Publications by authors named "Myron Anthony Godinho"

Article Synopsis
  • The World Health Organisation advocates for social enterprise, digital technology, and citizen engagement to achieve Universal Health Coverage and meet the UN's Sustainable Development Goals by 2030 through Integrated People-Centred Health Services.
  • A hermeneutic review was conducted, analyzing various frameworks and theories to construct a testable framework that highlights the relationship between social enterprises, digital health, and citizen engagement.
  • The resulting framework offers insights into how social enterprises can leverage technology and community involvement to enhance primary care services sustainably and cost-effectively, particularly for vulnerable populations.
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  • - One Health emphasizes the interconnectedness of human, animal, and environmental health, highlighting the importance of integrated management systems (IMS) during the COVID-19 pandemic for effective care delivery and reporting.
  • - Data from the International Medical Association's Primary Care Working Group showed limited synergy between IMS and health system strategies during the pandemic, though health systems implemented IMS to link COVID test results, vaccine uptake, and health outcomes effectively.
  • - Post-pandemic, while IMS helped improve responses, their use was often practical rather than standardized, suggesting a need for better incorporation of IMS into health systems for future pandemic preparedness.
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Objective: A literature review of capability maturity models (MMs) to inform the conceptualization, development, implementation, evaluation, and mainstreaming of MMs in digital health (DH).

Methods: Electronic databases were searched using "digital health," "maturity models," and related terms based on the Digital Health Profile and Maturity Assessment Toolkit Maturity Model (DHPMAT-MM). Covidence was used to screen, identify, capture, and achieve consensus on data extracted by the authors.

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Supporting older people's use of sustainable transport is important for both population health and sustainable development, especially in the context of global population ageing. This systematic review identifies individual and environmental factors that influence older people's sustainable transport use and synthesises findings using a framework approach. Factors influencing older people's walking (n = 10 studies), bus use (n = 11), community transport use (n = 1), bicycling (n = 1), and e-bicycling (n = 1) were found to be physical, geographical, facility-based, economic, time-based, fear-based, space-based, information-based, or interpersonal.

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In the wake of Coronavirus disease 2019 (COVID-19), several nations have sought to implement digital vaccine passports (DVPs) to enable the resumption of international travel. Comprising a minimum dataset for each unique individual, DVPs have the makings of a global electronic health record, broaching key issues involved in building a global digital health ecosystem. Debate simulations offer a safe, interactive space to foster participatory policy discussions for advancing digital health diplomacy.

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Actualizing the vision of Global Digital Health is a central issue on the Global Health Diplomacy agenda. The COVID-reinforced need for accelerated digital health progress will require political structures and processes to build a foundation for Global Digital Health. Simultaneously, Global Health Diplomacy uses digital technologies in its enactment.

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The South Asian region is predicted to be among the most severely affected by the health impacts of climate change and warrants regional health policy leadership to tackle the same. Model World Health Organization (WHO) simulations offer the academic opportunity to build this leadership. This study describes the conceptualization and conduct of the 'Manipal Model World Health Organization' 2018 debate simulation, where a multi-professional group of students at an Indian university deliberated approaches to address the regional health impacts of climate change in South Asia.

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Article Synopsis
  • - The review investigates how Australia’s primary health care system adapted to the challenges posed by the COVID-19 pandemic, focusing on informatics and digital health strategies that were employed.
  • - A total of 377 papers were reviewed, resulting in 29 eligible studies, which mainly consisted of opinion pieces rather than original research, highlighting a lack of comprehensive evidence on the effectiveness and quality of digital health responses.
  • - Key digital health initiatives identified included telehealth services, mobile apps, and national hotlines that facilitated virtual primary care, while factors such as workforce training and ethical concerns were essential in determining the success of these efforts.
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Objective: Toolkits are an important knowledge translation strategy for implementing digital health. We studied how toolkits for the implementation and evaluation of digital health were developed, tested, and reported.

Materials And Methods: We conducted a systematic review of toolkits that had been used, field tested or evaluated in practice, and published in the English language from 2009 to July 2019.

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Objective: Data quality (DQ) must be consistently defined in context. The attributes, metadata, and context of longitudinal real-world data (RWD) have not been formalized for quality improvement across the data production and curation life cycle. We sought to complete a literature review on DQ assessment frameworks, indicators and tools for research, public health, service, and quality improvement across the data life cycle.

