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Factors Affecting Stress, Anxiety, Depression and Low Self-Esteem among Post-Hysterectomy Women
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Health Education Strategies for Tuberculosis Treatment Adherence: A Scoping Review
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A Suspected Chikungunya Virus in Rural Sindh: Case of a Viral Fever in a Young Female from Karachi, Pakistan
Full text linkThe case report describes a 20-year-old female patient who came to the tertiary care hospital's emergency department in Karachi with symptoms expressive of viral fever, including fever, generalized body ache, and weakness. Initially, the patient was diagnosed with viral fever, and supportive care was given. After knowing the patient's demographic location and presenting symptoms, chikungunya fever was considered as a potential diagnosis. A mosquito-borne viral illness is extremely widespread, with common viral fevers as clinical features, considered as Chikungunya fever in rural areas of Sindh. In this report, the clinical features and treatment approaches, and the broader context of chikungunya's impact on populations living in rural Sindh have been discussed
Antenatal Group Care: A Pathway to Achieving SDGs through Peer Support and Maternal Health Improvements in LMICs
Full text linkMaternal mortality is one of the main challenges present in low- and middle-income countries. In Pakistan, the MMR is still at a spike of 154 deaths per 100,000 live births, far away from the global target of 70. AGC, a model combining clinical assessments with structured peer support, has emerged as a high-impact intervention aligned directly with SDG 3 (Good Health and Well-being) with SDG 5 (Gender Equality). Rigorous studies demonstrate that AGC models can reduce the risk of preterm births by up to 33% and significantly increase attendance at essential antenatal visits. Key challenges to implement in LMICs like Pakistan, as compared to HICs, include health system weaknesses and socio-cultural barriers. This commentary offers insights on integrating AGC with healthcare policies through stakeholder collaboration in order to further strengthen and promote sustainable, cost-effective, and scalable maternal health solutions. We recommend integrating AGC into national health policies, leveraging Pakistan’s extensive Lady Health Worker (LHW) program, and using digital health tools to create a sustainable solution to improve maternal health outcomes
Prevalence of Eating Disorders among Medical Students: A Study from Lahore, Pakistan
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Sun Exposure Knowledge, Attitudes, Habits, and Practices among Medical Students: Impact and Analysis of an Educational Intervention
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A Case Report and Literature Review of Fluoxetine-Induced Akathisia in a Patient with Depression
Full text linkAkathisia is a movement disorder characterized by an overwhelming and uncontrollable need to move. It is generally connected with the use of antipsychotic medications, with just a few cases found to be produced by selective serotonin reuptake inhibitors. Although reported previously, fluoxetine-induced akathisia remains uncommon and often underrecognized. We report a case of a 24-year-old male with major depressive disorder, who presented with fluoxetine-induced akathisia three weeks after increasing his fluoxetine dose. The Barnes Akathisia Scale confirmed moderate akathisia (score of 4), and his symptoms were severe enough to keep him awake at night. Treatment consisted of discontinuing the offending medication, and symptoms subsided after two weeks. This report highlights that early detection and treatment are crucial, since untreated akathisia can negatively impact a patient’s quality of life and medication adherence or, as reported in many studies, increase the risk of aggressive or suicidal behaviour
Pre-Employment Screening and Health Risk Profile among Newly Recruited Employees at a Public Medical University in Karachi: A Retrospective Cross-Sectional Study
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Policy Analysis of Neonatal Survival Policies in Pakistan: A Focus on Sindh Province of Pakistan
Full text linkIn Pakistan, neonatal mortality remains a significant challenge, particularly in Sindh Province, where healthcare disparities persist between urban and rural areas. Despite numerous governmental initiatives and international commitments, the infant mortality rate remains high. Using Walt and Gibson's policy triangle framework, this article analyzes the context, content, processes, and stakeholders of three key health policies: the Integrated Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition Strategy (2016-2020), the Sindh Health Sector Strategy (2012-2020), and National Health Vision Pakistan (2016-2025). The review assessed these three policies concerning their objectives of reducing neonatal mortality, the roles of key stakeholders, including federal and provincial health departments and development partners, and the monitoring frameworks primarily based on the health management information system and program evaluations. These policies were further assessed for alignment with human rights, implementation strategies, and their impact on neonatal health outcomes.
The analysis identified critical gaps in all three policies, including vague, non-time-bound objectives, unclear stakeholder roles, and weak monitoring systems. The Sindh Health Sector Strategy lacked plans for advanced neonatal care units. Similarly, the Integrated Strategy suffered from vague implementation plans and over-reliance on donor funding. Decentralization further complicated policy execution due to unclear governance and inadequate support systems. Fragmented decentralization, lack of accountability, and poor planning hinder Pakistan’s health programs from effectively addressing neonatal mortality. A cohesive policy framework with clear goals, defined stakeholder responsibilities, and robust monitoring is essential to improve neonatal survival rates. Pakistan should adopt international standards, ensure stakeholder ownership, and tailor interventions to local contexts, drawing inspiration from regional neighbors like Bangladesh and India