Politiques et systèmes de santé

Article scientifique

Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia

BACKGROUND: Well-functioning health systems need to utilize data at all levels, from the provider, to local and national-level decision makers, …

2017 Open Access

Article scientifique

Illness recognition and care seeking for maternal complications of pregnancy and birth in rural Amhara and Oromia Regional States of Ethiopia

BACKGROUND: Ethiopia has made steady progress in improving maternal health over the decade, yet mortality remains high. The Maternal and …

2017 Open Access

Article scientifique

“Helping my neighbour is like giving a loan…” –the role of social relations in chronic illness in rural Uganda

BACKGROUND: Understanding individuals' experience of accessing care and tending to various other needs during chronic illness in a rural context …

2017 Open Access

Article scientifique

Analysis of the impact of healthcare support initiatives for physically disabled people on their access to care in the city of Saint-Louis, Senegal

BACKGROUND: People with disabilities represent approximately 6% of the Senegalese population. They face significant barriers to accessing health care. Although …

2017 Open Access

Article scientifique

Obstetric fistulae in southern Mozambique: incidence, obstetric characteristics and treatment

BACKGROUND: Obstetric fistula is one of the most devastating consequences of unmet needs in obstetric services. Systematic reviews suggest that …

2017 Open Access

Article scientifique

Doing implementation research on health governance: a frontline researcher’s reflexive account of field-level challenges and their management

BACKGROUND: Implementation Research (IR) in and around health systems comes with unique challenges for researchers including implementation, multi-layer governance, and …

2017 Open Access

Article scientifique

Task shifting in the management of hypertension in Kinshasa, Democratic Republic of Congo: a cross-sectional study

BACKGROUND: The Democratic Republic of the Congo (DRC) is characterized by a high prevalence of hypertension (HTN) and a high …

2017 Open Access

Article scientifique

Socioeconomic differential in self-assessment of health and happiness in 5 African countries: Finding from World Value Survey

OBJECTIVE: Factors that contribute to wealth related inequalities in self-rated health (SRH) and happiness remains unclear most especially in sub-Saharan …

2017 Open Access

Article scientifique

Expanding malaria diagnosis and treatment in Lao PDR: lessons learned from a public–private mix initiative

BACKGROUND: As in other countries of the Greater Mekong Sub-region (GMS), the private health sector constitutes a significant avenue where …

2017 Open Access

Article scientifique

A complex intervention to improve implementation of World Health Organization guidelines for diagnosis of severe illness in low-income settings: a quasi-experimental study from Uganda

BACKGROUND: To improve management of severely ill hospitalized patients in low-income settings, the World Health Organization (WHO) established a triage …

2017 Open Access

Article scientifique

Severe maternal outcomes and quality of care at district hospitals in Rwanda– a multicentre prospective case-control study

BACKGROUND: Despite a significant decrease in maternal mortality in the last decade, Rwanda needs further progress in order to achieve …

2017 Open Access

Article scientifique

Institutional capacity to generate and use evidence in LMICs: current state and opportunities for HPSR

BACKGROUND: Evidence-informed decision-making for health is far from the norm, particularly in many low- and middle-income countries (LMICs). Health policy …

2017 Open Access

Article scientifique

Urban-rural difference in satisfaction with primary healthcare services in Ghana

BACKGROUND: Understanding regional variation in patient satisfaction about healthcare systems (PHCs) on the quality of services provided is instrumental to …

2017 Open Access

Article scientifique

Access to health care for persons with disabilities in rural South Africa

BACKGROUND: Global research suggests that persons with disabilities face barriers when accessing health care services. Yet, information regarding the nature …

2017 Open Access

Article scientifique

Aspects Épidémiologiques, Cliniques et Thérapeutiques des Crises Vaso-Occlusives chez les Enfants Drépanocytaires en Milieu Hospitalier à Yaoundé

ABSTRACT Introduction. The issue of vaso-occlusive crises in sickle cell children has always been a challenge, given the serious consequences …

2017 Open Access

Article scientifique

Varying intervals of antiretroviral medication dispensing to improve outcomes for HIV patients (The INTERVAL Study): study protocol for a randomized controlled trial

BACKGROUND: Requirements for frequent dispensing of antiretroviral therapy (ART) place demands on health systems and can lead to suboptimal adherence …

2017 Open Access

Article scientifique

Improving oxygen therapy for children and neonates in secondary hospitals in Nigeria: study protocol for a stepped-wedge cluster randomised trial

BACKGROUND: Oxygen is a life-saving, essential medicine that is important for the treatment of many common childhood conditions. Improved oxygen …

2017 Open Access

Article scientifique

Is there a financial incentive to immigrate? Examining of the health worker salary gap between India and popular destination countries

BACKGROUND: International migration is one of the factors resulting in the shortage of Human Resources for Health (HRH) in India. …

2017 Open Access

Article scientifique

Opportunities for human resources for health and rehabilitation: a response to Jesus et al.

We welcome Jesus et al.'s paper, which makes an important contribution to the under-researched area of the physical rehabilitation workforce. …

2017 Open Access

Article scientifique

Spatiotemporal and molecular epidemiology of cutaneous leishmaniasis in Libya

BACKGROUND: Cutaneous leishmaniasis (CL) is a major public health problem in Libya. In this paper, we describe the eco-epidemiological parameters …

2017 Open Access