Megan Murray
Biographic Data
| ID | 5987075 |
|---|---|
| NAME | Megan Murray |
| GIVEN NAMES | Megan |
| FAMILY NAME | Murray |
| SIGNATURE | MURRAY M |
| AFFILIATIONS | Harvard University |
| ORCID | 0000-0001-6335-0444 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 12 |
| WORKS AS AUTHOR | 21 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Food Rx + CHW
These findings suggest that CHWs support a patient's ability to reduce hemoglobin A1c through dietary behavior changes and sustain this reduction over time. This trial was retrospectively registered at ClinicalTrials.gov (NCT06476990) on June 20, 2024
Factors driving adolescent tuberculosis incidence by age and sex in 30 high-tuberculosis burden countries
INTRODUCTION: During adolescence, tuberculosis incidence rises, with a greater increase in males compared with females. Tuberculosis notifications and estimates infrequently disaggregate adolescent age groups. Moreover, the factors that drive the increases in overall incidence and the male-to-female (MF) ratio remain unclear. METHODS: infection and tuberculosis disease incidence in the WHO's 30 high-tuberculosis burden countries (HBCs), which rep…
Tuberculous hyperglycaemia
box While diabetes mellitus (DM) screening in tuberculosis (TB) programmes helps diagnose new DM among TB patients, a substantial proportion of these newly diagnosed cases may reflect TB-induced hyperglycaemia rather than chronic DM
Should neighbours of tuberculosis (TB) cases be prioritised for active case finding in high TB-burden settings? A prospective molecular epidemiological study
Introduction In high tuberculosis (TB)-burden countries, considerable transmission of Mycobacterium tuberculosis ( M. tb ) likely occurs outside of households. We aimed to estimate the TB prevalence and incidence in households and neighbourhoods around known TB cases and to understand transmission patterns. Methods Household and neighbourhood contacts of pulmonary TB index cases from contiguous areas in Bandung, Indonesia, were screened and follo…
Through the eyes of community health workers
Public health emergencies, such as the COVID-19 pandemic, elucidate the strengths, weaknesses, and significant gaps in infrastructure, compatibility and consistency in communication systems, as well as the quality of collaborative relationships, and provider and workforce capacity. They also expose longstanding patterns of mistrust in the government and healthcare systems, and inadequacy in socio-economic infrastructures. These issues resulted in…
Determinants of adherence towards tuberculosis guidelines among Indonesian private practitioners
INTRODUCTION: In high tuberculosis (TB) burden countries, the private sector manages a large proportion of initial visits by presumptive patients with TB. In Indonesia, the second largest contributor of TB cases globally, private practitioners (PPs) often do not adhere to national TB guidelines. A district public-private mix programme to mitigate this issue was started in 2019, yet engagement remains low. This study examines what affects the deci…
Tuberculosis care provided by private practitioners in an urban setting in Indonesia
In Indonesia, government-owned Community Health Centers (CHCs) spearhead tuberculosis (TB) care at the primary level, but a substantial proportion of individuals with pulmonary TB also seek care from Private Practitioners (PPs). However, little is known about PPs’ practice in managing patients with TB-associated symptoms. To avoid bias associated with self-administered surveys, we used standardized patients (SPs) to evaluate PPs’ adherence to the…
Tuberculosis treatment loss to follow-up in children exposed at home
Background: Loss to follow-up (LTFU) from tuberculosis (TB) treatment and care is a significant public health problem. It is important to understand what drives LTFU in children - a population whose treatment and management depend on an adult caregiver - to better provide support services to families affected by TB. Methods: We conducted a prospective cohort study of household contacts in Lima, Peru (2009-12). Using multilevel logistic regression…
Conversation Analysis Based Simulation (Cabs)
BACKGROUND: Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation-based training because of the opportunity to think and react in real time, which alternatives cannot provide. OBJECTIVE: To describe a method for the use of simulation which maximises authenticity by grounding training in…
Asociación entre sobrepeso/obesidad y tuberculosis multidrogoresistente
Overweight/obesity is not associated with multidrug resistance in tuberculosis. Overweight/obesity is a dynamic process that may influence the relationship between the immune system and the metabolic system
Integrating Health Systems and Science to Respond to Covid-19 in a Model District of Rural Madagascar
