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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.

Page 1 of 16

  1. Content type: Research article

    Ghana has been providing HIV and AIDS services since the identification of the first case in 1986 and added highly active antiretroviral therapy to its comprehensive care in 2003.This study aimed at assessing ...

    Authors: Stephen Ayisi Addo, Marijanatu Abdulai, Alfred Yawson, Akosua N. Baddoo, Jinkou Zhao, Nibretie Workneh, Ivy Okae and Ekow Wiah

    Citation: BMC Health Services Research 2018 18:739

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  2. Content type: Research article

    Diabetes, a rising global health problem, requires continuous self-care practice to prevent acute and chronic complications. However, studies show that few diabetes patients practice the recommended self-care ...

    Authors: Yonas Gurmu, Debela Gela and Fekadu Aga

    Citation: BMC Health Services Research 2018 18:732

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  3. Content type: Research article

    The Affordable Care Act (ACA) has improved healthcare access in the community health centers that have played a critical role in enrolling low income and minority patients. This study examined the ACA enrollme...

    Authors: Omar Viramontes, Michael Hochman, Martin Lee Serota, Elvia Delgado and Gerardo Moreno

    Citation: BMC Health Services Research 2018 18:729

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  4. Content type: Research article

    Community services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assisti...

    Authors: Emily R. Smith, Brittney J. van de Water, Anna Martin, Sarah Jean Barton, Jasmine Seider, Christopher Fitzgibbon, Mathama Malakha Bility, Nelia Ekeji, Joao Ricardo Nickenig Vissoci, Michael M. Haglund and Janet Prvu Bettger

    Citation: BMC Health Services Research 2018 18:727

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  5. Content type: Research article

    Community Health Worker (CHW) programmes are increasingly important in HIV service delivery. CHWs’ familiarity with the local context can improve intervention acceptability and sustainability but concerns have...

    Authors: Joanna Busza, Ethel Dauya, Memory Makamba and Rashida A. Ferrand

    Citation: BMC Health Services Research 2018 18:718

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  6. Content type: Research article

    Elderly people tend to have greater healthcare utilization because of their health status. However, with the 4th largest population in the world, little is known concerning the use of services among the Indone...

    Authors: Ema Madyaningrum, Ying-Chih Chuang and Kun-Yang Chuang

    Citation: BMC Health Services Research 2018 18:707

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  7. Content type: Research article

    Ensuring universal access to maternal and reproductive health services is critical to the success of global efforts to reduce poverty and inequality. Engaging private providers has been proposed as a strategy ...

    Authors: Mardieh L. Dennis, Lenka Benova, Onikepe O. Owolabi and Oona M. R. Campbell

    Citation: BMC Health Services Research 2018 18:699

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  8. Content type: Technical advance

    To address challenges related to medication management in underserved settings, we developed a system for Prescription Management And General Inventory Control, or RxMAGIC, in collaboration with the Birmingham...

    Authors: Arielle M. Fisher, Timothy M. Mtonga, Jeremy U. Espino, Lauren J. Jonkman, Sharon E. Connor, Nickie K. Cappella and Gerald P. Douglas

    Citation: BMC Health Services Research 2018 18:703

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  9. Content type: Research article

    Intelligence generated by a surveillance system is dependent on the quality of data that are collected. We investigated the knowledge, attitudes and practices of nurses responsible for outbreak early warning s...

    Authors: Adam T. Craig, Cynthia A. Joshua, Alison R. Sio, Michael Lauri, John Kaldor, Alexander E. Rosewell and Gill Schierhout

    Citation: BMC Health Services Research 2018 18:702

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  10. Content type: Research article

    Although there is mounting evidence and policy guidance urging the integration of HIV services into general health systems in countries with a high HIV burden, vertical (stand-alone) HIV clinics are still comm...

    Authors: Henry Zakumumpa, Joseph Rujumba, Japheth Kwiringira, Jepchirchir Kiplagat, Edith Namulema and Alex Muganzi

    Citation: BMC Health Services Research 2018 18:690

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  11. Content type: Research article

    In Bangladesh, while the infrastructure of public health facilities to provide maternal and newborn care services is adequate, services are not always available due to insufficient staffing. A human resource a...

