Skip to content


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 3 of 5

  1. Content type: Research article

    Allowing a broader range of trained health workers to deliver services can be an important way of improving access to safe abortion care. However, the expansion of health worker roles may be challenging to imp...

    Authors: Claire Glenton, Annik M. Sorhaindo, Bela Ganatra and Simon Lewin

    Citation: BMC Public Health 2017 17:730

    Published on:

  2. Content type: Research article

    Catastrophic health expenditure (CHE) puts a heavy disease burden on patients’ families, aggravating income-related inequality. In an attempt to reduce the financial risks of rural families incurring CHE, Chin...

    Authors: Hai Gu, Yun Kou, Zhiwen Yan, Yilei Ding, Jusheng Shieh, Jun Sun, Nan Cui, Qianjing Wang and Hua You

    Citation: BMC Public Health 2017 17:727

    Published on:

  3. Content type: Research article

    A multi pronged community based strategy, known as National Rural Health Mission (NRHM), was implemented from 2005–06 to 2012–13 in India to curtail maternal and child health (MCH) disparities between poor and...

    Authors: Madhu Gupta, Hans Bosma, Federica Angeli, Manmeet Kaur, Venkatesan Chakrapani, Monica Rana and Onno C.P. van Schayck

    Citation: BMC Public Health 2017 17:698

    Published on:

  4. Content type: Research article

    Zoonotic diseases such as leptospirosis occur as a result of the often complex interactions that exist at the human-animal-environment interface. The most obvious consequence of this complexity is the need for...

    Authors: Simon A. Reid, Anna Rodney, Mike Kama and Peter S. Hill

    Citation: BMC Public Health 2017 17:671

    Published on:

  5. Content type: Research article

    It is globally agreed that a well-designed health system deliver timely and convenient access to health services for all patients. Many interventions aiming to reduce waiting times have been implemented in Chi...

    Authors: Jing Sun, Qian Lin, Pengyu Zhao, Qiongyao Zhang, Kai Xu, Huiying Chen, Cecile Jia Hu, Mark Stuntz, Hong Li and Yuanli Liu

    Citation: BMC Public Health 2017 17:668

    Published on:

  6. Content type: Research article

    Mortality statistics by age, sex and cause are the foundation of basic health data required for health status assessment, epidemiological research and formation of health policy. Close to half the deaths in Ma...

    Authors: Shubash Shander Ganapathy, Khoo Yi Yi, Mohd Azahadi Omar, Mohamad Fuad Mohamad Anuar, Chandrika Jeevananthan and Chalapati Rao

    Citation: BMC Public Health 2017 17:653

    Published on:

    The Erratum to this article has been published in BMC Public Health 2017 17:687

  7. Content type: Research article

    Acute Encephalitis Syndrome (AES) and Japanese Encephalitis (JE) stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and...

    Authors: Sanjay Chaturvedi, Neha Sharma and Manish Kakkar

    Citation: BMC Public Health 2017 17:645

    Published on:

  8. Content type: Research article

    Transportation by motorcycle and bicycle has become popular in Taiwan, this study was designed to investigate the protective effect of helmet use during motorcycle and bicycle accidents by using a propensity s...

    Authors: Spencer C. H. Kuo, Pao-Jen Kuo, Cheng-Shyuan Rau, Yi-Chun Chen, Hsiao-Yun Hsieh and Ching-Hua Hsieh

    Citation: BMC Public Health 2017 17:639

    Published on:

  9. Content type: Research article

    India’s Revised National Tuberculosis (TB) Control Programme (RNTCP) offers free TB diagnosis and treatment. But more than 50% of TB patients seek care from private practitioners (PPs), where TB is managed sub...

    Authors: Vijayashree Yellappa, Pierre Lefèvre, Tullia Battaglioli, Narayanan Devadasan and Patrick Van der Stuyft

    Citation: BMC Public Health 2017 17:635

    Published on:

  10. Content type: Research article

    Person-centered care is a critical component of quality care, essential to enable treatment adherence, and maximize health outcomes. Improving the quality of health services is a key strategy to achieve the ne...

    Authors: Aradhana Srivastava, Devaki Singh, Dominic Montagu and Sanghita Bhattacharyya

    Citation: BMC Public Health 2017 18:20

    Published on:

    The Erratum to this article has been published in BMC Public Health 2017 17:736

  11. Content type: Research article

    Many health care workers (HCWs) are at increased risk for tuberculosis (TB). The World Health Organization (WHO) recommends screening HCWs for TB in high burden settings but this is often not implemented in co...

    Authors: Suzanne Verver, Nathan Kapata, Mathildah Kakungu Simpungwe, Seraphine Kaminsa, Mavis Mwale, Chitambeya Mukwangole, Bernard Sichinga, Sevim Ahmedov and Max Meis

    Citation: BMC Public Health 2017 18:17

    Published on:

    The Erratum to this article has been published in BMC Public Health 2017 17:736

  12. Content type: Research article

    Accredited Social Health Activists (ASHA), female health volunteers working at village level have become an integral component of National Health Mission (NHM) in India in the past two decades. Mitanin (meaning f...

    Authors: Mehul Kumar Chourasia, Kamaraju Raghavendra, Rajendra Mohan Bhatt, Dipak Kumar Swain, G. D. P. Dutta and Immo Kleinschmidt

    Citation: BMC Public Health 2017 18:9

    Published on:

    The Erratum to this article has been published in BMC Public Health 2017 17:736

  13. Content type: Research article

    Violence against women (VAW) is a major problem worldwide, with one in three women experiencing violence in their lifetime. While interventions to prevent violence (primary prevention) are extremely important,...

    Authors: Lucy Kirk, Samantha Terry, Kamalini Lokuge and Jessica L. Watterson

    Citation: BMC Public Health 2017 17:622

    Published on:

  14. Content type: Research article

    An appropriate level of human resources for oral health [HROH] is required to meet the oral health needs of population, and enable maximum improvement in health outcomes. The aim of this study was to estimate ...

    Authors: Xiangyu Sun, Eduardo Bernabé, Xuenan Liu, Shuguo Zheng and Jennifer E. Gallagher

    Citation: BMC Public Health 2017 17:586

    Published on:

  15. Content type: Research article

    This paper is aimed at critically assessing the extent to which Non-Communicable Disease NCD-related policies introduced in Bangladesh align with the World Health Organization’s (WHO) 2013–2020 Action Plan for...

    Authors: Tuhin Biswas, Sonia Pervin, Md. Imtiaz Alam Tanim, Louis Niessen and Anwar Islam

    Citation: BMC Public Health 2017 17:582

    Published on:

  16. Content type: Research article

    The expansion of malaria prevention and control to school-aged children is receiving increasing attention, but there are still limited data on the costs of intervention. This paper analyses the costs of a comp...

    Authors: Roberta Maccario, Saba Rouhani, Tom Drake, Annie Nagy, Modibo Bamadio, Seybou Diarra, Souleymane Djanken, Natalie Roschnik, Siân E. Clarke, Moussa Sacko, Simon Brooker and Josselin Thuilliez

    Citation: BMC Public Health 2017 17:572

    Published on:

  17. Content type: Research article

    In 2014, over half (54%) of the world’s population lived in urban areas and this proportion will increase to 66% by 2050. This urbanizing trend has been accompanied by an increasing number of people living in ...

    Authors: Tim Crocker-Buque, Godwin Mindra, Richard Duncan and Sandra Mounier-Jack

    Citation: BMC Public Health 2017 17:556

    Published on:

  18. Content type: Research article

    In 2013, the World Health Organization released a new set of guidelines widely known as Option B+. Prior to that there were guidelines released in 2010. Option B+ recommends lifelong antiretroviral treatment f...

    Authors: Pamela Marinda, Nkandu Chibwe, Ernest Tambo, Sidney Lulanga and Christopher Khayeka—Wandabwa

    Citation: BMC Public Health 2017 17:541

    Published on:

  19. Content type: Research article

    There is global recognition of the reproductive health rights of people living with HIV (PLHIV). The aim of this research study was to explore the reproductive choices, and the factors influencing these choice...

