Vinod Diwan
Dados Biográficos
| ID | 380179 |
|---|---|
| NOME | Vinod Diwan |
| PRENOMES | Vinod |
| SOBRENOME | Diwan |
| ASSINATURA | DIWAN V |
| AFILIAÇÕES | Karolinska Institutet |
| ORCID | 0000-0002-5831-2037 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 42 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1996 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2021 |
| ÍNDICE H | 4 |
Targeting for male medical circumcision
Male circumcision is considered by some to be an acceptable global approach to reduce HIV infections. Consequently, many governments in sub-Saharan Africa run voluntary male circumcision programmes. South Africa also provides male circumcision for free at state clinics and hospitals. Very little is known about the men who use this service. This study uses data from Cape Town, a sample of 1194 in 2016, and from Mangaung, a sample of 277 in 2017 an…
Insomnia, Benzodiazepine Use, and Falls among Residents in Long-term Care Facilities
Background: Falls are leading cause of injury among older people, especially for those living in long-term care facilities (LTCFs). Very few studies have assessed the effect of sleep quality and hypnotics use on falls, especially in Chinese LTCFs. The study aimed to examine the association between sleep quality, hypnotics use, and falls in institutionalized older people. Methods: We recruited 605 residents from 25 LTCFs in central Shanghai and co…
High-risk screening and detection of multidrug-resistant tuberculosis in two prefectures of China
BACKGROUND: In China, less than one-fifth of multidrug-resistant tuberculosis (MDR-TB) cases are detected. MDR-TB screening is conducted amongst the following five high-risk groups of TB patients: chronic cases, close contacts of MDR-TB patients, patients with treatment failure, relapsed and returned patients, and smear-positive patients at the end of the third month of initial treatment. OBJECTIVE: To estimate the possibility of detecting MDR-TB…
Trial protocol
ISRCTN 13212899, date of registration June 22, 2017
Point-of-care mobile digital microscopy and deep learning for the detection of soil-transmitted helminths and Schistosoma haematobium
BACKGROUND: Microscopy remains the gold standard in the diagnosis of neglected tropical diseases. As resource limited, rural areas often lack laboratory equipment and trained personnel, new diagnostic techniques are needed. Low-cost, point-of-care imaging devices show potential in the diagnosis of these diseases. Novel, digital image analysis algorithms can be utilized to automate sample analysis. OBJECTIVE: Evaluation of the imaging performance …
A cost-effectiveness analysis of three components of a syndromic surveillance system for the early warning of epidemics in rural China
Health facilities and primary schools are better sources of syndromic surveillance data in the early warning of outbreaks. The annual operating costs of all the three components of the syndromic surveillance system in the ISSC Project were low compared to general government expenditures on health and average individual income in rural China
Experiences in anti-tuberculosis treatment in patients with multiple previous treatments and its impact on drug resistant tuberculosis epidemics
BACKGROUND: Tuberculosis (TB) patients with a history of multiple anti-TB treatments are the 'neglected' group to the free anti-TB treatment policy in China. OBJECTIVE: To understand the experiences of TB patients with multiple previous treatments with regard to bacteriological diagnosis and treatment regimens, especially for second-line anti-TB drugs, and how this might influence the risks of multidrug and extensively drug-resistant TB (M/XDR-TB…
Bringing evidence to policy to achieve health-related MDGs for all
BACKGROUND: The Millennium Development Goals (MDGs) are monitored using national-level statistics, which have shown substantial improvements in many countries. These statistics may be misleading, however, and may divert resources from disadvantaged populations within the same countries that are showing progress. The purpose of this article is to set out the relevance and design of the "Evidence for Policy and Implementation project (EPI-4)". EPI-…
Financial incentives to influence maternal mortality in a low-income setting
OBJECTIVES: Only 40.7% women in India deliver in an institution; leaving many vulnerable to maternal morbidity and mortality (India has 22% of global maternal deaths). While limited accessibility to functioning institutions may account in part, a common reason why women deliver at home is poverty. A lack of readily available financial resources for families to draw upon at the time of labor to transport the mother to an institution, is often obse…
Psychosomatic complaints and sense of coherence among adolescents in a county in Sweden
BACKGROUND: Over the last five to ten years there has been an increase in psychosomatic complaints (PSC) in Swedish children. The objective of the study was to examine the relation between PSC and sense of coherence (SOC). METHODS: A cross-sectional school survey in the county of Västmanland, Sweden. All 16- and 19-year old adolescents present at school on the day of the survey were asked to complete a questionnaire in their classrooms during a o…
