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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 16

  1. Content type: Research article

    Our objective is to estimate the effects of therapeutic oxytocin supply chain factors and social determinants of health on patient access to oxytocin in low-income settings using system dynamics modeling. Post...

    Authors: Devika Nadkarni, Sara Gravelyn, Monica Brova, Sarem Rashid, Randy Yee, Donovan Guttieres, Katie Clifford, Darash Desai and Muhammad Zaman

    Citation: BMC Health Services Research 2018 18:645

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  2. Content type: Research article

    Although the prevalence of depression in Vietnam is on par with global rates, services for depression are limited. The government of Vietnam has prioritized enhancing depression care through primary healthcare...

    Authors: Jill Murphy, Kitty K. Corbett, Dang Thuy Linh, Pham Thi Oanh and Vu Cong Nguyen

    Citation: BMC Health Services Research 2018 18:641

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  3. Content type: Research article

    With professional midwives being introduced in Bangladesh in 2013, the aim of this study was to describe midwifery students perceptions on midwives’ realities in Bangladesh, based on their own experiences.

    Authors: Malin Bogren, Kerstin Erlandsson and Ulrika Byrskog

    Citation: BMC Health Services Research 2018 18:639

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  4. Content type: Research article

    Clinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. I...

    Authors: Sheila Feitosa Ramos, Genival Araujo dos Santos Júnior, André Mascarenhas Pereira, Aline Santana Dosea, Kérilin Stancine Santos Rocha, Déborah Mônica Machado Pimentel and Divaldo Pereira de Lyra-Jr

    Citation: BMC Health Services Research 2018 18:632

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  5. Content type: Study protocol

    There is limited information from low and middle-income countries on learning outcomes, provider satisfaction and cost-effectiveness on the day of birth care among maternal and newborn health workers trained usin...

    Authors: Emmanuel Ugwa, Emmanuel Otolorin, Mark Kabue, Gbenga Ishola, Cherrie Evans, Adetiloye Oniyire, Gladys Olisaekee, Boniface Onwe, Amnesty E LeFevre, Julia Bluestone, Bright Orji, Gayane Yenokyan and Ugo Okoli

    Citation: BMC Health Services Research 2018 18:630

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  6. Content type: Research article

    Native American communities experience greater burden of diabetes than the general population, including high rates of Type 2 diabetes among women of childbearing age. Diabetes in pregnancy is associated with ...

    Authors: Julius Ho, Karen Bachman-Carter, Shelley Thorkelson, Kristi Anderson, Jennifer Jaggi, Chris Brown, Katrina Nelson, Cameron Curley, Caroline King, Sid Atwood and Sonya Shin

    Citation: BMC Health Services Research 2018 18:629

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  7. Content type: Research article

    It is universally accepted that primary healthcare is essential for achieving public health and that assessment of its performance is critical for continuous improvement. The World Health Organization’s (WHO’s...

    Authors: R. Bangalore Sathyananda, A. de Rijk, U. Manjunath, A. Krumeich and C. P. van Schayck

    Citation: BMC Health Services Research 2018 18:627

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  8. Content type: Research article

    Because of their cost, the use of locally produced, bioequivalent, generic drugs is universally recommended. In Ethiopia. while the government is committed to raising the market share and use of locally produc...

    Authors: Chalachew Alemayehu, Geoff Mitchell, Jane Nikles, Abraham Aseffa and Alexandra Clavarino

    Citation: BMC Health Services Research 2018 18:624

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  9. Content type: Study protocol

    Gaps in maternal and child health services can slow progress towards achieving the Sustainable Development Goals. The Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care ...

    Authors: Terusha Chetty, H. Manisha N. Yapa, Carina Herbst, Pascal Geldsetzer, Kevindra K. Naidu, Jan-Walter De Neve, Kobus Herbst, Philippa Matthews, Deenan Pillay, Sally Wyke and Till Bärnighausen

    Citation: BMC Health Services Research 2018 18:625

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  10. Content type: Research article

    The South African public health sector embarked on a National Telemedicine System implementation program in 1999 and although unsuccessful, the Province of KwaZulu-Natal subsequently implemented teledermatolog...

    Authors: Laticha Elizabeth Marolana Walters, Richard Ernest Scott and Maurice Mars

    Citation: BMC Health Services Research 2018 18:613

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  11. Content type: Research article

    While it is increasingly recognized that social determinants influence the health of patients and populations, little is known about how doctors in the Eastern Mediterranean Region can help their patients with...

    Authors: Labib Girgis, Gerald Van Gurp, David Zakus and Anne Andermann

    Citation: BMC Health Services Research 2018 18:614

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  12. Content type: Research article

    Numerous studies have evaluated the related factors of medication adherence among patients with chronic disease. However, the factors influencing medication adherence and non-adherence among subsidised patient...

    Authors: Hamiza Aziz, Ernieda Hatah, Mohd Makmor-Bakry, Farida Islahudin, Najwa Ahmad Hamdi and Ivy Mok Pok Wan

    Citation: BMC Health Services Research 2018 18:605

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  13. Content type: Research article

    A novel point-of-care ultrasound (PoCUS) training program was developed to train rural healthcare providers in Kenya on the Focused Assessment with Sonography for Trauma (FAST), thoracic ultrasound, basic echo...

    Authors: Grace W. Wanjiku, Gregory Bell and Benjamin Wachira

    Citation: BMC Health Services Research 2018 18:607

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  14. Content type: Study protocol

    In Australia there is commitment to developing interventions that will ‘Close the Gap’ between the health and welfare of Indigenous and non-Indigenous Australians and recognition that early childhood intervent...

    Authors: Lynn Kemp, Rebekah Grace, Elizabeth Comino, Lisa Jackson Pulver, Catherine McMahon, Elizabeth Harris, Mark Harris, Ajesh George and Holly A. Mack

    Citation: BMC Health Services Research 2018 18:599

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  15. Content type: Research article

    In Malawi, early retention in HIV care remains challenging. Depression is strongly associated with reduced anti-retroviral therapy (ART) adherence and viral suppression. Appropriate depression care for people ...

    Authors: Michael Udedi, Melissa A. Stockton, Kazione Kulisewa, Mina C. Hosseinipour, Bradley N. Gaynes, Steven M. Mphonda, Beatrice Matanje Mwagomba, Alick C. Mazenga and Brian W. Pence

    Citation: BMC Health Services Research 2018 18:593

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  16. Content type: Research article

    Results from a previous study showed that 40 to 60% of the price of off-patent medicines in Vietnam was typically spent to induce prescribers to use the medicines, and to persuade procurement officers within h...

    Authors: Tuan A. Nguyen, Rosemary Knight, Andrea Mant, Husna Razee, Geoffrey Brooks, Thu H. Dang and Elizabeth E. Roughead

    Citation: BMC Health Services Research 2018 18:587

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  17. Content type: Study protocol

    Chronic diseases are becoming a huge threat to the Chinese health system. Although the New Round of Medical Reform aims to improve this, the chronic disease management in rural China is still worrying as it re...

    Authors: Shaofan Chen, Bo Burström, Vibeke Sparring and Dongfu Qian

    Citation: BMC Health Services Research 2018 18:567

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  18. Content type: Research article

    Childbirth is a momentous event for women and their partners, yet women continue to die in childbirth worldwide, particularly in sub-Saharan Africa. To reduce maternal mortality and increase the number of wome...

    Authors: Thecla W. Kohi, Lilian T. Mselle, Justine Dol and Megan Aston

    Citation: BMC Health Services Research 2018 18:564

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  19. Content type: Research article

    Severe anaemia (SA) is a common reason for hospitalisation of children in sub-Saharan Africa but the extent to which blood transfusion is used appropriately in the management of severe anemia has hitherto rema...

    Authors: Robert O. Opoka, Andrew S. Ssemata, William Oyang, Harriet Nambuya, Chandy C. John, James K. Tumwine and Charles Karamagi

    Citation: BMC Health Services Research 2018 18:566

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  20. Content type: Research article

    Arua district, in Uganda, hosts some of the largest refugee camps in the country. The estimated prevalence of moderate and severe acute malnutrition in children is higher than the national estimates (10.4 and ...

    Authors: Humphrey Wanzira, Richard Muyinda, Peter Lochoro, Giovanni Putoto, Giulia Segafredo, Henry Wamani and Marzia Lazzerini

    Citation: BMC Health Services Research 2018 18:561

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  21. Content type: Research article

    Africa’s health systems rely on services provided by mid-level health workers (MLWs). Investment in their training is worthwhile since they are more likely to be retained in underserved areas, require shorter ...

    Authors: Ian Couper, Sunanda Ray, Duane Blaauw, Gideon Ng’wena, Lucy Muchiri, Eren Oyungu, Akinyinka Omigbodun, Imran Morhason-Bello, Charles Ibingira, James Tumwine, Daphney Conco and Sharon Fonn

    Citation: BMC Health Services Research 2018 18:553

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  22. Content type: Research article

    In 2011 the World Health Organisation recommended that children with a diagnosis of HIV be gradually informed about their HIV status between the ages of 6 and 12 years. However, to date, literature has focused...

    Authors: Fatch W. Kalembo, Garth E. Kendall, Mohammed Ali and Angela F. Chimwaza

    Citation: BMC Health Services Research 2018 18:540

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  23. Content type: Research article

    In malaria endemic countries of sub-Saharan Africa, many children develop severe anaemia due to previous and current malaria infections. After blood transfusions and antimalarial treatment at the hospital they...

    Authors: Sarah Svege, Blessings Kaunda, Bjarne Robberstad, Thandile Nkosi-Gondwe, Kamija S. Phiri and Siri Lange

    Citation: BMC Health Services Research 2018 18:544

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  24. Content type: Research article

    Global strategies recommend a continuum of care for maternal health to improve outcomes and access to care in low and middle income countries (LMICs). South Africa has already set priority interventions along ...

    Authors: Mamothena Carol Mothupi, Lucia Knight and Hanani Tabana

    Citation: BMC Health Services Research 2018 18:539

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  26. Content type: Study protocol

    There is a global drive to promote facility deliveries but unless coupled with concurrent improvement in care quality, it might not translate into mortality reduction for mothers and babies. The World Health O...

    Authors: Alexander Manu, Shams Arifeen, John Williams, Edward Mwasanya, Nabila Zaka, Beth Anne Plowman, Debra Jackson, Priscilla Wobil and Kim Dickson

    Citation: BMC Health Services Research 2018 18:531

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  27. Content type: Research article

    Retail drug shops play a significant role in managing pediatric fevers in rural areas in Uganda. Targeted interventions to improve drug seller practices require understanding of the retail drug shop market and...

    Authors: Chrispus Mayora, Freddy Eric Kitutu, Ngianga-Bakwin Kandala, Elizabeth Ekirapa-Kiracho, Stefan Swartling Peterson and Henry Wamani

    Citation: BMC Health Services Research 2018 18:532

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  28. Content type: Research article

    Irrational use of medicines is widespread in the South-East Asia Region (SEAR), where policy implementation to encourage quality use of medicines (QUM) is often low. The aim was to determine whether public-sec...

    Authors: Kathleen Anne Holloway, Anita Kotwani, Gitanjali Batmanabane, Budiono Santoso, Sauwakon Ratanawijitrasin and David Henry

    Citation: BMC Health Services Research 2018 18:526

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  29. Content type: Research article

    Non-communicable diseases (NCDs) are medical conditions or diseases that are non-transmissible. As NCDs are becoming one of major public health problem, providing local description of diseases and injuries is ...

