The Department of Community Health Sciences works in the area of public and population health sciences to advance health and wellbeing, thereby contributing to Aga Khan University’s vision of serving communities in the developing world and Muslim societies. It applies the University's values of Impact, Quality, Relevance and Access to Public ​Health Education, Research and Practice.​​​​​​​​

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Submissions from 2022

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Cohort profile: The center for cArdiometabolic risk reduction in South Asia (CARRS), Dimple Kondal, Shivani A. Patel, Mohammed K. Ali, Deepa Mohan, Garima Rautela, Unjali P. Gujral, Roopa Shivashankar, Ranjit Mohan Anjana, Ruby Gupta, and Muhammad Masood Kadir

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Anxiety levels in pregnant women related to COVID-19 vaccination and its effects on maternal and fetal health, visiting tertiary care hospitals of Karachi – a comparative cross-sectional study, Sohail Lakhani

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Medications for blood pressure, blood glucose, lipids, and anti-thrombotic medications: Relationship with cardiovascular disease and death in adults from 21 high-, middle-, and low-income countries with an elevated body mass index, Darryl P. Leong, Sumathy Rangarajan, Annika Rosengren, Aytekin Oguz, Khalid F. Alhabib, Paul Poirier, Rafael Diaz, Antonio L. Dans, Romaina Iqbal, and Afzalhussein M. Yusufali

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Are women with disabilities less likely to utilize essential maternal and reproductive health services?-A secondary analysis of Pakistan Demographic Health Survey, Shafaq Mahmood, Waqas Hameed, and Sameen Siddiqi

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Emergency preparedness and response- roles and contributions of the pharmacy system in tertiary care hospitals of Karachi, Joham Mansoor

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Association of traumatic brain injury of patients presenting to emergency departments with psychological distress of caregivers, Afshan Maqsood

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Readiness towards telemedicine services for diabetic patients in the private health facilities of Karachi Pakistan, Nawal Maredia

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The response to COVID-19 among drug retail outlets in Indonesia: A cross-sectional survey of knowledge, attitudes, and practices, Yusuf Ari Mashuri, Luh Putu Lila Wulandari, Mishal Khan, Astri Ferdiana, Ari Probandari, Tri Wibawa, Neha Batura, Marco Liverani, Richard Day, and Stephen Jan

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The causes of stillbirths in south Asia: Results from a prospective study in India and Pakistan (PURPOSe), Elizabeth M. McClure, Sarah Saleem, Shivaprasad S. Goudar, Shiyam Sunder Tikmani, Sangappa M. Dhaded, Kay Hwang, Gowdar Guruprasad, Dhananjaya Shobha, Sana Roujani, and Sayyeda Reza

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Improving the throughput of emergency department a modelling and simulation study, Asma Mehmood Mughal

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Gutka consumption and dietary partialities explaining anemia in women of a coastal slum of Karachi, Pakistan: A mixed-method study, Ameer Muhammad, Sarah Saleem, Daniyaal Ahmad, Eleze Tariq, and Yasir Shafiq

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Contemporary prevalence of byssinosis in low- and middle-income countries: A systematic review, Asaad A. Nafees, Sara De Matteis, Peter Burney, and Paul Cullinan

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Knowledge, attitude and practices of pregnant women related to COVID-19 infection: A cross-sectional survey in seven countries from the global network for women's and children's health, Farnaz Naqvi, Seemab Naqvi, Sk Masum Billah, Sarah Saleem, Elizabeth Fogleman, Nalini Peres da-Silva, Lester Figueroa, Manolo Mazariegos, Ana L. Garces, and Sana Yousaf

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Health care in pregnancy during the COVID-19 pandemic and pregnancy outcomes in six low-and-middle-income countries: Evidence from a prospective, observational registry of the global network for women's and children's health, Seemab Naqvi, Farnaz Naqvi, Sarah Saleem, Vanessa R. Thorsten, Lester Figueroa, Manolo Mazariegos, Ana Garces, Archana Patel, Prabir Das, and Sana Yousuf

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Knowledge, attitudes, and practices of pregnant women regarding COVID-19 vaccination in pregnancy in 7 low- and middle-income countries: An observational trial from the Global Network for Women and Children's Health Research, Seemab Naqvi, Sarah Saleem, Farnaz Naqvi, Sk Masum Billah, Eleanor Nielsen, Elizabeth Fogleman, Nalini Peres-da-Silva, Lester Figueroa, Manolo Mazariegos, and Sana Yousuf