There are many outstanding questions about how to control the global COVID-19 pandemic. The information void has been especially stark in the World Health Organization Africa Region, which has low per capita reported cases, low testing rates, low access to therapeutic drugs, and has the longest wait for vaccines. As with all disease, the central challenge in responding to COVID-19 is that it requires integrating complex health systems that incorp…
One hundred thirty-three observed Covid-19 deaths in 10 months
The African region was predicted to have worse COVID-19 infection and death rates due to challenging health systems and social determinants of health. However, in the 10 months after its first case, Rwanda recorded 10316 cases and 133 COVID-19-related deaths translating to a case fatality rate (CFR) of 1.3%, which raised the question: why does Rwanda have a low COVID-19 CFR? Here we analysed COVID-19 data and explored possible explanations to bet…
District-level health system strengthening for universal health coverage
INTRODUCTION: Despite renewed commitment to universal health coverage and health system strengthening (HSS) to improve access to primary care, there is insufficient evidence to guide their design and implementation. To address this, we conducted an impact evaluation of an ongoing HSS initiative in rural Madagascar, combining data from a longitudinal cohort and primary health centres. METHODS: We carried out a district representative household sur…
Causes of death and predictors of childhood mortality in Rwanda
In the context of rapidly declining childhood mortality in Rwanda and increased access to health care, we found a large proportion of remaining deaths occur at home, with home deliveries still representing a significant risk factor for neonatal death. The major causes of death at a population level remain largely avoidable communicable diseases. Household characteristics associated with death included well-established socioeconomic and care-seeki…
Baseline population health conditions ahead of a health system strengthening program in rural Madagascar
BACKGROUND: A model health district was initiated through a program of health system strengthening (HSS) in Ifanadiana District of southeastern Madagascar in 2014. We report population health indicators prior to initiation of the program. METHODS: A representative household survey based on the Demographic Health Survey was conducted using a two-stage cluster sampling design in two strata - the initial program catchment area and the future catchme…
Rainfall variation and child health
Our finding that children in households with unimproved toilets were less likely to report diarrhea during periods of high runoff highlights the vulnerabilities of those living without adequate sanitation to the negative health impacts of environmental events
Depression, adherence and attrition from care in HIV-infected adults receiving antiretroviral therapy
BACKGROUND: A better understanding of the relationship between depression and HIV-related outcomes, particularly as it relates to adherence to treatment, is critical to guide effective support and treatment of individuals with HIV and depression. We examined whether depression was associated with attrition from care in a cohort of 610 HIV-infected adults in rural Rwanda and whether this relationship was mediated through suboptimal adherence to tr…
Food Insufficiency is a Risk Factor for Suboptimal Antiretroviral Therapy Adherence among HIV-Infected Adults in Urban Peru
Living on Borrowed Time
Introduction by Citlali Rovirosa-Madrazo 1 Part One 13 Conversation I The credit crunch: an outcome of the Bank's failure, or a fruit of its outstanding success? Capitalism is not dead 15 Conversation II The welfare state in the age of economic globalization: the last remaining vestiges of Bentham's Panopticon. Policing or helping the poor? 34 Conversation III This thing called 'the state': revisiting democracy, sovereignty and human rights 45 Pa…
Consumer views of hunger and fullness. A qualitative approach
Black Voters, Black Candidates, and Social Issues
Objective. Much is known about voting behavior generally; less is known about voting behavior of African Americans in particular due in part to the overwhelming support of black voters for Democratic candidates. However, some argue that black conservatism on social issues could lead to more Republican voting. Methods. We test this question with a set of data on black voting behavior in a 2004 congressional race where two black candidates ran agai…
Black Voters, Black Candidates, and Social Issues
