Ruairı́brugha
Dados Biográficos
| ID | 2915176 |
|---|---|
| NOME | Ruairı́brugha |
| SOBRENOME | Ruairı́brugha |
| ASSINATURA | RUAIRÍBRUGHA |
| AFILIAÇÕES | Royal College of Surgeons in Ireland |
| ORCID | 0000-0003-0729-0197 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAÇÕES | 143 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Advancing stakeholder analysis
BACKGROUND: Stakeholder analysis (SHA) is a well-established approach for studying health policy development through mapping policy actors' power, positions, interests and influence on policy processes. There is growing interest in the influence of policy participation on policy change processes. However, there is little empirical evidence on how policy participation could affect the potential roles of policy actors in a prospective health policy…
Exploring policy learning modes in Health Technology Assessment (HTA) policy development
Using participatory action research to empower district hospital staff to deliver quality-assured essential surgery to rural populations in Malawi, Zambia, and Tanzania
Background: In 2017 the SURG-Africa project set out to institute a surgical, obstetric, trauma and anesthesia (SOTA) care capacity-building intervention focused on non-specialist providers at district hospitals in Zambia, Malawi and Tanzania. The aim was to scale up quality-assured SOTA care for rural populations. This paper reports the process of developing the intervention and our experience of initial implementation, using a participatory appr…
Covid-19 pandemic
The Covid-19 pandemic has exacerbated the long neglect of surgical services in resource-poor countries, compounding the threat posed by the burden of surgical conditions to the achievement of especially sustainable development goals 3 (good health and wellbeing) and 1 (ending poverty) in these countries
“We’re not there to protect ourselves, we’re there to talk about workforce planning”
The Demand and Supply Side Determinants of Access to Maternal, Newborn and Child Health Services in Malawi
“We've all had patients who've died …”
The role of the traditional leader in implementing maternal, newborn and child health policy in Malawi
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their role in relation to policy implementation. This article seeks to analyse the role of traditional leaders in implementing national maternal, newborn and child health (MNCH) policy and programmes at the community level. We consider whether the role of the chief embodies a top-down (utilitarian) or bottom-up (empowerment) app…
The cost of providing and scaling up surgery
The lack of access to quality-assured surgery in rural parts of sub-Saharan Africa, where the numbers of trained health workers are often insufficient, presents challenges for national governments. The case for investing in scaling up surgical systems in low-resource settings is 3-fold: the potential beneficial impact on a large proportion of the global burden of disease; better access for rural populations who have the greatest unmet need; and t…
Developing a National Undergraduate Curriculum for Health Professionals in Ireland on health behaviour change (Making Every Contact Count)
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
You do not cross them
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone in…
The use of technology enhanced learning in health research capacity development
BACKGROUND: With the recognition of the need for research capacity strengthening for advancing health and development, this research capacity article explores the use of technology enhanced learning in the delivery of a collaborative postgraduate blended Master's degree in Malawi. Two research questions are addressed: (i) Can technology enhanced learning be used to develop health research capacity?, and: (ii) How can learning content be designed …
From local to global
BACKGROUND: There is a substantial body of literature on the principles of good partnerships and the rationale for such partnerships in research capacity strengthening. This paper illustrates the long term effects of a multi-country (8 countries) global partnership for health systems research capacity development (Connecting health Research in Africa and Ireland Consortium - ChRAIC) in relation to its contribution to capacity strengthening, publi…
The way the country has been carved up by researchers”
Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research
A concept in flux
BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnersh…
Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace
Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and Pepfar-funded HIV-activities
BACKGROUND: Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially consid…
“The problem is ours, it is not CRAIDS’ ”. Evaluating sustainability of Community Based Organisations for HIV/Aids in a rural district in Zambia
BACKGROUND: While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs) for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP) in Zambia as a case study, seeks to evaluate whether or not …
The implementation of a global fund grant in Lesotho
'It's risky to walk in the city with syringes'
BACKGROUND: Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and other donors, the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV/AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union (FSU) countries, a region now recognised as a priority area by policym…
Community patterns of stigma towards persons living with HIV
Stigma towards PLHIV is high generally, and very high in some sub-groups, in this community setting. Future stigma prevention efforts could be enhanced by analyzing community stigma sub-groups and tailoring intervention messages to community patterns of stigma
Policy formulation in the health system
Background and objective Ireland does not have a national strategy for diabetes management akin to policy frameworks developed in other European countries. In 2006, the Irish Health Service Executive (HSE) established an Expert Advisory Group for diabetes, to act ‘as the HSE’s primary source of operational policy and strategic advice'. The aim of this study is to examine the Diabetes Expert Advisory Group (EAG) process as an instrumental case stu…
