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Reaching the unheard: overcoming challenges in health research with hard-to-reach populations Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-18 Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Addressing obstacles such as logistical complexities, social stigma, and the impact of historical traumas is essential for the successful inclusion of underrepresented groups in health research. This article reviews engagement and interview techniques used to ethically engage recently settled Afghan refugees in Oklahoma and rural Mexican-born women in Illinois in research. The paper concludes with
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Letter to the editor: will it be possible to achieve the global nutrition targets in Mexico by 2030? Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-18 Mónica Ancira-Moreno, Sonia Hernández-Cordero
In May 2012, the 65th World Health Assembly (WHA) approved six global nutrition targets by 2025 aimed to reduce stunting in children under five by 40%, maintain childhood wasting below 5%, halt obesity, cut anemia in women by 50%, lower low birth weight prevalence by 30%, and increase exclusive breastfeeding (EBF) within the first 6 months to 50%. These targets were extended to 2030, with all of them
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Power imbalances and equity in the day-to-day functioning of a north plus multi-south higher education institutions partnership: a case study Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-15 Silondile Luthuli, Marguerite Daniel, J. Hope Corbin
Partnerships between Higher Education Institutions (HEIs) in the global north and south have commonly been used as a vehicle to drive global health research and initiatives. Among these initiatives, include health system strengthening, research capacity building, and human resource training in developing countries. However, the partnership functioning of many global north-south partnerships still carry
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Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-15 Theadora Swift Koller, Jelena Kjetkovikj Janeva, Elena Ognenovska, Ana Vasilevska, Simona Atanasova, Chris Brown, Antoni Dedeu, Anne Johansen
The Government of North Macedonia’s Primary Health Care reform is committed to leaving no one behind on the path to Universal health Coverage (UHC). During mid-2022 to March 2023, the World Health Organization (WHO) collaborated with the Government and other national stakeholders for an assessment of barriers to effective coverage with health services experienced by adult citizens, with a specific
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Equity in the recovery of elective and oncological surgery volumes after the COVID-19 lockdown: a multicentre cohort study in Italy Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-15 Chiara Di Girolamo, Roberta Onorati, Tania Landriscina, Roberto Gnavi, Giulia Cesaroni, Enrico Calandrini, Lucia Bisceglia, Caterina Fanizza, Teresa Spadea
The COVID-19 pandemic has had, and still has, a profound impact on national health systems, altering trajectories of care and exacerbating existing inequalities in health. Postponement of surgeries and cancellation of elective surgical procedures have been reported worldwide. In Italy, the lock-down measures following the COVID-19 pandemic caused cancellations of surgical procedures and important backlogs;
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A mixed method study on the impact of COVID-19 on mental healthcare in Ghana: rethinking mental health service delivery Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-14 Michael Zobi, Seth Kofi Abrokwa, Eugene Dordoye, Angel Phuti
Since its emergence, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has caused severe health, social and economic challenges. Mental healthcare has been significantly affected globally, and even worse in developing countries. An emerging economy like Ghana in West Africa was not spared its disruptive effects. This study aimed to elucidate the impact of the coronavirus disease 2019, the
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Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-14 Huanyu Shi, Zhichao Cheng, Zhichao Liu, Yang Zhang, Peng Zhang
The construction of the ordered health delivery system in China aims to enhance equity and optimize the efficient use of medical resources by rationally allocating patients to different levels of medical institutions based on the severity of their condition. However, superior hospitals have been overcrowded, and primary healthcare facilities have been underutilized in recent years. China has developed
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The critical pharmaceutical situation in Sudan 2023: A humanitarian catastrophe of civil war Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-13 Lina Hemmeda, Angad Tiwari, Barakat Olajumoke Kolawole, Fathima Shehnaz Ayoobkhan, Kainat Fatima, Moshi Moshi Shabani, Mrinmoy Kundu, NagaSpurthy Reddy Anugu, Riya Mary Richard, Danya Ibrahim, Khabab Abbasher Hussien Mohamed Ahmed
