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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 21

  1. According to the World Health Organization, an estimated 80% or more deaths in Pacific island countries, including Fiji, were related to non-communicable diseases (NCDs). Although competency-based approaches h...

    Authors: M. Ishikawa, M. Nomura, M. Miyoshi, N. Nishi, T. Yokoyama and H. Miura

    Citation: BMC Health Services Research 2019 19:838

    Content type: Research article

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  2. Cervical cancer is a major cause of morbidity and mortality among women yet access to treatment and care remains a huge challenge in Zimbabwe. The objective of this study was to investigate health system const...

    Authors: O. Tapera, G. Dreyer, W. Kadzatsa, A. M. Nyakabau, B. Stray-Pedersen and Hendricks SJH

    Citation: BMC Health Services Research 2019 19:829

    Content type: Research article

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  3. This study evaluated the Health Works (HWs) nutritional counselling skills and information shared with caregivers. This was a cross-sectional study in which an observation checklist was used to examine Growth ...

    Authors: Christiana Nsiah-Asamoah, Kingsley Kwadwo Asare Pereko and Freda Dzifa Intiful

    Citation: BMC Health Services Research 2019 19:817

    Content type: Research article

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  4. Even though maternal mortality during the time of delivery can be prevented with proper medical care in the health facilities with skilled healthcare professionals, unexpectedly death is still high and is a pe...

    Authors: Araya Mesfin Nigatu and Kassahun Alemu Gelaye

    Citation: BMC Health Services Research 2019 19:810

    Content type: Research article

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  5. Fetal Alcohol Spectrum Disorder (FASD) is a public health problem globally, with South Africa having the highest recorded prevalence of all countries. Government programmes to prevent and manage FASD remain li...

    Authors: Babatope O. Adebiyi, Ferdinand C. Mukumbang and Anna-Marie Beytell

    Citation: BMC Health Services Research 2019 19:809

    Content type: Research article

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  6. Requesting blood prior to a surgical procedure for perioperative transfusion is a common practice in surgical patients. More unit of blood is requested than used by anticipating the patient will be transfused ...

    Authors: Kibruyisfaw Zewdie, Abraham Genetu, Yeabsera Mekonnen, Tewodros Worku, Abat Sahlu and Dereje Gulilalt

    Citation: BMC Health Services Research 2019 19:804

    Content type: Research article

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  7. A recent study demonstrated the effectiveness of the New Hampshire Colorectal Cancer Screening Program’s (NHCRCSP) patient navigation (PN) program. The PN intervention was delivered by telephone with navigator...

    Authors: Amy DeGroff, Lindsay Gressard, Rebecca Glover-Kudon, Ketra Rice, Felicia Solomon Tharpe, Cam Escoffery, Joanne Gersten and Lynn Butterly

    Citation: BMC Health Services Research 2019 19:803

    Content type: Research article

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  8. While there are indications of declining HIV infection rates in the general population globally, Tanzania included, men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID),...

    Authors: Elia John Mmbaga, Germana Henry Leyna, Melkizedeck Thomas Leshabari, Britt Tersbøl, Theis Lange, Neema Makyao, Kåre Moen and Dan Wolf Meyrowitsch

    Citation: BMC Health Services Research 2019 19:801

    Content type: Study protocol

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  9. Female Sex workers (FSW) and their clients accounted for 18% of the new HIV infections in 2015/2016. Special community-based HIV testing service delivery models (static facilities, outreaches, and peer to peer...

    Authors: Gerald Pande, Lilian Bulage, Steven Kabwama, Fred Nsubuga, Peter Kyambadde, Shaban Mugerwa, Joshua Musinguzi and Alex Riolexus Ario

    Citation: BMC Health Services Research 2019 19:799

    Content type: Research article

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  10. Hepatitis B virus (HBV) infection is a global public health problem. The burden of the disease is high in low and middle income countries like Ethiopia. However, for highly vulnerable groups such as health pro...

    Authors: Siwule Abiye, Mezgebu Yitayal, Giziew Abere and Asefa Adimasu

    Citation: BMC Health Services Research 2019 19:796

    Content type: Research article

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  11. In China, a long waiting time for registration is a common occurrence in many tertiary hospitals. This study aimed to analyze the effects of a comprehensive reservation service for non-emergency registration o...

    Authors: Wanhua Xie, Xiufeng Yang, Xiaojun Cao and Peiying Liu

    Citation: BMC Health Services Research 2019 19:782

    Content type: Research article

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  12. The number of people living with diabetes mellitus (DM) in Indonesia has continued to increase over the last 6 years. Four previous studies in U.S have found that higher DD scores were associated with worse ps...

    Authors: Bustanul Arifin, Antoinette D. I. van Asselt, Didik Setiawan, Jarir Atthobari, Maarten J. Postma and Qi Cao

    Citation: BMC Health Services Research 2019 19:773

    Content type: Research article

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  13. Public engagement in health technology assessment (HTA) is increasing worldwide. There are several forms of public engagement and it is not always possible to determine which stakeholders participate in the HT...

    Authors: Viviane Karoline da Silva Carvalho, Maria Sharmila Alina de Sousa, Jorge Otávio Maia Barreto and Everton Nunes da Silva

    Citation: BMC Health Services Research 2019 19:762

    Content type: Research article

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  14. With most countries in sub-Saharan Africa (SSA) lagging behind schedule to implement a comprehensive viral hepatitis elimination strategy, several barriers to accurate information and hepatitis B virus (HBV) s...

    Authors: Joan Nankya-Mutyoba, Jim Aizire, Fredrick Makumbi, Ponsiano Ocama and Gregory D. Kirk

    Citation: BMC Health Services Research 2019 19:760

    Content type: Research article

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  15. Village Health and Nutrition Days (VHNDs) are a cornerstone of the Government of India’s strategy to provide first-contact primary health care to rural areas. Recent government programmes such as the Janani Su...

    Authors: Mira Johri, Louis Rodgers, Dinesh Chandra, Cybil Abou-Rizk, Eleanor Nash and Alok K. Mathur

    Citation: BMC Health Services Research 2019 19:756

    Content type: Research article

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  16. Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunizatio...

    Authors: Stacy W. Nganga, Nancy A. Otieno, Maxwell Adero, Dominic Ouma, Sandra S. Chaves, Jennifer R. Verani, Marc-Alain Widdowson, Andrew Wilson, Irina Bergenfeld, Courtni Andrews, Vincent L. Fenimore, Ines Gonzalez-Casanova, Paula M. Frew, Saad B. Omer and Fauzia A. Malik

    Citation: BMC Health Services Research 2019 19:747

    Content type: Research article

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  17. Globally, female sex workers (FSWs) are considered a key population group due to the high HIV prevalence. Studies show that there are various factors in some contexts that render FSWs marginalised, which limit...

    Authors: Nosipho Faith Makhakhe, Anna Meyer-Weitz, Helen Struthers and James McIntyre

    Citation: BMC Health Services Research 2019 19:746

    Content type: Research article

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  18. In recent years, several large studies have assessed the costs of national infant immunization programs, and the results of these studies are used to support planning and budgeting in low- and middle-income co...

    Authors: Cristina Munk, Allison Portnoy, Christian Suharlim, Emma Clarke-Deelder, Logan Brenzel, Stephen C. Resch and Nicolas A. Menzies

    Citation: BMC Health Services Research 2019 19:741

    Content type: Research article

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  19. With about 50 million people infected with hepatitis B (HBV) in India the burden of disease is high. Stigma has been identified to have a major negative impact on screening, diagnosis and treatment of hepatiti...

    Authors: F. C. van der Scheun, M. C. M. Nagelkerke, A. Kilaru, V. Shridhar, R. Prasad and T. S. van der Werf

    Citation: BMC Health Services Research 2019 19:736

    Content type: Research article

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  20. Reducing the burden of malaria highly depends on access to prompt and effective malaria diagnosis and treatment. The aim of this study was to identify challenges affecting prompt access to effective uncomplica...

    Authors: Larissa Klootwijk, Anthony Emeritus Chirwa, Alinune Nathanael Kabaghe and Michele van Vugt

    Citation: BMC Health Services Research 2019 19:735

    Content type: Research article

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  21. The last two decades have seen a growing recognition of the need to expand the impact evaluation toolbox from an exclusive focus on randomized controlled trials to including quasi-experimental approaches. This...

    Authors: Manuela De Allegri, Julia Lohmann, Aurélia Souares, Michael Hillebrecht, Saidou Hamadou, Hervé Hien, Ousmane Haidara and Paul Jacob Robyn

    Citation: BMC Health Services Research 2019 19:733

    Content type: Study protocol

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  22. Ghana’s National Health Insurance Scheme (NHIS) piloted capitation payment for primary care services in the Ashanti region from 2012 to 2017. Capitation was piloted as a means of cost containment but also to i...

    Authors: Shafiq Siita, Sharon E. Cox and Kara Hanson

    Citation: BMC Health Services Research 2019 19:732

    Content type: Research article

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  23. South Africa has a high burden of perinatal deaths in spite of the availability of evidence-based interventions. The majority of preventable perinatal deaths occur in district hospitals and are mainly related ...

    Authors: Ntombifikile Maureen Nkwanyana and Anna Silvia Voce

    Citation: BMC Health Services Research 2019 19:731

    Content type: Research article

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  24. Maternal and child morbidity and mortality remains one of the most important public health challenges in developing countries. In rural settings, the promotion of household and community health practices throu...

    Authors: Abebe Mamo, Sudhakar Morankar, Shifera Asfaw, Nicole Bergen, Manisha A. Kulkarni, Lakew Abebe, Ronald Labonté, Zewdie Birhanu and Muluemebet Abera

    Citation: BMC Health Services Research 2019 19:724

    Content type: Research article

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  25. Despite improvements in recent years, Ethiopia faces a high burden of maternal morbidity and mortality. Antenatal care (ANC) may reduce maternal morbidity and mortality through the detection of pregnancy-relat...

    Authors: Nicole Bergen, Alzahra Hudani, Shifera Asfaw, Abebe Mamo, Getachew Kiros, Jaameeta Kurji, Sudhakar Morankar, Lakew Abebe, Manisha A. Kulkarni and Ronald Labonté

    Citation: BMC Health Services Research 2019 19:719

    Content type: Research article

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  26. Delayed diagnosis of Oral Cancer (OC) can mean a difference in quality and expectancy of life for the patient. This delay could be from the healthcare side, or more importantly from the patient’s side. Globall...

    Authors: Sarah Basharat, Babar Tasneem Shaikh, Haroon Ur Rashid and Mamoon Rashid

    Citation: BMC Health Services Research 2019 19:715

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2019 19:835

  27. HIV/AIDS in resource-limited settings poses a high risk of occupational exposure to healthcare workers due to higher number of HIV infected patients. Hence, antiretroviral based post-exposure prophylaxis (PEP)...

    Authors: Betelhem Anteneh, Sewunet Admasu Belachew, Alem Endeshaw, Zewdu Birhanu Wubneh and Barun Ranjan Sarkar

    Citation: BMC Health Services Research 2019 19:713

    Content type: Research article

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  28. Numerous studies have examined the role of community health workers (CHWs) in improving the delivery of health services and accelerating progress towards national and international development goals. A limited...

    Authors: Mohamed Yunus Rafiq, Hannah Wheatley, Hildegalda P. Mushi and Colin Baynes

    Citation: BMC Health Services Research 2019 19:712

    Content type: Research article

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  29. Community dialogues have been widely used as a method for community engagement and participation to cover a broad range of areas. However, there has been limited documentation and evaluation of the process, pa...

    Authors: Tamaryn L. Crankshaw, Yolandie Kriel, Cecilia Milford, Joanna Paula Cordero, Nzwakie Mosery, Petrus S. Steyn and Jennifer Smit

    Citation: BMC Health Services Research 2019 19:710

    Content type: Research article

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  30. Despite the increasing burden of diabetes in Uganda, little is known about the quality of type 2 diabetes mellitus (T2DM) care especially in rural areas. Poor quality of care is a serious limitation to the con...

    Authors: Catherine Birabwa, Mulekya F. Bwambale, Peter Waiswa and Roy W. Mayega

    Citation: BMC Health Services Research 2019 19:706

    Content type: Research article

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  31. Dengue is an emerging vector disease with frequent outbreaks in Nepal that pose a major threat to public health. Dengue control activities are mostly outbreak driven, and still lack systematic interventions wh...

    Authors: Ashmin Hari Bhattarai, Guardian Yoki Sanjaya, Anil Khadka, Randeep Kumar and Riris Andono Ahmad

    Citation: BMC Health Services Research 2019 19:699

    Content type: Research article

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  32. Hypertension, itself a cardiovascular condition, is a significant risk factor for other cardiovascular diseases. Hypertension is recognized as a major public health challenge in Ghana. Beginning in 2014, a col...

    Authors: Amos K. Laar, Alma J. Adler, Agnes M. Kotoh, Helena Legido-Quigley, Isabelle L. Lange, Pablo Perel and Peter Lamptey

    Citation: BMC Health Services Research 2019 19:693

    Content type: Research article

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  33. The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients...

    Authors: Siriwan Choojaturo, Siriorn Sindhu, Ketsarin Utriyaprasit and Chukiat Viwatwongkasem

    Citation: BMC Health Services Research 2019 19:688

    Content type: Research article

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  34. Schistosomiasis is endemic in the uMkhanyakude district of KwaZulu-Natal, South Africa. The South Africa Department of Health (DoH) has decided to implement a schistosomiasis preventive mass drug administratio...

    Authors: Mhlengi Vella Ncube and Moses John Chimbari

    Citation: BMC Health Services Research 2019 19:685

    Content type: Research article

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  35. This study aimed to assess the quality of antenatal care (ANC) women received in Migori county, Kenya—including both service provision and experience dimensions—and to examine factors associated with each dime...

    Authors: Patience A. Afulani, Laura Buback, Francisca Essandoh, Joyceline Kinyua, Leah Kirumbi and Craig R. Cohen

    Citation: BMC Health Services Research 2019 19:684

    Content type: Research article

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  36. This study aimed to investigate the relationship between complementary health insurance and frequency of dental visits.

    Authors: Morteza Rostam Beigi, Ahmad Reza Shamshiri, Mohsen Asadi- Lari, Hossein Hessari and Ahmad Jafari

    Citation: BMC Health Services Research 2019 19:678

    Content type: Research article

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  37. The psychological and professional impact of adverse events on doctors and nurses is well-established, but limited data has emerged from low- and middle-income. This article reports the experiences of being in...

    Authors: Reema Harrison, Anurag Sharma, Merrilyn Walton, Esmond Esguerra, Seinyenede Onobrakpor, Bui Trung Nghia and Nguyen Duc Chinh

    Citation: BMC Health Services Research 2019 19:677

    Content type: Research article

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  38. The Ghana Community-based Health Planning and Services (CHPS) initiative is a national strategy for improving access to primary health care services for underserved communities. Following a successful trial in...

    Authors: Mawuli K. Kushitor, Adriana A. Biney, Kalifa Wright, James F Phillips, John Koku Awoonor-Williams and Ayaga A. Bawah

    Citation: BMC Health Services Research 2019 19:675

    Content type: Research article

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  39. Measuring patient satisfaction has become an important parameter of the continuous quality assessment and improvement in anaesthesia services. The aim of this study was to assess the level of patient satisfact...

    Authors: Yonatan Mehari Andemeskel, Traudl Elsholz, Ghidey Gebreyohannes and Eyasu H. Tesfamariam

    Citation: BMC Health Services Research 2019 19:669

    Content type: Research article

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  40. A high proportion of African women utilize family planning (FP) services. Accordingly, incorporating HIV testing into FP services may strategically target the first WHO 90–90-90 goal of 90% of people living wi...

    Authors: McKenna C. Eastment, George Wanje, Barbra A. Richardson, Faiza Nassir, Emily Mwaringa, Ruanne V. Barnabas, Kenneth Sherr, Kishorchandra Mandaliya, Walter Jaoko and R. Scott McClelland

    Citation: BMC Health Services Research 2019 19:665

    Content type: Research article

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  41. Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessme...

    Authors: Linda Arogundade, Titilola Akinwumi, Shola Molemodile, Ebubechi Nwaononiwu, Joshua Ezika, Inuwa Yau and Chizoba Wonodi

    Citation: BMC Health Services Research 2019 19:664

    Content type: Research article

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  42. Various attempts to examine health financing mechanisms in Nigeria highlight the fact that there is no single mechanism that fits all contexts and people. This paper sets out findings of an in-depth assessment...

    Authors: Obinna Onwujekwe, Nkoli Ezumah, Chinyere Mbachu, Felix Obi, Hyacinth Ichoku, Benjamin Uzochukwu and Hong Wang

    Citation: BMC Health Services Research 2019 19:661

    Content type: Research article

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  43. Healthcare worker absenteeism is common in resource limited settings and contributes to poor quality of care in maternal and child health service delivery. There is a dearth of qualitative information on the s...

    Authors: Katherine Tumlinson, Margaret W. Gichane, Siân L. Curtis and Katherine LeMasters

    Citation: BMC Health Services Research 2019 19:660

    Content type: Research article

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  44. In 2009, the prevention service “Familieambulatoriet” (FA) was established in three pilot hospital areas offering psychosocial support and health monitoring to parents in high risk regarding mental health and ...

    Authors: Tormod Rimehaug, Karianne Framstad Holden, Stian Lydersen and Marit Sæbø Indredavik

    Citation: BMC Health Services Research 2019 19:658

    Content type: Research article

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  45. In Thailand, two community-based drug treatment approaches are common. The first one is the traditional community-based treatment program (FAST) which brings the principles of community therapy as a guideline ...

    Authors: Niramon Kaewkham, Thawatchai Leelahanaj, Jatsada Yingwiwattanapong and Wanida Rattanasumawong

    Citation: BMC Health Services Research 2019 19:656

    Content type: Research article

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  46. Obstetric guidelines are useful to improve the quality of care. Availability of international guidelines has rapidly increased, however the contextualization to enhance feasibility of implementation in health ...

    Authors: Kim J. C. Verschueren, Lachmi R. Kodan, Tom K. Brinkman, Raez R. Paidin, Sheran S. Henar, Humphrey H. H. Kanhai, Joyce L. Browne, Marcus J. Rijken and Kitty W. M. Bloemenkamp

    Citation: BMC Health Services Research 2019 19:651

    Content type: Research article

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