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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 19

  1. Content type: Research article

    Cardiovascular disease remains the most common cause of death. However, effective and timely secondary care contributes to improved quality of life, decreased morbidity and mortality. This study analyzed the m...

    Authors: Mandreker Bahall, Terrence Seemungal, Katija Khan and George Legall

    Citation: BMC Health Services Research 2019 19:501

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  2. Content type: Research article

    World Health Organization (WHO) predicted that there will be a shortfall of skilled healthcare by 2035 with the greatest shortfall in Africa and Southeast Asia due to satisfaction with payment and incentives. ...

    Authors: Hailu Merga and Tilahun Fufa

    Citation: BMC Health Services Research 2019 19:494

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  3. Content type: Research article

    This paper reports on a rigorously designed non-masked randomized cluster trial of the childhood survival impact of deploying paid community health workers to provide doorstep preventive, promotional, and cura...

    Authors: Almamy M. Kanté, Amon Exavery, Elizabeth F. Jackson, Tani Kassimu, Colin D. Baynes, Ahmed Hingora and James F. Phillips

    Citation: BMC Health Services Research 2019 19:492

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  4. Content type: Research article

    Resistance to antimalarial drugs resulting from overuse of the medication remains a threat to malaria control and elimination in endemic settings including Ghana. Reliance on clinical signs alone results in pa...

    Authors: Michael Kurubire Anaba, Latifat Ibisomi, Seth Owusu-Agyei, Tobias Chirwa and Rohit Ramaswamy

    Citation: BMC Health Services Research 2019 19:491

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  5. Content type: Study protocol

    Depression and anxiety are two of the leading causes of disease burden in low-to-middle income coutnries. The World Health Organisation has engaged in a programme of scaling-up mental health services, but sign...

    Authors: Helen Brooks, Irmansyah Irmansyah, Karina Lovell, Ira Savitri, Bagus Utomo, Benny Prawira, Livia Iskandar, Laoise Renwick, Rebecca Pedley, Agustin Kusumayati and Penny Bee

    Citation: BMC Health Services Research 2019 19:484

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  6. Content type: Research article

    Malaria continues to place a high burden on communities due to challenges reaching intervention target levels in Chikwawa District, Malawi. The Hunger Project Malawi is using a health animator approach (HA) to...

    Authors: Blessings N. Kaunda-Khangamwa, Henk van den Berg, Robert S. McCann, Alinune Kabaghe, Willem Takken, Kamija Phiri, Michele van Vugt and Lucinda Manda-Taylor

    Citation: BMC Health Services Research 2019 19:478

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  7. Content type: Research article

    Despite continued investment, Maternal, Newborn and Child Health (MNCH) indicators in low and middle income countries have remained relatively poor. This could, in part, be explained by inadequate resources to...

    Authors: Lauren J. Wallace and Lydia Kapiriri

    Citation: BMC Health Services Research 2019 19:465

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  8. Content type: Research article

    Male partner participation in antenatal care (ANC) is important and contributes to better maternal and neonatal birth outcomes. Studies have been conducted to explore male participation in ANC and barriers to ...

    Authors: Hamalambo Muloongo, Doreen Sitali, Joseph Mumba Zulu, Alice Ngoma Hazemba and Oliver Mweemba

    Citation: BMC Health Services Research 2019 19:463

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  9. Content type: Research article

    The risk of cholera outbreak remains high in Cameroon. This is because of the persistent cholera outbreaks in neighboring countries coupled with the poor hygiene and sanitation conditions in Cameroon. The obje...

    Authors: Jerome Ateudjieu, Martin Ndinakie Yakum, Andre Pascal Goura, Sonia Sonkeng Nafack, Anthony Njimbia Chebe, Joliette Nguefack Azakoh, Benjamin Azike Chukuwchindun, Eugene Joel Bayiha, Corine Kangmo, Gnodjom Victorin Boris Tachegno and Anne-Cécile Zoung Kanyi Bissek

    Citation: BMC Health Services Research 2019 19:458

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  10. Content type: Research article

    Visual inspection with acetic acid and cervicography (VIAC) is a method used to screen for cervical cancer. VIAC can be used as part of a “see and treat” strategy. Nine Harare city council health facilities of...

    Authors: Christine Gabaza, Prosper Chonzi, Addmore Chadambuka, Gerald Shambira, Tsitsi Patience Juru, Notion Tafara Gombe, Peter Nsubuga and Mufuta Tshimanga

    Citation: BMC Health Services Research 2019 19:454

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  11. Content type: Research article

    Designing a standard data set is necessary to overcome the dispersion of data among different health information systems. The objective of this study was to evaluate the current demographic and clinical minimu...

    Authors: Reza Abbasi, Reza Khajouei and Moghadameh Mirzaee

    Citation: BMC Health Services Research 2019 19:450

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  12. Content type: Research article

    It is increasingly recognized that improving the quality of maternal health care delivery is of utmost importance in many countries. In Laos, the quality of antenatal care (ANC) service remains inadequate, but...

    Authors: Sysavanh Phommachanh, Dirk R. Essink, E. Pamela Wright, Jacqueline E. W. Broerse and Mayfong Mayxay

    Citation: BMC Health Services Research 2019 19:449

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  13. Content type: Research article

    Healthcare workers are often exposed to stressful working conditions at work which affect their quality of life. The study investigated the relationship between psychosocial risk factors, stress, burnout, and ...

    Authors: Joseph Obiri Asante, Meng Jie Li, Jing Liao, Yi Xiang Huang and Yuan Tao Hao

    Citation: BMC Health Services Research 2019 19:447

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  14. Content type: Research article

    Diseases of the ear, nose and throat (ENT) are common and are a major cause of morbidity and mortality. In many low income countries like Zambia, the high ENT disease burden has not received the required resou...

    Authors: Lufunda Lukama, Chester Kalinda and Colleen Aldous

    Citation: BMC Health Services Research 2019 19:443

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  15. Content type: Research article

    Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures and tested measures of hypertension may differ si...

    Authors: Dan Cao, Zhongliang Zhou, Yafei Si, Xiao Xiao, Xiao Wang, Chi Shen, Yangling Ren, Min Su, Shuyi He and Jianmin Gao

    Citation: BMC Health Services Research 2019 19:437

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  16. Content type: Research article

    Since the 2013 Rana Plaza incident in Bangladesh, the government of Bangladesh has been under pressure to improve health and safety conditions for workers in the ready-made garment industry. Its efforts have f...

    Authors: Sadika Akhter, Shannon Rutherford and Cordia Chu

    Citation: BMC Health Services Research 2019 19:435

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  17. Content type: Research article

    Maternal and child health workers (MCHWs) are often the first point of contact with pregnant women, children, and caregivers. Therefore, they can play a significant role in early detection of causes of childho...

    Authors: A. O. Olowoyeye, K. O. Musa and O. T. Aribaba

    Citation: BMC Health Services Research 2019 19:430

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  18. Content type: Research article

    Health system support is crucial for quality child healthcare. Therefore, this baseline survey, which is part of the community-based management study of severe pneumonia, was conducted to assess the state of h...

    Authors: Solomon Hailemariam, Yabibal Gebeyehu, Eskindir Loha, Kjell Arne Johansson and Bernt Lindtjørn

    Citation: BMC Health Services Research 2019 19:426

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  19. Content type: Research article

    The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services i...

    Authors: Mohammad S. Alyahya, Yousef S. Khader, Anwar Batieha and Majed Asad

    Citation: BMC Health Services Research 2019 19:425

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  20. Content type: Research article

    How the informal providers deliver health services are not well understood in Bangladesh. However, their practices are often considered inappropriate and unsafe. This study attempted to fill-in this knowledge ...

