Showing posts with label Prof Zulfiqar Bhutta. Show all posts
Showing posts with label Prof Zulfiqar Bhutta. Show all posts

Thursday, November 17, 2016

Prof Zulfiqar Bhutta wins 2016 TWAS award

By Abdul Qadir Qureshi
(Pakistan News & Features Services)

Professor Zulfiqar A Bhutta has been honoured with The World Academy of Sciences 2016 TWAS Prize in medical sciences, in recognition of his “incisive work on academic paediatrics and public health in Pakistan, which has contributed to shape global child health and policy”.

TWAS Prizes are in nine fields and this year 10 winners were announced at the Academy's 27th General Meeting in Kigali, Rwanda. 

So far only three prizes have been given to Pakistani scientists, one each in agriculture and biological sciences previously, since its inception in 1983. 

Each year, TWAS awards prizes worth US$15,000 each to individual scientists from developing countries in recognition of their outstanding contributions to scientific knowledge, and to the application of science and technology to sustainable development. 

The award is given to those who have been working and living in a developing country for at least 10 years. The prizes are given in nine fields ranging from agricultural sciences, biology, chemistry, earth sciences, engineering sciences, mathematics, physics, social sciences to medical sciences. 

This year there were 10 prize winners: two each from Brazil, China and India; and one each from Chile, Mexico, Turkey and Pakistan. The winners will present a lecture on their research at TWAS’s 28th General Meeting in 2017, when they will also receive a plaque and the prize money. Prof Zulfiqar Bhutta’s nomination was made by the Pakistan Academy of Sciences. 

“I am deeply conscious of the fact that my contributions have largely been possible because of the phenomenal team of young people that I work with, and the opportunity for scholarship and research that my peers and mentors provided me,” the award-winning professor remarked. 

He has had a 30-year long academic career at the University and the global impact of his work has seen him take up prominent positions at leading universities in Canada, the UK and the United States. 

An expert on nutrition, newborn and child survival, and micronutrient deficiencies, Prof Zulfiqar Bhutta is one of the most cited health sciences scholars from the developing world. 

He has published 8 books, 88 book chapters, and over 725 indexed publications to date, including 145 in the world’s leading journal The Lancet alone. At the launch of the new Global Strategy for Women’s, Children’s and Adolescents’ Health in September last year, he had represented AKU which has pledged to invest more than US$85 million over the next decade in support of the Global Strategy. 

In December 2015, he was presented with the prestigious Turkish award, the 2015 International TÜBA Academy Prize, in health and life sciences. 

The President of Pakistan has also conferred the Pride of Performance Award on Prof Zulfiqar Bhutta, in recognition of his major contributions in the field of healthcare education.

Friday, September 23, 2016

Pakistan ranks 149/188 on SDG index

By Abdul Qadir Qureshi
(Pakistan News & Features Services)

The Global Burden of Disease Study, the first global analysis that assesses the United Nations’ health-related Sustainable Development Goals (SDGs) in 188 countries, has ranked Pakistan at 149.

Launched at a special event at the UN General Assembly in New York and published in The Lancet, the analysis assesses countries by creating an overall index score on a scale of zero to 100. 

Pakistan shares the score of 38 with Bangladesh and Mauritania, six places behind India and way behind Iran. 

“These analyses are critically important for Pakistan, where limited data make the transition from MDGs to the SDGs even more challenging. These data allow the country to set a baseline based on recent performance and also set a trajectory for achieving the health and health-related SDGs,” Professor Zulfiqar Bhutta, Founding Director of the Aga Khan University’s Centre of Excellence in Women and Child Health, Co-Director of the SickKids Centre for Global Child Health, and co-author of the study, remarked. 

The analysis showed that expanded health coverage, greater access to family planning, and fewer deaths of newborns and children under the age of five were among several health improvements contributing to progress toward achieving SDGs. However, hepatitis B, childhood obesity, violence and alcohol consumption have worsened. 

Iceland ranks the first at 85 with the United Kingdom and Canada among top 10 at 82 and 81 respectively. With a score of 26, Afghanistan is among the bottom 10; the Central African Republic being the lowest at 20. Kenya’s SDG index score increased between 2000 and 2015, from 33 to 40. 

The prevalence of childhood stunting there dropped as a percentage of the population from 39 per cent in 2000 to 26 per cent in 2015. 

One potential driver of the decrease in stunting in the country is the concurrent increase in access to health services. In 2015, 70 per cent of Kenyans who needed an essential health intervention received it, in contrast to just 32 per cent in 2000. 

The researchers note that these gains will need to be sustained, and in many cases accelerated, to achieve the ambitious SDG targets. The findings also highlight the importance of income, education and birth rates as drivers of health improvement and that the investments in those areas alone will not be sufficient. 