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074 Perceptions, challenges, and experiences of healthcare providers in emergency departments regarding workplace violence during the COVID-19 pandemic: An exploratory qualitative study from an LMIC (a qualitative study protocol), Maleeha Naseem, Hajra Arshad, Sarah Ashraf, Seemin Jamali, and Asad Mian

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Perceptions, challenges and experiences of frontline healthcare providers in emergency departments regarding workplace violence during the COVID-19 pandemic: A protocol for an exploratory qualitative study from an LMIC, Maleeha Naseem, Anam Feroz, Hajra Arshad, Sarah Ashraf, Muhammad Asim, Seemin Jamali, and Asad Mian

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Direct and indirect effect of 10 valent pneumococcal vaccine on nasopharyngeal carriage in children under two years of age in a rural population in Matiari, Pakistan, Muhammad Imran Nisar

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Intimate-partner violence and its association with symptoms of depression, perceived health, and quality of life in the Himalayan mountain villages of Gilgit Baltistan, Gul Nowshad, Neelum Jahan, Nasim Zahid Shah, Nasloon Ali, Tazeen Saeed Ali, Sartaj Alam, Ambreen Khan, Mohammad Afzal Mahmood, Malika Saba, and Syed M. Shah

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Examining maternal morbidity across a spectrum of delivery locations: An analysis of the Global Network's Maternal and Neonatal Health Registry, Austin Oberlin, Jacqueline Wallace, Janet L. Moore, Sarah Saleem, Adrien Lokangaka, Antoinette Tshefu, Melissa Bauserman, Lester Figueroa, Nancy F. Krebs, and Fabian Esamai

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Factors associated with bifidobacteria infantis colonization in Pakistani infants: Analysis of the mumta trial, Aneela Pasha

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The global network socioeconomic status index as a predictor of stillbirths, perinatal mortality, and neonatal mortality in rural communities in low and lower middle income country sites of the global network for women's and children's health research, Archana B. Patel, Carla M. Bann, Cherryl S. Kolhe, Adrien Lokangaka, Antoinette Tshefu, Melissa Bauserman, Lester Figueroa, Nancy F. Krebs, Fabian Esamai, and Sarah Saleem

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Gaps in hygiene promotion at schools in Pakistan: Qualitative descriptive research, Nousheen Akber Pradhan, Fatima Haider, Umerdad Khudadad, Muhammad Asim, Asma Akbar Ladak, Iqbal Shagufta, Areesh Mevawalla, Uswah Siddiqi, Tazeen Saeed Ali, and Rozina Karmaliani

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Quality of care assessment for small and sick newborns and young infants in Pakistan: Findings from a cross-sectional study, Nousheen Pradhan, Sumera Aziz Ali, Sana Roujani, Ammarah Ali, Syed Shujaat Hussain, Samia Rizwan, Shabina Ariff, Sarah Saleem, and Sameen Siddiqi

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Exploring antibiotic prescription & perceptions about antibiotic stewardship practices in dental care, Warisha Qamar

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Gender-specific psychological and social impact of COVID-19 in Pakistan, Fauziah Rabbani, Hyder Ali Khan, Suneel Piryani, Areeba Raza Khan, and Fahad Abid

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Association of respiratory symptoms and lung function with occupation in the multinational Burden of Obstructive Lung Disease (BOLD) study, Jate Ratanachina, Andre F S Amara, Sara De Matteis, Herve Lawin, Kevin Mortimer, Daniel O. Obaseki, Imed Harrabi, Meriam Denguezli, Emiel F M Wouters, and Asaad Ahmed Nafees

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Estimating the pre- and post-diagnosis costs of tuberculosis for adults in Pakistan: Household economic impact and costs mitigating strategies, Shama Razzaq, Aysha Zahidie, and Zafar Fatmi

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Esophageal carcinoma and associated risk factors: A case-control study in two tertiary care hospitals of Kabul, Afghanistan, Ramin Saadaat, Jamshid Abdul-Ghafar, Ahmed Maseh Haidary, Nooria Atta, and Tazeen Saeed Ali