The situation in Sudan have deteriorated since the ongoing war outbreak in April 2023. This article sheds light on the pharmacological status in Sudan in terms of shortage of supply, rising demands, and regulatory issues. The ongoing civil war has acutely impacted the dilapidated pharmaceutical status of Sudan, patients have suffered from the paucity of medical services forcing an out-of-control rise
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Can single disease payment impact hospitalization expenses and quality in district hospital? A case study in Fujian, China Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-13 Liangwen Zhang, Wanqiu Sha, Qiyu Lin, Ya Fang
China is exploring payment reform methods for patients to address the escalating issue of increasing medical costs. While most district hospitals were still in the stage of Single Disease Payment (SDP) due to conditions, there is a scarcity of research on comprehensive assessment of SDP. This study aims to evaluate the implementation of SDP in a district hospital, and provided data support and scientific
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Healthcare equity in focus: bridging gaps through a spatial analysis of healthcare facilities in Irbid, Jordan Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-12 Bushra Obeidat, Sally Alourd
In the Irbid Governorate, Jordan, equitable healthcare facility distribution is vital to ensuring healthcare accessibility and improving public health outcomes. This study investigated the spatial distribution, accessibility, and conformity of healthcare facilities to the Ministry of Health standards to identify areas requiring improvement. Using geographic information systems (GIS), three spatial
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Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-11 Jiayan Li, Tingting Gao, Dan Zhao, Shujun Chai, Jingjing Luo, Xuehong Wang, Xueqing Wang, Jingjie Sun, Peilong Li, Chengchao Zhou
Catastrophic health expenditure (CHE) has a considerable impact on older people in later life, but little is known about the relationship between catastrophic health expenditure and health-related quality of life (HRQOL). The aim of this study was to examine the relationship between catastrophic health expenditure and health-related quality of life in older people, and to explore whether the daily
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Equity in family planning policies and programs in Uganda: conceptualization, dimensions and implementation constraints Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-11 Noel Namuhani, Rhoda K. Wanyenze, Suzanne N. Kiwanuka, Joseph K. B. Matovu, Fredrick E. Makumbi
Equity is at the core and a fundamental principle of achieving the family planning (FP) 2030 Agenda. However, the conceptualization, definition, and measurement of equity remain inconsistent and unclear in many FP programs and policies. This paper aims to document the conceptualization, dimensions and implementation constraints of equity in FP policies and programs in Uganda. A review of Ugandan literature
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The effect of trans-provincial immediate reimbursement for healthcare expenses on inequity in the utilization of healthcare services for migrants Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-11 Mei Zhou, Longwei Zhang, Yunjia Liang, Yuxiao Chen
Improving the accessibility of public services for migrants is an important endeavor to promote equity in economic and social development. As a response to the large-scale movement of migrants and the fragmentation of China’s health insurance system, the Chinese Government has launched a policy of trans-provincial immediate reimbursement for healthcare expenses. The present study hopes to examine the
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Intrinsic capacity trajectories and socioeconomic inequalities in health: the contributions of wealth, education, gender, and ethnicity Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-11 Aaron Salinas-Rodríguez, Julián Alfredo Fernández-Niño, Ana Rivera-Almaraz, Betty Manrique-Espinoza
Life-long health inequalities exert enduring impacts and are governed by social determinants crucial for achieving healthy aging. A fundamental aspect of healthy aging, intrinsic capacity, is the primary focus of this study. Our objective is to evaluate the social inequalities connected with the trajectories of intrinsic capacity, shedding light on the impacts of socioeconomic position, gender, and
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Correction: The stories about racism and health: the development of a framework for racism narratives in medical literature using a computational grounded theory approach Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-06 Caroline A. Figueroa, Erin Manalo-Pedro, Swetha Pola, Sajia Darwish, Pratik Sachdeva, Christian Guerrero, Claudia von Vacano, Maithili Jha, Fernando De Maio, Chris J. Kennedy
