Publications by authors named "E Fottrell"
Background: There is a lack of evidence on effective treatments for depression in people with T2DM, particularly in Low and Middle-Income Countries (LMICs). This study aims to test the feasibility and acceptability of a culturally adapted Behavioural Activation (BA) intervention (DiaDeM) for people with depression and T2DM in two South Asian LMICs.
Methods: A multicountry, individually randomised-controlled feasibility trial was conducted from March 2022 to November 2022.
Implementation of national policies and interventions (WHO Best Buys) for non-communicable disease prevention and control in Ghana: a mixed methods analysis.
Health Res Policy Syst
November 2024
Article Synopsis
- The World Health Organization (WHO) promotes evidence-based interventions, known as "Best Buys," to tackle non-communicable diseases (NCDs), but there is limited knowledge about their implementation in sub-Saharan Africa, particularly in Ghana.
- This study used a mixed-methods approach, combining document reviews of Ghana's WHO Best Buys scores from various years and interviews with key policymakers to assess how well these NCD policies are being implemented and identify any gaps.
- Findings indicate that while Ghana shows some progress in adopting WHO Best Buys, with fluctuating implementation scores, significant challenges persist, including socio-cultural issues, stakeholder engagement, policy enforcement, and limited public awareness and financing for NCD prevention.
Background: Non-communicable diseases (NCDs) predispose households to exorbitant healthcare expenditures in health systems where there is no access to effective financial protection for healthcare. This study assessed the economic burden associated with the rising burden of type-2 diabetes (T2D) and hypertension comorbidity management, and its implications for healthcare seeking in urban Accra.
Methods: A convergent parallel mixed-methods study design was used.
Contextual awareness, response and evaluation (CARE) of diabetes in poor urban communities in Ghana: the CARE diabetes project qualitative study protocol.
Glob Health Action
December 2024
Diabetes remains a major, global clinical and public health threat with consistent rises in prevalence around the world over the past four decades. Two-thirds of the projected increases in global diabetes prevalence to 2045 are expected to come from low- and middle-income countries, including those in sub-Saharan Africa. Ghana is typical of this trend.
View Article and Find Full Text PDFBackground: The co-occurrence of chronic diseases and acute infectious events exacerbates disability and diminishes quality of life, yet research in Low- and Middle-Income countries is scarce. We aimed to investigate the relationship between infectious events and multimorbidity in resource-constrained settings.
Methods: We conducted a sequential mixed-method study in Lima and Tumbes, Peru, with participants having multimorbidity from the CRONICAS Cohort Study.