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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. Control of preventive chemotherapy-targeted neglected tropical diseases (PC-NTDs) relies on strengthened health systems. Efficient health information systems provide an impetus to achieving the sustainable dev...

    Authors: Arthur K. S. Ng’etich, Kuku Voyi and Clifford M. Mutero

    Citation: BMC Public Health 2021 21:396

    Content type: Research article

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  2. Paracetamol, also known as acetaminophen, is one of the most common antipyretic and analgesic over-the-counter (OTC) medicines administered to children due to its efficacy, safety, and availability in many pha...

    Authors: Aiman Daifallah, Ruba Jabr, Faraj Al-Tawil, Moutaz Elkourdi, Ziad Salman, Amer Koni, Ahmad Samara, Samah W. Al-Jabi and Sa’ed H. Zyoud

    Citation: BMC Public Health 2021 21:380

    Content type: Research article

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  3. Several studies conducted to access the status of household food insecurity in Ethiopia show that the nutrition problem is still highly prevalent especially in pregnant women and children. This study was condu...

    Authors: Mehariw Birhan Ambaw, Getasew Shitaye, Mekuanint Taddele and Zewdie Aderaw

    Citation: BMC Public Health 2021 21:311

    Content type: Research article

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  4. Despite progress in tuberculosis (TB) control globally, TB continues to be a leading cause of death from infectious diseases, claiming 1.2 million lives in 2018; 214,000 of these deaths were due to drug resist...

    Authors: Charity Oga-Omenka, Lawrence Wakdet, Dick Menzies and Christina Zarowsky

    Citation: BMC Public Health 2021 21:279

    Content type: Research article

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  5. Policymakers and health professionals prefer to use summarized evidence of practice recommendations. The aim of this scoping review is therefore to identify available guidelines, consensus statements, the stan...

    Authors: Lemi Belay Tolu, Garumma Tolu Feyissa and Wondimu Gudu Jeldu

    Citation: BMC Public Health 2021 21:276

    Content type: Research article

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  6. Despite global recommendations to prioritise policies that create healthy food environments within education institutions, the implementation of effective healthy school food policies has proved challenging fo...

    Authors: Erica Reeve, Anne-Marie Thow, Colin Bell, Christina Soti-Ulberg and Gary Sacks

    Citation: BMC Public Health 2021 21:246

    Content type: Research article

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  7. The level of preparedness of the health care workers, the health facility and the entire health system determines the magnitude of the impact of an Ebola Virus Disease (EVD) outbreak as demonstrated by the Wes...

    Authors: Michael Kibuule, Deogratias Sekimpi, Aggrey Agaba, Abdullah Ali Halage, Michael Jonga, Leonard Manirakiza, Catherine Kansiime, Dominic Travis, Katharine Pelican and Innocent B. Rwego

    Citation: BMC Public Health 2021 21:236

    Content type: Research article

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  8. Limited capacity to regulate medical products is associated with circulation of products which do not meet standards of quality, safety and efficacy with negative public health and economic outcomes. This stud...

    Authors: Margareth Ndomondo-Sigonda, Jacqueline Miot, Shan Naidoo, Nelson E. Masota, Brian Ng’andu, Nancy Ngum and Eliangiringa Kaale

    Citation: BMC Public Health 2021 21:187

    Content type: Research article

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  9. Even though the urban health extension program (HEP) has been implemented since 2009, little was known about its implementation, experience and challenges. Therefore, this study was aimed at exploring the impl...

    Authors: Getahun Zebre, Abraham Tamirat Gizaw, Kasahun Girma Tareke and Yohannes Kebede Lemu

    Citation: BMC Public Health 2021 21:167

    Content type: Research article

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  10. In Uganda, there are persistent weaknesses in obtaining accurate, reliable and complete data on local and external investments in immunization to guide planning, financing, and resource mobilization. This stud...

