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Health policies, systems and management in low and middle-income countries

This section aims to publish studies looking at the impact of health policies, practices and interventions on communities in low and middle-income countries.

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  1. Antimicrobial resistance (AMR) is a serious global public health challenge. Physicians’ over-prescription of antibiotics is a major contributor, and intravenous (IV) antibiotic use has been a particular concer...

    Authors: Xiaomin Wang, Dan Wu, Ziming Xuan, Weiyi Wang and Xudong Zhou

    Citation: BMC Public Health 2020 20:1794

    Content type: Research article

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  2. China and Vietnam have made impressive progress towards universal health coverage (UHC) through government-led health insurance reforms. We compared the different pathways used to achieve UHC, to identify the ...

    Authors: Wenhui Mao, Yuchen Tang, Tra Tran, Michelle Pender, Phuong Nguyen Khanh and Shenglan Tang

    Citation: BMC Public Health 2020 20:1791

    Content type: Research article

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  3. Home blood pressure monitoring (HBPM) is recommended for diagnosis, treatment adjustment and management of most hypertension cases in hypertension guidelines from multiple countries. This study aimed to evalua...

    Authors: Hui-Juan Zuo, Ji-Xiang Ma, Jin-Wen Wang and Xiao-Rong Chen

    Citation: BMC Public Health 2020 20:1770

    Content type: Research article

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  4. Globally, immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had po...

    Authors: Nicholas Kwikiriza Magambo, Francis Bajunirwe and Fred Bagenda

    Citation: BMC Public Health 2020 20:1764

    Content type: Research article

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  5. Ensuring the current public health workforce has appropriate competencies to fulfill essential public health functions is challenging in many low- and middle-income countries. The absence of an agreed set of c...

    Authors: Sudip Bhandari, Brian Wahl, Sara Bennett, Cyrus Y. Engineer, Pooja Pandey and David H. Peters

    Citation: BMC Public Health 2020 20:1737

    Content type: Research article

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  6. Burden of Malaria in pregnancy (MIP) is still high despite availability of proven cost-effective interventions. Considerable progress has been made on improving antenatal attendance, but MIP preventive service...

    Authors: Emmanuel Chijioke Obagha, IkeOluwakpo Ajayi, Gobir A. Abdullahi and Chukwuma David Umeokonkwo

    Citation: BMC Public Health 2020 20:1660

    Content type: Research article

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  7. There are multiple barriers impeding access to childhood cancer care in the Indian health system. Understanding what the barriers are, how various stakeholders perceive these barriers and what influences their...

    Authors: Neha Faruqui, Sarah Bernays, Alexandra Martiniuk, Seye Abimbola, Ramandeep Arora, Jennifer Lowe, Avram Denburg and Rohina Joshi

    Citation: BMC Public Health 2020 20:1641

    Content type: Research article

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  8. PrEP use should be aligned with periods of risk for HIV acquisition. For HIV serodiscordant couples, PrEP can be used as a bridge until the partner living with HIV takes antiretroviral therapy (ART) long enoug...

    Authors: Nicholas Musinguzi, Lara Kidoguchi, Nelly R. Mugo, Kenneth Ngure, Elly Katabira, Connie L. Celum, Jared M. Baeten, Renee Heffron and Jessica E. Haberer

    Citation: BMC Public Health 2020 20:1621

    Content type: Research article

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  9. Economic evaluation of school-based obesity interventions could provide support for public health decision of obesity prevention. This study is to perform cost–utility and cost–benefit assessment of three scho...

    Authors: Haiquan Xu, Yanping Li, Songming Du, Qian Zhang, Ailing Liu, Junmao Sun and Guansheng Ma

    Citation: BMC Public Health 2020 20:1608

    Content type: Research article

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  10. Eswatini continues to have the highest prevalence of HIV in the world, and one of the highest HIV incidences among adult populations (aged 15–49). This analysis reports on both key elements of study design/pro...

    Authors: Marelize Gorgens, Andrew F. Longosz, Sosthenes Ketende, Muziwethu Nkambule, Tengetile Dlamini, Mbuso Mabuza, Kelvin Sikwibele, Vimbai Tsododo, Mthokozisi Dlamini, Futhie Dennis-Langa, Wendy Heard, Andrea Low, Pandu Harimurti, David Wilson, Khanya Mabuza and Damien de Walque

    Citation: BMC Public Health 2020 20:1591

    Content type: Research article

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  11. With many medical equipment in hospitals coming in direct contact with healthcare workers, patients, technicians, cleaners and sometimes care givers, it is important to pay close attention to their capacity in...

