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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. Community dialogues have been used in participatory approaches in various health prevention and awareness programs, including family planning interventions, to increase understanding and alignment of particula...

    Authors: Margarate Nzala Munakampe, Theresa Nkole, Adam Silumbwe, Joseph Mumba Zulu, Joanna Paula Cordero and Petrus S. Steyn

    Citation: BMC Health Services Research 2020 20:728

    Content type: Research article

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  2. The original Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) is based on the Rainbow Model of Integrated Care (RMIC), which provides a comprehensive theoretical framework for integrated care. To tr...

    Authors: Yixiang Huang, Paiyi Zhu, Lijin Chen, Xin Wang and Pim Valentijn

    Citation: BMC Health Services Research 2020 20:727

    Content type: Research article

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  3. An effective referral system is essential for a high-quality health system that provides safe surgical care while optimizing patient outcomes and ensuring efficiency. The role of referral systems in countries ...

    Authors: Desmond T. Jumbam, Gopal Menon, Tenzing N. Lama, William Lodge II, Sarah Maongezi, Ntuli A. Kapologwe, Isabelle Citron, David Barash, John Varallo, Erin Barringer, Monica Cainer, Mpoki Ulisubisya, Shehnaz Alidina and Boniface Nguhuni

    Citation: BMC Health Services Research 2020 20:725

    Content type: Research article

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  4. HIV diagnosis in South Africa is based on a point-of-care testing (PoCT) algorithm with paper-based record-keeping. Aggregated testing data are reported routinely. To facilitate improved HIV case-based surveil...

    Authors: Nisha Jacob, Brian Rice, Emma Kalk, Alexa Heekes, Jennie Morgan, Samantha Brinkmann, James Hargreaves, Marsha Orgill and Andrew Boulle

    Citation: BMC Health Services Research 2020 20:720

    Content type: Research article

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  5. The purpose of this paper is to measure income-related health inequality among middle-aged and elderly patients with diabetes in China from 2011 to 2015 and to investigate factors that might be related to this...

    Authors: Guizhen Cao, Zhizhen Cui, Qinghua Ma, Congju Wang, Yong Xu, Hongpeng Sun and Yana Ma

    Citation: BMC Health Services Research 2020 20:719

    Content type: Research article

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  6. Post stroke cognitive difficulties are common but generally prioritised below other impairments. In the UK, clinical guidelines recommend a holistic review at six-months post-stroke including an assessment of ...

    Authors: Eugene Y. H. Tang, Louise Robinson, Catherine Exley, Darren Flynn, Blossom C. M. Stephan and Christopher Price

    Citation: BMC Health Services Research 2020 20:717

    Content type: Research article

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  7. There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototyp...

    Authors: Ali Rafik Shukor, Erica Barbazza, Niek Klazinga and Dionne Sofia Kringos

    Citation: BMC Health Services Research 2020 20:706

    Content type: Technical advance

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  8. In the era of rapid dolutegravir rollout, concerns about neural tube defects have complicated the health systems response among women of childbearing potential. This qualitative study, which was nested within ...

    Authors: Yussif Alhassan, Adelline Twimukye, Thoko Malaba, Catherine Orrell, Landon Myer, Catriona Waitt, Mohammed Lamorde, Andrew Kambugu, Helen Reynolds, Saye Khoo and Miriam Taegtmeyer

    Citation: BMC Health Services Research 2020 20:705

    Content type: Research article

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  9. Analysis of disaggregated national data suggest uneven access to essential maternal healthcare services within countries. This is of concern as it hinders equitable progress in health outcomes. Mounting an eff...

    Authors: Jaameeta Kurji, Benoit Talbot, Gebeyehu Bulcha, Kunuz Haji Bedru, Sudhakar Morankar, Lakew Abebe Gebretsadik, Muluemebet Abera Wordofa, Vivian Welch, Ronald Labonte and Manisha A. Kulkarni

    Citation: BMC Health Services Research 2020 20:703

    Content type: Research article

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  10. Unintended pregnancy occurs due to incorrect or inconsistent use of a contraception method. Such pregnancies can create an economic burden on the family, society and nation as a whole. Unintended pregnancy is ...

