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Focus on Current PhD Research

Sarath Kasthala is a general practitioner with a wide range of experience in urban and rural settings. He has worked as a medical practitioner in both secure environments and fragile contexts, and has experience treating asylum seekers and torture survivors.

Sarath Kasthala, PhD Student

Father and Son on medical ward © S Kasthala

He conducted a pilot-study in the occupied Palestinian territory in late 2011 which highlighted how interactions between such actors and local communities  met population health needs.  He will be following this up a comparative case-study in Northern Uganda and Colombia.

In his doctoral research, Sarath examines how civil society actors collaborate with state and non-state actors in the provision of primary health care in countries following protracted conflict. 

 

 

 

 

Isabelle Uny is a French social scientist living in Scotland, based at IIHD since her MSc undertaken in 2006.  Her doctoral research explores the changing role of traditional birth attendants (TBAs) in supporting maternal health in Malawi. 

Maternal mortality in Malawi is very high and has been partly attributed to the lack of a skilled medical professional at more than 30% of deliveries.   Malawi's case is particularly interesting given the historically contested role of TBAs:  Though TBAs were trained for decades in Malawi, in 2007 the Government redefined their role which banned them from conducting deliveries and saw them as referring agents. Although this ban was lifted in 2010, the latest Presidential Safe Motherhood Initiative launched in September 2012 reasserted the change in roles for TBAs. 

However, the position of TBAs is complicated by the lack of proximate facilities available to pregnant women  and a continued lack of skilled birth attendants.

 

 

Isa is currently in Malawi undertaking qualitative fieldwork to explore this topic from the point of view of TBAs themselves, skilled birth attendants, women, men and other major stakeholders.   Using a grounded theory approach, she will conduct interviews with both TBAs and Skilled Birth Attendants, and Focus Group Discussions with other stakeholders, in the areas of Nkhoma, Mchinji and Malosa or Mulanje. 

Maternity Ward in Malawi

Maternity Ward in Malawi © I Uny

Isa was successful in obtaining a Santander Research Grant of £5000 to support this important work.

Isa was also successful in obtaining a QMU Scholarship to undertake her PhD research.

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Guanyang Zou is a Chinese researcher with a background in health policy and systems research, and considerable experience in looking at the integration of tuberculosis services in general health services in China.

 

 

Hospital in China (photo: Guanyang Zou)

Hospital in China © G Zou

 

 

 

China has the second largest tuberculosis (TB) burden in the world. As the basic unit of TB control, the county TB dispensaries provide both clinical and public health care. One of the most important recent reforms for TB control in the country has been the transfer of clinical TB services from the TB dispensaries to the ‘designated’ general hospitals.

In China, general hospitals are mainly public, although they receive limited funding from the government. In most cases, TB services are subsidized through the designated hospitals, while in some cases, they receive direct funding from the government. 

Using a case study approach, Guanyang’s doctoral research will examine the relationship between financing mechanisms, management, and care processes in TB services in two ‘designated’ hospitals of Zhejiang province, an eastern province that pioneered the reform of TB service delivery in China.

Guanyang was recently awarded a Santander Current Student Scholarship, which will help him to pursue this timely and important project.

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Nicole Vidal is a Peruvian-American anthropologist with a background in global health policy and sexual and reproductive health. Her current research investigates the role of community health workers as first-level health care providers of maternal and neonatal healthcare services in the Peruvian Highlands. Peru currently has one of the highest rates of maternal mortality in Latin America, with the majority of these cases occurring within rural Andean communities.

As these communities often experience unequal access to healthcare services, community health workers may be a woman’s first point of contact for care throughout pregnancy, childbirth and the postpartum period.

Village in Peru (photo: N Vidal)

Village in Peru © N Vidal

Nicole’s research examines the potential role of community-level health providers within the framework of Peru’s existing maternal and neonatal healthcare policies.

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Svitlana McGill is from Kyiv, Ukraine.

Her research examines the impact of GFATM grants on HIV prevention policies and services in the Ukraine.

This Eastern European nation has the highest adult HIV prevalence in Europe and its rapidly growing HIV epidemic is unfolding in a difficult political and epidemiological context.

The country also holds the largest portfolio of Global Fund grants in the region, and Svitlana’s research specifically looks at the relationship between knowledge about the policy context of HIV transmission and the design and implementation of HIV prevention policies during Rounds 1 and 6 of Global Fund grants (2003-2011).

 

Aids Quilt, West Ukraine (photo: S McGill)

Aids Quilt, West Ukraine © S McGill

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last modified 02/05/13

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