Imperial College London


Faculty of MedicineSchool of Public Health

Director of WHO Collaborating Centre



+44 (0)20 7594 8814s.rawaf




311Reynolds BuildingCharing Cross Campus





Publication Type

212 results found

Nashat N, et al, Quezada Yamamoto H, vn Wheel C, Rawaf Set al., Primary care healthcare policy impelmentation in the eastern Mediterranean region; experience of six countries: part ii, European Journal of General Practice, ISSN: 1381-4788

Background: Primary healthcare (PHC) is the cornerstone of health systems for the rightfulaccess and cost-effective. It is a key factor in the global strategy for universal health coverage(UHC). Implementing PHC requires an understanding of health system under prevailingcircumstances essential to implement PHC, but data are unavailable.Objectives: This paper describes and analyses the health systems of Algeria, Kuwait,Morocco, Saudi Arabia, Jordan and Iraq and PHC status.Methods: Data were collected during a Workshop at 2018 WONCA East MediterraneanRegional Conference in Kuwait. Academic family physicians (FP) and general practitioners(GP) presented their country reports using the WONCA framework of 11 PowerPoint slides.WHO EMRO reflected on how countries’ experiences can contribute to their Frameworks onIntegrated People-Centered Health Services and UHC..Results: The six countries had achieved a great improvement in populations’ health, butcurrently face challenges of health financing, small number of certified family physicians,difficulties to access service and bureaucratic process. Main concerns were the absence of afamily practice model, brain drain and immigration of FPs. Countries differed in building acoherent policy.Conclusion: Priorities should be focused on: developing PHC model in Eastern MediterraneanRegion with advocacy for community-based PHC to policymakers: capacity building forstrengthening PHC-oriented health systems with FP specialty training and restrict practicingto fully trained FPs; engage communities to improve understanding of PHC; adopt quality andaccreditation policies for better services; validation of the referral and follow-up process; and,develop public-private partnership mechanisms to enhance PHC for UHC.

Journal article

GBD 2017 Childhood Cancer Collaborators, 2019, The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017., Lancet Oncology, ISSN: 1470-2045

BACKGROUND: Accurate childhood cancer burden data are crucial for resource planning and health policy prioritisation. Model-based estimates are necessary because cancer surveillance data are scarce or non-existent in many countries. Although global incidence and mortality estimates are available, there are no previous analyses of the global burden of childhood cancer represented in disability-adjusted life-years (DALYs). METHODS: Using the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 methodology, childhood (ages 0-19 years) cancer mortality was estimated by use of vital registration system data, verbal autopsy data, and population-based cancer registry incidence data, which were transformed to mortality estimates through modelled mortality-to-incidence ratios (MIRs). Childhood cancer incidence was estimated using the mortality estimates and corresponding MIRs. Prevalence estimates were calculated by using MIR to model survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated by multiplying age-specific cancer deaths by the difference between the age of death and a reference life expectancy. DALYs were calculated as the sum of YLLs and YLDs. Final point estimates are reported with 95% uncertainty intervals. FINDINGS: Globally, in 2017, there were 11·5 million (95% uncertainty interval 10·6-12·3) DALYs due to childhood cancer, 97·3% (97·3-97·3) of which were attributable to YLLs and 2·7% (2·7-2·7) of which were attributable to YLDs. Childhood cancer was the sixth leading cause of total cancer burden globally and the ninth leading cause of childhood disease burden globally. 82·2% (82·1-82·2) of global childhood cancer DALYs occurred in low, low-middle, or middle Socio-demographic Index locations, whereas 50·3% (50·3-50·3) of adult cancer DALYs occurred in these same

Journal article

Jamil HJ, Niasy A, Jamil MH, Rawaf Set al., Substance Abuse among Middle Eastern Immigrants and Refugees in Greater Detroit, Michigan, U.S., Advances in Environmental Studies, ISSN: 0036-3537

Journal article

Jamil H, Rawaf S, Alsaghayer A, Lee JT, Dubois E, Hadithi T, Majeed A, Hamid F, Swaka A, Arnetez BBet al., Health Assessments of Iraqi Scientists Abroad: Chronic Diseases and Legal Status, ACTA SCIENTIFIC MEDICAL SCIENCES

Journal article

Jamil H, Hamdanm T, Rawaf S, Dubois E, Yasso SSS, Aljoboori S, Jamil SW, Arnetz Bet al., 2019, Pregnancy outcome among Iraqi soldiers & civilians in Iraq and Gulf War 1991, Archives of Epidemiology, Vol: 4, Pages: 1-8, ISSN: 2577-2252

Context: Although Iraqis were exposed to very severe conditions during the 1991 Gulf War, we have very little information on the effect of distance from the war zone on the outcomes of pregnancy and congenital anomalies in children.Aim: To determine if pregnancy outcomes vary by distance from the 1991Gulf War battle zone.Methods: The study sample consisted of men between the ages 18-45 years and residents within 360 kilometres in Iraqi providences of Basra & Messan at time of 1991 Gulf War. During 2002, 720 out of 1150 participant were enrolled in the study because they were married and had at least one child. We divided the population study into two main groups: battle and non-battle zone and studied the effects of war on pregnancy outcomes.Results: Congenital anomalies in the non-battle zones appear to be significantly higher, which implies that the impact of war was not restricted to the war zone.Conclusion: There is no relationship between geographical closeness to Kuwait and adverse pregnancy outcome.

Journal article

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