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Papers by Latifeh Dahmash

Research paper thumbnail of A Health System Under Siege: Ensuring Equity Across the Continuum of Care in the Occupied Palestinian Territories

The views expressed in this case study are those of the author and do not necessarily reflect the... more The views expressed in this case study are those of the author and do not necessarily reflect the official opinion of ISGlobal. "The population of Palestine has suffered incomparable hardship, injustice, discrimination, eviction, displacement, illegal settlements of Palestinian lands, isolation, war, and terror" (Rawaf et al, 2010) Since the onset of the second intifada-one of the 'longest and bloodiest episodes of the Israeli-Palestinian conflict' from 2000-2005, in which Work published under license from CreativeCommons. Attribution-NonCommercial-NoDerivs Design by Mucho.

Research paper thumbnail of Report of the 2018 annual meeting of the Asia Pacific Malaria Elimination Network Vector Control Working Group: harnessing skills and knowledge for malaria elimination across the Asia Pacific

Parasites & Vectors, 2021

The 2018 Asia Pacific Malaria Elimination Network’s Vector Control Working Group (APMEN VCWG) ann... more The 2018 Asia Pacific Malaria Elimination Network’s Vector Control Working Group (APMEN VCWG) annual meeting took place 3–5 September 2018 in Bangkok, Thailand. It was designed to be a forum for entomology and public health specialists from APMEN country programmes (over 90 participants from 30 countries) to discuss current progress and challenges related to planning, implementing, and sustaining effective vector control (VC) strategies for malaria elimination across the region, and to suggest practical and applicable solutions to these moving forward. The meeting was organised as a joint collaboration between the VCWG host institution—Faculty of Tropical Medicine, Mahidol University, Thailand—and leading partner institutions within the VCWG: Malaria Consortium and the Malaria Elimination Initiative at the University of California, San Francisco, Global Health Group (UCSF Global Health Group), under the leadership of the APMEN Director and VCWG Co-Chairs from ministries of health in...

Research paper thumbnail of Self-Care Activities among Patients with Type 2 Diabetes in Morocco: Prevalence and Determinants

Open Journal of Epidemiology, 2020

Background: Self-care is an important, though often neglected, area of type 2 diabetes management... more Background: Self-care is an important, though often neglected, area of type 2 diabetes management in lower and middle income countries (LMICs). In Morocco, whilst the evolution of the disease is increasing rapidly, evidence documenting disease self-care patterns remains scarce. Objectives: To estimate the prevalence of self-care activities among patients with type 2 diabetes in Morocco, and to identify the factors associated with good self-care practices. Methods: We performed a secondary analysis of data of 406 patients aged 30 years old and over, diagnosed with type 2 diabetes mellitus for at least 6 months. Self-care activities were assessed using the Moroccan version of the Summary of diabetes self-care activities. Studied factors included socio-demographics, disease features and healthcare use. Unadjusted and adjusted odds ratios were calculated using logistic regression. Results: Mean age was 55.8 ± 11.6 years old. Females represented 68.7% of the respondents. Mean estimates of the frequency of self-care practices exceeded 3.5 days per week for diet, exercise and foot-care; of these, good dietary behavior was the most prevalent (63.6%). In multivariate analysis, females displayed better dietary behavior (OR = 1.81 [1.27-2.58]), and less frequent foot care (OR = 1.81 [1.27-2.58]) than males. Lower levels of exercise were associated with being female (0.42 [0.26-0.68]), and belonging to the higher income category (0.55 [0.34-0.88]). Residents in rural areas also reported better exercise practices (1.72 [1.07-2.78]). Conclusion: This study draws attention to self-care practices and their determinants in the Moroccan context. Such findings should help in the design, implementation, and evaluation of self-management interventions for people with type 2 diabetes.

Research paper thumbnail of Short-term effectiveness of a culturally tailored educational intervention on foot self-care among type 2 diabetes patients in Morocco

Journal of Clinical & Translational Endocrinology, 2017

Background: Self-management education (SME) is an important yet unacknowledged aspect of diabetes... more Background: Self-management education (SME) is an important yet unacknowledged aspect of diabetes care. Despite the raise of diabetes and its complications with significant burden in developing countries, research on SME interventions in Morocco is lacking. Aims: To assess the effectiveness of a culturally tailored SME intervention on foot-care self-management practices among type 2 diabetes patients and to identify factors associated with practices variation. Methods: We designed a pre-post prospective quasi-experimental study and recruited patients with type 2 diabetes aged 30 years old or above. The intervention consisted of an interactive group discussion using different materials: a narrative video, a PowerPoint presentation and a printed guide. Foot-care practices were assessed prior to the session and one month later using 2 items from the Summary of Diabetes Self-Care Activities (SDSCA). Binary logistic regression was performed to identify factors associated with a favorable variation, defined as an increase in the mean frequency score of foot-care by a minimum of 1 day/week. Results: A total of 199 participants were recruited and 133 completed the second assessment. Mean age was 55.2 ± 11.2 years old. Women represented 67% and 72% of participants was illiterate. The foot-care score mean increased from 3.5 ± 2.9 days to 5.9 ± 1.8 days one month after the intervention (mean variation was 2.4 ± 3.1 days; p < 0.001). A favorable variation was found among 75 (37.7%) participants. In multivariate analysis, literacy was associated with higher likelihood of a favorable variation of footcare practices (OR = 2.82; 95%CI: 1.09-7.31) while previous education about diabetic foot was associated with lower likelihood of a favorable variation (OR = 0.26; 95%CI: 0.08-0.78). Conclusions: There was a general improvement in foot-care practices after the intervention. Our findings suggest the role of literacy and previous patient education in shaping the observed variation. Culturally tailored interventions targeting other disease management domains are needed in our context.

Research paper thumbnail of School-based preventive chemotherapy program for schistosomiasis and soil-transmitted helminth control in Angola: 6-year impact assessment

PLOS Neglected Tropical Diseases

Background A school preventive chemotherapy (PC) program for soil-transmitted helminths (STHs) an... more Background A school preventive chemotherapy (PC) program for soil-transmitted helminths (STHs) and schistosomiasis has operated in Huambo, Uige and Zaire provinces, Angola, since 2013 and 2014, respectively; complemented by a school water, sanitation and hygiene (WASH) program in a subset of schools from 2016. Conducted in 2021, this is the first impact assessment of the school program for the control of schistosomiasis and STHs. Methodology/Principal findings A two-stage cluster design was used to select schools and schoolchildren for parasitological and WASH surveys. The rapid diagnostic tests (RDTs), point of care circulating cathodic antigen (POC-CCA) and Hemastix, were used to estimate Schistosoma mansoni and Schistosoma haematobium prevalence, respectively. Kato Katz was used to detect STHs, and quantify STH and S. mansoni infections. Urine filtration was used to quantify S. haematobium infections. Prevalence, infection intensity, relative prevalence reduction and egg reductio...

Research paper thumbnail of A Health System Under Siege: Ensuring Equity Across the Continuum of Care in the Occupied Palestinian Territories

The views expressed in this case study are those of the author and do not necessarily reflect the... more The views expressed in this case study are those of the author and do not necessarily reflect the official opinion of ISGlobal. "The population of Palestine has suffered incomparable hardship, injustice, discrimination, eviction, displacement, illegal settlements of Palestinian lands, isolation, war, and terror" (Rawaf et al, 2010) Since the onset of the second intifada-one of the 'longest and bloodiest episodes of the Israeli-Palestinian conflict' from 2000-2005, in which Work published under license from CreativeCommons. Attribution-NonCommercial-NoDerivs Design by Mucho.

Research paper thumbnail of Report of the 2018 annual meeting of the Asia Pacific Malaria Elimination Network Vector Control Working Group: harnessing skills and knowledge for malaria elimination across the Asia Pacific

Parasites & Vectors, 2021

The 2018 Asia Pacific Malaria Elimination Network’s Vector Control Working Group (APMEN VCWG) ann... more The 2018 Asia Pacific Malaria Elimination Network’s Vector Control Working Group (APMEN VCWG) annual meeting took place 3–5 September 2018 in Bangkok, Thailand. It was designed to be a forum for entomology and public health specialists from APMEN country programmes (over 90 participants from 30 countries) to discuss current progress and challenges related to planning, implementing, and sustaining effective vector control (VC) strategies for malaria elimination across the region, and to suggest practical and applicable solutions to these moving forward. The meeting was organised as a joint collaboration between the VCWG host institution—Faculty of Tropical Medicine, Mahidol University, Thailand—and leading partner institutions within the VCWG: Malaria Consortium and the Malaria Elimination Initiative at the University of California, San Francisco, Global Health Group (UCSF Global Health Group), under the leadership of the APMEN Director and VCWG Co-Chairs from ministries of health in...