    Authors: Robert T. Ssekitoleko, Solomon Oshabaheebwa, Ian G. Munabi, Martha S. Tusabe, C. Namayega, Beryl A. Ngabirano, Brian Matovu, Julius Mugaga, William M. Reichert and Moses L. Joloba

    Citation: BMC Public Health 2020 20:1561

    Content type: Research article

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  12. Poor access to institutional delivery services has been known as a significant contributory factor to adverse maternal as well as newborn outcomes. Previous studies measured access in terms of utilization whil...

    Authors: Qaro Qanche Kayrite, Waju Beyene Salgedo, Tesfaye Dagne Weldemarium, Shimeles Ololo Sinkie, Dejene Melese Handalo, Teshale Dojamo Obola, Feyera Gebissa Kebene, Muluneh Getachew Garedew and Melaku Haile Likka

    Citation: BMC Public Health 2020 20:1530

    Content type: Research article

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  13. Short birth interval, defined as a birth-to-birth interval less than 33 months, is associated with adverse maternal and child outcomes. Evidence regarding the association of maternal socioeconomic status and s...

    Authors: Desalegn Markos Shifti, Catherine Chojenta, Elizabeth G. Holliday and Deborah Loxton

    Citation: BMC Public Health 2020 20:1504

    Content type: Research article

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  14. An effective referral system is critical to ensuring access to appropriate and timely healthcare services. In pluralistic healthcare systems such as Bangladesh, referral inefficiencies due to distance, diversi...

    Authors: Alayne M. Adams, Rushdia Ahmed, Shakil Ahmed, Sifat Shahana Yusuf, Rubana Islam, Ruman M. Zakaria Salam and Rocco Panciera

    Citation: BMC Public Health 2020 20:1476

    Content type: Research article

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  15. In Benin, malaria clinical cases, including the larger popular entity called “Palu” are evoked when people get fever. “Palu” is often self-diagnosed and self-medicated at home. This study aimed to describe the...

    Authors: Barikissou Georgia Damien, Carine Baxerres, Edwige Apetoh and Jean-Yves Le Hesran

    Citation: BMC Public Health 2020 20:1425

    Content type: Research article

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  16. Cardiovascular diseases (CVDs) and diabetes mellitus (DM) are among the leading cause of morbidity and mortality in low-and-middle-income countries (LMICs) but evidence in these contexts regarding the effectiv...

    Authors: Pablo Miranda-Machado, Fernando Salcedo-Mejía, Devian Parra-Padilla, Rusvelt Vargas-Moranth, Nelson Rafael Alvis-Zakzuk, Justo Paz-Wilches, Juan Fernández-Mercado, Fernando De la-Hoz Restrepo and Nelson Alvis-Guzmán

    Citation: BMC Public Health 2020 20:1416

    Content type: Research article

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  17. Home visits by paraprofessional community health workers (CHWs) has been shown to improve maternal and child health outcomes in research studies in many countries. Yet, when these are scaled or replicated, eff...

    Authors: Karl W. le Roux, Ellen Almirol, Panteha Hayati Rezvan, Ingrid M. le Roux, Nokwanele Mbewu, Elaine Dippenaar, Linnea Stansert-Katzen, Venetia Baker, Mark Tomlinson and M. J. Rotheram-Borus

    Citation: BMC Public Health 2020 20:1404

    Content type: Research article

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  18. Poor access to immunisation services remains a major barrier to achieving equity and expanding vaccination coverage in many sub-Saharan African countries. In Kenya, the extent to which spatial access affects i...

    Authors: Noel K. Joseph, Peter M. Macharia, Paul O. Ouma, Jeremiah Mumo, Rose Jalang’o, Peter W. Wagacha, Victor O. Achieng, Eunice Ndung’u, Peter Okoth, Maria Muñiz, Yaniss Guigoz, Rocco Panciera, Nicolas Ray and Emelda A. Okiro

    Citation: BMC Public Health 2020 20:1407

    Content type: Research article

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  19. The 2018 edition of the National Essential drugs List came into effect in September 2018. Relevant policies require that all primary medical and health institutions should supply national essential drugs, whil...

    Authors: Zuojun Dong, Qiucheng Tao and Guojun Sun

    Citation: BMC Public Health 2020 20:1405

    Content type: Research article

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  20. Uganda has one of the highest burdens of cervical cancer globally. In 2010 the Ugandan Ministry of Health launched the Strategic Plan for Cervical Cancer Prevention and Control with the hope of developing cerv...