Objective. Much is known about voting behavior generally; less is known about voting behavior of African Americans in particular due in part to the overwhelming support of black voters for Democratic candidates. However, some argue that black conservatism on social issues could lead to more Republican voting. Methods. We test this question with a set of data on black voting behavior in a 2004 congressional race where two black candidates ran agai…
Black Voters, Black Candidates, and Social Issues
Objective. Much is known about voting behavior generally; less is known about voting behavior of African Americans in particular due in part to the overwhelming support of black voters for Democratic candidates. However, some argue that black conservatism on social issues could lead to more Republican voting. Methods. We test this question with a set of data on black voting behavior in a 2004 congressional race where two black candidates ran agai…
Living on Borrowed Time
Introduction by Citlali Rovirosa-Madrazo 1 Part One 13 Conversation I The credit crunch: an outcome of the Bank's failure, or a fruit of its outstanding success? Capitalism is not dead 15 Conversation II The welfare state in the age of economic globalization: the last remaining vestiges of Bentham's Panopticon. Policing or helping the poor? 34 Conversation III This thing called 'the state': revisiting democracy, sovereignty and human rights 45 Pa…
Consumer views of hunger and fullness. A qualitative approach
Food Insufficiency is a Risk Factor for Suboptimal Antiretroviral Therapy Adherence among HIV-Infected Adults in Urban Peru
Depression, adherence and attrition from care in HIV-infected adults receiving antiretroviral therapy
BACKGROUND: A better understanding of the relationship between depression and HIV-related outcomes, particularly as it relates to adherence to treatment, is critical to guide effective support and treatment of individuals with HIV and depression. We examined whether depression was associated with attrition from care in a cohort of 610 HIV-infected adults in rural Rwanda and whether this relationship was mediated through suboptimal adherence to tr…
Rainfall variation and child health
Our finding that children in households with unimproved toilets were less likely to report diarrhea during periods of high runoff highlights the vulnerabilities of those living without adequate sanitation to the negative health impacts of environmental events
Baseline population health conditions ahead of a health system strengthening program in rural Madagascar
BACKGROUND: A model health district was initiated through a program of health system strengthening (HSS) in Ifanadiana District of southeastern Madagascar in 2014. We report population health indicators prior to initiation of the program. METHODS: A representative household survey based on the Demographic Health Survey was conducted using a two-stage cluster sampling design in two strata - the initial program catchment area and the future catchme…
Causes of death and predictors of childhood mortality in Rwanda
In the context of rapidly declining childhood mortality in Rwanda and increased access to health care, we found a large proportion of remaining deaths occur at home, with home deliveries still representing a significant risk factor for neonatal death. The major causes of death at a population level remain largely avoidable communicable diseases. Household characteristics associated with death included well-established socioeconomic and care-seeki…
District-level health system strengthening for universal health coverage
INTRODUCTION: Despite renewed commitment to universal health coverage and health system strengthening (HSS) to improve access to primary care, there is insufficient evidence to guide their design and implementation. To address this, we conducted an impact evaluation of an ongoing HSS initiative in rural Madagascar, combining data from a longitudinal cohort and primary health centres. METHODS: We carried out a district representative household sur…
Integrating Health Systems and Science to Respond to Covid-19 in a Model District of Rural Madagascar
There are many outstanding questions about how to control the global COVID-19 pandemic. The information void has been especially stark in the World Health Organization Africa Region, which has low per capita reported cases, low testing rates, low access to therapeutic drugs, and has the longest wait for vaccines. As with all disease, the central challenge in responding to COVID-19 is that it requires integrating complex health systems that incorp…
One hundred thirty-three observed Covid-19 deaths in 10 months
The African region was predicted to have worse COVID-19 infection and death rates due to challenging health systems and social determinants of health. However, in the 10 months after its first case, Rwanda recorded 10316 cases and 133 COVID-19-related deaths translating to a case fatality rate (CFR) of 1.3%, which raised the question: why does Rwanda have a low COVID-19 CFR? Here we analysed COVID-19 data and explored possible explanations to bet…
