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Health systems

Section Editor: Mihajlo Jakovljevic, University of Kragujevac, Serbia
Deputy Section Editors: 
Fiona Cianci, Health Service Executive, Dublin, Ireland, 
Vijay Chattu, University of Toronto, Toronto, Canada,
Meri Koivusalo, Tampere University, Finland, 
Daniel Maceira, Center for the Study of State and Society, Argentina,
Elena Potapchik, Higher School of Economics, Russia
 

At a global level, international institutions, donors, grants and conditional loans are increasingly influencing the financing and organization of health systems in much of the world, with implications for equity in access to care. There is a renewed global push for universal health coverage but lack of agreement on how it should be funded or administered. Private financing for health systems in many countries is rising; there is a critical shortage of human resources for health; out-of-pocket payments continue to push people into ‘medical poverty’; and the high costs of new medical technologies or therapeutics too often available only to the few challenge appropriate funding levels for comprehensive primary health services essential to the many. Papers submitted under this topic explore how globalization-related processes are affecting the development of national and regional health systems, with a focus on how such systems improve health equity in terms of access, coverage, and financing. Note: We are not accepting articles on health systems that do not attend to how they are being affected by globalization.

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  1. Various governments in Ghana have tried to improve healthcare in the country. Despite these efforts, meeting health care needs is a growing concern to government and their citizens. Short term medical missions...

    Authors: Efua Esaaba Mantey, Daniel Doh, Judith N. Lasker, Sirry Alang, Peter Donkor and Myron Aldrink

    Citation: Globalization and Health 2021 17:115

    Content type: Research

    Published on:

  2. The severity of COVID-19, as well as the speed and scale of its spread, has posed a global challenge. Countries around the world have implemented stringent non-pharmaceutical interventions (NPI) to control tra...

    Authors: Charbel El Bcheraoui, Sophie Alice Müller, Eleanor C Vaughan, Andreas Jansen, Robert Cook and Johanna Hanefeld

    Citation: Globalization and Health 2021 17:106

    Content type: Research

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  3. Health workforce planning is critical for health systems to safeguard the ability to afford, train, recruit, and retain the appropriate number and mix of health workers. This balance is especially important wh...

    Authors: Tracy Kuo Lin, Tim A. Bruckner, Taghred Alghaith, Mariam M. Hamza, Mohammed Alluhidan, Christopher H. Herbst, Hussah Alghodaier, Adwa Alamri, Rana Saber, Nahar Alazemi and Jenny X. Liu

    Citation: Globalization and Health 2021 17:105

    Content type: Research

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  4. Refugees often face psychosocial complexity and multi-dimensional healthcare needs. Community-Based Participatory Research (CBPR) methods have been previously employed in designing health programs for refugee ...

    Authors: Tali Filler, Pardeep Kaur Benipal, Nazi Torabi and Ripudaman Singh Minhas

    Citation: Globalization and Health 2021 17:103

    Content type: Research

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  5. Nepal has improved access and utilisation of routine maternal and newborn health (MNH) services. Despite improved access to routine MNH services such as antenatal care (ANC), and delivery and postnatal care (P...

    Authors: Resham B. Khatri, Jo Durham and Yibeltal Assefa

    Citation: Globalization and Health 2021 17:102

    Content type: Research

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  6. Despite progress in global health, the general disease burden still disproportionately falls on low- and middle-income countries. The health needs of these countries’ populations are unmet because there is a s...

    Authors: Vivian Chia-Jou Lee, Jacqueline Yao and William Zhang

    Citation: Globalization and Health 2021 17:101

    Content type: Commentary

    Published on:

  7. As Arab countries seek to implement the ‘Guideline on Good Pharmacovigilance Practice (GVP) for Arab countries’, understanding policy implementation mechanisms and the factors impacting it can inform best impl...

    Authors: Hamza Y. Garashi, Douglas T. Steinke and Ellen I. Schafheutle

    Citation: Globalization and Health 2021 17:97

    Content type: Research

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  8. International medical electives are a well-established part of the curriculum of many western medical schools. It is widely accepted that these electives contribute to improved clinical examination and communi...

    Authors: Maximilian Andreas Storz, Ann-Kathrin Lederer and Eric Pieter Heymann

    Citation: Globalization and Health 2021 17:90

    Content type: Research

    Published on:

  9. The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challeng...

    Authors: Kristen Meagher, Bothaina Attal and Preeti Patel

    Citation: Globalization and Health 2021 17:88

    Content type: Research

    Published on:

  10. International evidence suggests migrants experience inequitable access, outcomes and treatment quality across the cancer care continuum. There is currently limited research assessing equity across the cancer c...

