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  1. Article ; Online: Work right to right work: An automythology of chronic illness and work.

    Vijayasingham, Lavanya

    Chronic illness

    2017  Volume 14, Issue 1, Page(s) 42–53

    Abstract: Objectives Chronic illness is known to disrupt and redirect the usual course of work trajectories. This article aims to portray the longitudinal course of negotiating work after multiple sclerosis. Methods Using therapy and personal journals to ... ...

    Abstract Objectives Chronic illness is known to disrupt and redirect the usual course of work trajectories. This article aims to portray the longitudinal course of negotiating work after multiple sclerosis. Methods Using therapy and personal journals to reconstruct memories and experience, an autoethnography is produced and narrated within Campbell's "Hero's Journey" automythology framework. Results The narrative highlights the intrasubjectivity of illness meaning-the changing internal meaning-making and external behavior and decision-making dynamics. The journey of being inhibited to "Work Right", to "Looking for the Right" and ultimately, finding "Right Work" is charted; portrayed as a bittersweet maneuver to achieve work-illness equilibrium. Discussion This journey traverses a spectrum of negative coping-the exhibition of deviant work behaviors, disengagement and depression; to recalibration and renewal; culminating in living the "new normal", and finding moral and meaningful work engagements. Life trajectories with chronic illness are often skewed and redirected; but longitudinal narratives of normalization and coping also highlight the pursuits to secure and maintain a life of meaning and value.
    MeSH term(s) Adaptation, Psychological ; Career Choice ; Chronic Disease/psychology ; Female ; Humans ; Male ; Multiple Sclerosis/psychology ; Multiple Sclerosis/rehabilitation ; Narration ; Occupational Diseases/psychology ; Return to Work/psychology ; Work/psychology
    Language English
    Publishing date 2017-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2191311-0
    ISSN 1745-9206 ; 1742-3953
    ISSN (online) 1745-9206
    ISSN 1742-3953
    DOI 10.1177/1742395317699450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Closing the gap on employment rates: Success stories pave the way for policy works-in-progress.

    Vijayasingham, Lavanya

    Multiple sclerosis (Houndmills, Basingstoke, England)

    2017  Volume 23, Issue 10, Page(s) 1430–1431

    MeSH term(s) Australia ; Disabled Persons ; Employment ; Humans ; Multiple Sclerosis
    Language English
    Publishing date 2017-03-16
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1290669-4
    ISSN 1477-0970 ; 1352-4585
    ISSN (online) 1477-0970
    ISSN 1352-4585
    DOI 10.1177/1352458517701315
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  3. Article ; Online: Implementing and evaluating integrated care models for non-communicable diseases in fragile and humanitarian settings.

    Vijayasingham, Lavanya / Ansbro, Éimhín / Zmeter, Carla / Abbas, Linda Abou / Schmid, Benjamin / Sanga, Leah / Larsen, Lars Bruun / Perone, Sigiriya Aebischer / Perel, Pablo

    Journal of migration and health

    2024  Volume 9, Page(s) 100228

    Abstract: In this commentary, we advocate for the wider implementation of integrated care models for NCDs within humanitarian preparedness, response, and resilience efforts. Since experience and evidence on integrated NCD care in humanitarian settings is limited, ... ...

    Abstract In this commentary, we advocate for the wider implementation of integrated care models for NCDs within humanitarian preparedness, response, and resilience efforts. Since experience and evidence on integrated NCD care in humanitarian settings is limited, we discuss potential benefits, key lessons learned from other settings, and lessons from the integration of other conditions that may be useful for stakeholders considering an integrated model of NCD care. We also introduce our ongoing project in North Lebanon as a case example currently undergoing parallel tracks of program implementation and process evaluation that aims to strengthen the evidence base on implementing an integrated NCD care model in a crisis setting.
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ISSN 2666-6235
    ISSN (online) 2666-6235
    DOI 10.1016/j.jmh.2024.100228
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  4. Article ; Online: The gender responsiveness of social entrepreneurship in health - A review of initiatives by Ashoka fellows.

    Khalid, Shazmin / Dixon, Shrijna / Vijayasingham, Lavanya

    Social science & medicine (1982)

    2021  Volume 293, Page(s) 114665

    Abstract: There are vocal calls to act on the gender-related barriers and inequities in global health. Still, there are gaps in implementing programmes that address and counter the relevant dynamics. As an approach that focuses on social problems and public ... ...

    Abstract There are vocal calls to act on the gender-related barriers and inequities in global health. Still, there are gaps in implementing programmes that address and counter the relevant dynamics. As an approach that focuses on social problems and public service delivery gaps, social entrepreneurship has the potential to be a closer health sector partner to tackle and transform the influence of gender in health to achieve health systems goals better. Nevertheless, social entrepreneurs' engagement and impact on gender and health remain understudied. Using the Ashoka Fellows database as a sampling frame in November 2020 (n = 3352, health n = 129), we identified and reviewed the work of 21 organizations that implemented gender-responsive health-related programmes between 2000 and 2020. We applied the UNU-IIGH 6-I Analytic Framework to review the gender issues, interventions, included populations, investments, implementation, and impact in each organization. We found that a low proportion of fellows engage in gender-responsive health programming (<1%). Many organizations operate in low-and middle-income countries (16/21). The gender-responsive programmes include established health sector practices, to address gendered-cultural dynamics and deliver people-centred resources and services. Interestingly, most organizations self-identify as NGOs and rely on traditional grant funding. Fewer organizations (6/21) adopt market-based and income-generating solutions - a missed opportunity to actualise the potential of social entrepreneurship as an innovative health financing approach. There were few publicly available impact evaluations-a gap in practice established in social entrepreneurship. All organizations implemented programmes at community levels, with some cross-sectoral, structural, and policy-level initiatives. Most focused on sexual and reproductive health and gender-based violence for predominantly populations of women and girls. Closer partnerships between social entrepreneurs and gender experts in the health sector can provide reciprocally beneficial solutions for cross-sectorally and community designed innovations, health financing, evidence generation and impact tracking that improve the gender-responsiveness of health programmes, policies, and systems.
    MeSH term(s) Entrepreneurship ; Female ; Global Health ; Healthcare Financing ; Humans ; Income ; Organizations
    Language English
    Publishing date 2021-12-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2021.114665
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    Zs.A 625: Show issues Location:
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  5. Article ; Online: Sex-disaggregated data in COVID-19 vaccine trials.

    Vijayasingham, Lavanya / Bischof, Evelyne / Wolfe, Jeannette

    Lancet (London, England)

    2021  Volume 397, Issue 10278, Page(s) 966–967

    MeSH term(s) COVID-19 Vaccines ; Clinical Trials as Topic ; Data Analysis ; Female ; Humans ; Male ; Sex Factors
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-03-05
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(21)00384-6
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  6. Article ; Online: Employment of patients with multiple sclerosis: the influence of psychosocial-structural coping and context.

    Vijayasingham, Lavanya / Mairami, Fatima Fanna

    Degenerative neurological and neuromuscular disease

    2018  Volume 8, Page(s) 15–24

    Abstract: Patients with multiple sclerosis tend to report higher levels of work difficulties and negative outcomes, such as voluntary and involuntary work termination and reduced work participation. In this article, we discuss the complex interactions of disease, ... ...

    Abstract Patients with multiple sclerosis tend to report higher levels of work difficulties and negative outcomes, such as voluntary and involuntary work termination and reduced work participation. In this article, we discuss the complex interactions of disease, personal coping strategies, and social and structural factors that contribute to their work experiences and outcomes. An overview of the coping strategies and actions that leverage personal and context-level factors and dynamics is also provided to support the overall goal of continued work in patients with MS.
    Language English
    Publishing date 2018-03-26
    Publishing country New Zealand
    Document type Journal Article ; Review
    ISSN 1179-9900
    ISSN (online) 1179-9900
    DOI 10.2147/DNND.S131729
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  7. Article ; Online: A call for more research and global collaboration in South-East Asia to address challenges of DMT access and MS management in the region.

    Vijayasingham, Lavanya / Viswanathan, Shanthi

    Multiple sclerosis (Houndmills, Basingstoke, England)

    2018  Volume 25, Issue 1, Page(s) 130–131

    MeSH term(s) Asia, Southeastern ; Congresses as Topic ; Delivery of Health Care ; Health Services Accessibility ; Humans ; Immunologic Factors/therapeutic use ; Internationality ; Intersectoral Collaboration ; Multiple Sclerosis/drug therapy ; Multiple Sclerosis/epidemiology ; Patient Advocacy
    Chemical Substances Immunologic Factors
    Language English
    Publishing date 2018-08-22
    Publishing country England
    Document type Letter
    ZDB-ID 1290669-4
    ISSN 1477-0970 ; 1352-4585
    ISSN (online) 1477-0970
    ISSN 1352-4585
    DOI 10.1177/1352458518797290
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    Zs.A 4428: Show issues Location:
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  8. Article ; Online: Ethics of care and selective organisational caregiving by private employers for employees with chronic illness in a middle-income country.

