Hemant Deepak Shewade
Biographic Data
| ID | 7504493 |
|---|---|
| NAME | Hemant Deepak Shewade |
| GIVEN NAMES | Hemant Deepak |
| FAMILY NAME | Shewade |
| SIGNATURE | SHEWADE H D |
| AFFILIATIONS | National Institute of Epidemiology |
| ORCID | 0000-0002-8242-1911 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 2 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Sustained reduction in program-reported TB death rate in six districts following Tamil Nadu Kasanoi Erappila Thittam in southern India
(TN-KET) is India's first statewide and state-specific differentiated TB care initiative to reduce TB deaths. Under TN-KET, starting April 2022, adults with TB were triaged for severe illness at diagnosis, and those with very severe undernutrition or respiratory insufficiency or poor performance status (anyone) were prioritized for comprehensive clinical assessment and inpatient care. Following TN-KET, we report sustained TB death rate reduction …
Active case-finding for TB in India
Since 2017, tuberculosis active case-finding (TB ACF) has been implemented within the routine framework of India’s national TB elimination program. Symptom screen of high-risk population followed by confirmation of TB among symptom-screen positive is the algorithm. ACF scale and quality assessments hitherto were predominantly local or based on aggregate program data with limited details on all the scale and quality indicators, the time taken and …
Is household contact investigation a missing link for tuberculosis care in Chhattisgarh, India?–Operational research using programmatic data
Household contact (HHC) investigation helps in early identification of people with tuberculosis (TB) and initiation of TB preventive treatment (TPT) among those at high risk of developing TB. This cross-sectional study uses National TB Elimination Program data of all people notified with bacteriologically confirmed pulmonary TB and their HHCs from October to December 2023, from Chhattisgarh, a central Indian state, to assess coverage of HHC inves…
Coverage, delivery models, and implementation challenges of the community driven nutritional supplementation initiative for people with TB
Ni-kshay Mitras are volunteers who provide monthly food baskets worth 7.5-10 USD to people with tuberculosis as a part of India’s recent community-driven nutritional support initiative. We assessed the initiative’s coverage and implementation challenges in Puducherry, India. This mixed-methods study involved secondary data of adults with TB notified from public facilities between April 2023 and March 2024. This was followed by 42 in-depth intervi…
Community engagement in research addressing infectious diseases of poverty in sub-Saharan Africa
Though engaging communities in research processes has several advantages and implications, research efforts are poorly embedded in and linked with communities, especially in low- and middle-income countries (LMICs). There is also a need for more empirical evidence on effectively engaging communities in research in LMICs, specifically in Sub-Saharan Africa (SSA). Thus, there is an urgent need to synthesize existing evidence on community engagement…
Direct benefit transfer for nutritional support of patients with TB in India—analysis of national TB program data of 3.7 million patients, 2018–2022
The coverage of NPY among patients with TB had increased and the time to receipt of benefit had halved in the past five years. Three-fourths of the patients received at least one NPY instalment, more than half of whom had waited over three months to receive the first instalment. NTEP has to focus on timely transfer of benefits to enable patients to meet their additional nutritional demands, experience treatment success and avoid catastrophic expe…
Acceptability of using the medication monitor and experience of a differentiated care approach for TB treatment adherence among people living with TB in South Africa
Background The introduction of digital adherence technologies (DATs) such as medication monitors in tuberculosis (TB) programmes supports treatment adherence among people with tuberculosis (PWTB). We evaluated the acceptability of using medication monitors (Wisepill evriMED) prompting a stepwise differentiated care approach (DCA), involving short message service (SMS), phone calls, home visits and motivational counselling, among PWTB in South Afr…
Eleven tips for operational researchers working with health programmes
Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical support of operational researchers from research/academic organisations. Additionally, there is a knowledge gap regarding implementing differentiated tuberculosis (TB) care in programme settings. I…
