Yubraj Acharya
Datos Biográficos
| ID | 1729323 |
|---|---|
| NOMBRE | Yubraj Acharya |
| NOMBRES | Yubraj |
| APELLIDO | Acharya |
| FIRMA | ACHARYA Y |
| AFILIACIONES | Pennsylvania State University |
| ORCID | 0000-0002-9003-636X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 12 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 4 |
| PRIMER AÑO DE PUBLICACIÓN | 2018 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Reducing Over-the-Counter Sale of Antibiotics in Low- and Middle- Income Countries
Tackling the (un)affordability of medicines for cardiometabolic risk factors worldwide
box Cardiovascular diseases are a leading cause of death globally, with low- and middle-income countries (LMICs) facing the highest burden due to limited access to affordable treatment, health system constraints and socioeconomic challenges
Are households with under-five children in Nigeria socioeconomically disadvantaged
Although the sociodemographic and economic contributors to under-five mortality are well established, very little research has been done to assess the levels of disadvantage under-five children in Nigeria face along these dimensions. Nigeria has the second-highest under-five mortality rate (U5MR) in the world (111 deaths per 1000 live births) and contributed to the highest number of annual under-five deaths globally in 2020 (844,321 deaths). The …
Setting research priorities for global pandemic preparedness
Background: In this priority-setting exercise, we sought to identify leading research priorities needed for strengthening future pandemic preparedness and response across countries. Methods: The International Society of Global Health (ISoGH) used the Child Health and Nutrition Research Initiative (CHNRI) method to identify research priorities for future pandemic preparedness. Eighty experts in global health, translational and clinical research id…
Perceptions of key stakeholders on taxes on tobacco and alcohol products in Nepal
BACKGROUND: Non-communicable diseases (NCDs) are on the rise in Nepal. Consumption of alcohol and tobacco products remains high. Taxes on these products are significantly below the rate recommended by the WHO. In an effort to understand the reasons behind the slow progress towards the adoption of higher health taxes to curb NCDs, we documented the perceptions of key stakeholders on health taxes, including perceived barriers and facilitators to ad…
Framing health taxes
Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qual…
Breast Cancer Survival in Eastern Region of Ghana
Objective: Five-year overall survival rate of breast cancer in low-income countries (LICs) is significantly lower than in high-resource countries. This study explored clinical and pathological factors influencing mortality in the Eastern region of Ghana. Methods: We performed a retrospective medical chart review for patients undergoing surgery and chemotherapy for breast cancer at a regional hospital in Ghana from January 2014 to January 2017. De…
Technical efficiency of national HIV/Aids spending in 78 countries between 2010 and 2018
HIV/AIDS remains a leading global cause of disease burden, especially in low- and middle-income countries (LMICs). In 2020, more than 80% of all people living with HIV (PLHIV) lived in LMICs. While progress has been made in extending coverage of HIV/AIDS services, only 66% of all PLHIV were virally suppressed at the end of 2020. In addition to more resources, the efficiency of spending is key to accelerating progress towards global 2030 targets f…
Women’s extreme seclusion during menstruation and children’s health in Nepal
There is limited empirical evidence from low-income countries on the effects of women’s seclusion during menstruation on children’s health. The objective of the current study was to examine the association between women’s extreme seclusion during menstruation and their children’s nutritional status and health in Nepal. Using nationally representative data from the 2019 Multiple Indicator Cluster Survey, we examined the relationship between mother…
The effect of disability on educational, labor market, and marital outcomes in a low-income context
There is limited evidence from low-income countries on the multifaceted effects of disability on an individual's wellbeing. Using a nationally representative sample of 2.8 million individuals, we documented the association between disability and educational, labor market, and marital outcomes in Nepal. We obtained plausibly causal estimates by comparing these outcomes for siblings living in the same household. Individuals with disability were at …
Targeting Using Differential Incentives
In a field experiment in Nepal, we varied the amount of financial incentives provided to health outreach workers by the ethnicity of the client they recruited for a free sugar level assessment. We find that our differential incentive in the ratio of 2.5∶1, geared toward encouraging a disadvantaged referral, raises the chances of such a referral by 11.6 percentage points (95% confidence interval, 1.1–22.1). This effect translates to an incentive e…
Social health insurance consolidation and urban-rural inequality in utilization and financial risk protection in China
Universal health care is a long-term policy goal for health care reform in China. In 2016, China consolidated its urban and rural resident social health insurance programs into one program with a goal to reduce disparities between rural and urban populations. Using a nationally-representative sample of 14,967 individuals from the China Family Panel Studies surveys (2012-2018), we investigate whether the consolidation reduced gaps in total and out…
