643 results match your criteria BMJ global health[Journal]


Public health in Democratic People's Republic of Korea.

BMJ Glob Health 2019 9;4(2):e001440. Epub 2019 Mar 9.

Unicef China, Beijing, China.

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http://dx.doi.org/10.1136/bmjgh-2019-001440DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441315PMC
March 2019
1 Read

Correction: Neglected tropical diseases and the sustainable development goals: an urgent call for action from the front line.

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BMJ Glob Health 2019 19;4(2):e001334corr1. Epub 2019 Mar 19.

[This corrects the article DOI: 10.1136/bmjgh-2018-001334.]. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001334corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441295PMC

Use of clinical algorithms and rapid influenza testing to manage influenza-like illness: a cost-effectiveness analysis in Sri Lanka.

BMJ Glob Health 2019 30;4(2):e001291. Epub 2019 Mar 30.

School of Medicine, Duke University, Durham, North Carolina, USA.

Background: Acute respiratory infections are a common reason for antibiotic overuse. We previously showed that providing Sri Lankan clinicians with positive rapid influenza test results was associated with a reduction in antibiotic prescriptions. The economic impact of influenza diagnostic strategies is unknown. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441298PMC

'Management of a spoiled identity': systematic review of interventions to address self-stigma among people living with and affected by HIV.

BMJ Glob Health 2019 19;4(2):e001285. Epub 2019 Mar 19.

Frontline AIDS, Brighton, UK.

Background: Self-stigma, also known as internalised stigma, is a global public health threat because it keeps people from accessing HIV and other health services. By hampering HIV testing, treatment and prevention, self-stigma can compromise the sustainability of health interventions and have serious epidemiological consequences. This review synthesised existing evidence of interventions aiming to reduce self-stigma experienced by people living with HIV and key populations affected by HIV in low-income and middle-income countries. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441299PMC
March 2019
1 Read

How is implementation research applied to advance health in low-income and middle-income countries?

BMJ Glob Health 2019 7;4(2):e001257. Epub 2019 Mar 7.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

This paper examines the characteristics of implementation research (IR) efforts in low-income and middle-income countries (LMICs) by describing how key IR principles and concepts have been used in published health research in LMICs between 1998 and 2016, with focus on how to better apply these principles and concepts to support large-scale impact of health interventions in LMICs. There is a stark discrepancy between principles of IR and what has been published. Most IR studies have been conducted under conditions where the researchers have considerable influence over implementation and with extra resources, rather than in 'real world' conditions. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441291PMC

Changing stigmatisation of leprosy: an exploratory, qualitative life course study in Western Nigeria.

BMJ Glob Health 2019 7;4(2):e001250. Epub 2019 Mar 7.

Faculty of Clinical Sciences, Lagos State University, Department of Behavioural Medicine, Ikeja, Nigeria.

Introduction: Renewed interest in health-related stigma has invigorated calls to understand factors and processes underlying stigma. However, few empirical studies explore the influences of structural discrimination and moral status on leprosy-related stigma. We investigated how sociocultural context and organisational policies and practices influenced the connotations of leprosy, sources of stigma and the changing social responses to leprosy in Western Nigeria. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441294PMC

Immunisation financing and programme performance in the Middle East and North Africa, 2010 to 2017.

BMJ Glob Health 2019 30;4(2):e001248. Epub 2019 Mar 30.

United Nations Children's Fund, Regional Office for the Middle East and North Africa, Amman, Jordan.

Immunisation is a cornerstone to primary health care and is an exceptionally good value. The 14 low-income and middle-income countries in the Middle East and North Africa region make up 88% of the region's population and 92% of its births. Many of these countries have maintained high immunisation coverage even during periods of low or negative economic growth. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001248
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http://dx.doi.org/10.1136/bmjgh-2018-001248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441300PMC
March 2019
1 Read

How the health-seeking behaviour of pregnant women affects neonatal outcomes: findings of system dynamics modelling in Pakistan.

BMJ Glob Health 2019 30;4(2):e001242. Epub 2019 Mar 30.

School of Public Health, Harvard University, Boston, Massachusetts, USA.