    Authors: Samuel Agbo and Laetitia C. Rispel

    Citation: BMC Public Health 2017 17:540

    Published on:

  20. Content type: Research article

    Guangdong Province in the Pearl River Delta of Southeast China is among the areas in the country with the highest rates of avian flu cases. In order to control the outbreak of human-infected H7N9 cases, Guangd...

    Authors: Xiao Lin, Dingmei Zhang, Xinwei Wang, Yun Huang, Zhicheng Du, Yaming Zou, Jiahai Lu and Yuantao Hao

    Citation: BMC Public Health 2017 17:517

    Published on:

  21. Content type: Research article

    The INDEPTH Training & Research Centres of Excellence (INTREC) collaboration developed a training programme to strengthen social determinants of health (SDH) research in low- and middle-income countries (LMICs...

    Authors: Nicholas Henschke, Anna Mirny, Joke A Haafkens, Heribert Ramroth, Siwi Padmawati, Martin Bangha, Lisa Berkman, Laksono Trisnantoro, Yulia Blomstedt, Heiko Becher, Osman Sankoh, Peter Byass and John Kinsman

    Citation: BMC Public Health 2017 17:514

    Published on:

  22. Content type: Research article

    Childhood mortality has remained a major challenge to public health amongst families in Nigeria and other developing countries. The menace of incessant childhood mortality has been a major concern and this cal...

    Authors: Sanni Yaya, Michael Ekholuenetale, Godson Tudeme, Shah Vaibhav, Ghose Bishwajit and Bernard Kadio

    Citation: BMC Public Health 2017 17:485

    Published on:

  23. Content type: Research article

    Health warnings labels (HWLs) have the potential to effectively communicate the health risks of smoking to smokers and non-smokers, and encourage smokers to quit. This study sought to examine whether non-smoke...

    Authors: Zejun Li, Tara Elton-Marshall, Geoffrey T. Fong, Anne Chiew Kin Quah, Guoze Feng, Yuan Jiang and Sara C. Hitchman

    Citation: BMC Public Health 2017 17:476

    Published on:

    The Erratum to this article has been published in BMC Public Health 2017 17:581

  24. Content type: Research article

    Great health inequalities have been reported in China over the past few years. Height has been used as an important parameter of health and it may also be distributed unequally in different regions. By studyin...

    Authors: Yong Xu and Lei Hang

    Citation: BMC Public Health 2017 17:473

    Published on:

  25. Content type: Research article

    Communication can be used to generate demand for vaccination or address vaccine hesitancy, and is crucial to successful childhood vaccination programmes. Research efforts have primarily focused on communicatio...

    Authors: Jessica Kaufman, Heather Ames, Xavier Bosch-Capblanch, Yuri Cartier, Julie Cliff, Claire Glenton, Simon Lewin, Artur Manuel Muloliwa, Afiong Oku, Angela Oyo-Ita, Gabriel Rada and Sophie Hill

    Citation: BMC Public Health 2017 17:423

    Published on:

  26. Content type: Research article

    The Pacific TROPIC (Translational Research for Obesity Prevention in Communities) project aimed to design, implement and evaluate a knowledge-broking approach to evidence-informed policy making to address obes...

    Authors: Peter Kremer, Helen Mavoa, Gade Waqa, Marjory Moodie, Marita McCabe and Boyd Swinburn

    Citation: BMC Public Health 2017 17:362

    Published on:

  27. Content type: Research article

    The World Conference on Tobacco or Health (WCTOH) is held every three years to foster communication and collaboration on global tobacco control. Very little is known about the nature of interactions between WC...

    Authors: Scott J. Leischow, Janet Okamoto, Scott McIntosh, Deborah J. Ossip and Harry A. Lando

    Citation: BMC Public Health 2017 17:338

    Published on:

  28. Content type: Research article

    The Fit for School (FIT) programme integrates school health and Water, Sanitation and Hygiene interventions, which are implemented by the Ministries of Education in four Southeast Asian countries. This paper d...

    Authors: Denise Duijster, Bella Monse, Jed Dimaisip-Nabuab, Pantjawidi Djuharnoko, Roswitha Heinrich-Weltzien, Martin Hobdell, Katrin Kromeyer-Hauschild, Yung Kunthearith, Maria Carmela Mijares-Majini, Nicole Siegmund, Panith Soukhanouvong and Habib Benzian

    Citation: BMC Public Health 2017 17:302

    Published on:

  29. Content type: Research article

    Half of the estimated annual 28 million non-communicable diseases (NCDs) deaths in low- and middle-income countries (LMICs) are attributed to weak health systems. Current health policy responses to NCDs are fr...