Conversation Analysis Based Simulation (Cabs)
BACKGROUND: Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation-based training because of the opportunity to think and react in real time, which alternatives cannot provide. OBJECTIVE: To describe a method for the use of simulation which maximises authenticity by grounding training in…
Asociación entre sobrepeso/obesidad y tuberculosis multidrogoresistente
Overweight/obesity is not associated with multidrug resistance in tuberculosis. Overweight/obesity is a dynamic process that may influence the relationship between the immune system and the metabolic system
Through the eyes of community health workers
Public health emergencies, such as the COVID-19 pandemic, elucidate the strengths, weaknesses, and significant gaps in infrastructure, compatibility and consistency in communication systems, as well as the quality of collaborative relationships, and provider and workforce capacity. They also expose longstanding patterns of mistrust in the government and healthcare systems, and inadequacy in socio-economic infrastructures. These issues resulted in…
Determinants of adherence towards tuberculosis guidelines among Indonesian private practitioners
INTRODUCTION: In high tuberculosis (TB) burden countries, the private sector manages a large proportion of initial visits by presumptive patients with TB. In Indonesia, the second largest contributor of TB cases globally, private practitioners (PPs) often do not adhere to national TB guidelines. A district public-private mix programme to mitigate this issue was started in 2019, yet engagement remains low. This study examines what affects the deci…
Tuberculosis care provided by private practitioners in an urban setting in Indonesia
In Indonesia, government-owned Community Health Centers (CHCs) spearhead tuberculosis (TB) care at the primary level, but a substantial proportion of individuals with pulmonary TB also seek care from Private Practitioners (PPs). However, little is known about PPs’ practice in managing patients with TB-associated symptoms. To avoid bias associated with self-administered surveys, we used standardized patients (SPs) to evaluate PPs’ adherence to the…
Tuberculosis treatment loss to follow-up in children exposed at home
Background: Loss to follow-up (LTFU) from tuberculosis (TB) treatment and care is a significant public health problem. It is important to understand what drives LTFU in children - a population whose treatment and management depend on an adult caregiver - to better provide support services to families affected by TB. Methods: We conducted a prospective cohort study of household contacts in Lima, Peru (2009-12). Using multilevel logistic regression…
Factors driving adolescent tuberculosis incidence by age and sex in 30 high-tuberculosis burden countries
INTRODUCTION: During adolescence, tuberculosis incidence rises, with a greater increase in males compared with females. Tuberculosis notifications and estimates infrequently disaggregate adolescent age groups. Moreover, the factors that drive the increases in overall incidence and the male-to-female (MF) ratio remain unclear. METHODS: infection and tuberculosis disease incidence in the WHO's 30 high-tuberculosis burden countries (HBCs), which rep…
Tuberculous hyperglycaemia
box While diabetes mellitus (DM) screening in tuberculosis (TB) programmes helps diagnose new DM among TB patients, a substantial proportion of these newly diagnosed cases may reflect TB-induced hyperglycaemia rather than chronic DM
Should neighbours of tuberculosis (TB) cases be prioritised for active case finding in high TB-burden settings? A prospective molecular epidemiological study
Introduction In high tuberculosis (TB)-burden countries, considerable transmission of Mycobacterium tuberculosis ( M. tb ) likely occurs outside of households. We aimed to estimate the TB prevalence and incidence in households and neighbourhoods around known TB cases and to understand transmission patterns. Methods Household and neighbourhood contacts of pulmonary TB index cases from contiguous areas in Bandung, Indonesia, were screened and follo…
Food Rx + CHW
These findings suggest that CHWs support a patient's ability to reduce hemoglobin A1c through dietary behavior changes and sustain this reduction over time. This trial was retrospectively registered at ClinicalTrials.gov (NCT06476990) on June 20, 2024
Medicine (15 works) · Public health (10 works) · Environmental health (8 works) · Population (7 works) · Nursing (6 works) · Tuberculosis (6 works) · Tuberculosis Research and Epidemiology (6 works) · Demography (5 works) · Health care (5 works) · Internal Medicine (5 works)