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Factors associated with home delivery in rural Sindh, Pakistan: Results from the global network birth registry, Afreen Sadia, Shafaq Mahmood, Farnaz Naqvi, Seemab Naqvi, Zahid Soomro, and Sarah Saleem

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Pediatric appendicitis score for identifying acute appendicitis in children presenting with acute abdominal pain to the emergency department, Syed Maaz Salahuddin, Omair Ayaz, Mehtab Q. Jaffer, Rubaba Naeem, Shiyam Sunder Tikmani, and Asad I. Mian

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Association between anxiety and socioeconomic status in post-myocardial infarction patients: A cross-sectional study, Sonia Sameen

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Variations in risks from smoking between high-income, middle-income, and low-income countries: an analysis of data from 179 000 participants from 63 countries, Thirunavukkarasu Sathish, Koon K. Teo, Philip Britz McKibbin, Biban Gill, Shofiqul Islam, Guillaume Paré, Sumathy Rangarajan, MyLinh Duong, Fernando Lanas, and Romaina Iqbal

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Experiences of healthcare providers regarding workplace harassment in Gilgit district, Pakistan, Fatima Shah

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Rabies control strategies-community and stakeholders’ perspective, Anum Shaikh

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Time for reintroducing HPV vaccine in Pakistan for primary prevention of cervical cancer, Uzma Shamsi, Afshan Anwar, and Zainab Samad

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Documenting response to COVID-individual and systems successes and challenges: A longitudinal qualitative study, Natasha Shaukat, Daniyal Mansoor Ali, Rubina Barolia, Butool Hisam, Sheza Hassan, Badar Afzal Khan, Abdus Salam Khan, Meher Angez, and Junaid Razzak

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Multinational prediction of household and personal exposure to fine particulate matter (PM2.5) in the PURE cohort study, Matthew Shupler, Perry Hystad, Aaron Birch, Yen Li Chu, Matthew Jeronimo, Daniel Miller-Lionberg, Paul Gustafson, Rehman Khawaja, Romaina Iqbal, and khawar Kazmi

Making health systems work in low and middle income countries: Textbook for public health practitioners, Sameen Siddiqi, Awad Mataria, Katherine D. Rouleau, and Meesha Iqbal

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The importance of community midwives in Pakistan: Looking at existing evidence and their need during the COVID-19 pandemic, Deena Siddiqui and Tazeen Saeed Ali

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Behavioural support and nicotine replacement therapy for smokeless tobacco cessation: Protocol for a pilot randomised-controlled multi-country trial, Faraz Siddiqui, Linda Bauld, Ray Croucher, Cath Jackson, Ian Kellar, Mona Kanaan, Subhash Pokhrel, Rumana Huque, Romaina Iqbal, and Javaid Ahmed Khan

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Validation of a screening tool to rule out pulmonary TB in adults coming to a private tertiary care hospital, Sumaiya Siddiqui

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Young people living with HIV (YPLH)’s experiences on healthcare access in Karachi: A phenomenological study, Sarmad Muhammad Soomar

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Understanding the human factors involved in trauma resuscitation dynamics among trauma team members of a level-1 trauma center in a developing country – a mixed-methods study, Tanveer Tajuddin

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Longitudinal reduction in diversity of maternal gut microbiota during pregnancy is observed in multiple low-resource settings: Results from the women first trial, Minghua Tang, Nicholas E. Weaver, Daniel N. Frank, Diana Ir, Charles E. Robertson, Jennifer F. Kemp, Jamie Westcott, Kartik Shankar, Sumera Aziz Ali, and Sarah Saleem

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Assessment of the community’s readiness for imparting life skills based education to adolescent girls for sexual and reproductive health and rights in Quetta, Baluchistan., Maria Ali Tareen

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The extent of unofficial out-of-pocket payments in a public hospital, Karachi. A cross-sectional study, Muhammad Imran Usmani

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COVID-19 and nursing education: Challenges and prospects, Farzana Vadsaria and Khadija Vadsaria

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Determinant of repeat revascularization within 5 years of percutaneous coronary lntervention at a tertiary care hospital, Karachi: A matched case-control study, Komal Valliani, Azmina Artani, Iqbal Azam, Javed Tai, and M. Masood Kadir

