Karin Diaconu

Dados Biográficos

ID1250871
NOMEKarin Diaconu
PRENOMESKarin
SOBRENOMEDiaconu
ASSINATURADIACONU K
AFILIAÇÕESQueen Margaret University
ORCID0000-0002-5810-9725
VERIFICADOSim
TOTAL DE OBRAS28
TOTAL DE CITAÇÕES21
TOTAL COMO AUTOR28
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2017
ANO MAIS RECENTE DE PUBLICAÇÃO2026
ÍNDICE H2

  • Understanding the needs and key determinants of maternal, newborn, and child health among migrants in transit

    Open AccessEsther Azasi, Perfect E Asamoah et al.ARTICLEGlobal Health Action2026

    The global surge in migration has exposed pregnant women and children in transit to heightened risk of maternal and child health (MCH) challenges, driven by systemic barriers and unstable conditions. Evidence on how these transitory factors influence MCH remains limited. This scoping review examined the health needs and key determinants affecting migrant populations in transit, specifically pregnant women and children travelling from their countr…

  • Qualitative system dynamics modelling to support the design and implementation of tuberculosis infection prevention and control measures in South African primary healthcare facilities

    Open AccessKarin Diaconu, Aaron S Karat et al.ARTICLEHealth Policy and Planning2024

    Tuberculosis infection prevention and control (TB IPC) measures are a cornerstone of policy, but measures are diverse and variably implemented. Limited attention has been paid to the health system environment, which influences successful implementation of these measures. We used qualitative system dynamics and group-model-building methods to (1) develop a qualitative causal map of the interlinked drivers of Mycobacterium tuberculosis (Mtb) transm…

  • Enablers and barriers to implementing cholera interventions in Nigeria

    Open AccessKelly Elimian, Karin Diaconu et al.ARTICLEHealth Policy and Planning2024

    Nigeria accounts for a substantial cholera burden globally, particularly in its northeast region, where insurgency is persistent and widespread. We used participatory group model building workshops to explore enablers and barriers to implementing known cholera interventions, including water, sanitation and hygiene, surveillance and laboratory, case management, community engagement, oral cholera vaccine, and leadership and coordination, as well as…

  • Fragile, handle with care

    Open AccessKarin Diaconu, Sophie Witter et al.ARTICLEBMJ Global Health2023

    Karin Diaconu - ORCID: 0000-0002-5810-9725 https://orcid.org/0000-0002-5810-9725

  • Influences of community engagement and health system strengthening for cholera control in cholera reporting countries

    Open AccessStephanie Ayres Baličević, Kelly Elimian et al.ARTICLEBMJ Global Health2023

    The 2030 Global Task Force on Cholera Control Roadmap hinges on strengthening the implementation of multistranded cholera interventions, including community engagement and health system strengthening. However, a composite picture of specific facilitators and barriers for these interventions and any overlapping factors existing between the two, is lacking. Therefore, this study aims to address this shortcoming, focusing on cholera-reporting countr…

  • Cost-effectiveness of tuberculosis infection prevention and control interventions in South African clinics

    Open AccessFiammetta Bozzani, Nicky McCreesh et al.ARTICLEBMJ Global Health2023

    Introduction Nosocomial Mycobacterium tuberculosis ( Mtb ) transmission substantially impacts health workers, patients and communities. Guidelines for tuberculosis infection prevention and control (TB IPC) exist but implementation in many settings remains suboptimal. Evidence is needed on cost-effective investments to prevent Mtb transmission that are feasible in routine clinic environments. Methods A set of TB IPC interventions was codesigned wi…

  • Development of the Faith Community Child Protection Scale with Faith Leaders and their Spouses in Senegal, Uganda and Guatemala

    Open AccessKarin Diaconu, Kanykey Jailobaeva et al.ARTICLEJournal of Religion and Health2023

    Violence, abuse and neglect constitute major threats to children’s health and wellbeing globally. However, until recently, relatively little systematic attention has been paid to the role of faith communities in shaping the protective environment for children. This paper describes the development of a measure to capture child-protective disposition amongst faith communities through field studies with faith leaders and their spouses in Senegal, Ug…

  • Provision of mental health and psychosocial support services to health workers and community members in conflict-affected Northwest Syria

    Open AccessIbrahim R Bou-Orm, Marianne Moussallem et al.ARTICLEConflict and Health2023