    Authors: Gertrude Nsorma Nyaaba, Karien Stronks, Ama de-Graft Aikins, Andre Pascal Kengne and Charles Agyemang

    Citation: BMC Public Health 2017 17:297

    Published on:

  30. Content type: Research article

    The United Nations Development Programme (UNDP) has adopted an approach entitled Community Conversation (CC) to improve community engagement in addressing health challenges. CCs are based on Paulo Freire’s tra...

    Authors: Wilbroad Mutale, Chisala Masoso, Bisalom Mwanza, Cindy Chirwa, Lasidah Mwaba, Zumbe Siwale, Barbara Lamisa, Dennis Musatwe and Roma Chilengi

    Citation: BMC Public Health 2017 17:277

    Published on:

  31. Content type: Research article

    Hypertension affects one billion people globally and is one of the leading risk factors for cardiovascular and renal diseases. However, hypertension management remains poor, especially in rural China.

    Authors: Yuting Zhang, Wenxi Tang, Yan Zhang, Lulu Liu and Liang Zhang

    Citation: BMC Public Health 2017 17:244

    Published on:

  32. Content type: Research article

    Many low and middle income countries have developed community health strategies involving lay health workers, to complement and strengthen public health services. This study explores variations in costing para...

    Authors: Charles Ouma Wafula, Nancy Edwards and Dan C. O. Kaseje

    Citation: BMC Public Health 2017 17:224

    Published on:

  33. Content type: Research article

    Tuberculosis (TB) and multidrug-resistance tuberculosis (MDR-TB) pose serious challenges to global health, particularly in China, which has the second highest case burden in the world. Disparities in access to...

    Authors: C. Hutchison, M. S. Khan, J. Yoong, X. Lin and R. J. Coker

    Citation: BMC Public Health 2017 17:221

    Published on:

  34. Content type: Research article

    The role of health communication in vaccination programmes cannot be overemphasized: it has contributed significantly to creating and sustaining demand for vaccination services and improving vaccination covera...

    Authors: Afiong Oku, Angela Oyo-Ita, Claire Glenton, Atle Fretheim, Glory Eteng, Heather Ames, Artur Muloliwa, Jessica Kaufman, Sophie Hill, Julie Cliff, Yuri Cartier, Xavier Bosch-Capblanch, Gabriel Rada and Simon Lewin

    Citation: BMC Public Health 2017 17:200

    Published on:

  35. Content type: Research article

    Chile is the second world’s largest per capita consumer of caloric beverages. Caloric beverages are associated with overweight, obesity and other chronic diseases. The objective of this study is to estimate th...

    Authors: Carlos M. Guerrero-López, Mishel Unar-Munguía and M. Arantxa Colchero

    Citation: BMC Public Health 2017 17:180

    Published on:

  36. Content type: Research article

    Convergence of sectoral programs is important for scaling up essential maternal and child health and nutrition interventions. In India, these interventions are implemented by two government programs – Integrat...

    Authors: Sunny S. Kim, Rasmi Avula, Rajani Ved, Neha Kohli, Kavita Singh, Mara van den Bold, Suneetha Kadiyala and Purnima Menon

    Citation: BMC Public Health 2017 17:161

    Published on:

  37. Content type: Research article

    Maternal mortality is noticeably high in sub-Saharan African countries including Ethiopia. Continuous nationwide systematic evaluation and assessment of the problem helps to design appropriate policy and strat...

    Authors: Gizachew Assefa Tessema, Caroline O. Laurence, Yohannes Adama Melaku, Awoke Misganaw, Sintayehu A. Woldie, Abiye Hiruye, Azmeraw T. Amare, Yihunie Lakew, Berihun M. Zeleke and Amare Deribew

    Citation: BMC Public Health 2017 17:160

    Published on:

  38. Content type: Research article

    Cervical cancer (CC) and genital warts (GW) are a significant public health issue in Venezuela. Our objective was to assess the cost-effectiveness of the two available vaccines, bivalent and quadrivalent, agai...