International Journal for Equity in Health (2023) 22:265 https://doi.org/10.1186/s12939-023-02077-0 After publication of this article [1], the authors reported that the disclaimer statement in the backmatter was missing and should have read ‘Disclaimer: The ideas in this article are those of the authors and do not necessarily represent policy of the American Medical Association.’ The original article
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Health equity in Somalia? An evaluation of the progress made from 2006 to 2019 in reducing inequities in maternal and newborn health Int. J. Equity Health (IF 4.666) Pub Date : 2024-03-05 Joana Morrison, Sk Md Mamunur Rahman Malik
Every human being has the right to affordable, high-quality health services. However, mothers and children in wealthier households worldwide have better access to healthcare and lower mortality rates than those in lower-income ones. Despite Somalia’s fragile health system and the under-5 mortality rate being among the highest worldwide, it has made progress in increasing reproductive, maternal, and
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Intersectional discrimination and mental health inequalities: a qualitative study of young women’s experiences in Scotland Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-29 Laura Tinner, Ana Alonso Curbelo
In 2021, Scotland became the first UK country to launch a Women’s Health Plan. This policy signals increasing commitment to broader ambitions surrounding gender equality in health. Research shows a connection between discrimination and health, representing a contributor to health inequalities. There remains sparse evidence on how certain groups experience discrimination that could be useful for policymaking
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Gender health gap pre- and post-joint arthroplasty: identifying affected patient-reported health domains Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-27 Viktoria Steinbeck, Anja Yvonne Bischof, Lukas Schöner, Benedikt Langenberger, David Kuklinski, Alexander Geissler, Christoph Pross, Reinhard Busse
As patient-reported outcomes (PROs) gain prominence in hip and knee arthroplasty (HA and KA), studies indicate PRO variations between genders. Research on the specific health domains particularly impacted is lacking. Hence, we aim to quantify the gender health gap in PROs for HA/KA patients, differentiating between general health, health-related quality of life (HrQoL), physical functioning, pain,
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Rural‒urban disparities in household catastrophic health expenditure in Bangladesh: a multivariate decomposition analysis Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-27 Taslima Rahman, Dominic Gasbarro, Khorshed Alam, Khurshid Alam
Rural‒urban disparity in catastrophic healthcare expenditure (CHE) is a well-documented challenge in low- and middle-income countries, including Bangladesh, limiting financial protection and hindering the achievement of the Universal Health Coverage target of the United Nations Sustainable Development Goals. However, the factors driving this divide remain poorly understood. Therefore, this study aims
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Hauora Māori – Māori health: a right to equal outcomes in primary care Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-27 Nicolette Sheridan, Rawiri McKree Jansen, Matire Harwood, Tom Love, Timothy Kenealy
For more than a century, Māori have experienced poorer health than non-Māori. In 2019 an independent Tribunal found the Government had breached Te Tiriti o Waitangi by “failing to design and administer the current primary health care system to actively address persistent Māori health inequities”. Many Māori (44%) have unmet needs for primary care. Seven models of primary care were identified by the
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Aligning the planning, development, and implementation of complex interventions to local contexts with an equity focus: application of the PRISM/RE-AIM Framework Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-27 Monica Pérez Jolles, Meredith P. Fort, Russell E. Glasgow
For the fields of implementation science and health equity, understanding and being responsive to local contexts is of utmost importance to better inform the development, implementation, and evaluation of healthcare and public health interventions to increase their uptake and sustainment. Contexts are multi-level and include political, historical, economic, and social factors that influence health
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Bridge the gap caused by public health crises: medical humanization and communication skills build a psychological bond that satisfies patients Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-26 Xiaoou Bu, Yao Wang, Yawen Du, Chuanglu Mu, Wenjun Zhang, Pei Wang
