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Health systems and services in low and middle income settings

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. While millions of women in many African countries have little autonomy in health care decision-making, in most low and middle-income countries, including Ethiopia, it has been poorly studied. Hence, it is impo...

    Authors: Getayeneh Antehunegn Tesema, Yigizie Yeshaw, Ayenew Kasie, Alemneh Mekuriaw Liyew, Achamyeleh Birhanu Teshale and Adugnaw Zeleke Alem

    Citation: BMC Health Services Research 2021 21:74

    Content type: Research article

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  2. Injuries are a major public health problem globally. With sound planning and organization, essential trauma care can be reliably provided with relatively low-cost equipment and supplies. However, availability ...

    Authors: Godfred Boakye, Adam Gyedu, Melissa Stewart, Peter Donkor, Charles Mock and Barclay Stewart

    Citation: BMC Health Services Research 2021 21:66

    Content type: Research article

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  3. Dental care utilization for low income pregnant women is met with challenges in the traditional dentist-centered model of care. County-level measures provide insights for policy and roles for stakeholders that...

    Authors: Mark E. Moss, Andrew Grodner, Ananda P. Dasanayake and Cherry M. Beasley

    Citation: BMC Health Services Research 2021 21:61

    Content type: Research article

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  4. Non-communicable diseases (NCDs) are the dominant cause of global morbidity and mortality, especially in developing countries. Tackling NCDs is central to advancing women’s and child health, and future generat...

    Authors: Firanbon Teshome Gonfa, Yohannes Kebede Lemu and Zewdie Birhanu Koricha

    Citation: BMC Health Services Research 2021 21:56

    Content type: Research article

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  5. Maternal deaths reviews are proposed as one strategy to address high maternal mortality in low and middle-income countries, including Tanzania. Review of maternal deaths relies on comprehensive documentation o...

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

    Citation: BMC Health Services Research 2021 21:52

    Content type: Research article

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  6. Accredited Social Health Activists (ASHA) are community health workers responsible for improving the health status of people by facilitating their access to healthcare services. The life skills of ASHA are kno...

    Authors: Shantanu Sharma, Kanishtha Arora, Chandrashekhar, Rajesh Kumar Sinha, Faiyaz Akhtar and Sunil Mehra

    Citation: BMC Health Services Research 2021 21:46

    Content type: Research article

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  7. Inequalities in the use of postnatal care services (PNC) in Ghana have been linked to poor maternal and neonatal health outcomes. This has ignited a genuine concern that PNC interventions with a focus on influ...

    Authors: Emmanuel Dankwah, Cindy Feng, Shelley Kirychuck, Wu Zeng, Rein Lepnurm and Marwa Farag

    Citation: BMC Health Services Research 2021 21:40

    Content type: Research article

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  8. Several factors might contribute to the delay to get cancer care including poor cancer awareness and having barriers to seeking help. This study described these barriers in Gaza and their association with reca...

    Authors: Mohamedraed Elshami, Bettina Bottcher, Mohammed Alkhatib, Iyad Ismail, Khitam Abu-Nemer, Mustafa Hana, Ahmed Qandeel, Ahmed Abdelwahed, Hamza Yazji, Hisham Abuamro, Ghadeer Matar, Ahmed Alsahhar, Ahmed Abolamzi, Obay Baraka, Mahmood Elblbessy, Tahani Samra…

    Citation: BMC Health Services Research 2021 21:28

    Content type: Research article

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  9. Group model building (GMB) is a method to facilitate shared understanding of structures and relationships that determine system behaviors. This project aimed to determine the feasibility of GMB in a resource-l...

    Authors: Fiona Muttalib, Ellis Ballard, Josephine Langton, Sara Malone, Yudy Fonseca, Andreas Hansmann, Kenneth Remy, Peter Hovmand and Allan Doctor

    Citation: BMC Health Services Research 2021 21:26

    Content type: Research article

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  10. In sub-Saharan Africa, there is dearth of trained laboratorians and strengthened laboratory systems to provide adequate and quality laboratory services for enhanced HIV control. In response to this challenge, ...

