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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 22

  1. Following the successful pilot of the community-based distribution of injectable contraceptives (CBDIC) by community health extension workers (CHEWs) in Gombe, northern Nigeria in 2010, there was a policy deci...

    Authors: Oluwaseun Akinyemi, Bronwyn Harris and Mary Kawonga

    Citation: BMC Health Services Research 2019 19:938

    Content type: Research article

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  2. The management quality of healthcare facilities has consistently been linked to facility performance, but available tools to measure management are costly to implement, often hospital-specific, not designed fo...

    Authors: Jhanna Uy, Erlyn K. Macarayan, Hannah L. Ratcliffe, Kate Miller, Easmon Otupiri, John Koku Awoonor-Williams, Lisa R. Hirschhorn, Stuart R. Lipsitz, Dan Schwarz and Asaf Bitton

    Citation: BMC Health Services Research 2019 19:937

    Content type: Research article

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  3. Mobile (MHCs), Community (CHCs), and School-based health clinics (SBHCs) are understudied alternative sources of health care delivery used to provide more accessible primary care to disenfranchised populations...

    Authors: Charlie Reed, Felicia A. Rabito, Derek Werthmann, Shannon Smith and John C. Carlson

    Citation: BMC Health Services Research 2019 19:933

    Content type: Research article

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  4. Malaria is one of the leading public health problems in sub-Saharan Africa that contributes to significant patient morbidity and mortality. The aim of the study was to investigate adherence to malaria diagnosi...

    Authors: Mesele Damte Argaw, Thandisizwe Redford Mavundla and Kassa Daka Gidebo

    Citation: BMC Health Services Research 2019 19:932

    Content type: Research article

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  5. Higher incidence of adverse drug reactions (ADRs) is a global health problem requiring attention of all stakeholders regardless of the practice settings. This study therefore aimed to evaluate awareness, knowl...

    Authors: Rasaq Adisa and Tomilayo I. Omitogun

    Citation: BMC Health Services Research 2019 19:926

    Content type: Research article

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  6. Hypertension, a significant risk factor for ischemic heart disease and other chronic conditions, is the third-highest cause of death and disability in Tajikistan. Thus, ensuring the early detection and appropr...

    Authors: Adanna Chukwuma, Estelle Gong, Mutriba Latypova and Nicole Fraser-Hurt

    Citation: BMC Health Services Research 2019 19:925

    Content type: Research article

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  7. Improving maternal and newborn health indicators are key if Ethiopia is to achieve the Sustainable Development Goals. To do so, women need access to skilled attendance at birth and emergency obstetric and newb...

    Authors: Theodros Getachew Zemedu, Aster Teshome, Yared Tadesse, Abebe Bekele, Emily Keyes, Patricia Bailey and Ana Lorena Ruano

    Citation: BMC Health Services Research 2019 19:915

    Content type: Research article

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  8. Fifteen counties contribute 98.7% of the maternal and newborn morbidity and mortality in Kenya. The dismal maternal and newborn (MNH) outcomes in these settings are mostly attributable to limited access to ski...

    Authors: Hellen Gatakaa, Elizabeth Ombech, Rogers Omondi, James Otiato, Vincent Waringa, Gordon Okomo, Richard Muga, Moses Ndiritu and Samson Gwer

    Citation: BMC Health Services Research 2019 19:914

    Content type: Research article

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  9. Young people aged 10–24 years are a vulnerable group with poor health service access relative to other populations. Recent South African initiatives, the She Conquers campaign, the Integrated School Health Pol...

    Authors: Aoife M. Doyle, Lerato Mchunu, Olivier Koole, Sandile Mthembu, Siphephelo Dlamini, Nothando Ngwenya, Jane Ferguson and Janet Seeley

    Citation: BMC Health Services Research 2019 19:905

    Content type: Research article

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  10. Drug information leaflets (DILs) are written for patients and health care providers to show how to use the medications safely and effectively, in order to reach the required therapeutics outcomes. This compara...