    Authors: Brighid Scanlon, Mark Brough, David Wyld and Jo Durham

    Citation: Globalization and Health 2021 17:87

    Content type: Review

    Published on:

  11. Suboptimal health status (SHS), an intermediate state between chronic disease and health, is characterized by chronic fatigue, non-specific pain, headaches, dizziness, anxiety, depression, and functional syste...

    Authors: Yunlian Xue, Zhuomin Huang, Guihao Liu, Zicheng Zhang, Yefang Feng, Mengyao Xu, Lijie Jiang, Wenyuan Li and Jun Xu

    Citation: Globalization and Health 2021 17:86

    Content type: Research

    Published on:

  12. Non-communicable diseases (NCDs) have recently become a global public health burden and a leading cause of premature death, mainly in low- and middle-income countries (LMICs). The aim of the study was to explo...

    Authors: Alexander Cheza and Boikhutso Tlou

    Citation: Globalization and Health 2021 17:82

    Content type: Research

    Published on:

  13. In 2015, the President’s Emergency Plan for AIDS Relief undertook policy shifts to increase efficiencies in its programming, including transitioning HIV/AIDS funding away from low burden areas. We examine the ...

    Authors: Mary Qiu, Ligia Paina, Daniela C. Rodríguez, Jess A. Wilhelm, Ezinne Eze-Ajoku, Alexandra Searle, Henry Zakumumpa, Freddie Ssengooba, Caroline MacKenzie and Sara Bennett

    Citation: Globalization and Health 2021 17:80

    Content type: Research

    Published on:

  14. With the aim to support further understanding of scaling up and sustaining digital health, we explore digital health solutions that have or are anticipated to reach national scale in South Africa: the Perinata...

    Authors: Alison Swartz, Amnesty E. LeFevre, Shehani Perera, Mary V. Kinney and Asha S. George

    Citation: Globalization and Health 2021 17:77

    Content type: Research

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  15. There has been greater recognition of the importance of country ownership in global health and development. However, operationalising country ownership to ensure the scale up and sustainability of proven inter...

    Authors: Lisa Mwaikambo, Sarah Brittingham, Saori Ohkubo, Ruwaida Salem, Denis Joel Sama, Fatimata Sow, Deepti Mathur and Nneoma Nonyelum Anieto

    Citation: Globalization and Health 2021 17:75

    Content type: Research

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  16. Of the close to 2.6 million stillbirths that happen annually, most are from low-income countries where until recently policies rarely paid special attention to addressing them. The global campaigns that follow...

    Authors: Eric Ssegujja and Michelle Andipatin

    Citation: Globalization and Health 2021 17:66

    Content type: Research

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  17. Efficacious health interventions tested through controlled trials often fail to show desired impacts when implemented at scale. These challenges can be particularly pervasive in low- and middle-income settings...

    Authors: Michael J. Penkunas, Shiau Yun Chong, Emma L. M. Rhule, Evangelia Berdou and Pascale Allotey

    Citation: Globalization and Health 2021 17:63

    Content type: Commentary

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  18. Task shifting could help address limited human resources available for the delivery of quality health care services in low-resource settings. However, the role of medical devices in supporting task shifting is...

    Authors: Amir Sabet Sarvestani, Marianna Coulentianos and Kathleen H. Sienko

    Citation: Globalization and Health 2021 17:60

    Content type: Research

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  19. Evidence exists about synergies among universal health coverage, health security and health promotion. Uniting these three global agendas has brought success to the country’s health sector. This study aimed to...

    Authors: Amare Worku Tadesse, Kassu Ketema Gurmu, Selamawit Tesfaye Kebede and Mahlet Kifle Habtemariam

    Citation: Globalization and Health 2021 17:53

    Content type: Research

    Published on:

  20. Health innovations are generally oriented on a techno-economic vision. In this perspective, technologies are seen as an end in themselves, and there is no arrangement between the technical and the social value...

    Authors: Marietou Niang, Sophie Dupéré, Hassane Alami and Marie-Pierre Gagnon

    Citation: Globalization and Health 2021 17:46

    Content type: Debate

    Published on:

  21. The ongoing pandemic of coronavirus disease 2019 (COVID-19) has the potential to reverse progress towards global targets. This study examines the risks that the COVID-19 pandemic poses to equitable access to e...

    Authors: Floriano Amimo, Ben Lambert, Anthony Magit and Masahiro Hashizume

    Citation: Globalization and Health 2021 17:42

    Content type: Review

    Published on:

  22. The vulnerability of cardiovascular disease (CVD) patients’ health abilities, combined with the severity of the disease and the overlapping risk factors, leads such people to bear the economic burden of the di...