    Authors: Taposh Kumar Biswas, Anjuman Ara Begum, Shamima Akther, M. Hafizur Rahman, Henry B. Perry, Heidi E. Jones and Mahbub Elahi Chowdhury

    Citation: BMC Health Services Research 2018 18:688

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  12. Content type: Research article

    Routine health information systems (RHIS) are vital for the acquisition of data for health sector planning, monitoring, and evaluation. However, in developing countries the insufficient quality of the data pro...

    Authors: Eshetu Dagnew, Solomon Assefa Woreta and Atsede Mazengia Shiferaw

    Citation: BMC Health Services Research 2018 18:685

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  13. Content type: Research article

    Over the past 40 years, the Chinese government has diligently promoted the market-oriented reform of the health insurance system. However, as it is affected by the urban-rural dual structure, most rural-to-urb...

    Authors: Jinhua Liu, Hongsheng Chen, Yang Chen and Zhigang Li

    Citation: BMC Health Services Research 2018 18:679

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  14. Content type: Research article

    Inappropriate dispensing of antibiotics for acute respiratory illness (ARI) is common among drug sellers in Bangladesh. In this study, we evaluated the impact of an educational intervention to promote guidelin...

    Authors: Fahmida Chowdhury, Katharine Sturm-Ramirez, Abdullah Al Mamun, A. Danielle Iuliano, Mohammod Jobayer Chisti, Makhdum Ahmed, Mejbah Uddin Bhuiyan, Kamal Hossain, Mohammad Sabbir Haider, Shaikh Abdul Aziz, Mahmudur Rahman and Eduardo Azziz-Baumgartner

    Citation: BMC Health Services Research 2018 18:676

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  15. Content type: Research article

    Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research s...

    Authors: Gail Webber, Bwire Chirangi and Nyamusi Magatti

    Citation: BMC Health Services Research 2018 18:658

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  16. Content type: Research article

    Our objective is to estimate the effects of therapeutic oxytocin supply chain factors and social determinants of health on patient access to oxytocin in low-income settings using system dynamics modeling. Post...

    Authors: Devika Nadkarni, Sara Gravelyn, Monica Brova, Sarem Rashid, Randy Yee, Donovan Guttieres, Katie Clifford, Darash Desai and Muhammad Zaman

    Citation: BMC Health Services Research 2018 18:645

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  17. Content type: Research article

    Although the prevalence of depression in Vietnam is on par with global rates, services for depression are limited. The government of Vietnam has prioritized enhancing depression care through primary healthcare...

    Authors: Jill Murphy, Kitty K. Corbett, Dang Thuy Linh, Pham Thi Oanh and Vu Cong Nguyen

    Citation: BMC Health Services Research 2018 18:641

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  18. Content type: Research article

    With professional midwives being introduced in Bangladesh in 2013, the aim of this study was to describe midwifery students perceptions on midwives’ realities in Bangladesh, based on their own experiences.

    Authors: Malin Bogren, Kerstin Erlandsson and Ulrika Byrskog

    Citation: BMC Health Services Research 2018 18:639

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  19. Content type: Research article

    Clinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. I...

    Authors: Sheila Feitosa Ramos, Genival Araujo dos Santos Júnior, André Mascarenhas Pereira, Aline Santana Dosea, Kérilin Stancine Santos Rocha, Déborah Mônica Machado Pimentel and Divaldo Pereira de Lyra-Jr

    Citation: BMC Health Services Research 2018 18:632

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  20. Content type: Study protocol

    There is limited information from low and middle-income countries on learning outcomes, provider satisfaction and cost-effectiveness on the day of birth care among maternal and newborn health workers trained usin...

