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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. A Zika virus (ZIKV) infection outbreak occurred in Brazil in 2015, accompanied by a marked increase in the number of newborns presenting with microcephaly and other neurological disorders. This characteristic ...

    Authors: Cláudia Du Bocage Santos-Pinto, Daniele de Almeida Soares-Marangoni, Fernando Pierette Ferrari, Maria Elizabeth Araújo Ajalla, Fabio Antonio Venancio, Thais Silveira da Rosa and Everton Falcão de Oliveira

    Citation: BMC Public Health 2020 20:762

    Content type: Research article

    Published on:

  2. The maternal mortality ratio (MMR) is an important indicator of maternal health and socioeconomic development. Although China has experienced a large decline in MMR, substantial disparities across regions are ...

    Authors: Xinyu Zhang, Yingfeng Ye, Chaowei Fu, Guanshen Dou, Xiaohua Ying, Mengcen Qian and Shenglan Tang

    Citation: BMC Public Health 2020 20:758

    Content type: Research article

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  3. Delay in tuberculosis (TB) diagnosis is one of the first obstacles for controlling the disease. Delays generate greater deterioration of the health of the patients and increase the possibilities of transmissio...

    Authors: Iader Rodríguez-Márquez, Fernando Montes, Luz D. Upegui, Nilton Montoya, Nelly E. Vargas, Abelardo Rojas, Gloria C. Valencia, Claudia M. Álvarez, Leonardo Uribe and Jesús Ochoa

    Citation: BMC Public Health 2020 20:757

    Content type: Research article

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  4. Indian medical education system is on the brink of a massive reform. The government of India has recently passed the National Medical Commission Bill (NMC Bill). It seeks to eliminate the existing shortage and...

    Authors: Yogesh Sabde, Vishal Diwan, Vijay K. Mahadik, Vivek Parashar, Himanshu Negandhi, Tanwi Trushna and Sanjay Zodpey

    Citation: BMC Public Health 2020 20:755

    Content type: Research article

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  5. High prevalence of falsified, counterfeit and substandard medicines pose a threat to public health and treatment failure. This study aimed to investigate the quality of selected essential medicines available i...

    Authors: Daariimaa Khurelbat, Gereltuya Dorj, Bruce Sunderland, Tsetsegmaa Sanjjav, Enkhtuul Bayarsaikhan, Davaadagva Damdinjav, Gantuya Dorj, Altantuya Jigjidsuren, Oyun Lkhagvasuren and Baasandorj Erdenetsetseg

    Citation: BMC Public Health 2020 20:743

    Content type: Research article

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  6. Paediatric, pedestrian road traffic injuries (PPRTIs) constitute a major cause of premature death in Iran. Identification of high-risk areas would be the primary step in designing policy intervention for PPRTI...

    Authors: Hamidreza Shabanikiya, Soheil Hashtarkhani, Robert Bergquist, Nasser Bagheri, Reza VafaeiNejad, Malihe Amiri-Gholanlou, Toktam Akbari and Behzad Kiani

    Citation: BMC Public Health 2020 20:722

    Content type: Research article

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  7. Four million people living in the Indian Sundarbans region in the state of West Bengal face a particularly high risk of drowning due to rurality, presence of open water, lack of accessible health systems and p...

    Authors: M. Gupta, A. B. Zwi and J. Jagnoor

    Citation: BMC Public Health 2020 20:704

    Content type: Research article

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  8. TB remains a major global health problem. It is particularly prevalent in prisons in sub-Saharan Africa due to overcrowding, malnutrition, high HIV prevalence and insufficient medical services. Prisoners have ...

    Authors: Victor Singano, Esther Kip, Wilson Ching’ani and Lawrence Chiwaula

    Citation: BMC Public Health 2020 20:700

    Content type: Research article

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  9. Differentiated models of care (DMOC) are used to make antiretroviral therapy (ART) accessible to people living with HIV (PLHIV). In Malawi, Lighthouse Trust has piloted various DMOCs aimed at providing quality...

