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Health policies, systems and management in low and middle-income countries

This section aims to publish studies looking at the impact of health policies, practices and interventions on communities in low and middle-income countries.

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  1. Health experts agree that widespread use of safe and effective vaccines will rapidly contain the COVID-19 pandemic. The big question is whether these vaccines can easily be accepted by their end-users. Our stu...

    Authors: Isaac Echoru, Patricia Decanar Ajambo, Emmanuel Keirania and Edmund E. M. Bukenya

    Citation: BMC Public Health 2021 21:1106

    Content type: Research article

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  2. More than 75% of neonatal deaths occurred in the first weeks of life as a result of adverse birth outcomes. Low birth weight, preterm births are associated with a variety of acute and long-term complications. ...

    Authors: Koku Sisay Tamirat, Malede Mequanent Sisay, Getayeneh Antehunegn Tesema and Zemenu Tadesse Tessema

    Citation: BMC Public Health 2021 21:1092

    Content type: Research article

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  3. Limited information is available on how mobile health (mHealth) application (app) technology on mother and child health (MCH) is developed. This research aimed (a) to explore the process of developing mobile a...

    Authors: Fedri Ruluwedrata Rinawan, Ari Indra Susanti, Indah Amelia, Mulya Nurmansyah Ardisasmita, Widarti, Rima Kusumah Dewi, Dani Ferdian, Wanda Gusdya Purnama and Ayi Purbasari

    Citation: BMC Public Health 2021 21:1024

    Content type: Research article

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  4. Country-wide urbanization in Uganda has continued amidst institutional challenges. Previous interventions in the water and sanitation sector have not addressed the underlying issues of a poorly managed urbaniz...

    Authors: Japheth Nkiriyehe Kwiringira, Robert Kabumbuli, Henry Zakumumpa, James Mugisha, Mathias Akugizibwe, Paulino Ariho and Joseph Rujumba

    Citation: BMC Public Health 2021 21:992

    Content type: Research article

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  5. Improving maternal health has been a primary goal of international health agencies for many years, with the aim of reducing maternal and child deaths and improving access to antenatal care (ANC) services, part...

    Authors: B. W. Bresnahan, E. Vodicka, J. B. Babigumira, A. M. Malik, F. Yego, A. Lokangaka, B. M. Chitah, Z. Bauer, H. Chavez, J. L. Moore, L. P. Garrison, J. O. Swanson, D. Swanson, E. M. McClure, R. L. Goldenberg, F. Esamai…

    Citation: BMC Public Health 2021 21:952

    Content type: Research article

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  6. Elevated blood pressure is the leading risk factor for global mortality. While it is known that there exist differences between men and women with respect to socioeconomic status, self-reported health, and hea...

    Authors: Neha Sikka, Allison DeLong, Jemima Kamano, Sylvester Kimaiyo, Vitalis Orango, Josephine Andesia, Valentin Fuster, Joseph Hogan and Rajesh Vedanthan

    Citation: BMC Public Health 2021 21:948

    Content type: Research article

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  7. The rate at which informal urban settlements (slums) are developing in Low and Middle Income. Countries (LMICs) like Uganda is high. With this, comes the growing intersection between urbanization and the repro...

    Authors: Doreen Tuhebwe, Susan Babirye, Steven Ssendagire and Freddie Ssengooba

    Citation: BMC Public Health 2021 21:933

    Content type: Research article

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  8. Sarcopenia is an important age-related disease which can lead to an increased risk of mortality, falls, fractures, and poor quality of life. So, timely detection can be effective in reducing the burden of dise...

    Authors: Ali Darvishi, Mohsen Rezaei Hemami, Gita Shafiee, Rajabali Daroudi, Mahsa Mohseni, Farkhondeh Hosseini Shekarabi and Ramin Heshmat

    Citation: BMC Public Health 2021 21:926

    Content type: Research article

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  9. Human immunodeficiency virus (HIV) infection rates have been gradually increasing in Istanbul, Turkey. Many people living with HIV (PLWH) here encounter difficulties, for example, in adapting to the chronic di...