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Performance of Serum β2-Microglobulin- and β-Trace Protein-Based panel markers and 2021 Creatinine- and Cystatin-Based GFR estimating equations in Pakistan, Yeli Wang, Andrew S. Levey, Lesley A. Inker, Saleem Jessani, Rasool Bux, Zainab Samad, Sonia Yaqub, Amy B. Karger, John C. Allen, and Tazeen Jafar

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Personal and household PM 2.5 and black carbon exposure measures and respiratory symptoms in 8 low- and middle-income countries, Ying Wang, Matthew Shupler, Aaron Birch, Yen Li Chu, Matthew Jeronimo, Sumathy Rangarajan, Maha Mustaha, Rehman Khawaja, Romaina Iqbal, and Khawar Kazmi

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Governing global antimicrobial resistance: 6 key lessons from the Paris climate agreement, Isaac Weldon, Susan Rogers Van Katwyk, Gian Luca Burci, Dr Giur, Thana C de Campos, Mark Eccleston-Turner, Helen R. Fryer, Alberto Giubilini, Thomas Hale, and Shehla Zaidi

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Risk factors associated with complications of coronary angiography at a tertiary care hospital in Karachi, Pakistan, Adnan Yaqoob, Tazeen Saeed Ali, Rubina Barolia, and Fauzia Basaria Hasnani

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Post trauma stress disorder amongst oral and maxillofacial surgeons., Tooba Zafar

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Determinants of postnatal care service utilization in district Thatta; A cross-sectional study, Ghulam Zainab

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Availability of essential diagnostic tests for communicable diseases at public hospital laboratories of Karachi and the challenges in its implementation, Syed Mohammad Zeeshan

Theses/Dissertations from 2021

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Radiographic detection of pneumothorax in trauma victims by machine learning tool and validation of machine learning tool with radiologist & emergency physician, A cross sectional study., Ayesha Abbasi

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Overcoming the challenges of community-engaged emergency referrals in a rural district of Pakistan, Imran Naeem Abbasi and Sameen Siddiqi

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Assessment of macronutrients consumption in the diet of adolescent school children in four seasons: A longitudinal study from an urban city in Pakistan, Syed Hasan Raza Abidi, Aysha Almas, Abdul Ghani, Sania Sabir, and Romaina Iqbal

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Variations in regulations to control standards for training and licensing of physicians: A multi-country comparison, Wafa Aftab, Mishal Khan, Sonia Rego, Nishant Chavan, Afifah Rahman-Shepherd, Isha Sharma, Shishi Wu, Zahra Zeinali, Rumina Hasan, and Sameen Siddiqi

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Does supportive supervision intervention improve community health worker knowledge and practices for community management of childhood diarrhea and pneumonia? Lessons for scale-up from Nigraan and Nigraan plus trials in Pakistan, Wafa Aftab, Suneel Piryani, and Fauziah Rabbani

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Influence of intrauterine growth status on aortic intima-media thickness and aortic diameter in near-term fetuses: A comparative cross-sectional study, Zohaib Akhter, Rozina Nuruddin, Syed Iqbal Azam, Ayesha Malik, and Nuruddin Badruddin Mohammed

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Validation of KAP (knowledge, attitude, and perceptions) tool on advance directives and end of life decisions in adult population coming to tertiary care hospitals of Karachi, Pakistan., Areeza Ashiq Ali

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Cardiopulmonary resuscitation (CPR) training strategies in the times of COVID-19: A systematic literature review comparing different training methodologies, Daniyal Mansoor Ali, Butool Hisam, Natasha Shaukat, Mirza Noor Ali Baig, Marcus Eng Hock Ong, Jonathan L. Epstein, Eric Goralnick, Paul D. Kivela, Bryan McNally, and Junaid Razzak

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Patients’ preferences for tooth extraction versus manual and rotary endodontic treatment in Karachi, Pakistan: A willingness-to-pay study, Faiza Ali

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Longitudinal association between parental-to-child-maltreatment and self-reported generalized anxiety disorder symptoms in Pakistani adolescents, Maryam Pyar Ali Lakhdir, Ghazal Peerwani, Salman Muhammad Soomar, Apsara Ali, Salima Farooq, Naureen Akber Ali, Asif Khaliq, Muhammad Masood Kadir, and Syed Iqbal Azam

