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Khadija Abbas, M.Sc., Adnan Ahmad Khan, MBBS, MS, Ayesha Khan, MBBS, MPH
The public sector provides a third of family planning (FP) services in Pakistan. However, these services are viewed as being underutilized and expensive. We explored the utilization patterns and costs of FP services in the public sector.
Adnan Ahmad Khan, Momina Saleem, Huma Qureshi, Rashid Jooma, Ayesha Khan
To determine the extent of shortfall in syringes by measuring the need from nationally validated
sources and comparing it with position on the supply side. This was done in order to contribute to the ongoing national discussions that have focused on increasing syringe supply to curtail syringe reuse.
S. Ahmad, J. Mehmood, A.B. Awan, S.T. Zafar, K. Khoshnood and A.A. Khan
An estimated 21% of injection drug users (IDUs) in Pakistan are HIV-positive and data suggest that the spouses of IDUs may be a critical component of the HIV transmission chain. This study interviewed 101 spouses of male IDUs about their sexual practices and drug use.
Adnan Ahmad Khan, Naghma-e-Rehan, Kanwal Qayyum, Ayesha Khan
To estimate the frequency of Sexually Transmitted Infections (STIs) among sex workers and drug users in Pakistan. Interviews were conducted on 3640 sex workers, injection drug users and truckers about STI symptoms within the past year and currently and the care they sought for them.
Rashid Jooma, Adnan A. Khan
Many countries that prospered in the later half of the 20th century did so only once their populations stabilized.1 This is logical since limited resources can only be stretched so far and because strategizing for development and growth is difficult, particularly if the growth targets keep moving further away.
Adnan Ahmad Khan, MBBS, MS, Ayesha Khan, MBBS, MPH, Wajiha Javed, MBBS, MSc, Hasan Bin Hamza, MBBS, MSc, Mejzgaan Orakzai, MSc, Aliya Ansari, MSc, Khadija Abbas, MSc
Despite six decades of government and private sector programs, CPR in Pakistan is among the lowest in the region. This article reviews published and grey literature to understand why despite sufficient time and usually sufficient funding, CPR remains low in Pakistan.
Syed Khurram Azmat, MBBS, MPH, Shirin Ahmed, BA, Waqas Hameed, MSc, Mohsina Bilgrami, MBBS, Ayesha Khan, MBBS, MPH, Adnan Ahmad Khan, MBBS, MS, Ghulam Mustafa MSc
Community-based distribution (CBD) has been successfully applied to family planning (FP) services worldwide. It forms the basis for the large lady health worker (LHW) programme in Pakistan which serves a limited number of women with contraception services.
A A Khan MBBS MS, N Rehan MBBS MSc, K Qayyum M Phil and A Khan MBBS MPH
This study explored the role of Hijras (male transgenders) as a core group in Pakistan’s HIV epidemic. Four hundred and nine Hijras underwent detailed behavioural and biological assessment. Our subjects were young (median age: 24 years), debuted sex early and used alcohol and drugs. Sex with men, women and other Hijras along with co-habitation/marriagewere reported.
Shirin Ahmed, BA, Ayesha Khan, MBBS, MPH, Adnan Ahmad Khan, MBBS, MS
With the contraceptive prevalence rate (CPR) at 30% in 2006-7, the rates of contraception use among married women of reproductive age (MWRA) in Pakistan are among the lowest in the region. This paper explores some options of unmet need as a means of addressing the low CPR.
Shirin Ahmed, Adnan A. Khan, Ayesha Khan
The total health care expenditure in Pakistan is Rs 185 billion (USD 3.08 billion), of which the private sector spends Rs 121 million and public sector spends Rs 59.5 million (1). This spending which comes to around 2.2% of the GDP or around USD 19 per head annually is among the lowest in the region. The government’s share of this whole is around 0.6-0.7% of the GDP (2) and has largely remained unchanged over the years due fiscal and political constraints.
R. Jooma, A. Khan and A.A. Khan
The world is facing an unprecedented global economic crisis, with many countries needing to reconsider their level of health care spending. This paper explores the many consequences of the global economic turndown on Pakistan’s health, including reduced government and donor spending and increased poverty with the consequent diversion of funds away from health.
Adnan Ahmad Khan, Arshad Altaf, Huma Qureshi, Mejzgaan Orakzai1 and Ayesha Khan
Frequent reuse of syringes during medical injections is fuelling epidemics of human immunodeficiency virus and hepatitis C virus infections in many low- and middle-income countries including Pakistan
Adnan A. Khan, M.D., Ayesha Khan, M.D. Jaroslaw Harezlak, M.S., Wanzhu TU, PH.D. Kurt Kroenke, M.D.
Although somatic complaints are the predominant reason for seeking general medical care, their etiology and prognosis remain poorly understood. In a random sample of the records of all patients visiting an urban primary care clinic during four 1-month periods, 289 patients had one or more somatic symptoms, a total of 433 symptoms
Adnan Ahmad Khan, MBBS, MS, Ayesha Khan, MBBS, MPH, Khadija Abbas, MSc, Syed Farhan Ali Tirmizi, MBBS, MSc,1 Zia ul Islam, MA
Female sterilization has long been the most popular method of family planning (FP) in Pakistan, and yet most public health experts feel it contributes little to controlling family size or to population welfare.
Adnan Ahmad Khan, Ayesha Khan
To explore the healthcare providers perspectives in the management of sexually transmitted infections. The mixed-method qualitative study done in 2008 involved 51 general practitioners and specialists who are known among peers for managing sexually transmitted infections.
Ayesha Khan, MD, J. Dennis Fortenberry, MD, MS, Beth E. Juliar, MS, Wanzhu TU, PHD, Donald P. Orr, MD, And Byron E. Batteiger, MD
Treatment of sex partners by patient-delivered partner therapy (PDPT) may prove to be an effective strategy in reducing reinfection and preventing the sequelae of sexually transmitted infections (STIs). However, limited data exists regarding STIs within sexual partnerships (dyads).
Adnan Ahmad Khan, Ayesha Khan, Huma Qureshi
Madam, Phuping, et al1 identifieda lack of skills, resources and knowledge as core limitations to research productivity in Thailand. Their findings differ from what we, along with the Ministry of Health, Pakistan and the WHO found in 2009, as part of national consultation to develop a National Strategy for Health Research.