    Authors: Ritu Shrivastava, Richard Poxon, Erin Rottinghaus, Leyya Essop, Victoria Sanon, Zawadi Chipeta, Elsie van-Schalkwyk, Phuti Sekwadi, Pelagia Murangandi, Shon Nguyen, Josh Devos, Shanna Nesby-Odell, Thomas Stevens, Farouk Umaru, Alex Cox, Andrea Kim…

    Citation: BMC Health Services Research 2021 21:22

    Content type: Research article

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  11. Patients’ participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community. Th...

    Authors: Osward Vedasto, Baraka Morris and Francis F. Furia

    Citation: BMC Health Services Research 2021 21:8

    Content type: Research article

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  12. All countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by 2030, the timeframe set out by the Sustainable Development Goals (SDGs)....

    Authors: Sarah C. Masefield, Alan Msosa and Jean Grugel

    Citation: BMC Health Services Research 2020 20:1142

    Content type: Research article

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  13. Dispensing errors, known to result in significant patient harm, are preventable if their nature is known and recognized. However, there is a scarcity of such data on dispensing errors particularly in resource ...

    Authors: R. A. N. Dilsha, H. M. I. P. Kularathne, M. T. M. Mujammil, S. M. M. Irshad and N. R. Samaranayake

    Citation: BMC Health Services Research 2020 20:1140

    Content type: Research article

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  14. Training is a common and cost-effective way of trying to improve quality of care in low- and middle-income countries but studies of contextual factors for the successful translation of increased knowledge into...

    Authors: Jesper Kjærgaard, Thomas Nørrelykke Nissen, Elvira Isaeva, Nguyen Nhat Quynh, Susanne Reventlow, Stine Lund, Talant Sooronbaev, Pham Le An, Marianne Stubbe Østergaard, Jim Stout and Anja Poulsen

    Citation: BMC Health Services Research 2020 20:1137

    Content type: Research article

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  15. Despite a recognized need for midwives to provide post abortion care, there exist barriers preventing them from integrating lifesaving skills such as manual vacuum aspiration (MVA) into practice. This collabor...

    Authors: Kirsty M. Bourret, Sylvie Larocque, Amélie Hien, Carol Hogue, Kalum Muray, Aurélie Thethe Lukusa and Abel Minani Ngabo

    Citation: BMC Health Services Research 2020 20:1136

    Content type: Research article

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  16. Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for dissemi...

    Authors: Anoop Jain, Dilys M. Walker, Rasmi Avula, Nadia Diamond-Smith, Lakshmi Gopalakrishnan, Purnima Menon, Sneha Nimmagadda, Sumeet R. Patil and Lia C. H. Fernald

    Citation: BMC Health Services Research 2020 20:1130

    Content type: Research article

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  17. Malaria incidence has plateaued in Sub-Saharan Africa despite Seasonal Malaria Chemoprevention’s (SMC) introduction. Community health workers (CHW) use a door-to-door delivery strategy to treat children with S...

    Authors: André Lin Ouédraogo, Julie Zhang, Halidou Tinto, Innocent Valéa and Edward A. Wenger

    Citation: BMC Health Services Research 2020 20:1128

    Content type: Research article

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  18. Chinese government launched a pilot study on public long-term care insurance (LTCI) recently. Guangzhou is one of the fifteen pilot cities, officially started providing LTCI in August 2017. An in-depth analysi...

    Authors: Jialan Wu, Siman Chen, Huangliang Wen, Yayan Yi and Xiaoyan Liao

    Citation: BMC Health Services Research 2020 20:1127

    Content type: Research article

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  19. With an increasing number of women delivering in healthcare facilities in Low and Middle Income Countries (LMICs), healthcare workers’ hand hygiene compliance on labour wards is pivotal to preventing infection...

    Authors: Giorgia Gon, Mícheál de Barra, Lucia Dansero, Stephen Nash and Oona M. R. Campbell

    Citation: BMC Health Services Research 2020 20:1116

    Content type: Research article

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  20. Non-communicable diseases account for a growing proportion of deaths in Armenia, which require early detection to achieve disease control and prevent complications. To increase rates of screening, demand-side ...

