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OBJECTIVE To identify the strengths and weaknesses of the devolved district health system from the experiences of different stakeholders, and recommend direction for reforms in the existing system. METHODS Using qualitative exploratory design, the study was conducted in 3 cities of the province of Sindh in Pakistan--Karachi, Khairpur and Larkana--from(More)
OBJECTIVE To determine the effect of mobile phone intervention on HbA1c in type-2 Diabetes Mellitus (DM) patients living in rural areas of Pakistan. STUDY DESIGN Randomized controlled trial. PLACE AND DURATION OF STUDY Department of Endocrinology, Liaquat National Hospital, Karachi, from December 2013 to June 2014. METHODOLOGY A total of 440 patients(More)
Optimal use of limited human, technical and financial resources is a major concern for tuberculosis (TB) control in developing nations. Further impediments include a lack of trained physicians, and logistical difficulties in arranging face-to-face (f-2-f) TB Diagnostic Committee (TBDC) consultations. Use of e-Health for virtual TBDCs (Internet and "iPath"),(More)
BACKGROUND Occupational risk factors are one of the major causes of respiratory illnesses and symptoms, and account for 13% of chronic obstructive pulmonary disease and 11% of asthma worldwide. Majority of brick kilns in Pakistan use wood and coal for baking the bricks which makes the brick kiln workers susceptible to high exposure of air pollution. This(More)
BACKGROUND There is dearth of evidence on provider cost of contracted out services particularly for Maternal and Newborn Health (MNH). The evidence base is weak for policy makers to estimate resources required for scaling up contracting. This paper ascertains provider unit costs and expenditure distribution at contracted out government primary health(More)
OBJECTIVE To estimate the proportion of children 1-4 years of age vaccinated in the first year of their life and determine socio-demographic factors associated with vaccination in the rural sub-district Khairpur, Sindh, Pakistan. STUDY DESIGN Cross-sectional study. PLACE AND DURATION OF STUDY The study was conducted in 9 Union Councils of sub-district(More)
BACKGROUND AND OBJECTIVE The findings of the Health Care in Danger project in Karachi suggests that there is presence of behavioral negligence among vehicle operators on roads in regards to giving way to ambulances. A mass media campaign was conducted to raise people's awareness on the importance of giving way to ambulances. The main objective of this study(More)
OBJECTIVE To assess the clinical presentations and short-term outcomes of patients with thyroiditis presenting to a tertiary care hospital in Karachi, Pakistan. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Endocrinology, Liaquat National Hospital, Karachi, from June 2014 to February 2015. METHODOLOGY Patients between 18 and 70(More)
OBJECTIVE To determine the future priorities of young medical doctors in tertiary care hospitals in a major urban centre. METHODS This multi-centre cross-sectional study was conducted at four tertiary care hospitals of Karachi, Pakistan, from January to June 2015, and comprised medical interns. A questionnaire-based survey was conducted. The participants(More)
OBJECTIVE To determine the factors related to tobacco smoking among students of grade 6-10 in an urban setting in Sindh, Pakistan. STUDY DESIGN Cross-sectional survey. PLACE AND DURATION OF STUDY The study was conducted in public and private schools of Hyderabad, Sindh, Pakistan, from January 2008 to June 2009. METHODOLOGY A sample of 501 students(More)