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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. Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient p...

    Authors: Abdoulaye Sow, Jeroen De Man, Myriam De Spiegelaere, Veerle Vanlerberghe and Bart Criel

    Citation: BMC Health Services Research 2020 20:61

    Content type: Research article

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  2. Since the advent of democracy, the South African government has been putting charters, policies, strategies and plans in place in an effort to strengthen public health system performance and enhance service de...

    Authors: B. Malakoane, J. C. Heunis, P. Chikobvu, N. G. Kigozi and W. H. Kruger

    Citation: BMC Health Services Research 2020 20:58

    Content type: Research article

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  3. In order to develop a context appropriate in mental health system, there is a need to document relevant existing resources and practices with a view of identifying existing gaps, challenges and opportunities a...

    Authors: Victoria N. Mutiso, Christine W. Musyimi, Isaiah Gitonga, Albert Tele, Romaisa Pervez, Tahilia J. Rebello, Kathleen M. Pike and David M. Ndetei

    Citation: BMC Health Services Research 2020 20:51

    Content type: Research article

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  4. Most maternal health programs in low- and middle- income countries estimate gestational age to provide appropriate antenatal care at the correct times throughout the pregnancy. Although various gestational dat...

    Authors: Isabel Fulcher, Kaya Hedt, Stella Marealle, Jalia Tibaijuka, Omar Abdalla, Rachel Hofmann, Erica Layer, Marc Mitchell and Bethany Hedt-Gauthier

    Citation: BMC Health Services Research 2020 20:50

    Content type: Research article

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  5. This study assessed the association of remuneration systems of paid-for-performance Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) on seven maternal health outcomes in four st...

    Authors: Hannah J. Koehn, Shenglin Zheng, Robert F. Houser, Corey O’Hara and Beatrice Lorge Rogers

    Citation: BMC Health Services Research 2020 20:48

    Content type: Research article

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  6. The youths in Zambia have limited access to information concerning Sexual Reproductive Health (SRH) and this puts them at risk of unwanted pregnancies. Talking about other methods of preventing pregnancy or se...

    Authors: Eunice Chirwa-Kambole, Joar Svanemyr, Ingvild Sandøy, Peter Hangoma and Joseph Mumba Zulu

    Citation: BMC Health Services Research 2020 20:42

    Content type: Research article

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  7. Pharmaceutical care services have been recognized as the most highly regarded professional pharmacy practice model that allows the identification, intervention, and resolution of drug related problems. This pr...

    Authors: Barbara Barros Silva and Claudia Fegadolli

    Citation: BMC Health Services Research 2020 20:37

    Content type: Research article

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  8. Over the past decade, influenza surveillance has been established in several African countries including Zambia. However, information on the on data quality and reliability of established influenza surveillanc...

    Authors: Paul Simusika, Stefano Tempia, Edward Chentulo, Lauren Polansky, Mazyanga Lucy Mazaba, Idah Ndumba, Quinn K. Mbewe and Mwaka Monze

    Citation: BMC Health Services Research 2020 20:35

    Content type: Research article

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  9. Timely access to emergency obstetric care is crucial in preventing mortalities associated with pregnancy and childbirth. The referral of patients from lower levels of care to higher levels has been identified ...

    Authors: Anita Anima Daniels and Aaron Abuosi

    Citation: BMC Health Services Research 2020 20:32

    Content type: Research article

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  10. In 2017, 425 million adults worldwide had diabetes; 80% were living in low and middle-income countries. Bangladesh had 6.9 million adults with diabetes; death from diabetes comprised 3% of the country’s total ...

    Authors: F. Yasmin, L. Ali, B. Banu, F. B. Rasul, R. Sauerborn and A. Souares

    Citation: BMC Health Services Research 2020 20:29

    Content type: Research article

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  11. Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim ...

    Authors: Bo Li, Ruidong Zhang, Yue Huang, Kan Zhang, Chun Yin Wat, Jie Bai, Mazhong Zhang and Jijian Zheng

    Citation: BMC Health Services Research 2020 20:28

    Content type: Research article

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  12. Community Health Representatives (CHRs) overcome health disparities in Native communities by delivering home care, health education, and community health promotion. The Navajo CHR Program partners with the non...

