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Health systems and services in low and middle income settings

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. Migration to India is a common livelihood strategy for poor people in remote Western Nepal. To date, little research has explored the degree and nature of healthcare access among Nepali migrant workers in Indi...

    Authors: Pratik Adhikary, Nirmal Aryal, Raja Ram Dhungana, Radheshyam Krishna KC, Pramod R. Regmi, Kolitha Prabhash Wickramage, Patrick Duigan, Montira Inkochasan, Guna Nidhi Sharma, Bikash Devkota, Edwin van Teijlingen and Padam Simkhada

    Citation: BMC Health Services Research 2020 20:992

    Content type: Research article

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  2. Trauma and injury contribute to 11% of the all-cause mortality in Afghanistan. The study aimed to explore the perceptions of the healthcare providers (pre and in-hospital), hospital managers and policy makers ...

    Authors: Umerdad Khudadad, Wafa Aftab, Asrar Ali, Nadeem Ullah Khan, Junaid Razzak and Sameen Siddiqi

    Citation: BMC Health Services Research 2020 20:991

    Content type: Research article

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  3. Severe mental disorders, a leading cause of disability has become a major public health problem. In order to promote mental health, a series of programs have been promulgated by the Chinese government. However...

    Authors: Rubee Dev, Jinghua Li, Donglan Zhang, Yiyuan Cai, Chun Hao, Fengsu Hou, Ruixin Wang, Meijuan Lin and Dong (Roman) Xu

    Citation: BMC Health Services Research 2020 20:989

    Content type: Study protocol

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  4. Retinal diseases are very difficult to treat. So, early diagnoses and preventions are very important. But, few eye doctors can treat patients with retinal diseases in Nepal. Retina Eye Care of Nepal (RECON) pr...

    Authors: Arjun Shrestha, Chunu Shrestha, Pratap Karki, Hara Maya Gurung and Takeshi Naito

    Citation: BMC Health Services Research 2020 20:986

    Content type: Research article

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  5. Providing equal treatment for those who have the same need for healthcare, regardless of their socioeconomic and cultural background, has become a shared goal among policymakers who strive to improve healthcar...

    Authors: Yi Wang, Zhengyue Jing, Lulu Ding, Xue Tang, Yuejing Feng, Jie Li, Zhuo Chen and Chengchao Zhou

    Citation: BMC Health Services Research 2020 20:984

    Content type: Research article

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  6. Over the past decade, an increasing number of low- and middle-income countries have reduced or removed user fees for pregnant women and/or children under five as a strategy to achieve universal health coverage...

    Authors: Veronique Plouffe, Frank Bicaba, Abel Bicaba and Thomas Druetz

    Citation: BMC Health Services Research 2020 20:982

    Content type: Research article

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  7. The World Health Organization (WHO) recommends oxytocin as the drug of choice for postpartum hemorrhage (PPH) prevention. However, the WHO has also recently considered carbetocin for PPH prevention, but only i...

    Authors: Jamaica Roanne Briones, Pattarawalai Talungchit, Montarat Thavorncharoensap and Usa Chaikledkaew

    Citation: BMC Health Services Research 2020 20:975

    Content type: Research article

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  8. More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in ...

    Authors: Isaac Gikandi Mungai, Sumit Singh Baghel, Shuchi Soni, Shailja Vagela, Megha Sharma, Vishal Diwan, Ashok J. Tamhankar, Cecilia Stålsby Lundborg and Ashish Pathak

    Citation: BMC Health Services Research 2020 20:966

    Content type: Research article

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  9. High burnout has been reported in physician populations. Although the standardized residency training (SRT) in China includes components that might put residents at a higher risk for burnout, the burnout of Ch...

    Authors: Lei Huang, Jennifer Harsh Caspari, Xiaoting Sun, Jessica Thai, Yaxi Li, Fa-zhan Chen and Xu-dong Zhao

    Citation: BMC Health Services Research 2020 20:965

    Content type: Research article

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  10. Climatic conditions and seasonal trends can affect population health, but typically, we consider the effect of climate on the epidemiology of communicable diseases. However, climate can also have an effect on ...

    Authors: Briana Stone, Júlia Sambo, Talata Sawadogo-Lewis and Timothy Roberton

    Citation: BMC Health Services Research 2020 20:950

    Content type: Research article

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  11. Asian countries are making efforts to apply the partnership model in doctor-patient communication that has been used effectively in Western countries. However, notable differences between Western and Asian cul...

