Shahzad Ali Khan

Health Services Academy · HEALTH SYSTEMS

Objectives The objective of this study was to determine the prevalence and correlates of early initiation of breast feeding and prelacteal feeding in highly disadvantaged districts in Pakistan. Design This cross-sectional study design. Settings This study was carried out in twelve districts of the Sindh province of Pakistan. Participants A total...

Late diagnosis of treatable breast cancer is the reason for higher breast cancer mortality. Until now, no public breast cancer facility has been established in the Islamabad Capital Territory. First, a Federal Breast Screening Center (FBSC) was established. Afterward, awareness campaigns about breast cancer were organized among the public. Subseque...

Objective: To examine the impact of 30-day hospital readmission for non-communicable diseases on limited health-care resources of a low-income country like Pakistan in the light of available data from Pakistan’s Sehat Sahulat Program. Study Design: Retrospective analytical cross-sectional study. Place and Duration of Study: Health Services Academ...

Background One of the global targets for non-communicable diseases is to reduce the prevalence of hypertension by 25% by year 2025. In Pakistan, prevalence of hypertension is reported to be 24.9% among males and in females the prevalence is 24.7%. The purpose of this study was to test the deliverability of a multicomponent based intervention for re...

Objective: To evaluate the general status and functioning of health information system (HIS) in district Nowshera. Methodology: An observational study was conducted in district Nowshera Khyber Pakhtunkhwa, Pakistan between June 2015-2016.The study population included all districts, health information system (HIS) health workers in Khyber Pakhtunkhw...

Background: Evidence indicates that mental health issues like depression, epilepsy, and substance misuse can be detected with reasonable accuracy in resource-poor settings. The Community Informant Detection Tool (CIDT) is one such approach used for detecting mental health problems, including depression. We adapted this community informant approach...

Background: Nursing is a Noble profession which is progressive and modernizing; As per need of the situation from a delivering baby and up to the dressing of injured it comes up with various specialties with high qualification of PhDs Nurses. The year 2019 was announced by the Honorable President of republic of Pakistan as Nurses year, keeping in v...

Background. Maternal Depression is global mental health and a public health priority. Despite the priority, its active detection is still a challenge. We tested the accuracy of an adapted version of the Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Methods. Using a single-stage design, trained c...

Objective To assess the improvement in the health information system in the district Nowshera by integrating the data reporting of the Expanded Program on Immunization (EPI) and Lady Health Worker (LHW) programs in the existing system. Methodology The study was conducted at district Nowshera and Swabi, Pakistan between May 2015 and May 2016 for a d...

To enable delivery of a multi-component intervention comprising of strategies based on Disease Control Priorities 3 rd edition for management of hypertension among hypertensive patients. The secondary objective is to test the feasibility, acceptability and adaptability of a multi-component intervention delivered at a tertiary level health-care faci...

Background: Global burden of cardiovascular diseases is alarming which is intricately linked with health literacy. To what extent improvement in health literacy can lower down cardiovascular diseases occurrence has not yet properly documented. This study focused on assessing the knowledge and existing lifestyle behavior about cardiac diseases amon...

Introduction: Diabetic guidelines are important tools to provide evidence based structured diabetic care. There are no national guidelines and it has been noted that diabetic care is suboptimal in Pakistan.The objective of our study was to identify various contextual barriers and propose possible solutions foroptimal diabetic guideline use by physi...

Objective: To study impact of dietary intervention and counseling on weight and anthropometric indices of obese females. Study Design: Prospective randomized controlled trial. Place and Duration of Study: This study was conducted at Pakistan Navy Ship (PNS) Shifa, from Feb 2014 to Sep 2014. Patients and Methods: Study subjects were 320 obese female...

Background: Family planning includes knowledge, services, attitude, policies and practices which enable individuals to decide whether they want to have child and allow them to avoid unwanted pregnancy. Pakistan with population of 195.390 million with estimated population growth rate as 1.89 is the sixth most populous country in the world. Our objec...

Background: Nursing is an important tier for the health care delivery system. Nurses are holding essential and largest part of health delivery system from direct care to management, performing many functions for the smooth operations of the health care delivery system. Nursing education ignored in Pakistan nowadays many nurses are being enrolled in...

Background: Acute Respiratory Infection (ARI) is an important cause of mortality and morbidity in children, especially in under-fives, it is necessary to explore its risk factors for better health of children. Methods: This study was a cross sectional study, conducted in the Federal Government Polyclinic Dispensary of G7/3-4, Islamabad on 104 under...

This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with m...

This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with m...

Background: The Patient Health Questionnaire (PHQ-9) possesses many characteristics of a good screening tool and has the capacity to be used for screening depression in patients with coronary artery disease (CAD). Aim: To examine the psychometric properties and criterion validity of the PHQ-9 to screen and detect depression in patients with CAD in...

Diabetes mellitus is a complex multisystem disease that requires high quality care. Clinical practice guidelines help physicians and patients make the best possible health care decisions and improve health care management of diabetic patients. These guidelines provide the norms for clinical management as well as monitoring of diabetes care. They ar...

Objective: To determine the prevalence of diabetes mellitus and its associated risk factors in urban population. Methods: The cross-sectional study was carried out at four union councils of Rawalpindi, Pakistan, from May to September 2014, and comprised members of the general public.A questionnaire was administered to obtain information about de...

Maternal under-nutrition is one of the most important causes of maternal morbidity and mortality, particularly in the developing countries. Maternal nutrition has direct association with foetal nutrition. This study aimed to identify dietary diversity and determine any relationship of dietary diversity with nutritional status of pregnant women belo...

Health of immigrants is challenge for any host country due to multiple reasons. Immigrants of Pakistani origin constitute a significant population in the USA and their population has doubled in last 10 years. This study was conducted to determine factors affecting health service utilization in the state of Maryland, USA. This was a descriptive stud...

Globally, a billion people cannot seek appropriate and timely healthcare because they are not covered under any social protection and health insurance system. Countries where government financing for health care is meagre, the situation is even worse. Pakistan with its slowly improving indicators of maternal and child health makes a classical case...