Patient satisfaction is an important outcome domain of patient-centered care. Medical humanization follows the patient-centered principle and provides a more holistic view to treat patients. The COVID-19 pandemic posed significant barriers to maintaining medical humanization. However, empirical study on the relationship between medical humanization and patient satisfaction is clearly absent. We examined
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Perceived discrimination in health care in Germany– results of a population survey Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-26 Olaf von dem Knesebeck, Jens Klein
It has consistently been shown that perceived discrimination is associated with adverse health outcomes. Despite this uncontested relevance, there is a lack of research on the experiences of discrimination in health care. Therefore, the following research questions were addressed: (1) How often do people in Germany report having been discriminated in health care due to different reasons? (2) Which
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Migrant well-being and undocumented status in South Korea: a cross-sectional assessment of physical, psychological, social well-being, and health behaviors Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-26 Sun Yeop Lee, Woong-Han Kim, Jongho Heo
A high burden of physical, mental, and occupational health problems among migrant workers has been well-documented, but data on undocumented migrant workers are limited and their well-being has rarely been compared to that of the general population. Using data from a cross-sectional survey of non-professional migrant workers in South Korea in early 2021, we described their physical, psychological,
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The role of mesolevel characteristics of the health care system and socioeconomic factors on health care use – results of a scoping review Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-23 Philip Bammert, Wiebke Schüttig, Anna Novelli, Iryna Iashchenko, Jacob Spallek, Miriam Blume, Katharina Diehl, Irene Moor, Nico Dragano, Leonie Sundmacher
Besides macrolevel characteristics of a health care system, mesolevel access characteristics can exert influence on socioeconomic inequalities in healthcare use. These reflect access to healthcare, which is shaped on a smaller scale than the national level, by the institutions and establishments of a health system that individuals interact with on a regular basis. This scoping review maps the existing
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Mapping socio-geographical disparities in the occurrence of teenage maternity in Colombia using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-23 Hedda Mattsson, Johanna Gustafsson, Sergio Prada, Laura Jaramillo-Otoya, George Leckie, Juan Merlo, Merida Rodriguez-Lopez
The prevalence of teenage pregnancy in Colombia is higher than the worldwide average. The identification of socio-geographical disparities might help to prioritize public health interventions. To describe variation in the probability of teenage maternity across geopolitical departments and socio-geographical intersectional strata in Colombia. A cross-sectional study based on live birth certificates
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Low quality of maternal and child nutritional care at the primary care in Mexico: an urgent call to action for policymakers and stakeholders Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-22 Omar Acosta Ruiz, Monica Ancira-Moreno, Isabel Omaña-Guzmán, Sonia Hernández Cordero, Arturo Cuauhtémoc Bautista Morales, Cecilia Pérez Navarro, Soraya Burrola Méndez, Eric Monterrubio Flores, Alejandra Trejo, Martha Kaufer-Horwitz, Ariana Cajero, Belén Sánchez, Constanza Bernat, Elder Salgado-Amador, Elizabeth Hoyos-Loya, Mónica Mazariegos, Cinthya Muñoz Manrique, Royer Pacheco Cruz, Elvia Mendoza
Maternal and child malnutrition represents a public health problem in Mexico Primary care (PC) is responsible for introducing women and children under five to the health system, detecting diseases on time, and providing medical services, including pharmacological treatment if necessary. Providing these services with quality is essential to improve maternal and child health. This study evaluated the
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Rapid systematic review on risks and outcomes of sepsis: the influence of risk factors associated with health inequalities Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-21 Siân Bladon, Diane Ashiru-Oredope, Neil Cunningham, Alexander Pate, Glen P Martin, Xiaomin Zhong, Ellie L Gilham, Colin S Brown, Mariyam Mirfenderesky, Victoria Palin, Tjeerd P van Staa
Sepsis is a serious and life-threatening condition caused by a dysregulated immune response to an infection. Recent guidance issued in the UK gave recommendations around recognition and antibiotic treatment of sepsis, but did not consider factors relating to health inequalities. The aim of this study was to summarise the literature investigating associations between health inequalities and sepsis.