    Authors: Trung Quang Tran, A. J. J. A. Scherpbier, Jan van Dalen, Dung Do Van and Elaine Pamela Wright

    Citation: BMC Health Services Research 2020 20:946

    Content type: Research article

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  12. Finding new strategies for care integration has become a policy priority for many fragmented health systems in Latin America. Although the implementation of interventions through a participatory action researc...

    Authors: Ingrid Vargas, Pamela Eguiguren, Amparo-Susana Mogollón-Pérez, Isabella Samico, Fernando Bertolotto, Julieta López-Vázquez and María-Luisa Vázquez

    Citation: BMC Health Services Research 2020 20:941

    Content type: Research article

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  13. Ethiopia has highly diversified population with notable socioeconomic and cultural differences. Regardless of the differences, short course directly observed treatment,where patients should take drugs under di...

    Authors: Abebe Megerso, Negussie Deyessa, Godana Jarso and Alemayehu Worku

    Citation: BMC Health Services Research 2020 20:933

    Content type: Research article

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  14. Heart diseases are increasingly identified as an important indirect cause of maternal mortality in several cities in Indonesia. The management of pregnancy with heart diseases requires a multidisciplinary appr...

    Authors: Suryani Yuliyanti, Adi Utarini and Laksono Trisnantoro

    Citation: BMC Health Services Research 2020 20:932

    Content type: Study protocol

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  15. Hypertensive disorders in pregnancy are the second most common cause of maternal mortality in the Democratic Republic of Congo (DRC), accounting for 23% of maternal deaths. This study aimed to assess facility ...

    Authors: Dalau Mukadi Nkamba, Roland Vangu, Moyene Elongi, Laura A. Magee, Gilbert Wembodinga, Pierre Bernard, John Ditekemena and Annie Robert

    Citation: BMC Health Services Research 2020 20:926

    Content type: Research article

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  16. There are a number of factors that may contribute to high mortality and morbidity of women and newborns in low-income countries. These include a shortage of competent health care providers (HCP) and a lack of ...

    Authors: Anaclet Ngabonzima, Cynthia Kenyon, Celestin Hategeka, Aimee Josephine Utuza, Paulin Ruhato Banguti, Isaac Luginaah and David F Cechetto

    Citation: BMC Health Services Research 2020 20:924

    Content type: Research article

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  17. Novel Coronavirus is a global pandemic affecting all walks of life and it significantly changed the health system practices. Pharmacists are at the front line and have long been involved in combating this publ...

    Authors: Gebremicheal Gebreslassie Kasahun, Gebremichael Mulu Kahsay, Amha Teklu Asayehegn, Gebre Teklemariam Demoz, Desilu Mahari Desta and Gebremedhin Beedemariam Gebretekle

    Citation: BMC Health Services Research 2020 20:913

    Content type: Research article

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  18. Pathologists face major challenges in breast cancer diagnostics in sub-Saharan Africa (SSA). The major problems identified as impairing the quality of pathology reports are shortcomings of equipment, organizat...

    Authors: Hannes-Viktor Ziegenhorn, Kirstin Grosse Frie, Ima-Obong Ekanem, Godwin Ebughe, Bakarou Kamate, Cheick Traore, Charles Dzamalala, Olufemi Ogunbiyi, Festus Igbinoba, Biying Liu, Marcus Bauer, Christoph Thomssen, Donald Maxwell Parkin, Claudia Wickenhauser and Eva Johanna Kantelhardt

    Citation: BMC Health Services Research 2020 20:912

    Content type: Research article

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  19. The world aims to achieve universal health coverage by removing all forms of financial barriers to improve access to healthcare as well as reduce maternal and child deaths by 2030. Although free maternal healt...

    Authors: Monica Ansu-Mensah, Frederick I. Danquah, Vitalis Bawontuo, Peter Ansu-Mensah and Desmond Kuupiel

    Citation: BMC Health Services Research 2020 20:911

    Content type: Research article

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  20. Health tourism or treatment tourism is one of threatening fields that causes (added s) increase in prevalence of job stress and illnesses among hospital staff of providing health tourism services (HSPHT). The ...

    Authors: Farhad Hemmati, Fatemeh Dabbaghi and Ghahraman Mahmoudi

    Citation: BMC Health Services Research 2020 20:906

    Content type: Research article

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  21. In Nigeria, there is an estimated 1.9 million people living with HIV (PLHIV), 53% of whom utilize HIV care and services. With decreasing HIV-related deaths and increasing new infections, HIV with its associate...

    Authors: Echezona E. Ezeanolue, Theddeus Iheanacho, Isaac A. Adedeji, Ijeoma Uchenna Itanyi, Babayemi Olakunde, Dina Patel, Patrick Dakum, Prosper Okonkwo, Timothy Akinmurele, Michael Obiefune, Hadiza Khamofu, Bolanle Oyeledun, Muyiwa Aina, Andy Eyo, Obinna Oleribe, John Oko…

    Citation: BMC Health Services Research 2020 20:904

    Content type: Research article

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  22. Maternal and Child Health is a global priority. Access and utilization of facility-based health services remain a challenge in low and middle-income countries. Evidence on barriers to providing and accessing s...

    Authors: Enyi Etiaba, Ana Manzano, Uju Agbawodikeizu, Udochukwu Ogu, Bassey Ebenso, Benjamin Uzochukwu, Obinna Onwujekwe, Nkoli Ezumah and Tolib Mirzoev

    Citation: BMC Health Services Research 2020 20:903

    Content type: Research article

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  23. Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal m...

    Authors: Ali Ssetaala, Joan Nabawanuka, Gideon Matovu, Nusula Nakiragga, Judith Namugga, Phiona Nalubega, Henry Lutalo Kaluuma, Kundai Chinyenze, Katrina Perehudoff, Kristien Michielsen, Bernard Bagaya, Matt Price, Noah Kiwanuka and Olivier Degomme

    Citation: BMC Health Services Research 2020 20:901

    Content type: Research article

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  24. Despite important progress, the burden of under-5 mortality remains unacceptably high, with an estimated 5.3 million deaths in 2018. Lack of access to health care is a major risk factor for under-5 mortality, ...

    Authors: John P. Quattrochi, Kenneth Hill, Joshua A. Salomon and Marcia C. Castro

    Citation: BMC Health Services Research 2020 20:899

    Content type: Research article

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  25. The absence of Respectful Maternity Care (RMC) deters mothers from seeking maternity care services. Given the importance of RMC and the lack of a standard tool for its assessment in Iran, the present study was...

    Authors: Khadije Hajizadeh, Mohammad Asghari Jafarabadi, Maryam Vaezi, Shahla Meedya, Sakineh Mohammad-Alizadeh-Charandabi and Mojgan Mirghafourvand

    Citation: BMC Health Services Research 2020 20:894

    Content type: Research article

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  26. Ukraine has a high burden of drug-resistant tuberculosis (DR-TB). Mental health problems, including alcohol use disorder, are common co-morbidities. One in five DR-TB patients has human immunodeficiency virus ...

    Authors: Tinne Gils, Chinmay Laxmeshwar, Marve Duka, Khachatur Malakyan, Olga Valentinovna Siomak, Vitaly Stephanovich Didik, Natalia Lytvynenko, Yana Terleeva, Dmytri Donchuk and Petros Isaakidis

    Citation: BMC Health Services Research 2020 20:890

    Content type: Research article

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  27. The Nigerian government introduced and implemented a health programme to improve maternal and child health (MCH) called Subsidy Reinvestment and Empowerment programme for MCH (SURE-P/MCH). It ran from 2012 and...

    Authors: Benjamin Uzochukwu, Chioma Onyedinma, Chinyere Okeke, Obinna Onwujekwe, Ana Manzano, Bassey Ebenso, Enyi Etiaba, Nkoli Ezuma and Tolib Mirzoev

    Citation: BMC Health Services Research 2020 20:884

    Content type: Research article

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  28. South Africa faces a chronic shortage of professional health workers. Accordingly, community health workers (CHWs) are being employed to mitigate the ongoing health workforce deficiencies. As increased access ...

    Authors: Gladys Kigozi, Christo Heunis and Michelle Engelbrecht

    Citation: BMC Health Services Research 2020 20:882

    Content type: Research article

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  29. Low back pain (LBP) is a major contributor to chronic pain and disability. The purpose of this study was to evaluate health-care access and utilization among patients with LBP in Iran. We also sought to study ...

    Authors: Seyedeh Tahereh Faezi, Azarakhsh Baghdadi, Mohammad Nejadhosseinian, Maziar Moradi-Lakeh, Mir Saeed Yekaninejad, Kourosh Holakoui, Nasrin Moghimi, Mahnaz Sandoughi, Ali Dehghan, Arash Tehrani Banihashemi, Maryam Ghadimi and Fereydoun Davatchi

    Citation: BMC Health Services Research 2020 20:879

    Content type: Research article

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  30. Globally, Millions of people cannot use health services because of the fear of payment for the service at the time of service delivery. From the agenda of transformation and the current situation of urbanizati...

    Authors: Alem Deksisa, Meyrema Abdo, Ebrahim Mohamed, Daniel Tolesa, Sileshi Garoma, Abate Zewdie, Melese Lami, Dinka Irena, Dereje Abdena and Hunde Lemi

    Citation: BMC Health Services Research 2020 20:864

    Content type: Research article

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  31. Investing in human resources for health (HRH) is vital for achieving universal health care and the Sustainable Development Goals. The Programa Mais Médicos (PMM) (More Doctors Programme) provided 17,000 doctors, ...

    Authors: Thomas Hone, Timothy Powell-Jackson, Leonor Maria Pacheco Santos, Ricardo de Sousa Soares, Felipe Proenço de Oliveira, Mauro Niskier Sanchez, Matthew Harris, Felipe de Oliveira de Souza Santos and Christopher Millett

    Citation: BMC Health Services Research 2020 20:873

    Content type: Research article

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  32. According to the new hypertension treatment guidelines blood pressure (BP) readings need to be kept below or equal to 130/80 mmHg in patients aged less than 65 years old. This study shows the change in proport...

    Authors: Naphassanan Charoensab, Kanokporn Pinyopornpanish, Phaviga Thangsuk, Wichuda Jiraporncharoen and Chaisiri Angkurawaranon

    Citation: BMC Health Services Research 2020 20:869

    Content type: Research article

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  33. Structural barriers often prevent rural Kenyans from receiving healthcare and diagnostic testing. The Bridging Income Generation through grouP Integrated Care (BIGPIC) Family intervention facilitates microfina...

    Authors: Molly Rosenberg, James Akiruga Amisi, Daria Szkwarko, Dan N. Tran, Becky Genberg, Maya Luetke, Sina Kianersi, Jane Namae, Jeremiah Laktabai and Sonak Pastakia

    Citation: BMC Health Services Research 2020 20:868

    Content type: Research article

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  34. Community health workers (CHWs) are an important cadre of the primary health care (PHC) workforce in many low- and middle-income countries (LMICs). The Philippines was an early adopter of the CHW model for the...

    Authors: Eunice Mallari, Gideon Lasco, Don Jervis Sayman, Arianna Maever L. Amit, Dina Balabanova, Martin McKee, Jhaki Mendoza, Lia Palileo-Villanueva, Alicia Renedo, Maureen Seguin and Benjamin Palafox

    Citation: BMC Health Services Research 2020 20:860

    Content type: Research article

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  35. Planning in health services specifically aims to improve the health status of a given population, guaranteeing access with equity and justice, as well as streamlining the response of the health system to the n...

    Authors: Edson Hilan Gomes de Lucena, Rênnis Oliveira da Silva, Carolina Dantas Rocha Xavier de Lucena, Amalia Issufo Mepatia, Yuri Wanderley Cavalcanti, Paulo Savio Angeiras de Goes and Maria Fátima de Sousa

    Citation: BMC Health Services Research 2020 20:853

    Content type: Research article

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  36. Maternal mortality has remained a challenge in many low-income countries, especially in Africa and in Nigeria in particular. This study examines the geographical and socioeconomic inequalities in maternal heal...

    Authors: Chijioke Okoli, Mohammad Hajizadeh, Mohammad Mafizur Rahman and Rasheda Khanam

    Citation: BMC Health Services Research 2020 20:849

    Content type: Research article

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  37. Professionalism is amongst the major dimensions determining the competence of medical doctors. Poor professionalism affects the overall outcome of healthcare services. This study explores the perspectives of y...

    Authors: Aisha Jalil, Qaisar Khalid Mahmood and Florian Fischer

    Citation: BMC Health Services Research 2020 20:847

    Content type: Research article

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  38. To strengthen the implementation of the Community-based Health Planning and Services (CHPS) programme which is Ghana’s key primary health care delivery strategy, the CHPS+ Project was initiated in 2017. We exa...

    Authors: Margaret Kweku, Hubert Amu, Martin Adjuik, Fortress Yayra Aku, Emmanuel Manu, Elvis Enowbeyang Tarkang, Joyce Komesuor, Geoffrey Adebayor Asalu, Norbert Ndaah Amuna, Laud Ampomah Boateng, Justine Sefakor Alornyo, Roland Glover, Ayaga A. Bawah, Timothy Letsa, John Koku Awoonor-Williams, James F. Phillips…

    Citation: BMC Health Services Research 2020 20:845

    Content type: Research article

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  39. Pharmacy workers in Bangladesh play an important role in managing pregnancy complications by dispensing, counselling and selling drugs to pregnant women and their families. This study examined pharmacy workers...