    Authors: Misganu Endriyas, Emebet Mekonnen, Tadele Dana, Kassa Daka, Tebeje Misganaw, Sinafikish Ayele, Mekonnen Shiferaw, Tigist Tessema and Tewodros Getachew

    Citation: BMC Health Services Research 2018 18:520

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  30. Content type: Study protocol

    Maternal mortality in Nigeria is one of the highest in the world. Access to antenatal care is limited and the quality of services is poor in much of the country. Previous research in Bauchi State found associa...

    Authors: Anne Cockcroft, Khalid Omer, Yagana Gidado, Adamu Ibrahim Gamawa and Neil Andersson

    Citation: BMC Health Services Research 2018 18:510

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  31. Content type: Study protocol

    A large proportion of patients encounter barriers to access and navigation in complex healthcare systems. They are unable to obtain information and services and to take appropriate action to improve their heal...

    Authors: Christine Loignon, Sophie Dupéré, Martin Fortin, Vivian R. Ramsden and Karoline Truchon

    Citation: BMC Health Services Research 2018 18:505

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  32. Content type: Study protocol

    Reduction in neonatal deaths has been a major challenge globally. To prevent neonatal deaths, improvements in newborn care have been promoted worldwide. The World Health Organization Western Pacific Regional O...

    Authors: Sayaka Horiuchi, Sommana Rattana, Bounnack Saysanasongkham, Outhevanh Kounnavongsa, Shogo Kubota, Julie Cayrol, Kenzo Takahashi, Mariko Inoue, Asuka Nemoto and Kazue Yamaoka

    Citation: BMC Health Services Research 2018 18:489

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  33. Content type: Research article

    The length of time between symptom onset and reperfusion therapy in patients with ST-segment elevation acute myocardial infarction (STEMI) is a key determinant of mortality. Information on this delay is scarce...

    Authors: Cézar E. Mesas, Ricardo J. Rodrigues, Arthur E. Mesas, Vivian B. R. Feijó, Lucas M. C. Paraiso, Gabriela F. G. A. Bragatto, Viviane Moron, Marcos H. Bergonso, Laercio Uemura and Cintia Magalhães Carvalho Grion

    Citation: BMC Health Services Research 2018 18:490

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  36. Content type: Research article

    Severe underutilization of healthcare facilities and lack of timely, affordable and effective access to healthcare services in resource-constrained, bottom of pyramid (BoP) settings are well-known issues, whic...

    Authors: Vilius Černauskas, Federica Angeli, Anand Kumar Jaiswal and Milena Pavlova

    Citation: BMC Health Services Research 2018 18:473

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  37. Content type: Research article

    Hypertension is a major risk factor for the global burden of disease, particularly in countries that are not economically developed. This study aimed to evaluate risk factors associated with self-reported hype...

    Authors: Maolin Du, Shaohua Yin, Peiyu Wang, Xuemei Wang, Jing Wu, Mingming Xue, Huiqiu Zheng, Yajun Zhang, Danyan Liang, Ruiqi Wang, Dan Liu, Wei Shu, Xiaoqian Xu, Ruiqi Hao and Shiyuan Li

    Citation: BMC Health Services Research 2018 18:475

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  38. Content type: Research article

    Successful pre-referral treatment with rectal artesunate (RA) for suspected severe malaria requires operational linkages between community health workers (CHWs) and referral facilities, acceptance of pre-refer...

    Authors: C. E. Strachan, A. Nuwa, D. Muhangi, A. P. Okui, M. E. H. Helinski and J. K. Tibenderana

    Citation: BMC Health Services Research 2018 18:470

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  39. Content type: Research article

    Healthcare-associated infections are a major global public health agenda. Health care workers are front line of protecting themselves and clients from infection. This study examined the knowledge and practice ...

    Authors: Melaku Desta, Temesgen Ayenew, Nega Sitotaw, Nibretie Tegegne, Muluken Dires and Mulualem Getie

    Citation: BMC Health Services Research 2018 18:465

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  40. Content type: Research Article

    Employing malaria operational research (MOR) findings in planning national malaria control programmes is gaining increased attention. The malaria control foci are diverse, resources are limited; therefore, agr...

    Authors: Olufemi Ajumobi, Perpetua Uhomoibhi, Pamela Onyiah, Obafemi Babalola, Salami Sharafadeen, Maduka D. Ughasoro, Al-Mukhtar Y. Adamu, Oluwaseun Odeyinka, Taiwo Orimogunje, Ibrahim Maikore, Emmanuel Shekarau, Akintayo Ogunwale, Rotimi Afolabi, Sylvester Udeh, Akpuh Ndubuisi, Ntiense Umoette…

    Citation: BMC Health Services Research 2018 18:459

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  41. Content type: Research article

    Many hospitals in China experience large volumes of emergency department (ED) radiology patients, thereby lengthening the wait times for non-emergency radiology patients. We examine whether an emergency reserv...

    Authors: Li Luo, Yumeng Zhang, Fang Qing, Hongwei Ding, Yingkang Shi and Huili Guo

    Citation: BMC Health Services Research 2018 18:452

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  42. Content type: Research article

    HIV-related stigma among people living with HIV/AIDS (PLWHA) has been associated with many negative consequences, including poor adherence to therapy and undue psychological stress. However, the relative influ...

    Authors: Zhen Li, Jamie P. Morano, Kaveh Khoshnood, Evelyn Hsieh and Yu Sheng

    Citation: BMC Health Services Research 2018 18:453

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  45. Content type: Study protocol

    Postpartum family planning (PPFP) information and services can prevent maternal and child morbidity and mortality in low-resource countries, where high unmet need for PPFP remains despite opportunities offered...

    Authors: Nguyen Toan Tran, Mary Eluned Gaffield, Armando Seuc, Sihem Landoulsi, Wambi Maurice E. Yamaego, Asa Cuzin-Kihl, Seni Kouanda, Blandine Thieba, Désiré Mashinda, Rachel Yodi, James Kiarie and Suzanne Reier

    Citation: BMC Health Services Research 2018 18:439

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  46. Content type: Research article

    Poor communication of medicines information to patients may cause medication errors. We assessed the completeness and readability of dosing instructions provided by pharmacists on dispensing labels and knowled...

    Authors: M. G. C. A. Manchanayake, G. R. W. S. K. Bandara and N. R. Samaranayake

    Citation: BMC Health Services Research 2018 18:425

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  47. Content type: Research article

    There is a paucity of data on the pattern of oral and maxillofacial surgeries done in Nigeria. Despite the rising prominence of oral and maxillofacial surgery as a specialty in our immediate environment, no pu...

    Authors: Adebayo Aremu Ibikunle, Abdurrazaq Olanrewaju Taiwo and Ramat Oyebunmi Braimah

    Citation: BMC Health Services Research 2018 18:416

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  48. Content type: Research article

    While focused antenatal care (ANC) has served as an entry point in the continuum of care for both mothers and children, fewer than a third of pregnant women in the most remote and poorest communities of Zambia...

    Authors: Choolwe Jacobs, Charles Michelo and Mosa Moshabela

    Citation: BMC Health Services Research 2018 18:409

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  49. Content type: Research article

    The African Health Professions Regulatory Collaborative (ARC) was launched in 2011 to support countries in East, Central, and Southern Africa to safely and sustainably expand HIV service delivery by nurses and...

    Authors: Jessica M. Gross, Carey F. McCarthy, Andre R. Verani, Jill Iliffe, Maureen A. Kelley, Kenneth W. Hepburn, Melinda K. Higgins, Alphonce T. Kalula, Agnes N. Waudo and Patricia L. Riley

    Citation: BMC Health Services Research 2018 18:406

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  50. Content type: Research article

    Unmet need for contraception results in several health challenges such as unintended pregnancies, unwanted births and unsafe abortions. Most interventions have been unable to successfully address this unmet ne...

    Authors: Adam Silumbwe, Theresa Nkole, Margarate Nzala Munakampe, Cecilia Milford, Joanna Paula Cordero, Yolandie Kriel, Joseph Mumba Zulu and Petrus S. Steyn

    Citation: BMC Health Services Research 2018 18:390

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