    Authors: Carol Kamya, Christabel Abewe, Peter Waiswa, Gilbert Asiimwe, Faith Namugaya, Charles Opio, Immaculate Ampeire, Stephen Lagony and Charlotte Muheki

    Citation: BMC Public Health 2021 21:160

    Content type: Research article

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  11. The aim of this study was to examine changes in beverage expenditure patterns before and after a T$0.50/L sweetened-beverage (SB) excise was introduced in Tonga in 2013, by household income, household age comp...

    Authors: Andrea Teng, Bertrand Buffière, Murat Genç, Telekaki Latavao, Viliami Puloka, Louise Signal and Nick Wilson

    Citation: BMC Public Health 2021 21:149

    Content type: Research article

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  12. Brief messaging interventions, including Short Message Service (SMS) text-messages, delivered via mobile device platforms, show promise to support and improve treatment adherence. To understand how these inter...

    Authors: Natalie Leon, Hazel Namadingo, Kirsty Bobrow, Sara Cooper, Amelia Crampin, Bruno Pauly, Naomi Levitt and Andrew Farmer

    Citation: BMC Public Health 2021 21:147

    Content type: Research article

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  13. Effective surveillance and response systems are vital to achievement of disease control and elimination goals. Kenya adopted the revised guidelines of the integrated disease surveillance and response system in...

    Authors: Arthur K. S. Ng’etich, Kuku Voyi and Clifford M. Mutero

    Citation: BMC Public Health 2021 21:142

    Content type: Research article

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  14. Health insurance is an important mechanism to prevent financial hardship in the process of accessing health care. Since the launch of Nigeria’s National Health Insurance Scheme (NHIS) in 2005, only 5% of Niger...

    Authors: Gbadegesin O. Alawode and David A. Adewole

    Citation: BMC Public Health 2021 21:124

    Content type: Research article

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  15. Ensuring safety and wellbeing of healthcare providers is crucial, particularly during times of a pandemic. In this study, we aim to identify the determinants of anxiety in physicians on duty in coronavirus war...

    Authors: Qaisar Khalid Mahmood, Sara Rizvi Jafree, Aisha Jalil, Syed Mujtaba Hasnain Nadir and Florian Fischer

    Citation: BMC Public Health 2021 21:118

    Content type: Research article

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  16. Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We exp...

    Authors: Manuel Colomé-Hidalgo, Juan Donado Campos and Ángel Gil de Miguel

    Citation: BMC Public Health 2021 21:115

    Content type: Research article

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  17. Maternal and child health are key priorities among the Sustainable Development Goals, which include a particular focus on reducing morbidity and mortality among women of reproductive age, newborns, and childre...

    Authors: Shari Krishnaratne, Jessie K. Hamon, Jenna Hoyt, Tracey Chantler, Justine Landegger, Nathaly Spilotros, Shiferaw Dechasa Demissie, Siraj Mohammed and Jayne Webster

    Citation: BMC Public Health 2021 21:99

    Content type: Research article

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  18. High quality, representative data from HIV surveillance systems that have country ownership and commitment are critical for guiding national HIV responses, especially among key and priority populations given t...

    Authors: Cynthia Semá Baltazar, Makini Boothe, Denise Chitsondzo Langa, Isabel Sathane, Roberta Horth, Peter Young, Nick Schaad and Henry F. Raymond

    Citation: BMC Public Health 2021 21:91

    Content type: Research in practice

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  19. Prescription drugs constitute the primary source of revenue for the pharmaceutical industry. Most pharmaceutical companies commit a great deal of time and money to market in hopes of convincing physicians abou...

    Authors: Abel Demerew Hailu, Birhanu Demeke Workneh and Mesfin Haile Kahissay

    Citation: BMC Public Health 2021 21:65

    Content type: Research article

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  20. In China, achieving health equity has been regarded as a key issue for health reform and development in the current context. It is well known that unemployment has a negative effect on health. However, few stu...

    Authors: Yaxin Zhao, Zhongliang Zhou, Xiaojing Fan, Rashed Nawaz, Dantong Zhao, Tiange Xu, Min Su, Dan Cao, Chi Shen and Sha Lai

    Citation: BMC Public Health 2021 21:52

    Content type: Research article

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  21. Tibet is an autonomous region in China located around an average altitude of 4500 m above sea level. Since 2012 the local government of Tibet has been providing free physical examinations, including screening ...

