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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.

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  1. Content type: Research article

    Electronic clinical decision algorithms (eCDAs) that guide clinicians during patient management are being deployed in resource-limited settings to improve the quality of care and rational use of medicines (esp...

    Authors: Cécile Bessat, Noël Adannou Zonon and Valérie D’Acremont

    Citation: BMC Public Health 2019 19:449

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  2. Content type: Research article

    Multidrug-resistant tuberculosis (MDR-TB) outcomes are adversely impacted by delay in diagnosis and treatment.

    Authors: Stellah G. Mpagama, Peter M. Mbelele, Anna M. Chongolo, Isaack A. Lekule, Johnson J. Lyimo, Gibson S. Kibiki and Scott K. Heysell

    Citation: BMC Public Health 2019 19:395

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  3. Content type: Research article

    In remote rural Tanzania, the rate of linkage into HIV care was estimated at 28% in 2014. This study explored facilitators and barriers to linkage to HIV care at individual/patient, health care provider, healt...

    Authors: Erica S. Sanga, Ferdinand C. Mukumbang, Adiel K. Mushi, Wondwossen Lerebo and Christina Zarowsky

    Citation: BMC Public Health 2019 19:383

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  4. Content type: Research article

    The Ministry of Health and Sanitation (MOHS) in Sierra Leone partially rolled out the implementation of Integrated Disease Surveillance and Response (IDSR) in 2003. After the Ebola virus disease outbreak in 20...

    Authors: Charles Njuguna, Amara Jambai, Alexander Chimbaru, Anders Nordstrom, Roland Conteh, Anderson Latt, Shikanga O-tipo, Robert Musoke, Jane Githuku, Zablon Yoti, Ali Yahaya, Ambrose Talisuna, Soatiana Rajatonirina and Ibrahima Socé Fall

    Citation: BMC Public Health 2019 19:364

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  5. Content type: Research article

    While there has been progress in controlling the HIV epidemic, HIV still remains a disease of global concern. Some of the progress has been attributed to increased public awareness and uptake of public health ...

    Authors: Lydia Kapiriri, Na-Mee Lee, Lauren Jean Wallace and Brendan Kwesiga

    Citation: BMC Public Health 2019 19:359

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  6. Content type: Research article

    The vital registration system is universally recognized as the main source of mortality data which is essential for policy formulation, proper interventions and resource allocation to address priority health c...

    Authors: Myitzu Tin Oung, Kerry Richter, Pramote Prasartkul, Yadanar Aung, Kyaw Thu Soe, Thuzar Chit Tin and Viroj Tangcharoensathien

    Citation: BMC Public Health 2019 19:356

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  7. Content type: Research article

    Rapid urbanization has led to expansion of peri-urban fringes, where intensive, industry-style livestock rearing has led to emerging vulnerabilities at the human-animal-environment interface. This study was un...

    Authors: Abhimanyu Singh Chauhan, Mathew Sunil George, Johanna Lindahl, Delia Grace and Manish Kakkar

    Citation: BMC Public Health 2019 19:301

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  8. Content type: Research article

    It is estimated that nearly five billion people worldwide do not have access to safe surgery. This access gap disproportionately affects low-and middle-income countries (LMICs). One of the barriers to healthca...

    Authors: Carlos Varela, Sven Young, Nyengo Mkandawire, Reinou S. Groen, Leonard Banza and Asgaut Viste

    Citation: BMC Public Health 2019 19:264

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  9. Content type: Research article

    Responsive caregiving, or interactions in which caregivers give appropriate responses to a child’s signals, is linked to improved psychosocial, cognitive and physical outcomes in children. However, much remain...

    Authors: Elissa Scherer, Ashley Hagaman, Esther Chung, Atif Rahman, Karen O’Donnell and Joanna Maselko

    Citation: BMC Public Health 2019 19:252

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  10. Content type: Research article

    Most data on mortality and prognostic factors of universal healthcare waiting lists come from North America, Australasia, and Europe, with little information from South America. We aimed to determine the relat...

    Authors: Diego A. Martinez, Haoxiang Zhang, Magdalena Bastias, Felipe Feijoo, Jeremiah Hinson, Rodrigo Martinez, Jocelyn Dunstan, Scott Levin and Diana Prieto

    Citation: BMC Public Health 2019 19:233

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  11. Content type: Research article

    Although public policy in Brazil supports access to essential medicines, the health system cannot meet all demand. Increasingly, the population has used legal demands to seek access to medicines, an approach t...

    Authors: Virginia Oliveira Chagas, Mércia Pandolfo Provin and Rita Goreti Amaral

    Citation: BMC Public Health 2019 19:212

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  12. Content type: Research article

    Information on pathways of women seeking diagnostic services due to breast- related symptoms can help highlight challenges related to the healthcare system in improving early diagnosis of breast cancer.

    Authors: Kirstin Grosse Frie, Bakarou Kamaté, Cheick Bougadari Traoré, Bourama Coulibaly, Brahima Mallé and Eva Johanna Kantelhardt

    Citation: BMC Public Health 2019 19:204

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  13. Content type: Research article

    The Philippines has a high burden of TB and HIV, yet the WHO estimates that only 13% of Filipino TB patients know their HIV status. This is partly attributable to the lack of trained HIV counselors and medical...

    Authors: Tyrone Reden L. Sy, Retna Siwi Padmawati, Emmanuel S. Baja and Riris Andono Ahmad

    Citation: BMC Public Health 2019 19:185

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  14. Content type: Research article

    Although over the counter (OTC) drugs are believed to be relatively safe, their inappropriate use could have serious implications. The aim of the study was to assess the practice of self-medication, prevalence...

    Authors: Sirak Tesfamariam, Indermeet Singh Anand, Ghide Kaleab, Samson Berhane, Biruck Woldai, Eyasu Habte and Mulugeta Russom

    Citation: BMC Public Health 2019 19:159

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  15. Content type: Research article

    As Mozambique faces a double burden of diseases, with a rise of Non Communicable Diseases (NCD) superimposed to uncontrolled communicable diseases (CD), routine disease surveillance system does not include NCD...

    Authors: A. O. Mocumbi, D. C. Langa, S. Chicumbe, A. E. Schumacher and W. K. Al-Delaimy

    Citation: BMC Public Health 2019 19:147

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  16. Content type: Research article

    This article addresses the enjoyment of the human rights to water and sanitation (HRTWS), in particular access to toilets, in a public school in Bahia, Brazil.

    Authors: Édila Dalmaso Coswosk, Priscila Neves-Silva, Celina Maria Modena and Léo Heller

    Citation: BMC Public Health 2019 19:137

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  17. Content type: Research article

    Policy making in healthcare requires reliable and local data. Different sources of coverage data for health interventions can be utilized to populate the Lives Saved Tool (LiST), a commonly used policy-plannin...

    Authors: Ingrid K. Friberg, Mahima Venkateswaran, Buthaina Ghanem and J. Frederik Frøen

    Citation: BMC Public Health 2019 19:124

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  18. Content type: Research article

    Engagement with community adolescent treatment supporters (CATS) improves adherence, psychosocial well-being, linkage and retention in care among adolescents living with HIV. However, there is an urgent need f...

    Authors: Nicola Willis, Amos Milanzi, Mather Mawodzeke, Chengetai Dziwa, Alice Armstrong, Innocent Yekeye, Phangisile Mtshali and Victoria James

    Citation: BMC Public Health 2019 19:117

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  19. Content type: Research article

    Mortality indicators are essential for monitoring population health. Although Malaysia has a functional death registration system, the quality of information on causes of death still needs improvement, since a...

    Authors: Azahadi Omar, Shubash Shander Ganapathy, Mohamad Fuad Mohamad Anuar, Yi Yi Khoo, Chandrika Jeevananthan, S. Maria Awaluddin, Jane Ling Miaw Yn and Chalapati Rao

    Citation: BMC Public Health 2019 19:110

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  20. Content type: Research article

    The Shared Decision Making (SDM) model allows the patient to be part of their own disease treatment and control. The translation to Spanish of a questionnaire that measures the patient perception of SDM will a...

    Authors: Geovanny Efraín Alvarado-Villa, Jorge Daniel Moncayo-Rizzo and Jorge Andrés Gallardo-Rumbea

    Citation: BMC Public Health 2019 19:106

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  21. Content type: Research article

    Medanta - The Medicity, a multi-super specialty corporate hospital in Gurugram, Haryana launched a “TB-Free Haryana” Campaign; mobile van equipped with a digital CXR machine to screen patients with presumptive...

    Authors: Bornali Datta, Ashish Kumar Prakash, David Ford, Praveen K. Tanwar, Pinky Goyal, Poulomi Chatterjee, Smita Vipin, Anand Jaiswal, Naresh Trehan and Kavita Ayyagiri

    Citation: BMC Public Health 2019 19:99

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  22. Content type: Research article

    The importance of viewing health from a broader perspective than the mere presence or absence of disease is critical at primary healthcare level. However, there is scanty evidence-based stratification of popul...

    Authors: Espoir Bwenge Malembaka, Hermès Karemere, Ghislain Bisimwa Balaluka, Anne-Sophie Lambert, Fiston Muneza, Hedwig Deconinck and Jean Macq

    Citation: BMC Public Health 2019 19:93

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  23. Content type: Research article

    In 2014, the Ethiopian government passed a new smoking legislation that banned smoking in public and workplaces including health care facilities. However, data’s on level of non-compliance and associated facto...

    Authors: Tamiru Tadesse and Belay Zawdie

    Citation: BMC Public Health 2019 19:91

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  24. Content type: Research article

    Following the Syrian crisis, a substantial influx of Syrian refugees into Lebanon posed new challenges to optimal vaccination coverage for all children residing in the country. In 2016, the district-based immu...

    Authors: Ziad Mansour, Randa Hamadeh, Alissar Rady, M. Carolina Danovaro-Holliday, Kamal Fahmy, Racha Said, Lina Brandt, Ramy Warrak and Walid Ammar

    Citation: BMC Public Health 2019 19:58

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  25. Content type: Research article

    Uganda is a low income country that continues to experience disease outbreaks caused by emerging and re-emerging diseases such as cholera, meningococcal meningitis, typhoid and viral haemorrhagic fevers. The I...

    Authors: Ben Masiira, Lydia Nakiire, Christine Kihembo, Edson Katushabe, Nasan Natseri, Immaculate Nabukenya, Innocent Komakech, Issa Makumbi, Okot Charles, Francis Adatu, Miriam Nanyunja, Solomon Fisseha Woldetsadik, Ibrahima Socé Fall, Patrick Tusiime, Alemu Wondimagegnehu and Peter Nsubuga

    Citation: BMC Public Health 2019 19:46

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  26. Content type: Research article

    Since 2000, a series of national policies have been released to tackle mental health problems in China; however, their promotion and implementation at local level are under-evaluated. This study will evaluate ...

    Authors: Wei Zhou, Yu Yu, Xinyi Zhao, Shuiyuan Xiao and Lizhang Chen

    Citation: BMC Public Health 2019 19:24

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  27. Content type: Research article

    Population-based screening for the common non-communicable diseases (NCD) is recommended but is difficult to implement in the hard-to-reach areas of low resourced countries. The objective of our pilot study wa...

    Authors: Partha Basu, Manoj Mahajan, Nilesh Patira, Sangita Prasad, Sushma Mogri, Richard Muwonge, Eric Lucas, Rengaswamy Sankaranarayanan, Swami Iyer, Navami Naik and Kirti Jain

    Citation: BMC Public Health 2019 19:14

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  28. Content type: Research article

    The post-disaster mental health crisis intervention (MHCI) system in China remains immature and unsystematic. We aim to report the perceptions of a large sample of MHCI workers and government administrators an...

    Authors: Yingjun Xi, Runsen Chen, Amy L. Gillespie, Yuyang He, Chihua Jia, Kuo Shi, Yiming Yao, Xin Ma, Wei Liu and Emily Ying Yang Chan

    Citation: BMC Public Health 2019 19:11

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  29. Content type: Research article

    Mexico approved mandatory nutrient-based standards for foods sold in schools in 2011. The aim of this study was to analyse the association between compliance with nutrition standards for foods sold in schools ...

    Authors: Carolina Pérez-Ferrer, Tonatiuh Barrientos-Gutierrez, Juan A. Rivera-Dommarco, Francisco Javier Prado-Galbarro, Alejandra Jiménez-Aguilar, Carmen Morales-Ruán and Teresa Shamah-Levy

    Citation: BMC Public Health 2018 18:1411

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  30. Content type: Research article

    Primary care physicians (PCPs) working in mental health care in Tunisia often lack knowledge and skills needed to adequately address mental health-related issues. To address these lacunas, a training based on ...

    Authors: Jessica Spagnolo, François Champagne, Nicole Leduc, Wahid Melki, Myra Piat, Marc Laporta, Nesrine Bram, Imen Guesmi and Fatma Charfi

    Citation: BMC Public Health 2018 18:1398

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  31. Content type: Research article

    Solomon Islands is one of the least developed countries in the world. Recognising that timely detection of outbreaks is needed to enable early and effective response to disease outbreaks, the Solomon Islands g...

    Authors: Adam T. Craig, Cynthia A. Joshua, Alison R. Sio, Mark Donoghoe, Brigid Betz-Stablein, Nemia Bainivalu, Tenneth Dalipanda, John Kaldor, Alexander E. Rosewell and Gill Schierhout

    Citation: BMC Public Health 2018 18:1395

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  32. Content type: Research article

    Under-reporting of adverse drug reactions (ADRs) is a major challenge for pharmacovigilance in Africa. This study sets out to assess the level of awareness of Ghanaian patients about ADRs and ADR-reporting and...

    Authors: Tom G. Jacobs, H. Hilda Ampadu, Jarno Hoekman, Alexander N. O. Dodoo and Aukje K. Mantel-Teeuwisse

    Citation: BMC Public Health 2018 18:1384

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  33. Content type: Research article

    Sub-Saharan Africa continues to account for the highest regional maternal mortality ratio (MMR) in the world, at just under 550 maternal deaths per 100,000 live births in 2015, compared to a global rate of 216...