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COVID-19 death risk predictors in Brazil using survival tree analysis: a retrospective cohort from 2020 to 2022 Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-20 Carlos Martins Neto, Maria dos Remédios Freitas Carvalho Branco, Alcione Miranda dos Santos, Bruno Luciano Carneiro Alves de Oliveira
This study analyses the survival of hospitalized patients with Severe Acute Respiratory Syndrome (SARS) due to COVID-19 and identifies the risk groups for death due to COVID-19 from the identification of potential interactions between its predictors. This was a retrospective longitudinal study with data from 1,756,917 patients reported in the Influenza Epidemiological Surveillance Information System
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Incorporating an intersectional gender approach to improve access to maternal and child health screening services Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-20 Margarita Rivera Arrivillaga, Marina Gold, Elizabeth Pellecer Rivera, Jose Guillermo Juárez
In the Americas, the Pan American Health Organization (PAHO) has promoted initiatives that aim at the elimination of mother-to-child transmitted diseases for over two decades. Although Guatemala has assumed the commitment to improve access and coverage of reproductive and perinatal services, the goals have not yet been reached. Often, the implementation of these efforts is hampered by complexities
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Water insecurity among seasonal agriculture workers: perspectives from Spanish professionals Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-16 Luis Alejandro Rodríguez-Guerrero, Iratxe Pérez-Urdiales, Astrid Escrig-Piñol, María del Mar Jiménez-Lasserrotte, María del Mar Pastor-Bravo, José Tomás Mateos, Erica Briones-Vozmediano
Migrant seasonal agricultural workers face conditions of material vulnerability such as inadequate housing difficulties prevent access to running water supplies. The purpose of this study is to explore the perceptions of professionals involved in the care and support of seasonal migrant agricultural workers, as it relates to water access and water consumption and their impact on these workers’ health
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COVID-19 induced shocks and its implications for human capital development Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-16 Abiodun Olusola Omotayo, Adebayo Isaiah Ogunniyi
COVID-19 has delivered an enormous shock to the global economy, triggering the deepest recession in eight decades, almost three times as deep as the 2009 global recession. Of all the nations in Africa, Nigeria remains one of the nations with a huge and significant impact on the human capital. Hence, here we employed the recent nationally representative data from Nigeria - the COVID-19 National Longitudinal
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Diversity in randomized clinical trials for peripheral artery disease: a systematic review Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-13 Chandler Long, Abimbola O. Williams, Alysha M. McGovern, Caroline M. Jacobsen, Liesl M. Hargens, Sue Duval, Michael R. Jaff
Significant race and sex disparities exist in the prevalence, diagnosis, and outcomes of peripheral artery disease (PAD). However, clinical trials evaluating treatments for PAD often lack representative patient populations. This systematic review aims to summarize the demographic representation and enrollment strategies in clinical trials of lower-extremity endovascular interventions for PAD. Following
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Factors of success, barriers, and the role of frontline workers in Indigenous maternal-child health programs: a scoping review Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-13 Charlene Thompson, Tara Million, Devan Tchir, Angela Bowen, Michael Szafron
Despite considerable investment in maternal-child programs in Canada, there has been little positive impact on the health of Indigenous mothers and their children. The reasons for this are unclear and there is a need to identify how such programs can be successfully implemented. Community input is essential for successful programs; however, it is unclear what the contributions of frontline workers
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Covid-19 vaccination: a mixed methods analysis of health system resilience in Latin America Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-12 Estefania Hernandez-Pineda, Ciro-Alberto Amaya, Catalina González-Uribe, Andrea Herrera, Nubia Velasco
This paper discusses the stages of health system resilience (HSR) and the factors underlying differences in HSR during the covid-19 pandemic, especially the vaccination challenge. We studied the relationship between vaccination strategies and macro-context backgrounds in 21 Latin American countries. Our objective was to capture the impact of those aspects in the SR and identify potential improvements