    Authors: Amber Lalla, Shine Salt, Elizabeth Schrier, Christian Brown, Cameron Curley, Olivia Muskett, Mae-Gilene Begay, Lenora Shirley, Clarina Clark, Judy Singer, Sonya Shin and Adrianne Katrina Nelson

    Citation: BMC Health Services Research 2020 20:24

    Content type: Research article

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  13. Many patients with epilepsy in sub-Saharan Africa do not receive adequate treatment. The purpose of the study was to identify the health care providers where patients with epilepsy sought care and what treatme...

    Authors: Elizeus Rutebemberwa, Charles Ssemugabo, Raymond Tweheyo, John Turyagaruka and George William Pariyo

    Citation: BMC Health Services Research 2020 20:17

    Content type: Research article

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  14. Increased coverage of antenatal care and facility births might not improve maternal and newborn health outcomes if quality of care is sub-optimal. Our study aimed to assess the facility readiness and health wo...

    Authors: Tsering P. Lama, Melinda K. Munos, Joanne Katz, Subarna K. Khatry, Steven C. LeClerq and Luke C. Mullany

    Citation: BMC Health Services Research 2020 20:16

    Content type: Research article

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  15. Children with disabilities (CwDs) make up around 150 million of the billion people with disabilities in the world. The Sub-Saharan African countries have a large number of CwDs who have limited access to healt...

    Authors: Molalign B. Adugna, Fatima Nabbouh, Selvia Shehata and Setareh Ghahari

    Citation: BMC Health Services Research 2020 20:15

    Content type: Research article

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  16. Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality in India. CVDs are to a large extent preventable with the availability of wide range of interventions focusing on primary and sec...

    Authors: Kavita, J. S. Thakur, R. Vijayvergiya and S. Ghai

    Citation: BMC Health Services Research 2020 20:10

    Content type: Research article

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  17. Antenatal care (ANC) provides healthcare services to pregnant women in an attempt to ensure, the best possible pregnancy outcome for women and their babies. Healthcare providers’ understanding of their patient...

    Authors: Nelly Jinga, Constance Mongwenyana, Aneesa Moolla, Given Malete and Dorina Onoya

    Citation: BMC Health Services Research 2019 19:1016

    Content type: Research article

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  18. Abortion is one of the major direct causes of maternal death, accounting for 7.9% globally. In Africa, 5.5 million women have unsafe abortions annually. Although maternal deaths due to complications of abortio...

    Authors: Tefera Taddele, Theodros Getachew, Girum Taye, Misrak Getnet, Atkure Defar, Habtamu Teklie, Geremew Gonfa, Sheleme Humnessa, Aster Teshome, Zenebe Akale, Kasahun Mormu and Abebe Bekele

    Citation: BMC Health Services Research 2019 19:1014

    Content type: Research article

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  19. An estimated 50 million people worldwide have Alzheimer’s disease and related dementias (ADRD), and this number is projected to increase with the growth of the aging population, with the largest growth occurri...

    Authors: Ronald Kamoga, Godfrey Z. Rukundo, Edith K. Wakida, Gladys Nakidde, Celestino Obua and Stephanie S. Buss

    Citation: BMC Health Services Research 2019 19:1005

    Content type: Research article

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  20. Many LMICs have implemented Publicly Funded Health Insurance (PFHI) programmes to improve access and financial protection. The national PFHI scheme implemented in India for a decade has been recently modified ...

    Authors: Samir Garg, Sayantan Chowdhury and T. Sundararaman

    Citation: BMC Health Services Research 2019 19:1004

    Content type: Research article

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  21. Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with t...

    Authors: Ucheoma Nwaozuru, Juliet Iwelunmor, Jason J. Ong, Sawsan Salah, Chisom Obiezu-Umeh, Oliver Ezechi and Joseph D. Tucker

    Citation: BMC Health Services Research 2019 19:1003

    Content type: Research article

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  22. The number of Chinese migrants in Sub-Saharan Africa (SSA) is increasing, which is part of the south-south migration. The healthcare seeking challenges for Chinese migrants in Africa are different from local p...

