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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. 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

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  2. 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

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  3. 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

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  4. 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

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  5. 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

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  6. 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

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  7. 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

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  8. 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

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  9. 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

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  10. 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

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  11. 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

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  12. 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

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  13. 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

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  14. 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

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  15. 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

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  16. 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

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  17. 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

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  18. 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

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  19. In Italy an important contribution to the spread of global health education (GHE) grew from the establishment and work of the Italian Network for Global Health Education (INGHE). INGHE gave a national shared d...

    Authors: Giulia Civitelli, Gianfranco Tarsitani, Alessandro Rinaldi and Maurizio Marceca

    Citation: Globalization and Health 2020 16:30

    Content type: Research

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  20. Available evidence on mental health and psychosocial problems in Lebanon is limited. Recent quantitative data suggests a high prevalence among Syrian refugees and their Lebanese host communities, with signific...

    Authors: Aya Noubani, Karin Diaconu, Lilian Ghandour, Maria El Koussa, Giulia Loffreda and Shadi Saleh

    Citation: Globalization and Health 2020 16:28

    Content type: Research

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  21. While great strides have been achieved in fighting malaria through the Roll Back Malaria (RBM) strategy, the recent world malaria report shows an increase in malaria-related deaths compared to previous years. ...

    Authors: Tumaini Malenga, Frances E. Griffiths, Marrit van den Berg, Henk van den Berg, Michèle van Vugt, Kamija Samuel Phiri, Lucinda Manda-Taylor and Eric Umar

    Citation: Globalization and Health 2020 16:25

    Content type: Research

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  22. Cooperation in public health and in oncology in particular, is currently a major issue for the island of Martinique, given its geopolitical position in the Caribbean region. The region of Martinique shares cer...

    Authors: Clarisse Joachim, Thierry Almont, Moustapha Drame, Cédric Contaret, Mylène Vestris, Fatiha Najioullah, Aude Aline-Fardin, Patrick Escarmant, Nicolas Leduc, Nathalie Grossat, Xavier Promeyrat, Stefanos Bougas, Eva Papadopoulou, Vincent Vinh-Hung, Emmanuelle Sylvestre and Jacqueline Veronique-Baudin

    Citation: Globalization and Health 2020 16:20

    Content type: Review

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  23. The third Sustainable Development Goal (SDG − 3) aims to ensure healthy lives and promote well-being for all at all ages. SDG-3 has a specific target on universal health coverage (UHC), which emphasizes the im...

    Authors: Yibeltal Assefa, Peter S. Hill, Wim Van Damme, Judith Dean and Charles F. Gilks

    Citation: Globalization and Health 2020 16:17

    Content type: Research

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  24. Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health ...

    Authors: Sara Bennett, Nasreen Jessani, Douglas Glandon, Mary Qiu, Kerry Scott, Ankita Meghani, Fadi El-Jardali, Daniel Maceira, Dena Javadi and Abdul Ghaffar

    Citation: Globalization and Health 2020 16:5

    Content type: Research

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  25. Efforts from the developed world to improve surgical, anesthesia and obstetric care in low- and middle-income countries have evolved from a primarily volunteer mission trip model to a sustainable health system...

    Authors: Paul Truché, Haitham Shoman, Ché L. Reddy, Desmond T. Jumbam, Joanna Ashby, Adelina Mazhiqi, Taylor Wurdeman, Emmanuel A. Ameh, Martin Smith, Edwin Lugazia, Emmanuel Makasa, Kee B. Park and John G. Meara

    Citation: Globalization and Health 2020 16:1

    Content type: Commentary

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  26. Localisation is a pervasive challenge in achieving sustainable development. Contextual particularities may render generalized strategies to achieve the Sustainable Development Goals (SDGs) unfeasible, impracti...

