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

Section edited by Ariadne Kapetanaki.

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

Page 1 of 6

  1. Content type: Research article

    The 2014–2016 Ebola outbreak was a wake-up call regarding the critical importance of resilient health systems. Fragile health systems can become overwhelmed during public health crises, further exacerbating th...

    Authors: Jennifer B. Nuzzo, Diane Meyer, Michael Snyder, Sanjana J. Ravi, Ana Lapascu, Jon Souleles, Carolina I. Andrada and David Bishai

    Citation: BMC Public Health 2019 19:1310

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  2. Content type: Research article

    Foz do Iguassu is a Brazilian municipality located in the most populous international border of the country and provides medical care to foreigners. Neonatal mortality in the city is higher than Brazil’s avera...

    Authors: Suzana de Souza, Etienne Duim and Fernando Kenji Nampo

    Citation: BMC Public Health 2019 19:1304

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  3. Content type: Research article

    Death of a mother at an early age of the child may result in an increased risk of childhood mortality, especially in low-and-middle-income countries. This study aims to synthesize estimates of the association ...

    Authors: Diep Thi Ngoc Nguyen, Suzanne Hughes, Sam Egger, D. Scott LaMontagne, Kate Simms, Phillip E. Castle and Karen Canfell

    Citation: BMC Public Health 2019 19:1281

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  4. Content type: Research article

    Community health services have played an important role in the prevention and control of diabetes in China. The aims of this study were to examine the frequency of visits to community clinics for diabetic care...

    Authors: Jinwen Wang, Huijuan Zuo, Xiaorong Chen, Lei Hou and Jixiang Ma

    Citation: BMC Public Health 2019 19:1267

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  5. Content type: Study protocol

    In many low income countries, the majority of acutely malnourished children are either brought to the health facility late or never at all due to reasons related to distance and associated costs. Integrated co...

    Authors: Elizabeth Wambui Kimani-Murage, Hermann Pythagore, Elizabeth Mwaniki, Tewoldeberha Daniel, Betty Samburu, Pilar Charle Cuellar, Regina Mbochi, James Njiru, Lucy Wangare, Lydia Karimurio, Olivia Agutu, Lucy Gathigi Maina, Peter Okoth, Judith Raburu, Milka Wanjohi, Triza Macharia…

    Citation: BMC Public Health 2019 19:1253

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  6. Content type: Research article

    Antiangiogenic therapy has proved to be an important therapeutic tool for many retinal vascular diseases; however, its availability is limited in developing countries. This study sought to describe the bevaciz...

    Authors: Sávio Lima Sodré, Italo Antunes França Barbosa, Israel Emiliano Pacheco, Felipe de Queiroz Tavares Ferreira, Milton Agrizzi David, Mauricio Abujamra Nascimento, Carlos Eduardo Leite Arieta and Jose Paulo Cabral de Vasconcellos

    Citation: BMC Public Health 2019 19:1252

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  7. Content type: Research article

    The technical efficiency (TE) of care among the elderly in long-term care facilities (LTCF) have become increasingly crucial policy concerns faced by developing countries and Asia, especially China. The purpos...

    Authors: Liangwen Zhang, Yanbing Zeng and Ya Fang

    Citation: BMC Public Health 2019 19:1230

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  8. Content type: Research article

    Liberia is among the three west African countries which were crippled by the Ebola Virus Disease (EVD) outbreak of 2014. One of the programs which was affected by the EVD outbreak was the National Leprosy and ...

    Authors: Kassaye Tekie Desta, Dedeh Barr Kessely and Jerry G. Daboi

    Citation: BMC Public Health 2019 19:1221

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  9. Content type: Correspondence

    Rates of childhood undernutrition are persistently high in Cambodia. Existing ready-to-use supplementary and therapeutic foods (RUSFs and RUTFs) have had limited acceptance and effectiveness. Therefore, our pr...

    Authors: Bindi Borg, Seema Mihrshahi, Arnaud Laillou, Sanne Sigh, Daream Sok, Remco Peters, Chhoun Chamnan, Jacques Berger, Sophonneary Prak, Nanna Roos, Mark Griffin and Frank T. Wieringa

    Citation: BMC Public Health 2019 19:1200

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  10. Content type: Research article

    National and international strategies have increasingly promoted chronic patient participation at different levels of the health care system, building the image of an ‘active’ chronic patient engaged for examp...