Barriers of Mistrust
India has one of the most highly privatized health care systems in the world. The dominant private health sector functions alongside a traditional tiered public health sector. There has been an overall lack of collaboration between the two sectors despite international policy recommendations and local initiatives. It has been postulated that "conflicting perceptions" might contribute to the uncooperative attitude between the two sectors. But ther…
Tuberculosis suspicion and knowledge among private and public general practitioners
In Oman, GPs appear to have low suspicion and poor knowledge of TB, particularly private GPs. To strengthen TB control program, there is a need to train GPs on TB identification and adopt a Private Public Mix (PPM) strategy for TB control
Gender differences in delays in diagnosis and treatment of tuberculosis
Health Policy & Planning volume 22 number 5 September 2007 pp. 329–334 Tables 1 and 2 in this article contained errors, the corrected tables are displayed below. The Publisher apologizes for this error. Delays in help seeking among 1000 new smear-positive cases (500 women and 500 men) in different stages of clinical process, by sex (mean and median days) Notes: Wilcoxon test for mean and Kruskal-Wallis test for median. Confidence interval (CI) fo…
Gender differences in delays in diagnosis and treatment of tuberculosis
OBJECTIVE: To assess the gender variations in delay from symptom onset to help seeking, diagnosis and treatment of tuberculosis (TB) using DOTS at community level, in 10 subdistricts of Bangladesh with 2.5 million people under a non-governmental organization's (Building Resources Across Communities, or BRAC) DOTS programme for TB control. DESIGN: A cross-sectional survey of 1000 newly diagnosed pulmonary TB patients (500 women and 500 men). FINDI…
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
Perception of Tuberculosis in the Democratic Republic of Congo
To implement effective tuberculosis (TB) control programs, we must first understand the health culture in a given region. The authors organized eight focus group sessions in the Mai Ndombe district in the Democratic Republic of Congo to study the underlying attitudes toward TB and to describe the TB context with special reference to gender differences. They then analyzed the focus group data using a grounded theory design. TB is called "the disea…
Chinese Maternal Health in Adjustment
Health sector reforms in China, instituted starting in 1985, have centred on cost recovery, with fee-for-service revenue replacing public budget funding. The share of public funding for maternal health services was reduced greatly, forcing an increasing proportion of pregnant women to pay for deliveries and treatment of pregnancy-related complications out of pocket, as most had no health insurance to cover these costs. This study aimed to identif…
Different tuberculosis in men and women
Drug policy in China
Maternal and infant health problems after normal childbirth
STUDY OBJECTIVES: The main aim of the study was to discover if a midwife home visiting programme has a significant effect on the prevalence of health problems and breast feeding behaviour of mothers who delivered normally and their healthy fullterm newborn babies, during a period of 42 days after delivery. Another aim was to compare the mothers', the midwife's, and the doctor's findings of prevalence of health problems at the end of the puerperiu…
Practice-knowledge-attitudes-practice
The cost of coverage
China has undergone great economic and social change since 1978 with far reaching implications for the health care system and ultimately for the health status of the population. The Chinese Medical Reform of the 1980s made cost recovery a primary objective. The urban population is mostly protected by generous government health insurance. A high share government budget is allocated to urban health care. Rural cooperative health insurance reached a…
The cost of coverage
China has undergone great economic and social change since 1978 with far reaching implications for the health care system and ultimately for the health status of the population. The Chinese Medical Reform of the 1980s made cost recovery a primary objective. The urban population is mostly protected by generous government health insurance. A high share government budget is allocated to urban health care. Rural cooperative health insurance reached a…
Different tuberculosis in men and women
Chinese Maternal Health in Adjustment
Health sector reforms in China, instituted starting in 1985, have centred on cost recovery, with fee-for-service revenue replacing public budget funding. The share of public funding for maternal health services was reduced greatly, forcing an increasing proportion of pregnant women to pay for deliveries and treatment of pregnancy-related complications out of pocket, as most had no health insurance to cover these costs. This study aimed to identif…
Drug policy in China
Gender differences in delays in diagnosis and treatment of tuberculosis