Background: Limited studies have explored how health-seeking behaviour during pregnancy through to delivery affect neonatal outcomes. We modelled health-seeking behaviour across urban and rural settings in Pakistan, where poor neonatal outcomes persist with wide disparities.

Methods And Findings: A system dynamics model was developed and parameterised. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441297PMC

'' Current childcare practices and caregivers' perceptions of and receptivity to early childhood development activities in rural Burkina Faso.

BMJ Glob Health 2019 30;4(2):e001233. Epub 2019 Mar 30.

Department of Epidemiology and Public Health, Institute for Global Health, University College London, London, UK.

Introduction: Effective stimulation and responsive caregiving during the first 2 years is crucial for children's development. By age 3-4 years, over 40% of children in sub-Saharan Africa fail to meet basic cognitive or socioemotional milestones, but there are limited data on parenting and childcare practices. This study, conducted to inform the design of a mass media intervention, explored practices, perceptions, motivators and obstacles to childhood development-related practices among parents and caregivers of children aged 0-2 years in rural Burkina Faso. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441292PMC

Effect of the competency-based (HMS BAB) training on maternal morbidity: a cluster-randomised trial in 20 districts in Tanzania.

BMJ Glob Health 2019 7;4(2):e001214. Epub 2019 Mar 7.

Department of Public Health Sciences, Karolinska Institutet, Solna, Sweden.

Background: Training health providers is an important strategy to improve health. We conducted a cluster-randomised two-arm trial in Tanzania to assess the effect of a 1-day competency-based training 'Helping Mothers Survive Bleeding after Birth (HMS BAB)' followed by eight weekly drills on postpartum haemorrhage (PPH)-related morbidity and mortality.

Methods: Twenty districts in four purposefully selected regions in Tanzania included 61 facilities. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441296PMC

Developing recommendations for neonatal inpatient care service categories: reflections from the research, policy and practice interface in Kenya.

BMJ Glob Health 2019 7;4(2):e001195. Epub 2019 Mar 7.

Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Neonatal deaths contribute a growing proportion to childhood mortality, and increasing access to inpatient newborn care has been identified as a potential driver of improvements in child health. However, previous work by this research team identified substantial gaps in the coverage and standardisation of inpatient newborn care in Nairobi City County, Kenya. To address the issue in this particular setting, we sought to draft recommendations on the categorisation of neonatal inpatient services through a process of policy review, evidence collation and examination of guidance in other countries. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441269PMC

How and why front-line health workers (did not) use a multifaceted mHealth intervention to support maternal and neonatal healthcare decision-making in Ghana.

BMJ Glob Health 2019 8;4(2):e001153. Epub 2019 Mar 8.

Ghana Health Service, Research and Development Division, Dodowa Research Centre, Accra, Ghana.

Introduction: Despite increasing use of mHealth interventions, there remains limited documentation of 'how and why' they are used and therefore the explanatory mechanisms behind observed effects on beneficiary health outcomes. We explored 'how and why' an mHealth intervention to support clinical decision-making by front-line providers of maternal and neonatal healthcare services in a low-resource setting was used. The intervention consisted of phone calls (voice calls), text messaging (short messaging service (SMS)), internet access (data) and access to emergency obstetric and neonatal protocols via an Unstructured Supplementary Service Data (USSD). Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441261PMC

Systematic review of evidence on public health in the Democratic People's Republic of Korea.

BMJ Glob Health 2019 9;4(2):e001133. Epub 2019 Mar 9.

Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Background: Engaging in public health activities in the Democratic People's Republic of Korea (DPRK, also known as North Korea) offers a means to improve population health for its citizens and the wider region. Such an engagement requires an understanding of current and future needs.

Methods: We conducted a systematic search of five English and eight Korean language databases to identify available literature published between 1988 and 2017. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441257PMC
March 2019
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Quality gap in maternal and newborn healthcare: a cross-sectional study in Myanmar.

BMJ Glob Health 2019 19;4(2):e001078. Epub 2019 Mar 19.

Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Introduction: Access to maternal and newborn healthcare has improved in Myanmar. However, regular contact with skilled care providers does not necessarily result in quality care. We assessed adequate contact made by women and newborns with skilled care providers, reception of high-quality care and quality-adjusted contacts during antenatal care (ANC), peripartum care (PPC) and postnatal care (PNC) in Myanmar. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441248PMC

Latent class analysis of the social determinants of health-seeking behaviour for delivery among pregnant women in Malawi.

BMJ Glob Health 2019 30;4(2):e000930. Epub 2019 Mar 30.

Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.

Introduction: In the era of Sustainable Development Goals, reducing maternal and neonatal mortality is a priority. With one of the highest maternal mortality ratios in the world, Malawi has a significant opportunity for improvement. One effort to improve maternal outcomes involves increasing access to high-quality health facilities for delivery. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-000930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441245PMC

Global, regional and national burden of emergency medical diseases using specific emergency disease indicators: analysis of the 2015 Global Burden of Disease Study.

BMJ Glob Health 2019 30;4(2):e000733. Epub 2019 Mar 30.

The Centre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.

Objective: There are currently no metrics for measuring population-level burden of emergency medical diseases (EMDs). This study presents an analysis of the burden of EMDs using two metrics: the emergency disease mortality rate (EDMR) and the emergency disease burden (EDB) per 1000 population at the national, regional and global levels.

Methods: We used the 1990 and 2015 Global Burden of Disease Study for morbidity and mortality data on 249 medical conditions in 195 countries. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-000733DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441258PMC

Measuring primary healthcare expenditure in low-income and lower middle-income countries.

BMJ Glob Health 2019 21;4(1):e001497. Epub 2019 Feb 21.

Global Development Division, The Bill and Melinda Gates Foundation, Seattle, Washington, USA.

Primary healthcare (PHC) is considered as the pathway to Universal Health Coverage (UHC) and to achieving sustainable development goals. Measuring PHC expenditure is a critical first step to understanding why some countries improve access to health services, provide financial risk protection and achieve UHC. In this paper, we tested and examined different measurement options using the System of Health Accounts (SHA) 2011 for systematic monitoring of PHC expenditure. Read More

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http://dx.doi.org/10.1136/bmjgh-2019-001497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441277PMC
February 2019

Diagnostic applications for Lassa fever in limited-resource settings.

BMJ Glob Health 2019 7;4(Suppl 2):e001119. Epub 2019 Feb 7.

Foundation for Innovative New Diagnostics (FIND), Emerging Threats Programme, Geneva, Switzerland.

Lassa fever, caused by arenavirus Lassa virus (LASV), is an acute viral haemorrhagic disease that affects up to an estimated 300 000 individuals and causes up to 5000 deaths per year in West Africa. Currently available LASV diagnostic methods are difficult to operationalise in low-resource health centres and may be less sensitive to detecting all known or emerging LASV strains. To prioritise diagnostic development for LASV, we assessed the diagnostic applications for case detection, clinical management, surveillance, outbreak response, and therapeutic and vaccine development at various healthcare levels. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001119
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http://dx.doi.org/10.1136/bmjgh-2018-001119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407552PMC
February 2019
4 Reads

Diagnostics for Lassa fever virus: a genetically diverse pathogen found in low-resource settings.

BMJ Glob Health 2019 7;4(Suppl 2):e001116. Epub 2019 Feb 7.

FIND, Emerging Threats Programme, Geneva, Switzerland.

Lassa fever virus (LASV) causes acute viral haemorrhagic fever with symptoms similar to those seen with Ebola virus infections. LASV is endemic to West Africa and is transmitted through contact with excretions of infected rodents and other rodent species. Due to a high fatality rate, lack of treatment options and difficulties with prevention and control, LASV is one of the high-priority pathogens included in the WHO R&D Blueprint. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407561PMC
February 2019
1 Read

Diagnostic tests for Crimean-Congo haemorrhagic fever: a widespread tickborne disease.

BMJ Glob Health 2019 20;4(Suppl 2):e001114. Epub 2019 Feb 20.

Emerging Threats Programme, Foundation for Innovative New Diagnostics (FIND), Geneva, Switzerland.