    Authors: Emmanuel Ugwa, Emmanuel Otolorin, Mark Kabue, Gbenga Ishola, Cherrie Evans, Adetiloye Oniyire, Gladys Olisaekee, Boniface Onwe, Amnesty E LeFevre, Julia Bluestone, Bright Orji, Gayane Yenokyan and Ugo Okoli

    Citation: BMC Health Services Research 2018 18:630

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  21. Content type: Research article

    Native American communities experience greater burden of diabetes than the general population, including high rates of Type 2 diabetes among women of childbearing age. Diabetes in pregnancy is associated with ...

    Authors: Julius Ho, Karen Bachman-Carter, Shelley Thorkelson, Kristi Anderson, Jennifer Jaggi, Chris Brown, Katrina Nelson, Cameron Curley, Caroline King, Sid Atwood and Sonya Shin

    Citation: BMC Health Services Research 2018 18:629

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  22. Content type: Research article

    It is universally accepted that primary healthcare is essential for achieving public health and that assessment of its performance is critical for continuous improvement. The World Health Organization’s (WHO’s...

    Authors: R. Bangalore Sathyananda, A. de Rijk, U. Manjunath, A. Krumeich and C. P. van Schayck

    Citation: BMC Health Services Research 2018 18:627

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  23. Content type: Research article

    Because of their cost, the use of locally produced, bioequivalent, generic drugs is universally recommended. In Ethiopia. while the government is committed to raising the market share and use of locally produc...

    Authors: Chalachew Alemayehu, Geoff Mitchell, Jane Nikles, Abraham Aseffa and Alexandra Clavarino

    Citation: BMC Health Services Research 2018 18:624

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  24. Content type: Study protocol

    Gaps in maternal and child health services can slow progress towards achieving the Sustainable Development Goals. The Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care ...

    Authors: Terusha Chetty, H. Manisha N. Yapa, Carina Herbst, Pascal Geldsetzer, Kevindra K. Naidu, Jan-Walter De Neve, Kobus Herbst, Philippa Matthews, Deenan Pillay, Sally Wyke and Till Bärnighausen

    Citation: BMC Health Services Research 2018 18:625

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  25. Content type: Research article

    The South African public health sector embarked on a National Telemedicine System implementation program in 1999 and although unsuccessful, the Province of KwaZulu-Natal subsequently implemented teledermatolog...

    Authors: Laticha Elizabeth Marolana Walters, Richard Ernest Scott and Maurice Mars

    Citation: BMC Health Services Research 2018 18:613

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  26. Content type: Research article

    While it is increasingly recognized that social determinants influence the health of patients and populations, little is known about how doctors in the Eastern Mediterranean Region can help their patients with...

    Authors: Labib Girgis, Gerald Van Gurp, David Zakus and Anne Andermann

    Citation: BMC Health Services Research 2018 18:614

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  27. Content type: Research article

    Numerous studies have evaluated the related factors of medication adherence among patients with chronic disease. However, the factors influencing medication adherence and non-adherence among subsidised patient...

    Authors: Hamiza Aziz, Ernieda Hatah, Mohd Makmor-Bakry, Farida Islahudin, Najwa Ahmad Hamdi and Ivy Mok Pok Wan

    Citation: BMC Health Services Research 2018 18:605

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  28. Content type: Research article

    A novel point-of-care ultrasound (PoCUS) training program was developed to train rural healthcare providers in Kenya on the Focused Assessment with Sonography for Trauma (FAST), thoracic ultrasound, basic echo...

    Authors: Grace W. Wanjiku, Gregory Bell and Benjamin Wachira

    Citation: BMC Health Services Research 2018 18:607

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  29. Content type: Study protocol

    In Australia there is commitment to developing interventions that will ‘Close the Gap’ between the health and welfare of Indigenous and non-Indigenous Australians and recognition that early childhood intervent...

    Authors: Lynn Kemp, Rebekah Grace, Elizabeth Comino, Lisa Jackson Pulver, Catherine McMahon, Elizabeth Harris, Mark Harris, Ajesh George and Holly A. Mack

    Citation: BMC Health Services Research 2018 18:599

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  30. Content type: Research article

    In Malawi, early retention in HIV care remains challenging. Depression is strongly associated with reduced anti-retroviral therapy (ART) adherence and viral suppression. Appropriate depression care for people ...

