Meena Daivadanam
Universitetslektor vid Institutionen för kvinnors och barns hälsa; Internationell barnhälsa och nutrition
- E-post:
- meena.daivadanam@uu.se
- Besöksadress:
- MTC-huset, Dag Hammarskjölds väg 14B, 1 tr
752 37 Uppsala - Postadress:
- Akademiska sjukhuset
751 85 UPPSALA
- ORCID:
- 0000-0002-9532-6059
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Kort presentation
Denna text finns inte på svenska, därför visas den engelska versionen.
I have a background in medicine and a PhD in public health interventions. I work in Global Health with intervention and implementation research, particularly community-based complex interventions for primary and secondary prevention of non-communicable diseases (NCDs) mainly in Sub-Saharan Africa, Europe and Asia. I am increasingly focusing on upstream determinants such as local health systems and food environments using more inclusive participatory and design methods to bridge the equity gap.
Nyckelord
- allmänna platser
- cardiometabolic diseases
- community-based interventions
- dietary interventions
- food environment
- household food decisions
- implementation research
- neighbourhood disadvantage
- non-communicable diseases
- primary prevention
- secondary prevention
- self-management
- socioeconomic disadvantage
- sustainable development
- type 2 diabetes
Forskning
Denna text finns inte på svenska, därför visas den engelska versionen.
PREVENT: Co-design for reduction of Cardiometabolic Risk: implementation and effectiveness of a Tele-Health Coaching intervention with community outreach in Region Uppsala. Funded by Swedish Research Council; Period: 2022-26.
PREVENT aims to co-design, implement and test a tele-health coaching intervention with
community outreach for the reduction of cardio-metabolic risk among high-risk population in
Region Uppsala. It builds on the previous EU project (2015-20) and uses a mixed methods approach comprising two parts: 1) six-step co-design of a community outreach component by community stakeholders, participants and research team; and 2) pragmatic randomized controlled trial to test the effectiveness of a staggered intervention that integrates tele-health coaching and community outreach. The interdisciplinary consortium comprises two higher education institutions (Uppsala University and Karolinska Institutet), Region Uppsala and the Swedish Industrial Design Foundation specializing in co-design for system and policy transformations. Understanding the process and outcome pathways of innovative interventions to reduce cardiometabolic risk and improve healthy behaviours is important for their transferability, scalability and to promote actions towards improving health equity.
SHIFT Framework and Compendium of Good Practices: Shifting to equitable health and nutrition through food environment transformations. Funded by World Health Organization & EAT Forum; Period: 2020-22
A transformative change of our food environment is urgently needed to improve human health and nutrition, planetary health and meet the Sustainable Development Goals. The SHIFT Framework assists technical staff working in nutrition and health through a process of identifying and implementing equity focused interventions related to the food environment. It includes: 1) A 4-step Framework for developing contextualized interventions for improved equity in health and nutrition through food environment actions; 2) the Compendium of Good Practices, a searchable database of 68 good practices on equity-focused actions on the food environment searched; and 3) Tools for Transformation, a set of selected online tools to assist technical staff in implementing health and nutrition interventions to transform the food environment in their setting. This work was carried out with the technical and financial support from the Unit of Multi-sectoral Action in Food Systems, World Health Organization, Geneva, Switzerland. The SHIFT Framework and Compendium of Good Practices for equity focus in food environment transformations was launched in June 2022.
SMART2D: A people-centred approach through Self-Management and Reciprocal learning for the prevention and management of Type-2-Diabetes. Funded by EC Horizon 2020; Period: 2015-2020
SMART2D was a 5-yr collaborative project and we are a consortium of six partners: Makerere University school of Public Health, Uganda; University of Western Cape School of Public Health, South Africa; Institute of Tropical Medicine, Antwerp; Collaborative Care Systems Finland; Uppsala University; and Karolinska Institutet (coordinating institute). Our overall objective was to strengthen capacity for type-2-diabetes care through a contextually appropriate self-management approach with integrated health facility and community components in three sites: Uganda, South Africa & Sweden. In Sweden, SMART2D had partnered with Stockholm County Council and had established connections with the primary care centres (vårdcentral) and citizen's offices (medborgarkontor) of selected municipalities within Stockholm county, where we implemented a feasibility trial. The trial and project are now concluded and analysis is ongoing.
Innovating health systems and healthcare delivery in rural Uganda: towards building critical capacity to tackle the rising Type 2 Diabetes challenge. Funded by Swedish International Development Agency (Sida); Period: 2015-2022
A capacity building programme to enhance and build critical capacity for chronic care in Uganda, through education, training.at doctoral and post-doctoral level, and research evidence generation, within an overall research framework to innovate and strengthen health systems. This work is being carried out through a team of supervisors from Makerere University and Mbarara University of Science and Technology; and Karolinska Institutet partners (includes Uppsala University). Considering the challenges associated with the prevention and management of chronic non-communicable diseases, this capacity building programme is embedded within a research framework to strenghthen both community and facility capacity for chronic care, using Type 2 Diabetes as an example. This project is coordinated from Karolinska Institutet, Stockholm.