    Authors: Dina A. Arandy, Maysa W. Abu-Hashia, Bahaa M. Al-hroub, Sandra A. Qatmosh, Amer A. Koni, Baraa G. Qeeno, Samah W. Al-Jabi and Sa’ed H. Zyoud

    Citation: BMC Health Services Research 2019 19:892

    Content type: Research article

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  11. Birth registration provides the basis for population data. Previous studies have examined that collaboration between the health sector and civil registration can help improve birth registration rate. However, ...

    Authors: Clara Siagian, Wenny Wandasari, Feri Sahputra and Santi Kusumaningrum

    Citation: BMC Health Services Research 2019 19:889

    Content type: Research article

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  12. Proton pump inhibitors (PPIs) are one of the most frequently prescribed classes of drug in the world and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The knowled...

    Authors: Hongli Luo, Qingze Fan, Tierong Bian, Xiuying Li, Kun Chen, Qingbi Zhang, Yuting Wei, Yang Xiao and Yan Li

    Citation: BMC Health Services Research 2019 19:880

    Content type: Research article

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  13. Community Health Workers (CHWs) are critical to providing healthcare services in countries such as India which face a severe shortage of skilled healthcare personnel especially in rural areas. The aim of this ...

    Authors: Vijaya Chebolu-Subramanian, Nachiket Sule, Richa Sharma and Nerges Mistry

    Citation: BMC Health Services Research 2019 19:878

    Content type: Research article

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  14. Short message service (SMS) presents an opportunity to expand the reach of care and improve reproductive health outcomes. SMS could increase family planning (FP) use through education, support and demand gener...

    Authors: Karren Lewis, Elizabeth K. Harrington, Daniel Matemo, Alison L. Drake, Keshet Ronen, Gabrielle O’Malley, John Kinuthia, Grace John-Stewart and Jennifer A. Unger

    Citation: BMC Health Services Research 2019 19:870

    Content type: Research article

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  15. Knowing the factors for patient satisfaction is an important and direct indicator of quality of health care which is essential for providers to fill their gaps. Although few studies have been conducted on pati...

    Authors: Demiss Mulatu Geberu, Gashaw Andargie Biks, Tsegaye Gebremedhin and Tesfaye Hambisa Mekonnen

    Citation: BMC Health Services Research 2019 19:869

    Content type: Research article

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  16. Basic Life Support (BLS) is the recognition of sudden cardiac arrest and activation of the emergency response system, followed by resuscitation, and rapid defibrillation. According to WHO, Pakistan has one of ...

    Authors: Babar Irfan, Ibrahim Zahid, Muhammad Sharjeel Khan, Omar Abdul Aziz Khan, Shayan Zaidi, Safia Awan, Sobia Bilal and Omar Irfan

    Citation: BMC Health Services Research 2019 19:865

    Content type: Research article

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  17. Measurement of antenatal care (ANC) service coverage is often limited to the number of contacts or type of providers, reflecting a gap in the assessment of quality as well as cost estimations and health impact...

    Authors: Youngji Jo, Kelsey Alland, Hasmot Ali, Sucheta Mehra, Amnesty E. LeFevre, Semee (Esther) Pak, Saijuddin Shaikh, Parul Christian and Alain B. Labrique

    Citation: BMC Health Services Research 2019 19:861

    Content type: Research article

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  18. Preterm birth is a worldwide challenge with the highest burden in low- and middle-income countries. Despite availability of low-cost interventions to decrease mortality of preterm, low birth weight, and sick n...

    Authors: Abubeker Kedir Usman, Eskinder Wolka, Yared Tadesse, Abraham Tariku, Abate Yeshidinber, Alula M. Teklu, Kirsten Senturia, Wendemaghen Gezahegn and James A. Litch

    Citation: BMC Health Services Research 2019 19:860

    Content type: Research article

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  19. The reform of county-level public hospitals is a breakthrough in the new era of healthcare reform in China and has attracted considerable attention since 2012. Continuous and efficient operations of hospital a...