    Authors: Meiyan Ma, Wanxin Tian, Jian Kang, Yuze Li, Qi Xia, Nianshi Wang, Wenqing Miao, Xiyu Zhang, Yiyun Zhang, Baoguo Shi, Han Gao, Tao Sun, Xuelian Fu, Yanhua Hao, Heng Li, Linghan Shan…

    Citation: Globalization and Health 2021 17:36

    Content type: Research

    Published on:

  23. Twenty-five years into South Africa’s constitutional democracy provides an opportunity to take stock of the social and structural determinants of adolescent health. Those born in democratic South Africa, commo...

    Authors: Tanya Jacobs and Asha George

    Citation: Globalization and Health 2021 17:35

    Content type: Review

    Published on:

  24. With the ongoing COVID-19 outbreak, healthcare systems across the world have been pushed to the brink. The approach of traditional healthcare systems to disaster preparedness and prevention has demonstrated in...

    Authors: Shuangyi Sun, Zhen Xie, Keting Yu, Bingqian Jiang, Siwei Zheng and Xiaoting Pan

    Citation: Globalization and Health 2021 17:14

    Content type: Review

    Published on:

  25. Notwithstanding extensive general discussion of the effects of upstream forces on health, there has been limited empirical examination, let alone systematic evidence documenting policy responses to such pathwa...

    Authors: Prince A. Adu, Jerry M. Spiegel and Annalee Yassi

    Citation: Globalization and Health 2021 17:11

    Content type: Research

    Published on:

  26. During isolation, sharing physical activity experiences on social network sites (SNS) can enhance individual social connectedness. The objective of the present study was to examine the associations between sha...

    Authors: Yifan Zuo, Yudan Ma, Mu Zhang, Xiaoyuan Wu and Zhanbing Ren

    Citation: Globalization and Health 2021 17:10

    Content type: Research

    Published on:

  27. Peer supervision improves health care delivery by health workers. However, in rural Uganda, self-supervision is what is prescribed for licensed private drug sellers by statutory guidelines. Evidence shows that...

    Authors: Arthur Bagonza, Stefan Peterson, Andreas Mårtensson, Milton Mutto, Phyllis Awor, Freddy Kitutu, Linda Gibson and Henry Wamani

    Citation: Globalization and Health 2020 16:106

    Content type: Research

    Published on:

  28. The continued spread of the coronavirus disease 2019 (COVID-19) has a serious impact on everyone across the globe, both physically and psychologically. In addition to proactive measures addressing physical sur...

    Authors: Yumeng Ju, Yan Zhang, Xiaoping Wang, Weihui Li, Roger M. K. Ng and Lingjiang Li

    Citation: Globalization and Health 2020 16:102

    Content type: Debate

    Published on:

  29. Due to economic development and an increase in the aging population, the demand for medical resources is increasing. A good doctor-patient relationship (DPR) can optimize patients’ medical experience and impro...

    Authors: Tianqing Sang, Hongli Zhou, Muhan Li, Wenting Li, Haibo Shi, Haibin Chen and Hongguang Zhou

    Citation: Globalization and Health 2020 16:99

    Content type: Research

    Published on:

  30. The outbreak of Coronavirus Disease is causing considerable acute risk to public health and might also have an unanticipated impact on the mental health of children and adolescents in the long run. This study ...

    Authors: Shitao Chen, Zeyuan Cheng and Jing Wu

    Citation: Globalization and Health 2020 16:96

    Content type: Research

    Published on:

  31. Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) outbreak, called coronavirus disease - 2019 (COVID-19), has affected more than 200 countries across the globe with a higher fatality rate among the ...

    Authors: Alok Ranjan and V. R. Muraleedharan

    Citation: Globalization and Health 2020 16:93

    Content type: Research

    Published on:

  32. In the UK, according to the 1967 Abortion Act, all abortions must be approved by two doctors, reported to the Department of Health and Social Care (DHSC), and be performed by doctors within licensed premises. ...

    Authors: Jacy Zhou, Rebecca Blaylock and Matthew Harris

    Citation: Globalization and Health 2020 16:91

    Content type: Research

    Published on:

  33. A recent editorial urged those working in global mental health to “change the conversation” on coronavirus disease (Covid-19) by putting more focus on the needs of people with severe mental health conditions. ...

    Authors: Richard Mpango, Jasmine Kalha, Donat Shamba, Mary Ramesh, Fileuka Ngakongwa, Arti Kulkarni, Palak Korde, Juliet Nakku and Grace K. Ryan

    Citation: Globalization and Health 2020 16:90

    Content type: Commentary

    Published on:

  34. Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health worker...