Publikationer
Senaste publikationer
- Prevalence and social determinants of anxiety and depression among adults in Ghana (2024)
- Sociodemographic characteristics and COVID-19 testing rates (2024)
- Sociodemographic characteristics and COVID-19 testingrates: spatiotemporal patterns and impact of testaccessibility in Sweden (2023)
- "The People's Summit" (2023)
- Food environment interactions after migration (2022)
Alla publikationer
Artiklar
- Prevalence and social determinants of anxiety and depression among adults in Ghana (2024)
- Sociodemographic characteristics and COVID-19 testing rates (2024)
- Sociodemographic characteristics and COVID-19 testingrates: spatiotemporal patterns and impact of testaccessibility in Sweden (2023)
- "The People's Summit" (2023)
- Food environment interactions after migration (2022)
- Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes (2022)
- Glycated haemoglobin and fasting plasma glucose tests in the screening of outpatients for diabetes and abnormal glucose regulation in Uganda (2022)
- Applying systems thinking to identify enablers and challenges to scale-up interventions for hypertension and diabetes in low-income and middle-income countries (2022)
- Awareness, Treatment, and Control of Hypertension or Diabetes in India (2022)
- Application of the Theoretical Framework of Acceptability to assess a telephone-facilitated health coaching intervention for the prevention and management of type 2 diabetes (2022)
- Process evaluation of a pragmatic implementation trial to support self-management for the prevention and management of type 2 diabetes in Uganda, South Africa and Sweden in the SMART2D project (2022)
- Understanding the diagnostic delays and pathways for diabetes in eastern Uganda (2021)
- Peer-supported lifestyle interventions on body weight, energy intake, and physical activity in adults (2021)
- Intervention Fidelity Focusing on Interaction between Participants and Facilitators in a Telephone-Delivered Health Coaching Intervention for the Prevention and Management of Type 2 Diabetes (2021)
- SMART2D-development and contextualization of community strategies to support self-management in prevention and control of type 2 diabetes in Uganda, South Africa, and Sweden (2020)
- What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda. (2020)
- Testing a Self-Determination Theory Model of Healthy Eating in a South African Township (2020)
- Critical review of multimorbidity outcome measures suitable for low-income and middle-income country settings (2020)
- Can Self-Determination Explain Dietary Patterns Among Adults at Risk of or with Type 2 Diabetes? (2020)
- Snapshots of Urban and Rural Food Environments (2020)
- Early detection of type 2 diabetes in socioeconomically disadvantaged areas in Stockholm - comparing reach of community and facility-based screening (2020)
- Community and stakeholders' engagement in the prevention and management of Type 2 diabetes (2019)
- The role of context in implementation research for non-communicable diseases (2019)
- Diabetes self-management in three different income settings (2019)
- Dietary patterns and practices in rural eastern Uganda (2019)
- Process evaluation in the field: global learnings from seven implementation research hypertension projects in low-and middle-income countries. (2019)
- "I Did Not Believe You Could Get Better" (2019)
- Built Environment and Health Behaviors (2019)
- SMART2D (2018)
- Patient and Provider Dilemmas of Type 2 Diabetes Self-Management (2018)
- Global Alliance for Chronic Disease researchers' statement on multimorbidity. (2018)
- Changing household dietary behaviours through community-based networks (2018)
- Study protocol for the SMART2D adaptive implementation trial (2018)
- Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India (2018)
- 'What kind of life is this?' Diabetes related notions of wellbeing among adults in eastern Uganda and implications for mitigating future chronic disease risk (2018)
- Gaps in Guidelines for the Management of Diabetes in Low- and Middle-Income Versus High-Income Countries (2018)
- Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes (2018)
- The process of culture in implementation research: linking the clinic and the community in Stockholm (2017)
- Self-management perceptions among providers and non-European type 2 diabetes patients in Stockholm (2017)
- Improving self-management for diabetes in diverse settings: example of Reciprocal Learning Approach (2017)
- Improving understanding of food choices and dietary changes among migrants in host countries (2017)
- Development of a Tool to Stage Households' Readiness to Change Dietary Behaviours in Kerala, India (2016)
- Balancing expectations amidst limitations (2015)
- Conceptual model for dietary behaviour change at household level: a 'best-fit' qualitative study using primary data. (2014)
- Lifestyle change in Kerala, India (2013)
- Design and methodology of a community-based cluster-randomized controlled trial for dietary behaviour change in rural Kerala. (2013)
- Cluster randomised controlled trial of a peer-led lifestyle intervention program (2013)
- Smoking cessation among diabetes patients (2013)
- Impact of a community based intervention program on awareness, treatment and control of hypertension in a rural Panchayat, Kerala, India. (2013)
- Pathways to catastrophic health expenditure for acute coronary syndrome in Kerala (2012)
- Catastrophic health expenditure & coping strategies associated with acute coronary syndrome in Kerala, India. (2012)
- Smokeless tobacco use among patients with tuberculosis in Karnataka (2012)
- A cross-sectional study of the microeconomic impact of cardiovascular disease hospitalization in four low- and middle-income countries. (2011)
- Risk factor profile for chronic non-communicable diseases (2010)
- Food environment characteristics and neighborhood socioeconomic status in Stockholm, Sweden
- Outdoor and in-store food advertising
Kapitel
- Kapitel 3. Hälsa (2018)
- Sjukdomar som inte smittar (2017)
- Why reality matters when developing interventions (2015)
- Why reality matters when developing interventions (2015)