    Authors: Jing Liu, Beibei He, Xiaolan Xu, Leming Zhou, Jiang Li, Gongru Wang and Yingyao Chen

    Citation: BMC Health Services Research 2019 19:858

    Content type: Research article

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  20. The aim of the study was to identify the proportion of female sex workers, men who have sex with men, and people who inject drugs who had accessed HIV prevention services at public health facilities and peer-l...

    Authors: Bartholomew Ochonye, Morenike Oluwatoyin Folayan, Adesegun O. Fatusi, Godwin Emmanuel, Oluwatomi Adepoju, Babatunde Ajidagba, Toluwanimi Jaiyebo, Paul Umoh and Ayo Yusuf

    Citation: BMC Health Services Research 2019 19:856

    Content type: Research article

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  21. Adverse events (AE) resulting from voluntary medical male circumcision (VMMC) are commonly used to measure program quality. Mozambique’s VMMC program data reports a combined moderate and severe AE rate of 0.2%...

    Authors: Atanásio Brito, Abigail Korn, Leonel Monteiro, Florindo Mudender, Adelina Maiela, Jotamo Come, Scott Barnhart and Caryl Feldacker

    Citation: BMC Health Services Research 2019 19:855

    Content type: Research article

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  22. Traditional “inverted triangle” healthcare resources allocation model in China has wasted a lot of health resources. The Chinese health reform began to strengthens the role of the primary health institutions i...

    Authors: Jingjing Liu, Hui Yin, Tong Zheng, Bykov Ilia, Xing Wang, Ruohui Chen, Yanhua Hao, Hong Sun, Mingli Jiao, Zheng Kang, Lijun Gao and Qunhong Wu

    Citation: BMC Health Services Research 2019 19:852

    Content type: Research article

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  23. Over time, the Brazilian health system, a growing country, has been developing to ensure good accessibility to health goods and services. This development is focusing on the principle of universality of access...

    Authors: Maria de Fátima Vasques Monteiro, Caio Parente Barbosa, Maria Auxiliadora Figueredo Vertamatti, Maria Nizete Alves Tavares, Amanda Cordeiro de Oliveira Carvalho and Ana Paula Agostinho Alencar

    Citation: BMC Health Services Research 2019 19:851

    Content type: Research article

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  24. Universal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective ...

    Authors: Sabine Renggli, Iddy Mayumana, Dominick Mboya, Christopher Charles, Christopher Mshana, Flora Kessy, Tracy R. Glass, Christian Lengeler, Alexander Schulze, Ann Aerts and Constanze Pfeiffer

    Citation: BMC Health Services Research 2019 19:848

    Content type: Research article

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    The Research article to this article has been published in BMC Health Services Research 2019 19:55

  25. In Ethiopia, cervical cancer is a public health concern, as it is the second most cause of cancer deaths among reproductive age women and it affects the country’s most vulnerable groups like; rural, poor, and ...

    Authors: Abiyu Ayalew Assefa, Feleke Hailemichael Astawesegn and Bethlehem Eshetu

    Citation: BMC Health Services Research 2019 19:847

    Content type: Research article

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  26. According to the World Health Organization, an estimated 80% or more deaths in Pacific island countries, including Fiji, were related to non-communicable diseases (NCDs). Although competency-based approaches h...

    Authors: M. Ishikawa, M. Nomura, M. Miyoshi, N. Nishi, T. Yokoyama and H. Miura

    Citation: BMC Health Services Research 2019 19:838

    Content type: Research article

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  27. Cervical cancer is a major cause of morbidity and mortality among women yet access to treatment and care remains a huge challenge in Zimbabwe. The objective of this study was to investigate health system const...

    Authors: O. Tapera, G. Dreyer, W. Kadzatsa, A. M. Nyakabau, B. Stray-Pedersen and Hendricks SJH

    Citation: BMC Health Services Research 2019 19:829

    Content type: Research article

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  28. This study evaluated the Health Works (HWs) nutritional counselling skills and information shared with caregivers. This was a cross-sectional study in which an observation checklist was used to examine Growth ...

    Authors: Christiana Nsiah-Asamoah, Kingsley Kwadwo Asare Pereko and Freda Dzifa Intiful

    Citation: BMC Health Services Research 2019 19:817

    Content type: Research article

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  29. Even though maternal mortality during the time of delivery can be prevented with proper medical care in the health facilities with skilled healthcare professionals, unexpectedly death is still high and is a pe...

    Authors: Araya Mesfin Nigatu and Kassahun Alemu Gelaye

    Citation: BMC Health Services Research 2019 19:810

    Content type: Research article

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  30. Fetal Alcohol Spectrum Disorder (FASD) is a public health problem globally, with South Africa having the highest recorded prevalence of all countries. Government programmes to prevent and manage FASD remain li...

    Authors: Babatope O. Adebiyi, Ferdinand C. Mukumbang and Anna-Marie Beytell

    Citation: BMC Health Services Research 2019 19:809

    Content type: Research article

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  31. Requesting blood prior to a surgical procedure for perioperative transfusion is a common practice in surgical patients. More unit of blood is requested than used by anticipating the patient will be transfused ...

    Authors: Kibruyisfaw Zewdie, Abraham Genetu, Yeabsera Mekonnen, Tewodros Worku, Abat Sahlu and Dereje Gulilalt

    Citation: BMC Health Services Research 2019 19:804

    Content type: Research article

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  32. A recent study demonstrated the effectiveness of the New Hampshire Colorectal Cancer Screening Program’s (NHCRCSP) patient navigation (PN) program. The PN intervention was delivered by telephone with navigator...

    Authors: Amy DeGroff, Lindsay Gressard, Rebecca Glover-Kudon, Ketra Rice, Felicia Solomon Tharpe, Cam Escoffery, Joanne Gersten and Lynn Butterly

    Citation: BMC Health Services Research 2019 19:803

    Content type: Research article

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  33. While there are indications of declining HIV infection rates in the general population globally, Tanzania included, men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID),...

    Authors: Elia John Mmbaga, Germana Henry Leyna, Melkizedeck Thomas Leshabari, Britt Tersbøl, Theis Lange, Neema Makyao, Kåre Moen and Dan Wolf Meyrowitsch

    Citation: BMC Health Services Research 2019 19:801

    Content type: Study protocol

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  34. Female Sex workers (FSW) and their clients accounted for 18% of the new HIV infections in 2015/2016. Special community-based HIV testing service delivery models (static facilities, outreaches, and peer to peer...

    Authors: Gerald Pande, Lilian Bulage, Steven Kabwama, Fred Nsubuga, Peter Kyambadde, Shaban Mugerwa, Joshua Musinguzi and Alex Riolexus Ario

    Citation: BMC Health Services Research 2019 19:799

    Content type: Research article

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  35. Hepatitis B virus (HBV) infection is a global public health problem. The burden of the disease is high in low and middle income countries like Ethiopia. However, for highly vulnerable groups such as health pro...

    Authors: Siwule Abiye, Mezgebu Yitayal, Giziew Abere and Asefa Adimasu

    Citation: BMC Health Services Research 2019 19:796

    Content type: Research article

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  36. In China, a long waiting time for registration is a common occurrence in many tertiary hospitals. This study aimed to analyze the effects of a comprehensive reservation service for non-emergency registration o...

    Authors: Wanhua Xie, Xiufeng Yang, Xiaojun Cao and Peiying Liu

    Citation: BMC Health Services Research 2019 19:782

    Content type: Research article

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  37. The number of people living with diabetes mellitus (DM) in Indonesia has continued to increase over the last 6 years. Four previous studies in U.S have found that higher DD scores were associated with worse ps...

    Authors: Bustanul Arifin, Antoinette D. I. van Asselt, Didik Setiawan, Jarir Atthobari, Maarten J. Postma and Qi Cao

    Citation: BMC Health Services Research 2019 19:773

    Content type: Research article

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  38. Public engagement in health technology assessment (HTA) is increasing worldwide. There are several forms of public engagement and it is not always possible to determine which stakeholders participate in the HT...