Short message service (SMS) reminders for childhood immunisation in low-income and middle-income countries
Trends in handwashing behaviours for Covid-19 prevention
Handwashing is essential for respiratory virus prevention, but uptake of handwashing in the context of the SARS-CoV-2 pandemic remains under-explored. This study examines trends in and determinants of handwashing practices for COVID-19 prevention in 10 countries in West, East, and Southern Africa. Data are derived from an online global Facebook survey assessing COVID-19 knowledge, attitudes, and practices, fielded in July (Round 1) and November 2…
Integrated management of neonatal and childhood illness strategy in Zimbabwe
More than five million children under the age of five die each year worldwide, primarily from preventable and treatable causes. In response, the World Health Organization’s Integrated Management of Childhood Illnesses (IMNCI) strategy has been adopted in more than 95 low- and middle-income countries, 41 of them from Africa. Despite IMNCI’s widespread implementation, evidence on its impact on child mortality and institutional deliveries is limited…
Economic impact of dengue in Singapore from 2010 to 2020 and the cost-effectiveness of Wolbachia interventions
The release of Wolbachia-infected mosquitoes is a promising disease intervention strategy that aims to control dengue and other arboviral infections. While early field trials and modelling studies suggest promising epidemiological and entomological outcomes, the overall cost effectiveness of the technology is not well studied in a resource rich setting nor under the suppression approach that aims to suppress the wild-type mosquito population thro…
Livestock ownership and anaemia in Sub-Saharan African households
Objective: To determine the association between livestock ownership and Hb concentration of women of child-bearing age (WCBA) and preschool-aged children in Sub-Saharan Africa (SSA). Design: A prospective analysis of publicly available cross-sectional data, using linear and logistic regressions controlling for potential confounders. Setting: Twenty-eight countries in SSA. Participants: 162 305 WCBA and 118 607 children aged 6–59 months. Results: …
The Effect of Reframing the Goals of Family Planning Programs from Limiting Fertility to Birth Spacing
Contraceptive prevalence in Pakistan has plateaued near 34 percent for over a decade, suggesting that fertility levels are likely to stay high unless effective interventions are designed. We evaluate the Family Advancement for Life and Health 2007–2012 (FALAH), a family planning project implemented in 31 districts of Pakistan. Deviating from previous programs, FALAH emphasized birth spacing—as opposed to limiting family size—as the primary purpos…
Exposure to conflict-related violence and nutritional status of children in Iraq
There is limited empirical evidence of the health effects of war-related violence on child nutritional status. Using unique micro-level data from Iraq, we create measures of cumulative exposure to violence since conception for children ages two to five based on their date of birth and geographic location. We examine the relationship between height-for-age z-scores, a measure of chronic malnutrition, and four indicators of violence in a regression…
Out-of-Pocket Medical Bills from First Childbirth and Subsequent Childbearing
Child‐level double burden of malnutrition in the Mena and LAC regions
Although the prevalence of obesity has rapidly increased in the low- and middle-income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public-health challenge. We examined region-specific sociodemographic determinants of this double burden of malnutrition, specifically, the co-occurrence of child stunting and overweight, using Demographic and Health Survey and …
Deforestation and child diet diversity
Effects of a community-based neonatal care package program
This article evaluates a community-based effort aimed at reducing neonatal mortality. I use nationally representative data from Nepal, where 22 children per 1000 die within the first month of their birth, and evaluate the impact of Community-Based Neonatal Care Package. The identification is based on a before-and-after comparison of outcomes in program districts relative to those in non-program districts. I find that the program was successful in…
Readmission Rates and Skilled Nursing Facility Utilization After Major Inpatient Surgery
BACKGROUND: There is widespread interest in reducing use of postacute care (ie, care after hospital discharge) following major surgery, provided that such reductions do not worsen quality outcomes such as readmission rates. OBJECTIVES: To describe the association between changes in skilled nursing facility (SNF) use and changes in readmission rates after surgery. RESEARCH DESIGN: This was a observational study. SUBJECTS: Fee-for-service Medicare …
The impact of vitamin A supplementation in childhood on adult outcomes
Social health insurance consolidation and urban-rural inequality in utilization and financial risk protection in China
Universal health care is a long-term policy goal for health care reform in China. In 2016, China consolidated its urban and rural resident social health insurance programs into one program with a goal to reduce disparities between rural and urban populations. Using a nationally-representative sample of 14,967 individuals from the China Family Panel Studies surveys (2012-2018), we investigate whether the consolidation reduced gaps in total and out…