Quality of active case-finding for tuberculosis in India
BACKGROUND: India has been implementing active case-finding (ACF) for TB among marginalised and vulnerable (high-risk) populations since 2017. The effectiveness of ACF cycle(s) is dependent on the use of appropriate screening and diagnostic tools and meeting quality indicators. OBJECTIVES: = 768) level and quality indicators for the first ACF cycle. METHODS: In this descriptive study, aggregate TB program data for each ACF activity that was extra…
Adherence to guidelines on the use of amoxicillin for treatment of ambulatory pneumonia in children younger than 5 years, Colombia, 2017–2019
Objectives. To determine the level of adherence to clinical guidelines in prescribing amoxicillin to children younger than 5 years with pneumonia in outpatient settings in Colombia from 2017 to 2019, and assess the factors associated with adherence Methods. This was a cross-sectional study of secondary data from the Colombian Integrated Social Protection Information System database. Adherence was defined as prescription of oral amoxicillin for ba…
Antibiotic resistance and consumption before and during the Covid-19 pandemic in Valle del Cauca, Colombia
Objective. To assess changes in antibiotic resistance of eight of the World Health Organization priority bug-drug combinations and consumption of six antibiotics (ceftriaxone, cefepime, piperacillin/tazobactam, meropenem, ciprofloxacin, vancomycin) before (March 2018 to July 2019) and during (March 2020 to July 2021) the COVID-19 pandemic in 31 hospitals in Valle del Cauca, Colombia. Methods. This was a before/after study using routinely collecte…
Hand Hygiene Compliance at Two Tertiary Hospitals in Freetown, Sierra Leone, in 2021
Hand hygiene actions are essential to reduce healthcare-associated infections and the development of antimicrobial resistance. In this cross-sectional study at two tertiary hospitals, Freetown, Sierra Leone, we observed hand hygiene compliance (defined as using handwash with soap and water or alcohol-based hand rub (ABHR) amongst healthcare workers between June and August 2021. Using the WHO Hand Hygiene tool, observations were made in relation t…
Culture Requests and Multi-Drug Resistance among Suspected Urinary Tract Infections in Two Tertiary Hospitals in Freetown, Sierra Leone (2017–21)
In sub-Saharan Africa, there is limited information about the use of microbiology laboratory services in patients with suspected urinary tract infections (UTIs). This cross-sectional study assessed the requests for urine culture in patients with suspected UTI in two tertiary (maternal and paediatric) hospitals-Freetown and Sierra Leone, during May 2017-May 2021-and determined antimicrobial resistance (AMR) patterns among bacterial isolates. One l…
Sepsis among Neonates in a Ghanaian Tertiary Military Hospital
In this study, we described the bacterial profile, antibiotic resistance pattern, and laboratory result turnaround time (TAT) in neonates with suspected sepsis from a tertiary-level, military hospital in Accra, Ghana (2017-2020). This was a cross-sectional study using secondary data from electronic medical records. Of 471 neonates clinically diagnosed with suspected sepsis in whom blood samples were collected, the median TAT from culture request …
Adjusting Reported Covid-19 Deaths for the Prevailing Routine Death Surveillance in India
In India, the “low mortality” narrative based on the reported COVID-19 deaths may be causing more harm than benefit. The extent to which COVID-19 deaths get reported depends on the coverage of routine death surveillance [death registration along with medical certification of cause of death (MCCD)] and the errors in MCCD. In India, the coverage of routine death surveillance is 18.1%. This is compounded by the fact that COVID-19 death reporting is …
Active versus passive case finding for tuberculosis in marginalised and vulnerable populations in India
We did not find significant differences in the treatment outcomes. Due to the wide CIs, studies with larger sample sizes are urgently required. Studies are required to understand how to translate the benefits of ACF to improved treatment outcomes
Time to anti-retroviral therapy among people living with HIV enrolled into care in Myanmar
BACKGROUND: Among people living with HIV (PLHIV) enrolled into care, time to anti-retroviral therapy (ART) has not been studied in Myanmar. To inform progress, we conducted this operational research among treatment-naive PLHIV (≥18 years) enrolled during a period of three years (2014-2016) at Pyin Oo Lwin, Myanmar. OBJECTIVES: To determine (i) the time from HIV diagnosis to ART initiation (time to ART) and associated factors and (ii) the associat…
Active case finding among marginalised and vulnerable populations reduces catastrophic costs due to tuberculosis diagnosis
BACKGROUND: There is limited evidence on whether active case finding (ACF) among marginalised and vulnerable populations mitigates the financial burden during tuberculosis (TB) diagnosis. OBJECTIVES: To determine the effect of ACF among marginalised and vulnerable populations on prevalence and inequity of catastrophic costs due to TB diagnosis among TB-affected households when compared with passive case finding (PCF). METHODS: In 18 randomly samp…
Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar
Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies’ age) EID and a long turnaround time (TAT) of receiving results.Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to rece…
Open access tools for quality-assured and efficient data entry in a large, state-wide tobacco survey in India
BACKGROUND: A large state-wide tobacco survey was conducted using modified version of pretested, globally validated Global Adult Tobacco Survey (GATS) questionnaire in 2015-22016 in Tamil Nadu, India. Due to resource constrains, data collection was carrid out using paper-based questionnaires (unlike the GATS-India, 2009-2010, which used hand-held computer devices) while data entry was done using open access tools. The objective of this paper is t…
Early infant diagnosis of HIV in Myanmar
BACKGROUND: In collaboration with the national AIDS program, early infant diagnosis (EID) is implemented by Integrated HIV Care (IHC) program through its anti-retroviral therapy (ART) centers across 10 cities in five states and regions of Myanmar. Blood samples from the ART centers are sent using public transport to a centralized PCR facility. OBJECTIVES: Among HIV-exposed babies 8 weeks of age) or no blood sample collection for EID. METHODS: Ret…
Leprosy trends at a tertiary care hospital in Mumbai, India, from 2008 to 2015
BACKGROUND: Leprosy remains an important cause of preventable disabilities. After the advent of multidrug therapy, new leprosy cases have come down dramatically. Despite this achievement, India, which contributes 60% of the global leprosy burden, faces some challenges to eliminate the disease, including active transmission in the community and delayed diagnosis of leprosy patients. OBJECTIVES: The objectives of the study were 1) to determine soci…
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Leprosy trends at a tertiary care hospital in Mumbai, India, from 2008 to 2015
BACKGROUND: Leprosy remains an important cause of preventable disabilities. After the advent of multidrug therapy, new leprosy cases have come down dramatically. Despite this achievement, India, which contributes 60% of the global leprosy burden, faces some challenges to eliminate the disease, including active transmission in the community and delayed diagnosis of leprosy patients. OBJECTIVES: The objectives of the study were 1) to determine soci…
Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar
Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies’ age) EID and a long turnaround time (TAT) of receiving results.Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to rece…
Open access tools for quality-assured and efficient data entry in a large, state-wide tobacco survey in India
BACKGROUND: A large state-wide tobacco survey was conducted using modified version of pretested, globally validated Global Adult Tobacco Survey (GATS) questionnaire in 2015-22016 in Tamil Nadu, India. Due to resource constrains, data collection was carrid out using paper-based questionnaires (unlike the GATS-India, 2009-2010, which used hand-held computer devices) while data entry was done using open access tools. The objective of this paper is t…
Early infant diagnosis of HIV in Myanmar
BACKGROUND: In collaboration with the national AIDS program, early infant diagnosis (EID) is implemented by Integrated HIV Care (IHC) program through its anti-retroviral therapy (ART) centers across 10 cities in five states and regions of Myanmar. Blood samples from the ART centers are sent using public transport to a centralized PCR facility. OBJECTIVES: Among HIV-exposed babies 8 weeks of age) or no blood sample collection for EID. METHODS: Ret…
Time to anti-retroviral therapy among people living with HIV enrolled into care in Myanmar
BACKGROUND: Among people living with HIV (PLHIV) enrolled into care, time to anti-retroviral therapy (ART) has not been studied in Myanmar. To inform progress, we conducted this operational research among treatment-naive PLHIV (≥18 years) enrolled during a period of three years (2014-2016) at Pyin Oo Lwin, Myanmar. OBJECTIVES: To determine (i) the time from HIV diagnosis to ART initiation (time to ART) and associated factors and (ii) the associat…
