Articles

Projected impact of diabetes on the Costa Rican healthcare system

Costa Rica, similar to many other Latin American countries is undergoing population aging at a fast pace. As a result of the epidemiological transition, the prevalence of diabetes has increased. This condition...

Authors: Carolina Santamaría-Ulloa and Melina Montero-López

Inequality in healthcare use among older people in Colombia

Since the early 1990s, Colombia has made great strides in extending healthcare coverage to its population. In order to measure the impact of these efforts, it is important to assess whether the introduction of...

Authors: Jorge Garcia-Ramirez, Zlatko Nikoloski and Elias Mossialos

Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

Social and community participation is a fundamental component of the development of renewed primary healthcare (PHC). With the recognition of health as a right, such participation is a significant part of the ...

Authors: Laura Catalina Blandón-Lotero and Marta Cecilia Jaramillo-Mejía

Horizontal inequity in the use and access to health care in Uruguay

In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of th...

Authors: Cecilia González and Patricia Triunfo

“Got to build that trust”: the perspectives and experiences of Aboriginal health staff on maternal oral health

In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do...

Authors: Ariana C. Kong, Mariana S. Sousa, Lucie Ramjan, Michelle Dickson, Joanne Goulding, Kylie Gwynne, Folau Talbot, Nathan Jones, Ravi Srinivas and Ajesh George

Realigning global health governance: WHO at a crossroads

Authors: Irene Torres, Osvaldo Artaza, Barbara Profeta, Cristina Alonso and JaHyun Kang

A qualitative analysis of vaccine decision makers’ conceptualization and fostering of ‘community engagement’ in India

Globally, and in India, research has highlighted the importance of community engagement in achieving national vaccination goals and in promoting health equity. However, community engagement is not well-defined...

Authors: Tapati Dutta, Beth E. Meyerson, Jon Agley, Priscilla A. Barnes, Catherine Sherwood-Laughlin and Jill Nicholson-Crotty

Addressing the caste system in U.S. healthcare in the era of COVID-19

In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system—the artificially-constructed and legally-...

Authors: Karthik Sivashanker, Cheri Couillard, Jennifer Goldsmith, Normella Walker and Sunil Eappen

Adaptation and validation of social accountability measures in the context of contraceptive services in Ghana and Tanzania

Changes in the values, attitudes, and interactions of both service users and health care providers are central to social accountability processes in reproductive health. However, there is little consensus on h...

Authors: Victoria Boydell, Petrus S. Steyn, Joanna Paula Cordero, Ndema Habib, My Huong Nguyen, Dela Nai and Donat Shamba

Ethics, pandemic and environment; looking at the future of low middle income countries

COVID-19 which started in Wuhan, China and swiftly expanded geographically worldwide, including to Low to Middle Income Countries (LMICs). This in turn raised numerous ethical concerns in preparedness, knowled...

Authors: Faouzia Tanveer, Ali Talha Khalil, Muhammad Ali and Zabta Khan Shinwari

Representation of gender in migrant health studies – a systematic review of the social epidemiological literature

Gender as a social construct contributes to determine who migrates and which migration-related risks and opportunities emerge in all phases of the migration trajectory. Simultaneously, migration influences the...

Authors: Lisa Wandschneider, Stephanie Batram-Zantvoort, Oliver Razum and Céline Miani

Health of refugees and migrants from former Soviet Union countries in the Russian Federation: a narrative review

This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugee...

Authors: Nataliia Bakunina, Artyom Gil, Vitaly Polushkin, Boris Sergeev, Margarita Flores, Igor Toskin, Viktoriya Madyanova and Ruslan Khalfin

Responsiveness of health care services towards the elderly in Tanzania: does health insurance make a difference? A cross-sectional study

Responsiveness has become an important health system performance indicator in evaluating the ability of health care systems to meet patients’ expectations. However, its measurement in sub-Saharan Africa remain...

Authors: Paul Joseph Amani, Malale Tungu, Anna-Karin Hurtig, Angwara Denis Kiwara, Gasto Frumence and Miguel San Sebastián

Socioeconomic inequalities in women’s access to health care: has Ecuadorian health reform been successful?

Over the last 12 years, Ecuador has implemented comprehensive health sector reform to ensure equitable access to health care services according to need. While there have been important achievements in terms of...

Authors: Edy Quizhpe, Miguel San Sebastian, Enrique Teran and Anni-Maria Pulkki-Brännström

Contribution of psychosocial factors to socioeconomic inequalities in mortality among older Australian men: a population-based cohort study

Among older people, the extent to which psychosocial factors explain socioeconomic inequalities in mortality is debated. We aimed to investigate the potential mediating effect of psychosocial factors on socioe...

