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Open AccessWhy do some countries do better or worse in life expectancy relative to income? An analysis of Brazil, Ethiopia, and the United States of America
While in general a country’s life expectancy increases with national income, some countries “punch above their weight”, while some “punch below their weight” – achieving higher or lower life expectancy than wo...
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Article
Open AccessGlobal health activists’ lessons on building social movements for Health for All
The People’s Health Movement (PHM) was formed in 2000 and drew inspiration from the Alma Ata Declaration on Primary Health Care’s ‘Health for All’ (1978). Since then PHM has been an active part of a global cou...
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Open AccessThe politics and practice of initiating a public health postgraduate programme in three universities in sub-Saharan Africa: the challenges of alignment and coherence
In-country postgraduate training programme in low and middle income countries are widely considered to strengthen institutional and national capacity. There exists dearth of research about how new training ini...
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Open AccessDeterminants of effective organisational capacity training: lessons from a training programme on health workforce development with participants from three African countries
Health systems in sub-Saharan Africa face multifaceted capacity challenges to fulfil their mandates of service provision and governance of their resources. Four academic institutions in Africa implemented a Wo...
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Open AccessLow intake of commonly available fruits and vegetables in socio-economically disadvantaged communities of South Africa: influence of affordability and sugary drinks intake
Consumption of fruits and vegetables reduces the risk of obesity, diabetes, cancer, cardiovascular mortality and all-cause mortality. The study assessed the pattern of intake and the factors that influence dai...
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Open AccessPunching above their weight: a network to understand broader determinants of increasing life expectancy
Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected – they either punch a...
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Open AccessHow institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations
Worldwide, there are competing norms driving health system changes and reorganisation. One such norm is that of health systems’ responsibilities for population health as distinct from a focus on clinical servi...
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Open AccessCritiquing the response to the Ebola epidemic through a Primary Health Care Approach
The 2014/2015 West Africa Ebola epidemic has caused the global public health community to engage in difficult self-reflection. First, it must consider the part it played in relation to an important public heal...
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The Paradox of Undernutrition and Obesity in South Africa: A Contextual Overview of Food Quality, Access and Availability in the New Democracy
South Africa is a country in nutrition and economic transition. Undernutrition, particularly stunting and micronutrient deficiencies, coexist with overweight and obesity, which have been on the rise over the p...
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Open AccessStrengthening health systems in low-income countries by enhancing organizational capacities and improving institutions
This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Str...
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Open AccessFrontline health workers as brokers: provider perceptions, experiences and mitigating strategies to improve access to essential medicines in South Africa
Front-line health providers have a unique role as brokers (patient advocates) between the health system and patients in ensuring access to medicines (ATM). ATM is a fundamental component of health systems. Thi...
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Open AccessGrowth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial
In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer c...
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Open AccessAnalysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and PEPFAR-funded HIV-activities
Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a subs...
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Open AccessAssessment of the uptake of neonatal and young infant referrals by community health workers to public health facilities in an urban informal settlement, KwaZulu-Natal, South Africa
Globally, 40% of the 7.6 million deaths of children under five every year occur in the neonatal period (first 28 days after birth). Increased and earlier recognition of illness facilitated by community health ...
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Open AccessThe impact of primary healthcare in reducing inequalities in child health outcomes, Bogotá – Colombia: an ecological analysis
Colombia is one of the countries with the widest levels of socioeconomic and health inequalities. Bogotá, its capital, faces serious problems of poverty, social disparities and access to health services. A Pri...
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Open AccessWhy do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa
Child cash transfers are increasingly recognised for their potential to reduce poverty and improve health outcomes. South Africa‘s child support grant (CSG) constitutes the largest cash transfer in the contine...
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Open AccessThe role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia: a cross sectional study
Community health workers are widely used to provide care for a broad range of health issues. Since 2003 the government of Ethiopia has been deploying specially trained new cadres of community based health work...
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Open AccessThe experience of community health workers training in Iran: a qualitative study
The role of Community Health Workers (CHWs) in improving access to basic healthcare services, and mobilising community actions on health is broadly recognised. The Primary Health Care (PHC) approach, identifie...
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Open AccessVaccination coverage and timeliness in three South African areas: a prospective study
Timely vaccination is important to induce adequate protective immunity. We measured vaccination timeliness and vaccination coverage in three geographical areas in South Africa.
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A policy review of the community health worker programme in Iran
Iran's Community Health Worker (CHW) programme survived as an integral element of the health system during a period when many other nations’ CHW programmes collapsed and therefore warrants detailed analysis of...