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

    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

  2. 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

  3. 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

  4. 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

  5. Research article

    The application of DEA (Data Envelopment Analysis) window analysis in the assessment of influence on operational efficiencies after the establishment of branched hospitals

    Many large-scaled public hospitals have established branched hospitals in China. This study is to provide evidence for strategy making on the management and development of multi-branched hospitals by evaluatin...

    Tongying Jia and Huiyun Yuan

    BMC Health Services Research 2017 17:265

    Published on: 12 April 2017

  6. Research article

    Health workers perceptions and attitude about Ghana’s preparedness towards preventing, containing, and managing Ebola Virus Disease

    Ebola virus is highly infectious and the disease can be very fatal. The World Health Organization has declared the 2014–2015 Ebola Virus Disease outbreak a Public Health Emergency of International Concern. In ...

    Philip Baba Adongo, Philip Teg-Nefaah Tabong, Emmanuel Asampong, Joana Ansong, Magda Robalo and Richard M. Adanu

    BMC Health Services Research 2017 17:266

    Published on: 12 April 2017

  7. Research article

    Implementing the Emergency Triage, Assessment and Treatment plus admission care (ETAT+) clinical practice guidelines to improve quality of hospital care in Rwandan district hospitals: healthcare workers’ perspectives on relevance and challenges

    An emergency triage, assessment and treatment plus admission care (ETAT+) intervention was implemented in Rwandan district hospitals to improve hospital care for severely ill infants and children. Many interve...

    Celestin Hategeka, Leah Mwai and Lisine Tuyisenge

    BMC Health Services Research 2017 17:256

    Published on: 7 April 2017

  8. Research article

    The level of nurses' knowledge on occupational post exposure to hepatitis B infection in the Tamale metropolis, Ghana

    Health care workers especially nurses in developing countries are at serious risk for infection from blood-borne pathogens particularly hepatitis B virus (HBV) — because of the high prevalence of such pathogen...

    Kennedy Diema Konlan, Millicent Aarah-Bapuah, Joseph M. Kombat and Gifty Mary Wuffele

    BMC Health Services Research 2017 17:254

    Published on: 5 April 2017

  9. Research article

    Cardiovascular care guideline implementation in community health centers in Oregon: a mixed-methods analysis of real-world barriers and challenges

    Spreading effective, guideline-based cardioprotective care quality improvement strategies between healthcare settings could yield great benefits, particularly in under-resourced contexts. Understanding the div...

    Rachel Gold, Arwen Bunce, Stuart Cowburn, James V. Davis, Celine Hollombe, Christine A. Nelson, Jon Puro, John Muench, Christian Hill, Victoria Jaworski, MaryBeth Mercer, Colleen Howard, Nancy Perrin and Jennifer DeVoe

    BMC Health Services Research 2017 17:253

    Published on: 5 April 2017

  10. Research article

    High pre-diagnosis attrition among patients with presumptive MDR-TB: an operational research from Bhopal district, India

    Pre-diagnosis attrition needs to be addressed urgently if we are to make progress in improving MDR-TB case detection and achieve universal access to MDR-TB care. We report the pre-diagnosis attrition, along wi...

    Deepak Shewade, Arun M Kokane, Akash Ranjan Singh, Manoj Verma, Malik Parmar, Ashish Chauhan, Sanjay Singh Chahar, Manoj Tiwari, Sheeba Naz Khan, Vivek Gupta, Jaya Prasad Tripathy, Mukesh Nagar, Sanjai Kumar Singh, Pradeep Kumar Mehra and Ajay MV Kumar

    BMC Health Services Research 2017 17:249

    Published on: 4 April 2017

    The Erratum to this article has been published in BMC Health Services Research 2017 17:301

  11. Research article

    Lost in care pathway: a qualitative investigation on the health system delay of extra pulmonary tuberculosis patients in Bangladesh

    Although extra pulmonary tuberculosis (EPTB) has long been known as a major public health concern globally, the complex healthcare-seeking pathways of EPTB patients are not widely studied. This study aims to e...

    Malabika Sarker, Din Mohammad, Sukanta Paul, Rahima Akter, Shayla Islam, Goutam Biswas, Asheque Hossain and Akramul Islam

    BMC Health Services Research 2017 17:240

    Published on: 28 March 2017

  12. Research article

    A process evaluation plan for assessing a complex community-based maternal health intervention in Ogun State, Nigeria

    Despite increased investment in community-level maternal health interventions, process evaluations of such interventions are uncommon, and can be instrumental in understanding mediating factors leading to outc...

    Sumedha Sharma, Olalekan O. Adetoro, Marianne Vidler, Sharla Drebit, Beth A. Payne, David O. Akeju, Akinmade Adepoju, Ebunoluwa Jaiyesimi, John Sotunsa, Zulfiqar A. Bhutta, Laura A. Magee, Peter von Dadelszen and Olukayode Dada

    BMC Health Services Research 2017 17:238

    Published on: 28 March 2017

  13. Research article

    The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: a rapid review

    Health literacy has been linked to health outcomes across population groups around the world. Nepal, a low income country, experiences the double burden of highly prevalent communicable as well as non-communic...

    Shyam Sundar Budhathoki, Paras K. Pokharel, Suvajee Good, Sajani Limbu, Meika Bhattachan and Richard H. Osborne

    BMC Health Services Research 2017 17:237

    Published on: 27 March 2017

  14. 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

  15. 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

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