Tolib Mirzoev
Dados Biográficos
| ID | 1149366 |
|---|---|
| NOME | Tolib Mirzoev |
| PRENOMES | Tolib |
| SOBRENOME | Mirzoev |
| ASSINATURA | MIRZOEV T |
| AFILIAÇÕES | University of Leeds |
| ORCID | 0000-0003-2959-9187 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAÇÕES | 17 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2007 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Current and potential uses of drones in healthcare delivery in sub-Saharan Africa
Disparities in the access and provision of mental health services as part of primary health care
Mental illness can be as debilitating as physical ailments, yet many mental health patients lack access to quality mental health care in low- and middle-income countries. This study aimed to identify and characterize disparities in access to mental health care, as well as challenges in service provision, in the Ga-South district of Ghana. A qualitative case study design was used, employing purposive and snowball sampling to recruit participants. …
Barriers and facilitators of primary care management of type II diabetes mellitus in the West African sub-region
The prevalence of diabetes is rising rapidly across West Africa, posing a significant public health challenge. Effective diabetes management through accessible and quality primary healthcare is crucial, yet multiple barriers persist. This review aimed to synthesise the available evidence on factors influencing access, utilisation, and quality of diabetes primary care in West Africa. Following Arksey and O’Malley’s framework and PRISMA-ScR guideli…
Conceptualizing maternal mental health in rural Ghana
In low- and middle-income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships between pregnant and postnatal women, t…
Sexual and reproductive health interventions for mobile adolescents and young people in sub-Saharan Africa
Research exploring SRHR interventions for mAYP is limited in sub-Saharan Africa. Future research and interventions should be underpinned by an understanding of young people's health and wellbeing more broadly, and foreground the social, cultural, religious and economic factors shaping mAYP's SRH needs
Adolescent mental, sexual, and reproductive health in Ghana
One in five adolescents (aged 10–19 years) live in sub-Saharan Africa. Despite the availability of policies targeted at this age group, policy formulation, implementation, and gains in adolescent health continue to be underwhelming. Stakeholders or actors are architects of policy, bringing their ideological values, interests, power, and positions to policy formulation and implementation and thus influencing the policy process. We analysed multile…
Tools for screening maternal mental health conditions in primary care settings in sub-Saharan Africa
Mental health stigma and health-seeking behaviors amongst pregnant women in Vietnam
Addressing mental health-related stigma could influence the decision of disclosure and health-seeking behaviors, which could in turn improve responsiveness of the local health system to the needs of pregnant women with mental health needs, by offering prompt attention, a wide range of choices, and improved communication. Potential interventions to decrease stigma and improve access to mental healthcare for pregnant women in Vietnam should target …
Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam
The prevalence of common perinatal mental disorders in Vietnam ranges from 16.9% to 39.9%, and substantial treatment gaps have been identified at all levels. This paper explores constraints to the integration of maternal and mental health services at the primary healthcare level and the implications for the health system’s responsiveness to the needs and expectations of pregnant women with mental health conditions in Vietnam. As part of the RESPO…
“We have nice policies but…”
Introduction: Although policies for adolescent health exist in Ghana, their implementation is challenging. Availability of services for adolescent sexual and reproductive health and adolescent mental health remains less than desired, with adolescent mental health being particularly neglected despite being an important contributor to poor health outcomes. This study presents an analysis of gaps in the implementation of the Ghana Adolescent Health …
An analysis of urban policies and strategies on health and nutrition in Nigeria
Urban policies on health and nutrition in Nigeria are much in need. To underscore the reality of such need, we conducted a review of selected urban health and nutrition policies and strategies. We used an appropriate framework by Bandauko that outlines the content of a good urban policy for high-level analysis of the reviewed policies and strategies. Our review discovered neglect of urban health in Nigeria, evidence by a lack of urban health-focu…
Using evidence in mental health policy agenda-setting in low- and middle-income countries
The purpose of this article is to close the gap in frameworks for the use of evidence in the mental health policy agenda-setting in low- and middle-income countries (LMICs). Agenda-setting is important because mental health remains a culturally sensitive and neglected issue in LMICs. Moreover, effective evidence-informed agenda-setting can help achieve, and sustain, the status of mental health as a policy priority in these low-resource contexts. …
We can't expect much”
Responsiveness centres on understanding peoples' ‘legitimate’ expectations of their health system. • Healthcare-related expectations are shaped at the intersection of social, temporal, and spatial ‘locations’. • Expectations are also shaped by social norms, and market-driven practices and forces in the health system. • There is a need for health system actors to consider the impact of market forces on responsive care provision. • Active citizen p…
Conceptual framework for systemic capacity strengthening for health policy and systems research