    Authors: Sujyoti Shakya, Sweta Shrestha, Rojeena Koju Shrestha, Usha Giri and Sunil Shrestha

    Citation: BMC Health Services Research 2020 20:699

    Content type: Research article

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  11. Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and informati...

    Authors: Pacifique Ndayishimiye, Rosine Uwase, Isabelle Kubwimana, Jean de la Croix Niyonzima, Roseline Dzekem Dine, Jean Baptiste Nyandwi and Justin Ntokamunda Kadima

    Citation: BMC Health Services Research 2020 20:697

    Content type: Research article

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  12. Multi-problem families face problems in several domains that are often found to be chronic and intergenerational. Effective mental health care for youth from these families is currently lacking, urging researc...

    Authors: Natasha Koper, Hanneke E. Creemers, Susan Branje, Geert Jan J. M. Stams and Levi van Dam

    Citation: BMC Health Services Research 2020 20:692

    Content type: Study protocol

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  13. Health care access is the timely use of personal health services to achieve the best health outcomes. Problems in accessing health care among reproductive-age may lead to various adverse health outcomes like d...

    Authors: Koku Sisay Tamirat, Zemenu Tadesse Tessema and Fentahun Bikale Kebede

    Citation: BMC Health Services Research 2020 20:691

    Content type: Research article

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  14. Evaluations of health interventions are increasingly concerned with measuring or accounting for ‘context’. How to do this is still subject to debate and testing, and is particularly important in the case of fa...

    Authors: Cicely Marston, Abriti Arjyal, Smriti Maskey, Shophika Regmi and Sushil Baral

    Citation: BMC Health Services Research 2020 20:685

    Content type: Research article

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  15. The migration of young Ethiopian men and women to the Middle East countries was mainly for economic reasons. The migration was largely irregular that posed a wide range of unfavorable life conditions for some ...

    Authors: Melkie Tilahun, Abdulhalik Workicho and Dessie Abebaw Angaw

    Citation: BMC Health Services Research 2020 20:681

    Content type: Research article

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  16. Coverage of prevention of mother-to-child transmission of HIV (PMTCT) services has expanded rapidly but approaches to ensure service delivery is patient-centered have not always kept pace. To better understand...

    Authors: Anne Laterra, Tegan Callahan, Thumbiko Msiska, Godfrey Woelk, Pari Chowdhary, Sara Gullo, Patience Mgoli Mwale, Surbhi Modi, Felluna Chauwa, Dumbani Kayira, Thokozani Kalua and Etobssie Wako

    Citation: BMC Health Services Research 2020 20:679

    Content type: Research article

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  17. The health system of Sudan has experienced several forms of decentralization, as well as, a radical reform. Authority and governance of secondary and tertiary health facilities have been shifted from federal t...

    Authors: Bandar Noory, Sara A. Hassanain, Benedikte Victoria Lindskog, Asma Elsony and Gunnar Aksel Bjune

    Citation: BMC Health Services Research 2020 20:669

    Content type: Research article

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  18. The spatial variation in antenatal care (ANC) utilisation is likely associated with disparities observed in maternal and neonatal deaths. Most maternal deaths are preventable through services offered during AN...

    Authors: Kefa G. Wairoto, Noel K. Joseph, Peter M. Macharia and Emelda A. Okiro

    Citation: BMC Health Services Research 2020 20:665

    Content type: Research article

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  19. Community-based Health Insurance (CBHI) schemes have been implemented world over as initial steps for national health insurance schemes. The CBHI concept developed out of a need for financial protection agains...

    Authors: Alex A. Kakama, Prossy K. Namyalo and Robert K. Basaza

    Citation: BMC Health Services Research 2020 20:662

    Content type: Research article

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  20. Over-prescribing and inappropriate use of antibiotics contributes to the emergence of antimicrobial resistance (AMR). Few studies in low and middle-income settings have employed qualitative approaches to exami...