“We know that international targets can motivate countries and motivate donors. The international Global Burden of Disease collaboration is committed to providing an independent assessment of progress toward the Sustainable Development Goals,” Dr Christopher Murray, Director of the Institute for Health Metrics and Evaluation at the University of Washington, which led the study, noted. 

The proportion of countries that have accomplished individual targets varies greatly. For example, more than 60 per cent of the 188 countries studied shows maternal mortality rates below 70 deaths per 100,000 live births, effectively hitting the SDG target. In contrast, no nation has reached the objective to end childhood overweight or to fully eliminate infectious diseases like HIV or tuberculosis. 

“We have concrete examples of countries making important progress on a range of health-related SDG indicators. We now need to look to those countries that have seen strong progress to find out what they are doing right and how it can be applied more broadly,” Dr Stephen Lim, Professor of Global Health at IHME and lead author of the study, pointed out. 

As part of its activities to support SDGs, the AKU has pledged to invest more than US$ 85 million over the next decade in support of the Global Strategy for Women’s, Children’s and Adolescents’ Health, which is designed to help achieve Goal 3 of the Sustainable Development Goals, requiring countries to ensure good health and well-being for people of all ages.

Tuesday, May 10, 2016

Investing in adolescent health and wellbeing could transform global health

By Abdul Qadir Qureshi
(Pakistan News & Features Services)

Decades of neglect and chronic underinvestment have had serious detrimental effects on the health and wellbeing of adolescents aged 10–24 years, according to a major new Lancet Commission on adolescent health and wellbeing. 

The Commission brings together 30 of the world’s leading experts from 14 countries, including Professor Zulfiqar A. Bhutta, Founding Director of the Aga Khan University’s Centre of Excellence in Women and Child Health and co-Director of the SickKids Centre for Global Child Health in Toronto, and two young health advocates, led by four academic institutions: the University of Melbourne, Australia; University College London, UK; the London School of Hygiene & Tropical Medicine, UK; and Columbia University Mailman School of Public Health, USA. 

“Given the burgeoning number of young people in Pakistan, both boys and girls, it is imperative that they play an active role in national development, supported by the requisite freedoms, rights and access to education and empowerment. Only by fully engaging and supporting our youth can Pakistan achieve its full potential,” Professor Bhutta reckoned. 

The report says that two-thirds of young people are growing up in countries where preventable and treatable health problems like HIV/AIDS, early pregnancy, unsafe sex, depression, injury, and violence remain a daily threat to their health, wellbeing and life chances. 

Evidence shows that behaviours that start in adolescence can determine health and wellbeing for a lifetime. Adolescents today also face new challenges, including rising levels of obesity and mental health disorders, high unemployment and the risk of radicalisation. 

Adolescent health and wellbeing is also a key driver of a wide range of the Sustainable Development Goals on health, nutrition, education, gender, equality and food security, and the costs of inaction are enormous, warn the authors. 

“This generation of young people can transform all our futures. There is no more pressing task in global health than ensuring they have the resources to do so. This means it will be crucial to invest urgently in their health, education, livelihoods, and participation,”  the Commission’s lead author Professor George Patton, University of Melbourne, Australia, noted.

Adolescents aged 10–24 years represent over a quarter of the population (1.8 billion), 89 per cent of whom live in developing countries. Their number is set to rise to about 2 billion by 2032. Adolescence is a critical time of formative growth and brain development second only to infancy. 

“Puberty triggers a cascading process of brain development and emotional change that continues through to the mid-20s. It brings a different and more intense engagement with the world beyond an adolescent’s immediate family. These processes shape an individual’s identity and the capabilities he/she takes forward into later life. It profoundly shapes health and wellbeing across the life-course,” Professor Patto explained. 

Although global health efforts have been successful in improving the health of children under 5 in the past few decades, this has not been matched by a similar response in older age groups. 

Although global mortality has fallen for young people aged 10–24 years since 1990, the pace of decline has been slower than in younger children, especially for males, according to a major new international analysis of findings from the Global Burden of Disease project led by the Institute for Health Metrics and Evaluation at the University of Washington, Seattle, USA, published alongside the Commission. 

The IHME analysis reveals that HIV/AIDS, road traffic accidents, and drowning caused a quarter of deaths in 10–14 year olds globally in 2013, with diarrhoeal and intestinal infectious diseases, lower respiratory infections, and malaria contributing to a further 21 per cent of deaths. 

Road traffic accidents (14.2 per cent and 15.6 per cent), self-harm (8.4 per cent and 9.3 per cent), and violence (5.5 per cent and 6.6 per cent) are the leading causes of death for 15–19 year olds and 20–24 years olds respectively.
It is crucial to involve young people in transforming their wellbeing, personal development, and health, the authors said.