    Authors: Michael Udedi, Melissa A. Stockton, Kazione Kulisewa, Mina C. Hosseinipour, Bradley N. Gaynes, Steven M. Mphonda, Beatrice Matanje Mwagomba, Alick C. Mazenga and Brian W. Pence

    Citation: BMC Health Services Research 2018 18:593

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  31. Content type: Research article

    Results from a previous study showed that 40 to 60% of the price of off-patent medicines in Vietnam was typically spent to induce prescribers to use the medicines, and to persuade procurement officers within h...

    Authors: Tuan A. Nguyen, Rosemary Knight, Andrea Mant, Husna Razee, Geoffrey Brooks, Thu H. Dang and Elizabeth E. Roughead

    Citation: BMC Health Services Research 2018 18:587

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  32. Content type: Study protocol

    Chronic diseases are becoming a huge threat to the Chinese health system. Although the New Round of Medical Reform aims to improve this, the chronic disease management in rural China is still worrying as it re...

    Authors: Shaofan Chen, Bo Burström, Vibeke Sparring and Dongfu Qian

    Citation: BMC Health Services Research 2018 18:567

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  33. Content type: Research article

    Childbirth is a momentous event for women and their partners, yet women continue to die in childbirth worldwide, particularly in sub-Saharan Africa. To reduce maternal mortality and increase the number of wome...

    Authors: Thecla W. Kohi, Lilian T. Mselle, Justine Dol and Megan Aston

    Citation: BMC Health Services Research 2018 18:564

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  34. Content type: Research article

    Severe anaemia (SA) is a common reason for hospitalisation of children in sub-Saharan Africa but the extent to which blood transfusion is used appropriately in the management of severe anemia has hitherto rema...

    Authors: Robert O. Opoka, Andrew S. Ssemata, William Oyang, Harriet Nambuya, Chandy C. John, James K. Tumwine and Charles Karamagi

    Citation: BMC Health Services Research 2018 18:566

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  35. Content type: Research article

    Arua district, in Uganda, hosts some of the largest refugee camps in the country. The estimated prevalence of moderate and severe acute malnutrition in children is higher than the national estimates (10.4 and ...

    Authors: Humphrey Wanzira, Richard Muyinda, Peter Lochoro, Giovanni Putoto, Giulia Segafredo, Henry Wamani and Marzia Lazzerini

    Citation: BMC Health Services Research 2018 18:561

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  36. Content type: Research article

    Africa’s health systems rely on services provided by mid-level health workers (MLWs). Investment in their training is worthwhile since they are more likely to be retained in underserved areas, require shorter ...

    Authors: Ian Couper, Sunanda Ray, Duane Blaauw, Gideon Ng’wena, Lucy Muchiri, Eren Oyungu, Akinyinka Omigbodun, Imran Morhason-Bello, Charles Ibingira, James Tumwine, Daphney Conco and Sharon Fonn

    Citation: BMC Health Services Research 2018 18:553

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  37. Content type: Research article

    In 2011 the World Health Organisation recommended that children with a diagnosis of HIV be gradually informed about their HIV status between the ages of 6 and 12 years. However, to date, literature has focused...

    Authors: Fatch W. Kalembo, Garth E. Kendall, Mohammed Ali and Angela F. Chimwaza

    Citation: BMC Health Services Research 2018 18:540

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  38. Content type: Research article

    In malaria endemic countries of sub-Saharan Africa, many children develop severe anaemia due to previous and current malaria infections. After blood transfusions and antimalarial treatment at the hospital they...

    Authors: Sarah Svege, Blessings Kaunda, Bjarne Robberstad, Thandile Nkosi-Gondwe, Kamija S. Phiri and Siri Lange

    Citation: BMC Health Services Research 2018 18:544

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  39. Content type: Research article

    Global strategies recommend a continuum of care for maternal health to improve outcomes and access to care in low and middle income countries (LMICs). South Africa has already set priority interventions along ...