    Authors: Viviane Karoline da Silva Carvalho, Maria Sharmila Alina de Sousa, Jorge Otávio Maia Barreto and Everton Nunes da Silva

    Citation: BMC Health Services Research 2019 19:762

    Content type: Research article

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  39. With most countries in sub-Saharan Africa (SSA) lagging behind schedule to implement a comprehensive viral hepatitis elimination strategy, several barriers to accurate information and hepatitis B virus (HBV) s...

    Authors: Joan Nankya-Mutyoba, Jim Aizire, Fredrick Makumbi, Ponsiano Ocama and Gregory D. Kirk

    Citation: BMC Health Services Research 2019 19:760

    Content type: Research article

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  40. Village Health and Nutrition Days (VHNDs) are a cornerstone of the Government of India’s strategy to provide first-contact primary health care to rural areas. Recent government programmes such as the Janani Su...

    Authors: Mira Johri, Louis Rodgers, Dinesh Chandra, Cybil Abou-Rizk, Eleanor Nash and Alok K. Mathur

    Citation: BMC Health Services Research 2019 19:756

    Content type: Research article

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  41. Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunizatio...

    Authors: Stacy W. Nganga, Nancy A. Otieno, Maxwell Adero, Dominic Ouma, Sandra S. Chaves, Jennifer R. Verani, Marc-Alain Widdowson, Andrew Wilson, Irina Bergenfeld, Courtni Andrews, Vincent L. Fenimore, Ines Gonzalez-Casanova, Paula M. Frew, Saad B. Omer and Fauzia A. Malik

    Citation: BMC Health Services Research 2019 19:747

    Content type: Research article

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  42. Globally, female sex workers (FSWs) are considered a key population group due to the high HIV prevalence. Studies show that there are various factors in some contexts that render FSWs marginalised, which limit...

    Authors: Nosipho Faith Makhakhe, Anna Meyer-Weitz, Helen Struthers and James McIntyre

    Citation: BMC Health Services Research 2019 19:746

    Content type: Research article

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  43. In recent years, several large studies have assessed the costs of national infant immunization programs, and the results of these studies are used to support planning and budgeting in low- and middle-income co...

    Authors: Cristina Munk, Allison Portnoy, Christian Suharlim, Emma Clarke-Deelder, Logan Brenzel, Stephen C. Resch and Nicolas A. Menzies

    Citation: BMC Health Services Research 2019 19:741

    Content type: Research article

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  44. With about 50 million people infected with hepatitis B (HBV) in India the burden of disease is high. Stigma has been identified to have a major negative impact on screening, diagnosis and treatment of hepatiti...

    Authors: F. C. van der Scheun, M. C. M. Nagelkerke, A. Kilaru, V. Shridhar, R. Prasad and T. S. van der Werf

    Citation: BMC Health Services Research 2019 19:736

    Content type: Research article

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  45. Reducing the burden of malaria highly depends on access to prompt and effective malaria diagnosis and treatment. The aim of this study was to identify challenges affecting prompt access to effective uncomplica...

    Authors: Larissa Klootwijk, Anthony Emeritus Chirwa, Alinune Nathanael Kabaghe and Michele van Vugt

    Citation: BMC Health Services Research 2019 19:735

    Content type: Research article

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  46. The last two decades have seen a growing recognition of the need to expand the impact evaluation toolbox from an exclusive focus on randomized controlled trials to including quasi-experimental approaches. This...

    Authors: Manuela De Allegri, Julia Lohmann, Aurélia Souares, Michael Hillebrecht, Saidou Hamadou, Hervé Hien, Ousmane Haidara and Paul Jacob Robyn

    Citation: BMC Health Services Research 2019 19:733

    Content type: Study protocol

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    The Correction to this article has been published in BMC Health Services Research 2019 19:903

  47. Ghana’s National Health Insurance Scheme (NHIS) piloted capitation payment for primary care services in the Ashanti region from 2012 to 2017. Capitation was piloted as a means of cost containment but also to i...

    Authors: Shafiq Siita, Sharon E. Cox and Kara Hanson

    Citation: BMC Health Services Research 2019 19:732

    Content type: Research article

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