    Authors: Shongkour Roy, Kanij Sultana, Sharif Mohammed Ismail Hossain, Pooja Sripad and Charlotte E. Warren

    Citation: BMC Health Services Research 2020 20:838

    Content type: Research article

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  40. There is a growing number of adolescents and young adults living with HIV (YPLHIV) who require the transfer of care from pediatric/ adolescent clinics to adult Antiretroviral therapy (ART) clinics. A successfu...

    Authors: Scovia Nalugo Mbalinda, Sabrina Bakeera-Kitaka, Derrick Amooti Lusota, Eleanor Namusoke Magongo, Philippa Musoke and Dan Kabonge Kaye

    Citation: BMC Health Services Research 2020 20:835

    Content type: Research article

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  41. A large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the...

    Authors: Daniela C. Fuhr, Ceren Acarturk, Marit Sijbrandij, Felicity L. Brown, Mark J. D. Jordans, Aniek Woodward, Michael McGrath, Egbert Sondorp, Peter Ventevogel, Zeynep Ikkursun, Rabih El Chammay, Pim Cuijpers and Bayard Roberts

    Citation: BMC Health Services Research 2020 20:801

    Content type: Research article

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  42. Tuberculosis is the world’s deadliest infectious disease and a leading cause of death in Nigeria. The availability of a functional healthcare system is critical for effective TB service delivery and attainment...

    Authors: Mojisola Morenike Oluwasanu, Abiodun Hassan, Ayodeji Matthew Adebayo, Queen Chidinma Ogbuji, Bamidele Olaiya Adeniyi, David Ayobami Adewole, Oladapo Alabi Ladipo, Grace Ada Ajuwon and Ademola Ajuwon

    Citation: BMC Health Services Research 2020 20:792

    Content type: Research article

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  43. Routine health information systems (RHISs) support resource allocation and management decisions at all levels of the health system, as well as strategy development and policy-making in many low- and middle-inc...

    Authors: Yuen W. Hung, Klesta Hoxha, Bridget R. Irwin, Michael R. Law and Karen A. Grépin

    Citation: BMC Health Services Research 2020 20:790

    Content type: Research article

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  44. Cambodia is a Southeast Asian country and has one the highest rates of maternal and child mortality with inadequate use of maternal healthcare services in the region. The present study aimed to analyse the pro...

    Authors: Donghua Zhou, Zhonghe Zhou, Cheng Yang, Lu Ji, Bishwajit Ghose and Shangfeng Tang

    Citation: BMC Health Services Research 2020 20:781

    Content type: Research article

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  45. Family planning (FP) needs among postpartum women in low- and middle-income countries remain largely unmet. Integrating FP with childhood immunisation services could partially reduce this unmet need by creatin...

    Authors: Jessie K. Hamon, Shari Krishnaratne, Jenna Hoyt, Misozi Kambanje, Shannon Pryor and Jayne Webster

    Citation: BMC Health Services Research 2020 20:777

    Content type: Research article

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  46. Global health priority setting increasingly focuses on understanding the functioning of health systems and on how they can be strengthened. Beyond vertical programs, health systems research should examine syst...

    Authors: Abdulrahman Jbaily, Isabelle Feldhaus, Benjamin Bigelow, Leila Kamareddine, Mieraf Taddesse Tolla, Marion Bouvier, Mizan Kiros and Stéphane Verguet

    Citation: BMC Health Services Research 2020 20:776

    Content type: Research article

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  47. Emerging countries continue to suffer gravely from insufficient healthcare funding, which adversely affects access to quality healthcare and ultimately the health status of citizens. By using panel data from t...

    Authors: Lulin Zhou, Sabina Ampon-Wireko, Henry Asante Antwi, Xinglong Xu, Muhammad Salman, Maxwell Opuni Antwi and Tordzro Mary Norvienyo Afua

    Citation: BMC Health Services Research 2020 20:774

    Content type: Research article

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  48. Provision of timely care to critically ill children is essential for good outcome. Referral from smaller peripheral hospitals to higher centers for intensive care is common. However, lack of an organized refer...

    Authors: Gopalakrishnan Ezhumalai, Muralidharan Jayashree, Karthi Nallasamy, Arun Bansal and Bhavneet Bharti

    Citation: BMC Health Services Research 2020 20:761

    Content type: Research article

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