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.

Previous Page Page 1 of 28 Next Page
  1. Research article

    Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India

    In 2008, the Indian government introduced financial assistance to encourage health facility deliveries. Facility births have increased, but maternal and neonatal morbidity and mortality have not decreased rais...

    Archana B. Patel, Amber Abhijeet Prakash, Camille Raynes-Greenow, Yamini V. Pusdekar and Patricia L. Hibberd

    BMC Health Services Research 2017 17:360

    Published on: 19 May 2017

  2. Research article

    Assessment of neurologists’ knowledge regarding intravenous fibrinolytic therapy for acute stroke in Shanxi province in China

    Limitations in physicians’ knowledge regarding fibrinolytic therapy for acute ischemic stroke may contribute to low rate of fibrinolytic therapy in China. Here physicians’ knowledge was surveyed on intravenous...

    Liansheng Ma, Xiaoyuan Niu, Wei Zhang, Yalan Fang and Jie Wang

    BMC Health Services Research 2017 17:358

    Published on: 18 May 2017

  3. Research article

    Going to scale: design and implementation challenges of a program to increase access to skilled birth attendants in Nigeria

    The lack of availability of skilled providers in low- and middle- income countries is considered to be an important barrier to achieving reductions in maternal and child mortality. However, there is limited re...

    Edward N. Okeke, Emma Pitchforth, Josephine Exley, Peter Glick, Isa Sadeeq Abubakar, Amalavoyal V. Chari, Usman Bashir, Kun Gu and Obinna Onwujekwe

    BMC Health Services Research 2017 17:356

    Published on: 18 May 2017

  4. Research article

    Quality of care in family planning services in Senegal and their outcomes

    High quality of care in family planning (FP) services has been found to be associated with increased and continued use of contraceptive methods. The interpersonal skills and technical competence of the provide...

    Shireen Assaf, Wenjuan Wang and Lindsay Mallick

    BMC Health Services Research 2017 17:346

    Published on: 12 May 2017

  5. Research article

    Task shifting of triage to peer expert informal care providers at a tertiary referral HIV clinic in Malawi: a cross-sectional operational evaluation

    HIV treatment models in Africa are labour intensive and require a high number of skilled staff. In this context, task-shifting is considered a feasible alternative for ART service delivery. In 2006, a lay heal...

    Megan Landes, Courtney Thompson, Edson Mwinjiwa, Edith Thaulo, Chrissie Gondwe, Harriet Akello and Adrienne K. Chan

    BMC Health Services Research 2017 17:341

    Published on: 9 May 2017

  6. Research article

    Improving access to health care amongst vulnerable populations: a qualitative study of village malaria workers in Kampot, Cambodia

    There is growing interest in the expansion of community health workers programmes in low- and middle-income countries as a cost-effective approach to address shortages of health professionals. However, our und...

    Marco Liverani, Chea Nguon, Ra Sok, Daro Kim, Panharith Nou, Sokhan Nguon and Shunmay Yeung

    BMC Health Services Research 2017 17:335

    Published on: 8 May 2017

  7. Research article

    The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study

    The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous...

    Jessica Conway, George Tsourtos and Sharon Lawn

    BMC Health Services Research 2017 17:319

    Published on: 3 May 2017

  8. Research article

    Pre/post evaluation of a pilot prevention with positives training program for healthcare providers in North West Province, Republic of South Africa

    Prevention interventions for people living with HIV/AIDS are an important component of HIV programs. We report the results of a pilot evaluation of a four-hour, clinic-based training for healthcare providers i...

    Christopher G. Kemp, Julia de Kadt, Erushka Pillay, Jennifer M. Gilvydis, Evasen Naidoo, Jessica Grignon and Marcia R. Weaver

    BMC Health Services Research 2017 17:316

    Published on: 2 May 2017

  9. Research article

    The impact of facility audits, evaluation reports and incentives on motivation and supply management among family planning service providers: an interventional study in two districts in Maputo Province, Mozambique

    Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the deg...

    Heleen Vermandere, Anna Galle, Sally Griffin, Málica de Melo, Lino Machaieie, Dirk Van Braeckel and Olivier Degomme

    BMC Health Services Research 2017 17:313

    Published on: 2 May 2017

  10. Research article

    Reliability of information on people with disabilities gathered by community health workers in highly consanguineous communities of Northeastern Brazil

    In Brazil, community health workers have gathered monthly information on people with disabilities to maintain the Primary Care Information System since 1998; however, few studies have used this database for sc...

    Fernando Rocha Lucena Lopes, Karolinne Souza Monteiro, Thalita Figueiredo, Thyago da Costa Wanderley, Thiago de Almeida Pequeno, Shirley Lima and Silvana Santos

    BMC Health Services Research 2017 17:317

    Published on: 2 May 2017

  11. Study protocol

    Continuous quality improvement interventions to improve long-term outcomes of antiretroviral therapy in women who initiated therapy during pregnancy or breastfeeding in the Democratic Republic of Congo: design of an open-label, parallel, group randomized trial

    Despite the rapid adoption of the World Health Organization’s 2013 guidelines, children continue to be infected with HIV perinatally because of sub-optimal adherence to the continuum of HIV care in maternal an...

    Marcel Yotebieng, Frieda Behets, Bienvenu Kawende, Noro Lantoniaina Rosa Ravelomanana, Martine Tabala and Emile W. Okitolonda

    BMC Health Services Research 2017 17:306

    Published on: 26 April 2017

  12. Research article

    Health care providers’ perspectives regarding the use of chlorhexidine gel for cord care in neonates in rural Kenya: implications for scale-up

    This paper explores the perspectives of health care providers regarding the use of 7.1% Chlorhexidine Digluconate (CHX) gel that releases 4% chlorhexidine for newborn umbilical cord care under a managed access...

    Angela Muriuki, Francis Obare, Bill Ayieko, Dennis Matanda, Kenneth Sisimwo and Brian Mdawida

    BMC Health Services Research 2017 17:305

    Published on: 26 April 2017

  13. Research article

    An assessment of the HIV/TB knowledge and skills of home-based carers working in the North West province in South Africa: a cross-sectional study

    Home-based carers (HBCs) play a critical role in ensuring the success of the primary health care re-engineering strategy in South Africa. Their role includes ensuring improved access to and delivery of primary...

    Justin G. Engelbrecht, Mabjala R. Letsoalo and Admire C. Chirowodza

    BMC Health Services Research 2017 17:285

    Published on: 19 April 2017

  14. Research article

    Use of Lot quality assurance sampling surveys to evaluate community health worker performance in rural Zambia: a case of Luangwa district

    The Better Health Outcomes through Mentoring and Assessment (BHOMA) project is a cluster randomized controlled trial aimed at reducing age-standardized mortality rates in three rural districts through involvem...

    Moses Mwanza, Japhet Zulu, Stephanie M. Topp, Patrick Musonda, Wilbroad Mutale and Roma Chilengi

    BMC Health Services Research 2017 17:279

    Published on: 17 April 2017

  15. Research article

    Factors associated with high-utilization in a safety net setting

    Patients with frequent hospital readmissions, or high-utilizer patients (HUPs), are a major driver of rising healthcare costs in the United States. This group has a significant burden of medical illness, but l...

    Julia Bell, Sara Turbow, Maura George and Mohammed K. Ali

    BMC Health Services Research 2017 17:273

    Published on: 14 April 2017

  16. Research article

    The social accountability of doctors: a relationship based framework for understanding emergent community concepts of caring

    Social accountability is defined as the responsibility of institutions to respond to the health priorities of a community. There is an international movement towards the education of health professionals who a...

    Lionel P. Green-Thompson, Patricia McInerney and Bob Woollard

    BMC Health Services Research 2017 17:269

    Published on: 12 April 2017

Previous Page Page 1 of 28 Next Page

Can't find what you are looking for?

Articles for this section are still being added to this new-look site. In the meantime you can still view this section on our old site.