    Authors: Estelle Gong, Adanna Chukwuma, Emma Ghazaryan and Damien de Walque

    Citation: BMC Health Services Research 2020 20:1110

    Content type: Research article

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  21. In South Africa (SA), clinics and community health centres are the predominant primary level health care facilities in the public health sector. As part of legislated health governance requirements, clinic com...

    Authors: Natasha Esau, René English and Maylene Shung-King

    Citation: BMC Health Services Research 2020 20:1101

    Content type: Research article

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  22. Providing viral load (VL) results to people living with HIV (PLHIV) on antiretroviral therapy (ART) remains a challenge in low and middle-income countries. Point-of-care (POC) VL testing could improve ART moni...

    Authors: Lindani Msimango, Andrew Gibbs, Hlengiwe Shozi, Hope Ngobese, Hilton Humphries, Paul K. Drain, Nigel Garrett and Jienchi Dorward

    Citation: BMC Health Services Research 2020 20:1081

    Content type: Research article

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  23. Cardiovascular diseases (CVDs) are the leading cause of mortality in India. India has rolled out Comprehensive Primary Health Care (CPHC) reforms including population based screening for hypertension and diabe...

    Authors: Devaki Nambiar, Soumyadeep Bhaumik, Anita Pal and Rajani Ved

    Citation: BMC Health Services Research 2020 20:1077

    Content type: Research article

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  24. The number and severity of nonconformities generated during an audit of a medicine testing laboratory indicates its level of quality compliance. Quality standards are established and maintained to ensure the r...

    Authors: Mercy A. Okezue, Mojisola C. Adeyeye, Steve J. Byrn, Victor O. Abiola and Kari L. Clase

    Citation: BMC Health Services Research 2020 20:1065

    Content type: Research article

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  25. Patients’ competencies and resources to manage their own health, which is termed health literacy, is a necessity for better health outcomes. Thus, it is relevant to have a comprehensive health literacy measure...

    Authors: Millicent Addai Boateng, Peter Agyei-Baffour, Sanne Angel and Ulrika Enemark

    Citation: BMC Health Services Research 2020 20:1064

    Content type: Research article

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  26. The August 2020 explosion in Lebanon resulted in casualties, injuries, and a great number of internally displaced persons. The blast occurred during an economically and politically complex time in the country....

    Authors: Michel D. Landry, Mohamad Alameddine, Tiago S. Jesus, Saydeh Sassine, Elie Koueik and Sudha R. Raman

    Citation: BMC Health Services Research 2020 20:1040

    Content type: Editorial

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    The Correction to this article has been published in BMC Health Services Research 2020 20:1117

  27. In Kenya, pre-exposure prophylaxis (PrEP) for HIV prevention is almost exclusively delivered at HIV clinics. Developing novel PrEP delivery models is important for increasing the reach of PrEP. Delivery of PrE...

    Authors: Katrina F. Ortblad, Peter Mogere, Stephanie Roche, Kevin Kamolloh, Josephine Odoyo, Elizabeth Irungu, Nelly R. Mugo, Jillian Pintye, Jared M. Baeten, Elizabeth Bukusi and Kenneth Ngure

    Citation: BMC Health Services Research 2020 20:1034

    Content type: Research article

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  28. Mental health is linked to HIV outcomes, including linkage into care and adherence to medication. Integrated care for mental and physical health is recommended. HIV testing and counselling sessions represent a...

    Authors: Faith Martin, Winfred Nalukenge, Oucul Lazarus, Josephine Birungi and Janet Seeley

    Citation: BMC Health Services Research 2020 20:1027

    Content type: Research article

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  29. Healthcare providers across all clinical practice settings are progressively relying and adapting information communication technologies to perform their professional activities. In this era of technology, hea...

    Authors: Kirubel Biruk Shiferaw, Binyam Chakilu Tilahun and Berhanu Fikadie Endehabtu

    Citation: BMC Health Services Research 2020 20:1021

    Content type: Research article

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  30. Many childbearing women in sub-Saharan African countries like Guinea still face challenges accessing and utilizing health facility delivery services and opt to deliver at home. This study examined the non-util...