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
Why don't young women go for Chlamydia testing? A qualitative study employing Goffman's stigma framework
Many women who might be at risk of having the sexually transmitted infection (STI) Chlamydia trachomatis either delay going, or do not go, for testing. We aimed to examine the factors that either prevent or discourage Irish young women from going for Chlamydia testing. We conducted in-depth interviews with 35 women in the Republic of Ireland who were between 18 and 29 years of age. Accounts were analysed using Goffman’s stigma framework. Study re…
National and subnational HIV/Aids coordination
BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthes…
Doing' health policy analysis
The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, draw…
Improving the Quality of Private Sector Delivery of Public Health Services
Despite significant successes in controlling a number of communicable diseases in low and middle income countries, important challenges remain, one being that a large proportion of patients with conditions of public health significance, such as tuberculosis, malaria, or sexually transmitted diseases, seek care in the largely unregulated 'for profit' private sector. Private providers (PPs) often offer services which are perceived by users to be mo…
Where do young Irish women want Chlamydia-screening services to be set up? A qualitative study employing Goffman's impression management framework
Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace
A stakeholder approach towards hospital accreditation in India
Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation and what form it should take. There was a high level of support for the classical features: voluntary participation, a standards-ba…
You do not cross them
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone in…
Cost recovery beds in public hospitals in Indonesia
A policy of allowing public hospitals to provide some better quality, higher priced hospital beds for those able to pay was introduced as government policy in Indonesia after 1993. A study was conducted in 1998 in three public hospitals in East Java to investigate if the policy objective of cost-recovery was being achieved. Hospital revenue from these commercial beds was less than both the recurrent and total costs of providing them in all three …
The implementation of a global fund grant in Lesotho
Disclosure of STI testing activities by young adults
Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal'…
The role of the traditional leader in implementing maternal, newborn and child health policy in Malawi
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their role in relation to policy implementation. This article seeks to analyse the role of traditional leaders in implementing national maternal, newborn and child health (MNCH) policy and programmes at the community level. We consider whether the role of the chief embodies a top-down (utilitarian) or bottom-up (empowerment) app…
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
HIV counselling and care programmes at the district level in Ghana
The district hospital is the focus for the presentation of HIV-related disease in rural sub-Saharan Africa. Patients require not only medical care, but often economic support and counselling for themselves and their families. Psychosocial support should be provided at the hospital and in the home, the latter often being the preferred option. A team approach to HIV disease care and counselling, with careful selection and support of staff, and appr…
Using Perinatal Audit to Promote Change
Close to half of all infant deaths world-wide now occur in the first week of life, almost all in developing countries, and the perinatal mortality rate (PNMR) is used as an indicator of the quality of health service delivery. Clinical audit aims to improve quality of care through the systematic assessment of practice against a defined standard, with a view to recommending and implementing measures to address specific deficiencies in care. Perinat…
Improving the Quality of Private Sector Delivery of Public Health Services
Despite significant successes in controlling a number of communicable diseases in low and middle income countries, important challenges remain, one being that a large proportion of patients with conditions of public health significance, such as tuberculosis, malaria, or sexually transmitted diseases, seek care in the largely unregulated 'for profit' private sector. Private providers (PPs) often offer services which are perceived by users to be mo…
Stakeholder analysis
The growing popularity of stakeholder analysis reflects an increasing recognition of how the characteristics of stakeholders--individuals, groups and organizations--influence decision-making processes. This paper reviews the origins and uses of stakeholder analysis, as described in the policy, health care management and development literature. Its roots are in the political and policy sciences, and in management theory where it has evolved into a…
Cost recovery beds in public hospitals in Indonesia
A policy of allowing public hospitals to provide some better quality, higher priced hospital beds for those able to pay was introduced as government policy in Indonesia after 1993. A study was conducted in 1998 in three public hospitals in East Java to investigate if the policy objective of cost-recovery was being achieved. Hospital revenue from these commercial beds was less than both the recurrent and total costs of providing them in all three …
A stakeholder approach towards hospital accreditation in India
Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation and what form it should take. There was a high level of support for the classical features: voluntary participation, a standards-ba…
Integrating Reproductive Health Services in a Reforming Health Sector
