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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 17

  1. Content type: Research article

    Substantial progress has been made in reducing child mortality over the last decades, however the magnitude of the problem is yet high globally Appropriate health care-seeking behavior of mothers/guardians for...

    Authors: Muluye Molla Simieneh, Mezgebu Yitayal Mengistu, Abebaw Addis Gelagay and Mulugeta Tesfa Gebeyehu

    Citation: BMC Health Services Research 2019 19:59

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  2. Content type: Research article

    Progress in health service quality is vital to reach the target of Universal Health Coverage. However, in order to improve quality, it must be measured, and the assessment results must be actionable. We analyz...

    Authors: Sabine Renggli, Iddy Mayumana, Dominick Mboya, Christopher Charles, Christopher Mshana, Flora Kessy, Tracy R. Glass, Constanze Pfeiffer, Alexander Schulze, Ann Aerts and Christian Lengeler

    Citation: BMC Health Services Research 2019 19:55

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  3. Content type: Research article

    Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. Nevertheless, we know little concerning hypertension self-care practice in Ethiopia. The pur...

    Authors: Sewunet Ademe, Fekadu Aga and Debela Gela

    Citation: BMC Health Services Research 2019 19:51

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  4. Content type: Research article

    Nursing care plays a prominent role in determining the overall satisfaction of patients’ hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients’ sa...

    Authors: Ayele Semachew Kasa and Hayleyesus Gedamu

    Citation: BMC Health Services Research 2019 19:52

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  5. Content type: Research article

    Strategic purchasing can ensure that financial resources are used in a way that optimally enhances the attainment of health system goals. A number of low- and middle-income countries, including Kenya, have exp...

    Authors: Kenneth Munge, Stephen Mulupi, Edwine Barasa and Jane Chuma

    Citation: BMC Health Services Research 2019 19:45

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  6. Content type: Research article

    Despite progress towards achieving UNAIDS 90–90-90 goals, barriers persist in laboratory systems in sub-Saharan Africa (SSA) restricting scale up of early infant diagnosis (EID) and viral load (VL) test monito...

    Authors: Ritu Shrivastava, Peter N. Fonjungo, Yenew Kebede, Rajendra Bhimaraj, Shabnam Zavahir, Christina Mwangi, Renuka Gadde, Heather Alexander, Patricia L. Riley, Andrea Kim and John N. Nkengasong

    Citation: BMC Health Services Research 2019 19:46

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  7. Content type: Research article

    Chronic diseases have emerged as the leading cause of death globally, and 20% of Indians are estimated to suffer from a chronic condition. Care for chronic diseases poses a major public health challenge, espec...

    Authors: Dorothy Lall, Nora Engel, Narayanan Devadasan, Klasien Horstman and Bart Criel

    Citation: BMC Health Services Research 2019 19:44

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  8. Content type: Research article

    Tuberculosis patients often experience hospitalization. Inpatient services may result in high medical expenditures. It is important to explore the hospitalization rates of tuberculosis patients and the potenti...

    Authors: Yang Zhou, Cheng Chen, Hui Jiang, Hong-Qiu Pan, Li-Mei Zhu and Wei Lu

    Citation: BMC Health Services Research 2019 19:47

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  9. Content type: Research article

    Prompt access to appropriate treatment reduces early onset of complications to chronic illnesses. Our objective was to document the health providers that patients with diabetes in rural areas seek treatment fr...

    Authors: Elizeus Rutebemberwa, James Bagonza and Raymond Tweheyo

    Citation: BMC Health Services Research 2019 19:33

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  10. Content type: Research article

    The government of Ethiopia launched an innovative program called Urban Health Extension Program (UHEP) in 2009, aims to produce better health outcomes to the urban populations using urban health extension prof...

    Authors: Nebiyou Tafesse, Aregawi Gesessew and Ergataw Kidane

    Citation: BMC Health Services Research 2019 19:31

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  11. Content type: Research article

    Given the documented benefits of Patient Own Drugs (PODs) in most developed countries and scanty data on PODs management in developing countries the aim of the study was to evaluate the assessment, quality and...

    Authors: Pauline Boachie-Ansah, Berko Panyin Anto and Afia Frimpomaa Asare Marfo

    Citation: BMC Health Services Research 2019 19:27

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  12. Content type: Research article

    Tuberculosis (TB) remains the prime killer disease among infectious diseases. TB control depends on early case detection and treatment in a directly observed treatment short course (DOTS) programme. The succes...

    Authors: Bezawit Temesgen Sima, Tefera Belachew and Fekadu Abebe

    Citation: BMC Health Services Research 2019 19:19

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  13. Content type: Research article

    The heart-breaking maternal and neonatal health indicators in Nigeria are not improving despite previous interventions, such as ‘Health for all’ and ‘Millennium Development Goals. The unattained health-related...

    Authors: Joel O. Aluko, Rhoda Anthea and R. R. Marie Modeste

    Citation: BMC Health Services Research 2019 19:10

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  14. Content type: Research article

    This paper aims to demonstrate how systems modeling methodology of Group Model Building (GMD) can be applied for exploring and reaching consensus on non-communicable disease (NCD) management. This exercise was...

    Authors: John P. Ansah, Amina Mahmood Islam, Victoria Koh, Vanthy Ly, Hero Kol, David B. Matchar, Chhun Loun and Mondol Loun

    Citation: BMC Health Services Research 2019 19:2

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  15. Content type: Research article

    In an attempt to reach remote rural areas, this study explores a community-based, pediatric hearing screening program in villages, integrating two models of diagnostic ABR testing; one using a tele-medicine ap...

    Authors: Vidya Ramkumar, Roopa Nagarajan, Vanaja C. Shankarnarayan, Selvakumar Kumaravelu and James W. Hall

    Citation: BMC Health Services Research 2019 19:1

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  16. Content type: Research article

    Integrated Management of Childhood Illness (IMCI) and Emergency Triage, Assessment and Treatment (ETAT) are guidelines developed by the World Health Organization to reach targets for reducing under-5 mortality...

    Authors: Sarah Kathryn Robertson, Kristina Manson and Evridiki Fioratou

    Citation: BMC Health Services Research 2018 18:1014

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  17. Content type: Research article

    Off-patent pharmaceuticals (OPPs) hold vital importance in meeting public health objectives, especially in developing countries where resources are limited. OPPs are comprised of off-patent originals, branded ...

    Authors: Andras Inotai, Diana Brixner, Nikos Maniadakis, Iwan Dwiprahasto, Erna Kristin, Agus Prabowo, Alfi Yasmina, Sigit Priohutomo, Bertalan Németh, Kalman Wijaya and Zoltan Kalo

    Citation: BMC Health Services Research 2018 18:1003

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  18. Content type: Research article

    Whether the association between access to medical care and health outcomes differs by age and gender among older adults in China is unclear. We aimed to investigate the associations between self-reported inade...

    Authors: Xufan Zhang, Matthew E. Dupre, Li Qiu, Wei Zhou, Yuan Zhao and Danan Gu

    Citation: BMC Health Services Research 2018 18:1004

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  19. Content type: Research article

    Well organized and appropriately utilized pre-hospital emergency services play a critical role in augmenting emergency care systems. The primary objective of this study was to understand the demographic and cl...

    Authors: Menbeu Sultan, Yonas Abebe, Assefu Welde Tsadik, Catherine Ann Jennings and Nee-Kofi Mould-Millman

    Citation: BMC Health Services Research 2018 18:997

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  20. Content type: Research article

    Single disease payment program based on clinical pathway (CP-based SDP) plays an increasingly important role in reducing health expenditure in china and there is a clear need to explore the scheme from differe...

    Authors: Jing Peng, Mengran Zhang, Pingfeng Yu and Nan Wang

    Citation: BMC Health Services Research 2018 18:990

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  21. Content type: Research article

    Severe malarial anaemia is one of the leading causes of paediatric hospital admissions in Malawi. Post-discharge malaria chemoprevention (PMC) is the intermittent administration of full treatment courses of an...

    Authors: Thandile Nkosi-Gondwe, Bjarne Robberstad, Björn Blomberg, Kamija S. Phiri and Siri Lange

    Citation: BMC Health Services Research 2018 18:984

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  22. Content type: Research article

    New HIV infections in Tanzania have been decreasing, however some populations remain at higher risk. Despite of that, evidence on the magnitude of HIV infection and the associated factors and HIV/AIDS services...

    Authors: Anthony Kapesa, Namanya Basinda, Elias C. Nyanza, Martha F. Mushi, Ola Jahanpour and Sospatro E. Ngallaba

    Citation: BMC Health Services Research 2018 18:980

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  23. Content type: Research article

    In 2011, South Africa improved its ability to test for rifampicin-resistant TB (RR-TB) by introducing GeneXpert MTB/RIF. At the same time, the South African National TB program adopted a policy decentralized, ...

    Authors: Denise Evans, Tembeka Sineke, Kathryn Schnippel, Rebecca Berhanu, Caroline Govathson, Andrew Black, Lawrence Long and Sydney Rosen

    Citation: BMC Health Services Research 2018 18:973

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  24. Content type: Research article

    Diabetes is one of the world’s most prevalent and serious non-communicable diseases (NCDs). It is a leading cause of death, disability and financial loss; moreover, it is identified as a major threat to global...

    Authors: Afsana Afroz, Mohammed J. Alramadan, Md Nassif Hossain, Lorena Romero, Khurshid Alam, Dianna J. Magliano and Baki Billah

    Citation: BMC Health Services Research 2018 18:972

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  25. Content type: Research article

    Clinical practice guidelines risk having little impact on healthcare if not effectively implemented. Theory informed, targeted implementation may maximise their impact. Our study explored barriers to and facil...

    Authors: Tamara Kredo, Sara Cooper, Amber Abrams, Jocelyn Muller, Jimmy Volmink and Salla Atkins

    Citation: BMC Health Services Research 2018 18:965

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  26. Content type: Research article

    Medication discrepancies are seen frequently in hospital setting upon admission or discharge. Medication Reconciliation service is a practice designed to ensure that patients’ medications are ordered in a corr...

    Authors: Rana Abu Farha, Khawla Abu Hammour, Sayida Al-Jamei, Raja AlQudah and Mohammed Zawiah

    Citation: BMC Health Services Research 2018 18:966

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  27. Content type: Research article

    Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) infection and sexually transmitted infection (STI) in China. Inadequate clinical services and poor clinical competency amo...

    Authors: Peipei Zhao, Bolin Cao, Cedric H. Bien-Gund, Weiming Tang, Jason J. Ong, Yi Ding, Weiying Chen, Joseph D. Tucker and Zhenzhou Luo

    Citation: BMC Health Services Research 2018 18:964

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  28. Content type: Research article

    Basic inputs and infrastructure including drugs, supplies, equipment, water and electricity are required for the provision of quality care. In the era of the free maternal health policy in Ghana, it is unclear...

    Authors: Philip Ayizem Dalinjong, Alex Y. Wang and Caroline S. E. Homer

    Citation: BMC Health Services Research 2018 18:959

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  29. Content type: Research article

    Strategies to identify and treat undiagnosed prevalent cases that have not sought diagnostic services on their own, are necessary to treat TB in patients earlier and interrupt transmission. Late presentation f...

    Authors: Esther Karamagi, Simon Sensalire, Martin Muhire, Herbert Kisamba, John Byabagambi, Mirwais Rahimzai, Frank Mugabe, Upenytho George, Jacqueline Calnan, Dejene Seyoum and Estella Birabwa

    Citation: BMC Health Services Research 2018 18:954

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  30. Content type: Research article

    In 2000, the Millennium Development Goals set targets for social achievements by 2015 including goals related to maternal and child health, with mixed success. Several initiatives supported these goals includi...

    Authors: Jane Briggs, Martha Embrey, Blerta Maliqi, Lisa Hedman and Jennifer Requejo

    Citation: BMC Health Services Research 2018 18:952

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  31. Content type: Research article

    Globally, neonatal mortality remains high despite interventions known to reduce neonatal deaths. The All Babies Count (ABC) initiative was a comprehensive health systems strengthening intervention designed by ...

    Authors: Jennifer Werdenberg, Francois Biziyaremye, Merab Nyishime, Evrard Nahimana, Christine Mutaganzwa, David Tugizimana, Anatole Manzi, Shalini Navale, Lisa R. Hirschhorn and Hema Magge

    Citation: BMC Health Services Research 2018 18:941

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  32. Content type: Research article

    Access to quality hypertension care is often poor in sub-Saharan Africa. Some community pharmacies offer hypertension monitoring services, with and without involvement of medical doctors. To directly connect p...

    Authors: Heleen E. Nelissen, Anne L. Cremers, Tochi J. Okwor, Sam Kool, Frank van Leth, Lizzy Brewster, Olalekan Makinde, René Gerrets, Marleen E. Hendriks, Constance Schultsz, Akin Osibogun and Anja H. van’t Hoog

    Citation: BMC Health Services Research 2018 18:934

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  33. Content type: Research article

    Community-participatory approaches are important for effective maternal and child health interventions. A community-participatory intervention (the Dialogue Model) was implemented in Kwale County, Kenya to enh...

    Authors: Vernon Mochache, Eunice Irungu, Hajara El-Busaidy, Marleen Temmerman and Peter Gichangi

    Citation: BMC Health Services Research 2018 18:938

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  34. Content type: Research article

    Ghana has been providing HIV and AIDS services since the identification of the first case in 1986 and added highly active antiretroviral therapy to its comprehensive care in 2003.This study aimed at assessing ...

    Authors: Stephen Ayisi Addo, Marijanatu Abdulai, Alfred Yawson, Akosua N. Baddoo, Jinkou Zhao, Nibretie Workneh, Ivy Okae and Ekow Wiah

    Citation: BMC Health Services Research 2018 18:739

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  35. Content type: Research article

    Diabetes, a rising global health problem, requires continuous self-care practice to prevent acute and chronic complications. However, studies show that few diabetes patients practice the recommended self-care ...

    Authors: Yonas Gurmu, Debela Gela and Fekadu Aga

    Citation: BMC Health Services Research 2018 18:732

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  36. Content type: Research article

    The Affordable Care Act (ACA) has improved healthcare access in the community health centers that have played a critical role in enrolling low income and minority patients. This study examined the ACA enrollme...

    Authors: Omar Viramontes, Michael Hochman, Martin Lee Serota, Elvia Delgado and Gerardo Moreno

    Citation: BMC Health Services Research 2018 18:729

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  37. Content type: Research article

    Community services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assisti...

    Authors: Emily R. Smith, Brittney J. van de Water, Anna Martin, Sarah Jean Barton, Jasmine Seider, Christopher Fitzgibbon, Mathama Malakha Bility, Nelia Ekeji, Joao Ricardo Nickenig Vissoci, Michael M. Haglund and Janet Prvu Bettger

    Citation: BMC Health Services Research 2018 18:727

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  38. Content type: Research article

    Community Health Worker (CHW) programmes are increasingly important in HIV service delivery. CHWs’ familiarity with the local context can improve intervention acceptability and sustainability but concerns have...

    Authors: Joanna Busza, Ethel Dauya, Memory Makamba and Rashida A. Ferrand

    Citation: BMC Health Services Research 2018 18:718

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  39. Content type: Research article

    Elderly people tend to have greater healthcare utilization because of their health status. However, with the 4th largest population in the world, little is known concerning the use of services among the Indone...

    Authors: Ema Madyaningrum, Ying-Chih Chuang and Kun-Yang Chuang

    Citation: BMC Health Services Research 2018 18:707

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  40. Content type: Research article

    Ensuring universal access to maternal and reproductive health services is critical to the success of global efforts to reduce poverty and inequality. Engaging private providers has been proposed as a strategy ...

    Authors: Mardieh L. Dennis, Lenka Benova, Onikepe O. Owolabi and Oona M. R. Campbell

    Citation: BMC Health Services Research 2018 18:699

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  41. Content type: Technical advance

    To address challenges related to medication management in underserved settings, we developed a system for Prescription Management And General Inventory Control, or RxMAGIC, in collaboration with the Birmingham...

    Authors: Arielle M. Fisher, Timothy M. Mtonga, Jeremy U. Espino, Lauren J. Jonkman, Sharon E. Connor, Nickie K. Cappella and Gerald P. Douglas

    Citation: BMC Health Services Research 2018 18:703

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  42. Content type: Research article

    Intelligence generated by a surveillance system is dependent on the quality of data that are collected. We investigated the knowledge, attitudes and practices of nurses responsible for outbreak early warning s...

    Authors: Adam T. Craig, Cynthia A. Joshua, Alison R. Sio, Michael Lauri, John Kaldor, Alexander E. Rosewell and Gill Schierhout

    Citation: BMC Health Services Research 2018 18:702

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  43. Content type: Research article

    Although there is mounting evidence and policy guidance urging the integration of HIV services into general health systems in countries with a high HIV burden, vertical (stand-alone) HIV clinics are still comm...

    Authors: Henry Zakumumpa, Joseph Rujumba, Japheth Kwiringira, Jepchirchir Kiplagat, Edith Namulema and Alex Muganzi

    Citation: BMC Health Services Research 2018 18:690

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  44. Content type: Research article

    In Bangladesh, while the infrastructure of public health facilities to provide maternal and newborn care services is adequate, services are not always available due to insufficient staffing. A human resource a...

    Authors: Taposh Kumar Biswas, Anjuman Ara Begum, Shamima Akther, M. Hafizur Rahman, Henry B. Perry, Heidi E. Jones and Mahbub Elahi Chowdhury

    Citation: BMC Health Services Research 2018 18:688

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  45. Content type: Research article

    Routine health information systems (RHIS) are vital for the acquisition of data for health sector planning, monitoring, and evaluation. However, in developing countries the insufficient quality of the data pro...

    Authors: Eshetu Dagnew, Solomon Assefa Woreta and Atsede Mazengia Shiferaw

    Citation: BMC Health Services Research 2018 18:685

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  46. Content type: Research article

    Over the past 40 years, the Chinese government has diligently promoted the market-oriented reform of the health insurance system. However, as it is affected by the urban-rural dual structure, most rural-to-urb...

    Authors: Jinhua Liu, Hongsheng Chen, Yang Chen and Zhigang Li

    Citation: BMC Health Services Research 2018 18:679

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  47. Content type: Research article

    Inappropriate dispensing of antibiotics for acute respiratory illness (ARI) is common among drug sellers in Bangladesh. In this study, we evaluated the impact of an educational intervention to promote guidelin...

    Authors: Fahmida Chowdhury, Katharine Sturm-Ramirez, Abdullah Al Mamun, A. Danielle Iuliano, Mohammod Jobayer Chisti, Makhdum Ahmed, Mejbah Uddin Bhuiyan, Kamal Hossain, Mohammad Sabbir Haider, Shaikh Abdul Aziz, Mahmudur Rahman and Eduardo Azziz-Baumgartner

    Citation: BMC Health Services Research 2018 18:676

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