Authors: Saman Khalatbari-Soltani, Fiona Stanaway, Erin Cvejic, Fiona M. Blyth, Vasi Naganathan, David J. Handelsman, David G. Le Couteur, Markus J. Seibel, Louise M. Waite and Robert G. Cumming

Correction to: Assessing inequalities and regional disparities in child nutrition outcomes in India using MANUSH – a more sensitive yardstick

An amendment to this paper has been published and can be accessed via the original article.

Authors: Ayushi Jain and Satish B. Agnihotri

Sex differences in the management of persons with dementia following a subnational primary care policy intervention

The influence of sex and gender on the risk of dementia, its clinical presentation and progression is increasingly being recognized. However, current dementia strategies have not explicitly considered sex and ...

Authors: Nadia Sourial, Geneviève Arsenault-Lapierre, Eva Margo-Dermer, Mary Henein and Isabelle Vedel

Typology of organizational innovation components: building blocks to improve access to primary healthcare for vulnerable populations

Achieving equity of access to primary healthcare requires organizations to implement innovations tailored to the specific needs and abilities of vulnerable populations. However, designing pro-vulnerable innova...

Authors: Mélanie Ann Smithman, Sarah Descôteaux, Émilie Dionne, Lauralie Richard, Mylaine Breton, Vladimir Khanassov and Jeannie L. Haggerty

Landscapes of care and despair for rural youth – a qualitative study in the northern Swedish ‘periphery’

This study emerges as a response to the lack of youth perspectives when it comes to discussions about access to and experiences of health and social services in rural areas. It subsequently contributes to the ...

Authors: Frida Jonsson, Isabel Goicolea, Monica Christianson, Dean B. Carson and Maria Wiklund

Using implementation science to mitigate worsening health inequities in the United States during the COVID-19 pandemic

With the threat of coronavirus disease 2019 (Covid-19) enduring in the United States, effectively and equitably implementing testing, tracing, and self-isolation as key prevention and detection strategies rema...

Authors: Tyler A. Jacobson, Lauren E. Smith, Lisa R. Hirschhorn and Mark D. Huffman

Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals

An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified bot...

Authors: Eva Rens, Geert Dom, Roy Remmen, Joris Michielsen and Kris Van den Broeck

Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries

Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range of personal and social characteristics. In this study, examined whether socially vulnerable persons exhibit...

Authors: Jeannie Haggerty, Jean-Frederic Levesque, Mark Harris, Catherine Scott, Simone Dahrouge, Virginia Lewis, Emilie Dionne, Nigel Stocks and Grant Russell

Building a sanitary vulnerability map from open source data in Argentina (2010-2018)

Designing public health policies to target the needs of specific places requires highly granular data. When geographic health statistics from official sources are absent or lacking in spatial detail, Sanitary ...

Authors: Germán Federico Rosati, Tomás Alberto Olego and H. Antonio Vazquez Brust

Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice

Authors: Lorena Alcalde-Rubio, Ildefonso Hernández-Aguado, Lucy Anne Parker, Eduardo Bueno-Vergara and Elisa Chilet-Rosell

Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution: a county-level case study in Kenya

Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest alloca...

Authors: Joshua Munywoki, Nancy Kagwanja, Jane Chuma, Jacinta Nzinga, Edwine Barasa and Benjamin Tsofa

Hierarchical two-step floating catchment area (2SFCA) method: measuring the spatial accessibility to hierarchical healthcare facilities in Shenzhen, China

Spatial accessibility to healthcare facilities has drawn much attention in health geography. In China, central and local governments have aimed to develop a well-organized hierarchical system of healthcare fac...

Authors: Zhuolin Tao, Yang Cheng and Jixiang Liu

Financial risk protection of Thailand’s universal health coverage: results from series of national household surveys between 1996 and 2015

Thailand, an upper-middle income country, has demonstrated exemplary outcomes of Universal Health Coverage (UHC). The country achieved full population coverage and a high level of financial risk protection sin...

Authors: Viroj Tangcharoensathien, Kanjana Tisayaticom, Rapeepong Suphanchaimat, Vuthiphan Vongmongkol, Shaheda Viriyathorn and Supon Limwattananon

Values are not enough: qualitative study identifying critical elements for prioritization of health equity in health systems

Health system policies and programs that reduce health inequities and improve health outcomes are essential to address unjust social gradients in health. Prioritization of health equity is fundamental to addre...