    Authors: M. Monaemul Islam Sizear, Herfina Y. Nababan, Md. Kaoser Bin Siddique, Shariful Islam, Sukanta Paul, Anup Kumar Paul and Syed Masud Ahmed

    Citation: BMC Health Services Research 2019 19:424

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  21. Content type: Research article

    Client-centric quality of care (QoC) in family planning (FP) services are imperative for contraceptive method adoption and continuation. Less is known about the choice of contraceptive method in India beyond r...

    Authors: Arupendra Mozumdar, Vandana Gautam, Abhishek Gautam, Arnab Dey, Uttamacharya, Ruhi Saith, Pranita Achyut, Abhishek Kumar, Kumudha Aruldas, Amit Chakraverty, Dinesh Agarwal, Ravi Verma, Priya Nanda, Suneeta Krishnan and Niranjan Saggurti

    Citation: BMC Health Services Research 2019 19:421

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  22. Content type: Research article

    Globally, local and frontline HIV service delivery units have been deployed to halt the HIV epidemic. However, with the limited resources, there is a need to understand how these units can deliver their optimu...

    Authors: Xerxes T. Seposo, Ichiro Okubo and Masahide Kondo

    Citation: BMC Health Services Research 2019 19:415

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  23. Content type: Research article

    Non-compliance with prescribed treatment is an important cause of preventable mortality and economic burden. Recognition of the factors for non-compliance with the therapeutic orders of specialists from the pe...

    Authors: Soheila Naghavi, Mohammad Hossein Mehrolhassani, Nouzar Nakhaee and Vahid Yazdi-Feyzabadi

    Citation: BMC Health Services Research 2019 19:413

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  24. Content type: Research article

    Nigeria has one of the highest rates of maternal mortality in the world (576/100,000 births), with a significant proportion of death attributed to hypertensive disorders in pregnancy (HDPs). High quality anten...

    Authors: Angela Salomon, Salisu Ishaku, Karen R. Kirk and Charlotte E. Warren

    Citation: BMC Health Services Research 2019 19:411

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  25. Content type: Research article

    The role of a pharmacist in primary health care settings of Pakistan is still obscure. Thus, we aimed to demonstrate the pharmacist-led improvements in glycemic, blood pressure and lipid controls in type 2 dia...

    Authors: Zaida Javaid, Unaiza Imtiaz, Imtiaz Khalid, Hamid Saeed, Rehana Qadir Khan, Muhammad Islam, Zikria Saleem, Muhammad Farhan Sohail, Zeeshan Danish, Farah Batool and Naveed Anwer

    Citation: BMC Health Services Research 2019 19:409

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  26. Content type: Research article

    The majority of perinatal deaths occurring in low- and middle- income countries are preventable. South Africa is a middle-income country with consistently high perinatal mortality rates and most factors contri...

    Authors: Ntombifikile Maureen Nkwanyana, Anna Silvia Voce, Sthandwa Octavia Mnqayi, Benn Sartorius and Helen Schneider

    Citation: BMC Health Services Research 2019 19:402

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  27. Content type: Research article

    As lower-income countries look to develop a mature healthcare workforce and to improve quality and reduce costs, they are increasingly turning to quality improvement (QI), a widely-used strategy in higher-inco...

    Authors: Jordan A. Albritton, Bruce Fried, Kavita Singh, Bryan J. Weiner, Bryce Reeve and Jeffrey R. Edwards

    Citation: BMC Health Services Research 2019 19:385

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  28. Content type: Research article

    Infection in healthcare facilities is a major public health problem in most developing countries like Ethiopia. Currently the overall incidence of health care associated infection has been increased and burden...

    Authors: Abera Beyamo, Terefe Dodicho and Wolde Facha

    Citation: BMC Health Services Research 2019 19:381

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  29. Content type: Research article

    Past studies have identified that inconvenient access to health clinics is one of the important barriers to health service utilization and health outcomes. However, establishing the link between the lack of ac...