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Approaches for enhancing patient-reported experience measurement with ethnically diverse communities: a rapid evidence synthesis Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-12 Reema Harrison, Maha Pervaz Iqbal, Upma Chitkara, Corey Adams, Ashfaq Chauhan, Rebecca Mitchell, Elizabeth Manias, Megan Alston, Anne Marie Hadley
Patient-reported experience measures (PREMs) are used to drive and evaluate unit and organisational-level healthcare improvement, but also at a population level, these measures can be key indicators of healthcare quality. Current evidence indicates that ethnically diverse communities frequently experience poorer care quality and outcomes, with PREMs data required from this population to direct service
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The optimal co-insurance rate for outpatient drug expenses of Iranian health insured based on the data mining method Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-08 Shekoofeh Sadat Momahhed, Sara Emamgholipour Sefiddashti, Behrouz Minaei, Maryam Arab
A more equal allocation of healthcare funds for patients who must pay high costs of care ensures the welfare of society. This study aimed to estimate the optimal co-insurance for outpatient drug costs for health insurance. The research population includes outpatient prescription claims made by the Health Insurance Organization that outpatient prescriptions in a timely manner in 2016, 2017, 2018, and
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Correction: Measuring health equity in the ASEAN region: conceptual framework and assessment of data availability Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-08 Capucine Barcellona, Yzabel Bryanna Mariñas, Si Ying Tan, Gabriel Lee, Khin Chaw Ko, Savina Chham, Chhea Chhorvann, Borwornsom Leerapan, Nam Pham Tien, Jeremy Lim
International Journal for Equity in Health (2023) 22:251 https://doi.org/10.1186/s12939-023-02059-2. After publication of this article [1], the authors reported that in this article the author name Yzabel Bryanna Mariñas, was incorrectly written as Bryanna Yzabel Mariñas. The original article [1] has been corrected. Barcellona C, Mariñas YB, Tan SY, et al. Measuring health equity in the ASEAN region:
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Repurposing phone booths into COVID-19 sampling stations: medical operator experiences Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-06 Martin Schoch, Sunaree Lawanyawatna
This study investigated the repurposing of phone booths into COVID-19 sampling stations and assessed medical operator experiences in twelve healthcare facilities in Thailand. Amidst the pandemic, these facilities became sampling stations as an emergency measure to enhance medical staff protection. The stations, repurposed from decommissioned phone booths, aimed to reduce COVID-19 infection risks among
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Urban–rural disparities in the association of nitrogen dioxide exposure with cardiovascular disease risk in China: effect size and economic burden Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-06 Yike Zhang, Mengxiao Hu, Bowen Xiang, Haiyang Yu, Qing Wang
Together with rapid urbanization, ambient nitrogen dioxide (NO2) exposure has become a growing health threat. However, little is known about the urban–rural disparities in the health implications of short-term NO2 exposure. This study aimed to compare the association between short-term NO2 exposure and hospitalization for cardiovascular disease (CVD) among urban and rural residents in Shandong Province
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Distributive justice and equity in resource allocation: a temporal analysis of hospitalization costs in indigenous populations in Brazil Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-05 Luiz Oscar Machado Martins, Marcio Fernandes dos Reis, Alfredo Chaoubah, Guilhermina Rego
In Brazil, a country of continental dimensions, the health needs of each region have an impact. In this context and the name of the principle of equity, the SUS organizes actions especially aimed at social groups such as the elderly, children, pregnant women, and indigenous peoples. The concept of justice proposed by John Rawls is one of equity, which is essential to this country. This is an ecological
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Telehealth program for symptomatic COVID-19 patients in Mindanao, Philippines: a whole-of-system, pragmatic interventional study on patient monitoring from isolation facilities to community reintegration Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-03 Jaime Kristoffer Punzalan, Monserrat Guingona, Elgie Gregorio, Jhufel Ferraren, Mark Anthony Sta. Elena, Marvin Valaquio, Floro Dave Arnuco, Mary Germeyn Punzalan, Rosemarie Arciaga, Torres Woolley, Afdal Kunting, Dulce Amor Miravite, Fortunato Cristobal
