Pablo Perel

Dados Biográficos

ID6331920
NOMEPablo Perel
PRENOMESPablo
SOBRENOMEPerel
ASSINATURAPEREL P
AFILIAÇÕESLondon School of Hygiene & Tropical Medicine
ORCID0000-0002-2342-301X
VERIFICADOSim
TOTAL DE OBRAS39
TOTAL DE CITAÇÕES3
TOTAL COMO AUTOR39
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2011
ANO MAIS RECENTE DE PUBLICAÇÃO2026
ÍNDICE H1

  • Integrating noncommunicable disease care in a public primary health care facility in North Lebanon

    Open AccessLinda Abou‐Abbas, Linda Abou-Abbas et al.ARTICLEPLOS Global Public Health2026

    Integrated care for non-communicable diseases (NCDs) may enhance care delivery, clinical impact, user-satisfaction, and access. However, evidence on integrated NCD care in humanitarian settings remains scarce. This qualitative study accompanied the first year of implementation (March 2023 to March 2024) of an integrated care programme at an International Committee of the Red Cross (ICRC)-supported, Ministry of Public Health-affiliated primary hea…

  • Understanding the role of ‘software’ in health system capacity for non-communicable disease response

    Open AccessRobinson Oyando, Nancy Kagwanja et al.ARTICLEHealth Policy and Planning2026Referências: 63

    Research on health system capacity to manage non-communicable diseases (NCDs) has largely focused on ‘system hardware’ such as infrastructure, workforce, and commodities. However, this overlooks the critical role of ‘system software’ elements, such as relationships, norms, and power, and the complex adaptive nature of health systems. This study aimed to explore how health system hardware and software elements interact to shape the capacity of the…

  • Understanding what factors influence community health worker involvement in hypertension service delivery in Kenya

    Open AccessNancy Kagwanja, Robinson Oyando et al.ARTICLEHealth Policy and Planning2026Referências: 46

    The systematic involvement of community health workers (CHWs) in hypertension management can improve outcomes and achieve blood pressure control. However, much of this evidence is from effectiveness trials conducted under ideal conditions, with little evidence from programmes operating in routine conditions. In Kenya, recent policy changes have expanded CHW roles to routinely incorporate non-communicable disease (including hypertension) service d…

  • Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries

    Open AccessSyreen Hassan, Nancy Kagwanja et al.ARTICLEPLOS Global Public Health2025

    The rising prevalence of chronic diseases in low- and middle-income countries (LMICs) poses significant challenges to already overburdened health systems. Community-based interventions are recognised as effective strategies for managing these conditions. However, implementing such interventions faces barriers that can hinder their effectiveness. This scoping review aims to assess qualitative studies examining barriers and facilitators to implemen…

  • Implementation strategies to improve outcomes in patients with established cardiovascular disease in sub-Saharan Africa

    Open AccessLeah Anku Sanga, Jonathan A Hudson et al.ARTICLEPLOS Global Public Health2025

    Sub-Saharan Africa (SSA) is experiencing an epidemic of cardiovascular disease (CVD). Despite numerous evidence-based therapies and management guidelines for patients with acute or established CVD, significant gaps persist in their implementation in SSA. This systematic review aims to describe, synthesise and identify key gaps in the implementation strategies of evidence-based approaches that can improve clinical outcomes for patients with acute …

  • Access to hypertension services and health-seeking experiences in rural Coastal Kenya

    Open AccessRobinson Oyando, Nancy Kagwanja et al.ARTICLEPLOS Global Public Health2025

    Globally, hypertension causes 10.8 million deaths annually. However, in Kenya, like in other low-and middle-income countries, access to hypertension care remains limited and inequitable. Understanding patients’ journeys in accessing care along the care cascade is critical to inform patient-centred care and policy improvements. This study aimed to explore patient experiences in accessing primary care services for hypertension along the care cascad…

  • Evaluation of a peer support group programme for vulnerable host population and refugees living with diabetes and/or hypertension in Lebanon

    Open AccessLeah Anku Sanga, Carla Njeim et al.ARTICLEConflict and Health2025

    Our study showed mixed results. In terms of reach, over 50% of those approached consented to participate. Regarding the impact on PROMs, we observed improvements in most outcomes; however we found some statistical evidence only for some. We did not find strong statistical evidence of improvement in clinical outcomes compared to the control group. Differences between the two waves may be due to differences in the populations, the way the intervent…