Authors: Thea van Roode, Bernadette M. Pauly, Lenora Marcellus, Heather Wilson Strosher, Sana Shahram, Phuc Dang, Alex Kent and Marjorie MacDonald

Targeting vulnerable groups of health poverty alleviation in rural China— what is the role of the New Rural Cooperative Medical Scheme for the middle age and elderly population?

In light of the health poverty alleviation policy, we explore whether the New Rural Cooperative Medical System (NRCMS) has effectively reduced the economic burden of medical expenses on rural middle-aged and e...

Authors: Nianshi Wang, Jing Xu, Meiyan Ma, Linghan Shan, Mingli Jiao, Qi Xia, Wanxin Tian, Xiyu Zhang, Limin Liu, Yanhua Hao, Lijun Gao, Qunhong Wu and Ye Li

Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review

Cervical cancer screening has been effective in reducing incidence and mortality of cervical cancer, leading European countries to implement screening programs. However, migrant women show lower screening part...

Authors: Patrícia Marques, Mariana Nunes, Maria da Luz Antunes, Bruno Heleno and Sónia Dias

Intersectional equity in health care: assessing complex inequities in primary and secondary care utilization by gender and education in northern Sweden

Knowledge remains scarce about inequities in health care utilization between groups defined, not only by single, but by multiple and intersecting social categories. This study aims to estimate intersectional h...

Authors: Fortune N. Nyamande, Paola A. Mosquera, Miguel San Sebastián and Per E. Gustafsson

Socio-economic inequalities in suffering at the end of life among advanced cancer patients: results from the APPROACH study in five Asian countries

A systematic understanding of socio-economic inequalities in end-of-life (EOL) suffering among advanced cancer patients is required to inform efforts to reduce these inequalities as part of Universal Health Co...

Authors: Chetna Malhotra, Anirudh Krishnan, Jing Rong Yong, Irene Teo, Semra Ozdemir, Xiao Hong Ning, Thushari Hapuarachchi, Gayatri Palat, Sushma Bhatnagar, Anjum Khan Joad, Pham Nguyen Tuong, Wynn Mon Ssu and Eric Finkelstein

Do multiple community-based interventions on health promotion tackle health inequalities?

Previous systematic reviews of the impact of multi-component community-based health promotion interventions on reducing health inequalities by socio-economic status (SES) were restricted to physical activity a...

Authors: Stefan Nickel and Olaf von dem Knesebeck

Tenofovir for prevention of mother to child transmission of hepatitis B in migrant women in a resource-limited setting on the Thailand-Myanmar border: a commentary on challenges of implementation

The aim of this manuscript is to highlight challenges in the implementation of maternal tenofovir disoproxil fumarate (tenofovir) for prevention of mother to child transmission (PMTCT) of hepatitis B virus (HB...

Authors: M. Bierhoff, M. J. Rijken, W. Yotyingaphiram, M. Pimanpanarak, M. van Vugt, C. Angkurawaranon, F. Nosten, S. Ehrhardt, C. L. Thio and R. McGready

Coping with the COVID-19 pandemic – the role of leadership in the Arab ethnic minority in Israel

The Arab ethnic minority makes up 21% of Israel’s population, yet comprised just 8.8% of confirmed cases and 3.6% of deaths from COVID-19, despite their higher risk profile and greater burden of underlying ill...

Authors: Mor Saban, Vicki Myers and Rachel Wilf-Miron

Covid-19 in Israel: socio-demographic characteristics of first wave morbidity in Jewish and Arab communities

The first wave of the Covid-19 pandemic hit Israel in late February 2020. The present study examines patterns of the first wave of Covid-19 morbidity in Israel at the macro level, during the period of late Feb...

Authors: Daphna Birenbaum-Carmeli and Judith Chassida

Improving public hospital efficiency and fiscal space implications: the case of Mauritius

General Government Health Expenditure (GGHE) in Mauritius accounted for only 10% of General Government Expenditure for the fiscal year 2018. This is less than the pledge taken under the Abuja 2001 Declaration ...

Authors: Ajoy Nundoochan

Trends in adolescent first births in sub-Saharan Africa: a tale of increasing inequity?

Single aggregate figures for adolescent pregnancy may fail to demonstrate particular population groups where rates are very high, or where progress has been slow. In addition, most indicators fail to separate ...

Authors: Sarah Neal, Andrew Amos Channon, Venkatraman Chandra-Mouli and Nyovani Madise

Inequitable access to an outpatient parenteral antimicrobial therapy service: linked cross-sectional study

To assess whether Outpatient Parenteral Antimicrobial Therapy (OPAT) is provided equitably across gender and social groups in a tertiary care setting.