    Authors: Papreen Nahar, Leanne Unicomb, Patricia Jane Lucas, Mohammad Rofi Uddin, Mohammad Aminul Islam, Fosiul Alam Nizame, Nirnita Khisa, S. M. Salim Akter and Emily K. Rousham

    Citation: BMC Health Services Research 2020 20:656

    Content type: Research article

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  21. Traditional healers are frequently exposed to hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) through the widespread practice of traditional “injections”, in which the ...

    Authors: Carolyn M. Audet, Elisa Gobbo, Daniel E. Sack, Elise M. Clemens, Sizzy Ngobeni, Mevian Mkansi, Muktar H. Aliyu and Ryan G. Wagner

    Citation: BMC Health Services Research 2020 20:655

    Content type: Research article

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  22. In response to China’s rapidly aging population and increasing healthcare service demands, the Chinese government is developing a universal medical insurance system. This study aimed to assess healthcare utili...

    Authors: Yue Zhou, Haishaerjiang Wushouer, Daniel Vuillermin, Bingyu Ni, Xiaodong Guan and Luwen Shi

    Citation: BMC Health Services Research 2020 20:654

    Content type: Research article

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  23. In Mexico, patients with hematologic malignancies (HMs) are characterized by being at high risk and advanced stages at diagnosis and by having a low cure rate; yet information on their experiences with health ...

    Authors: Svetlana V. Doubova, Eduardo Terreros-Muñoz, Nancy Delgado-Lòpez, Efreen Horacio Montaño-Figueroa, Claudia Infante-Castañeda and Ricardo Pérez-Cuevas

    Citation: BMC Health Services Research 2020 20:644

    Content type: Research article

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  24. To promote the integration of medical resources, Beijing has built medical alliances since 2012, but this reform has not changed the state of disordered medical treatment. Patients are still willing to go to h...

    Authors: Chengsen Cui, Xu Zuo, Yujia Wang, Haiyan Song, Jingyu Shi and Kai Meng

    Citation: BMC Health Services Research 2020 20:643

    Content type: Research article

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  25. There is limited information on the state of emergency medical services (EMS) in Uganda. The available evidence is from studies that focused on either assessing EMS capacity and gaps at the national level espe...

    Authors: Albert Ningwa, Kennedy Muni, Frederick Oporia, Joseph Kalanzi, Esther Bayiga Zziwa, Claire Biribawa and Olive Kobusingye

    Citation: BMC Health Services Research 2020 20:634

    Content type: Research article

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  26. Despite many important developments in the global mental health arena in the past decade, many people with mental health problems still do not have access to good quality mental health care. The aim of this st...

    Authors: Nawaraj Upadhaya, Mark J. D. Jordans, Ramesh P. Adhikari, Dristy Gurung, Ruwayda Petrus, Inge Petersen and Ivan H. Komproe

    Citation: BMC Health Services Research 2020 20:632

    Content type: Research article

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  27. China’s rapidly aging population has led to many challenges related to the health care delivery and financing. Since 2007, the Urban Residents Basic Medical Insurance (URBMI) program has provided financial pro...

    Authors: Wenhui Mao, Yaoguang Zhang, Ling Xu, Zhiwen Miao, Di Dong and Shenglan Tang

    Citation: BMC Health Services Research 2020 20:630

    Content type: Research article

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  28. The present study aimed to develop an Analytic Network Process (ANP) model to assist policymakers in identifying and prioritizing allocation indicators, which are being used or should be used to distribute dru...

    Authors: Leila Zarei, Najmeh Moradi, Farzad Peiravian and Gholamhosein Mehralian

    Citation: BMC Health Services Research 2020 20:626

    Content type: Technical advance

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  29. With an increasing number of countries implementing Option B+ guidelines of lifelong antiretroviral therapy (ART) for all pregnant and breastfeeding women, there is urgent need to identify effective approaches...

    Authors: Allison Zerbe, Kirsty Brittain, Tamsin K. Phillips, Victoria O. Iyun, Joanna Allerton, Andile Nofemela, Cathy D. Kalombo, Landon Myer and Elaine J. Abrams

    Citation: BMC Health Services Research 2020 20:621

    Content type: Research article

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  30. This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose...

    Authors: Maija Santalahti, Kumar Sumit and Mikko Perkiö

    Citation: BMC Health Services Research 2020 20:619

    Content type: Research article

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  31. In order to make optimal long-term care-related decisions, it is important to take a societal perspective. Shanghai is one of the pilot cities of social long-term care insurance in China. However, little knowl...

    Authors: Wenwei Liu, Tongzhou Lyu, Xiaoyi Zhang, Suwei Yuan and Huimin Zhang

    Citation: BMC Health Services Research 2020 20:618

    Content type: Research article

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  32. Cerebral Palsy (CP) refers to the permanent disorders involving postural and movement control as a result of injury to the developing brain. As a result of impairment in postural and movement control, children...

    Authors: Auwal Abdullahi and Auwal Isah

    Citation: BMC Health Services Research 2020 20:615

    Content type: Research article

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  33. To reduce maternal mortality Tanzania introduced Maternal Death Surveillance and Response (MDSR) system in 2015 as recommended by World Health Organization (WHO). All health facilities are to notify and review...

    Authors: Ali Said, Mats Malqvist, Andrea B. Pembe, Siriel Massawe and Claudia Hanson

    Citation: BMC Health Services Research 2020 20:614

    Content type: Research article

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  34. Community Health Workers (CHWs) are an important human resource in improving community malaria intervention coverages and success in reducing malaria incidence has been attributed to them. However, despite thi...

    Authors: Helen Mwiinga Chipukuma, Hikabasa Halwiindi, Joseph Mumba Zulu, Steven Chifundo Azizi and Choolwe Jacobs

    Citation: BMC Health Services Research 2020 20:612

    Content type: Research article

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  35. Pharmacy service is an essential part of a healthcare system. The profession of pharmacy is well recognized and is practiced to its full potential in developed countries however, it is underutilized in develop...

    Authors: Nabeel Khan, Ken McGarry, Atta Abbas Naqvi, Muhammad Shahid Iqbal and Zaki Haider

    Citation: BMC Health Services Research 2020 20:610

    Content type: Research article

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  36. Inadequate financing is one of the major barriers in securing equitable access to high-quality physical rehabilitation services, without imposing financial hardship. Despite this, no sufficient attention has b...

    Authors: Saeed Shahabi, Ahmad Ahmadi Teymourlouy, Hosein Shabaninejad, Mohammad Kamali and Kamran Bagheri Lankarani

    Citation: BMC Health Services Research 2020 20:599

    Content type: Research article

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  37. The need for evidence-based decision-making in the health sector is well understood in the global health community. Yet, gaps persist between the availability of evidence and the use of that evidence. Most res...

    Authors: Celso Inguane, Talata Sawadogo-Lewis, Eusébio Chaquisse, Timothy Roberton, Kátia Ngale, Quinhas Fernandes, Aneth Dinis, Orvalho Augusto, Alfredo Covele, Leecreesha Hicks, Artur Gremu and Kenneth Sherr

    Citation: BMC Health Services Research 2020 20:598

    Content type: Research article

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  38. More than 50% of Africa’s population lives in rural areas, which have few professional health workers. South Africa has adopted task shifting health care to Community Health Workers (CHWs) to achieve the Susta...

    Authors: Linnea Stansert Katzen, Mark Tomlinson, Joan Christodoulou, Christina Laurenzi, Ingrid le Roux, Venetia Baker, Nokwanele Mbewu, Karl W. le Roux and Mary Jane Rotheram Borus

    Citation: BMC Health Services Research 2020 20:594

    Content type: Research article

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  39. Provision of emergency obstetric care is considered the key for maternal mortality reduction worldwide. This study evaluated the impact of community- and facility-based educational programs on provision of eme...

    Authors: Ammal M. Metwally, Ghada A. Abdel-Latif, Amira Mohsen, Lobna El Etreby, Dalia M. Elmosalami, Rehan M. Saleh, Marwa M. El-Sonbaty, Hala A. Amer, Sherif E. El Deeb, Asmaa M. Fathy, Carine Hanna, Osama Azmy, Tamer F. Taha, Amr Abbassy, Mahmoud Alalfy, Hatem Mohamed Hasan…

    Citation: BMC Health Services Research 2020 20:592

    Content type: Research article

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  40. The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-me...

    Authors: Emmanuel Ugwa, Mark Kabue, Emmanuel Otolorin, Gayane Yenokyan, Adetiloye Oniyire, Bright Orji, Ugo Okoli, Joseph Enne, Gabriel Alobo, Gladys Olisaekee, Adebayo Oluwatobi, Chioma Oduenyi, Adekunle Aledare, Boniface Onwe and Gbenga Ishola

    Citation: BMC Health Services Research 2020 20:586

    Content type: Research article

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  41. The World Health Organization (WHO) recommends early essential newborn care (EENC) – The First Embrace – as a simple lifesaving procedure for newborns. The successful implementation of EENC at scale requires a...

    Authors: Marianne S. Morseth, Tuan T. Nguyen, Malene Skui, Laura Terragni, Quang V. Ngo, Ha T. T. Vu, Roger Mathisen and Sigrun Henjum

    Citation: BMC Health Services Research 2020 20:585

    Content type: Research article

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  42. Integrating Prevention of Mother-to-Child Transmission (PMTCT) programmes into routine health services under complex socio-political and health system conditions is a priority and a challenge. The successful r...

    Authors: Jean Claude Mutabazi, Corie Gray, Lorrein Muhwava, Helen Trottier, Lisa Jayne Ware, Shane Norris, Katherine Murphy, Naomi Levitt and Christina Zarowsky

    Citation: BMC Health Services Research 2020 20:582

    Content type: Research article

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  43. Despite growing support for the private sector involvement in the provision of public health services in Low- and Middle-Income Countries (LMICs), a lack of clear information on the future of the provision of ...

    Authors: Simone Fanelli, Fiorella Pia Salvatore, Gianluigi De Pascale and Nicola Faccilongo

    Citation: BMC Health Services Research 2020 20:571

    Content type: Research article

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  44. The majority of documented social accountability initiatives to date have been ‘tactical’ in nature, employing single-tool, mostly community-based approaches. This article provides lessons from a ‘strategic’, ...

    Authors: Nadia Butler, Ginger Johnson, Asiyati Chiweza, Kyaw Myint Aung, John Quinley, Katherine Rogers and Juliet Bedford

    Citation: BMC Health Services Research 2020 20:568

    Content type: Research article

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  45. Patent and Proprietary Medicine Vendors (PPMVs) play a major role in Nigeria’s health care delivery but regulation and monitoring of their practice needs appreciable improvement to ensure they deliver quality ...

    Authors: Abisoye S. Oyeyemi, Oladimeji Oladepo, Adedayo O. Adeyemi, Musibau A. Titiloye, Sarah M. Burnett and Iorwakwagh Apera

    Citation: BMC Health Services Research 2020 20:567

    Content type: Research article

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  46. We need to monitor patterns of antibiotic prescribing in order to develop and evaluate antibiotic stewardship interventions in rural China. As part of a multidisciplinary study of antibiotic use in Anhui Provi...

    Authors: Rachel Kwiatkowska, Xingrong Shen, Manman Lu, Jing Cheng, Matthew Hickman, Helen Lambert, Debin Wang and Isabel Oliver

    Citation: BMC Health Services Research 2020 20:564

    Content type: Research article

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  47. Emergency care (EC) describes team-based, multidisciplinary clinical service provision, advocacy and health systems strengthening to address all urgent aspects of illness and injury for all people. In order to...

    Authors: Georgina Phillips, Kathryn Bowman, Trina Sale and Gerard O’Reilly

    Citation: BMC Health Services Research 2020 20:560

    Content type: Technical advance

    Published on: