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Piercing the veil on the functioning and effectiveness of district health system governance structures: perspectives from a South African province
BackgroundLeadership and governance are critical for achieving universal health coverage (UHC). In South Africa, aspirations for UHC are expressed...
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Self-perceived knowledge, attitudes, and training needs regarding medical cannabis among health care providers and health volunteers in district health systems, Phitsanulok Province
Background:Health care providers and health volunteers play an important role in the collaborative provision of patient access and care regarding...
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The development of an instrument to measure interprofessional collaboration competency for primary care teams in the district health system of health region 2, Thailand
BackgroundEvidence shows that interprofessional collaboration (IPC) practice contributes to the quality of health care. However, there are limited...
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Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020
BackgroundRoutine health facility data provides the opportunity to monitor progress in quality and uptake of health care continuously. Our study...
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Operational challenges of engaging development partners in district health planning in Tanzania
BackgroundDevelopment Assistance for Health (DAH) represents an important source of health financing in many low and middle-income countries....
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The views of public service managers on the implementation of National Health Insurance in primary care: a case of Johannesburg Health District, Gauteng Province, Republic of South Africa
BackgroundThe South African government is implementing National Health Insurance (NHI) as a monopsony health care financing mechanism to drive the...
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Analysis of factors influencing technical efficiency of public district hospitals in KwaZulu-Natal province, South Africa
BackgroundDistrict hospitals are crucial in supporting primary health care and serve as a gateway to more specialist care through a referral system....
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Comparison of pregnancy and neonatal outcomes in a retrospective full pregnancy history survey versus population-based prospective records: a validation study in rural Sarlahi District, Nepal
IntroductionCountries without complete civil registration and vital statistics systems rely on retrospective full pregnancy history surveys (FPH) to...
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Expanding Community Health Worker decision space: learning from a Participatory Action Research training intervention in a rural South African district
BackgroundWhile integral to decentralising health reforms, Community Health Workers (CHWs) in South Africa experience many challenges. During...
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Evaluating equity across the continuum of care for maternal health services: analysis of national health surveys from 25 sub-Saharan African countries
BackgroundEnsuring access to the continuum of care for maternal, neonatal, and child health is an effective strategy for reducing maternal and child...
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Bottom-up innovation for health management capacity development: a qualitative case study in a South African health district
BackgroundAs part of health system strengthening in South Africa (2012–2017) a new district health manager, taking a bottom-up approach, developed a...
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Magnitude of unmet need for family planning and associated factors among women in the extended postpartum period in Dabat district, Northwest Ethiopia. evidence from Dabat demographic health surveys
BackgroundDue to additional roles and emotional changes that occur during postpartum period, women use contraceptives differs from other times in...
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Maternal Mortality in a Rural District of Pakistan and Contributing Factors
IntroductionPakistan is among the ten countries that account for 60% of global maternal mortality. Lack of accurate data on maternal mortality and a...
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Spatial analysis of provincial and district trends in stunting among children under five years in Nepal from 2001 to 2016
BackgroundThe average prevalence of stunting reported by the Nepal Demographic Health Survey from 2001 to 2016 only reports the prevalence of...
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Patterns of Social Determinants of Health and Publicly-Funded Service Access among Children Involved in Educational, Child Welfare, and Social Service Systems
Social determinants of health (SDOH)—conditions in which children live, learn, and play—affect child health and well-being. Publicly funded services...
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Structural capacity and continuum of snakebite care in the primary health care system in India: a cross-sectional assessment
BackgroundIn 2019, the World Health Organization, set a target to halve the burden of snakebite, by 2030, and identified ‘health systems...
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Surgical ambulance referrals in sub-Saharan Africa – financial costs and co** strategies at district hospitals in Tanzania, Malawi and Zambia
BackgroundAn estimated nine out of ten persons in sub-Saharan Africa (SSA) are unable to access timely, safe and affordable surgery. District...
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Association between adequacy of antenatal care and neonatal outcomes in Rwanda: a cross-sectional study design using the Rwanda demographic and health surveys
BackgroundMaternal and neonatal health services are life-saving interventions for neonatal health outcomes. As Rwanda endeavors to accomplish...
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Complete childhood vaccination and associated factors among children aged 12–23 months in Dabat demographic and health survey site, Ethiopia, 2022
IntroductionChildhood immunization is one of the most cost-effective public health strategies to prevent children’s mortality and morbidity from...
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Realising radical potential: building community power in primary health care through Participatory Action Research
BackgroundWhile community participation is an established pro-equity approach in Primary Health Care (PHC), it can take many forms, and the central...