    Authors: Odala Sande, Doris Burtscher, Daneck Kathumba, Hannock Tweya, Sam Phiri and Salem Gugsa

    Citation: BMC Public Health 2020 20:685

    Content type: Research article

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  10. China has the world’s largest lesbian, gay, bisexual, and transgender (LGBT) population. This study assessed the discrimination experienced by LGBT individuals in China in a comprehensive way, covering discrim...

    Authors: Yuanyuan Wang, Zhishan Hu, Ke Peng, Joanne Rechdan, Yuan Yang, Lijuan Wu, Ying Xin, Jiahui Lin, Zhizhou Duan, Xuequan Zhu, Yi Feng, Shitao Chen, Jianjun Ou and Runsen Chen

    Citation: BMC Public Health 2020 20:669

    Content type: Research article

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  11. Non-Communicable Diseases (NCD) are the leading cause of death in the Pacific Island Countries and Territories (PICTs) accounting for approximately 70% of mortalities. Pacific leaders committed to take action ...

    Authors: Si Thu Win Tin, Ilisapeci Kubuabola, Amerita Ravuvu, Wendy Snowdon, A. Mark Durand, Paula Vivili and Erin Passmore

    Citation: BMC Public Health 2020 20:660

    Content type: Research article

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  12. Caregivers of children with cerebral palsy suffer from a substantial psychosocial burden. However, there is a scarcity of documentation of the various sources of burden in low- and middle-income settings.

    Authors: K. Vadivelan, P. Sekar, S. Shri Sruthi and Vijayaprasad Gopichandran

    Citation: BMC Public Health 2020 20:645

    Content type: Research article

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  13. In China, ethnic minorities often live in frontier areas and have a relatively small population size, and tremendous social transitions have enlarged the gap between eastern and western China, with western Chi...

    Authors: Y. J. Wang, X. P. Chen, W. J. Chen, Z. L. Zhang, Y. P. Zhou and Z. Jia

    Citation: BMC Public Health 2020 20:637

    Content type: Research article

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  14. Integrated disease surveillance and response (IDSR) is the strategy adopted for public health surveillance in Nigeria. IDSR has been operational in Nigeria since 2001 but the functionality varies from state to...

    Authors: Luka Mangveep Ibrahim, Mary Stephen, Ifeanyi Okudo, Samuel Mutbam Kitgakka, Ibrahim Njida Mamadu, Isha Fatma Njai, Saliu Oladele, Sadiq Garba, Olubunmi Ojo, Chikwe Ihekweazu, Clement Lugala Peter Lasuba, Ali Ahmed Yahaya, Peter Nsubuga and Wondimagegnehu Alemu

    Citation: BMC Public Health 2020 20:600

    Content type: Research article

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  15. In China, some medicines had a supply problem. In 2015, to address this problem, the Chinese government issued a policy to raise the price cap for some shorted low-cost medicines (LCMs). The objective was to a...

    Authors: Xuejing Rong, Jia Yin, Shuoyun Duan, Qiang Sun and Zaheer-Ud-Din Babar

    Citation: BMC Public Health 2020 20:588

    Content type: Research article

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  16. The causal relationship between high-risk (hr) HPV infection and precancerous lesions or cervical cancer has led to the development of strategies to increase screening performance and prevent this cancer. The ...

    Authors: Julio Cesar Teixeira, Diama Bhadra Vale, Joana Froes Bragança, Cirbia Silva Campos, Michelle Garcia Discacciati and Luiz Carlos Zeferino

    Citation: BMC Public Health 2020 20:576

    Content type: Study protocol

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  17. Examining various problems after disasters is important for the affected people. Managing humanitarian aid and donations among the affected people is considered as one of the most important problems after disa...

    Authors: Hamid Safarpour, Saeideh Fooladlou, Meysam Safi-Keykaleh, Somayyeh Mousavipour, Davoud Pirani, Ali Sahebi, Hassan Ghodsi, Iman Farahi-Ashtiani and Arezoo Dehghani

    Citation: BMC Public Health 2020 20:563

    Content type: Research article

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  18. Government of India is introducing new and relatively costly vaccines under immunization program. Monitoring of vaccine wastage is needed to guide the program implementation and forecasting. Under pilot introd...