Active case finding among marginalised and vulnerable populations reduces catastrophic costs due to tuberculosis diagnosis
BACKGROUND: There is limited evidence on whether active case finding (ACF) among marginalised and vulnerable populations mitigates the financial burden during tuberculosis (TB) diagnosis. OBJECTIVES: To determine the effect of ACF among marginalised and vulnerable populations on prevalence and inequity of catastrophic costs due to TB diagnosis among TB-affected households when compared with passive case finding (PCF). METHODS: In 18 randomly samp…
Active versus passive case finding for tuberculosis in marginalised and vulnerable populations in India
We did not find significant differences in the treatment outcomes. Due to the wide CIs, studies with larger sample sizes are urgently required. Studies are required to understand how to translate the benefits of ACF to improved treatment outcomes
Adjusting Reported Covid-19 Deaths for the Prevailing Routine Death Surveillance in India
In India, the “low mortality” narrative based on the reported COVID-19 deaths may be causing more harm than benefit. The extent to which COVID-19 deaths get reported depends on the coverage of routine death surveillance [death registration along with medical certification of cause of death (MCCD)] and the errors in MCCD. In India, the coverage of routine death surveillance is 18.1%. This is compounded by the fact that COVID-19 death reporting is …
Hand Hygiene Compliance at Two Tertiary Hospitals in Freetown, Sierra Leone, in 2021
Hand hygiene actions are essential to reduce healthcare-associated infections and the development of antimicrobial resistance. In this cross-sectional study at two tertiary hospitals, Freetown, Sierra Leone, we observed hand hygiene compliance (defined as using handwash with soap and water or alcohol-based hand rub (ABHR) amongst healthcare workers between June and August 2021. Using the WHO Hand Hygiene tool, observations were made in relation t…
Culture Requests and Multi-Drug Resistance among Suspected Urinary Tract Infections in Two Tertiary Hospitals in Freetown, Sierra Leone (2017–21)
In sub-Saharan Africa, there is limited information about the use of microbiology laboratory services in patients with suspected urinary tract infections (UTIs). This cross-sectional study assessed the requests for urine culture in patients with suspected UTI in two tertiary (maternal and paediatric) hospitals-Freetown and Sierra Leone, during May 2017-May 2021-and determined antimicrobial resistance (AMR) patterns among bacterial isolates. One l…
Sepsis among Neonates in a Ghanaian Tertiary Military Hospital
In this study, we described the bacterial profile, antibiotic resistance pattern, and laboratory result turnaround time (TAT) in neonates with suspected sepsis from a tertiary-level, military hospital in Accra, Ghana (2017-2020). This was a cross-sectional study using secondary data from electronic medical records. Of 471 neonates clinically diagnosed with suspected sepsis in whom blood samples were collected, the median TAT from culture request …
Acceptability of using the medication monitor and experience of a differentiated care approach for TB treatment adherence among people living with TB in South Africa
Background The introduction of digital adherence technologies (DATs) such as medication monitors in tuberculosis (TB) programmes supports treatment adherence among people with tuberculosis (PWTB). We evaluated the acceptability of using medication monitors (Wisepill evriMED) prompting a stepwise differentiated care approach (DCA), involving short message service (SMS), phone calls, home visits and motivational counselling, among PWTB in South Afr…
Eleven tips for operational researchers working with health programmes
Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical support of operational researchers from research/academic organisations. Additionally, there is a knowledge gap regarding implementing differentiated tuberculosis (TB) care in programme settings. I…
Quality of active case-finding for tuberculosis in India
BACKGROUND: India has been implementing active case-finding (ACF) for TB among marginalised and vulnerable (high-risk) populations since 2017. The effectiveness of ACF cycle(s) is dependent on the use of appropriate screening and diagnostic tools and meeting quality indicators. OBJECTIVES: = 768) level and quality indicators for the first ACF cycle. METHODS: In this descriptive study, aggregate TB program data for each ACF activity that was extra…
Adherence to guidelines on the use of amoxicillin for treatment of ambulatory pneumonia in children younger than 5 years, Colombia, 2017–2019
