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Exploring the typology of decision-makers, institutions, and incentives that shape health decisions in Pakistan and insulate decision makers from citizens feedback.
Front Public Health
December 2023
Akhter Hameed Khan Foundation, Islamabad, Pakistan.
Introduction: In developing countries such as Pakistan, program and policies underperform in providing public good as weak institutions lead to decisions that are unresponsive to citizens and are driven by personal motivations of the incumbents. We describe the decision-making processes in the health sector through the framework of "Public Choice" theory which posits how individual motives shape institutional performance and direction.
Methods: We conducted 84 qualitative interviews with five types of stakeholders: politicians, senior and mid-level bureaucrats, donors, public health experts and media personnel spanning 2 periods over a decade.
Epilepsy and cannabis: so near, yet so far.
Dev Med Child Neurol
February 2022
UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
Following media attention on children with refractory epilepsies reportedly deriving benefit from cannabis-based medicinal products (CBMPs), the UK government changed the law in 2018 so that CBMPs could be legally prescribed. Subsequently, a pure cannabidiol (CBD) product has been licensed for two epilepsy syndromes. However, despite pressure from campaign groups and allied politicians, almost no children have received unlicensed CBMPs under the UK NHS.
View Article and Find Full Text PDFReturn-to-work, disabilities and occupational health in the age of COVID-19.
Scand J Work Environ Health
July 2021
We have read with great interest the two editorials by Burdorf et al: "The COVID-19 pandemic: one year later - an occupational perspective" (1) and "The COVID-19 (Coronavirus) pandemic: consequences for occupational health" (2). The authors highlight the importance of the societal consequences of the outbreak and changes in the world of work to manage occupational health. The key points identified - such as individual socio-economic factors, psychological effects and occupations with highest risk of contamination - modify return-to-work approaches.
View Article and Find Full Text PDFAdvocacy and Activism as Essential Tools in Primate Conservation.
Int J Primatol
March 2021
Department of Anthropology and Program in Ecology, Evolution, and Conservation Biology, University of Illinois, Urbana, IL USA.
Primates are facing a global extinction crisis driven by an expanding human population, environmental degradation, the conversion of tropical forests into monocultures for industrial agriculture and cattle ranching, unsustainable resource extraction, hunting, climate change, and the threat of emerging zoonotic diseases. And, although many primate scientists have dedicated their careers to conservation, 65% of primate species are listed as Vulnerable, Endangered, or Critically Endangered, and >75% are experiencing a population decline. Projections indicate that by the end of the century, an additional 75% of the area currently occupied by wild primates will be lost to agriculture.
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