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

    The structural and health policy environment for delivering integrated HIV and substance use disorder treatments in Puerto Rico

    HIV prevalence in Puerto Rico is nearly twice that of the mainland United States, a level that was substantially fueled by injection drug use. Puerto Rico has a longstanding history of health provision by the ...

    Jared A. Leff, Diana Hernández, Paul A. Teixeira, Pedro C. Castellón, Daniel J. Feaster, Allan E. Rodriguez, Jorge L. Santana-Bagur, Sandra Miranda De León, José Vargas Vidot, Lisa R. Metsch and Bruce R. Schackman

    BMC Health Services Research 2017 17:232

    Published on: 23 March 2017

  2. Research article

    An exploration of the socio-economic profile of women and costs of receiving abortion services at public health facilities of Madhya Pradesh, India

    Maternal mortality, which primarily burdens developing countries, reflects the greatest health divide between rich and poor. This is especially pronounced for access to safe abortion services which alone avert...

    Sushanta K. Banerjee, Rakesh Kumar, Janardan Warvadekar, Vinoj Manning and Kathryn Louise Andersen

    BMC Health Services Research 2017 17:223

    Published on: 21 March 2017

  3. Research article

    Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study

    The Four Free and One Care Policy (HIV/AIDS-related free services) has been in place in China since 2004. However, linkage to human immunodeficiency virus (HIV) care is not yet achieved very well among people ...

    Haochu Li, Chongyi Wei, Joseph Tucker, Dianmin Kang, Meizhen Liao, Eleanor Holroyd, Jietao Zheng, Qian Qi and Wei Ma

    BMC Health Services Research 2017 17:214

    Published on: 16 March 2017

  4. Research article

    Urban Health Extension Services Utilization in Bishoftu Town, Oromia Regional State, Central Ethiopia

    Ethiopia has been deploying specially trained new cadres of community based health workers in urban areas of the country known as urban health extension professionals since 2009. At present, relatively little ...

    Ewunetu Aberra Gebreegziabher, Feleke Hailemichael Astawesegn, Antehun Alemayehu Anjulo and Mirkuzie Woldie Kerie

    BMC Health Services Research 2017 17:195

    Published on: 14 March 2017

  5. Research article

    At first glance, informal payments experience on track: why accept or refuse? Patients’ perceive in cardiac surgery department of public hospitals, northeast of Iran 2013

    Patient’s Informal payments is among the main source of health care financing in some countries. This paper aimed at determining the patient informal payments and relative factors in Cardiac Surgery Department...

    Ali Vafaei Najar, Hossein Ebrahimipour, Arefeh Pourtaleb, Habibollah Esmaily, Mehdi Jafari, Zohre Nejatzadegan and Yasamin Molavi Taleghani

    BMC Health Services Research 2017 17:205

    Published on: 14 March 2017

  6. Research article

    Modern contraceptive utilization and associated factors among married pastoralist women in Bale eco-region, Bale Zone, South East Ethiopia

    Women who live in remote rural areas encounter different challenges against contraception and often deny the use of modern contraceptive methods. The predictors of modern contraceptive utilization by pastorali...

    Semere Sileshi Belda, Mekonnen Tegegne Haile, Abulie Takele Melku and Abdurehaman Kalu Tololu

    BMC Health Services Research 2017 17:194

    Published on: 14 March 2017

  7. Research article

    Quality of the delivery services in health facilities in Northern Ethiopia

    Substantial improvements have been observed in the coverage of and access to maternal health service, especially in skilled birth attendants, in Ethiopia. However, the quality of care has been lagging behind. ...

    Girmatsion Fisseha, Yemane Berhane, Alemayehu Worku and Wondwossen Terefe

    BMC Health Services Research 2017 17:187

    Published on: 9 March 2017

  8. Research article

    Assessment of provider-initiated HIV screening in Nigeria with sub-Saharan African comparison

    Despite Nigeria’s high HIV prevalence, voluntary testing and counselling rates remain low. UNAIDS/WHO/CDC recommends provider-initiated testing and counselling (PITC) for HIV in settings with high HIV prevalen...