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Article Synopsis
  • The review aimed to analyze the implementation and evaluation of mobile health (mHealth) initiatives in the WHO Western Pacific Region to support integrated people-centered health services.
  • Using eight scientific databases, the researchers screened literature and collected data from 39 studies, primarily from Australia, China, Malaysia, and New Zealand, focusing on various mHealth tools and health issues such as medication adherence and chronic diseases.
  • Findings showed that mHealth significantly enhanced access and affordability of services, improved governance and safety in clinical care, facilitated navigation between care sectors, and allowed for better evaluation of health outcomes.
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  • * The SWS Local Health District and Primary Health Network are looking into community health alliances (CHAs) as a way to provide integrated health services tailored to specific populations with shared needs.
  • * The study focuses on two case studies in Wollondilly and Fairfield to understand how CHAs can leverage digital health and citizen engagement to offer integrated, people-centered health services, aiming to develop a theoretical framework for these initiatives.
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Background: Sickle cell disease (SCD), one of the most common inherited disorders, is associated with vaso-occlusive pain episodes and haemolysis leading to recurrent morbidity, hospital admissions and work or school absenteeism. The crises are conventionally treated with opioids, non-opioids and other adjuvants with the risk of developing complications, addictions and drug-seeking behaviour. Different non-pharmacological treatments, such as transcutaneous electrical nerve stimulation (TENS) have been used for managing pain in other painful conditions.

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This paper describes the initiation and proceedings of a national consultation organized to appraise issues in the local built environment affecting public health, using an interprofessional and intersectoral approach. The consultation was hosted as a part of the onsite session of an international fellowship program in interprofessional education and practice, organized by the Manipal FAIMER Institute for Leadership in Interprofessional Education, India. One hundred and eight delegates from across academic disciplines including the health professions, management, public health, architecture, and engineering, participated in this event.

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Article Synopsis
  • Neonatal sepsis in India is notably high, and understanding its risk factors can help improve prevention and treatment strategies.
  • A systematic review was conducted, analyzing studies from various databases to identify risk factors associated with neonatal sepsis, leading to the inclusion of fifteen relevant studies.
  • Key risk factors identified include male sex, outborn neonates, need for artificial ventilation, gestational age under 37 weeks, and premature rupture of membranes, though the studies faced limitations in quality and consistency.
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Model United Nations (MUN) debates enable students to engage in policy debate in simulated UN councils, and are regularly held in schools and colleges, globally. In developing countries where leadership and teamwork in 'evidence-based policy and practice' is needed to overcome health inequities and strengthen health systems, few curricula teach these skills using simulation-based, participatory learning approaches. Do MUN debates have something to offer for health professions education in low-resource settings? Since MUN debates are novel in health profession education, we aimed to identify the skill domains for selection of outcome measures in future evaluations.

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Background: This study reviewed the completeness of reporting in Indian qualitative public health research (QPHR) studies using the 'Consolidated Criteria for Reporting Qualitative Research' (COREQ) checklist.

Methods: Search results from five electronic databases were screened by two independent reviewers. We included English-language, primary QPHR studies from India, which were assessed for their compliance with the COREQ checklist.

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Article Synopsis
  • India has the highest rate of neonatal deaths, particularly due to pneumonia, with a pressing need for research on its risk factors.
  • This systematic review will compile and evaluate evidence from English observational studies on neonatal pneumonia risk factors in India through extensive literature searches and data analysis.
  • The study has received ethical approval and aims to share its findings with stakeholders via workshops and publications to inform policy and practice.
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Background: Neonatal systemic infections and their consequent impairments give rise to long-lasting health, economic and social effects on the neonate, the family and the nation. Considering the dearth of consolidated economic evidence in this important area, this systematic review aims to critically appraise and consolidate the evidence on economic evaluations of management of neonatal systemic infections in South Asia.

Methods: Full and partial economic evaluations, published in English, associated with the management of neonatal systemic infections in South Asia will be included.

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Introduction: Fifty-three percent of Indian under-5 deaths occur during the neonatal age group. Recognizing that there is a lack of illustrated district-level data on neonatal mortality in India, we mapped this to visually highlight districts where neonatal health issues require the most attention.

Methods: District-level estimates of 596 Indian districts were used to generate maps and to illustrate neonatal mortality rates (NMRs), absolute numbers of neonatal deaths; the best and worst performing districts (positive and negative deviants) in each Indian state; the neonatal female/male death ratio; and district lag in NMR reductions.

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Article Synopsis
  • India had the highest number of neonatal deaths in 2015, with pneumonia being a major cause, representing 16% of these deaths despite available treatment strategies.
  • A qualitative study will be conducted across six regions in India, involving diverse stakeholders to explore various aspects of neonatal pneumonia, including burdens, risk factors, and barriers to care through interviews and focus groups.
  • The study has received ethical approval, ensuring participant confidentiality, and aims to generate insights for better management of neonatal pneumonia and improve health outcomes.
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Aim: To explore the associations between various characteristics of Malaysian cataract patients and their management, and their post-operative visual outcomes, to inform relevant bodies to reduce cataract-related blindness.

Methods: We conducted a descriptive secondary data analysis of cataract surgery patients in Melaka Hospital, from 2007 to 2014 using the National Eye Database (NED). Patient-related factors (demographic features, systemic and ocular comorbidities) and management-related factors (surgical duration, type of surgery, type of lens) were analysed for their association with visual outcome (acuity).

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