    The study findings add to the evidence base on the challenges in scaling up MHPSS interventions and their long-term sustainability concerns. Priority actions should address the intermittent funding of the MHPSS response, incorporate MHPSS outputs and outcomes in the reimbursement of routine services, improve coordination between health partners and non-health actors in order to expand the scope of MHPSS response, and address the inequitable avail…

  • Evolution and lessons from an integrated service delivery network in North West Syria

    Open AccessSophie Witter, Karin Diaconu et al.ARTICLEConflict and Health2023

    This study adds to a very limited literature on coordinated network approaches used to raise care quality and improve referrals and efficiency in a complex emergency setting. Although areas of ongoing challenge, including for sustainability, are noted, the network demonstrated some resilience strategies and can provide lessons for other similar contexts

  • Community stressors and coping mechanisms in accessing the health system during a double crisis

    Open AccessHnin Kalyar Kyaw, Kyu Kyu Than et al.ARTICLEInternational Journal for Equity…2023

    This is the first study in Myanmar to explore peoples' perceptions on COVID-19, the health system and their healthcare experiences during political crisis. Although there is no easy way to cope with this dual hardship, the people and the health system, even in a fragile and shock-prone setting like Myanmar, stayed resilient by developing alternative pathways for seeking and providing health services

  • The determinants of the quality of clinical management among diabetic and hypertensive patients in a context of fragility

    Open AccessShadi Saleh, Dina Muhieddine et al.ARTICLEFrontiers in Public Health2022

    Introduction: The management of NCDs is a growing challenge in low- and middle-income settings with the increasing prevalence and the associated demands that such conditions make on health systems. Fragile settings both exacerbate the risk of NCDs and undermine systems capacity. Lebanon is a setting where strategies to address rising NCDs burden have faced particularly acute contextual challenges. Methods: We conducted a cross-sectional survey wi…

  • Estimating the contribution of transmission in primary healthcare clinics to community-wide TB disease incidence, and the impact of infection prevention and control interventions, in KwaZulu-Natal, So…

    Open AccessNicky McCreesh, Aaron S Karat et al.ARTICLEBMJ Global Health2022

    BACKGROUND: ) transmission in healthcare facilities in high burden settings. WHO guidelines on tuberculosis (TB) infection prevention and control (IPC) recommend a range of measures to reduce transmission in healthcare settings. These were evaluated primarily based on evidence for their effects on transmission to healthcare workers in hospitals. To estimate the overall impact of IPC interventions, it is necessary to also consider their impact on …

  • Financing care for Severe Stigmatizing Skin Diseases (SSSDs) in Liberia

    Open AccessJohn Solunta Smith, Karin Diaconu et al.ARTICLEInternational Journal for Equity…2022

    Our findings contribute to the limited work on financing of SSSD services in West African settings and provide insight on challenges and opportunities for financing and large costs in accessing care by households, which is also being exacerbated by stigma

  • Social determinants and mental health needs of Palestine refugees and UNRWA responses in Gaza during the Covid-19 pandemic

    Open AccessZenobia Jamal, Zoheir ElKhatib et al.ARTICLEBMC Public Health2022

    The pandemic highlights the need to go beyond disease treatment and prevention to address social determinants to improve refugees' health and reduce their susceptibility to future shocks. UNRWA has rapidly implemented telemedicine and mental telehealth services, making it imperative to assess the efficacy of these novel approaches to provide care at a distance. A long-term option may be to employ a hybrid strategy, which combines online and in-pe…

  • Using system dynamics modelling to estimate the costs of relaxing health system constraints

    Open AccessFiammetta Bozzani, Karin Diaconu et al.ARTICLEHealth Policy and Planning2022

    Health system constraints are increasingly recognized as an important addition to model-based analyses of disease control interventions, as they affect achievable impact and scale. Enabling activities implemented alongside interventions to relax constraints and reach the intended coverage may incur additional costs, which should be considered in priority setting decisions. We explore the use of group model building, a participatory system dynamic…

  • Complexity and evidence in health sector decision-making

    Open AccessShehani Perera, Justin Parkhurst et al.ARTICLEHealth Policy and Planning2022

    To better understand and plan health systems featuring multiple levels and complex causal elements, there have been increasing attempts to incorporate tools arising from complexity science to inform decisions. The utilization of new planning approaches can have important implications for the types of evidence that inform health policymaking and the mechanisms through which they do so. This paper presents an empirical analysis of the application o…

  • Modelling the effect of infection prevention and control measures on rate of Mycobacterium tuberculosis transmission to clinic attendees in primary health clinics in South Africa

    Open AccessNicky McCreesh, Aaron S Karat et al.ARTICLEBMJ Global Health2021

    Background Elevated rates of tuberculosis in healthcare workers demonstrate the high rate of Mycobacterium tuberculosis (Mtb ) transmission in health facilities in high-burden settings. In the context of a project taking a whole systems approach to tuberculosis infection prevention and control (IPC), we aimed to evaluate the potential impact of conventional and novel IPC measures on Mtb transmission to patients and other clinic attendees. Methods…

  • Health system influences on the implementation of tuberculosis infection prevention and control at health facilities in low-income and middle-income countries

    Open AccessGimenne Zwama, Karin Diaconu et al.ARTICLEBMJ Global Health2021

    BACKGROUND: Tuberculosis infection prevention and control (TB-IPC) measures are consistently reported to be poorly implemented globally. TB-IPC guidelines provide limited recognition of the complexities of implementing TB-IPC within routine health systems, particularly those facing substantive resource constraints. This scoping review maps documented system influences on TB-IPC implementation in health facilities of low/middle-income countries (L…

  • Dynamics of non-communicable disease prevention, diagnosis and control in Lebanon, a fragile setting

    Open AccessNadine Zablith, Karin Diaconu et al.ARTICLEConflict and Health2021

    Participants across all groups agreed on the need for health promotion and primary prevention activities and identified priority interventions in these areas

  • Child Protection Practices and Attitudes of Faith Leaders Across Senegal, Uganda, and Guatemala

    Open AccessKanykey Jailobaeva, Karin Diaconu et al.ARTICLEThe Review of Faith & International…2021Referências: 23

    Faith leaders are well-positioned to address violence against children, but the extent to which they do so is unclear. This mixed-method study examined faith leaders’ child protection practices, attitudes towards child rights, and views around physical punishment in Senegal, Uganda, and Guatemala. Child protection practices—specifically listening to children and reporting abuse—were strongest among faith leaders in Uganda, although they also most…

  • The role of trust in health-seeking for non-communicable disease services in fragile contexts

    Open AccessStella Arakelyan, Kanykey Jailobaeva et al.ARTICLESocial Science & Medicine2021Citada por: 3Referências: 36

    Non-communicable diseases (NCDs) disproportionately affect people living in fragile contexts marked by poor governance and health systems struggling to deliver quality services for the benefit of all. This combination can lead to the erosion of trust in the health system, affecting health-seeking behaviours and the ability of individuals to sustain their health. In this cross-country multiple-case study, we analyse the role of trust in health-see…

  • Rural–urban health-seeking behaviours for non-communicable diseases in Sierra Leone

    Open AccessAyesha Idriss, Karin Diaconu et al.ARTICLEBMJ Global Health2020

    Introduction: Non-communicable diseases (NCDs) are the leading cause of mortality globally. In Africa, they are expected to increase by 25% by 2030. However, very little is known about community perceptions of risk factors and factors influencing health-seeking behaviour, especially in fragile settings. Understanding these is critical to effectively address this epidemic, especially in low-resource settings. Methods: We use participatory group mo…

  • A community–based system dynamics approach for understanding factors affecting mental Health and Health seeking behaviors in Beirut and Beqaa regions of Lebanon

    Open AccessAya Noubani, Karin Diaconu et al.ARTICLEGlobalization and Health2020

    BACKGROUND: Available evidence on mental health and psychosocial problems in Lebanon is limited. Recent quantitative data suggests a high prevalence among Syrian refugees and their Lebanese host communities, with significant treatment gaps in both populations. This study aims to determine how Lebanese host and Syrian refugee communities perceive mental health, and identify health seeking behaviors and barriers to health access in two contrasting …

  • Opportunities and challenges for delivering non-communicable disease management and services in fragile and post-conflict settings

    Open AccessSophie Witter, Guanyang Zou et al.ARTICLEConflict and Health2020

    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…

  • Understanding fragility

    Open AccessKarin Diaconu, Jennifer Falconer et al.ARTICLEHealth Policy and Planning2020Citada por: 2Referências: 13

    Advances in population health outcomes risk being slowed—and potentially reversed—by a range of threats increasingly presented as ‘fragility’. Widely used and critiqued within the development arena, the concept is increasingly used in the field of global health, where its relationship to population health, health service delivery, access and utilization is poorly specified. We present the first scoping review seeking to clarify the meaning, defin…