Browsing SPH Theses and Dissertations by Title
Now showing items 1-20 of 255
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A Global Perspective on Coal-Fired Power Plants, Climate Change and Disease Burden
(2018-04-27)This dissertation investigates the disease burden from coal-fired power plants from global perspective. First, the study estimated changes in national lung cancer incidence decades after building or closing coal-fired power ... -
A Health Economic Framework for Expanding Access to Mental Health Treatment in an Emerging Market
(2018-05-18)Second-generation antipsychotics are unaffordable and inconsistently available to people with schizophrenia in Rwanda. This study conducted and assessed the health economic and market access components of an initiative to ... -
A Political Analysis of Health Care Reform in Malaysia
(2018-04-23)This thesis explores the political economy of health care reform in Malaysia by examining two policies in depth: first, transformation from National Health Service towards social health insurance, known as 1Care; and second, ... -
A Systems Thinking Approach to Global Governance for Neglected Tropical Diseases
(2018-04-16)Neglected tropical diseases (NTDs) represent a major disease burden in sub-Saharan Africa and among the poorest of the poor in other regions around the world. A significant global effort is underway to deliver preventive ... -
A systems thinking approach to risk reduction and mitigation for improving disaster management
(2021-04-19)Disasters negatively impact lives and livelihoods, and over the last two decades of 2000 to 2019, they have cost the global economy approximately US$3 trillion (CRED (Centre for Research on the Epidemiology of Disasters) ... -
Abuse During Childhood and Biomarkers of Stress-Response in Adulthood
(2018-04-20)A history of child abuse (CA) is associated with a number of leading causes of death and disability in adulthood, and an important mechanism linking CA to such outcomes is the hypothalamic pituitary adrenal (HPA) axis. ... -
Achieving Access to Antimalarials: Views From Ghana on the Political-Economy of Adopting and Implementing the Affordable Medicines Facility-Malaria (AMFm)
(2016-01-19)My research examines the adoption and implementation processes involved in transferring a global health policy into national-level practice. More specifically, I consider how high-level stakeholders adopted and street-level, ... -
Addressing Maternal Health Disparities: Investigating the Role of Social Support on Maternal Health Outcomes and Community-Based Organizations that Provide Support to Pregnant and Postpartum Women of Color in the Greater Boston Area.
(2021-06-10)Women from communities of color (WOC) in the United States are more likely to die from childbirth or pregnancy-related causes or experience severe maternal morbidity (SMM). The disparities faced by these WOC are driven by ... -
Adiposity and Cancer Risk: A Life Course Approach
(2015-04-28)Obesity is a risk factor for several cancers, including colorectal cancer (CRC). I and my colleagues investigated adulthood weight change and body fat distribution and its change in relation to CRC risk in the Nurses’ ... -
Aedes vector control and immunization against dengue in Brazil: exploring policy perceptions towards integration
(2022-10-05)The World Health Organization has listed dengue among the 10 top global health threats. Half of the world's population is at risk of contracting the disease, estimated to cause nearly 400 million infections and more than ... -
Agent-Based Models for Causal Inference
(2016-05-03)Sound clinical decision making requires evidence-based estimates of the impact of different treatment strategies. In the absence of randomized trials, two potential approaches are agent-based models (ABMs) and the parametric ... -
Air Pollution and Health in Delhi, India: Health Effects of Short-Term Exposures and Policy Implications
(2021-06-10)Air pollution exposure is recognized as an important contributor to premature mortality and morbidity globally. Exposure to ambient particulate matter smaller than 2.5 microns in aerodynamic diameter (PM2.5) has been ... -
Ambient Air Pollution and Atherosclerosis: The Framingham Heart Study
(2016-04-25)This dissertation assesses the associations of residential proximity to a major roadway and residential ambient fine particulate matter exposure with artery calcification, a correlate of atherosclerosis, among Framingham ... -
Ambient Air Pollution, Adiposity, and Hepatic Steatosis: The Framingham Heart Study
(2016-05-03)Air pollution-induced systemic inflammation and oxidative stress are among potential underlying mechanisms that mediate the associations between air pollution and metabolic risk factors such as obesity and insulin resistance. ... -
An Applied Political Analysis of the Targeted Free Care Reform in Mali
(2022-01-28)Introduction - Health financing through out-of-pocket payments is deeply inequitable and imposes barriers and risks for patients. After decades of charging patients for healthcare in Mali, an ambitious primary health care ... -
An Evaluation of a Payer-Operated Chronic Disease Care Management Program
(2018-04-18)The burden of chronic diseases and a fragmented healthcare system are associated with excessive healthcare costs. Policy makers, payers, and providers are intervening through system redesign efforts to support patients in ... -
An Evaluation of Competing Risks in Studies of Perinatal Mortality and Birth Defects
(2018-04-27)Globally, each year over 4 million infants die during the perinatal period, which includes stillbirth and neonatal death, yet little investment has been made in research or preventative efforts. Birth defects are common ... -
Arsenic, Lead and Manganese as Risk Factors for Child and Maternal Neurotoxicity
(2016-05-07)Metals such as arsenic, lead and manganese are naturally occurring elements readily found in the earth’s crust. Numerous studies have shown that these metals can be neurotoxic though the exact mechanism remains unknown. ... -
Assessing Capacity Development in Fragile States: an Indicator Development Process From Liberia
(2018-01-22)This thesis provides a practical example of systematically merging elements of two approaches to Capacity Development (CD), linear and adaptive approaches, for improved assessment of CD in fragile settings. Capacity, or ... -
Assessing Perceived Barriers to Health Care Access for Resettled Refugees in the Western United States
(2018-04-30)Refugee health in the United States is an understudied subject, particularly on the West Coast. Little is known about the health needs of diverse refugee groups in the country outside of their initial health assessments ...