    Authors: Manoja Kumar Das, Mangla Sood, Muralidhar Parashuram Tambe, Thakur Dutt Sharma, Malangori Abdul Gani Parande, Jitendra Bhaskar Surwade, Nandakumar Manikrao Salunkhe, Shital Somsing Patil, Bhagwan Pawar, Rajesh Guleri, Chitra Kaushal and Monica Sindhu

    Citation: BMC Public Health 2020 20:556

    Content type: Research article

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  19. Low- and Middle-Income Countries (LMIC) have remained plagued with the burden of severe acute malnutrition (SAM). The decomposition of the educational inequalities in SAM across individual, household and neigh...

    Authors: A. F. Fagbamigbe, N. B. Kandala and O. A. Uthman

    Citation: BMC Public Health 2020 20:555

    Content type: Research article

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  20. In 2014, a revision of the national medical tariffs for inpatient health care services took place in Iran, and a new hotline was set up to report informal payments. It was expected that such measures would eli...

    Authors: Leila Doshmangir, Haniye Sadat Sajadi, Maryam Ghiasipour, Ali Aboutorabi and Vladimir Sergeevich Gordeev

    Citation: BMC Public Health 2020 20:539

    Content type: Research article

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    The Correction to this article has been published in BMC Public Health 2020 20:781

  21. Indonesia shoulders a significant tobacco burden, with almost two million cases of tobacco-related illnesses and more than two hundred thousand tobacco-related deaths annually. Indonesian tobacco control is pr...

    Authors: Putu Ayu Swandewi Astuti, Mary Assunta and Becky Freeman

    Citation: BMC Public Health 2020 20:527

    Content type: Research article

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  22. The Chinese government has begun to dampen the growth of health expenditure by implementing Global Budgets (GB). Concerns were raised about whether reductions in expenditure would lead to a deterioration of qu...

    Authors: Xiaodong Guan, Chi Zhang, Huajie Hu and Luwen Shi

    Citation: BMC Public Health 2020 20:522

    Content type: Research article

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  23. Weight-for-height Z-score (WHZ) and Mid Upper Arm Circumference (MUAC) are both commonly used as acute malnutrition screening criteria. However, there exists disparity between the groups identified as malnouri...

    Authors: Eunyong Ahn, Cyprian Ouma, Mesfin Loha, Asrat Dibaba, Wendy Dyment, Jaekwang Kim, Nam Seon Beck and Taesung Park

    Citation: BMC Public Health 2020 20:511

    Content type: Research article

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  24. Eighty per cent of perinatally HIV infected (PHI) adolescents live in sub-Saharan Africa (sSA), a setting also characterized by huge economic disparities. Caregiving is crucial to the management of chronic ill...

    Authors: Patrick V. Katana, Amina Abubakar, Moses K. Nyongesa, Derrick Ssewanyana, Paul Mwangi, Charles R. Newton and Julie Jemutai

    Citation: BMC Public Health 2020 20:504

    Content type: Research article

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  25. Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). How...

    Authors: Orawan Anunsittichai, Krit Pongpirul, Thanyawee Puthanakit, Koranit Roowicha, Jirarat Kaewprasert, Wipaporn Natalie Songtaweesin and Surasith Chaithongwongwattana

    Citation: BMC Public Health 2020 20:480

    Content type: Research article

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  26. Recruiting of sufficient numbers of donors of blood products is vital worldwide. In this study we assessed the efficacy and cost-effectiveness of telephone calls and SMS reminders for re-recruitment of inactiv...

    Authors: Jian Ou-Yang, Chun-Hua Bei, Hua-Qin Liang, Bo He, Jin-Yan Chen and Yong-Shui Fu

    Citation: BMC Public Health 2020 20:475

    Content type: Research article

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  27. Front-of-pack (FOP) nutrition labeling is a cost-effective strategy to help consumers make informed and healthier food choices. We aimed to investigate the effect of the FOP labels used in the Latin American r...

    Authors: Alejandra Jáuregui, Jorge Vargas-Meza, Claudia Nieto, Alejandra Contreras-Manzano, Nelson Zacarías Alejandro, Lizbeth Tolentino-Mayo, Marissa G. Hall and Simón Barquera

    Citation: BMC Public Health 2020 20:463

    Content type: Research article

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  28. Since March 2014, the quadrivalent HPV vaccine has been incorporated into the Brazilian Unified Health Care System and began to be offered, without direct costs, for girls from 9 to 13 years of age. Older fema...

    Authors: Alexandre Faisal-Cury, Renata Bertazzi Levy, Maria Fernanda Tourinho, Alexandre Grangeiro and José Eluf-Neto

    Citation: BMC Public Health 2020 20:458

    Content type: Research article

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  29. We examined the physiological, household, and spatial agglomeration characteristics of the health poverty population in China. We identified weak links that affect the implementation of the medical insurance a...

    Authors: Meiyan Ma, Ye Li, Nianshi Wang, Qunhong Wu, Linghan Shan, Mingli Jiao, Xuelian Fu, Heng Li, Tao Sun, Bin Yi, Wanxin Tian, Qi Xia, Baoguo Shi, Yanhua Hao, Hui Yin, Ning Ning…

    Citation: BMC Public Health 2020 20:435

    Content type: Research article

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  30. Despite tremendous progress in controlling the HIV epidemic in sub-Saharan Africa, HIV-related mortality continues to increase among adolescents and young people living with HIV (AYPLHIV). Globally, sub-Sahara...

    Authors: Thabo Ishmael Lejone, Mathebe Kopo, Nadine Bachmann, Jennifer Anne Brown, Tracy Renée Glass, Josephine Muhairwe, Tebatso Matsela, Ramona Scherrer, Lebohang Chere, Tilo Namane, Niklaus Daniel Labhardt and Alain Amstutz

    Citation: BMC Public Health 2020 20:425

    Content type: Study protocol

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  31. More than 90% of the Chinese population was covered by its three basic social health insurances. However, the Chinese rural-to-urban migrant workers (RUMWs), accounting for about one-fifth of China’s total pop...

    Authors: Shanquan Chen, Yingyao Chen, Zhanchun Feng, Xi Chen, Zheng Wang, Jianfeng Zhu, Jun Jin, Qiang Yao, Li Xiang, Lan Yao, Ju Sun, Lu Zhao, Hong Fung, Eliza Lai-yi Wong and Dong Dong

    Citation: BMC Public Health 2020 20:408

    Content type: Research article

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  32. Atherosclerotic cardiovascular diseases (ASCVD) are on the rise in low and middle-income countries attributed to modern sedentary lifestyle and dietary habits. This has led to the need of assessment of the bur...

    Authors: Tariq Ashraf, Muhammad Naeem Mengal, Atif Sher Muhammad, Asal Khan Tareen, Muhammad Nauman Khan, Khawar Abbas Kazmi, Asif Nadeem, Shakil Sarwar, Zara Bashir, Nadeem Qamar and Musa Karim

    Citation: BMC Public Health 2020 20:403

    Content type: Research article

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  33. Major transnational tobacco companies (TTCs) have identified Nigeria, the seventh most populous country in the world, as a market with a significant revenue potential, given its high youth population and growi...

    Authors: Ukoabasi Isip and John Calvert

    Citation: BMC Public Health 2020 20:377

    Content type: Research article

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  34. Adults with chronic conditions such as heart disease, diabetes, or lung disease are more likely to develop complications from a number of vaccine-preventable diseases, including influenza and pneumonia. In thi...

    Authors: Yuheng Wang, Minna Cheng, Siyuan Wang, Fei Wu, Qinghua Yan, Qinping Yang, Yanyun Li, Xiang Guo, Chen Fu, Yan Shi, Abram L. Wagner and Matthew L. Boulton

    Citation: BMC Public Health 2020 20:359

    Content type: Research article

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  35. Immediate uptake of antiretroviral therapy (ART) after an HIV-positive diagnosis (Test and Treat) is now being implemented in Uganda. Data are limited on lost to follow-up (LTFU) in high-risk cohorts that have...

    Authors: Onesmus Kamacooko, Yunia Mayanja, Daniel Bagiire, Gertrude Namale, Christian Holm Hansen and Janet Seeley

    Citation: BMC Public Health 2020 20:353

    Content type: Research article

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  36. China has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service ...