    Authors: James Henry Obol, Reema Harrison, Sophia Lin, Mark James Obwolo and Robyn Richmond

    Citation: BMC Public Health 2020 20:1396

    Content type: Research article

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  21. Ensuring public health is crucial in any policy debate on climate change. Paris Agreement on climate change is a global contract, through which countries have committed themselves to a public health treaty. Th...

    Authors: Arefeh Mousavi, Ali Ardalan, Amirhossein Takian, Abbas Ostadtaghizadeh, Kazem Naddafi and Alireza Massah Bavani

    Citation: BMC Public Health 2020 20:1388

    Content type: Research article

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  23. There has been significant recent prioritization and investment in the immunization program in Ethiopia. However, coverage rates have stagnated and remained low for many years, suggesting the presence of syste...

    Authors: Binyam Tilahun, Zeleke Mekonnen, Alyssa Sharkey, Asm Shahabuddin, Marta Feletto, Meseret Zelalem and Kabir Sheikh

    Citation: BMC Public Health 2020 20:1365

    Content type: Research article

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  24. Poor early-life nutrition is a major barrier to good health and cognitive development, and is a global health priority. Alive & Thrive (A&T) was a multi-pronged initiative to improve infant and young child fee...

    Authors: Corrina Moucheraud, Haribondhu Sarma, Tran Thi Thu Ha, Tahmeed Ahmed, Adrienne Epstein, Jeffrey Glenn, Hoang Hong Hanh, Tran Thi Thu Huong, Sharmin Khan Luies, Aninda Nishat Moitry, Doan Phuong Nhung, Denise Diaz Payán, Mahfuzur Rahman, Md Tariqujjaman, Tran Thi Thuy, Tran Tuan…

    Citation: BMC Public Health 2020 20:1361

    Content type: Research article

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  25. Disparities in the utilization, expenditures, and quality of care by insurance types have been well documented. Such comparisons have yet to be investigated in end-of-life (EOL) settings in China, where public...

    Authors: Zhong Li, Peiyin Hung, Ruibo He, Xiaoming Tu, Xiaoming Li, Chengzhong Xu, Fangfang Lu, Pei Zhang and Liang Zhang

    Citation: BMC Public Health 2020 20:1354

    Content type: Research article

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  26. As a low-middle income country, South Africa has seen an upsurge in the double burden of malnutrition (DBM). Owing to the rising costs of obesity on healthcare in South Africa, the National Treasury implemente...

    Authors: Tayla Ashton Kaltenbrun, Lisanne Monica du Plessis and Scott Drimie

    Citation: BMC Public Health 2020 20:1342

    Content type: Research article

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  27. Digital health tools (WeChat or mobile health apps) provide opportunities for new methods of hypertension management for hypertensive patients. However, the willingness of these patients to use social media an...

    Authors: Shiqun Chen, Guoli Sun, Xiaolin Cen, Jin Liu, Jianfeng Ye, Jiyan Chen, Li Lei, Yibo He, Feier Song, Wei Guo, Yan Liang, Yuying Hu, Kaihong Chen, Liling Chen, Ning Tan and Yong Liu

    Citation: BMC Public Health 2020 20:1333

    Content type: Research article

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  28. In countries with health insurance systems, the number and size of insurance funds along with the amount of risk distribution among them are a major concern. One possible solution to overcome problems resultin...

    Authors: Mohammad Bazyar, Vahid Yazdi-Feyzabadi, Nouroddin Rahimi and Arash Rashidian

    Citation: BMC Public Health 2020 20:1315

    Content type: Research article

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  29. The incidence of chronic kidney disease (CKD) is high in the Northeast Thailand compared to other parts of the country. Therefore, a broad program applying all levels of care is inevitable. This paper describe...

    Authors: Ubon Cha’on, Kanok Wongtrangan, Bandit Thinkhamrop, Sajja Tatiyanupanwong, Chulaporn Limwattananon, Cholatip Pongskul, Thanachai Panaput, Chalongchai Chalermwat, Worachart Lert-itthiporn, Amod Sharma and Sirirat Anutrakulchai

    Citation: BMC Public Health 2020 20:1299

    Content type: Research article

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  30. In Ethiopia malaria is one of the top ten leading causes of morbidity and mortality. Community knowledge of prevention and control methods had been proven to play an important role in the implementation of eff...

    Authors: Tsigie Baye Aragie

    Citation: BMC Public Health 2020 20:1275

    Content type: Research article

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  31. Migrant workers are a susceptible population to the hepatitis b virus (HBV) and a vulnerable spot in China’s immunization procedures. There is no free HBV immunization program for migrant workers in China, so ...

    Authors: Cai Liu, Stephen Nicholas and Jian Wang

    Citation: BMC Public Health 2020 20:1219

    Content type: Research article

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  32. In 2011, Benin introduced the 13-valent pneumococcal conjugated vaccine (PCV13), in a single-dose vial, into its Expanded Programme for Immunisation (EPI) with support from Gavi. In April 2018, with the suppor...

    Authors: Daleb Abdoulaye Alfa, Roch A. Houngnihin, G. Patrick Ilboudo, Naomi Dick, Landry Kaucley and Téné-Alima Essoh

    Citation: BMC Public Health 2020 20:1216

    Content type: Research article

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  33. There have been few studies on satisfaction with integrated basic medical insurance for urban and rural residents (URRBMI), and satisfaction with URRBMI is not very high because of the complexity of its polici...

    Authors: Xiaofang Liu, Fang Yang, Wenwei Cheng, Yanyan Wu, Jin Cheng, Weichu Sun, Xiaofang Yan, Mingming Luo, Xiankun Mo, Mi Hu, Qian Lin and Jingcheng Shi

    Citation: BMC Public Health 2020 20:1201

    Content type: Research article

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  34. The National Health Insurance (NHI) is a proposed health policy in South Africa that aims to change the structure of the current health system. Public involvement in policy making is important and it is a cons...

    Authors: Lizeka Amanda Tandwa and Ames Dhai

    Citation: BMC Public Health 2020 20:1191

    Content type: Research article

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  35. Fall-related injuries are important public health problem worldwide. We aimed to describe the epidemiological and clinical characteristics of fall-related injuries in a level 1 trauma center.

    Authors: Ahammed Mekkodathil, Ayman El-Menyar, Ahad Kanbar, Suhail Hakim, Khalid Ahmed, Tariq Siddiqui and Hassan Al-Thani

    Citation: BMC Public Health 2020 20:1186

    Content type: Research article

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  36. Mobile technology is increasingly important for delivering public health interventions to remote populations. This research study developed, piloted, and assessed a serious game for mobile devices that teaches...

    Authors: Sonja Mueller, Delphine Soriano, Andrei Boscor, Naomi Saville, Abriti Arjyal, Sushil Baral, Maureen Fordham, Gareth Hearn, Virginie Le Masson, Rachya Kayastha and Patty Kostkova

    Citation: BMC Public Health 2020 20:1171

    Content type: Research article

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  37. The burgeoning rise of non-communicable diseases (NCDs) is posing serious challenges in resource constrained health facilities of Nepal. The main objective of this study was to assess the readiness of health f...

    Authors: Umesh Ghimire, Nipun Shrestha, Bipin Adhikari, Suresh Mehata, Yashashwi Pokharel and Shiva Raj Mishra

    Citation: BMC Public Health 2020 20:1163

    Content type: Research article

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  38. Integrated Management of Childhood Illnesses (IMCI) is a strategy developed by the World Health Organization (WHO) and UNICEF in 1992. It was deployed as an integrated approach to improve children’s health in ...

    Authors: Andrés Mauricio García Sierra and Jovana Alexandra Ocampo Cañas

    Citation: BMC Public Health 2020 20:1122

    Content type: Research article

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  39. This study analyzed the trends and seasonality in mortality among children aged 0–14 years in Guangzhou, China during 2008–2018. Understanding the epidemiology of this public health problem can guide policy de...

    Authors: Xiao-Han Xu, Hang Dong, Li Li, Wen-Hui Liu, Guo-Zhen Lin and Chun-Quan Ou

    Citation: BMC Public Health 2020 20:1117

    Content type: Research article

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  40. In 1988, the 41st World Health Assembly (WHA) marked the launch of the Global Polio Eradication Initiative (GPEI) for the eradication of polio. A key component of the GPEI has been the development and deployment ...

    Authors: Brook Tesfaye, Jeevan K. Makam, Kibet Sergon, Iheoma Onuekwusi, Charles Muitherero and Alieu Sowe

    Citation: BMC Public Health 2020 20:1110

    Content type: Research article

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  41. Effective public health surveillance systems are crucial for early detection and response to outbreaks. In 2016, Kenya transitioned its surveillance system from a standalone web-based surveillance system to th...

    Authors: Ian Njeru, David Kareko, Ngina Kisangau, Daniel Langat, Nzisa Liku, George Owiso, Samantha Dolan, Peter Rabinowitz, Daniel Macharia, Chinyere Ekechi and Marc-Alain Widdowson

    Citation: BMC Public Health 2020 20:1101

    Content type: Research article

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  42. This study aims to explore the effect of public hospital managers’ risk and gain perception on their attitude towards physician dual practice (PDP).

    Authors: Yuanyuan Yu, William C. S. Cho, Qiaoman Liu, Xiaojing Fan, Xiaolin Chen, Xihe Yu, Yijun Lv and Xiumin Zhang

    Citation: BMC Public Health 2020 20:1099

    Content type: Research article

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  43. The Chinese government has been strengthening the primary care system since the launch of the New Healthcare System Reform in 2009. Among all endeavors, the most obvious and significant improvement lays in mat...

    Authors: Mengping Zhou, Luwen Zhang, Nan Hu and Li Kuang

    Citation: BMC Public Health 2020 20:1093

    Content type: Research article

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  44. The incidence of maternal mortality remains unacceptably high in developing countries. Ethiopia has developed many strategies to reduce maternal and child mortality by encouraging institutional delivery servic...

    Authors: Yebelay Berelie, Dawit Yeshiwas, Leltework Yismaw and Muluneh Alene

    Citation: BMC Public Health 2020 20:1077

    Content type: Research article

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  45. Access to sexual and reproductive health services continues to be a public health concern in Kenya, Tanzania, Uganda and Zambia: use of modern contraceptives is low, and unmet family planning needs and materna...

    Authors: Gaby I. Ooms, Denis Kibira, Tim Reed, Hendrika A. van den Ham, Aukje K. Mantel-Teeuwisse and Gemma Buckland-Merrett

    Citation: BMC Public Health 2020 20:1053

    Content type: Research article

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  46. A recent community-based disease management (CBDM) pilot study reported a 20.5% prevalence of hypertension and a 0.5 and 3.6% prevalence of stroke and coronary heart disease (CHD), respectively, in an elderly ...

    Authors: Yang Li, Cai Minzhang, Ma Minghui, Huang Xinmiao, Liu Laixin, Wang Bei, Zhu Weihai, Zhe Wei, Guan Yumei, Thitima Kongnakorn, Ying Xiao, Siyang Peng, David Hughes, Naranjargal Dashdorj and Thomas Hach

    Citation: BMC Public Health 2020 20:1034

    Content type: Research article

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  47. Suicide is a serious global public health problem, with more than 800,000 people dying by suicide worldwide every year. 79% of suicides happen in Low and Middle-Income Countries (LMICs), where lack of national...

    Authors: Anila Anjum, Tazeen Saeed Ali, Nousheen Akber Pradhan, Murad Khan and Rozina Karmaliani

    Citation: BMC Public Health 2020 20:991

    Content type: Research article

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  48. With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden. The study aimed to exa...

    Authors: Gebremicheal Gebreslassie Kasahun, Gebremedhin Beedemariam Gebretekle, Yohannes Hailemichael, Aynalem Abraha Woldemariam and Teferi Gedif Fenta

    Citation: BMC Public Health 2020 20:984

    Content type: Research article

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  49. Access to primary healthcare is crucial for the delivery of Kenya’s universal health coverage policy. However, disparities in healthcare have proved to be the biggest challenge for implementing primary care in...

    Authors: Peter O. Otieno, Elvis O. A. Wambiya, Shukri M. Mohamed, Martin Kavao Mutua, Peter M. Kibe, Bonventure Mwangi and Hermann Pythagore Pierre Donfouet

    Citation: BMC Public Health 2020 20:981

    Content type: Research article

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  50. The help-seeking interval and primary-care interval are points of delays in breast cancer presentation. To inform future intervention targeting early diagnosis of breast cancer, we described the contribution o...

    Authors: Olayide Agodirin, Samuel Olatoke, Ganiyu Rahman, Julius Olaogun, Olalekan Olasehinde, Aba Katung, Oladapo Kolawole, Omobolaji Ayandipo, Amarachukwu Etonyeaku, Olufemi Habeeb, Ademola Adeyeye, John Agboola, Halimat Akande, Soliu Oguntola, Olusola Akanbi and Oluwafemi Fatudimu

    Citation: BMC Public Health 2020 20:962

    Content type: Research article

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