…
Medicine (11 works) · Family medicine (6 works) · Nursing (6 works) · Health care (5 works) · Qualitative research (5 works) · Global Maternal and Child Health (4 works) · HIV/AIDS Research and Interventions (4 works) · Political science (4 works) · Psychology (4 works) · Sociology (4 works)