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Health systems

Section Editor: Mihajlo Jakovljevic, University of Kragujevac, Serbia
Deputy Section Editors: Fiona Cianci, Health Service Executive, Dublin, Ireland and Mellissa Withers, USC Keck School of Medicine, USA
 

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. Practical links between health systems and health security are historically prevalent, but the conceptual links between these fields remain under explored, with little on health system strengthening. The need ...

    Authors: Garrett Wallace Brown, Gemma Bridge, Jessica Martini, Jimyong Um, Owain D. Williams, Luc Bertrand Tsachoua Choupe, Natalie Rhodes, Zheng Jie Marc Ho, Stella Chungong and Nirmal Kandel
    Citation: Globalization and Health 2022 18:51
  2. The Africa One Health University Network (AFROHUN) with support from the United States Agency for International Development (USAID), has since 2012 conducted pre and in-service One health (OH) trainings with t...

    Authors: Tonny Ssekamatte, John Bosco Isunju, Aisha Nalugya, Richard K. Mugambe, Patrick Kalibala, Angella Musewa, Winnie Bikaako, Milly Nattimba, Arnold Tigaiza, Doreen Nakalembe, Jimmy Osuret, Solomon Tsebeni Wafula, Esther Buregyeya, Fatima Tsiouris, Susan Michaels-Strasser, John David Kabasa…
    Citation: Globalization and Health 2022 18:49
  3. Urbanization challenges the assumptions that have traditionally influenced maternal and newborn health (MNH) programs. This landscaping outlines how current mental models for MNH programs have fallen short for...

    Authors: Shanon McNab, Elaine Scudder, Uzma Syed and Lynn P. Freedman
    Citation: Globalization and Health 2022 18:46
  4. Hypoxic ischaemic encephalopathy (HIE) is a major cause of neonatal mortality and disability in the United Kingdom (UK) and has significant human and financial costs. Therapeutic hypothermia (TH), which consis...

    Authors: Giulia Dallera, Mark Skopec, Cheryl Battersby, James Barlow and Matthew Harris
    Citation: Globalization and Health 2022 18:43
  5. Child undernutrition continues to be a major public health problem in many countries, including Nepal. The repercussions of undernutrition are not only limited to the affected children and families but also tr...

    Authors: Umesh Prasad Bhusal and Vishnu Prasad Sapkota
    Citation: Globalization and Health 2022 18:42
  6. Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost...

    Authors: Thomas Kuipers, Remco van de Pas and Anja Krumeich
    Citation: Globalization and Health 2022 18:38
  7. After nearly a quarter-century of declining poverty, the numbers are rising again significantly. This is due not only to effects of climate change but also to the COVID-19 pandemics and armed conflict. Combine...

    Authors: Doris Klingelhöfer, Markus Braun, Dörthe Brüggmann and David A. Groneberg
    Citation: Globalization and Health 2022 18:35
  8. In the past decade, there has been increasing guideline development for short-term medical missions (STMMs) traveling from high-income to low- and middle-income countries for the purpose of supporting health c...

    Authors: Patti Tracey, Ethan Rajaratnam, Julie Varughese, David Venegas, Belinda Gombachika, Mercy Pindani, Elizabeth Ashbourne and Alexandra Martiniuk
    Citation: Globalization and Health 2022 18:19
  9. Road crashes are a major cause of death among all age groups and the leading cause of death among persons 5–29 years, according to the World Health Organization. One key risk factor is drink-driving. While the...

    Authors: Ivy Stein, Abdulgafoor M. Bachani and Connie Hoe
    Citation: Globalization and Health 2022 18:18
  10. Nepal’s Primary Health Care (PHC) is aligned vertically with disease control programs at the core and a vast network of community health workers at the periphery. Aligning with the globalization of health and ...

    Authors: Bipin Adhikari, Shiva Raj Mishra and Ryan Schwarz
    Citation: Globalization and Health 2022 18:8
  11. Noncommunicable diseases (NCDs) are the leading cause of death and disability worldwide. They exact a disproportionate toll in low and middle-income countries, and the world is not on-track to meet internation...

    Authors: Tea Collins, Svetlana Akselrod, Daria Berlina and Luke N Allen
    Citation: Globalization and Health 2022 18:6
  12. Routine maternity care visits (MCVs) such as antenatal care (ANC), institutional delivery, and postnatal care (PNC) visits are crucial to utilisation of maternal and newborn health (MNH) interventions during p...

    Authors: Resham B Khatri, Rajendra Karkee, Jo Durham and Yibeltal Assefa
    Citation: Globalization and Health 2021 17:141
  13. More than half of the working population in Latin American and Caribbean (LAC) countries is engaged in informal employment. The few previous studies indicate that this employment condition could have negative ...

    Authors: Mireia Utzet, Ferran Botías, Michael Silva-Peñaherrera, Aurelio Tobías and Fernando G. Benavides
    Citation: Globalization and Health 2021 17:140
  14. Social Network Analysis (SNA) demonstrates great potential in exploring health professional relationships and improving care delivery, but there is no comprehensive overview of its utilization in healthcare se...

    Authors: Huajie Hu, Yu Yang, Chi Zhang, Cong Huang, Xiaodong Guan and Luwen Shi
    Citation: Globalization and Health 2021 17:139
  15. Developing essential health services through non-governmental organisations (NGOs) is an important strategy for progressing towards Universal Health Coverage (UHC), especially in low- and middle-income countri...

    Authors: Arman Sanadgol, Leila Doshmangir, Reza Majdzadeh and Vladimir Sergeevich Gordeev
    Citation: Globalization and Health 2021 17:129
  16. 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
  17. 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
  18. 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

    The Correction to this article has been published in Globalization and Health 2021 17:127

  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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
  35. 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
  36. 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
  37. 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
  38. 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
  39. 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
  40. 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
  41. 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
  42. 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