Crimean-Congo haemorrhagic fever (CCHF) is a widespread tickborne disease that circulates in wild and domestic animal hosts, and causes severe and often fatal haemorrhagic fever in infected humans. Due to the lack of treatment options or vaccines, and a high fatality rate, CCHF virus (CCHFV) is considered a high-priority pathogen according to the WHO R&D Blueprint. Several commercial reverse transcriptase PCR (RT-PCR) and serological diagnostic assays for CCHFV are already available, including febrile agent panels to distinguish CCHFV from other viral haemorrhagic fever agents; however, the majority of international laboratories use inhouse assays. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407549PMC
February 2019
3 Reads

Diagnostics for filovirus detection: impact of recent outbreaks on the diagnostic landscape.

BMJ Glob Health 2019 7;4(Suppl 2):e001112. Epub 2019 Feb 7.

FIND, Emerging Threats Programme, Geneva, Switzerland.

Ebolaviruses and Marburg virus (MARV) both belong to the family and cause severe haemorrhagic fever in humans. Due to high mortality rates and potential for spread from rural to urban regions, they are listed on the WHO R&D blueprint of high-priority pathogens. Recent ebolavirus outbreaks in Western and Central Africa have highlighted the importance of diagnostic testing in epidemic preparedness for these pathogens and led to the rapid development of a number of commercially available benchtop and point-of-care nucleic acid amplification tests as well as serological assays and rapid diagnostic tests. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001112
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http://dx.doi.org/10.1136/bmjgh-2018-001112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407532PMC
February 2019
6 Reads

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature.

BMJ Glob Health 2019 1;4(2):e001141. Epub 2019 Mar 1.

Department of ENT, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

Introduction: Community health workers (CHWs) have the potential to improve access to ear and hearing services for people across low-income or middle-income countries, remote, underserved, or resource-poor areas of the world. We performed a systematic scoping review to identify evidence on how CHWs are currently deployed in the prevention, screening, diagnosis, treatment and management of ear disease and hearing loss; methods to train and support CHWs in this context; and cost-effectiveness of CHWs.

Methods: We performed a systematic search of the literature from September 1978 to 18 March 2018 from 11 major databases and the grey literature. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407559PMC

Investing in health R&D: where we are, what limits us, and how to make progress in Africa.

BMJ Glob Health 2019 4;4(2):e001047. Epub 2019 Mar 4.

Department of Health Policy, London School of Economics and Political Science, London, UK.

Global research and development (R&D) pipelines for diseases that disproportionately affect African countries appear to be inadequate, with governments struggling to prioritise investment in R&D. This article provides insights into the sources of investment in health science research, available research capacity and level of research output in Africa. The African region comprises 15% of the world's population, yet only accounted for 1. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407556PMC

Correction: .

Authors:

BMJ Glob Health 2019 27;4(1):e000467corr1. Epub 2019 Feb 27.

[This corrects the article DOI: 10.1136/bmjgh-2017-000467.]. Read More

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http://dx.doi.org/10.1136/bmjgh-2017-000467corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407540PMC
February 2019

The world spends more money for health - on the road to UHC, let's strive for better health for the money!

BMJ Glob Health 2019 21;4(1):e001522. Epub 2019 Feb 21.

Organisation mondiale de la Sante, Geneve, Switzerland.

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http://dx.doi.org/10.1136/bmjgh-2019-001522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407537PMC
February 2019

Technologies of trust in epidemic response: openness, reflexivity and accountability during the 2014-2016 Ebola outbreak in West Africa.

BMJ Glob Health 2019 13;4(1):e001272. Epub 2019 Feb 13.

Pediatrics (Infectious Diseases), Dalhousie University, Halifax, Nova Scotia, Canada.

Trust is an essential component of successful cooperative endeavours. The global health response to the 2014-2016 West Africa Ebola outbreak confronted historically tenuous regional relationships of trust. Challenging sociopolitical contexts and initially inappropriate communication strategies impeded trustworthy relationships between communities and responders during the epidemic. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407545PMC
February 2019

The costs of diabetes treatment in low- and middle-income countries: a systematic review.

