Epidemiology for Neglected Populations: International Public Health [article]

Tambri Housen, University, The Australian National, University, The Australian National
2017
This thesis presents the results of four field research projects I completed to meet the competency requirements of the Masters of Philosophy (Applied Epidemiology) at the Australian National University from February 2015 to December 2016. During this period I was employed as the Epidemiologist for Médecins Sans Frontières (MSF) in New Delhi, India. Data Analysis: The validation of mental health screening instruments in the Kashmir Valley, India. This data analysis resulted in validated cut-off
more » ... n validated cut-off scores for the Hopkins Symptoms Checklist-25 for anxiety and depression for use in the Kashmiri population. Validated cut-off scores were subsequently used to estimate the prevalence of symptoms of anxiety and depression from survey data. For the first time, mental health practitioners have culturally adapted, translated and validated mental health screening tools for use in the primary care setting to facilitate early detection and referral. Epidemiology Project: Estimating the prevalence of depression, anxiety and posttraumatic stress related symptoms in the Kashmir Valley and access to mental health services: Mixed methods research, 2015. The burden of mental distress and overt gap in service delivery found in the Kashmir Mental Health Survey and focus group discussions highlighted the need for a comprehensive, decentralised and integrated approach to mental health care in the Kashmir Valley. Based on the results a working group was established to implement programmatic and policy change recommended by key mental health stakeholders. In collaboration with these stakeholders, MSF plan to implement a community based model of care in 2017. Evaluation of a Surveillance System: Evaluation of the Nigerian Emergency Response Unit Surveillance (NERU) System, 2016. This evaluation demonstrated the effectiveness of an integrated surveillance system where collaboration between the Ministry of Health and a Non-government Organisation can be used to strengthen current national systems, and ensure rapid response to diseases with outb [...]
doi:10.25911/5d70f0c2af19d fatcat:hmx3r7ehrnbl5ptwhidyl7tlg4