Publications by authors named "Ramesh Mahar"
Introduction: Despite carrying a disproportionately high burden of depression, patients in low-income countries lack access to effective care. The collaborative care model (CoCM) has robust evidence for clinical effectiveness in improving mental health outcomes. However, evidence from real-world implementation of CoCM is necessary to inform its expansion in low-resource settings.
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- Chronic obstructive pulmonary disease (COPD) significantly impacts health in low/middle-income countries, where management is often inadequate due to lack of resources.
- A quality improvement initiative at Bayalpata Hospital in Nepal aimed to enhance COPD management by adapting international guidelines and implementing an electronic health record template for better care delivery.
- The project achieved notable improvements, including a rise in oral corticosteroid prescriptions for COPD exacerbations from 14% to over 60%, demonstrating that effective quality improvement can be achieved in rural settings by building local capacity and integrating systematic approaches.
Low-income and middle-income countries are struggling with a growing epidemic of non-communicable diseases. To achieve the Sustainable Development Goals, their healthcare systems need to be strengthened and redesigned. The Starfield 4Cs of primary care-first-contact access, care coordination, comprehensiveness and continuity-offer practical, high-quality design options for non-communicable disease care in low-income and middle-income countries.
View Article and Find Full Text PDFBackground: Global health academic partnerships are centered around a core tension: they often mirror or reproduce the very cross-national inequities they seek to alleviate. On the one hand, they risk worsening power dynamics that perpetuate health disparities; on the other, they form an essential response to the need for healthcare resources to reach marginalized populations across the globe.
Objectives: This study characterizes the broader landscape of global health academic partnerships, including challenges to developing ethical, equitable, and sustainable models.