Digital media and new technologies offer remarkable opportunities to engage and empower young people to drive change. There is also a pressing need to ensure that all young people have opportunities and access to universal health coverage regardless of age, gender, sexual orientation, and marital and socioeconomic status, particularly the marginalised. 

“Young people are the world’s greatest untapped resource,” UN Secretary-General Ban Ki-moon, writing in a linked comment, remarked. 

“Adolescents can be key driving forces in building a future of dignity for all. If we can make a positive difference in the lives of 10-year-old girls and boys today, and expand their opportunities and capabilities over the next 15 years, we can ensure the success of the SDGs. For me, the acronym “SDG” also stands for “Sustainable Development Generation”, and sustainability means engaging future generations today.” 

The Commission authors made several recommendations to improve prospects for adolescent health and wellbeing echoing those of The Global Strategy for Women’s, Children’s, and Adolescent’s Health launched in September, 2015, leading with the urgent need to expand access to free secondary education; get serious about the laws that empower and protect adolescents such as guaranteeing 18 years as the minimum age for marriage; and continue gathering better evidence for action particularly around mental health and violence. 

Other recommendations included collecting and reporting on a minimum set of priority indicators for adolescent health reflecting the burden of disease and risk factors, and for robust, transparent governance and accountability for adolescent health.

AKU introduces real-time vaccination monitoring

By Abdul Qadir Qureshi
(Pakistan News & Features Services)

Routine immunization rates have been falling in Sindh from 37 per cent in 2006-07 to 29 per cent in 2012-13. This is one of the reasons behind polio endemicity and is leading to outbreaks of deadly preventable childhood diseases such as measles. Other diseases covered by routine immunization are hepatitis B, pneumococcal infections, diphtheria, tetanus, and pertussis.

A pilot project in District Tando Muhammad Khan (TMK) implemented by Aga Khan University and supported by Global Alliance for Vaccines and Immunizations assessed the barriers and strengthened government Expanded Programme on Immunization (EPI) services through game changers. 

It helped in finding out what was wrong with routine immunization and how it could be improved. The result was a jump in routine immunization from 15-19 per cent surveyed for different vaccines–to 49-84 per cent as reported by independent monitoring. 

According to the project lead for this component Dr Shehla Zaidi, Associate Professor, Women and Child Health Division, Aga Khan University, the main bottlenecks were low accountability of routine immunization, children often getting missed for vaccination at health facilities, insufficient visits to villages by vaccinators, and little efforts at routine immunization awareness even by the health workforce on ground. 

Above all, the vaccination reporting was not verified, the numbers reported by government’s EPI are much higher than that by the national Pakistan Demographic and Health Surveys, showing the gap in performance accountability. So the project used strategies that can be sustained by the government, involve little cost and do not involve additional manpower. 

The breakthrough came by focusing on performance accountability of vaccination, monitored independently through a smart phone android application. Named Teeko, the app was designed with the Aga Khan Development Network e-Health Resource Centre in Karachi. 

It monitors the number of children being immunized, vaccinators’ movement, vaccine stock available at union council with real data instantly available for checking at district and provincial level. And the district took action by suspending low performing vaccinators and publically appreciating well performing ones. 

Fuel support for visiting villages was provided to vaccinators based on immunization performance provided to vaccinators– and a detailed district micro-plan developed. A team approach to vaccination was brought in bringing the Department of Health staff and People's Primary Healthcare Initiative staff together as a single team to reduce children missed for vaccination. 

Single window system was put in place at basic health units and rural health centers so that every child who comes in is screened for vaccination status, at colorful child friendly EPI rooms. All frontline health staff from doctors to dispensers to lady health workers got trained to actively counsel and referred children for immunization. 

The team also planned together for monthly achievement of union council targets. Communication to community was improved through one time, sustainable measures. Demand generation messages were sent to all mobile phone users for children registration, and local FM radio broadcast jingles. The innovations were designed in close collaboration with Sindh EPI, implemented through the district government and with input from UN agencies. 

“At the same time, we had a high number of vaccinations reported that didn’t match the actual disease outbreak numbers. As the three month roll-out results show, there is instant online reporting of children under one-year-old vaccinated against targets, static and outreach performance, as well as details of under-performing and over-performing union councils,” Dr Shehla Zaidi added. 

District officials and legislators have welcomed the new planning and monitoring systems and are aware of the efforts that have been invested in the project. 

“A major challenge for the district administration will be to sustain the progress we have made after the project is over,” Agha Abdul Raheem, Deputy Commissioner, TMK., observed. 

“The real-time performance monitoring has been the major driver and can be taken over by EPI Sindh at very little additional cost and incorporated in its upcoming expanded EPI support," Dr Shehla Zaidi reckoned.