Politiques et systèmes de santé

Article scientifique

District health manager and mid-level provider perceptions of practice environments in acute obstetric settings in Tanzania: a mixed-method study

BACKGROUND: In sub-Saharan Africa, the capacity of human resources for health (HRH) managers to create positive practice environments that enable …

2016 Open Access

Article scientifique

Evaluating complex health financing interventions: using mixed methods to inform further implementation of a novel PBI intervention in rural Malawi

BACKGROUND: Gaps remain in understanding how performance-based incentive (PBI) programs affect quality of care and service quantity, whether programs are …

2016 Open Access

Article scientifique

The Doctor of Medicine curriculum review at the School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania: a tracer study report from 2009

BACKGROUND: The School of Medicine (SoM) is one among five at Muhimbili University of Health and Allied Sciences (MUHAS). It …

2016 Open Access

Article scientifique

The efficiency of chronic disease care in sub-Saharan Africa

The number of people needing chronic disease care is projected to increase in sub-Saharan Africa as a result of expanding …

2016 Open Access

Article scientifique

“This thing of testing our blood is really very important”: a qualitative study of primary care laboratory services in Tete Province, Mozambique

BACKGROUND: Laboratory services are essential for diagnosis and management of patients, and for disease control, and should form an integral …

2016 Open Access

Article scientifique

Persistent barriers to care; a qualitative study to understand women’s experiences in areas served by the midwives service scheme in Nigeria

BACKGROUND: The Nigerian Midwives Service Scheme (MSS) is an ambitious human resources project created in 2009 to address supply side …

2016 Open Access

Article scientifique

Effective non-drug interventions for improving outcomes and quality of maternal health care in sub-Saharan Africa: a systematic review

BACKGROUND: Many interventions have been implemented to improve maternal health outcomes in sub-Saharan Africa (SSA). Currently, however, systematic information on …

2016 Open Access

Article scientifique

Rational use of antibiotics by community health workers and caregivers for children with suspected pneumonia in Zambia: a cross-sectional mixed methods study

BACKGROUND: Antibiotic resistance is an issue of growing global concern. One key strategy to minimise further development of resistance is …

2016 Open Access

Article scientifique

Characterizing internet health information seeking strategies by socioeconomic status: a mixed methods approach

BACKGROUND: The Internet is valuable for those with limited access to health care services because of its low cost and …

2016 Open Access

Article scientifique

Cost and impact of policies to remove and reduce fees for obstetric care in Benin, Burkina Faso, Mali and Morocco

BACKGROUND: Across the Africa region and beyond, the last decade has seen many countries introducing policies aimed at reducing financial …

2016 Open Access

Article scientifique

The influence of distance and quality of care on place of delivery in rural Ghana

Facility delivery is an important aspect of the strategy to reduce maternal and newborn mortality. Geographic access to care is …

2016 Open Access

Article scientifique

Diarrhea management in children under five in sub-Saharan Africa: does the source of care matter? A Countdown analysis

BACKGROUND: Diarrhea remains a high burden disease, responsible for nine percent of deaths in children under five globally. We analyzed …

2016 Open Access

Article scientifique

The prevalence of disrespect and abuse during facility-based childbirth in urban Tanzania

BACKGROUND: In many countries, rates of facility-based childbirth have increased substantially in recent years. However, insufficient attention has been paid …

2016 Open Access

Article scientifique

Attitudes towards the implementation of universal umbilical artery lactate analysis in a South African district hospital

BACKGROUND: Of the 5.54 million stillbirths and neonatal deaths occurring globally each year, a significant amount of these occur in …

2016 Open Access

Article scientifique

Health policy dialogue: experiences from Africa

Background The high volume of investments in health seen in Africa over the last decade, mainly through global health initiatives …

2016 Open Access

Article scientifique

An analytical perspective of Global health initiatives in Tanzania and Zambia

BACKGROUND: A number of Global health initiatives (GHIs) have been created to support low and middle income countries. Their support …

2016 Open Access

Article scientifique

Health system support and health system strengthening: two key facilitators to the implementation of ambulatory tuberculosis treatment in Uzbekistan

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up …

2016 Open Access

Article scientifique

Impact of Lean on patient cycle and waiting times at a rural district hospital in KwaZulu-Natal

BACKGROUND: Prolonged waiting time is a source of patient dissatisfaction with health care and is negatively associated with patient satisfaction. …

2016 Open Access

Article scientifique

A political economy analysis of human resources for health (HRH) in Africa

BACKGROUND: Despite a global recognition from all stakeholders of the gravity and urgency of health worker shortage in Africa, little …

2016 Open Access

Article scientifique

Health policy and integrated mental health care in the SADC region: strategic clarification using the Rainbow Model

BACKGROUND: Mental illness is a well-known challenge to global development, particularly in low-to-middle income countries. A key health systems response …

2016 Open Access