Experienced physician with a focus on healthcare delivery innovation. Strong clinical experience in internal medicine, pediatrics, obstetrics, geriatrics, and focused training in integrative/functional medicine & global health. Broad business experience in health technology, medical devices & entrepreneurship. MD from Stanford School of Medicine with concentration in Health Policy and Bioinformatics. MBA from Stanford Graduate School of Business with Certificate in Public Management & Social Innovation.
Clinical Instructor, Medicine - Primary Care and Population Health
Board Certification: Family Medicine, American Board of Family Medicine (2018)
Residency: Sutter Santa Rosa Medical Center (2018) CA
Medical Education: Stanford University School of Medicine Registrar (2015) CA
Master of Business Admin, Stanford University, GSB-MBA (2015)
Doctor of Medicine, Stanford University, MED-MD (2015)
Bachelor of Arts, Stanford University, HUMBI-BAH (2008)
Two treatments, one disease: childhood malaria management in Tanga, Tanzania
In the Tanga District of coastal Tanzania, malaria is one of the primary causes of mortality for children under the age of five. While some children are treated with malaria medications in biomedical facilities, as the World Health Organization recommends, others receive home-care or treatment from traditional healers. Recognition of malaria is difficult because symptoms can range from fever with uncomplicated malaria to convulsions with severe malaria. This study explores why caregivers in the Tanga District of Tanzania pursue particular courses of action to deal with malaria in their children.Qualitative data were collected through interviews with three samples: female caregivers of children under five (N = 61), medical practitioners (N = 28), and traditional healers (N = 18) in urban, peri-urban, and rural areas. The female caregiver sample is intentionally stratified to reflect the greater population of the Tanga District in level of education, marital status, gender of household head, religion, and tribal group affiliation. Qualitative data were counted, coded and analysed using NVivo7 software.Results indicate that a variety of factors influence treatment choice, including socio-cultural beliefs about malaria symptoms, associations with spiritual affliction requiring traditional healing, knowledge of malaria, and fear of certain anti-malaria treatment procedures. Most notably, some caregivers identified convulsions as a spiritual condition, unrelated to malaria. While nearly all caregivers reported attending biomedical facilities to treat children with fever (N = 60/61), many caregivers stated that convulsions are best treated by traditional healers (N = 26/61). Qualitative interviews with medical practitioners and traditional healers confirmed this belief.Results offer insight into current trends in malaria management and have implications in healthcare policy, educational campaigns, and the importance of integrating traditional and biomedical approaches.
View details for DOI 10.1186/1475-2875-8-240
View details for Web of Science ID 000272254600001
View details for PubMedID 19860900
View details for PubMedCentralID PMC2779815