OBJECTIVE: To assess the gender variations in delay from symptom onset to help seeking, diagnosis and treatment of tuberculosis (TB) using DOTS at community level, in 10 subdistricts of Bangladesh with 2.5 million people under a non-governmental organization's (Building Resources Across Communities, or BRAC) DOTS programme for TB control. DESIGN: A cross-sectional survey of 1000 newly diagnosed pulmonary TB patients (500 women and 500 men). FINDI…
Perception of Tuberculosis in the Democratic Republic of Congo
To implement effective tuberculosis (TB) control programs, we must first understand the health culture in a given region. The authors organized eight focus group sessions in the Mai Ndombe district in the Democratic Republic of Congo to study the underlying attitudes toward TB and to describe the TB context with special reference to gender differences. They then analyzed the focus group data using a grounded theory design. TB is called "the disea…
Practice-knowledge-attitudes-practice
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
Maternal and infant health problems after normal childbirth
STUDY OBJECTIVES: The main aim of the study was to discover if a midwife home visiting programme has a significant effect on the prevalence of health problems and breast feeding behaviour of mothers who delivered normally and their healthy fullterm newborn babies, during a period of 42 days after delivery. Another aim was to compare the mothers', the midwife's, and the doctor's findings of prevalence of health problems at the end of the puerperiu…
The cost of coverage
China has undergone great economic and social change since 1978 with far reaching implications for the health care system and ultimately for the health status of the population. The Chinese Medical Reform of the 1980s made cost recovery a primary objective. The urban population is mostly protected by generous government health insurance. A high share government budget is allocated to urban health care. Rural cooperative health insurance reached a…
Practice-knowledge-attitudes-practice
Maternal and infant health problems after normal childbirth
STUDY OBJECTIVES: The main aim of the study was to discover if a midwife home visiting programme has a significant effect on the prevalence of health problems and breast feeding behaviour of mothers who delivered normally and their healthy fullterm newborn babies, during a period of 42 days after delivery. Another aim was to compare the mothers', the midwife's, and the doctor's findings of prevalence of health problems at the end of the puerperiu…
Different tuberculosis in men and women
Drug policy in China
Chinese Maternal Health in Adjustment
Health sector reforms in China, instituted starting in 1985, have centred on cost recovery, with fee-for-service revenue replacing public budget funding. The share of public funding for maternal health services was reduced greatly, forcing an increasing proportion of pregnant women to pay for deliveries and treatment of pregnancy-related complications out of pocket, as most had no health insurance to cover these costs. This study aimed to identif…
Perception of Tuberculosis in the Democratic Republic of Congo
To implement effective tuberculosis (TB) control programs, we must first understand the health culture in a given region. The authors organized eight focus group sessions in the Mai Ndombe district in the Democratic Republic of Congo to study the underlying attitudes toward TB and to describe the TB context with special reference to gender differences. They then analyzed the focus group data using a grounded theory design. TB is called "the disea…
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
Gender differences in delays in diagnosis and treatment of tuberculosis
OBJECTIVE: To assess the gender variations in delay from symptom onset to help seeking, diagnosis and treatment of tuberculosis (TB) using DOTS at community level, in 10 subdistricts of Bangladesh with 2.5 million people under a non-governmental organization's (Building Resources Across Communities, or BRAC) DOTS programme for TB control. DESIGN: A cross-sectional survey of 1000 newly diagnosed pulmonary TB patients (500 women and 500 men). FINDI…
Psychosomatic complaints and sense of coherence among adolescents in a county in Sweden
BACKGROUND: Over the last five to ten years there has been an increase in psychosomatic complaints (PSC) in Swedish children. The objective of the study was to examine the relation between PSC and sense of coherence (SOC). METHODS: A cross-sectional school survey in the county of Västmanland, Sweden. All 16- and 19-year old adolescents present at school on the day of the survey were asked to complete a questionnaire in their classrooms during a o…
Barriers of Mistrust
India has one of the most highly privatized health care systems in the world. The dominant private health sector functions alongside a traditional tiered public health sector. There has been an overall lack of collaboration between the two sectors despite international policy recommendations and local initiatives. It has been postulated that "conflicting perceptions" might contribute to the uncooperative attitude between the two sectors. But ther…
Tuberculosis suspicion and knowledge among private and public general practitioners
In Oman, GPs appear to have low suspicion and poor knowledge of TB, particularly private GPs. To strengthen TB control program, there is a need to train GPs on TB identification and adopt a Private Public Mix (PPM) strategy for TB control
Gender differences in delays in diagnosis and treatment of tuberculosis
Health Policy & Planning volume 22 number 5 September 2007 pp. 329–334 Tables 1 and 2 in this article contained errors, the corrected tables are displayed below. The Publisher apologizes for this error. Delays in help seeking among 1000 new smear-positive cases (500 women and 500 men) in different stages of clinical process, by sex (mean and median days) Notes: Wilcoxon test for mean and Kruskal-Wallis test for median. Confidence interval (CI) fo…
Financial incentives to influence maternal mortality in a low-income setting
OBJECTIVES: Only 40.7% women in India deliver in an institution; leaving many vulnerable to maternal morbidity and mortality (India has 22% of global maternal deaths). While limited accessibility to functioning institutions may account in part, a common reason why women deliver at home is poverty. A lack of readily available financial resources for families to draw upon at the time of labor to transport the mother to an institution, is often obse…
Bringing evidence to policy to achieve health-related MDGs for all
BACKGROUND: The Millennium Development Goals (MDGs) are monitored using national-level statistics, which have shown substantial improvements in many countries. These statistics may be misleading, however, and may divert resources from disadvantaged populations within the same countries that are showing progress. The purpose of this article is to set out the relevance and design of the "Evidence for Policy and Implementation project (EPI-4)". EPI-…
Experiences in anti-tuberculosis treatment in patients with multiple previous treatments and its impact on drug resistant tuberculosis epidemics
BACKGROUND: Tuberculosis (TB) patients with a history of multiple anti-TB treatments are the 'neglected' group to the free anti-TB treatment policy in China. OBJECTIVE: To understand the experiences of TB patients with multiple previous treatments with regard to bacteriological diagnosis and treatment regimens, especially for second-line anti-TB drugs, and how this might influence the risks of multidrug and extensively drug-resistant TB (M/XDR-TB…
A cost-effectiveness analysis of three components of a syndromic surveillance system for the early warning of epidemics in rural China
Health facilities and primary schools are better sources of syndromic surveillance data in the early warning of outbreaks. The annual operating costs of all the three components of the syndromic surveillance system in the ISSC Project were low compared to general government expenditures on health and average individual income in rural China
Point-of-care mobile digital microscopy and deep learning for the detection of soil-transmitted helminths and Schistosoma haematobium
BACKGROUND: Microscopy remains the gold standard in the diagnosis of neglected tropical diseases. As resource limited, rural areas often lack laboratory equipment and trained personnel, new diagnostic techniques are needed. Low-cost, point-of-care imaging devices show potential in the diagnosis of these diseases. Novel, digital image analysis algorithms can be utilized to automate sample analysis. OBJECTIVE: Evaluation of the imaging performance …
High-risk screening and detection of multidrug-resistant tuberculosis in two prefectures of China
BACKGROUND: In China, less than one-fifth of multidrug-resistant tuberculosis (MDR-TB) cases are detected. MDR-TB screening is conducted amongst the following five high-risk groups of TB patients: chronic cases, close contacts of MDR-TB patients, patients with treatment failure, relapsed and returned patients, and smear-positive patients at the end of the third month of initial treatment. OBJECTIVE: To estimate the possibility of detecting MDR-TB…
Trial protocol
ISRCTN 13212899, date of registration June 22, 2017
Insomnia, Benzodiazepine Use, and Falls among Residents in Long-term Care Facilities
Background: Falls are leading cause of injury among older people, especially for those living in long-term care facilities (LTCFs). Very few studies have assessed the effect of sleep quality and hypnotics use on falls, especially in Chinese LTCFs. The study aimed to examine the association between sleep quality, hypnotics use, and falls in institutionalized older people. Methods: We recruited 605 residents from 25 LTCFs in central Shanghai and co…
Targeting for male medical circumcision
Male circumcision is considered by some to be an acceptable global approach to reduce HIV infections. Consequently, many governments in sub-Saharan Africa run voluntary male circumcision programmes. South Africa also provides male circumcision for free at state clinics and hospitals. Very little is known about the men who use this service. This study uses data from Cape Town, a sample of 1194 in 2016, and from Mangaung, a sample of 277 in 2017 an…
Medicine (19 obras) · Environmental health (9 obras) · Political science (9 obras) · Tuberculosis (8 obras) · Economic growth (7 obras) · Economics (7 obras) · Pathology (7 obras) · Population (6 obras) · Tuberculosis Research and Epidemiology (6 obras) · Business (5 obras)