Authors: Colin Sumpter, Clark D. Russell and Claire Mackintosh

Characterizing street-connected children and youths’ social and health inequities in Kenya: a qualitative study

Street-connected children and youth (SCY) in Kenya disproportionately experience preventable morbidities and premature mortality. We theorize these health inequities are socially produced and result from syste...

Authors: L. Embleton, P. Shah, A. Gayapersad, R. Kiptui, D. Ayuku and P. Braitstein

Understanding long-term HIV survivorship among African American/Black and Latinx persons living with HIV in the United States: a qualitative exploration through the lens of symbolic violence

Persons living with HIV (PLWH) are living longer, although racial/ethnic and socioeconomic status (SES) disparities persist. Yet, little is known about the experience of living with and managing HIV over decad...

Authors: Robert Freeman, Marya Gwadz, Leo Wilton, Linda M. Collins, Caroline Dorsen, Robert L. Hawkins, Elizabeth Silverman, Belkis Y. Martinez, Noelle R. Leonard, Amanda Applegate and Sabrina Cluesman

Disease experiences of female patients with Hansen’s disease residing in settlement in Korea

The purpose of this study was to identify female Hansen’s disease experience in settlement village in Korea.

Authors: Ho Gi Jung and Ya Ki Yang

Assessing and decomposing inequality of opportunity in access to child health and nutrition in sub-Saharan Africa: evidence from three countries with low human development index

Inequality of opportunity in health and nutrition is a major public health issue in the developing regions. This study analyzed the patterns and extent of inequality of opportunity in health and nutrition amon...

Authors: Yacobou Sanoussi, Bright Opoku Ahinkorah, Aduragbemi Banke-Thomas and Sanni Yaya

Comparison of inpatient distribution amongst different medical alliances in a county: a longitudinal study on a healthcare reform in rural China

China has launched the medical alliances (MAs) reform to drive the development of primary medical institutions and decrease health inequality in rural areas. Three different types of MAs were built to promote ...

Authors: Yifan Ran, Hongxia Gao, Dan Han, Guilin Hou, Yingchun Chen and Yan Zhang

Unspoken inequality: how COVID-19 has exacerbated existing vulnerabilities of asylum-seekers, refugees, and undocumented migrants in South Africa

An estimated 2 million foreign-born migrants of working age (15–64) were living in South Africa (SA) in 2017. Structural and practical xenophobia has driven asylum-seekers, refugees, and undocumented migrants ...

Authors: Ferdinand C. Mukumbang, Anthony N. Ambe and Babatope O. Adebiyi

The challenges of COVID-19 in the Brazilian Amazonian communities and the importance of seroepidemiological surveillance studies

The emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has alarmed the world with its high rate of transmission and the ability to cause severe and fatal disease. The impact of this ...

Authors: Antonio Carlos Rosário Vallinoto, Maria Karoliny da Silva Torres, Mariana Cayres Vallinoto and Izaura M. V. Cayres Vallinoto

Education-related variation in coronary procedure rates and the contribution of private health care in Australia: a prospective cohort study

Contemporary Australian evidence on socioeconomic variation in secondary cardiovascular disease (CVD) care, a possible contributor to inequalities in cardiovascular disease outcomes, is lacking. This study exa...

Authors: Veronica Hughes, Ellie Paige, Jennifer Welsh, Grace Joshy, Emily Banks and Rosemary J. Korda

Assessing inequalities and regional disparities in child nutrition outcomes in India using MANUSH – a more sensitive yardstick

India is strongly committed to reducing the burden of child malnutrition, which has remained a persistent concern. Findings from recent surveys indicate co-existence of child undernutrition, micronutrient defi...

Authors: Ayushi Jain and Satish B. Agnihotri

COVID-19 response strategies: considering inequalities between and within countries

Globally, the COVID-19 pandemic has been uncharted territory, and countries and governments have faced the challenge of implementing response strategies to manage local transmission. High-income settings have ...

Authors: Lincoln Leehang Lau, Natalee Hung and Kendall Wilson

Vulnerability and agency across treatment-seeking journeys for acutely ill children: how family members navigate complex healthcare before, during and after hospitalisation in a rural Kenyan setting

Child mortality rates during hospitalisation for acute illness and after discharge are unacceptably high in many under-resourced settings. Childhood vulnerability to recurrent illness, and death, is linked to ...

Authors: Scholastica M. Zakayo, Rita W. Njeru, Gladys Sanga, Mary N. Kimani, Anderson Charo, Kui Muraya, Haribondhu Sarma, Md. Fakhar Uddin, James A. Berkley, Judd L. Walson, Maureen Kelley, Vicki Marsh and Sassy Molyneux