    Authors: David T. Tan, José Gabriel Siri, Yi Gong, Benjamin Ong, Shiang Cheng Lim, Brian H. MacGillivray and Terry Marsden

    Citation: Globalization and Health 2019 15:85

    Content type: Methodology

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  27. Most international electives in which medical students from high-income countries travel abroad are largely unstructured, and can lead to problematic outcomes for students as well as sending and receiving inst...

    Authors: Chris Willott, Eva Khair, Roger Worthington, Katy Daniels and A. Mark Clarfield

    Citation: Globalization and Health 2019 15:84

    Content type: Review

    Published on:

  28. The interconnections between health and the economy are well known and well documented. The funding gap for realizing SDG3 for good health and well-being, however, remains vast. Simultaneously, economic growth...

    Authors: Mariska Meurs, Lisa Seidelmann and Myria Koutsoumpa

    Citation: Globalization and Health 2019 15:83

    Content type: Research

    Published on:

  29. In conflict settings, research capacities have often been de-prioritized as resources are diverted to emergency needs, such as addressing elevated morbidity, mortality and health system challenges directly and...

    Authors: Nassim El Achi, Andreas Papamichail, Anthony Rizk, Helen Lindsay, Marilyne Menassa, Rima A. Abdul-Khalek, Abdulkarim Ekzayez, Omar Dewachi and Preeti Patel

    Citation: Globalization and Health 2019 15:81

    Content type: Research

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  30. There is a current need to build the capacity of Health Policy and Systems Research + Analysis (HPSR+A) in low and middle-income countries (LMICs) as this enhances the processes of decision-making at all level...

    Authors: Obinna Onwujekwe, Enyi Etiaba, Chinyere Mbachu, Uchenna Ezenwaka, Ifeanyi Chikezie, Ifeyinwa Arize, Chikezie Nwankwor and Benjamin Uzochukwu

    Citation: Globalization and Health 2019 15:69

    Content type: Research

    Published on:

  31. The aim of this study was to examine the determinants of nutritional status among children under age 5 (0–59 months) in Ethiopia. Child malnutrition is an underlying cause of almost half (45%) of child deaths,...

    Authors: Zerihun Yohannes Amare, Mossa Endris Ahmed and Adey Belete Mehari

    Citation: Globalization and Health 2019 15:62

    Content type: Research

    Published on:

  32. Globalization has made it possible for global health professionals and trainees to participate in short-term training and professional experiences in a variety of clinical- and non-clinical activities across b...

    Authors: Ashti Doobay-Persaud, Jessica Evert, Matthew DeCamp, Charlesnika T. Evans, Kathryn H. Jacobsen, Natalie E. Sheneman, Joshua L. Goldstein and Brett D. Nelson

    Citation: Globalization and Health 2019 15:60

    Content type: Research

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  33. Health security in the European Union (EU) aims to protect citizens from serious threats to health such as biological agents and infectious disease outbreaks- whether natural, intentional or accidental. Threat...

    Authors: Máirín Boland and Mary O’Riordan

    Citation: Globalization and Health 2019 15:53

    Content type: Review

    Published on:

  34. Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evi...

    Authors: Simbarashe Rusakaniko, Michael Makanga, Martin O. Ota, Moses Bockarie, Geoffrey Banda, Joseph Okeibunor, Francisca Mutapi, Prosper Tumusiime, Thomas Nyirenda, Joses Muthuri Kirigia and Juliet Nabyonga-Orem

    Citation: Globalization and Health 2019 15:50

    Content type: Research

    Published on:

  35. Although various organizations working in developed countries established the standards and approaches used in occupational hygiene, occupational hygiene professional interests and needs continue to develop in...

    Authors: Sibel Kiran, Alp Ergor, Ceyda Sahan, Esra Emerce, Sergio Luzzi and Yucel Demiral

    Citation: Globalization and Health 2019 15:39

    Content type: Research

    Published on:

  36. In Uganda, more than 336 out of every 100,000 women die annually during childbirth. Pregnant women, particularly in rural areas, often lack the financial resources and means to access health facilities in a ti...

