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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

    Ghana introduced a National Health Insurance Scheme (NHIS) in 2003 applying fee-for-service method for paying NHIS-credentialed health care providers. The National Health Insurance Authority (NHIA) later intro...

    Authors: Francis-Xavier Andoh-Adjei, Renske van der Wal, Eric Nsiah-Boateng, Felix Ankomah Asante, Koos van der Velden and Ernst Spaan

    Citation: BMC Health Services Research 2018 18:52

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  2. Content type: Research article

    Increased availability of maternal health services alone does not lead to better outcomes for maternal health.The services need to be utilized first.One way to increase service utilization is to plan responsiv...

    Authors: Prosper Niyongabo, Renate Douwes, Marjolein Dieleman, Frédéric Irambona, Jimmy Mategeko, Georges Nsengiyumva and Tjard De Cock Buning

    Citation: BMC Health Services Research 2018 18:46

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  3. Content type: Research article

    Good quality clinical practice guidelines (CPGs) are a vehicle to implementing evidence into allied health (AH) care. This paper reports on the current ‘state of play’ of CPGs in a lower-to-middle-income count...

    Authors: J. M. Dizon, K. A. Grimmer, S. Machingaidze, Q. A. Louw and H. Parker

    Citation: BMC Health Services Research 2018 18:48

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  4. Content type: Research article

    Where access to facilities for childhood diarrhea and pneumonia is inadequate, community case management (CCM) is an effective way of improving access to care. In Pakistan, utilization of CCM for these disease...

    Authors: Wafa Aftab, Leah Shipton, Fauziah Rabbani, Kashif Sangrasi, Shagufta Perveen, Aysha Zahidie, Imran Naeem and Shamim Qazi

    Citation: BMC Health Services Research 2018 18:44

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  5. Content type: Research article

    Under the National Health Mission (NHM) of India, Janani Suraksha Yojana (JSY) offers conditional cash transfer and support services to pregnant women to use institutional delivery care facilities. This study ...

    Authors: Adyya Gupta, Jasmine Fledderjohann, Hanimi Reddy, V. R. Raman, David Stuckler and Sukumar Vellakkal

    Citation: BMC Health Services Research 2018 18:40

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  6. Content type: Research article

    Service readiness of health facilities is an integral part of providing comprehensive quality healthcare to the community. Comprehensive assessment of general and service-specific (i.e. child immunization) rea...

    Authors: Md. Shajedur Rahman Shawon, Gourab Adhikary, Md. Wazed Ali, Md. Shamsuzzaman, Shahabuddin Ahmed, Nurul Alam, Katya A. Shackelford, Alexander Woldeab, Stephen S. Lim, Aubrey Levine, Emmanuela Gakidou and Md. Jasim Uddin

    Citation: BMC Health Services Research 2018 18:39

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  7. Content type: Research article

    This paper aims to identify factors that influence the capacity of women to voice their concerns regarding maternal health services at the local level.

    Authors: Eric M. Mafuta, Tjard De Cock Buning, Didier L. Lolobi, Papy M. Mayala, Thérèse N. M. Mambu, Patrick K. Kayembe and Marjolein A. Dieleman

    Citation: BMC Health Services Research 2018 18:37

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  8. Content type: Research article

    Several frameworks now exist to guide intervention development but there remains only limited evidence of their application to health interventions based around use of mobile phones or devices, particularly in...

    Authors: Kirsten Bobrow, Andrew Farmer, Nomazizi Cishe, Ntobeko Nwagi, Mosedi Namane, Thomas P. Brennan, David Springer, Lionel Tarassenko and Naomi Levitt

    Citation: BMC Health Services Research 2018 18:33

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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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