Universal access to comprehensive reproductive health services, integrated into a well-functioning health system, remains an unfulfilled objective in many countries. In 2000-2001, in Tanzania, in-depth interviews were conducted with central level stakeholders and focus group discussions held with health management staff in three regional and nine district health offices, to assess progress in the integration of reproductive health services. Respo…
Doing' health policy analysis
The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, draw…
What prompts young adults in Ireland to attend health services for STI testing
Sexual health promotion campaigns for young people should address the reasons why they delay testing, specifically through measures to avoid stigma (supply-side) and reassure young adults (demand-side). Strategies to increase testing-uptake should focus on these four key opportunities - young adults leaving relationships, those entering relationships where condoms will not be used, those who have had unprotected sex and those with STI-related sym…
The effects of global health initiatives on country health systems
This paper reviews country-level evidence about the impact of global health initiatives (GHIs), which have had profound effects on recipient country health systems in middle and low income countries. We have selected three initiatives that account for an estimated two-thirds of external funding earmarked for HIV/AIDS control in resource-poor countries: the Global Fund to Fight AIDS, TB and Malaria, the World Bank Multi-country AIDS Program (MAP) …
Where do young Irish women want Chlamydia-screening services to be set up? A qualitative study employing Goffman's impression management framework
Why don't young women go for Chlamydia testing? A qualitative study employing Goffman's stigma framework
Many women who might be at risk of having the sexually transmitted infection (STI) Chlamydia trachomatis either delay going, or do not go, for testing. We aimed to examine the factors that either prevent or discourage Irish young women from going for Chlamydia testing. We conducted in-depth interviews with 35 women in the Republic of Ireland who were between 18 and 29 years of age. Accounts were analysed using Goffman’s stigma framework. Study re…
National and subnational HIV/Aids coordination
BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthes…
The evolution of HIV policy in Vietnam
AIM: Policymaking in Vietnam has traditionally been the preserve of the political elite, not open to the scrutiny of those outside the Communist Party. This paper aims to analyse Vietnam's HIV policy development in order to describe and understand the policy content, policy-making processes, actors and obstacles to policy implementation. METHODS: Nine policy documents on HIV were analysed and 17 key informant interviews were conducted in Hanoi an…
How HIV/Aids scale-up has impacted on non- HIV priority services in Zambia
The analysis shows scale-up in reproductive health service numbers in the same facilities where HIV services were scaling up. While district childhood immunisations increased overall, this did not necessarily occur in facility catchment areas where HIV service scale-up occurred. The paper demonstrates an approach for comparing correlation trends across different services, using routine health facility information. Larger samples and explanatory s…
Young women's decisions to accept chlamydia screening
If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced
Disclosure of STI testing activities by young adults
Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal'…
'It's risky to walk in the city with syringes'
BACKGROUND: Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and other donors, the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV/AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union (FSU) countries, a region now recognised as a priority area by policym…
Community patterns of stigma towards persons living with HIV
Stigma towards PLHIV is high generally, and very high in some sub-groups, in this community setting. Future stigma prevention efforts could be enhanced by analyzing community stigma sub-groups and tailoring intervention messages to community patterns of stigma
Policy formulation in the health system
Background and objective Ireland does not have a national strategy for diabetes management akin to policy frameworks developed in other European countries. In 2006, the Irish Health Service Executive (HSE) established an Expert Advisory Group for diabetes, to act ‘as the HSE’s primary source of operational policy and strategic advice'. The aim of this study is to examine the Diabetes Expert Advisory Group (EAG) process as an instrumental case stu…
What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing
Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that sup…
“The problem is ours, it is not CRAIDS’ ”. Evaluating sustainability of Community Based Organisations for HIV/Aids in a rural district in Zambia
BACKGROUND: While sustainability of health programmes has been the subject of empirical studies, there is little evidence specifically on the sustainability of Community Based Organisations (CBOs) for HIV/AIDS. Debates around optimal approaches in community health have centred on utilitarian versus empowerment approaches. This paper, using the World Bank Multi-Country AIDS Program (MAP) in Zambia as a case study, seeks to evaluate whether or not …
The implementation of a global fund grant in Lesotho
Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and Pepfar-funded HIV-activities
BACKGROUND: Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially consid…
A concept in flux
BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnersh…
Medicine (33 obras) · Nursing (24 obras) · Political science (21 obras) · Economic growth (18 obras) · Business (17 obras) · Public health (16 obras) · Economics (14 obras) · Global Maternal and Child Health (13 obras) · Public relations (13 obras) · Adolescent Sexual and Reproductive Health (12 obras)