    Authors: Ligia Paina, Gertrude Namazzi, Moses Tetui, Chrispus Mayora, Rornald Muhumuza Kananura, Suzanne N. Kiwanuka, Peter Waiswa, Aloysius Mutebi and Elizabeth Ekirapa-Kiracho

    Citation: Globalization and Health 2019 15:38

    Content type: Short report

    Published on:

  37. For many countries, including Malawi, Tanzania and Zimbabwe, 2017 was a transition year for support from the Global Fund to Fight AIDS, Tuberculosis and Malaria as one funding cycle closed and another would be...

    Authors: Russell Armstrong, Arlette Campbell White, Patrick Chinyamuchiko, Steven Chizimbi, Sarah Hamm Rush and Nana K. Poku

    Citation: Globalization and Health 2019 15:34

    Content type: Research

    Published on:

  38. Global Engagement works with health partnerships to establish workforce and educational translation on a global scale to support the National Health Service (NHS). There is growing evidence on how internationa...

    Authors: B. Zamora, M. Gurupira, M. Rodes Sanchez, Y. Feng, K. Hernandez-Villafuerte, J. Brown and K. Shah

    Citation: Globalization and Health 2019 15:31

    Content type: Research

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  39. The nutritional traffic light label (NTLL) has become one of the most used Front of Package labels (FOP’s) around the world, for its simple and easy to understand graphical system. In Ecuador, this labelling s...

    Authors: Santiago Teran, Isabel Hernandez, Wilma Freire, Beatriz Leon and Enrique Teran

    Citation: Globalization and Health 2019 15:26

    Content type: Research

    Published on:

  40. Ethiopia has been implementing a community health extension program (HEP) since 2003. We aimed to assess the successes and challenges of the HEP over time, and develop a framework that may assist the implement...

    Authors: Yibeltal Assefa, Yalemzewod Assefa Gelaw, Peter S. Hill, Belaynew Wassie Taye and Wim Van Damme

    Citation: Globalization and Health 2019 15:24

    Content type: Research

    Published on:

  41. Conducting health research in conflict-affected areas and other complex environments is difficult, yet vital. However, the capacity to undertake such research is often limited and with little translation into ...

    Authors: Gemma Bowsher, Andreas Papamichail, Nassim El Achi, Abdulkarim Ekzayez, Bayard Roberts, Richard Sullivan and Preeti Patel

    Citation: Globalization and Health 2019 15:23

    Content type: Review

    Published on:

  42. Recent developments in connected health technology provide an opportunity to remotely monitor and provide health care to the patient needing long-term medical care. However, information about how any connected...

    Authors: Abdullah M. Aldahmash, Zakiuddin Ahmed, Fatima R. Qadri, Subash Thapa and Abdulrahman Mohammed AlMuammar

    Citation: Globalization and Health 2019 15:20

    Content type: Debate

    Published on:

  43. The objective of this article is to describe the state of North, Central, South American and Caribbean (Pan-American) indigenous health. The second objective is to identify recommendations for optimal healthca...

    Authors: Julie Babyar

    Citation: Globalization and Health 2019 15:16

    Content type: Review

    Published on:

  44. Globally, health service leaders and managers have a critical role in strengthening health systems. Competency frameworks for health service managers are usually designed to describe expectations of good perfo...

    Authors: Reema Harrison, Lois Meyer, Ashfaq Chauhan and Maria Agaliotis

    Citation: Globalization and Health 2019 15:11

    Content type: Research

    Published on:

  45. This article describes a twinning relationship between the Canadian Association of Midwives (CAM) and the Tanzania Midwives Association (TAMA). It argues that the twinning relationship strengthened both associ...

    Authors: Rachel Sandwell, Deborah Bonser, Emmanuelle Hebert, Katrina Kilroy, Sebalda Leshabari, Feddy Mwanga, Agnes Mtawa, Anne Wilson and Amelie Moritz

    Citation: Globalization and Health 2018 14:123

    Content type: Commentary

    Published on: