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BMC Health Services Research

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. Content type: Research article

    The recent scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has rapidly accelerated antiretroviral therapy (ART) uptake among pregnant and postpartum women in sub-Saharan Africa. ...

    Authors: Abby DiCarlo, Ruby Fayorsey, Masila Syengo, Duncan Chege, Martin Sirengo, William Reidy, Juliana Otieno, Jackton Omoto, Mark P. Hawken and Elaine J. Abrams

    Citation: BMC Health Services Research 2018 18:17

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  2. Content type: Research article

    In fragile and war-affected setting such as South Sudan, a combination of physical environmental, socioeconomic factors and healthcare’s characteristic contributes to higher rates of home delivery attended by ...

    Authors: Ngatho S. Mugo, Michael J. Dibley, Eliaba Yona Damundu and Ashraful Alam

    Citation: BMC Health Services Research 2018 18:10

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  3. Content type: Research article

    Trained healthcare workers are an essential resource for effective health systems. However, healthcare workers’ perspective on healthcare, the challenges they face to provide quality health services, and oppor...

    Authors: Fabienne N. Jaeger, Mahamat Bechir, Moumini Harouna, Daugla D. Moto and Jürg Utzinger

    Citation: BMC Health Services Research 2018 18:7

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  4. Content type: Research article

    Non-communicable diseases (NCDs) represent the largest, and fastest growing, burden of disease in India. This study aimed to quantify levels of diagnosis, treatment, and control among hypertensive and diabetic...

    Authors: Rose Gabert, Marie Ng, Ruchi Sogarwal, Miranda Bryant, R. V. Deepu, Claire R. McNellan, Sunil Mehra, Bryan Phillips, Marissa Reitsma, Blake Thomson, Shelley Wilson, Alexandra Wollum, Emmanuela Gakidou and Herbert C. Duber

    Citation: BMC Health Services Research 2017 17:846

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  5. Content type: Research article

    Global policy reports, national frameworks, and programmatic tools and guidance emphasize the integration of family planning and HIV testing and counseling services to ensure universal access to reproductive h...

    Authors: Deogratius Bintabara, Keiko Nakamura and Kaoruko Seino

    Citation: BMC Health Services Research 2017 17:844

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  6. Content type: Research article

    Health extension workers (HEWs) are the frontline health workers for Ethiopia’s primary health care system. The Federal Ministry of Health is seeking to upgrade and increase the number of HEWs, particularly in...

    Authors: Firew Ayalew Desta, Girma Temam Shifa, Damtew WoldeMariam Dagoye, Catherine Carr, Jos Van Roosmalen, Jelle Stekelenburg, Assefa Bulcha Nedi, Adrienne Kols and Young Mi Kim

    Citation: BMC Health Services Research 2017 17:839

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  7. Content type: Research article

    Integrated Management of Childhood Illness (IMCI) is regarded as a standard public health approach to lowering child mortality in developing countries. However, little is known about how health workers adhere ...

    Authors: Carsten Krüger, Monika Heinzel-Gutenbrunner and Mohammed Ali

    Citation: BMC Health Services Research 2017 17:822

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  8. Content type: Research article

    Visual impairment is a public health problem in sub-Saharan Africa, affecting nearly 5% of the population. Efforts to combat avoidable causes have been hampered by weak health systems and little evidence exist...

    Authors: Emma Jolley, Milka Mafwiri, Joanna Hunter and Elena Schmidt

    Citation: BMC Health Services Research 2017 17:823

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  9. Content type: Research article

    Evidence for efficacy of cognitive-behavioural therapy (CBT) in treatment of schizophrenia is growing. CBT is effective and cost efficient in treating positive and negative symptoms. To effectively meet the ne...

    Authors: Muhammed Omair Husain, Imran B. Chaudhry, Nasir Mehmood, Raza ur Rehman, Ajmal Kazmi, Munir Hamirani, Tayyeba Kiran, Ameer Bukhsh, Paul Bassett, Muhammad Ishrat Husain, Farooq Naeem and Nusrat Husain

    Citation: BMC Health Services Research 2017 17:808

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  10. Content type: Research article

    Organization of HIV care and treatment services, including clinic staffing and services, may shape clinical and financial outcomes, yet there has been little attempt to describe different models of HIV care in...