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Association of menstrual hygiene management with school absenteeism among adolescent schoolgirls in rural areas of district Sujawal: A cross sectional study, Qammerulnisa Qasim Ali

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Mental wellbeing of COVID-19 survivors in Karachi, Pakistan: An exploratory case study, Salima Shaban Ali

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Perceptions of women, their husbands and healthcare providers about anemia in rural Pakistan: Findings from a qualitative exploratory study, Sumera Aziz Ali, Anam Shahil Feroz, Zahid Abbasi, Savera Aziz Ali, Ahreen Allana, K Michael Hambidge, Nancy F. Krebs, Jamie E. Westcott, Elizabeth M. McClure, Robert L. Goldenberg, and Sarah Saleem

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Intimate partner violence against women: A comprehensive depiction of Pakistani literature, Tazeen Saeed Ali, Rozina Karmaliani, Rida Farhan, Syeda Hussain, and Fatima Jawad

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Association of stunting among children under 5 years with maternal education and empowerment: PDHS 2017-18, Neyama Alladin

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Chronic airflow obstruction and ambient particulate air pollution, Andre F S. Amaral, Peter G J. Burney, Jaymini Patel, Cosetta Minelli, Filip Mejza, David M. Mannino, Terence A R. Seemungal, Padukudru Anand Mahesh, Li Cher Lo, and Asaad Ahmed Nafees

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We won't go there: Barriers to accessing maternal and newborn care in district Thatta, Pakistan, Muhammad Asim, Sarah Saleem, Zarak Hussain Ahmed, Imran Naeem Abbasi, Farina Abrejo, Zafar Fatmi, and Sameen Siddiqi

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The integration of family planning services with other MNCH services in public facilities, district Quetta, Balochistan: A mixed-method research, Shabana Majeed Baloch

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Evaluation of radiology request forms in a tertiary care hospital: An audit with a focus on the impact of technological intervention, Muhammad Danish Barakzai, Zara Za Sheer, Muhammad Azeemuddin, Amna Alvi, Noman Khan, Waseem M. Nizamani, Madiha Beg, and Saad Siddiqui

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Readiness of suicide prevention among faculty advisors of a private university in Karachi, Sahaar Bashir

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Gestational weight gain in 4 low- and middle-income countries and associations with birth outcomes: A secondary analysis of the women first trial, Melissa S. Bauserman, Carla M. Bann, K Michael Hambidge, Ana L. Garces, Lester Figueroa, Jamie L. Westcott, Jackie K. Patterson, Elizabeth M. McClure, Sumera Ali Aziz, and Sarah Saleem

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Frequency of primiparous mother initiated breastfeeding earlier after birth and factors associated with it in Sindh, Pakistan: A secondary analysis, Asma A. Bham, Sucheta Sharma, Akash Sardool, Umer F. Mujahid, Amrat Ayaz, Komal Valliani, and Nawaal Maredia

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Beyond the numbers: Understanding the diversity of covid-19 epidemiology and response in south Asia, Zulfiqar Ahmed Bhutta, Sameen Siddiqi, Assad Hafeez, Muhammad Islam, Samiran Nundy, Firdausi Qadri, and Faisal Sultan

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Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit- Pakistan: A community-based case control study., Fazila Bibi

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Cost estimation alongside a multi-regional, multi-country randomized trial of antenatal ultrasound in five low-and-middle-income countries, B W. Bresnahan, E Vodicka, J B. Babigumira, Ashar Muhammad Malik, F Yego, A Lokangaka, B M. Chitah, Z Bauer, H Chavez, and Sarah Saleem

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Work-related musculoskeletal disorder among surgery trainees working in Aga Khan university hospital Karachi Pakistan cross-sectional study., Ume-e-Aiman Chhipa

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Task sharing of injectable contraception services in Pakistan: A randomized controlled trial, Dawn S. Chin-Quee, Farina Abrejo, Mario Chen, Talib Lashari, Patrick Olsen, Zaheer Habib, Xiaoming Gao, Fauzia Assad, Farid Midhet, and Sarah Saleem

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Improving antibiotic use through behaviour change: A systematic review of interventions evaluated in low- and middle-income countries, Carla Cuevas, Neha Batura, Luh Putu Lila Wulandari, Mishal Khan, and Virginia Wiseman