Deforestation and child diet diversity
Deforestation and child diet diversity
Effects of a community-based neonatal care package program
This article evaluates a community-based effort aimed at reducing neonatal mortality. I use nationally representative data from Nepal, where 22 children per 1000 die within the first month of their birth, and evaluate the impact of Community-Based Neonatal Care Package. The identification is based on a before-and-after comparison of outcomes in program districts relative to those in non-program districts. I find that the program was successful in…
Readmission Rates and Skilled Nursing Facility Utilization After Major Inpatient Surgery
BACKGROUND: There is widespread interest in reducing use of postacute care (ie, care after hospital discharge) following major surgery, provided that such reductions do not worsen quality outcomes such as readmission rates. OBJECTIVES: To describe the association between changes in skilled nursing facility (SNF) use and changes in readmission rates after surgery. RESEARCH DESIGN: This was a observational study. SUBJECTS: Fee-for-service Medicare …
The impact of vitamin A supplementation in childhood on adult outcomes
Child‐level double burden of malnutrition in the Mena and LAC regions
Although the prevalence of obesity has rapidly increased in the low- and middle-income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public-health challenge. We examined region-specific sociodemographic determinants of this double burden of malnutrition, specifically, the co-occurrence of child stunting and overweight, using Demographic and Health Survey and …
Exposure to conflict-related violence and nutritional status of children in Iraq
There is limited empirical evidence of the health effects of war-related violence on child nutritional status. Using unique micro-level data from Iraq, we create measures of cumulative exposure to violence since conception for children ages two to five based on their date of birth and geographic location. We examine the relationship between height-for-age z-scores, a measure of chronic malnutrition, and four indicators of violence in a regression…
Out-of-Pocket Medical Bills from First Childbirth and Subsequent Childbearing
Short message service (SMS) reminders for childhood immunisation in low-income and middle-income countries
Trends in handwashing behaviours for Covid-19 prevention
Handwashing is essential for respiratory virus prevention, but uptake of handwashing in the context of the SARS-CoV-2 pandemic remains under-explored. This study examines trends in and determinants of handwashing practices for COVID-19 prevention in 10 countries in West, East, and Southern Africa. Data are derived from an online global Facebook survey assessing COVID-19 knowledge, attitudes, and practices, fielded in July (Round 1) and November 2…
Integrated management of neonatal and childhood illness strategy in Zimbabwe
More than five million children under the age of five die each year worldwide, primarily from preventable and treatable causes. In response, the World Health Organization’s Integrated Management of Childhood Illnesses (IMNCI) strategy has been adopted in more than 95 low- and middle-income countries, 41 of them from Africa. Despite IMNCI’s widespread implementation, evidence on its impact on child mortality and institutional deliveries is limited…
Economic impact of dengue in Singapore from 2010 to 2020 and the cost-effectiveness of Wolbachia interventions
The release of Wolbachia-infected mosquitoes is a promising disease intervention strategy that aims to control dengue and other arboviral infections. While early field trials and modelling studies suggest promising epidemiological and entomological outcomes, the overall cost effectiveness of the technology is not well studied in a resource rich setting nor under the suppression approach that aims to suppress the wild-type mosquito population thro…
Livestock ownership and anaemia in Sub-Saharan African households
Objective: To determine the association between livestock ownership and Hb concentration of women of child-bearing age (WCBA) and preschool-aged children in Sub-Saharan Africa (SSA). Design: A prospective analysis of publicly available cross-sectional data, using linear and logistic regressions controlling for potential confounders. Setting: Twenty-eight countries in SSA. Participants: 162 305 WCBA and 118 607 children aged 6–59 months. Results: …
The Effect of Reframing the Goals of Family Planning Programs from Limiting Fertility to Birth Spacing
Contraceptive prevalence in Pakistan has plateaued near 34 percent for over a decade, suggesting that fertility levels are likely to stay high unless effective interventions are designed. We evaluate the Family Advancement for Life and Health 2007–2012 (FALAH), a family planning project implemented in 31 districts of Pakistan. Deviating from previous programs, FALAH emphasized birth spacing—as opposed to limiting family size—as the primary purpos…
Breast Cancer Survival in Eastern Region of Ghana
Objective: Five-year overall survival rate of breast cancer in low-income countries (LICs) is significantly lower than in high-resource countries. This study explored clinical and pathological factors influencing mortality in the Eastern region of Ghana. Methods: We performed a retrospective medical chart review for patients undergoing surgery and chemotherapy for breast cancer at a regional hospital in Ghana from January 2014 to January 2017. De…
