Health systems and services in low and middle income settings

Section edited by Dina Balabanova, Hengjin Dong, David Hotchkiss and Kaspar Wyss 

This section aims to publish research on health systems and services with a focus on research relevant to low and middle income settings as defined by The World Bank.

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  1. Research article

    Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as “family planning champions” increases referrals and uptake of family planning among HIV-infected mothers

    In 2012, Makerere University Johns - Hopkins University, and Mulago National Referral Hospital, with support from the National Institute of Health (under Grant number: NOT AI-01-023) undertook operational rese...

    Peter Mudiope, Ezra Musingye, Carolyne Onyango Makumbi, Danstan Bagenda, Jaco Homsy, Mai Nakitende, Mike Mubiru, Linda Barlow Mosha, Mike Kagawa, Zikulah Namukwaya and Mary Glenn Fowler

    BMC Health Services Research 2017 17:444

    Published on: 27 June 2017

  2. Research article

    Patients’ satisfaction towards radiological service and associated factors in Hawassa University Teaching and referral hospital, Southern Ethiopia

    Patient satisfaction, one of the main components of quality of care, is a crucial phenomenon for the overall health care delivery system. Even though a number of studies have been conducted about patient satis...

    Teshome Mulisa, Fasil Tessema and Hailu Merga

    BMC Health Services Research 2017 17:441

    Published on: 26 June 2017

  3. Research article

    The impact of mobile phone based messages on maternal and child healthcare behaviour: a retrospective cross-sectional survey in Bangladesh

    Mobile phones are gradually becoming an integral part of healthcare services worldwide. We assessed the association between Aponjon mobile phone based messaging services and practices regarding childbirth and ...

    Mafruha Alam, Catherine D’Este, Cathy Banwell and Kamalini Lokuge

    BMC Health Services Research 2017 17:434

    Published on: 24 June 2017

  4. Research article

    Diabetes care in a complex humanitarian emergency setting: a qualitative evaluation

    Evidence is urgently needed from complex emergency settings to support efforts to respond to the increasing burden of diabetes mellitus (DM). We conducted a qualitative study of a new model of DM health care (...

    Adrianna Murphy, Michel Biringanine, Bayard Roberts, Beverley Stringer, Pablo Perel and Kiran Jobanputra

    BMC Health Services Research 2017 17:431

    Published on: 23 June 2017

  5. Research article

    Knowledge of antibiotic resistance and antibiotic prescription practices among prescribers in the Brong Ahafo Region of Ghana; a cross-sectional study

    Antibiotic resistance (ABR) has become a major public health challenge in most parts of the world including Ghana and is a major threat to gain in bacterial disease control. The role of prescribers in the cont...

    Kwaku Poku Asante, Ellen Abrafi Boamah, Martha Ali Abdulai, Kwame Ohene Buabeng, Emmanuel Mahama, Francis Dzabeng, Edith Gavor, Edith Andrews Annan, Seth Owusu-Agyei and Martha Gyansa-Lutterodt

    BMC Health Services Research 2017 17:422

    Published on: 20 June 2017

  6. Research article

    Parents’ and guardians’ perceptions on availability and pricing of medicines and healthcare for children in eThekwini, South Africa – a qualitative study

    Inadequate access to affordable essential medicines poses a challenge to achieving Universal Health Coverage. Access to essential medicines for children has been in the spotlight in recent research. However, i...

    Velisha Ann Perumal-Pillay and Fatima Suleman

    BMC Health Services Research 2017 17:417

    Published on: 19 June 2017

  7. Research article

    Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? A qualitative study in Tanzania

    In Tanzania, progress toward achieving the 2015 Millennium Development Goals for maternal and newborn health was slow. An intervention brought together community health workers, health facility staff, and accr...

    Angel Dillip, Suleiman Kimatta, Martha Embrey, John C Chalker, Richard Valimba, Mariam Malliwah, John Meena, Rachel Lieber and Keith Johnson

    BMC Health Services Research 2017 17:416

    Published on: 19 June 2017

  8. Research article

    Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study

    Wellbeing of healthcare workers is important for the effective functioning of health systems. The aim of this study was to explore the conceptualisations of wellbeing, stress and burnout among healthcare worke...

    Medhin Selamu, Graham Thornicroft, Abebaw Fekadu and Charlotte Hanlon

    BMC Health Services Research 2017 17:412

    Published on: 19 June 2017

  9. Research article

    Making HIV testing work at the point of care in South Africa: a qualitative study of diagnostic practices

    Point of care testing promises to reduce delays in diagnosing and initiating treatment for infectious diseases such as Human Immuno-deficiency Virus (HIV). In South Africa, decentralized HIV testing with rapid...

    Nora Engel, Malika Davids, Nadine Blankvoort, Keertan Dheda, Nitika Pant Pai and Madhukar Pai

    BMC Health Services Research 2017 17:408

    Published on: 17 June 2017

  10. Research article

    Social accountability in primary health care in West and Central Africa: exploring the role of health facility committees

    Social accountability has been emphasised as an important strategy to increase the quality, equity, and responsiveness of health services. In many countries, health facility committees (HFCs) provide the accou...

    Elsbet Lodenstein, Eric Mafuta, Adolphe C. Kpatchavi, Jean Servais, Marjolein Dieleman, Jacqueline E. W. Broerse, Alpha Amadou Bano Barry, Thérèse M. N. Mambu and Jurrien Toonen

    BMC Health Services Research 2017 17:403

    Published on: 13 June 2017

  11. Research article

    Surgeons’ knowledge regarding the diagnosis and management of pancreatic cancer in China: a cross-sectional study

    Pancreatic cancer is rare but highly malignant. Studies have shown that surgeons’ knowledge closely links to the correct diagnosis and treatment outcomes of pancreatic cancer. The purpose of this study was to ...

    Bing-Qi Li, Li Wang, Jian Li, Li Zhou, Tai-Ping Zhang, Jun-Chao Guo and Yu-Pei Zhao

    BMC Health Services Research 2017 17:395

    Published on: 9 June 2017

  12. Research article

    Perceptions of quality across the maternal care continuum in the context of a health financing intervention: Evidence from a mixed methods study in rural Malawi

    In 2013, Malawi with its development partners introduced a Results-Based Financing for Maternal and Newborn Health (RBF4MNH) intervention to improve the quality of maternal and newborn health-care services. Fi...

    Christabel Kambala, Julia Lohmann, Jacob Mazalale, Stephan Brenner, Malabika Sarker, Adamson S. Muula and Manuela De Allegri

    BMC Health Services Research 2017 17:392

    Published on: 8 June 2017

  13. Research article

    Unplanned pregnancy-risks and use of emergency contraception: a survey of two Nigerian Universities

    The vulnerabilities of young women of low socio-economic status and those with little or no formal education tend to dominate the discourse on unplanned pregnancy, unsafe abortion and emergency contraception (...

    Anthony Idowu Ajayi, Ezebunwa Ethelbert Nwokocha, Oladele Vincent Adeniyi, Daniel Ter Goon and Wilson Akpan

    BMC Health Services Research 2017 17:382

    Published on: 2 June 2017

  14. Research article

    Introducing onsite antenatal syphilis screening in Burkina Faso: implementation and evaluation of a feasibility intervention tailored to a local context

    Although the advantages of introducing point of care testing for syphilis in antenatal care (ANC) are well documented, there is little evidence on how to address structural issues within health systems. A bett...

    Fadima Yaya Bocoum, Grissoum Tarnagda, Fabrice Bationo, Justin R. Savadogo, Sarata Nacro, Séni Kouanda and Christina Zarowsky

    BMC Health Services Research 2017 17:378

    Published on: 30 May 2017

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