    Authors: Pratik Khanal, Navin Devkota, Minakshi Dahal, Kiran Paudel and Devavrat Joshi

    Citation: Globalization and Health 2020 16:89

    Content type: Research

    Published on:

  35. The lack of training and education of Community-Based Rehabilitation (CBR) workers poses one of the most significant barriers to receiving effective occupational, physical and speech therapy for individuals wi...

    Authors: Bria Mitchell-Gillespie, Hiba Hashim, Megan Griffin and Rawan AlHeresh

    Citation: Globalization and Health 2020 16:82

    Content type: Research

    Published on:

  36. The Economic Commission of the West African States (ECOWAS), through her specialised health Institution, the West African Health Organization (WAHO) is supporting Members States to improve health outcomes in W...

    Authors: Chigozie Jesse Uneke, Issiaka Sombie, Ermel Johnson, Bilikis Iyabo Uneke and Stanley Okolo

    Citation: Globalization and Health 2020 16:73

    Content type: Research

    Published on:

  37. The current study builds upon a previous situation analysis of the extent to which grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) are being utilized to support operational re...

    Authors: Salvador Camacho, Dermot Maher, Edward Mberu Kamau, Jasmina Saric, Luis Segura, Rony Zachariah and Kaspar Wyss

    Citation: Globalization and Health 2020 16:67

    Content type: Research

    Published on:

  38. Coronavirus Disease is impacting the entire world. As the first country that has needed to confront this disease, China has responded with unprecedented and hugely successful public health initiatives. Almost ...

    Authors: Shitao Chen, Feihan Li, Chaihua Lin, Yuge Han, Xilun Nie, Robert N. Portnoy and Zhihong Qiao

    Citation: Globalization and Health 2020 16:59

    Content type: Commentary

    Published on:

  39. Health technology assessment (HTA) is an effective tool to support priority setting and generate evidence for decision making especially en route to achieving universal health coverage (UHC). We assessed the c...

    Authors: Benjamin S. C. Uzochukwu, Chinyere Okeke, Niki O’Brien, Francis Ruiz, Issiaka Sombie and Samantha Hollingworth

    Citation: Globalization and Health 2020 16:58

    Content type: Research

    Published on:

  40. Low-and Middle-Income Countries (LMICs) in the Middle East and North Africa (MENA) region are facing increasing global health challenges with a reduced ability to manage them. Global Health Capacity Building (...

    Authors: Hady Naal, Maria El Koussa, Melissa El Hamouch, Layal Hneiny and Shadi Saleh

    Citation: Globalization and Health 2020 16:56

    Content type: Review

    Published on:

  41. During the COVID-19 pandemic, as a large city located in Southwest China, Chengdu was mainly affected by imported cases. For a psychiatric hospital, the enclosed management model, the crowded wards and the unc...

    Authors: Jiajia Chen, Maoxiang Xiong, Zongling He, Wen Shi, Yuchuan Yue and Manxi He

    Citation: Globalization and Health 2020 16:53

    Content type: Letter to the Editor

    Published on:

  42. The World Health Organization and other institutions are considering Artificial Intelligence (AI) as a technology that can potentially address some health system gaps, especially the reduction of global health...

    Authors: Hassane Alami, Lysanne Rivard, Pascale Lehoux, Steven J. Hoffman, Stéphanie Bernadette Mafalda Cadeddu, Mathilde Savoldelli, Mamane Abdoulaye Samri, Mohamed Ali Ag Ahmed, Richard Fleet and Jean-Paul Fortin

    Citation: Globalization and Health 2020 16:52

    Content type: Debate

    Published on:

  43. In 2016–2017, Vietnam’s Ministry of Health (MoH) implemented an event-based surveillance (EBS) pilot project in six provinces as part of Global Health Security Agenda (GHSA) efforts. This manuscript describes ...

    Authors: Alexey Clara, Anh T. P. Dao, Anthony W. Mounts, Christina Bernadotte, Huyen T. Nguyen, Quy M. Tran, Quang D. Tran, Tan Q. Dang, Sharifa Merali, S. Arunmozhi Balajee and Trang T. Do

    Citation: Globalization and Health 2020 16:38

    Content type: Research

    Published on:

  44. Leadership and management training has become increasingly important in the education of health care professionals. Previous research has shown the benefits that a network provides to its members, such as acce...

    Authors: Andrea M. Prado, Andy A. Pearson, Nathan S. Bertelsen and José A. Pagán

    Citation: Globalization and Health 2020 16:34

    Content type: Research

    Published on: