John Walley
Datos Biográficos
| ID | 281232 |
|---|---|
| NOMBRE | John Walley |
| NOMBRES | John |
| APELLIDO | Walley |
| FIRMA | WALLEY J |
| AFILIACIONES | University of Leeds |
| ORCID | 0000-0001-7290-0989 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 21 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1969 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2023 |
| ÍNDICE H | 2 |
Developing a social mobilisation intervention for salt reduction
Social mobilisation interventions can provide low-cost strategies to tackle NCDs in fragile settings such as Sierra Leone through the utilisation of community structures. However, more research is required to ascertain the key enablers for replicability and if such successes can be sustained over a longer follow up period
Clinical Diagnosis and Reporting of Covid-19 in the Absence of Effective Access to Laboratory Testing in Africa
Clinical Diagnosis and Reporting of COVID-19 in the Absence of Effective Access to Laboratory Testing in Africa
Codevelopment of Covid-19 infection prevention and control guidelines in lower-middle-income countries
INTRODUCTION: The COVID-19 pandemic has required the rapid development of comprehensive guidelines to direct health service organisation and delivery. However, most guidelines are based on resources found in high-income settings, with fewer examples that can be implemented in resource-constrained settings. This study describes the process of adapting and developing role-specific guidelines for comprehensive COVID-19 infection prevention and contr…
Opportunities and challenges for delivering non-communicable disease management and services in fragile and post-conflict settings
Our study suggests that NCD prevention and control is of low but increasing priority in Sierra Leone; challenges to addressing this burden relate to huge numbers with NCDs (especially hypertension) requiring care, overall resource constraints and wider systemic issues, including poorly supported primary care services and access barriers. In addition to securing and strengthening political will and commitment and directing more resources and atten…
Process Evaluation of a Clustered Randomized Control Trial of a Comprehensive Intervention to Reduce the Risk of Cardiovascular Events in Primary Health Care in Rural China
Our study suggests the feasibility of implementing a comprehensive CVD risk reduction strategy in China's rural primary care facilities. However, health system barriers need to be addressed to ensure the success and sustainability of the intervention
Decentralising NCD management in rural southern Africa
The findings suggest that management of diabetes and hypertension care in a rural district setting can be safely delivered by nurses in community clinics according to a shared care protocol. Improved access is likely to lead to improved patient compliance with treatment
Adapting and implementing training, guidelines and treatment cards to improve primary care-based hypertension and diabetes management in a fragile context
Our study suggests the potential feasibility of this approach to strengthening primary care delivery of NCDs in fragile contexts. However, the approach needs to be built into routine supervision and pre-service training to be sustained. Key barriers in the health system and at community level also need to be addressed
Partnering with Private Providers to Promote Long-Acting Contraceptives in Urban Bangladesh
CONTEXT: Bangladesh's pluralistic health system has diversified opportunities for clients to obtain family planning, but public-private partnerships could improve access to services, particularly in urban areas. METHOD: Sixteen providers, clients and program managers were interviewed to assess perspectives on a family planning orientation and demand-side financing referral program tested in Mirpur, Bangladesh. The 15-month program, conducted in 2…
Antibiotic prescribing for upper respiratory infections among children in rural China
BACKGROUND: Overuse of antibiotics contributes to the development of antimicrobial resistance. OBJECTIVE: This study aims to assess the condition of antibiotic use at health facilities at county, township and village levels in rural Guangxi, China. METHODS: We conducted a cross-sectional study of outpatient antibiotic prescriptions in 2014 for children aged 2-14 years with upper respiratory infections (URI). Twenty health facilities were randomly…
Interventions to reduce childhood antibiotic prescribing for upper respiratory infections
Strengthening the delivery of asthma and chronic obstructive pulmonary disease care at primary health-care facilities
BACKGROUND: Respiratory diseases, namely asthma and chronic obstructive pulmonary disease (COPD), account for one-fourth of the patients at the primary health-care (PHC) facilities in Pakistan. Standard care practices to manage these diseases are necessary to reduce the morbidity and mortality rate associated with non-communicable diseases in developing countries. OBJECTIVE: To develop and measure the effectiveness of operational guidelines and i…