    Authors: Corrine W. Ruktanonchai, Kristine Nilsen, Victor A. Alegana, Claudio Bosco, Rogers Ayiko, Andrew C. Seven Kajeguka, Zöe Matthews and Andrew J. Tatem

    Citation: BMC Public Health 2018 18:1339

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  34. Content type: Research article

    Mortality statistics derived from cause of death data are an important source of information for population health monitoring, priority setting and planning. In Perú, almost all death certificates are issued b...

    Authors: Janet Miki, Rasika Rampatige, Nicola Richards, Tim Adair, Juan Cortez-Escalante and Javier Vargas-Herrera

    Citation: BMC Public Health 2018 18:1329

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  35. Content type: Research article

    Early diagnosis and treatment initiation of HIV-infected infants can greatly reduce the risk of infant mortality. The WHO recommends testing HIV-exposed infants at 6 weeks of age and immediate initiation of an...

    Authors: Jasleen Singh, Suzanne Filteau, Jim Todd and Sehlulekile Gumede-Moyo

    Citation: BMC Public Health 2018 18:1297

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  36. Content type: Research article

    Fetal alcohol spectrum disorder (FASD) is among the leading causes of developmental and intellectual disabilities in individuals. Although efforts are being made toward the prevention and management of FASD in...

    Authors: Babatope O. Adebiyi, Ferdinand C. Mukumbang, Lizahn G. Cloete and Anna-Marie Beytell

    Citation: BMC Public Health 2018 18:1238

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  37. Content type: Study protocol

    Knowledge of HIV status remains below target in sub-Saharan Africa, especially among men and adolescents. HIV self-testing (HIVST) is a novel approach that enables unique distribution strategies, with potentia...

    Authors: Melissa Neuman, Pitchaya Indravudh, Richard Chilongosi, Marc d’Elbée, Nicola Desmond, Katherine Fielding, Bernadette Hensen, Cheryl Johnson, Phillip Mkandawire, Alwyn Mwinga, Mutinta Nalubamba, Gertrude Ncube, Lot Nyirenda, Rose Nyrienda, Eveline Otte im Kampe, Miriam Taegtmeyer…

    Citation: BMC Public Health 2018 18:1234

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  38. Content type: Research article

    Over 60% of households (HHs) in Trinidad and Tobago (T&T) consume alcohol. These HHs were more likely to report illnesses, relationship problems, and behavioral problems with children. This study set out to de...

    Authors: Rohan G. Maharaj, Terence Babwah, M. Shastri Motilal, Paula Nunes, Rachel Brathwaite, George Legall and Sandra D. Reid

    Citation: BMC Public Health 2018 18:1202

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  39. Content type: Research article

    Brazil is an endemic country for schistosomiasis in the Latin American and Caribbean countries. Pernambuco is a higher-endemic Brazilian state among the 19 states reporting the disease in the country; schistos...

    Authors: Luiz Augusto Facchini, Bruno Pereira Nunes, Eronildo Felisberto, José Alexandre Menezes da Silva, Jarbas Barbosa da Silva Junior and Elaine Tomasi

    Citation: BMC Public Health 2018 18:1200

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  40. Content type: Research article

    Suicide is a serious public health problem in low- and middle-income countries. Understanding the context- and gender-specific risk factors for non-fatal suicidal behaviour is the cornerstone of evidence-based...

    Authors: J. Bantjes, M. Tomlinson, R. E. Weiss, P. K. Yen, D. Goldstone, J. Stewart, T. Qondela, S. Rabie and M.-J. Rotheram-Borus

    Citation: BMC Public Health 2018 18:1195

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  41. Content type: Research article

    According to the World Health Organization (WHO), 80% of the world’s smokers live in low- and middle-income countries. Mo...

    Authors: Li-Ming Ho, Christian Schafferer, Jie-Min Lee, Chun-Yuan Yeh and Chi-Jung Hsieh

    Citation: BMC Public Health 2018 18:1187

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  42. Content type: Research article

    Several studies have demonstrated that Conditional Cash Transfer (CCT) programs reduce poverty/inequity and childhood mortality. However, none of these studies investigated the link between CCT programs and ch...

    Authors: Paola Calvasina, Patricia O’Campo, Mateus Mota Pontes, Jamille Barreto Oliveira and Anya P G F Vieira-Meyer

    Citation: BMC Public Health 2018 18:1186

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  43. Content type: Research article

    Community Case Management of malaria (CCMm) using Community Health Workers (CHWs) is an approach to improve access to timely and effective malaria case management in malaria endemic countries. So far the progr...

    Authors: Michelle D. S. Boakye, Collins J. Owek, Elizabeth Oluoch, Juddy Wachira and Yaw A. Afrane

    Citation: BMC Public Health 2018 18:1150

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