Health policy and systems research (HPSR) is critical in developing health systems to better meet the health needs of their populations. The highly contextualised nature of health systems point to the value of local knowledge and the need for context-embedded HPSR. Despite such need, relatively few individuals, groups or organisations carry out HPSR, particularly in low-income and middle-income countries. Greater effort is required to strengthen …
Powers, engagements and resultant influences over the design and implementation of medicine pricing policies in Ghana
INTRODUCTION: Universal availability and affordability of essential medicines are determined by effective design and implementation of relevant policies, typically involving multiple stakeholders. This paper examined stakeholder engagements, powers and resultant influences over design and implementation of four medicines pricing policies in Ghana: Health Commodity Supply Chain Master Plan, framework contracting for high demand medicines, Value Ad…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
Systematic review of the role of social inclusion within sustainable urban developments
Rapid urbanisation presents multiple opportunities, but also poses challenges for equitable distribution of gains from socio-economic developments. This systematic review explored the role of social inclusion within the urban sustainability agenda.Sustainable urban developments were conceptualised as comprising environmental, spatial, social and economic perspectives; and social inclusion as entailing access to core services (healthcare) and reso…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh
BACKGROUND: Well-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal-agent relationships. METHODS: We collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-dep…
Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh
This paper documents, and reflects on key strengths and weaknesses of, existing patient feedback management systems at primary health care in Bangladesh and proposes key implications for future policy and practice. A mixed-method study was conducted in two Upazila (sub-district) Health Complexes (UHC) within one district in Bangladesh. It reports qualitative data from thematic analysis of in-depth interviews ( n = 15) with key stakeholders; non-p…
Covid-19 Stressors on Migrant Workers in Vietnam
This study explored the impact of COVID-19 on migrant workers in Vietnam, using a cumulative risk assessment (CRA) framework which comprises four domains (workplace, environment, individual and community). A cross-sectional study was conducted. Data were collected in 2020 through a self-administered questionnaire with 445 domestic migrant workers in two industrial zones in two northern provinces (Bac Ninh and Ninh Binh) in Vietnam. The majority o…
Intimate Partner Violence Against Indigenous Women in Sololá, Guatemala
Over a third of women in Guatemala are subjected to intimate partner violence (IPV). Indigenous Mayan women are particularly vulnerable, due to the intersection of race, gender, and poverty. However, no research exists into the causes of IPV among this group. Our pioneering study addresses this knowledge gap. Our results from in-depth interviews with service providers in Sololá highlight four interlinked causes of IPV: rigid gender roles, lack of…
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Was the Maternal Health Cash Transfer Programme in Nigeria Sustainable and Cost-Effective
Background: The Subsidy Reinvestment and Empowerment Programme (SURE-P), Maternal and Child Health (MCH) was introduced by the Nigerian government to increase the use of skilled maternal health services and reduce maternal mortality. The programme, funded out of a reduction in the fuel subsidy, was implemented between October 2012 and April 2015 and incorporated a conditional cash transfer to women to encourage use of facility based maternal serv…
Intimate Partner Violence Against Indigenous Women in Sololá, Guatemala
Over a third of women in Guatemala are subjected to intimate partner violence (IPV). Indigenous Mayan women are particularly vulnerable, due to the intersection of race, gender, and poverty. However, no research exists into the causes of IPV among this group. Our pioneering study addresses this knowledge gap. Our results from in-depth interviews with service providers in Sololá highlight four interlinked causes of IPV: rigid gender roles, lack of…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Developing learning diaries for action research on healthcare management in Ghana, Tanzania and Uganda
Action research (AR) can be an effective form of ‘on the job’ training. However, it is critical that AR cycles can be appropriately recorded in order to contribute to reflection and learning. One form of recording is for coresearchers to keep a diary. We found no previous literature describing the use of diaries in AR in sub-Saharan Africa. We therefore use this paper to reflect on how diaries were used by district health management teams in the …
Role of evidence in maternal health policy processes in Vietnam, India and China
This paper explores the role of evidence in maternal health policy processes in Vietnam, India and China. Both formal and informal types of evidence were used; and differences were found between the stages of policy processes. Evidence used mostly covered easily quantifiable issues and clearly identifiable technical solutions. Different policy actors were involved; actors’ evidence preferences were affected by their power, agendas, values and per…
We can't expect much”
Responsiveness centres on understanding peoples' ‘legitimate’ expectations of their health system. • Healthcare-related expectations are shaped at the intersection of social, temporal, and spatial ‘locations’. • Expectations are also shaped by social norms, and market-driven practices and forces in the health system. • There is a need for health system actors to consider the impact of market forces on responsive care provision. • Active citizen p…
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Contextual influences on the role of evidence in health policy development
This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included…
Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities
The importance of health policy and systems research and analysis (HPSR+A) is widely recognized. Universities are central to strengthening and sustaining the HPSR+A capacity as they teach the next generation of decision-makers and health professionals. However, little is known about the capacity of universities, specifically, to develop the field. In this article, we report results of capacity self- assessments by seven universities within five A…
Is the Mongolian Health Sector Ready for a Sector‐Wide Approach
Mongolia has experienced major social and economic changes since the early 1990s. Large‐scale reforms have been introduced in all sectors over the last 10 years. Implementing health reforms requires a more coordinated approach and the Mongolian health sector has been exploring an option of implementing a Sector‐Wide Approach (SWAp) to the health sector. This article aims to develop and apply an analytical framework for assessing the feasibility o…
Costs of a successful public-private partnership for TB control in an urban setting in Nepal
Treating TB patients in the PPP scheme had a low additional cost, while doubling the case notification rate and maintaining a high success rate. Costs incurred by patients and their escorts were the largest contributors to the overall total. This suggests a focus for follow-up studies and for cost-minimisation strategies
Is the Mongolian Health Sector Ready for a Sector‐Wide Approach
Mongolia has experienced major social and economic changes since the early 1990s. Large‐scale reforms have been introduced in all sectors over the last 10 years. Implementing health reforms requires a more coordinated approach and the Mongolian health sector has been exploring an option of implementing a Sector‐Wide Approach (SWAp) to the health sector. This article aims to develop and apply an analytical framework for assessing the feasibility o…
Cost implications of delays to tuberculosis diagnosis among pulmonary tuberculosis patients in Ethiopia
The costs of tuberculosis diagnosis incurred by patients and escorts represent a significant portion of their monthly income. The costs arising from time lost in seeking care comprised a major portion of the total cost of diagnosis, and may worsen the economic position of patients and their families. Getting treatment from alternative sources and low index of suspicion public health providers were key problems contributing to increased cost of tu…
Role of evidence in maternal health policy processes in Vietnam, India and China
This paper explores the role of evidence in maternal health policy processes in Vietnam, India and China. Both formal and informal types of evidence were used; and differences were found between the stages of policy processes. Evidence used mostly covered easily quantifiable issues and clearly identifiable technical solutions. Different policy actors were involved; actors’ evidence preferences were affected by their power, agendas, values and per…
Central Asian Post-Soviet health systems in transition
BACKGROUND: The collapse of the Soviet Union in 1991 resulted in a transition from centrally planned socialist systems to largely free-market systems for post-Soviet states. The health systems of Central Asian Post-Soviet (CAPS) countries (Kyrgyzstan, Mongolia, Tajikistan, Turkmenistan, and Uzbekistan) have undergone a profound revolution. External development partners have been crucial to this reorientation through financial and technical suppor…
Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities
The importance of health policy and systems research and analysis (HPSR+A) is widely recognized. Universities are central to strengthening and sustaining the HPSR+A capacity as they teach the next generation of decision-makers and health professionals. However, little is known about the capacity of universities, specifically, to develop the field. In this article, we report results of capacity self- assessments by seven universities within five A…
Contextual influences on the role of evidence in health policy development
This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included…
Coherence between health policy and human resource strategy
The failure to meet health goals such as the Millennium Development Goals (MDG) is partly due to the lack of appropriate resources for the effective implementation of health policies. The lack of coherence between the health policies and human resource (HR) strategy is one of the major causes. This article explores the relationship and the degree of coherence between health policy--in this case maternal health policy--processes and HR strategy in…
Developing learning diaries for action research on healthcare management in Ghana, Tanzania and Uganda
Action research (AR) can be an effective form of ‘on the job’ training. However, it is critical that AR cycles can be appropriately recorded in order to contribute to reflection and learning. One form of recording is for coresearchers to keep a diary. We found no previous literature describing the use of diaries in AR in sub-Saharan Africa. We therefore use this paper to reflect on how diaries were used by district health management teams in the …
What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework
Responsiveness is a key objective of national health systems. Responsive health systems anticipate and adapt to existing and future health needs, thus contributing to better health outcomes. Of all the health systems objectives, responsiveness is the least studied, which perhaps reflects lack of comprehensive frameworks that go beyond the normative characteristics of responsive services. This paper contributes to a growing, yet limited, knowledge…
Key strategies to improve systems for managing patient complaints within health facilities – what can we learn from the existing literature
BACKGROUND: Information from patient complaints - a widely accepted measure of patient satisfaction with services - can inform improvements in service quality, and contribute towards overall health systems performance. While analyses of data from patient complaints received much emphasis, there is limited published literature on key interventions to improve complaint management systems. OBJECTIVES: The objectives are two-fold: first, to synthesis…
Is evidence-informed urban health planning a myth or reality? Lessons from a qualitative assessment in three Asian cities
City governments are well-positioned to effectively address urban health challenges in the context of rapid urbanization in Asia. They require good quality and timely evidence to inform their planning decisions. In this article, we report our analyses of degree of data-informed urban health planning from three Asian cities: Dhaka, Hanoi and Pokhara. Our theoretical framework stems from conceptualizations of evidence-informed policymaking, health …
Was the Maternal Health Cash Transfer Programme in Nigeria Sustainable and Cost-Effective
Background: The Subsidy Reinvestment and Empowerment Programme (SURE-P), Maternal and Child Health (MCH) was introduced by the Nigerian government to increase the use of skilled maternal health services and reduce maternal mortality. The programme, funded out of a reduction in the fuel subsidy, was implemented between October 2012 and April 2015 and incorporated a conditional cash transfer to women to encourage use of facility based maternal serv…
Which mechanisms explain the motivation of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria
INTRODUCTION: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation w…
Reclaiming comprehensive public health
Over the past 6 months, we have witnessed diversity in the spread and severity of the COVID-19 and in the nature and timing of \nresponses to it in different countries and contexts. Acute emergencies often mobilise a short spurt of attention and resources. \nCOVID-19 is, however, a protracted pandemic that spreads through and exacerbates socioeconomic inequalities and stresses health and democratic systems in a way that calls or sustained respons…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh
BACKGROUND: Well-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal-agent relationships. METHODS: We collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-dep…
Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh
This paper documents, and reflects on key strengths and weaknesses of, existing patient feedback management systems at primary health care in Bangladesh and proposes key implications for future policy and practice. A mixed-method study was conducted in two Upazila (sub-district) Health Complexes (UHC) within one district in Bangladesh. It reports qualitative data from thematic analysis of in-depth interviews ( n = 15) with key stakeholders; non-p…
Covid-19 Stressors on Migrant Workers in Vietnam
This study explored the impact of COVID-19 on migrant workers in Vietnam, using a cumulative risk assessment (CRA) framework which comprises four domains (workplace, environment, individual and community). A cross-sectional study was conducted. Data were collected in 2020 through a self-administered questionnaire with 445 domestic migrant workers in two industrial zones in two northern provinces (Bac Ninh and Ninh Binh) in Vietnam. The majority o…
Intimate Partner Violence Against Indigenous Women in Sololá, Guatemala
Over a third of women in Guatemala are subjected to intimate partner violence (IPV). Indigenous Mayan women are particularly vulnerable, due to the intersection of race, gender, and poverty. However, no research exists into the causes of IPV among this group. Our pioneering study addresses this knowledge gap. Our results from in-depth interviews with service providers in Sololá highlight four interlinked causes of IPV: rigid gender roles, lack of…
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Conceptual framework for systemic capacity strengthening for health policy and systems research
Health policy and systems research (HPSR) is critical in developing health systems to better meet the health needs of their populations. The highly contextualised nature of health systems point to the value of local knowledge and the need for context-embedded HPSR. Despite such need, relatively few individuals, groups or organisations carry out HPSR, particularly in low-income and middle-income countries. Greater effort is required to strengthen …
Powers, engagements and resultant influences over the design and implementation of medicine pricing policies in Ghana
INTRODUCTION: Universal availability and affordability of essential medicines are determined by effective design and implementation of relevant policies, typically involving multiple stakeholders. This paper examined stakeholder engagements, powers and resultant influences over design and implementation of four medicines pricing policies in Ghana: Health Commodity Supply Chain Master Plan, framework contracting for high demand medicines, Value Ad…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
Political science (27 obras) · Medicine (25 obras) · Economic growth (23 obras) · Business (21 obras) · Economics (21 obras) · Global Maternal and Child Health (20 obras) · Public relations (16 obras) · Sociology (16 obras) · Nursing (15 obras) · Health care (14 obras)