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

    Gender differentials in readiness and use of mHealth services in a rural area of Bangladesh

    Traditional gender roles result in women lagging behind men in the use of modern technologies, especially in developing countries. Although there is rapid uptake of mobile phone use in Bangladesh, investigatio...

    Fatema Khatun, Anita E. Heywood, Syed Manzoor Ahmed Hanifi, M. Shafiqur Rahman, Pradeep K. Ray, Siaw-Teng Liaw and Abbas Bhuiya

    BMC Health Services Research 2017 17:573

    Published on: 18 August 2017

  2. Research article

    The effect of facility-based antiretroviral therapy programs on outpatient services in Kenya and Uganda

    Considerable debate exists concerning the effects of antiretroviral therapy (ART) service scale-up on non-HIV services and overall health system performance in sub-Saharan Africa. In this study, we examined wh...

    Alexandra Wollum, Emily Dansereau, Nancy Fullman, Jane Achan, Kelsey A. Bannon, Roy Burstein, Ruben O. Conner, Brendan DeCenso, Anne Gasasira, Annie Haakenstad, Michael Hanlon, Gloria Ikilezi, Caroline Kisia, Aubrey J. Levine, Samuel H. Masters, Pamela Njuguna…

    BMC Health Services Research 2017 17:564

    Published on: 16 August 2017

  3. Research article

    Barriers and facilitators to the implementation of antenatal syphilis screening and treatment for the prevention of congenital syphilis in the Democratic Republic of Congo and Zambia: results of qualitative formative research

    The impact of untreated syphilis during pregnancy on neonatal health remains a major public health threat worldwide. Given the high prevalence of syphilis during pregnancy in Zambia and Democratic Republic of ...

    Dalau Nkamba, Musaku Mwenechanya, Arlette Mavila Kilonga, Maria Luisa Cafferata, Amanda Mabel Berrueta, Agustina Mazzoni, Fernando Althabe, Ezequiel Garcia-Elorrio, Antoniette K. Tshefu, Elwyn Chomba, Pierre M. Buekens and Maria Belizan

    BMC Health Services Research 2017 17:556

    Published on: 14 August 2017

  4. Research article

    Barriers to utilization of postnatal care at village level in Klaten district, central Java Province, Indonesia

    Maternal health remains a persisting public health challenge in Indonesia. Postnatal complications, in particular, are considered as maternal health problems priority that should be addressed. Conducting adequ...

    Ari Probandari, Akhda Arcita, Kothijah Kothijah and Eti Poncorini Pamungkasari

    BMC Health Services Research 2017 17:541

    Published on: 7 August 2017

  5. Research article

    Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study

    QUALMAT project aimed at improving quality of maternal and newborn care in selected health care facilities in three African countries. An electronic clinical decision support system was implemented to support ...

    Happiness Pius Saronga, Els Duysburgh, Siriel Massawe, Maxwell Ayindenaba Dalaba, Peter Wangwe, Felix Sukums, Melkizedeck Leshabari, Antje Blank, Rainer Sauerborn and Svetla Loukanova

    BMC Health Services Research 2017 17:537

    Published on: 7 August 2017

  6. Research article

    A combination of process of care and clinical target among type 2 diabetes mellitus patients in general medical clinics and specialist diabetes clinics at hospital levels

    This study compares a combination of processes of care and clinical targets among patients with type 2 diabetes mellitus (T2DM) between specialist diabetes clinics (SDCs) and general medical clinics (GMCs), an...

    Sokha Sieng and Cameron Hurst

    BMC Health Services Research 2017 17:533

    Published on: 7 August 2017

  7. Research article

    An in-depth investigation of the causes of persistent low membership of community-based health insurance: a case study of the mutual health organisation of Dar Naïm, Mauritania

    Persistent low membership is observed in many community-based health insurance (CBHI) schemes in Africa. Causes for low membership have been identified and solutions suggested, but this did not result in incre...

    Maria-Pia Waelkens, Yves Coppieters, Samia Laokri and Bart Criel

    BMC Health Services Research 2017 17:535

    Published on: 7 August 2017

  8. Research article

    Pediatric HIV care and treatment services in Tanzania: implications for survival

    Improving child survival for HIV-infected children remains an important health agenda. We present progress regarding care and treatment services to HIV infected children in Tanzania.

    G Somi, M Majigo, J Manyahi, J Nondi, J Agricola, V Sambu, J Todd, A Rwebembera, N Makyao, A Ramadhani and MIN Matee

    BMC Health Services Research 2017 17:540

    Published on: 7 August 2017

  9. Research article

    Water, sanitation and hygiene infrastructure and quality in rural healthcare facilities in Rwanda

    WHO and UNICEF have proposed an action plan to achieve universal water, sanitation and hygiene (WASH) coverage in healthcare facilities (HCFs) by 2030. The WASH targets and indicators for HCFs include: an impr...

    Alexandra Huttinger, Robert Dreibelbis, Felix Kayigamba, Fidel Ngabo, Leodomir Mfura, Brittney Merryweather, Amelie Cardon and Christine Moe

    BMC Health Services Research 2017 17:517

    Published on: 3 August 2017

  10. Research article

    Health service changes to address diabetes in pregnancy in a complex setting: perspectives of health professionals

    Australian Aboriginal and Torres Strait Islander women have high rates of gestational and pre-existing type 2 diabetes in pregnancy. The Northern Territory (NT) Diabetes in Pregnancy Partnership was establishe...

    R. Kirkham, J. A. Boyle, C. Whitbread, M. Dowden, C. Connors, S. Corpus, L. McCarthy, J. Oats, H. D. McIntyre, E. Moore, K. O’Dea, A. Brown and L. Maple-Brown

    BMC Health Services Research 2017 17:524

    Published on: 3 August 2017

  11. Research article

    Frequency, associated features, and burden of neurological disorders in older adult inpatients in Brazil: a retrospective cross-sectional study

    The burden of neurological disorders (NDs) in older adult inpatients is often underestimated. We studied diagnostic frequency and comorbidity of NDs among inpatients aged ≥60 years. We compared rates of hospit...

    Aroldo Bacellar, Bruno B. Pedreira, Gersonita Costa and Telma Assis

    BMC Health Services Research 2017 17:504

    Published on: 24 July 2017

  12. Research article

    A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan

    In recent decades, community pharmacies reported a change of business model, whereby a shift from traditional services to the provision of extended roles was observed. However, such delivery of extended pharma...

    Furqan K. Hashmi, Mohamed Azmi Hassali, Adnan Khalid, Fahad Saleem, Hisham Aljadhey, Zaheer ud Din Babar and Mohammad Bashaar

    BMC Health Services Research 2017 17:500

    Published on: 19 July 2017

  13. Research article

    “We and the nurses are now working with one voice”: How community leaders and health committee members describe their role in Sierra Leone’s Ebola response

    Across low-income settings, community volunteers and health committee members support the formal health system - both routinely and amid emergencies - by engaging in health services such as referrals and healt...

    Shannon A. McMahon, Lara S. Ho, Kerry Scott, Hannah Brown, Laura Miller, Ruwan Ratnayake and Rashid Ansumana

    BMC Health Services Research 2017 17:495

    Published on: 18 July 2017

  14. Study protocol

    Assessing the link between implementation fidelity and health outcomes for a trial of intensive case management by community health workers: a mixed methods study protocol

    Better systems of care are required to address chronic disease in Indigenous people to ensure they can access all their care needs. Health research has produced evidence about effective models of care and chro...

    Barbara Schmidt, Kerrianne Watt, Robyn McDermott and Jane Mills

    BMC Health Services Research 2017 17:490

    Published on: 17 July 2017

  15. Research article

    Delay along the care-seeking journey of patients with ocular surface squamous neoplasia in Kenya

    In Africa, accessing eye health services is a major challenge. Ocular surface squamous neoplasia (OSSN) is a substantial ocular health problem in Africa related to solar UV light exposure and HIV infection amo...

    Stephen Gichuhi, Joy Kabiru, Alain M’bongo Zindamoyen, Hillary Rono, Ernest Ollando, Joseph Wachira, Rhoda Munene, Timothy Onyuma, Mandeep S. Sagoo, David Macleod, Helen A. Weiss and Matthew J. Burton

    BMC Health Services Research 2017 17:485

    Published on: 14 July 2017

  16. Research article

    Unsuccessful TB treatment outcomes with a focus on HIV co-infected cases: a cross-sectional retrospective record review in a high-burdened province of South Africa

    South Africa did not meet the MDG targets to reduce TB prevalence and mortality by 50% by 2015, and the TB cure rate remains below the WHO target of 85%. TB incidence in the country is largely fuelled by the H...

    M. C Engelbrecht, N. G Kigozi, P. Chikobvu, S. Botha and H. C. J. van Rensburg

    BMC Health Services Research 2017 17:470

    Published on: 10 July 2017

  17. Research article

    Strengthening close to community provision of maternal health services in fragile settings: an exploration of the changing roles of TBAs in Sierra Leone and Somaliland

    Efforts to take forward universal health coverage require innovative approaches in fragile settings, which experience particularly acute human resource shortages and poor health indicators. For maternal and ne...

    Evelyn Orya, Sunday Adaji, Thidar Pyone, Haja Wurie, Nynke van den Broek and Sally Theobald

    BMC Health Services Research 2017 17:460

    Published on: 5 July 2017

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