Technical efficiency of national HIV/Aids spending in 78 countries between 2010 and 2018
HIV/AIDS remains a leading global cause of disease burden, especially in low- and middle-income countries (LMICs). In 2020, more than 80% of all people living with HIV (PLHIV) lived in LMICs. While progress has been made in extending coverage of HIV/AIDS services, only 66% of all PLHIV were virally suppressed at the end of 2020. In addition to more resources, the efficiency of spending is key to accelerating progress towards global 2030 targets f…
Women’s extreme seclusion during menstruation and children’s health in Nepal
There is limited empirical evidence from low-income countries on the effects of women’s seclusion during menstruation on children’s health. The objective of the current study was to examine the association between women’s extreme seclusion during menstruation and their children’s nutritional status and health in Nepal. Using nationally representative data from the 2019 Multiple Indicator Cluster Survey, we examined the relationship between mother…
The effect of disability on educational, labor market, and marital outcomes in a low-income context
There is limited evidence from low-income countries on the multifaceted effects of disability on an individual's wellbeing. Using a nationally representative sample of 2.8 million individuals, we documented the association between disability and educational, labor market, and marital outcomes in Nepal. We obtained plausibly causal estimates by comparing these outcomes for siblings living in the same household. Individuals with disability were at …
Targeting Using Differential Incentives
In a field experiment in Nepal, we varied the amount of financial incentives provided to health outreach workers by the ethnicity of the client they recruited for a free sugar level assessment. We find that our differential incentive in the ratio of 2.5∶1, geared toward encouraging a disadvantaged referral, raises the chances of such a referral by 11.6 percentage points (95% confidence interval, 1.1–22.1). This effect translates to an incentive e…
Social health insurance consolidation and urban-rural inequality in utilization and financial risk protection in China
Universal health care is a long-term policy goal for health care reform in China. In 2016, China consolidated its urban and rural resident social health insurance programs into one program with a goal to reduce disparities between rural and urban populations. Using a nationally-representative sample of 14,967 individuals from the China Family Panel Studies surveys (2012-2018), we investigate whether the consolidation reduced gaps in total and out…
Perceptions of key stakeholders on taxes on tobacco and alcohol products in Nepal
BACKGROUND: Non-communicable diseases (NCDs) are on the rise in Nepal. Consumption of alcohol and tobacco products remains high. Taxes on these products are significantly below the rate recommended by the WHO. In an effort to understand the reasons behind the slow progress towards the adoption of higher health taxes to curb NCDs, we documented the perceptions of key stakeholders on health taxes, including perceived barriers and facilitators to ad…
Framing health taxes
Health taxes are effective policy instruments to save lives, raise government revenues and improve equity. Health taxes, however, directly conflict with commercial actors’ interests. Both pro-tax health advocates and anti-tax industry representatives seek to frame health tax policy. Yet, little is known about which frames resonate in which settings and how framing can most effectively advance or limit policies. To fill this gap, we conducted qual…
Are households with under-five children in Nigeria socioeconomically disadvantaged
Although the sociodemographic and economic contributors to under-five mortality are well established, very little research has been done to assess the levels of disadvantage under-five children in Nigeria face along these dimensions. Nigeria has the second-highest under-five mortality rate (U5MR) in the world (111 deaths per 1000 live births) and contributed to the highest number of annual under-five deaths globally in 2020 (844,321 deaths). The …
Setting research priorities for global pandemic preparedness
Background: In this priority-setting exercise, we sought to identify leading research priorities needed for strengthening future pandemic preparedness and response across countries. Methods: The International Society of Global Health (ISoGH) used the Child Health and Nutrition Research Initiative (CHNRI) method to identify research priorities for future pandemic preparedness. Eighty experts in global health, translational and clinical research id…
Tackling the (un)affordability of medicines for cardiometabolic risk factors worldwide
box Cardiovascular diseases are a leading cause of death globally, with low- and middle-income countries (LMICs) facing the highest burden due to limited access to affordable treatment, health system constraints and socioeconomic challenges
Reducing Over-the-Counter Sale of Antibiotics in Low- and Middle- Income Countries
Medicine (21 obras) · Environmental health (14 obras) · Demography (11 obras) · Geography (9 obras) · Economics (8 obras) · Child Nutrition and Water Access (7 obras) · Global Maternal and Child Health (7 obras) · Business (6 obras) · Demography (6 obras) · Economic growth (6 obras)