    Authors: Gamze Senyurek, Mustafa Volkan Kavas and Yesim Isil Ulman

    Citation: BMC Public Health 2021 21:904

    Content type: Research article

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  10. Assessing inequities in health services utilization contributes to build effective strategies for health equity promotion. This study aimed to evaluate the socioeconomic inequalities and inequities in health s...

    Authors: Yan Liu, Nan Liu, Mengjiao Cheng, Xin Peng, Junxuan Huang, Jinxiang Ma and Peixi Wang

    Citation: BMC Public Health 2021 21:903

    Content type: Research article

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  11. The challenges faced by healthcare personnel in relation to dengue prevention and control are perennial but noticeably unexplored. It is often difficult to translate policies and decision making by the elite i...

    Authors: Rosliza Abdul Manaf, Aidalina Mahmud, Anthony NTR and Siti Rohana Saad

    Citation: BMC Public Health 2021 21:876

    Content type: Research article

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  12. The prevalence of chronic non-communicable diseases (NCDs) challenges the Chinese health system reform. Little is known for the differences in catastrophic health expenditure (CHE) between urban and rural hous...

    Authors: Xian-zhi Fu, Qi-wei Sun, Chang-qing Sun, Fei Xu and Jun-jian He

    Citation: BMC Public Health 2021 21:874

    Content type: Research article

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  13. Knowledge of health care utilization is important in low-and middle-income countries where inequalities in the burden of diseases and access to primary health care exist. Limited evidence exists on health seek...

    Authors: Elvis O. A. Wambiya, Peter O. Otieno, Martin Kavao Mutua, Hermann Pythagore Pierre Donfouet and Shukri F. Mohamed

    Citation: BMC Public Health 2021 21:850

    Content type: Research article

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  14. Mass drug administration (MDA) has received growing interest to accelerate the elimination of multi-drug resistant malaria in the Greater Mekong Subregion. Targeted MDA, sometimes referred to as focal MDA, is ...

    Authors: Shwe Sin Kyaw, Gilles Delmas, Tom L. Drake, Olivier Celhay, Wirichada Pan-ngum, Sasithon Pukrittayakamee, Yoel Lubell, Ricardo J. Aguas, Richard James Maude, Lisa J. White and Francois Nosten

    Citation: BMC Public Health 2021 21:826

    Content type: Research article

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  15. Crack-cocaine dependence is a serious public health issue, related to several psychiatric and psychosocial problems. Crack-cocaine users are usually embedded in a context of great social vulnerability, often a...

    Authors: Luciane Ogata Perrenoud, Koki Fernando Oikawa, Anna Virginia Williams, Ronaldo Laranjeira, Benedikt Fischer, John Strang and Marcelo Ribeiro

    Citation: BMC Public Health 2021 21:781

    Content type: Research article

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  16. Irrational use of antibiotics is proving to be a major concern to the health systems globally. This results in antibiotics resistance and increases health care costs. In Iran, despite many years of research, a...

    Authors: Zahra Sharif, Farzad Peiravian, Jamshid Salamzadeh, Nastaran Keshavarz Mohammadi and Ammar Jalalimanesh

    Citation: BMC Public Health 2021 21:778

    Content type: Research article

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  17. Children in resource-limited countries are more likely to die from treatable conditions than those in higher resource settings due to a lack of the right essential medicine at the right time. Globally millions...

    Authors: Tefera Tadesse, Habtamu Abuye and Gizachew Tilahun

    Citation: BMC Public Health 2021 21:714

    Content type: Research article

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  18. Prevention of mother-to-child transmission of HIV (PMTCT) is effective in curbing rates of HIV infection in children because its interventions reduce the rates of transmission during pregnancy, in labour, and ...

    Authors: Beatrice M’baya Kansinjiro and Alinane Linda Nyondo-Mipando

    Citation: BMC Public Health 2021 21:626

    Content type: Research article

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  19. As part of health system strengthening in South Africa (2012–2017) a new district health manager, taking a bottom-up approach, developed a suite of innovations to improve the processes of monthly district mana...

    Authors: Marsha Orgill, Bruno Marchal, Maylene Shung-King, Lwazikazi Sikuza and Lucy Gilson

    Citation: BMC Public Health 2021 21:587

    Content type: Research article

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  20. Globally, tobacco kills more than nine million people per year. Annually in Bangladesh, smoking accounts for 1.2 million illnesses and over one hundred fifty thousand deaths. Worldwide, about one out of five s...

    Authors: Tanvir Ahammed, Nasar U. Ahmed and Md Jamal Uddin

    Citation: BMC Public Health 2021 21:579

    Content type: Research article

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  21. The majority of deaths in the Philippines occur out-of-facility and require a medical certificate of cause of death by Municipal Health Officers (MHOs) for burial. MHOs lack a standardised certification proces...

    Authors: Rohina Joshi, R. H. Hazard, Pasyodun Koralage Buddhika Mahesh, L. Mikkelsen, F. Avelino, Carmina Sarmiento, A. Segarra, T. Timbang, F. Sinson, Patrick Diango, I. Riley, H. Chowdhury, Irma L. Asuncion, G. Khanom and Alan D. Lopez

    Citation: BMC Public Health 2021 21:563

    Content type: Research article

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  22. This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different ...

    Authors: Maria Helena Rodrigues Galvão and Angelo Giuseppe Roncalli

    Citation: BMC Public Health 2021 21:541

    Content type: Research article

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  23. Stroke is a devastating disease and a major cause of death and disability in China. While existing studies focused mainly on differences in stroke patients’ health care utilization by insurance type, this stud...

    Authors: Yong Yang, Stephen Nicholas, Shuo Li, Zhengwei Huang, Xiaoping Chen, Yong Ma and Xuefeng Shi

    Citation: BMC Public Health 2021 21:531

    Content type: Research article

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  24. The National Policy for Integral Attention to Women’s Health Care (PNAISM) was implemented in 2004, with monitoring of potential benefits. One of the life cycles of women contemplated in this health policy was...

    Authors: Isabel Cristina Esposito Sorpreso, Francisco Winter dos Santos Figueiredo, José Lucas Souza Ramos, Lea Tami Suzuki Zuchelo, Fernando Adami, Edmund Chada Baracat and José Maria Soares Júnior

    Citation: BMC Public Health 2021 21:518

    Content type: Research article

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  25. In Bangladesh, a poorly functioning national system of registering deaths and determining their causes leaves the country without important information on which to inform health programming, particularly for t...

    Authors: Md. Toufiq Hassan Shawon, Shah Ali Akbar Ashrafi, Abul Kalam Azad, Sonja M. Firth, Hafizur Chowdhury, Robert G. Mswia, Tim Adair, Ian Riley, Carla Abouzahr and Alan D. Lopez

    Citation: BMC Public Health 2021 21:491

    Content type: Research article

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  26. It is now 25 years since the adoption of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) and the same concerns raised during its negotiations such as high prices of medicines, ma...

    Authors: Marion Motari, Jean-Baptiste Nikiema, Ossy M. J. Kasilo, Stanislav Kniazkov, Andre Loua, Aissatou Sougou and Prosper Tumusiime

    Citation: BMC Public Health 2021 21:490

    Content type: Research article

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  27. Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aim...

    Authors: Sajad Vahedi, Amin Torabipour, Amirhossein Takian, Saeed Mohammadpur, Alireza Olyaeemanesh, Mohammad Mehdi Kiani and Efat Mohamadi

    Citation: BMC Public Health 2021 21:457

    Content type: Research article

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  28. South Africa was the first sub-Saharan African country to implement a sugar-sweetened beverage (SSB) tax called the Health Promotion Levy (HPL) in April 2018. Given news media can increase public awareness and...

    Authors: Michael Essman, Fernanda Mediano Stoltze, Francesca Dillman Carpentier, Elizabeth C. Swart and Lindsey Smith Taillie

    Citation: BMC Public Health 2021 21:454

    Content type: Research article

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  29. In Mali, nomadic populations are spread over one third of the territory. Their lifestyle, characterized by constant mobility, excludes them from, or at best places them at the edge of, health delivery services...