    Authors: Li Li, Rui Zhang, Yong Chen, Haoyue Deng, Shili Liu, Geng Wang, Mei Wang, Shengxiang Liang, Wei Xing, Hai Lin and Ying Li

    Citation: BMC Public Health 2020 20:338

    Content type: Research article

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  37. Malawi adopted the 2012 updated Word Health Organization (WHO) Intermittent preventive treatment of malaria during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) policy in 2013. This study aimed to estima...

    Authors: Steven Chifundo Azizi

    Citation: BMC Public Health 2020 20:335

    Content type: Research article

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  38. The WHO’s “best buys” and other recommended interventions are a menu of policy options and cost-effective interventions for the prevention and control of major noncommunicable diseases (NCDs). The menu has six...

    Authors: Ahad Bakhtiari, Amirhossein Takian, Reza Majdzadeh and Ali Akbar Haghdoost

    Citation: BMC Public Health 2020 20:333

    Content type: Research article

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  39. The scale-up of HIV treatment programs has resulted in a reduction in HIV-related morbidity and mortality. However, retention of patients in these programs remains a challenge in sub-Saharan Africa. Understand...

    Authors: Paul Wekesa, Angela McLigeyo, Kevin Owuor, Jonathan Mwangi, Evelyne Nganga and Kenneth Masamaro

    Citation: BMC Public Health 2020 20:328

    Content type: Research article

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  40. Seasonal migrant and permanent laborers who are working in big mechanized agricultural farms in Metema – Humera lowlands are not included in Ethiopia Malaria Elimination Program. The aim of this research was t...

    Authors: Wossenseged Lemma

    Citation: BMC Public Health 2020 20:320

    Content type: Research article

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  41. Despite policies and guidelines recommending integration of health services in South Africa, provision of maternal and child health services remains fragmented. This study evaluated a rapid, scaleable, quality...

    Authors: Lyn Haskins, Jessica Chiliza, Pierre Barker, Catherine Connolly, Sifiso Phakathi, Alison Feeley and Christiane Horwood

    Citation: BMC Public Health 2020 20:318

    Content type: Research article

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  42. Organisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management. However, there has been little research validating and adapting OCAI (organisational culture...

    Authors: Nguyen Van Huy, Nguyen Thi Hoai Thu, Nguyen Le Tuan Anh, Nguyen Thanh Hai Au, Nguyen The Phuong, Nguyen Thi Cham and Pham Duc Minh

    Citation: BMC Public Health 2020 20:316

    Content type: Research article

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  43. Epidemiological models have been employed with great success to explore the efficacy of alternative strategies at combating disease outbreaks. These models have often incorporated an understanding of age-based...

    Authors: Kellen Myers, Agnesa Redere and Nina H. Fefferman

    Citation: BMC Public Health 2020 20:270

    Content type: Research article

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  44. Many studies focused on health inequality between migrant older adults and local older adults, while few study concerned the health inequalities between urban-to-urban and rural-to-urban migrant older adults. ...

    Authors: Sha Ma, Qiuju Li, Xudong Zhou, Weiming Cao, Minmin Jiang and Lu Li

    Citation: BMC Public Health 2020 20:268

    Content type: Research article

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  45. Pesticide self-poisoning is a common means of suicide in India. Banning highly hazardous pesticides from agricultural use has been successful in reducing total suicide numbers in several South Asian countries ...

    Authors: Toby Bonvoisin, Leah Utyasheva, Duleeka Knipe, David Gunnell and Michael Eddleston

    Citation: BMC Public Health 2020 20:251

    Content type: Research article

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  46. Monitoring of the expanded program on immunization’s performance is not only limited to routine periodic reports but equally includes surveys. Based on unpublished national EPI surveillance data from the past ...

    Authors: Jérôme Ateudjieu, Martin Ndinakie Yakum, André Pascal Goura, Ayok Maureen Tembei, Douanla Koutio Ingrid, Beyala Bita’a Landry, Bruno Kenfack, Lapia Amada, Isaac Tadzong and Anne Cecile Bissek

    Citation: BMC Public Health 2020 20:228

    Content type: Research article

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