Politiques et systèmes de santé

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

Article scientifique

Developing the African national health research systems barometer

BACKGROUND: A functional national health research system (NHRS) is crucial in strengthening a country's health system to promote, restore and …

2016 Open Access

Article scientifique

Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania

BACKGROUND: Increasing births with skilled attendants and increasing health facilities with Emergency Obstetric Care (EmOC) can reduce maternal mortality and …

2016 Open Access

Article scientifique

Participatory approaches involving community and healthcare providers in family planning/contraceptive information and service provision: a scoping review

As efforts to address unmet need for family planning and contraception (FP/C) accelerate, voluntary use, informed choice and quality must …

2016 Open Access

Article scientifique

Improving the quality of obstetric care for women with obstructed labour in the national referral hospital in Uganda: lessons learnt from criteria based audit

BACKGROUND: Obstructed labour remains a major cause of maternal morbidity and mortality whose complications can be reduced with improved quality …

2016 Open Access

Article scientifique

Assessing the Impact of Community Engagement Interventions on Health Worker Motivation and Experiences with Clients in Primary Health Facilities in Ghana: A Randomized Cluster Trial

BACKGROUND: Health worker density per 1000 population in Ghana is one of the lowest in the world estimated to be …

2016 Open Access

Article scientifique

HIV/AIDS clients, privacy and confidentiality; the case of two health centres in the Ashanti Region of Ghana

BACKGROUND: While most studies on HIV/AIDS often identify stigmatization and patients' unwillingness to access health care as critical problems in …

2016 Open Access

Article scientifique

Women's Education and Health Inequalities in Under-Five Mortality in Selected Sub-Saharan African Countries, 1990–2015

BACKGROUND: The aim of the study was to analyse trends in the relationship between mother's educational level and mortality of …

2016 Open Access

Article scientifique

Close-to-community providers of health care: increasing evidence of how to bridge community and health systems

The recent thematic series on close-to-community providers published in this journal brings together 14 papers from a variety of contexts …

2016 Open Access

Article scientifique

Insufficient access to oral paediatric medicines in Ghana: A descriptive study

BACKGROUND: Among the most vulnerable people in society are children and this is especially so in their access to health …

2016 Open Access

Article scientifique

Challenges to implementation of the WHO Global Code of Practice on International Recruitment of Health Personnel: the case of Sudan

BACKGROUND: The WHO Global Code of Practice on the International Recruitment of Health Personnel (hereafter the WHO Code) was adopted …

2016 Open Access

Article scientifique

Social inequality and children’s health in Africa: a cross sectional study

BACKGROUND: This study examines socioeconomic inequality in children's health and factors that moderate this inequality. Socioeconomic measures include household wealth, …

2016 Open Access

Article scientifique

Moving from medical to health systems classifications of deaths: extending verbal autopsy to collect information on the circumstances of mortality

BACKGROUND: Verbal autopsy (VA) is a health surveillance technique used in low and middle-income countries to establish medical causes of …

2016 Open Access

Article scientifique

The surgical workforce shortage and successes in retaining surgical trainees in Ethiopia: a professional survey

BACKGROUND: Medical workforce shortages represent a major challenge in low- and middle-income countries, including those in Africa. Despite this, there …

2016 Open Access

Article scientifique

Higher Educational Attainment Associated with Optimal Antenatal Care Visits among Childbearing Women in Zambia

OBJECTIVE: Attendance of at least four antenatal care (ANC) visits over the period of pregnancy has been accepted by World …

2016 Open Access

Article scientifique

Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique

BACKGROUND: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of mortality comes from the poor …

2016 Open Access

Article scientifique

An exploratory study of the need for curriculum review of Master of Public Health Degree at a Rural-based University in South Africa

BACKGROUND: Master of Public Health (MPH) training programmes were developed worldwide in response to the crisis in human resources for …

2016 Open Access