    Authors: Moussa Sangare, Yaya Ibrahim Coulibaly, Siaka Yamoussa Coulibaly, Housseini Dolo, Abdoul Fatao Diabate, Kueshivi Midodji Atsou, Abdoul Ag Souleymane, Youssouf Ag Rissa, Dada Wallet Moussa, Fadimata Wallet Abdallah, Massitan Dembele, Mahamadou Traore, Tieman Diarra, William R. Brieger, Sekou Fantamady Traore, Seydou Doumbia…

    Citation: BMC Public Health 2021 21:421

    Content type: Research article

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  30. Control of preventive chemotherapy-targeted neglected tropical diseases (PC-NTDs) relies on strengthened health systems. Efficient health information systems provide an impetus to achieving the sustainable dev...

    Authors: Arthur K. S. Ng’etich, Kuku Voyi and Clifford M. Mutero

    Citation: BMC Public Health 2021 21:396

    Content type: Research article

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  31. Paracetamol, also known as acetaminophen, is one of the most common antipyretic and analgesic over-the-counter (OTC) medicines administered to children due to its efficacy, safety, and availability in many pha...

    Authors: Aiman Daifallah, Ruba Jabr, Faraj Al-Tawil, Moutaz Elkourdi, Ziad Salman, Amer Koni, Ahmad Samara, Samah W. Al-Jabi and Sa’ed H. Zyoud

    Citation: BMC Public Health 2021 21:380

    Content type: Research article

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  32. Several studies conducted to access the status of household food insecurity in Ethiopia show that the nutrition problem is still highly prevalent especially in pregnant women and children. This study was condu...

    Authors: Mehariw Birhan Ambaw, Getasew Shitaye, Mekuanint Taddele and Zewdie Aderaw

    Citation: BMC Public Health 2021 21:311

    Content type: Research article

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  33. Despite progress in tuberculosis (TB) control globally, TB continues to be a leading cause of death from infectious diseases, claiming 1.2 million lives in 2018; 214,000 of these deaths were due to drug resist...

    Authors: Charity Oga-Omenka, Lawrence Wakdet, Dick Menzies and Christina Zarowsky

    Citation: BMC Public Health 2021 21:279

    Content type: Research article

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  34. Policymakers and health professionals prefer to use summarized evidence of practice recommendations. The aim of this scoping review is therefore to identify available guidelines, consensus statements, the stan...

    Authors: Lemi Belay Tolu, Garumma Tolu Feyissa and Wondimu Gudu Jeldu

    Citation: BMC Public Health 2021 21:276

    Content type: Research article

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  35. Despite global recommendations to prioritise policies that create healthy food environments within education institutions, the implementation of effective healthy school food policies has proved challenging fo...

    Authors: Erica Reeve, Anne-Marie Thow, Colin Bell, Christina Soti-Ulberg and Gary Sacks

    Citation: BMC Public Health 2021 21:246

    Content type: Research article

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  36. The level of preparedness of the health care workers, the health facility and the entire health system determines the magnitude of the impact of an Ebola Virus Disease (EVD) outbreak as demonstrated by the Wes...

    Authors: Michael Kibuule, Deogratias Sekimpi, Aggrey Agaba, Abdullah Ali Halage, Michael Jonga, Leonard Manirakiza, Catherine Kansiime, Dominic Travis, Katharine Pelican and Innocent B. Rwego

    Citation: BMC Public Health 2021 21:236

    Content type: Research article

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  37. Limited capacity to regulate medical products is associated with circulation of products which do not meet standards of quality, safety and efficacy with negative public health and economic outcomes. This stud...

    Authors: Margareth Ndomondo-Sigonda, Jacqueline Miot, Shan Naidoo, Nelson E. Masota, Brian Ng’andu, Nancy Ngum and Eliangiringa Kaale

    Citation: BMC Public Health 2021 21:187

    Content type: Research article

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  38. Even though the urban health extension program (HEP) has been implemented since 2009, little was known about its implementation, experience and challenges. Therefore, this study was aimed at exploring the impl...

    Authors: Getahun Zebre, Abraham Tamirat Gizaw, Kasahun Girma Tareke and Yohannes Kebede Lemu

    Citation: BMC Public Health 2021 21:167

    Content type: Research article

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  39. In Uganda, there are persistent weaknesses in obtaining accurate, reliable and complete data on local and external investments in immunization to guide planning, financing, and resource mobilization. This stud...

    Authors: Carol Kamya, Christabel Abewe, Peter Waiswa, Gilbert Asiimwe, Faith Namugaya, Charles Opio, Immaculate Ampeire, Stephen Lagony and Charlotte Muheki

    Citation: BMC Public Health 2021 21:160

    Content type: Research article

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  40. The aim of this study was to examine changes in beverage expenditure patterns before and after a T$0.50/L sweetened-beverage (SB) excise was introduced in Tonga in 2013, by household income, household age comp...

    Authors: Andrea Teng, Bertrand Buffière, Murat Genç, Telekaki Latavao, Viliami Puloka, Louise Signal and Nick Wilson

    Citation: BMC Public Health 2021 21:149

    Content type: Research article

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  41. Brief messaging interventions, including Short Message Service (SMS) text-messages, delivered via mobile device platforms, show promise to support and improve treatment adherence. To understand how these inter...

    Authors: Natalie Leon, Hazel Namadingo, Kirsty Bobrow, Sara Cooper, Amelia Crampin, Bruno Pauly, Naomi Levitt and Andrew Farmer

    Citation: BMC Public Health 2021 21:147

    Content type: Research article

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  42. Effective surveillance and response systems are vital to achievement of disease control and elimination goals. Kenya adopted the revised guidelines of the integrated disease surveillance and response system in...

    Authors: Arthur K. S. Ng’etich, Kuku Voyi and Clifford M. Mutero

    Citation: BMC Public Health 2021 21:142

    Content type: Research article

    Published on:

  43. Health insurance is an important mechanism to prevent financial hardship in the process of accessing health care. Since the launch of Nigeria’s National Health Insurance Scheme (NHIS) in 2005, only 5% of Niger...

    Authors: Gbadegesin O. Alawode and David A. Adewole

    Citation: BMC Public Health 2021 21:124

    Content type: Research article

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  44. Ensuring safety and wellbeing of healthcare providers is crucial, particularly during times of a pandemic. In this study, we aim to identify the determinants of anxiety in physicians on duty in coronavirus war...

    Authors: Qaisar Khalid Mahmood, Sara Rizvi Jafree, Aisha Jalil, Syed Mujtaba Hasnain Nadir and Florian Fischer

    Citation: BMC Public Health 2021 21:118

    Content type: Research article

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  45. Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We exp...

    Authors: Manuel Colomé-Hidalgo, Juan Donado Campos and Ángel Gil de Miguel

    Citation: BMC Public Health 2021 21:115

    Content type: Research article

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  46. Maternal and child health are key priorities among the Sustainable Development Goals, which include a particular focus on reducing morbidity and mortality among women of reproductive age, newborns, and childre...

    Authors: Shari Krishnaratne, Jessie K. Hamon, Jenna Hoyt, Tracey Chantler, Justine Landegger, Nathaly Spilotros, Shiferaw Dechasa Demissie, Siraj Mohammed and Jayne Webster

    Citation: BMC Public Health 2021 21:99

    Content type: Research article

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  47. High quality, representative data from HIV surveillance systems that have country ownership and commitment are critical for guiding national HIV responses, especially among key and priority populations given t...

    Authors: Cynthia Semá Baltazar, Makini Boothe, Denise Chitsondzo Langa, Isabel Sathane, Roberta Horth, Peter Young, Nick Schaad and Henry F. Raymond

    Citation: BMC Public Health 2021 21:91

    Content type: Research in practice

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  48. Prescription drugs constitute the primary source of revenue for the pharmaceutical industry. Most pharmaceutical companies commit a great deal of time and money to market in hopes of convincing physicians abou...

    Authors: Abel Demerew Hailu, Birhanu Demeke Workneh and Mesfin Haile Kahissay

    Citation: BMC Public Health 2021 21:65

    Content type: Research article

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