    Authors: Bright Opoku Ahinkorah

    Citation: BMC Health Services Research 2020 20:1016

    Content type: Research article

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  31. Immunization has been an important public health intervention for preventing and reducing child morbidity and mortality over the years and coverage has increased in the past decades. However, the validity of t...

    Authors: Sorengmen Amos Ziema and Livingstone Asem

    Citation: BMC Health Services Research 2020 20:1013

    Content type: Research article

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  32. Few studies have examined public opinion about the health care system in the former Soviet region. The objective of our study was to evaluate the population’s satisfaction with the health care system and ident...

    Authors: Tsovinar Harutyunyan and Varduhi Hayrumyan

    Citation: BMC Health Services Research 2020 20:1005

    Content type: Research article

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  33. Migration to India is a common livelihood strategy for poor people in remote Western Nepal. To date, little research has explored the degree and nature of healthcare access among Nepali migrant workers in Indi...

    Authors: Pratik Adhikary, Nirmal Aryal, Raja Ram Dhungana, Radheshyam Krishna KC, Pramod R. Regmi, Kolitha Prabhash Wickramage, Patrick Duigan, Montira Inkochasan, Guna Nidhi Sharma, Bikash Devkota, Edwin van Teijlingen and Padam Simkhada

    Citation: BMC Health Services Research 2020 20:992

    Content type: Research article

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  34. Trauma and injury contribute to 11% of the all-cause mortality in Afghanistan. The study aimed to explore the perceptions of the healthcare providers (pre and in-hospital), hospital managers and policy makers ...

    Authors: Umerdad Khudadad, Wafa Aftab, Asrar Ali, Nadeem Ullah Khan, Junaid Razzak and Sameen Siddiqi

    Citation: BMC Health Services Research 2020 20:991

    Content type: Research article

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  35. Severe mental disorders, a leading cause of disability has become a major public health problem. In order to promote mental health, a series of programs have been promulgated by the Chinese government. However...

    Authors: Rubee Dev, Jinghua Li, Donglan Zhang, Yiyuan Cai, Chun Hao, Fengsu Hou, Ruixin Wang, Meijuan Lin and Dong (Roman) Xu

    Citation: BMC Health Services Research 2020 20:989

    Content type: Study protocol

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  36. Retinal diseases are very difficult to treat. So, early diagnoses and preventions are very important. But, few eye doctors can treat patients with retinal diseases in Nepal. Retina Eye Care of Nepal (RECON) pr...

    Authors: Arjun Shrestha, Chunu Shrestha, Pratap Karki, Hara Maya Gurung and Takeshi Naito

    Citation: BMC Health Services Research 2020 20:986

    Content type: Research article

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  37. Providing equal treatment for those who have the same need for healthcare, regardless of their socioeconomic and cultural background, has become a shared goal among policymakers who strive to improve healthcar...

    Authors: Yi Wang, Zhengyue Jing, Lulu Ding, Xue Tang, Yuejing Feng, Jie Li, Zhuo Chen and Chengchao Zhou

    Citation: BMC Health Services Research 2020 20:984

    Content type: Research article

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  38. Over the past decade, an increasing number of low- and middle-income countries have reduced or removed user fees for pregnant women and/or children under five as a strategy to achieve universal health coverage...

    Authors: Veronique Plouffe, Frank Bicaba, Abel Bicaba and Thomas Druetz

    Citation: BMC Health Services Research 2020 20:982

    Content type: Research article

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  39. The World Health Organization (WHO) recommends oxytocin as the drug of choice for postpartum hemorrhage (PPH) prevention. However, the WHO has also recently considered carbetocin for PPH prevention, but only i...

    Authors: Jamaica Roanne Briones, Pattarawalai Talungchit, Montarat Thavorncharoensap and Usa Chaikledkaew

    Citation: BMC Health Services Research 2020 20:975

    Content type: Research article

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  40. More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in ...

    Authors: Isaac Gikandi Mungai, Sumit Singh Baghel, Shuchi Soni, Shailja Vagela, Megha Sharma, Vishal Diwan, Ashok J. Tamhankar, Cecilia Stålsby Lundborg and Ashish Pathak

    Citation: BMC Health Services Research 2020 20:966

    Content type: Research article

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  41. High burnout has been reported in physician populations. Although the standardized residency training (SRT) in China includes components that might put residents at a higher risk for burnout, the burnout of Ch...

    Authors: Lei Huang, Jennifer Harsh Caspari, Xiaoting Sun, Jessica Thai, Yaxi Li, Fa-zhan Chen and Xu-dong Zhao

    Citation: BMC Health Services Research 2020 20:965

    Content type: Research article

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  42. Climatic conditions and seasonal trends can affect population health, but typically, we consider the effect of climate on the epidemiology of communicable diseases. However, climate can also have an effect on ...

    Authors: Briana Stone, Júlia Sambo, Talata Sawadogo-Lewis and Timothy Roberton

    Citation: BMC Health Services Research 2020 20:950

    Content type: Research article

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  43. Asian countries are making efforts to apply the partnership model in doctor-patient communication that has been used effectively in Western countries. However, notable differences between Western and Asian cul...

    Authors: Trung Quang Tran, A. J. J. A. Scherpbier, Jan van Dalen, Dung Do Van and Elaine Pamela Wright

    Citation: BMC Health Services Research 2020 20:946

    Content type: Research article

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  44. Finding new strategies for care integration has become a policy priority for many fragmented health systems in Latin America. Although the implementation of interventions through a participatory action researc...

    Authors: Ingrid Vargas, Pamela Eguiguren, Amparo-Susana Mogollón-Pérez, Isabella Samico, Fernando Bertolotto, Julieta López-Vázquez and María-Luisa Vázquez

    Citation: BMC Health Services Research 2020 20:941

    Content type: Research article

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  45. Ethiopia has highly diversified population with notable socioeconomic and cultural differences. Regardless of the differences, short course directly observed treatment,where patients should take drugs under di...

    Authors: Abebe Megerso, Negussie Deyessa, Godana Jarso and Alemayehu Worku

    Citation: BMC Health Services Research 2020 20:933

    Content type: Research article

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  46. Heart diseases are increasingly identified as an important indirect cause of maternal mortality in several cities in Indonesia. The management of pregnancy with heart diseases requires a multidisciplinary appr...

    Authors: Suryani Yuliyanti, Adi Utarini and Laksono Trisnantoro

    Citation: BMC Health Services Research 2020 20:932

    Content type: Study protocol

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  47. Hypertensive disorders in pregnancy are the second most common cause of maternal mortality in the Democratic Republic of Congo (DRC), accounting for 23% of maternal deaths. This study aimed to assess facility ...

    Authors: Dalau Mukadi Nkamba, Roland Vangu, Moyene Elongi, Laura A. Magee, Gilbert Wembodinga, Pierre Bernard, John Ditekemena and Annie Robert

    Citation: BMC Health Services Research 2020 20:926

    Content type: Research article

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  48. There are a number of factors that may contribute to high mortality and morbidity of women and newborns in low-income countries. These include a shortage of competent health care providers (HCP) and a lack of ...

    Authors: Anaclet Ngabonzima, Cynthia Kenyon, Celestin Hategeka, Aimee Josephine Utuza, Paulin Ruhato Banguti, Isaac Luginaah and David F Cechetto

    Citation: BMC Health Services Research 2020 20:924

    Content type: Research article

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  49. Novel Coronavirus is a global pandemic affecting all walks of life and it significantly changed the health system practices. Pharmacists are at the front line and have long been involved in combating this publ...

    Authors: Gebremicheal Gebreslassie Kasahun, Gebremichael Mulu Kahsay, Amha Teklu Asayehegn, Gebre Teklemariam Demoz, Desilu Mahari Desta and Gebremedhin Beedemariam Gebretekle

    Citation: BMC Health Services Research 2020 20:913

    Content type: Research article

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