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Anal human papillomavirus infection among men who have sex with men and transgender women living with and without HIV in Pakistan: Findings from a cross-sectional study, Muslima Ejaz, Soren Andersson, Salma Batool, Tazeen Saeed Ali, and Anna Mia Ekström

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Human papillomavirus-associated anal squamous intraepithelial lesions in men who have sex with men and transgender women living with and without HIV in Karachi Pakistan: Implications for screening and prevention, Muslima Ejaz, Muhammad Mubarak, Tazeen Saeed Ali, Sören Andersson, and Anna Mia Ekström

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Quality assessment of clinical nutrition services in tertiary care hospitals of Karachi, a mixed method study, Hira Farooq

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Building better tuberculosis control systems in a post-COVID world: Learning from Pakistan during the COVID-19 pandemic, Razia Fatima, Nasim Akhtar, Aashifa Yaqoob, Anthony D. Harries, and Mishal S. Khan

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Effect of a multicomponent intervention on antihypertensive medication intensification in rural south Asia: Post hoc analysis of a cluster RCT, Liang Feng, Imtiaz Jehan, Asita de Silva, Aliya Naheed, Aamir Hameed Khan, Anuradhani Kasturiratne, John D. Clemens, Ching Wee Lim, Alun D. Hughes, and Tazeen H. Jafar

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Community pharmacies, drug stores, and antibiotic dispensing in Indonesia: A qualitative study, Astri Ferdiana, Marco Liverani, Mishal Khan, Luh Putu Lila Wulandari, Yusuf Ari Mashuri, Neha Batura, Tri Wibawa, Shunmay Yeung, Richard Day, Stephen Jan, Virginia Wiseman, and Ari Probandari

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Exploring community perceptions, attitudes and practices regarding the COVID-19 pandemic in Karachi, Pakistan, Anam Shahil Feroz, Naureen Akber Ali, Ridah Feroz, Noshaba Akber, and Salima Nazim Meghani

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Using mobile phones to improve young people sexual and reproductive health in low and middle-income countries: A systematic review to identify barriers, facilitators, and range of mHealth solutions, Anam Shahil Feroz, Naureen Akber Ali, Adeel Khoja, Armish Asad, and Sarah Saleem

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Equipping community health workers with digital tools for pandemic response in LMICs, Anam Shahil Feroz, Adeel Khoja, and Sarah Saleem

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Perceptions and experiences of healthcare providers during COVID-19 pandemic in Karachi, Pakistan: An exploratory qualitative study, Anam Shahil Feroz, Nousheen Pradhan, Zarak Hussain Ahmed, Mashal Murad Shah, Nargis Asad, Sarah Saleem, and Sameen Siddiqi

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Exploring digital health interventions to support community health workers in low-and-middle-income countries during the COVID-19 pandemic: A scoping review protocol, Anam Shahil Feroz, Komal Valliani, Hajra Khwaja, and Sehrish Karim

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Budget impact and cost-effectiveness analyses of the COBRA-BPS multicomponent hypertension management programme in rural communities in Bangladesh, Pakistan, and Sri Lanka, Eric A. Finkelstein, Anirudh Krishnan, Aliya Naheed, Imtiaz Jehan, H Asita de Silva, Mihir Gandhi, Ching Wee Lim, Jehanzeb Khan, Samina Hirani, and Tazeen H. Jafar

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Adolescent health in the sustainable development goal era: Are we aligned for multisectoral action?, Asha George, Tanya Jacobs, Rajani Ved, Troy Jacobs, Kumanan Rasanathan, and Shehla Zaidi

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COVID-19, community trials, and inclusion, Paramjit S. Gill, Shoba Poduval, Jarnail S. Thakur, and Romaina Iqbal

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Preventability of stillbirths: Context matters, Robert L. Goldenberg, Sarah Saleem, Shivaprasad S. Goudar, Gowdar Guruprasad, Shiyam Sunder Tikmani, and Elizabeth M. McClure

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Preventable stillbirths in India and Pakistan: A prospective, observational study, Robert L. Goldenberg, Sarah Saleem, Shivaprasad S. Goudar, Robert M. Silver, Shiyam Sunder Tikmani, Gowdar Guruprasad, Sangappa M. Dhaded, Haleema Yasmin, Khadija Bano, and Manjunath S. Somannavar