  • Managing diabetes and hypertension in western Kenya

    Open AccessViolet Naanyu, Ruth Willis et al.ARTICLEPLOS Global Public Health2024

    The Primary Health Integrated Care for Chronic Conditions (PIC4C) pilot project was launched in 2018 to strengthen prevention and control of four non-communicable conditions at primary health care level in western Kenya. We conducted a qualitative study to explore the extent to which PIC4C integrated services supported people with hypertension and/or diabetes towards timely diagnosis and referral, treatment, follow-up and adherence, from the pers…

  • Implementing (and evaluating) peer support with people living with noncommunicable diseases in humanitarian settings

    Open AccessBenjamin Schmid, Carla Njeim et al.ARTICLEJournal of Migration and Health2024Referências: 3

    In line with the peer reviewers comments, the authors have added highlights in stead of an abstract. It was felt that it was better able to capture the findings and is more in line with the paper's target audience

  • Implementing and evaluating integrated care models for non-communicable diseases in fragile and humanitarian settings

    Open AccessLavanya Vijayasingham, Éimhín Ansbro et al.ARTICLEJournal of Migration and Health2024Referências: 2

    In this commentary, we advocate for the wider implementation of integrated care models for NCDs within humanitarian preparedness, response, and resilience efforts. Since experience and evidence on integrated NCD care in humanitarian settings is limited, we discuss potential benefits, key lessons learned from other settings, and lessons from the integration of other conditions that may be useful for stakeholders considering an integrated model of …

  • Providing continuity of care for people living with noncommunicable diseases in humanitarian settings

    Open AccessChaza Akik, Z El Dirani et al.ARTICLEJournal of Migration and Health2024Citada por: 1Referências: 3

    We recommend that humanitarian actors continue the work underway with the Lebanese Ministry of Public Health to align with and strengthen health system inputs, including supporting health governance through the accreditation process, exploring new funding mechanisms, strengthening the workforce via task sharing and training, supporting the medication supply chain, improving access to facilities and service quality, and supporting the development,…

  • The HEARTS partner forum—supporting implementation of HEARTS to treat and control hypertension

    Open AccessTaskeen Khan, Andrew E Moran et al.ARTICLEFrontiers in Public Health2023

    Cardiovascular diseases (CVD), principally ischemic heart disease (IHD) and stroke, are the leading causes of death (18. 6 million deaths annually) and disability (393 million disability-adjusted life-years lost annually), worldwide. High blood pressure is the most important preventable risk factor for CVD and deaths, worldwide (10.8 million deaths annually). In 2016, the World Health Organization (WHO) and the United States Centers for Disease C…

  • Implementation of a salt substitute intervention using social marketing in resourced-limited communities in Peru

    Open AccessMaría Lazo-Porras, María Lazo‐Porras et al.ARTICLEFrontiers in Public Health2023

    Objective This study aimed to conduct a process evaluation of a salt substitute trial conducted in Peru. Methods Through semi-structured interviews of intervention participants, we documented and analyzed process evaluation variables as defined by the Medical Research Council Framework. This study was a stepped wedge trial conducted in Tumbes, Peru in 2014. The intervention was a community-wide replacement of regular salt (100% sodium) with “Salt…

  • Patient experiences of diabetes and hypertension care during an evolving humanitarian crisis in Lebanon

    Open AccessRuth Willis, Chaza Akik et al.ARTICLEPLOS Global Public Health2023

    Humanitarian health care models increasingly incorporate care for non-communicable diseases (NCDs). Current research evidence focuses on burden of disease, service provision and access to care, and less is known about patient’s experience of the continuum of care in humanitarian settings. To address this gap, this study explored experiences of displaced Syrian and vulnerable Lebanese patients receiving care for hypertension and/or diabetes at fou…

  • Understanding the treatment burden of people with chronic conditions in Kenya

    Open AccessHillary Koros, Ellen Nolte et al.ARTICLEPLOS Global Public Health2023

    In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional s…

  • Developing an integrated model of care for vulnerable populations living with non-communicable diseases in Lebanon

    Open AccessClaudia Truppa, Éimhín Ansbro et al.ARTICLEConflict and Health2023

    ToC is a useful tool to deconstruct the complexity of integrating NCD services. We highlight that integrated care rests on multidisciplinary and patient-centred approaches, which depend on a well-trained and resourced team, strong leadership, and adequate information systems. This paper provides the first theory-driven road map of implementation pathways, to help support the integration of NCD care for crises-affected populations in Lebanon and g…

  • Evaluating the effectiveness of the National Health Insurance Fund in providing financial protection to households with hypertension and diabetes patients in Kenya

    Open AccessRobinson Oyando, Vincent Were et al.ARTICLEInternational Journal for Equity…2023

    We did not find strong evidence that the NHIF national scheme is effective in providing financial risk protection to households with individuals living with hypertension and/diabetes in Kenya. This could partly be explained by the low depth of cover of the NHIF national scheme, and the high attrition rate. To enhance NHIF effectiveness, there is a need to revise the NHIF benefit package to include essential hypertension and/diabetes services, rev…

  • Assessing the potential of wearable health monitors for health system strengthening in low- and middle-income countries

    Open AccessMarco Liverani, Por Ir et al.ARTICLEHealth Policy and Planning2022

    Wearable health monitors are a rapidly evolving technology that may offer new opportunities for strengthening health system responses to cardiovascular and other non-communicable diseases (NCDs) in low- and middle-income countries (LMICs). In light of this, we explored opportunities for, and potential challenges to, technology adoption in Cambodia, considering the complexity of contextual factors that may influence product uptake and sustainable …

  • Chronic NCD care in crises

    Open AccessÉimhín Ansbro, Rita Issa et al.ARTICLEJournal of Migration and Health2022Citada por: 2Referências: 3

    Comprehensive guidance would foster standardization, continuity, integration and, thus, better quality care. Future models should take a health system strengthening approach, use patient-centred design, and should be co-created with patients and providers. Those designing new models may draw on lessons learned from existing chronic care models in high- and low-income settings

  • Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension

    Open AccessBin Zhou, Pablo Perel et al.ARTICLENature Reviews Cardiology2021

    High blood pressure is one of the most important risk factors for ischaemic heart disease, stroke, other cardiovascular diseases, chronic kidney disease and dementia. Mean blood pressure and the prevalence of raised blood pressure have declined substantially in high-income regions since at least the 1970s. By contrast, blood pressure has risen in East, South and Southeast Asia, Oceania and sub-Saharan Africa. Given these trends, the prevalence of…

  • ‘What the herbal medicine can do for me in a week, the orthodox does in a year’

    Open AccessAmos Laar, Ernest Amoah Ampah et al.ARTICLEHealth Expectations2021

    BACKGROUND: There is strong evidence that anti-platelet therapy, ACE inhibitors, beta-blockers and statins are cost-effective in reducing subsequent cardiovascular disease (CVD) events in patients with atherosclerotic cardiovascular disease (ACVD). In some settings, only a low proportion of people have access to these medications, and even lower adhere to them. The current study explored and presents data on the causes of poor adherence to orthod…

  • Models of care for patients with hypertension and diabetes in humanitarian crises

    Open AccessMichael S Jaung, Ruth Willis et al.ARTICLEHealth Policy and Planning2021

    Care for non-communicable diseases, including hypertension and diabetes (HTN/DM), is recognized as a growing challenge in humanitarian crises, particularly in low- and middle-income countries (LMICs) where most crises occur. There is little evidence to support humanitarian actors and governments in designing efficient, effective, and context-adapted models of care for HTN/DM in such settings. This article aimed to systematically review the eviden…

  • Global, regional, and national estimates of the population at increased risk of severe Covid-19 due to underlying health conditions in 2020

    Open AccessAndrew Clark, Mark Jit et al.ARTICLEThe Lancet Global Health2020

    BACKGROUND: The risk of severe COVID-19 if an individual becomes infected is known to be higher in older individuals and those with underlying health conditions. Understanding the number of individuals at increased risk of severe COVID-19 and how this varies between countries should inform the design of possible strategies to shield or vaccinate those at highest risk. METHODS: We estimated the number of individuals at increased risk of severe dis…

  • Community involvement in the development and implementation of chronic condition programmes across the continuum of care in high- and upper-middle income countries

    Open AccessViscount Haldane, Victoria Haldane et al.ARTICLEHealth Policy2020

  • Lessons learned about co-creation

    Open AccessMaría Lazo‐Porras, Silvana Pérez-León et al.ARTICLEGlobal Health Action2020

    Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology to develop interventions aimed at the improvement of diagnosis and/or management of chronic diseases at the primary healthcare leve…