    Authors: Ariel Esteban Bardach, Osvaldo Ulises Garay, María Calderón, Andrés Pichón-Riviére, Federico Augustovski, Sebastián García Martí, Paula Cortiñas, Marino Gonzalez, Laura T. Naranjo, Jorge Alberto Gomez and Joaquín Enzo Caporale

    Citation: BMC Public Health 2017 17:152

    Published on:

  39. Content type: Research article

    The incidence of breast cancer in Asia is increasing because of urbanization and lifestyle changes. In the developing countries in Asia, women present at late stages, and mortality is high. Mammographic screen...

    Authors: Marianne Lee, Shivaani Mariapun, Nadia Rajaram, Soo-Hwang Teo and Cheng-Har Yip

    Citation: BMC Public Health 2017 17:127

    Published on:

  40. Content type: Research article

    Screening is the main preventive method for cervical cancer in developing countries, but each type of screening has advantages and disadvantages. To investigate the most suitable method for low-income areas in...

    Authors: Yu Xie, Xiaodong Tan, Haiyan Shao, Qing Liu, Jiyu Tou, Yuling Zhang, Qiong Luo and Qunying Xiang

    Citation: BMC Public Health 2017 17:118

    Published on:

  41. Content type: Research article

    Dental care is extremely costly and beyond most people means in developing countries. The primary aim of this study was to determine the impact of out-of-pocket payments for dental care on household finances i...

    Authors: Eduardo Bernabé, Mohd Masood and Marko Vujicic

    Citation: BMC Public Health 2017 17:109

    Published on:

  42. Content type: Research article

    Onchocerciasis is a severe parasitic infestation which causes disabling skin and subcutaneous tissue changes. Current global estimates suggest that it accounts for 1135.7 disability adjusted life years (DALYs)...

    Authors: Tsi Njim and Leopold Ndemnge Aminde

    Citation: BMC Public Health 2017 17:103

    Published on:

  43. Content type: Research article

    In 2009, after many delays and changes, India introduced a single pictorial health warning label (HWL) on smokeless tobacco (SLT) packing—a symbolic image of a scorpion covering 40% of the front surface. In 20...

    Authors: Shannon Gravely, Geoffrey T. Fong, Pete Driezen, Steve Xu, Anne C. K. Quah, Genevieve Sansone, Prakash C. Gupta and Mangesh S. Pednekar

    Citation: BMC Public Health 2016 16:1246

    Published on:

  44. Content type: Research article

    Afghanistan has made great strides in the coverage of health services across the country but coverage of key indicators remains low nationally and whether the poorest households are accessing these services is...

    Authors: Christine Kim, Khwaja Mir Ahad Saeed, Ahmad Shah Salehi and Wu Zeng

    Citation: BMC Public Health 2016 16:1226

    Published on:

  45. Content type: Research article

    The physical inactivity pandemic and related non-communicable diseases have made it imperative for medical doctors (MDs) to effectively provide lifestyle counseling as part of prevention and treatment plans fo...

    Authors: Maria C. Arciniegas Calle, Felipe Lobelo, Mario A. Jiménez, Diana C. Páez, Sebastian Cortés, Andrés de Lima and John Duperly

    Citation: BMC Public Health 2016 16:1224

    Published on:

  46. Content type: Research article

    Accelerated population ageing brings about unprecedented challenges to the health system in China. This study aimed to measure the prevalence and the income-related inequality of depressive symptoms, and also ...

    Authors: Yongjian Xu, Jinjuan Yang, Jianmin Gao, Zhongliang Zhou, Tao Zhang, Jianping Ren, Yanli Li, Yuyan Qian, Sha Lai and Gang Chen

    Citation: BMC Public Health 2016 16:1214

    Published on:

  47. Content type: Research article

    Social capital is often believed to be one of the key prerequisites for successful implementation of community-based health programs. In less-developed countries, local leaders are positioned as major players ...

    Authors: Jinho Kim, Ji-Hye Kim, Vanphanom Sychareun and Minah Kang

    Citation: BMC Public Health 2016 16:1189

    Published on: