Learn More
Health information access by low-literate community health workers is a pressing need of community health programs across the developing world. We present results from a needs assessment we conducted to understand the health information access practices and needs of various types of health workers in Pakistan. We also present a prototype for speech-based(More)
BACKGROUND During the 1980s, approximately three million people migrated from Afghanistan to Pakistan and sought refuge in several cities including the city of Karachi. After the initial settlement of the refugees, the international organizations transitioned the health care of these refugees to the two local non-profit service agencies in Karachi. One of(More)
BACKGROUND In recent years suicide has become a major public health problem in Pakistan. AIMS To identify major risk factors associated with suicides in Karachi, Pakistan. METHOD A matched case-control psychological autopsy study. Interviews were conducted for 100 consecutive suicides, which were matched for age, gender and area of residence with 100(More)
OBJECTIVES To determine the magnitude of and factors associated with spousal abuse during pregnancy in women presenting to tertiary care hospitals in Karachi, Pakistan. METHODS Five hundred women who delivered a live singleton baby were interviewed. Physical and/or emotional abuse during pregnancy (PEAP) was the primary outcome measure as determined by(More)
  • M S Karim
  • 1993
Population based data on disease patterns, health services utilization and cost incurred on treatment in Pakistan were collected through a nation-wide sample survey in 1982-83. The survey for the first time revealed, the burden of disease on the society. The analysis done here suggest, that about one-sixth of the population suffered from an illness during(More)
Community health programs in many developing countries are very similar: most involve semi-trained, semi-educated health workers (often female), who provide health services in their own communities in a large hierarchically managed system across the country. In Pakistan, recent evaluations of the government's flagship community health program have revealed(More)
The Maternal and Infant Mortality Survey (MIMS) was conducted in eight squatter settlements of Karachi. The female mortality rate was 151.0 per 100,000 women aged 10-49 years and the maternal mortality ratio was 281 per 100,000 livebirths. The leading causes of deaths among women were complications of pregnancy (28.1%), infectious diseases (24.8%),(More)
OBJECTIVES Population-based information from Pakistan on maternal mortality is inadequate to define the magnitude of the problem or to contribute information on the distribution of clinical causes and risk factors. A population-based survey was conducted in eight urban squatter settlements of Karachi, Pakistan, to address these key issues. METHODS(More)
BACKGROUND Depression in elderly is a major global public health concern. There has been no population-based study of depression in the elderly in Pakistan. The aim of the study was to estimate the prevalence of depression and its association with family support of elderly (age 60 years and above) in Karachi, Pakistan. METHODS A population based(More)
Karachi is the only mega city in the world with persistent poliovirus transmission. We determined routine childhood immunization rates in Karachi and identified predictors of vaccine completion. A population-based cross-sectional survey was conducted in Karachi between August and September 2008. Data on demographics, socioeconomic, and DTP3 vaccination(More)