• "I Wasted 3 Years, Thinking It's Not a Problem": Patient and Health System Delays in Diagnosis of Leprosy in India: A Mixed-Methods Study

      Muthuvel, T; Govindarajulu, S; Isaakidis, P; Shewade, HD; Rokade, V; Singh, R; Kamble, S (Public Library of Science, 2017-01-12)
      Worldwide, leprosy is one of the major causes of preventable disability. India contributes to 60% of global leprosy burden. With increasing numbers of leprosy with grade 2 disability (visible disability) at diagnosis, we aimed to determine risk factors associated with grade 2 disability among new cases and explore patients and providers' perspectives into reasons for late presentation.
    • The journey to antiretroviral therapy in Karnataka, India: who was lost on the road?

      Shastri, S; Sathyanarayna, S; Nagaraja, S B; Kumar, A M V; Rewari, B; Harries, A D; Zachariah, R (International AIDS Society, 2013)
      One important operational challenge facing antiretroviral treatment (ART) programmes in low- and middle-income countries is the loss to follow-up between diagnosis of human immunodeficiency virus (HIV) and initiation of ART. This is a major obstacle to achieving universal access to ART. This study from Karnataka, India, tried to measure such losses by determining the number of HIV-positive individuals diagnosed, the number of them reaching ART centres, the number initiated on ART and the reasons for non-initiation of ART.
    • What happens to Palestine refugees with diabetes mellitus in a primary healthcare centre in Jordan who fail to attend a quarterly clinic appointment?

      Khader, A; Ballout, G; Shahin, Y; Hababeh, M; Farajallah, L; Zeidan, W; Abu-Zayed, I; Kochi, A; Harries, A D; Zachariah, R; et al. (Wiley-Blackwell, 2014-01-06)
      In a primary healthcare clinic in Jordan to determine: (i) treatment outcomes stratified by baseline characteristics of all patients with diabetes mellitus (DM) ever registered as of June 2012 and (ii) in those who failed to attend the clinic in the quarter (April-June 2012), the number who repeatedly did not attend in subsequent quarters up to 1 year later, again stratified by baseline characteristics.