    Authors: Ci Song, Virasakdi Chongsuvivatwong, Suolang Wangdui, Danzeng Mima, Cuoji Zhuoma, D. Ji, Ouzhu Luobu and Hutcha Sriplung

    Citation: BMC Public Health 2021 21:33

    Content type: Research article

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  22. The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF pra...

    Authors: Tsegaye Gebremedhin, Demiss Mulatu Geberu and Asmamaw Atnafu

    Citation: BMC Public Health 2021 21:18

    Content type: Research article

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  23. Vitamin D deficiency (VDD) is recognized as a global pandemic. Identification, any association between VDD and subjective health complaints (SHC), can be helpful to realize critical mechanisms and improve psyc...

    Authors: Nazli Namazi, Mostafa Qorbani, Gita Shafiee, Mohammad Hossein Ahmadian, Mohammad Esmaeil Motlagh, Mehdi Ebrahimi, Hamid Asayesh, Roya Kelishadi and Ramin Heshmat

    Citation: BMC Public Health 2021 21:3

    Content type: Research article

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  24. Micro-health insurance (MHI) has been identified as a possible interim solution to foster progress towards Universal Health Coverage (UHC) in low- and middle- income countries (LMICs). Still, MHI schemes suffe...

    Authors: Albino Kalolo, Lara Gautier, Ralf Radermacher, Siddharth Srivastava, Menoris Meshack and Manuela De Allegri

    Citation: BMC Public Health 2021 21:1

    Content type: Research article

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  25. Unintentional injuries account for 10% of deaths worldwide; the majority due to road traffic injuries, falls, drowning, poisoning and burns. Effective surveillance systems provide evidence for informed injury ...

    Authors: Jagnoor Jagnoor, Manickam Ponnaiah, Matthew Varghese, Rebecca Ivers, Rajesh Kumar, Shankar Prinja, Aliki Christou and Tanu Jain

    Citation: BMC Public Health 2020 20:1909

    Content type: Research article

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  26. Despite concerns about dolutegravir use in pregnancy, most low- and middle-income countries are accelerating the introduction of dolutegravir-based regimens into national antiretroviral treatment programmes. Q...

    Authors: Yussif Alhassan, Adelline Twimukye, Thoko Malaba, Catherine Orrell, Landon Myer, Catriona Waitt, Mohammed Lamorde, Andrew Kambugu, Helen Reynolds, Saye Khoo and Miriam Taegtmeyer

    Citation: BMC Public Health 2020 20:1883

    Content type: Research article

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  27. Retention of HIV-infected mothers in integrated HIV and healthcare facilities is effective at reducing mother-to-child-transmission (MTCT) of HIV. In the context of Option B+, we examined maternal and HIV-expo...

    Authors: Elasma Milanzi, Victor Mwapasa, Jessica Joseph, Aurelie Jousset, Timothy Tchereni, Andrews Gunda, Jennipher Phiri and Jeanette C. Reece

    Citation: BMC Public Health 2020 20:1879

    Content type: Research article

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  28. The effects of food insecurity linked to climate change will be exacerbated in subsistence communities that are dependent upon food systems for their livelihoods and sustenance. Place-and community-based forms...

    Authors: Bianca van Bavel, Lea Berrang Ford, Rebecca King, Shuaib Lwasa, Didacus Namanya, Sabastian Twesigomwe, Helen Elsey and Sherilee L. Harper

    Citation: BMC Public Health 2020 20:1864

    Content type: Research article

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  29. In 2018, Uganda started only 65% of persons with incident tuberculosis on treatment. Pretreatment loss to follow up is an important contributor to suboptimal treatment coverage. We aimed to describe the patien...

    Authors: Stella Zawedde-Muyanja, Achilles Katamba, Adithya Cattamanchi, Barbara Castelnuovo and Yukari C. Manabe

    Citation: BMC Public Health 2020 20:1855

    Content type: Research article

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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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  49. 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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  50. 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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