    Authors: Jialing Qiu, Duo Song, Juan Nie, Mengyi Su, Chun Hao, Jing Gu, Yuantao Hao, James N. Kiarie and Michael H. Chung

    Citation: BMC Health Services Research 2019 19:995

    Content type: Research article

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  23. Social disparities in healthcare persist in the US despite the expansion of Medicaid under the Affordable Care Act. We investigated the causal impact of socioeconomic status on the quality of care in a setting...

    Authors: Hoyune E. Cho, Lu Wang, Jung-Sheng Chen, Mochuan Liu, Chang-Fu Kuo and Kevin C. Chung

    Citation: BMC Health Services Research 2019 19:987

    Content type: Research article

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  24. Optimally performing tuberculosis (TB) programs are characterized by treatment success rate (TSR) of at least 90%. In rural eastern Uganda, and elsewhere in sub Saharan Africa, TSR varies considerably across d...

    Authors: Jonathan Izudi, Imelda. K. Tamwesigire and Francis Bajunirwe

    Citation: BMC Health Services Research 2019 19:979

    Content type: Research article

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  25. Management of hypertension in Mozambique is poor, and rates of control are amongst the lowest in the world. Health system related factors contribute at least partially to this situation, particularly in settin...

    Authors: Neusa BAY, Edna JUGA, Carlos MACUACUA, José JOÃO, Maria COSTA, Simon STEWART and Ana MOCUMBI

    Citation: BMC Health Services Research 2019 19:975

    Content type: Research article

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  26. Screening and linkage to care are core, foundational strategies for HIV transmission prevention and for identifying People Living with HIV (PLHIV). In Romania – with an atypical experience in the HIV/AIDS epid...

    Authors: Cabiria M. Barbosu, Amanda Radulescu, Carmen Manciuc, Erin Muir, Brooke A. Levandowski and Timothy Dye

    Citation: BMC Health Services Research 2019 19:970

    Content type: Research article

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  27. Basic and comprehensive emergency obstetric care services in Pakistan remain a challenge considering continued high burden of maternal and newborn mortality. This study aimed to assess the availability of emer...

    Authors: Ramesh Kumar, Jamil Ahmed, Fozia Anwar and Ratana Somrongthong

    Citation: BMC Health Services Research 2019 19:968

    Content type: Research article

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  28. For rabies prevention and treatment, the Chinese government has been establishing standardized rabies clinics since 2016. This study aimed to investigate the distribution of rabies clinics and the achievements...

    Authors: Zhe Du, Qingjun Chen, Xinjun Lyu, Tianbing Wang and Chuanlin Wang

    Citation: BMC Health Services Research 2019 19:955

    Content type: Research article

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  29. One of the effective indicators for determining the efficiency and optimal use of hospital resources is the length of stay (LOS). This study aimed to determine the patients’ length of stay and the factors affe...

    Authors: Tayebeh Baniasadi, Kobra Kahnouji, Nasrin Davaridolatabadi and Saeed Hosseini Teshnizi

    Citation: BMC Health Services Research 2019 19:949

    Content type: Research article

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  30. Health professionals equipped with the adequate skills of helping baby breath remain the backbone in the health system in improving neonatal outcomes. However, there is a great controversy between studies to s...

    Authors: Abera Mersha, Shitaye Shibiru, Teklemariam Gultie, Nega Degefa and Agegnehu Bante

    Citation: BMC Health Services Research 2019 19:946

    Content type: Research article

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  31. Male involvement (MI) along the continuum of HIV healthcare services has been promoted as a critical intervention in low-income countries and represents one of the reasons for dropout and low retention of wome...

    Authors: Isotta Triulzi, Ilaria Palla, Fausto Ciccacci, Stefano Orlando, Leonardo Palombi and Giuseppe Turchetti

    Citation: BMC Health Services Research 2019 19:943

    Content type: Research article

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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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  49. 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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  50. 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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