    Felix A. Ogbo, Andrew Mogaji, Pascal Ogeleka, Kingsley E. Agho, John Idoko, Terver Zua Tule and Andrew Page

    BMC Health Services Research 2017 17:188

    Published on: 9 March 2017

  9. Research article

    A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia

    Ethiopia has experienced rapid improvements in its healthcare infrastructure, such as through the recent scale up of integrated community case management (iCCM) delivered by community-based health extension wo...

    Bryan Shaw, Agbessi Amouzou, Nathan P. Miller, Jennifer Bryce and Pamela J. Surkan

    BMC Health Services Research 2017 17:184

    Published on: 9 March 2017

  10. Research article

    Continuum of care in maternal, newborn and child health in Pakistan: analysis of trends and determinants from 2006 to 2012

    Pakistan, being a developing country, presents the dismal picture of maternal and neonatal mortality and morbidity. The majority of maternal and neonatal deaths could be avoided if Continuum of Care (CoC) is p...

    Sarosh Iqbal, Sidra Maqsood, Rubeena Zakar, Muhammad Zakria Zakar and Florian Fischer

    BMC Health Services Research 2017 17:189

    Published on: 9 March 2017

  11. Research article

    Developing a measure of mental health service satisfaction for use in low income countries: a mixed methods study

    Service satisfaction is integral to quality of care and measures are therefore considered important indicators of quality. Patient’s responses to their experiences of using services are under-researched in the...

    Rosie Mayston, Kassahun Habtamu, Girmay Medhin, Atalay Alem, Abebaw Fekadu, Alehegn Habtamu, Martin Prince and Charlotte Hanlon

    BMC Health Services Research 2017 17:183

    Published on: 9 March 2017

  12. Research article

    Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia

    Despite its prominence, intimate partner violence (IPV) against women has received little attention in Ethiopia. And as many of sub-Saharan African countries, maternal health care services utilization remains ...

    Bedru Hussen Mohammed, Janice Mary Johnston, Joseph I. Harwell, Huso Yi, Katrina Wai-kay Tsang and Jemal Ali Haidar

    BMC Health Services Research 2017 17:178

    Published on: 7 March 2017

  13. Research article

    A mixed-methods needs assessment of adult diabetes mellitus (type II) and hypertension care in Toledo, Belize

    Non-communicable diseases, including diabetes mellitus and hypertension, continue to disproportionately burden low- and middle-income countries. However, little research has been done to establish current prac...

    Annette M. Dekker, Ashley E. Amick, Cecilia Scholcoff and Ashti Doobay-Persaud

    BMC Health Services Research 2017 17:171

    Published on: 28 February 2017

  14. Research article

    Evaluation of rational drug use based on World Health Organization core drug use indicators in selected public hospitals of eastern Ethiopia: a cross sectional study

    Despite the complexity of drug use, a number of indicators have been developed, standardized and evaluated by the World Health Organization (WHO). These indicators are grouped in to three categories namely: pr...

    Mekonnen Sisay, Getnet Mengistu, Bereket Molla, Firehiwot Amare and Tesfaye Gabriel

    BMC Health Services Research 2017 17:161

    Published on: 23 February 2017

  15. Research article

    Leveraging the private sector for child health: a qualitative examination of caregiver and provider perspectives on private sector care for childhood pneumonia in Uttar Pradesh, India

    The private health sector is a primary source of curative care for childhood illnesses in many low- and middle-income countries. Therefore ensuring appropriate private sector care is an important step towards ...

    Aurélie Brunie, Rachel Lenzi, Anamika Lahiri and Rasa Izadnegahdar

    BMC Health Services Research 2017 17:159

    Published on: 22 February 2017

  16. Research article

    Assessing the feasibility of introducing health insurance in Afghanistan: a qualitative stakeholder analysis

    In the last decade, the health status of Afghans has improved drastically. However, the health financing system in Afghanistan remains fragile due to high out-of-pocket spending and reliance on donor funding. ...

    Wu Zeng, Christine Kim, Lauren Archer, Omarzaman Sayedi, Mohammad Yousuf Jabarkhil and Kathleen Sears

    BMC Health Services Research 2017 17:157

    Published on: 22 February 2017

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