BMJ Glob Health 2019 27;4(1):e001258. Epub 2019 Feb 27.

Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.

Introduction: The rising burden of diabetes in low- and middle-income countries may cause financial strain on individuals and health systems. This paper presents a systematic review of direct medical costs for diabetes (types 1 and 2) in low- and middle-income countries.

Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, databases (PubMed, International Bibliography of Social Science, EconLit) were searched for publications reporting direct medical costs of type 1 and 2 diabetes. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001258
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http://dx.doi.org/10.1136/bmjgh-2018-001258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407562PMC
February 2019
2 Reads

Estimating global trends in total and childhood antibiotic consumption, 2011-2015.

BMJ Glob Health 2019 27;4(1):e001241. Epub 2019 Feb 27.

Paediatric Infectious Diseases Research Group, Institute of Infection and Immunity, St George's, University of London, London, UK.

Introduction: Understanding patterns of antibiotic consumption is essential to ensure access to appropriate antibiotics when needed and to minimise overuse, which can lead to antibiotic resistance. We aimed to describe changes in global antibiotic consumption between 2011 and 2015.

Methods: We analysed wholesale data on total antibiotic sales and antibiotics sold as child-appropriate formulations (CAFs), stratified by country income level (low/middle-income and high-income countries (LMICs and HICs)). Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001241DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407570PMC
February 2019
4 Reads

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.

BMJ Glob Health 2019 20;4(1):e001220. Epub 2019 Feb 20.

Surgery and Global Health, Duke University Medical Center, Durham, North Carolina, USA.

Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3-4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407551PMC
February 2019

Improving resource mobilisation for global health R&D: a role for coordination platforms?

BMJ Glob Health 2019 27;4(1):e001209. Epub 2019 Feb 27.

Center for Policy Impact in Global Health, Duke Global Health Institute, Duke University, Durham, North Carolina, USA.

Achieving many of the health targets in the Sustainable Development Goals will not be possible without increased financing for global health research and development (R&D). Yet financing for neglected disease product development fell from 2009-2015, with the exception of a one-time injection of Ebola funding. An important cause of the global health R&D funding gap is lack of coordination across R&D initiatives. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407558PMC
February 2019

Using rapid reviews to strengthen health policy and systems and progress towards universal health coverage.

BMJ Glob Health 2019 5;4(1):e001178. Epub 2019 Feb 5.

Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.

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http://dx.doi.org/10.1136/bmjgh-2018-001178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407563PMC
February 2019

How socioeconomic status moderates the stunting-age relationship in low-income and middle-income countries.

BMJ Glob Health 2019 8;4(1):e001175. Epub 2019 Feb 8.

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Introduction: Reducing stunting is an important part of the global health agenda. Despite likely changes in risk factors as children age, determinants of stunting are typically analysed without taking into account age-related heterogeneity. We aim to fill this gap by providing an in-depth analysis of the role of socioeconomic status (SES) as a moderator for the stunting-age pattern. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407538PMC
February 2019
3 Reads

The impact of universal home visits with pregnant women and their spouses on maternal outcomes: a cluster randomised controlled trial in Bauchi State, Nigeria.

BMJ Glob Health 2019 8;4(1):e001172. Epub 2019 Feb 8.

CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Canada.

Introduction: Maternal mortality in Nigeria is extremely high. Access to quality antenatal and obstetric care is limited. In Bauchi State, we found maternal morbidity was associated with domestic violence, heavy work in pregnancy, ignorance of danger signs, and lack of spousal communication. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407530PMC
February 2019
1 Read

Delivering integrated care after sexual violence in the Democratic Republic of the Congo.

BMJ Glob Health 2019 22;4(1):e001120. Epub 2019 Feb 22.

Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, Storrs, Connecticut, USA.

In the eastern Democratic Republic of the Congo, ongoing armed conflict increases the incidence of gender-based violence (GBV) and presents a distinct and major barrier to care delivery for all survivors of GBV. A specific challenge is providing emergency contraception, HIV prophylaxis and treatment for sexually transmitted infections to all survivors within 72 hours of violence. To address the multiple barriers to providing this time-sensitive medical care, Global Strategies and Panzi Hospital implemented the Prevention Pack Program. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001120
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http://dx.doi.org/10.1136/bmjgh-2018-001120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407665PMC
February 2019
5 Reads

Is the current surge in political and financial attention to One Health solidifying or splintering the movement?