Objectives. To determine the level of adherence to clinical guidelines in prescribing amoxicillin to children younger than 5 years with pneumonia in outpatient settings in Colombia from 2017 to 2019, and assess the factors associated with adherence Methods. This was a cross-sectional study of secondary data from the Colombian Integrated Social Protection Information System database. Adherence was defined as prescription of oral amoxicillin for ba…
Antibiotic resistance and consumption before and during the Covid-19 pandemic in Valle del Cauca, Colombia
Objective. To assess changes in antibiotic resistance of eight of the World Health Organization priority bug-drug combinations and consumption of six antibiotics (ceftriaxone, cefepime, piperacillin/tazobactam, meropenem, ciprofloxacin, vancomycin) before (March 2018 to July 2019) and during (March 2020 to July 2021) the COVID-19 pandemic in 31 hospitals in Valle del Cauca, Colombia. Methods. This was a before/after study using routinely collecte…
Community engagement in research addressing infectious diseases of poverty in sub-Saharan Africa
Though engaging communities in research processes has several advantages and implications, research efforts are poorly embedded in and linked with communities, especially in low- and middle-income countries (LMICs). There is also a need for more empirical evidence on effectively engaging communities in research in LMICs, specifically in Sub-Saharan Africa (SSA). Thus, there is an urgent need to synthesize existing evidence on community engagement…
Direct benefit transfer for nutritional support of patients with TB in India—analysis of national TB program data of 3.7 million patients, 2018–2022
The coverage of NPY among patients with TB had increased and the time to receipt of benefit had halved in the past five years. Three-fourths of the patients received at least one NPY instalment, more than half of whom had waited over three months to receive the first instalment. NTEP has to focus on timely transfer of benefits to enable patients to meet their additional nutritional demands, experience treatment success and avoid catastrophic expe…
Active case-finding for TB in India
Since 2017, tuberculosis active case-finding (TB ACF) has been implemented within the routine framework of India’s national TB elimination program. Symptom screen of high-risk population followed by confirmation of TB among symptom-screen positive is the algorithm. ACF scale and quality assessments hitherto were predominantly local or based on aggregate program data with limited details on all the scale and quality indicators, the time taken and …
Is household contact investigation a missing link for tuberculosis care in Chhattisgarh, India?–Operational research using programmatic data
Household contact (HHC) investigation helps in early identification of people with tuberculosis (TB) and initiation of TB preventive treatment (TPT) among those at high risk of developing TB. This cross-sectional study uses National TB Elimination Program data of all people notified with bacteriologically confirmed pulmonary TB and their HHCs from October to December 2023, from Chhattisgarh, a central Indian state, to assess coverage of HHC inves…
Coverage, delivery models, and implementation challenges of the community driven nutritional supplementation initiative for people with TB
Ni-kshay Mitras are volunteers who provide monthly food baskets worth 7.5-10 USD to people with tuberculosis as a part of India’s recent community-driven nutritional support initiative. We assessed the initiative’s coverage and implementation challenges in Puducherry, India. This mixed-methods study involved secondary data of adults with TB notified from public facilities between April 2023 and March 2024. This was followed by 42 in-depth intervi…
Sustained reduction in program-reported TB death rate in six districts following Tamil Nadu Kasanoi Erappila Thittam in southern India
(TN-KET) is India's first statewide and state-specific differentiated TB care initiative to reduce TB deaths. Under TN-KET, starting April 2022, adults with TB were triaged for severe illness at diagnosis, and those with very severe undernutrition or respiratory insufficiency or poor performance status (anyone) were prioritized for comprehensive clinical assessment and inpatient care. Following TN-KET, we report sustained TB death rate reduction …
Medicine (17 works) · Internal Medicine (11 works) · Environmental health (10 works) · Tuberculosis Research and Epidemiology (9 works) · Tuberculosis (7 works) · Family medicine (6 works) · Diagnosis and treatment of tuberculosis (5 works) · Pediatrics (5 works) · Demography (4 works) · Emergency Medicine (4 works)