    Authors: Mamothena Carol Mothupi, Lucia Knight and Hanani Tabana

    Citation: BMC Health Services Research 2018 18:539

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  40. Content type: Study protocol

    There is a global drive to promote facility deliveries but unless coupled with concurrent improvement in care quality, it might not translate into mortality reduction for mothers and babies. The World Health O...

    Authors: Alexander Manu, Shams Arifeen, John Williams, Edward Mwasanya, Nabila Zaka, Beth Anne Plowman, Debra Jackson, Priscilla Wobil and Kim Dickson

    Citation: BMC Health Services Research 2018 18:531

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  41. Content type: Research article

    Retail drug shops play a significant role in managing pediatric fevers in rural areas in Uganda. Targeted interventions to improve drug seller practices require understanding of the retail drug shop market and...

    Authors: Chrispus Mayora, Freddy Eric Kitutu, Ngianga-Bakwin Kandala, Elizabeth Ekirapa-Kiracho, Stefan Swartling Peterson and Henry Wamani

    Citation: BMC Health Services Research 2018 18:532

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  42. Content type: Research article

    Irrational use of medicines is widespread in the South-East Asia Region (SEAR), where policy implementation to encourage quality use of medicines (QUM) is often low. The aim was to determine whether public-sec...

    Authors: Kathleen Anne Holloway, Anita Kotwani, Gitanjali Batmanabane, Budiono Santoso, Sauwakon Ratanawijitrasin and David Henry

    Citation: BMC Health Services Research 2018 18:526

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  43. Content type: Research article

    Non-communicable diseases (NCDs) are medical conditions or diseases that are non-transmissible. As NCDs are becoming one of major public health problem, providing local description of diseases and injuries is ...

    Authors: Misganu Endriyas, Emebet Mekonnen, Tadele Dana, Kassa Daka, Tebeje Misganaw, Sinafikish Ayele, Mekonnen Shiferaw, Tigist Tessema and Tewodros Getachew

    Citation: BMC Health Services Research 2018 18:520

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  44. Content type: Study protocol

    Maternal mortality in Nigeria is one of the highest in the world. Access to antenatal care is limited and the quality of services is poor in much of the country. Previous research in Bauchi State found associa...

    Authors: Anne Cockcroft, Khalid Omer, Yagana Gidado, Adamu Ibrahim Gamawa and Neil Andersson

    Citation: BMC Health Services Research 2018 18:510

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  45. Content type: Study protocol

    A large proportion of patients encounter barriers to access and navigation in complex healthcare systems. They are unable to obtain information and services and to take appropriate action to improve their heal...

    Authors: Christine Loignon, Sophie Dupéré, Martin Fortin, Vivian R. Ramsden and Karoline Truchon

    Citation: BMC Health Services Research 2018 18:505

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  46. Content type: Study protocol

    Reduction in neonatal deaths has been a major challenge globally. To prevent neonatal deaths, improvements in newborn care have been promoted worldwide. The World Health Organization Western Pacific Regional O...

    Authors: Sayaka Horiuchi, Sommana Rattana, Bounnack Saysanasongkham, Outhevanh Kounnavongsa, Shogo Kubota, Julie Cayrol, Kenzo Takahashi, Mariko Inoue, Asuka Nemoto and Kazue Yamaoka

    Citation: BMC Health Services Research 2018 18:489

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  47. Content type: Research article

    The length of time between symptom onset and reperfusion therapy in patients with ST-segment elevation acute myocardial infarction (STEMI) is a key determinant of mortality. Information on this delay is scarce...

    Authors: Cézar E. Mesas, Ricardo J. Rodrigues, Arthur E. Mesas, Vivian B. R. Feijó, Lucas M. C. Paraiso, Gabriela F. G. A. Bragatto, Viviane Moron, Marcos H. Bergonso, Laercio Uemura and Cintia Magalhães Carvalho Grion

    Citation: BMC Health Services Research 2018 18:490

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