BMJ Glob Health 2019 8;4(1):e001102. Epub 2019 Feb 8.

Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.

Introduction: The global health field has witnessed the rise, short-term persistence and fall of several movements. One Health, which addresses links between human, animal and environmental health, is currently experiencing a surge in political and financial attention, but there are well-documented barriers to collaboration between stakeholders from different sectors. We examined how stakeholder dynamics and approaches to operationalising One Health have evolved further to recent political and financial support for One Health. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407571PMC
February 2019

Using research to prepare for outbreaks of severe acute respiratory infection.

Authors:

BMJ Glob Health 2019 13;4(1):e001061. Epub 2019 Feb 13.

Severe acute respiratory infections (SARI) remain one of the leading causes of mortality around the world in all age groups. There is large global variation in epidemiology, clinical management and outcomes, including mortality. We performed a short period observational data collection in critical care units distributed globally during regional peak SARI seasons from 1 January 2016 until 31 August 2017, using standardised data collection tools. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001061
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http://dx.doi.org/10.1136/bmjgh-2018-001061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407534PMC
February 2019
3 Reads

e-PC101: an electronic clinical decision support tool developed in South Africa for primary care in low-income and middle-income countries.

BMJ Glob Health 2018 20;3(Suppl 5):e001093. Epub 2019 Feb 20.

Knowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.

Health technology is increasingly recognised as a feasible method of addressing health needs in low and middle-income countries (LMICs). Primary Care 101, now known as PACK (Practical Approach to Care Kit), is a printed, algorithmic, checklist-based, comprehensive clinical decision support tool. It assists clinicians with delivering evidence-based medicine for common primary care presentations and conditions. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407554PMC
February 2019

Evaluation of the effects of a generic substitution policy implemented in Chile.

BMJ Glob Health 2017 4;2(Suppl 3):e000922. Epub 2019 Mar 4.

Health Division, OECD, Paris, Île-de-France, France.

Introduction: Chile implemented a generic substitution policy in 2014 to improve access to medicines. This study aims to measure if the generic substitution policy had an effect on the sales volume and prices of referent and the branded generic products with demonstrated bioequivalence (BEQ) in the private pharmaceutical market.

Methods: The volume and total private sales of medicines sold at private sector retail outlets between November 2011 and October 2016 were considered in the analysis. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-000922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407566PMC

Importance of diagnostics in epidemic and pandemic preparedness.

BMJ Glob Health 2019 29;4(Suppl 2):e001179. Epub 2019 Jan 29.

Foundation for Innovative New Diagnostics, Geneva, Switzerland.

Diagnostics are fundamental for successful outbreak containment. In this supplement, 'Diagnostic preparedness for WHO Blueprint pathogens', we describe specific diagnostic challenges presented by selected priority pathogens most likely to cause future epidemics. Some challenges to diagnostic preparedness are common to all outbreak situations, as highlighted by recent outbreaks of Ebola, Zika and yellow fever. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362765PMC
January 2019
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Diagnostics for Nipah virus: a zoonotic pathogen endemic to Southeast Asia.

BMJ Glob Health 2019 1;4(Suppl 2):e001118. Epub 2019 Feb 1.

Foundation for Innovative New Diagnostics (FIND), Emerging Threats Programme, Geneva, Switzerland.

Nipah virus (NiV) is an emerging pathogen that, unlike other priority pathogens identified by WHO, is endemic to Southeast Asia. It is most commonly transmitted through exposure to saliva or excrement from the fruit bat, or direct contact with intermediate animal hosts, such as pigs. NiV infection causes severe febrile encephalitic disease and/or respiratory disease; treatment options are limited to supportive care. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361328PMC
February 2019
3 Reads

An updated roadmap for MERS-CoV research and product development: focus on diagnostics.