    Authors: Jessica Martini, Annick Tijou Traoré and Céline Mahieu

    Citation: BMC Public Health 2019 19:1179

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  11. Content type: Research article

    Vaccine safety surveillance is an essential requirement in vaccination programmes. It supports signal identification, hypothesis generation, and the identification and rectification of gaps in vaccine pharmaco...

    Authors: Josiah Tatenda Masuka and Star Khoza

    Citation: BMC Public Health 2019 19:1166

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  12. Content type: Research article

    The burden of tuberculosis (TB) and diabetes mellitus (DM) is rising and substantially affecting the low-income countries, including Tanzania. Integrated management of TB and DM is becoming of importance in TB...

    Authors: Festo K. Shayo and Sigfrid Casmir Shayo

    Citation: BMC Public Health 2019 19:1104

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  13. Content type: Research article

    Ethiopia was among the 15 countries that, together accounted for 64% of the world’s severe episodes of pneumonia among children below the age of 5 in 2011. To reduce this burden, the 10-valent pneumococcal con...

    Authors: Tayue Tateke Kebede, Mikael Svensson, Adamu Addissie, Birger Trollfors and Rune Andersson

    Citation: BMC Public Health 2019 19:1078

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  14. Content type: Research article

    Access to quality essential healthcare services and vaccines for all is key to achieving universal health coverage. Inequities driven by differences in place of residence and socio-economic status persist amon...

    Authors: Duncan N. Shikuku, Maxwell Muganda, Soudie O. Amunga, Elly O. Obwanda, Alice Muga, Thomas Matete and Paul Kisia

    Citation: BMC Public Health 2019 19:1064

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  15. Content type: Research article

    Warfarin is classified as a high-alert medication for ambulatory healthcare and safe guards for high-alert medications are necessary, including the practice of mandatory patient education. The high cost of hos...

    Authors: Krista Heinrich, Katherine Sanchez, Cecilia Hui, Kiara Talabi, Marlena Perry, Huanying Qin, Hoa Nguyen and Amulya Tatachar

    Citation: BMC Public Health 2019 19:1050

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  16. Content type: Research article

    In Mozambique cervical cancer is a public health threat, due to its high incidence and limited access to early diagnosis of precancerous lesions. International organisations are supporting the introduction of ...

    Authors: Sergi Alonso, Olga Cambaco, Yolanda Maússe, Graça Matsinhe, Eusébio Macete, Clara Menéndez, Elisa Sicuri, Esperança Sevene and Khátia Munguambe

    Citation: BMC Public Health 2019 19:1031

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  17. Content type: Research article

    Reform of the health care system in China has prompted concerns about the utilization of mental health services. This study aims to compare the utilization of mental health services among inpatients in various...

    Authors: Jianwei Shi, Lan Tang, Limei Jing, Jinsong Geng, Rui Liu, Li Luo, Ning Chen, Qian Liu, Xin Gong, Xiaojie Bo, Yan Yang and Zhaoxin Wang

    Citation: BMC Public Health 2019 19:1023

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  18. Content type: Research article

    Vaccination is one of the cost effective strategies reducing childhood morbidity and mortality. Further improvement of immunization coverage would halt about 1.5 million additional deaths globally. Understandi...

    Authors: Koku Sisay Tamirat and Malede Mequanent Sisay

    Citation: BMC Public Health 2019 19:1019

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  19. Content type: Research article

    Cervical cancer treatment and care services have remained largely centralized in Zimbabwe thereby entrenching inequities to access amongst patients. The objective of this study was to investigate the determina...

    Authors: O. Tapera, G. Dreyer, W. Kadzatsa, A. M. Nyakabau, B. Stray-Pedersen and S. J. H. Hendricks

    Citation: BMC Public Health 2019 19:1018

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  20. Content type: Research article

    Shanghai is one of the earliest cities in developing countries to introduce an organized colorectal screening program for its residents to fight against the rising disease burden of colorectal cancer (CRC). Th...