Research paper thumbnail of Self-Care Activities among Patients with Type 2 Diabetes in Morocco: Prevalence and Determinants

Open Journal of Epidemiology, 2020

Background: Self-care is an important, though often neglected, area of type 2 diabetes management... more Background: Self-care is an important, though often neglected, area of type 2 diabetes management in lower and middle income countries (LMICs). In Morocco, whilst the evolution of the disease is increasing rapidly, evidence documenting disease self-care patterns remains scarce. Objectives: To estimate the prevalence of self-care activities among patients with type 2 diabetes in Morocco, and to identify the factors associated with good self-care practices. Methods: We performed a secondary analysis of data of 406 patients aged 30 years old and over, diagnosed with type 2 diabetes mellitus for at least 6 months. Self-care activities were assessed using the Moroccan version of the Summary of diabetes self-care activities. Studied factors included socio-demographics, disease features and healthcare use. Unadjusted and adjusted odds ratios were calculated using logistic regression. Results: Mean age was 55.8 ± 11.6 years old. Females represented 68.7% of the respondents. Mean estimates of the frequency of self-care practices exceeded 3.5 days per week for diet, exercise and foot-care; of these, good dietary behavior was the most prevalent (63.6%). In multivariate analysis, females displayed better dietary behavior (OR = 1.81 [1.27-2.58]), and less frequent foot care (OR = 1.81 [1.27-2.58]) than males. Lower levels of exercise were associated with being female (0.42 [0.26-0.68]), and belonging to the higher income category (0.55 [0.34-0.88]). Residents in rural areas also reported better exercise practices (1.72 [1.07-2.78]). Conclusion: This study draws attention to self-care practices and their determinants in the Moroccan context. Such findings should help in the design, implementation, and evaluation of self-management interventions for people with type 2 diabetes.

Research paper thumbnail of Short-term effectiveness of a culturally tailored educational intervention on foot self-care among type 2 diabetes patients in Morocco

Journal of Clinical & Translational Endocrinology, 2017

Background: Self-management education (SME) is an important yet unacknowledged aspect of diabetes... more Background: Self-management education (SME) is an important yet unacknowledged aspect of diabetes care. Despite the raise of diabetes and its complications with significant burden in developing countries, research on SME interventions in Morocco is lacking. Aims: To assess the effectiveness of a culturally tailored SME intervention on foot-care self-management practices among type 2 diabetes patients and to identify factors associated with practices variation. Methods: We designed a pre-post prospective quasi-experimental study and recruited patients with type 2 diabetes aged 30 years old or above. The intervention consisted of an interactive group discussion using different materials: a narrative video, a PowerPoint presentation and a printed guide. Foot-care practices were assessed prior to the session and one month later using 2 items from the Summary of Diabetes Self-Care Activities (SDSCA). Binary logistic regression was performed to identify factors associated with a favorable variation, defined as an increase in the mean frequency score of foot-care by a minimum of 1 day/week. Results: A total of 199 participants were recruited and 133 completed the second assessment. Mean age was 55.2 ± 11.2 years old. Women represented 67% and 72% of participants was illiterate. The foot-care score mean increased from 3.5 ± 2.9 days to 5.9 ± 1.8 days one month after the intervention (mean variation was 2.4 ± 3.1 days; p < 0.001). A favorable variation was found among 75 (37.7%) participants. In multivariate analysis, literacy was associated with higher likelihood of a favorable variation of footcare practices (OR = 2.82; 95%CI: 1.09-7.31) while previous education about diabetic foot was associated with lower likelihood of a favorable variation (OR = 0.26; 95%CI: 0.08-0.78). Conclusions: There was a general improvement in foot-care practices after the intervention. Our findings suggest the role of literacy and previous patient education in shaping the observed variation. Culturally tailored interventions targeting other disease management domains are needed in our context.

Research paper thumbnail of School-based preventive chemotherapy program for schistosomiasis and soil-transmitted helminth control in Angola: 6-year impact assessment

PLOS Neglected Tropical Diseases

Background A school preventive chemotherapy (PC) program for soil-transmitted helminths (STHs) an... more Background A school preventive chemotherapy (PC) program for soil-transmitted helminths (STHs) and schistosomiasis has operated in Huambo, Uige and Zaire provinces, Angola, since 2013 and 2014, respectively; complemented by a school water, sanitation and hygiene (WASH) program in a subset of schools from 2016. Conducted in 2021, this is the first impact assessment of the school program for the control of schistosomiasis and STHs. Methodology/Principal findings A two-stage cluster design was used to select schools and schoolchildren for parasitological and WASH surveys. The rapid diagnostic tests (RDTs), point of care circulating cathodic antigen (POC-CCA) and Hemastix, were used to estimate Schistosoma mansoni and Schistosoma haematobium prevalence, respectively. Kato Katz was used to detect STHs, and quantify STH and S. mansoni infections. Urine filtration was used to quantify S. haematobium infections. Prevalence, infection intensity, relative prevalence reduction and egg reductio...