    Authors: Ryoko Sato

    Citation: BMC Health Services Research 2019 19:377

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  30. Content type: Research article

    Hypertension remains one of the leading causes of death in Nigeria. Appropriate and cost-effective treatment of the disease is necessary to reduce mortality. This study evaluates (i) the prescription patterns ...

    Authors: Onyinye Onyeka Akunne and Aduragbenro Deborah A. Adedapo

    Citation: BMC Health Services Research 2019 19:373

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  31. Content type: Research article

    Hospital accreditation is widely adopted as a visible measure of an organisation’s quality and safety management standards compliance. There is still inconsistent evidence regarding the influence of hospital a...

    Authors: Viera Wardhani, Jitse Pieter van Dijk and Adi Utarini

    Citation: BMC Health Services Research 2019 19:372

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  32. Content type: Research article

    Elder people aged ≥45 years often have more healthcare needs than the younger. But the Chinese elderly are less likely to see a doctor when ill. In this article, this phenomenon is abbreviated as “not see a do...

    Authors: Shangren Qin and Ye Ding

    Citation: BMC Health Services Research 2019 19:365

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  33. Content type: Research article

    Health systems worldwide rely on health professionals to deliver services and provide framework structures. Considering their opinions about their work environment, the public policies that regulate their work...

    Authors: Esteban Ortiz-Prado, Marta Fors, Aquiles R. Henriquez-Trujillo, Gabriel H. Cevallos-Sierra, Alejandra Barreto-Grimaldos, Katherine Simbaña-Rivera, Lenin Gomez-Barreno, Eduardo Vasconez and Alex Lister

    Citation: BMC Health Services Research 2019 19:363

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  34. Content type: Research article

    High medical expenditures serve as a major obstacle for many people trying to access healthcare. Our goals are to provide an updated and comprehensive description of each category of medical expenditure in inp...

    Authors: Chenjin Ma, Yan Jiang, Yang Li, Yuming Zhang, Xiaojun Wang, Shuangge Ma and Yu Wang

    Citation: BMC Health Services Research 2019 19:360

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  35. Content type: Research article

    Homeless women are a highly vulnerable group for risks of pregnancy and childbirth-related complications. They may also face multiple challenges to access and utilize maternity healthcare services. This study ...

    Authors: Hailay Gebreyesus, Abebe Mamo, Mebrahtu Teweldemedhin, Berihu Gidey, Znabu Hdush and Zewdie Birhanu

    Citation: BMC Health Services Research 2019 19:359

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  36. Content type: Research article

    The Republic of Moldova is faced with a high prevalence of non-communicable diseases (NCDs) related to lifestyle and health behavioural factors. Within the frame of the decentralisation reform, the primary hea...

    Authors: Carolyn Blake, Leah F. Bohle, Cristina Rotaru, Natalia Zarbailov, Valeriu Sava, Florence Sécula, Helen Prytherch and Ala Curteanu

    Citation: BMC Health Services Research 2019 19:353

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  37. Content type: Research article

    As a result of financial barriers to the utilization of Maternal and Child Health (MCH) services, the Government of Sierra Leone launched the Free Health Care Initiative (FHCI) in 2010. This study aimed to exa...

    Authors: Mohamed Boie Jalloh, Abdulai Jawo Bah, Peter Bai James, Steven Sevalie, Katrina Hann and Amir Shmueli

    Citation: BMC Health Services Research 2019 19:352

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  38. Content type: Research article

    Expansion of provider-initiated testing and counselling (PITC) is one strategy to increase accessibility of HIV testing services. Insufficient human resources was identified as a primary barrier to increasing ...

    Authors: Aaron F. Bochner, Beth A. Tippett Barr, Batsirai Makunike, Gloria Gonese, Blessing Wazara, Richard Mashapa, Elizabeth Meacham, Ponesai Nyika, Gertrude Ncube, Shirish Balachandra, Ruth Levine, Frances Petracca, Tsitsi Apollo, Ann Downer and Stefan Z. Wiktor

    Citation: BMC Health Services Research 2019 19:351

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  39. Content type: Research article

    Promotion of healthy lifestyle is an important strategy. This study was conducted to determine the effects of counselling on health-promoting lifestyle and quality of life in middle-aged women.

    Authors: Vahideh Karimlou, Sakineh Mohammad-Alizadeh Charandabi, Jamileh Malakouti and Mojgan Mirghafourvand

    Citation: BMC Health Services Research 2019 19:350

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  40. Content type: Research article

    In life time, nearly each person succumbs to some sort of chronic disease and many develop complicated chronic diseases. It is critical to focus on preventive services with a relatively high health impact and ...

    Authors: Netsanet Fetene Wendimagegn and Marthie Bezuidenhout

    Citation: BMC Health Services Research 2019 19:347

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  41. Content type: Research article

    Patient satisfaction is an important factor for both assessing the quality of healthcare and predicting positive health outcomes. This study assesses the influence of HIV/AIDS patients’ perception of the quali...

    Authors: Carlued Leon, Tamar Koosed, Bryn Philibert, Cristina Raposo and Adele Schwartz Benzaken

    Citation: BMC Health Services Research 2019 19:344

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  42. Content type: Research article

    Adherence to antiretroviral therapy (ART) may be influenced by knowledge, perception and perception regarding ART. The purpose of this study was to assess knowledge, attitude/perception and practice regarding ...

    Authors: Mihaja Raberahona, Zinara Lidamahasolo, Johary Andriamamonjisoa, Volatiana Andriananja, Radonirina Lazasoa Andrianasolo, Rivonirina Andry Rakotoarivelo and Mamy Jean de Dieu Randria

    Citation: BMC Health Services Research 2019 19:341

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  43. Content type: Research article

    Nursing and midwifery research activity is an important indicator of the quality of healthcare services and the status of nursing profession. The main aim of this study was to assess the research activity in n...

    Authors: Waleed M. Sweileh, Huda Abu-Saad Huijer, Samah W. Al-Jabi, Sa’ed H. Zyoud and Ansam F. Sawalha

    Citation: BMC Health Services Research 2019 19:340

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  44. Content type: Research article

    Health service and health outcome data collection across many low- and middle-income countries (LMICs) is, to date largely paper-based. With the development and increased availability of reliable technology, e...

    Authors: Fiona M. Dickinson, Mary McCauley, Barbara Madaj and Nynke van den Broek

    Citation: BMC Health Services Research 2019 19:336

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  45. Content type: Research article

    This study aimed to assess on-the-ground barriers to the provision of oxygen therapy for paediatric patients in three government-funded Eastern Ugandan district general hospitals (DGHs).

    Authors: Jonathan W. Dauncey, Peter Olupot-Olupot and Kathryn Maitland

    Citation: BMC Health Services Research 2019 19:335

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  46. Content type: Research article

    Early readmission amongst older safety-net hospitalized adults is costly. Interventions to prevent early readmission have had mixed success. The role of perceived social support is unclear. We examined the ass...

    Authors: Brian Chan, L. Elizabeth Goldman, Urmimala Sarkar, David Guzman, Jeff Critchfield, Somnath Saha and Margot Kushel

    Citation: BMC Health Services Research 2019 19:334

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  48. Content type: Research article

    The overuse of tertiary hospitals and underuse of primary care facilities has been one of the key reasons leading to fast health expenditure increase and health service utilization inequity in China. Recent he...

    Authors: Linxin Liu, Chaojie Liu, Zhanqi Duan, Jingping Pan and Min Yang

    Citation: BMC Health Services Research 2019 19:329

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  49. Content type: Research article

    Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In ...

    Authors: Antônio José Lana de Carvalho, Hyster Martins Ferreira, Eliza Fernanda Borges, Laerte Honorato Borges Junior, Ana Laura Teodoro de Paula, Wallisen Tadashi Hattori and e Vivian Mara Gonçalves de Oliveira Azevedo

    Citation: BMC Health Services Research 2019 19:324

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