Ruairi Brugha
Datos Biográficos
| ID | 281732 |
|---|---|
| NOMBRE | Ruairi Brugha |
| NOMBRES | Ruairi |
| APELLIDO | Brugha |
| FIRMA | BRUGHA R |
| AFILIACIONES | Royal College of Surgeons in Ireland |
| ORCID | 0000-0001-8666-5449 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 25 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Socioeconomic disparities in diabetes prevalence among the population in Ireland
This is the first study to examine the socioeconomic variation of diabetes prevalence at the Irish population level. Significant differences in diabetes prevalence persist. With the ageing Irish population, this study highlights the need to consider potential effects of diabetes across the older populations and the lowest socioeconomic status groups when implementing equity-oriented diabetes prevention and management programmes
Prevalence and associated risk factors for suicidal ideation, non-suicidal self-injury and suicide attempt among male construction workers in Ireland
Suicidal ideation, non-suicidal self-injury and suicide attempt are significant issues for male construction workers that require specific attention. Findings highlight a need to support younger male construction workers and those bereaved by suicide. They also highlight the need for the early detection and treatment of generalized anxiety disorder and depression in order to intervene in, and potentially prevent, suicidality among male constructi…
Covid-19 pandemic
The Covid-19 pandemic has exacerbated the long neglect of surgical services in resource-poor countries, compounding the threat posed by the burden of surgical conditions to the achievement of especially sustainable development goals 3 (good health and wellbeing) and 1 (ending poverty) in these countries
The Demand and Supply Side Determinants of Access to Maternal, Newborn and Child Health Services in Malawi
“We've all had patients who've died …”
The role of the traditional leader in implementing maternal, newborn and child health policy in Malawi
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their role in relation to policy implementation. This article seeks to analyse the role of traditional leaders in implementing national maternal, newborn and child health (MNCH) policy and programmes at the community level. We consider whether the role of the chief embodies a top-down (utilitarian) or bottom-up (empowerment) app…
The cost of providing and scaling up surgery
The lack of access to quality-assured surgery in rural parts of sub-Saharan Africa, where the numbers of trained health workers are often insufficient, presents challenges for national governments. The case for investing in scaling up surgical systems in low-resource settings is 3-fold: the potential beneficial impact on a large proportion of the global burden of disease; better access for rural populations who have the greatest unmet need; and t…
You do not cross them
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone in…
From local to global
BACKGROUND: There is a substantial body of literature on the principles of good partnerships and the rationale for such partnerships in research capacity strengthening. This paper illustrates the long term effects of a multi-country (8 countries) global partnership for health systems research capacity development (Connecting health Research in Africa and Ireland Consortium - ChRAIC) in relation to its contribution to capacity strengthening, publi…
The way the country has been carved up by researchers”
Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research
A concept in flux
BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnersh…
Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace
Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and Pepfar-funded HIV-activities
BACKGROUND: Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially consid…
Thank You to Reviewers 2012
“The problem is ours, it is not CRAIDS’ ”. Evaluating sustainability of Community Based Organisations for HIV/Aids in a rural district in Zambia
BACKGROUND: While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs) for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP) in Zambia as a case study, seeks to evaluate whether or not …
The implementation of a global fund grant in Lesotho
'It's risky to walk in the city with syringes'
BACKGROUND: Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and other donors, the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV/AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union (FSU) countries, a region now recognised as a priority area by policym…
Community patterns of stigma towards persons living with HIV
Stigma towards PLHIV is high generally, and very high in some sub-groups, in this community setting. Future stigma prevention efforts could be enhanced by analyzing community stigma sub-groups and tailoring intervention messages to community patterns of stigma
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
Why don't young women go for Chlamydia testing? A qualitative study employing Goffman's stigma framework
Many women who might be at risk of having the sexually transmitted infection (STI) Chlamydia trachomatis either delay going, or do not go, for testing. We aimed to examine the factors that either prevent or discourage Irish young women from going for Chlamydia testing. We conducted in-depth interviews with 35 women in the Republic of Ireland who were between 18 and 29 years of age. Accounts were analysed using Goffman’s stigma framework. Study re…
National and subnational HIV/Aids coordination
BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthes…
The evolution of HIV policy in Vietnam
AIM: Policymaking in Vietnam has traditionally been the preserve of the political elite, not open to the scrutiny of those outside the Communist Party. This paper aims to analyse Vietnam's HIV policy development in order to describe and understand the policy content, policy-making processes, actors and obstacles to policy implementation. METHODS: Nine policy documents on HIV were analysed and 17 key informant interviews were conducted in Hanoi an…
How HIV/Aids scale-up has impacted on non- HIV priority services in Zambia
The analysis shows scale-up in reproductive health service numbers in the same facilities where HIV services were scaling up. While district childhood immunisations increased overall, this did not necessarily occur in facility catchment areas where HIV service scale-up occurred. The paper demonstrates an approach for comparing correlation trends across different services, using routine health facility information. Larger samples and explanatory s…
Young women's decisions to accept chlamydia screening
If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced
Disclosure of STI testing activities by young adults
Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal'…
Where do young Irish women want Chlamydia-screening services to be set up? A qualitative study employing Goffman's impression management framework
Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace
A stakeholder approach towards hospital accreditation in India
Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation and what form it should take. There was a high level of support for the classical features: voluntary participation, a standards-ba…
You do not cross them
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone in…
Cost recovery beds in public hospitals in Indonesia
A policy of allowing public hospitals to provide some better quality, higher priced hospital beds for those able to pay was introduced as government policy in Indonesia after 1993. A study was conducted in 1998 in three public hospitals in East Java to investigate if the policy objective of cost-recovery was being achieved. Hospital revenue from these commercial beds was less than both the recurrent and total costs of providing them in all three …
The implementation of a global fund grant in Lesotho
Disclosure of STI testing activities by young adults
Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal'…
The role of the traditional leader in implementing maternal, newborn and child health policy in Malawi
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their role in relation to policy implementation. This article seeks to analyse the role of traditional leaders in implementing national maternal, newborn and child health (MNCH) policy and programmes at the community level. We consider whether the role of the chief embodies a top-down (utilitarian) or bottom-up (empowerment) app…
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
Cost recovery beds in public hospitals in Indonesia
A policy of allowing public hospitals to provide some better quality, higher priced hospital beds for those able to pay was introduced as government policy in Indonesia after 1993. A study was conducted in 1998 in three public hospitals in East Java to investigate if the policy objective of cost-recovery was being achieved. Hospital revenue from these commercial beds was less than both the recurrent and total costs of providing them in all three …
A stakeholder approach towards hospital accreditation in India
Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation and what form it should take. There was a high level of support for the classical features: voluntary participation, a standards-ba…
What prompts young adults in Ireland to attend health services for STI testing
Sexual health promotion campaigns for young people should address the reasons why they delay testing, specifically through measures to avoid stigma (supply-side) and reassure young adults (demand-side). Strategies to increase testing-uptake should focus on these four key opportunities - young adults leaving relationships, those entering relationships where condoms will not be used, those who have had unprotected sex and those with STI-related sym…
Where do young Irish women want Chlamydia-screening services to be set up? A qualitative study employing Goffman's impression management framework
Why don't young women go for Chlamydia testing? A qualitative study employing Goffman's stigma framework
Many women who might be at risk of having the sexually transmitted infection (STI) Chlamydia trachomatis either delay going, or do not go, for testing. We aimed to examine the factors that either prevent or discourage Irish young women from going for Chlamydia testing. We conducted in-depth interviews with 35 women in the Republic of Ireland who were between 18 and 29 years of age. Accounts were analysed using Goffman’s stigma framework. Study re…
National and subnational HIV/Aids coordination
BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthes…
The evolution of HIV policy in Vietnam
AIM: Policymaking in Vietnam has traditionally been the preserve of the political elite, not open to the scrutiny of those outside the Communist Party. This paper aims to analyse Vietnam's HIV policy development in order to describe and understand the policy content, policy-making processes, actors and obstacles to policy implementation. METHODS: Nine policy documents on HIV were analysed and 17 key informant interviews were conducted in Hanoi an…
How HIV/Aids scale-up has impacted on non- HIV priority services in Zambia
The analysis shows scale-up in reproductive health service numbers in the same facilities where HIV services were scaling up. While district childhood immunisations increased overall, this did not necessarily occur in facility catchment areas where HIV service scale-up occurred. The paper demonstrates an approach for comparing correlation trends across different services, using routine health facility information. Larger samples and explanatory s…
Young women's decisions to accept chlamydia screening
If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced
Disclosure of STI testing activities by young adults
Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal'…
'It's risky to walk in the city with syringes'
BACKGROUND: Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and other donors, the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV/AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union (FSU) countries, a region now recognised as a priority area by policym…
Community patterns of stigma towards persons living with HIV
Stigma towards PLHIV is high generally, and very high in some sub-groups, in this community setting. Future stigma prevention efforts could be enhanced by analyzing community stigma sub-groups and tailoring intervention messages to community patterns of stigma
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
“The problem is ours, it is not CRAIDS’ ”. Evaluating sustainability of Community Based Organisations for HIV/Aids in a rural district in Zambia
BACKGROUND: While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs) for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP) in Zambia as a case study, seeks to evaluate whether or not …
The implementation of a global fund grant in Lesotho
Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and Pepfar-funded HIV-activities
BACKGROUND: Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially consid…
Thank You to Reviewers 2012
A concept in flux
BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnersh…
Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace
From local to global
BACKGROUND: There is a substantial body of literature on the principles of good partnerships and the rationale for such partnerships in research capacity strengthening. This paper illustrates the long term effects of a multi-country (8 countries) global partnership for health systems research capacity development (Connecting health Research in Africa and Ireland Consortium - ChRAIC) in relation to its contribution to capacity strengthening, publi…
The way the country has been carved up by researchers”
Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research
You do not cross them
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone in…
“We've all had patients who've died …”
The role of the traditional leader in implementing maternal, newborn and child health policy in Malawi
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their role in relation to policy implementation. This article seeks to analyse the role of traditional leaders in implementing national maternal, newborn and child health (MNCH) policy and programmes at the community level. We consider whether the role of the chief embodies a top-down (utilitarian) or bottom-up (empowerment) app…
The cost of providing and scaling up surgery
The lack of access to quality-assured surgery in rural parts of sub-Saharan Africa, where the numbers of trained health workers are often insufficient, presents challenges for national governments. The case for investing in scaling up surgical systems in low-resource settings is 3-fold: the potential beneficial impact on a large proportion of the global burden of disease; better access for rural populations who have the greatest unmet need; and t…
Medicine (25 obras) · Nursing (16 obras) · Public health (14 obras) · Economic growth (13 obras) · Environmental health (12 obras) · Political science (12 obras) · Economics (11 obras) · Adolescent Sexual and Reproductive Health (10 obras) · Business (10 obras) · Global Maternal and Child Health (8 obras)