    Vijayasingham, Lavanya / Jogulu, Uma / Allotey, Pascale

    Social science & medicine (1982)

    2020  Volume 269, Page(s) 113608

    Abstract: For people with chronic illnesses in low-and-middle-income countries, access to enabling resources that contribute to health, economic and social resilience such as continued employment, often fall outside the health sector's remit or delivery of ... ...

    Abstract For people with chronic illnesses in low-and-middle-income countries, access to enabling resources that contribute to health, economic and social resilience such as continued employment, often fall outside the health sector's remit or delivery of national structural protection. In the absence of sufficient laws and policies that mitigate discrimination and enhance reasonable work modifications, private employers have a high degree of agency and discretion in how they hire, manage, or terminate employees with chronic illnesses (ECI). There is a scarcity of research on how employers make decisions under these conditions. Using a constructivist grounded theory approach, we interviewed and analysed data from 30 human resource (HR) professionals and decision-makers within private organisations in Klang Valley, Malaysia (June 2015-September 2016). In this paper, we use 'ethics of care' as an analytic, and moral lens to present HR's decision-making rationales in caring for and managing ECI. Respondents described the positive influence of international practices, including through parent company policies, as a reference for best practice. While overt bias and discriminatory perceptions were predictably described, participants also discussed care as relational organisational culture, and strategy, albeit selectively. Apart from illness factors such as duration and severity, descriptions of 'selective caregiving' included considerations of an employee's duration in organisations, the perceived value of the employee to employers, organisation size, ethos, resources and capabilities, and how organisations managed the uncertainty of illness futures as a potential risk to organisation outcomes. Selective caregiving can contribute to social, economic and health inequalities in populations with chronic illness. Nevertheless, global health actors can use the problems identified by participants, as entry points to engage more closely with employers and the broader private and commercial sectors in LMICs, to facilitate more inclusive care, and care-based intersectoral work to address the social and economic determinants of health.
    MeSH term(s) Chronic Disease ; Employment ; Humans ; Income ; Malaysia ; Organizational Culture
    Language English
    Publishing date 2020-12-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2020.113608
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  9. Article ; Online: Employment based health financing does not support gender equity in universal health coverage.

    Vijayasingham, Lavanya / Govender, Veloshnee / Witter, Sophie / Remme, Michelle

    BMJ (Clinical research ed.)

    2020  Volume 371, Page(s) m3384

    MeSH term(s) Delivery of Health Care/economics ; Female ; Global Health ; Health Benefit Plans, Employee/economics ; Health Benefit Plans, Employee/organization & administration ; Health Equity/economics ; Healthcare Financing ; Humans ; Pregnancy ; Universal Health Insurance/organization & administration ; Women's Health
    Keywords covid19
    Language English
    Publishing date 2020-10-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m3384
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  10. Article ; Online: Resolving sex and gender bias in COVID-19 vaccines R&D and beyond.

    Vijayasingham, Lavanya / Heidari, Shirin / Munro, Jean / Omer, Saad / MacDonald, Noni

    Human vaccines & immunotherapeutics

    2022  Volume 18, Issue 1, Page(s) 2035142

    Abstract: The influence of sex and gender in immune response and vaccine outcomes is established in many disease areas, including in COVID-19. Yet, there are notable gaps in the consideration of sex and gender in the analysis and reporting of COVID-19 vaccines ... ...

    Abstract The influence of sex and gender in immune response and vaccine outcomes is established in many disease areas, including in COVID-19. Yet, there are notable gaps in the consideration of sex and gender in the analysis and reporting of COVID-19 vaccines clinical trial data. The push for stronger sex and gender integration in vaccines science should be championed by all researchers and stakeholders across the R&D and access ecosystem - not just gender experts. This requires joint action on the tactical framing of customized value propositions (based on stakeholder motivations), the stronger enforcement of existing regulation, tools, and commitments, and aligning the overall agenda to parallel calls on intersectionality, equity diversity and inclusion.
    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines ; Ecosystem ; Female ; Humans ; Male ; Sexism ; Vaccines
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-02-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2664176-8
    ISSN 2164-554X ; 2164-5515
    ISSN (online) 2164-554X
    ISSN 2164-5515
    DOI 10.1080/21645515.2022.2035142
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