    Authors: Sharon Tsui, Julie A. Denison, Caitlin E. Kennedy, Larry W. Chang, Olivier Koole, Kwasi Torpey, Eric Van Praag, Jason Farley, Nathan Ford, Leine Stuart and Fred Wabwire-Mangen

    Citation: BMC Health Services Research 2017 17:811

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  11. Content type: Study protocol

    Metabolic syndrome (MetS), the clustering of multiple leading risk factors, predisposes individuals to increased risk for developing type 2 diabetes and/or cardiovascular disease (CVD). Cardio-metabolic diseas...

    Authors: Melinda J. Carrington and Paul Zimmet

    Citation: BMC Health Services Research 2017 17:813

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  12. Content type: Research article

    An in-depth understanding of how organizational culture is experienced by health workers (HWs), and influences their decisions to leave their jobs is a fundamental, yet under-examined, basis for forming effect...

    Authors: Constance Sibongile Shumba, Karina Kielmann and Sophie Witter

    Citation: BMC Health Services Research 2017 17:809

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  13. Content type: Research article

    Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in...

    Authors: Anjni Patel, João Ricardo Nickenig Vissoci, Michael Hocker, Enio Molina, Nelly Moraes Gil and Catherine Staton

    Citation: BMC Health Services Research 2017 17:804

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  14. Content type: Research article

    In health research, indicators of socioeconomic status (SES) are often used interchangeably and often lack theoretical foundation. This makes it difficult to compare results from different studies and to explo...

    Authors: Michael Fliesser, Jessie De Witt Huberts and Pia-Maria Wippert

    Citation: BMC Health Services Research 2017 17:800

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  15. Content type: Research article

    Within China’s multi-tiered medical system, many patients seek care in higher-tiered hospitals without a referral by a primary-care provider. This trend, generally referred to as patient self-referral behavior...

    Authors: Da Feng, Donglan Zhang, Boyang Li, Yan Zhang, Ray Serrano, Danxiang Shi, Yuan Liu and Liang Zhang

    Citation: BMC Health Services Research 2017 17:778

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  16. Content type: Research article

    Integrated community case management (iCCM) strategies aim to reach poor communities by providing timely access to treatment for malaria, pneumonia and diarrhoea for children under 5 years of age. Community he...

    Authors: Robin Altaras, Mark Montague, Kirstie Graham, Clare E. Strachan, Laura Senyonjo, Rebecca King, Helen Counihan, Denis Mubiru, Karin Källander, Sylvia Meek and James Tibenderana

    Citation: BMC Health Services Research 2017 17:785

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  17. Content type: Research article

    Understanding regional variation in patient satisfaction about healthcare systems (PHCs) on the quality of services provided is instrumental to improving quality and developing a patient-centered healthcare sy...

    Authors: Sanni Yaya, Ghose Bishwajit, Michael Ekholuenetale, Vaibhav Shah, Bernard Kadio and Ogochukwu Udenigwe

    Citation: BMC Health Services Research 2017 17:776

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  18. Content type: Research article

    Since the beginning of the HIV epidemic, numerous behavior change, risk-reduction, and biomedical interventions have been developed and tested. While some of these interventions have shown to be efficacious in...

    Authors: Brittni N. Howard, Richard Van Dorn, Bronwyn J. Myers, William A. Zule, Felicia A. Browne, Tara Carney and Wendee M. Wechsberg

    Citation: BMC Health Services Research 2017 17:746

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  19. Content type: Research article

    Understanding the implementation of 2013 World Health Organization (WHO) consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection at the facility level provides impo...

    Authors: Julie Ambia, Jenny Renju, Alison Wringe, Jim Todd, Eveline Geubbels, Jessica Nakiyingi-Miiro, Mark Urassa, Tom Lutalo, Amelia C. Crampin, Daniel Kwaro, Catherine Kyobutungi, Natsayi Chimbindi, F. Xavier Gomez-Olive, Malebogo Tlhajoane, Brian Njamwea, Basia Zaba…

    Citation: BMC Health Services Research 2017 17:758

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  20. Content type: Research article

    Global research suggests that persons with disabilities face barriers when accessing health care services. Yet, information regarding the nature of these barriers, especially in low-income and middle-income co...

    Authors: R. Vergunst, L. Swartz, K.-G. Hem, A. H. Eide, H. Mannan, M. MacLachlan, G. Mji, S. H. Braathen and M. Schneider

    Citation: BMC Health Services Research 2017 17:741

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