Programme Leader Public Health
Rose Khatri is the Programme Leader for the Public Health programmes; MSc Public Health, Public Health (Addictions) and International Public Health. She is also the manager for the Education Team. The focus of her work is on curriculum development, teaching and supervision. Specialist teaching areas include International Health, Globalization and Public Health Policy. Rose has supervised a number of PhD projects five of which have used participatory methods of inquiry.
Research interests include Participatory Methodology, Obesity, Maternal Health, Diabetes, Primary Health Care and Ageing. She is particularly interested in the international dimensions of these areas and is currently supervising a PhD study on the development of public health skills in health workers in low and middle income countries. Rose was involved on a Higher Education (HE) link programme funded by DelPHE with partners at Tribhuvan University, Nepal and University of Dhaka, Bangladesh. The focus of these links was to support curriculum development, research methods and teaching practices across all institutions. Also to develop and improve collaboration between the HE and other related state and non-state sectors including NGO’s. Themes of the research included: Gender Mainstreaming, Indigenous Health Knowledge and Women’s Health and Maternal Mortality.
In addition to the publications in the papers section below Rose has also contributed to the following publications:
Elkharam W., Khatri R., Wallymamed A.H., & Gee I. (2013) Knowledge of and Adherence to Health Advice among Adults with Diabetes in Libya, Ibnosina Journal of Medicine & Biomedical Sciences Vol 5, No 4
Parker S., Khatri R., Cook I. and Pant B. (2014) Theorizing Aging in Nepal: beyond the biomedical model, Canadian Journal of Sociology Volume 39, No 2
Parker S., Nikku B.R., and Khatri R. (2014) Social Policy, Social Work and Age Care in Nepal: Mapping services missing links, European Journal of Social Wokr Volume 17, Issue 3
Rose Khatri's Publications
Late diagnosis of HIV in the United Kingdom: An evidence review
Late diagnosis of HIV remains an important public health issue in the UK, with 40% of newly diagnosed individuals in 2014 diagnosed late. This report presents a rapid review on the published evidence on late diagnosis in the UK including the characteristics of those diagnosed late, individual and professional barriers to prompt diagnosis and interventions to reduce late diagnosis of HIV.
Rose Khatri's Papers
Reflexivity, positionality and power in cross-cultural participatory action research with research assistants in rural Cambodia
Education Action Research, Pages 1-15 | Received 25 Nov 2016, Accepted 12 May 2017, Published online: 05 Jun, 2017.
Abstract: This paper draws on the experiences of a doctoral student undertaking a cross-cultural, cross-language participatory action research (PAR) project in rural Cambodia. Cambodia is a largely Buddhist country with a complex history of religion, invasion, colonisation, war and oppression. Despite a democratic constitution, political control and fear of challenging authority are ever present; and all had an impact on the participation and development of this project. I recruited eight volunteer community health workers (CHWs) and two research assistants (RAs) with an aim to explore methods and challenges faced when trying to improve health with and for community members. Over eight participatory workshops and a two-day training session CHWs identified, implemented and reflected on solutions to community health problems. Simultaneously, the RAs and I reflected on the processes and challenges we faced. Creating opportunity for reflexivity allowed for discussion to emerge around culture, position and power and how these were impacting on the research process and outcomes. Established social hierarchical power structures in Cambodia presented challenges to undertaking a PAR project with emancipatory and social change aims. Such structures also impacted on the ability and readiness of participants to be critical and analytical. The importance of the RAs as cultural navigators and the necessity of embracing their situated knowledge as both an insider and outsider is a key finding.
Journal of Environmental Health Research, Volume 14, Issue 1, 2014.
ABSTRACT Takeaway and fast food often contain excess levels of saturated fat, salt, sugar and calories per portion. The abundance of takeaways and fast food outlets serving this food at a reasonable price makes frequent consumption of these foods easier. As well as the impact this has upon public health, the takeaway industry lacks regulation with regard to nutrition; making the task of creating ‘healthier takeaways’ a formidable task for Environmental Health Practitioners. The aim of the research was to identify what influences a takeaway’s decision to adopt a healthy eating initiative (HEI) and produce healthier meals. Using convenience sampling, the study looked to collect quantitative data using questionnaires. The study identified that for takeaways which had adopted the HEI, the most important reason was to make food healthier, whereas those takeaways who were considering adopting the HEI in the future identified customer demand as the reason for adopting it. In addition the study established that the level of deprivation of the area in which a takeaway was located was not related to the uptake of the HEI. These factors have been quantified through administering questionnaires to 40 takeaway proprietors in person, in the study area (Wirral). This identified that lack of interest, customer demand and lack of enforcement are the main problems that result in takeaways not producing healthier options.
Ibnosina Journal of Medicine and Biomedical Sciences, Volume 5, No 3, pp 140-147, 2013.
Abstract: Background: Non-adherence to medical and health care advice is a common problem, though reasons for non-adherence can differ across different groups and societies as well as between individuals. Objective: to examine diabetes knowledge among people with both type1 and type2 diabetes in Libya and explore any other factors that enhance adherence to treatment and management of the condition. Methods: A cross-sectional survey design was used to collect data from adults with type 1 or type 2 diabetes who have been diagnosed for 12 months or more, in Benghazi Diabetes Centre, which is one of the oldest and largest diabetes registries in Libya. A total of 855 participants were asked to fill in two questionnaires; the Michigan Diabetes Knowledge Test to investigate the level of diabetes knowledge and the Confidence in diabetes Self-care Scale to assess self-efficacy. For the purpose of the study descriptive statistics and inferential statistical tests were conducted. Results: Diabetes knowledge is very poor especially among females and those classed as illiterate within the sample. The Mean HbA1c of 9.39 was higher than the recommended levels. Four variables namely knowledge about diabetes, duration of illness, family history and self-efficacy significantly predicted levels of HBA1c. Conclusion: Based on the above findings two different programmes of diabetes education would be recommended. The first programme of education would focus primarily on those with inadequate levels of knowledge about diabetes, particularly female and people with long duration diabetes. The second programme would be for both healthcare professionals and people with type 1 and type 2 diabetes, which would consider the psychological factors that are involved in the process of diabetes management.