BMJ Glob Health 2019 1;4(Suppl 2):e001105. Epub 2019 Feb 1.

Health Emergencies Programme, WHO, Geneva, Switzerland.

Diagnostics play a central role in the early detection and control of outbreaks and can enable a more nuanced understanding of the disease kinetics and risk factors for the Middle East respiratory syndrome-coronavirus (MERS-CoV), one of the high-priority pathogens identified by the WHO. In this review we identified sources for molecular and serological diagnostic tests used in MERS-CoV detection, case management and outbreak investigations, as well as surveillance for humans and animals (camels), and summarised the performance of currently available tests, diagnostic needs, and associated challenges for diagnostic test development and implementation. A more detailed understanding of the kinetics of infection of MERS-CoV is needed in order to optimise the use of existing assays. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361340PMC
February 2019
1 Read

Correction: .

Authors:

BMJ Glob Health 2019 2;4(1):e000983corr1. Epub 2019 Feb 2.

[This corrects the article DOI: 10.1136/bmjgh-2018-000983.]. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-000983corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361322PMC
February 2019

Making the case: developing innovative adherence solutions for the treatment of tuberculosis.

BMJ Glob Health 2019 1;4(1):e001323. Epub 2019 Feb 1.

Department of Chemical Engineering and Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.

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http://dx.doi.org/10.1136/bmjgh-2018-001323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361324PMC
February 2019
5 Reads

Tuberculosis: treatment failure, or failure to treat? Lessons from India and South Africa.

BMJ Glob Health 2019 30;4(1):e001097. Epub 2019 Jan 30.

McGill International TB Centre, McGill University, Montreal, Quebec, Canada.

Tuberculosis (TB) remains an enormous public health concern globally. India and South Africa rank among the top 10 high TB burden countries with the highest absolute burden of TB, and the second highest rate of TB incidence, respectively. Although the primary drivers of TB transmission vary considerably between these two countries, they do indeed share common themes. Read More

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http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001097
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http://dx.doi.org/10.1136/bmjgh-2018-001097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357918PMC
January 2019
4 Reads

Health systems changes after decentralisation: progress, challenges and dynamics in Pakistan.

BMJ Glob Health 2019 30;4(1):e001013. Epub 2019 Jan 30.

Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Decentralisation is widely practised but its scrutiny tends to focus on structural and authority changes or outcomes. Politics and process of devolution implementation needs to be better understood to evaluate how national governments use the enhanced decision space for bringing improvements in the health system and the underlying challenges faced. We use the example of Pakistan's radical, politically driven provincial devolution to analyse how national structures use decentralisation opportunities for improved health planning, spending and carrying out transformations to the health system. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357909PMC
January 2019

The impact of user charges on health outcomes in low-income and middle-income countries: a systematic review.

BMJ Glob Health 2018 10;3(Suppl 3):e001087. Epub 2019 Jan 10.

Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College, London, UK.

Background: User charges are widely used health financing mechanisms in many health systems in low-income and middle-income countries (LMICs) due to insufficient public health spending on health. This study systematically reviews the evidence on the relationship between user charges and health outcomes in LMICs, and explores underlying mechanisms of this relationship.

Methods: Published studies were identified via electronic medical, public health, health services and economics databases from 1990 to September 2017. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350744PMC
January 2019

Formulating questions to explore complex interventions within qualitative evidence synthesis.

BMJ Glob Health 2019 25;4(Suppl 1):e001107. Epub 2019 Jan 25.

Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

When making decisions about complex interventions, guideline development groups need to factor in the sociocultural acceptability of an intervention, as well as contextual factors that impact on the feasibility of that intervention. Qualitative evidence synthesis offers one method of exploring these issues. This paper considers the extent to which current methods of question formulation are meeting this challenge. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-001107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350737PMC
January 2019
2 Reads

Complex health interventions in complex systems: improving the process and methods for evidence-informed health decisions.

BMJ Glob Health 2019 25;4(Suppl 1):e000963. Epub 2019 Jan 25.

Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.

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http://dx.doi.org/10.1136/bmjgh-2018-000963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350736PMC
January 2019
4 Reads