    Authors: Xiaopan Li, Yi Zhou, Zheng Luo, Yi’an Gu, Yichen Chen, Chen Yang, Jing Wang, Shaotan Xiao, Qiao Sun, Mengcen Qian and Genming Zhao

    Citation: BMC Public Health 2019 19:1016

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  21. Content type: Research article

    This study explored primary healthcare provider and HIV/contraception expert stakeholder perspectives on South Africa’s public sector provision of contraceptive implants to women living with HIV. We investigat...

    Authors: Anna Brown, Jane Harries, Diane Cooper and Chelsea Morroni

    Citation: BMC Public Health 2019 19:1003

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  22. Content type: Research article

    Many interventions to motivate community health workers to perform better rely on financial incentives, even though it is not clear that monetary gain is the main motivational driver. In Pakistan, Lady Health ...

    Authors: Mishal S. Khan, Nelofar Mehboob, Afifah Rahman-Shepherd, Farah Naureen, Aamna Rashid, Naveed Buzdar and Muhammad Ishaq

    Citation: BMC Public Health 2019 19:999

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  23. Content type: Research article

    Immunization is one of the most cost-effective health intervention to halt the spread of childhood diseases, and improve child health. Yet, there is a substantial disparity in childhood immunization coverage. ...

    Authors: Hermann Pythagore Pierre Donfouet, Gaye Agesa and Martin Kavao Mutua

    Citation: BMC Public Health 2019 19:988

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  24. Content type: Research article

    Despite substantial positive impacts of Thailand’s tobacco control policies on reducing the prevalence of smoking, current trends suggest that further reductions are needed to ensure that WHO’s 2025 voluntary ...

    Authors: Suchunya Aungkulanon, Siriwan Pitayarangsarit, Kanitta Bundhamcharoen, Chutima Akaleephan, Virasakdi Chongsuvivatwong, Ratsida Phoncharoen and Viroj Tangcharoensathien

    Citation: BMC Public Health 2019 19:984

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  25. Content type: Research article

    Understanding stakeholders’ perceptions is crucial to the development and implementation of any intervention. However, a structured approach to eliciting stakeholder insights into complex, multisector issues o...

    Authors: Santosh Gaihre, Janet Kyle, Sean Semple, Jo Smith, Debbi Marais, Madhu Subedi and Heather Morgan

    Citation: BMC Public Health 2019 19:961

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  26. Content type: Research article

    In Brazil, 70% of the population depends on the public healthcare system. Since early detection is considered crucial, this study aimed to evaluate temporal changes in breast cancer screening coverage provided...

    Authors: Danielle Cristina Netto Rodrigues, Ruffo Freitas-Junior, Rosemar Macedo Sousa Rahal, Rosangela da Silveira Corrêa, Pollyana Alves Gouveia, João Emílio Peixoto, Edésio Martins and Leonardo Ribeiro Soares

    Citation: BMC Public Health 2019 19:959

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  27. Content type: Research article

    Process evaluation is increasingly recognized as an important component of effective implementation research and yet, there has been surprisingly little work to understand what constitutes best practice. Resea...

    Authors: Felix Limbani, Jane Goudge, Rohina Joshi, Marion A. Maar, J. Jaime Miranda, Brian Oldenburg, Gary Parker, Maria Amalia Pesantes, Michaela A. Riddell, Abdul Salam, Kathy Trieu, Amanda G. Thrift, Josefien Van Olmen, Rajesh Vedanthan, Ruth Webster, Karen Yeates…

    Citation: BMC Public Health 2019 19:953

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  28. Content type: Research article

    In the Democratic Republic of the Congo (DRC), more than 93% of users must pay out of pocket for care. Despite the risk of catastrophic expenditures (CE), 94% of births in Lubumbashi are attended by skilled pe...

    Authors: Abel Mukengeshayi Ntambue, Françoise Kaj Malonga, Karen D. Cowgill, Michèle Dramaix-Wilmet and Philippe Donnen

    Citation: BMC Public Health 2019 19:948

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  29. Content type: Research article

    The extent of catastrophic health expenditure and impoverishment associated with depression in low-and middle-income countries is not known. The aim of this study was to estimate the incidence and intensity of...

    Authors: Yohannes Hailemichael, Charlotte Hanlon, Kebede Tirfessa, Sumaiyah Docrat, Atalay Alem, Girmay Medhin, Crick Lund, Dan Chisholm, Abebaw Fekadu and Damen Hailemariam

    Citation: BMC Public Health 2019 19:930

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  30. Content type: Research article

    Gavi, the Vaccine Alliance, supported a mass vaccination Measles-Rubella Campaign (MRC) in Bangladesh during January–February 2014.

    Authors: Haribondhu Sarma, Ashwin Budden, Sharmin Khan Luies, Stephen S. Lim, Md. Shamsuzzaman, Tahmina Sultana, Julie K. Rajaratnam, Laura Craw, Cathy Banwell, Md. Wazed Ali and Md. Jasim Uddin

    Citation: BMC Public Health 2019 19:925

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  31. Content type: Research article

    Providing comprehensive and high-quality services is one of the most important goals of the health systems and a basic principle for Universal Health Coverage (UHC). Fulfilling this important task would be fea...

    Authors: Ramin Rezapour, Jafar Sadegh Tabrizi, Mostafa Farahbakhsh, Mohammad Saadati and Hossein Mashhadi Abdolahi

    Citation: BMC Public Health 2019 19:911

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  32. Content type: Research article

    Front-of package (FoP) nutrition labels are an option to guide consumer’s decision at the point of food purchase. Chile was the first country worldwide to implement a FoP warning label and thereafter several c...

    Authors: Marcela Reyes, María Luisa Garmendia, Sonia Olivares, Claudio Aqueveque, Isabel Zacarías and Camila Corvalán

    Citation: BMC Public Health 2019 19:906

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  33. Content type: Research article

    It is recommended that Antenatal Care (ANC) be initiated within the first trimester of pregnancy for essential interventions, such folic acid supplementation, to be effective. In Tanzania, only 24% of mothers ...

    Authors: G. Frumence, M. Goodman, J. J. Chebet, I. Mosha, D. Bishanga, D. Chitama, P. J. Winch, J. Killewo and A. H. Baqui

    Citation: BMC Public Health 2019 19:895

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  34. Content type: Research article

    Many low- and middle-income countries recommend micronutrient supplements for pregnant women to improve their nutritional status, prevent possible deficiencies and avoid fetal healgth consequences. This study ...

    Authors: Vanessa Iribarrem Avena Miranda, Tatiane da Silva Dal Pizzol, Marysabel Pinto Telis Silveira, Sotero Serrate Mengue, Mariângela Freitas da Silveira, Bárbara Heather Lutz and Andréa Dâmaso Bertoldi

    Citation: BMC Public Health 2019 19:889

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  35. Content type: Research article

    Over the past two decades, Rwanda has experienced impressive economic growth, resulting in considerable improvements in living standards and poverty reduction. Despite these gains, progress on reducing the lev...

    Authors: Dave D. Weatherspoon, Steve Miller, Jean Chrysostome Ngabitsinze, Lorraine J. Weatherspoon and James F. Oehmke

    Citation: BMC Public Health 2019 19:882

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  36. Content type: Research article

    With increasing demand for red meat in Tanzania comes heightened potential for zoonotic infections in animals and humans that disproportionately affect poor communities. A range of frontline government employe...

    Authors: T. A. Hrynick, V. Barasa, J. Benschop, S. Cleaveland, J. A. Crump, M. Davis, B. Mariki, B. T. Mmbaga, N. Mtui-Malamsha, G. Prinsen, J. Sharp, E. Sindiyo, E. S. Swai, K. M. Thomas, R. Zadoks and L. Waldman

    Citation: BMC Public Health 2019 19:863

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  37. Content type: Research article

    The escalating prevalence of overweight and obesity globally is reflected amongst urban women in many low-to-middle income countries. Evidence also shows that overweight and obesity is an increasing trend in B...

    Authors: Tania Sultana Tanwi, Sayan Chakrabarty, Syed Hasanuzzaman, Sue Saltmarsh and Stephen Winn

    Citation: BMC Public Health 2019 19:842

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  38. Content type: Research article

    Improving maternal and child health (MCH) remains a serious challenge for many developing countries. Geographical accessibility from a residence to the nearest health facility is suspected to be an important o...

    Authors: Mariam Tanou and Yusuke Kamiya

    Citation: BMC Public Health 2019 19:838

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  39. Content type: Research article

    International sustainable development goals for the elimination of viral hepatitis as a public health problem by 2030 highlight the need to optimize strategies for prevention, diagnosis and treatment of hepati...

    Authors: Jolynne Mokaya, Edward A. O. Burn, Cynthia Raissa Tamandjou, Dominique Goedhals, Eleanor J. Barnes, Monique Andersson, Rafael Pinedo-Villanueva and Philippa C. Matthews

    Citation: BMC Public Health 2019 19:829

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  40. Content type: Research article

    Reducing maternal mortality remains a global priority. In 2000, the United Nations Member States pledged to work towards a series of Millennium Development Goals (MDGs), in which the fifth target was to reduce...

    Authors: Pengyu Zhao, Yifan Diao, Lili You, Shichao Wu, Li Yang and Yuanli Liu

    Citation: BMC Public Health 2019 19:824

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  41. Content type: Research article

    Harmful alcohol use is a modifiable risk factor contributing to the increasing burden of non-communicable diseases and deaths and the implementation of policies focused on primary prevention is pivotal to addr...

    Authors: Opeyemi Abiona, Mojisola Oluwasanu and Oladimeji Oladepo

    Citation: BMC Public Health 2019 19:810

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  42. Content type: Research article

    Improper use of antibiotics leads to the emergence of resistant microorganisms as well as drug toxicity, increased healthcare costs, morbidity and mortality. Globally, an estimated 25–68% of hospitalized patie...

    Authors: Antoinette A. A. Bediako-Bowan, Enid Owusu, Appiah-Korang Labi, Noah Obeng-Nkrumah, Gifty Sunkwa-Mills, Stephanie Bjerrum, Japheth Awuletey Opintan, Cynthia Bannerman, Kåre Mølbak, Jørgen Anders Lindholm Kurtzhals and Mercy Jemima Newman

    Citation: BMC Public Health 2019 19:797

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  43. Content type: Research article

    Ghana is among African countries not likely to achieve the Sustainable Development Goal (SDG) three (3) target of reducing maternal mortality to 70 per 100,000 live births by the year 2030 if maternal and chil...

    Authors: Robert Kaba Alhassan, Edward Nketiah-Amponsah, Martin Amogre Ayanore, Agani Afaya, Solomon Mohammed Salia, Japiong Milipaak, Evelyn Korkor Ansah and Seth Owusu-Agyei

    Citation: BMC Public Health 2019 19:791

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  44. Content type: Research article

    No studies have examined distribution, retention and use of maternal and child health (MCH) home-based records (HBRs) in the poorest women in low income countries. Our primary objective was to compare distribu...

    Authors: Sayed Ataullah Saeedzai, Iftekhar Sadaat, Zelaikha Anwari, Shafiqullah Hemat, Shakir Hadad, Keiko Osaki, Megumi Asaba, Yohei Ishiguro, Rasuli Mudassir, Jane Machlin Burke, Ariel Higgins-Steele, Khaksar Yousufi and Karen Margaret Edmond

    Citation: BMC Public Health 2019 19:766

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  45. Content type: Research article

    Ethiopia had an increasing trend of morbidity and mortality due to road traffic injury. Road traffic injured patient’s recovery rate is affected by many different factors. Those factors might affect the durati...

    Authors: Kissanet Tesfay, Mulubirhan Assefa, Dawit Zenebe, Mekonnen Gebremicael, Getahun Kebede and Hayelom Gebrekirstos

    Citation: BMC Public Health 2019 19:749

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  46. Content type: Research article

    With Universal Health Coverage and Integrated People-centred Health Care, streamlined health-systems and respectful care are necessary. South Africa has made great strides in prevention of mother-to-child tran...

    Authors: Elizabeth Spooner, Kerusha Govender, Tarylee Reddy, Gita Ramjee, Noxolo Mbadi, Swaran Singh and Anna Coutsoudis

    Citation: BMC Public Health 2019 19:731

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