Barriers to hospital and tuberculosis programme collaboration in China
BACKGROUND: In many developing countries, programmes for 'diseases of social importance', such as tuberculosis (TB), have traditionally been organised as vertical services. In most of China, general hospitals are required to report and refer suspected TB cases to the TB programme for standardised diagnosis and treatment. General hospitals are the major contacts of health services for the TB patients. Despite the implementation of public-public/pr…
Early infant male circumcision for human immunodeficiency virus prevention
Swaziland has the highest prevalence of human immunodeficiency virus (HIV) in the world at 26% of the adult population. Medical male circumcision (MMC) has been shown to reduce the risk of acquiring HIV from heterosexual sex by up to 60% and the Government of Swaziland has been promoting adult male circumcision. Infant circumcision commenced in 2013 so it is important to understand the knowledge and views of women as potential mothers, around inf…
Improving adherence to antiretroviral therapy in sub-Saharan African HIV-positive populations
With the increasing access to antiretroviral therapy in sub-Saharan African HIV-positive populations, it is important to find additional simple, effective, and feasible methods of improving and maintaining adequately high levels of adherence. In this study, we undertook the development, testing, implementation, and evaluation of various adherence support interventions at four sites in Uganda. A one-group pre- and post-intervention design was empl…
Evaluating the impact of decentralising tuberculosis microscopy services to rural township hospitals in gansu province, china
Microscopy centre throughputs were generally low in Gansu Province, and the contribution of MCs to TB case detection was insignificant taking account the number of MCs established. As a unique case of full decentralisation of TB service, Ganzhou County presented better results. However, standards and quality of TB care needed to be improved. The MC policy needs to be reviewed in light of evidence from this study
Improving Clinic Attendance and Adherence to Antiretroviral Therapy Through a Treatment Supporter Intervention in Uganda
P2-484 Diagnosis of smear negative pulmonary tuberculosis in low and middle income countries
Introduction Diagnosis in of pulmonary tuberculosis (PTB) in resource-limited settings relies heavily on detection of bacilli on sputum smears however HIV positive patients often have smear-negative disease. A new WHO diagnostic algorithm was developed to improve PTB diagnosis in HIV-prevalent resource-limited settings (integrated, expedited pathway with 2 rather than 3 smears in each set and no diagnostic antibiotic trial). We evaluated performa…
Comparing Knowledge and Use of Health Services of Migrants From Rural and Urban Areas in Kunming City, China
This paper compares the knowledge and utilization of health services among rural residents, urban residents, rural migrants and urban migrants in a large Chinese city. Data were obtained from a questionnaire survey of 2765 individuals (1951 heads of households and 814 spouses) in Guandu district, Kunming, in 2005. The determinants of their knowledge and utilization of health services were analysed using multivariate logistic regression. First, th…
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…
Using Mobile Phones to Improve Clinic Attendance Amongst an Antiretroviral Treatment Cohort in Rural Uganda
Delayed consultation among pulmonary tuberculosis patients
Nearly half of pulmonary tuberculosis patients delayed seeking health care at a public health facility while getting treatment from informal sources. The involvement of religious institutions and private practitioners in early referral of patients with pulmonary symptoms and creating public awareness about tuberculosis could help reduce delays in starting modern treatment
Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts
BACKGROUND: Little is known about the quality of tuberculosis (TB) service delivery in public health facilities in Ethiopia and its association with patients' non-adherence to TB treatment. This study assessed the organization, management and processes of TB care delivery, and their effects on patients' adherence to TB treatment. METHODS: The quality of TB care was investigated in 44 public health facilities from three perspectives: structure, pr…
Adapting a generic tuberculosis control operational guideline and scaling it up in China
The adaptation process highlighted a number of general strategies to adapt generic guidelines into country specific ones: 1) local policy-makers and practitioners should have a leading role; 2) a systematic working process should be employed with capable focal persons; and 3) the guideline should be embedded within the current programmes so it is sustainable and replicable for further scale-up
Listening to those on the frontline
Tuberculosis in Pakistan
Tuberculosis in Pakistan
Listening to those on the frontline
Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts
BACKGROUND: Little is known about the quality of tuberculosis (TB) service delivery in public health facilities in Ethiopia and its association with patients' non-adherence to TB treatment. This study assessed the organization, management and processes of TB care delivery, and their effects on patients' adherence to TB treatment. METHODS: The quality of TB care was investigated in 44 public health facilities from three perspectives: structure, pr…
Pensions Reform in Great Britain
The Government's Strategy
Integrating health services
In the Wollo region of Ethiopia, many non-governmental organizations (NGOs) stayed on after providing relief and emergency medical services during the 1984–5 famine. Initially they adopted different strategies for supporting health development - their approaches, strengths and weaknesses are discussed. Since 1988, the Save the Children Fund UK (SCF) and subsequently other NGOs have further integrated their programmes with the Ministry of Health (…
Care for Aids patients in developing countries
As an ever increasing number of HIV-infected persons develop AIDS, treating the manifestations associated with HIV infection has become a new challenge to health sectors in developing countries. Given resource constraints of health systems before the AIDS epidemic, there is an urgent need to start examining ways in which health care can be delivered to the large number of AIDS patients, without infringing on other primary health care activities. …
Tuberculosis in Pakistan
Listening to those on the frontline
Adapting a generic tuberculosis control operational guideline and scaling it up in China
The adaptation process highlighted a number of general strategies to adapt generic guidelines into country specific ones: 1) local policy-makers and practitioners should have a leading role; 2) a systematic working process should be employed with capable focal persons; and 3) the guideline should be embedded within the current programmes so it is sustainable and replicable for further scale-up
Delayed consultation among pulmonary tuberculosis patients
Nearly half of pulmonary tuberculosis patients delayed seeking health care at a public health facility while getting treatment from informal sources. The involvement of religious institutions and private practitioners in early referral of patients with pulmonary symptoms and creating public awareness about tuberculosis could help reduce delays in starting modern treatment
Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts
BACKGROUND: Little is known about the quality of tuberculosis (TB) service delivery in public health facilities in Ethiopia and its association with patients' non-adherence to TB treatment. This study assessed the organization, management and processes of TB care delivery, and their effects on patients' adherence to TB treatment. METHODS: The quality of TB care was investigated in 44 public health facilities from three perspectives: structure, pr…
Comparing Knowledge and Use of Health Services of Migrants From Rural and Urban Areas in Kunming City, China
This paper compares the knowledge and utilization of health services among rural residents, urban residents, rural migrants and urban migrants in a large Chinese city. Data were obtained from a questionnaire survey of 2765 individuals (1951 heads of households and 814 spouses) in Guandu district, Kunming, in 2005. The determinants of their knowledge and utilization of health services were analysed using multivariate logistic regression. First, th…
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…
Using Mobile Phones to Improve Clinic Attendance Amongst an Antiretroviral Treatment Cohort in Rural Uganda
Evaluating the impact of decentralising tuberculosis microscopy services to rural township hospitals in gansu province, china
Microscopy centre throughputs were generally low in Gansu Province, and the contribution of MCs to TB case detection was insignificant taking account the number of MCs established. As a unique case of full decentralisation of TB service, Ganzhou County presented better results. However, standards and quality of TB care needed to be improved. The MC policy needs to be reviewed in light of evidence from this study
Improving Clinic Attendance and Adherence to Antiretroviral Therapy Through a Treatment Supporter Intervention in Uganda
P2-484 Diagnosis of smear negative pulmonary tuberculosis in low and middle income countries
Introduction Diagnosis in of pulmonary tuberculosis (PTB) in resource-limited settings relies heavily on detection of bacilli on sputum smears however HIV positive patients often have smear-negative disease. A new WHO diagnostic algorithm was developed to improve PTB diagnosis in HIV-prevalent resource-limited settings (integrated, expedited pathway with 2 rather than 3 smears in each set and no diagnostic antibiotic trial). We evaluated performa…
Improving adherence to antiretroviral therapy in sub-Saharan African HIV-positive populations
With the increasing access to antiretroviral therapy in sub-Saharan African HIV-positive populations, it is important to find additional simple, effective, and feasible methods of improving and maintaining adequately high levels of adherence. In this study, we undertook the development, testing, implementation, and evaluation of various adherence support interventions at four sites in Uganda. A one-group pre- and post-intervention design was empl…
Early infant male circumcision for human immunodeficiency virus prevention
Swaziland has the highest prevalence of human immunodeficiency virus (HIV) in the world at 26% of the adult population. Medical male circumcision (MMC) has been shown to reduce the risk of acquiring HIV from heterosexual sex by up to 60% and the Government of Swaziland has been promoting adult male circumcision. Infant circumcision commenced in 2013 so it is important to understand the knowledge and views of women as potential mothers, around inf…
Strengthening the delivery of asthma and chronic obstructive pulmonary disease care at primary health-care facilities
BACKGROUND: Respiratory diseases, namely asthma and chronic obstructive pulmonary disease (COPD), account for one-fourth of the patients at the primary health-care (PHC) facilities in Pakistan. Standard care practices to manage these diseases are necessary to reduce the morbidity and mortality rate associated with non-communicable diseases in developing countries. OBJECTIVE: To develop and measure the effectiveness of operational guidelines and i…
Barriers to hospital and tuberculosis programme collaboration in China
BACKGROUND: In many developing countries, programmes for 'diseases of social importance', such as tuberculosis (TB), have traditionally been organised as vertical services. In most of China, general hospitals are required to report and refer suspected TB cases to the TB programme for standardised diagnosis and treatment. General hospitals are the major contacts of health services for the TB patients. Despite the implementation of public-public/pr…
Interventions to reduce childhood antibiotic prescribing for upper respiratory infections
Antibiotic prescribing for upper respiratory infections among children in rural China
BACKGROUND: Overuse of antibiotics contributes to the development of antimicrobial resistance. OBJECTIVE: This study aims to assess the condition of antibiotic use at health facilities at county, township and village levels in rural Guangxi, China. METHODS: We conducted a cross-sectional study of outpatient antibiotic prescriptions in 2014 for children aged 2-14 years with upper respiratory infections (URI). Twenty health facilities were randomly…
Partnering with Private Providers to Promote Long-Acting Contraceptives in Urban Bangladesh
CONTEXT: Bangladesh's pluralistic health system has diversified opportunities for clients to obtain family planning, but public-private partnerships could improve access to services, particularly in urban areas. METHOD: Sixteen providers, clients and program managers were interviewed to assess perspectives on a family planning orientation and demand-side financing referral program tested in Mirpur, Bangladesh. The 15-month program, conducted in 2…
Opportunities and challenges for delivering non-communicable disease management and services in fragile and post-conflict settings
Our study suggests that NCD prevention and control is of low but increasing priority in Sierra Leone; challenges to addressing this burden relate to huge numbers with NCDs (especially hypertension) requiring care, overall resource constraints and wider systemic issues, including poorly supported primary care services and access barriers. In addition to securing and strengthening political will and commitment and directing more resources and atten…
Process Evaluation of a Clustered Randomized Control Trial of a Comprehensive Intervention to Reduce the Risk of Cardiovascular Events in Primary Health Care in Rural China
Our study suggests the feasibility of implementing a comprehensive CVD risk reduction strategy in China's rural primary care facilities. However, health system barriers need to be addressed to ensure the success and sustainability of the intervention
Decentralising NCD management in rural southern Africa
The findings suggest that management of diabetes and hypertension care in a rural district setting can be safely delivered by nurses in community clinics according to a shared care protocol. Improved access is likely to lead to improved patient compliance with treatment
Medicine (26 obras) · Nursing (18 obras) · Family medicine (16 obras) · Environmental health (13 obras) · Public health (13 obras) · Internal Medicine (10 obras) · Tuberculosis Research and Epidemiology (10 obras) · Health care (8 obras) · Tuberculosis (8 obras) · Economic growth (7 obras)