The COVID-19 pandemic is impacting individuals and society's physical and mental health. Despite the lack of any definite and effective therapeutic regimen, public health measures such as quarantine and isolation have been instituted to contain this pandemic. However, these mitigating measures have also raised issues regarding isolated patients' mental and psychological well-being. Several stakeholders
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Community-based mental health interventions in low- and middle-income countries: a qualitative study with international experts Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-02 Clarissa Giebel, Mark Gabbay, Nipun Shrestha, Gabriel Saldarriaga, Siobhan Reilly, Ross White, Ginger Liu, Dawn Allen, Maria Isabel Zuluaga
Mental health services are scarce in low- and middle-income countries (LMICs), and designing and implementing effective interventions can be difficult. The aim of this international study was to explore the key lessons for developing, implementing, and evaluating community-based mental health and well-being interventions in LMICs, with an additional focus on older adults. Research and clinical experts
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Prevalence of helmintic infections in Brazilian Maxakali indigenous: a repeated cross-sectional design Int. J. Equity Health (IF 4.666) Pub Date : 2024-02-01 Maria Beatriz Pena e Silva Leite Nacife, Liliane Maria Vidal Siqueira, Keila Furbino Barbosa, Valeska Natiely Vianna, Cássio Zumerle Masioli, Jaime Costa da Silva, Fábio Zicker, Paulo Marcos Zech Coelho, Naftale Katz, George Luiz Lins Machado-Coelho
The prevalence of intestinal parasites is known to be high among Amerindian populations; further, there are serious problems in the healthcare of these populations in Brazil. The Maxakali, located in the northeastern region of Minas Gerais, Brazil, is an indigenous group that still preserves many of its cultural aspects. This study aimed to compare the positivity rate of schistosomiasis and soil-transmitted
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Are institutional deliveries equitable in the southern states of India? A benefit incidence analysis Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-30 Santosh Kumar Sharma, Devaki Nambiar
Despite a commendable rise in the number of women seeking delivery care at public health institutions in South India, it is unclear if the benefit accrues to wealthier or poorer socio-economic groups. The study’s aim was to investigate at how the public subsidy is distributed among Indian women who give birth in public hospitals in the southern regions. Data from the Indian Demographic Health Survey’s
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Disparities and effectiveness of COVID-19 vaccine policies in three representative European countries Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-30 Wanzhen Xie, Leiyu Shi, Meiheng Liu, Junyan Yang, Mengyuan Ma, Gang Sun
The aim of this study was to examine the Coronavirus disease 2019(COVID-19) vaccine policies disparities and effectiveness in Germany, Denmark and Bulgaria, with a view to providing lessons for global vaccination and response to possible outbreak risks. This study analyzed big data through public information on the official websites of the Ministries of Health of the European Union, Germany, Denmark
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Adapting an equity-focused implementation process framework with a focus on ethnic health inequities in the Aotearoa New Zealand context Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-27 Papillon Gustafson, Michelle Lambert, Karen Bartholomew, Mihi Ratima, Yasmin Abdul Aziz, Lisa Kremer, Adam Fusheini, Peter Carswell, Rachel Brown, Patricia Priest, Sue Crengle
Health intervention implementation in Aotearoa New Zealand (NZ), as in many countries globally, usually varies by ethnicity. Māori (the Indigenous peoples of Aotearoa) and Pacific peoples are less likely to receive interventions than other ethnic groups, despite experiencing persistent health inequities. This study aimed to develop an equity-focused implementation framework, appropriate for the Aotearoa
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What our children lost and gained at the time of school closure during the Covid-19 pandemic: a study on psychological distress, behavioural concerns and protective factors of resilience among preschool children in Kerala, India Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-23 Jose Vincent, Resmi Madhusoodanan Santhakumari, Anjana Nalinakumari Kesavan Nair, Anisha Sharahudeen, Asvini K.P, Meenu Maheswari Suresh, Mathew J. Valamparampil, Gayathri A.V, Chintha Sujatha, Anish Thekkumkara Surendran
The pandemic has put at risk the social and emotional development of children on account of the paucity of arenas for social interaction. This study from Kerala, India was conducted to assess the resilience factors, behavioural concerns, psychological distress symptoms among the children aged 3 to 5 years. We also tried to look into the lost opportunities that could have aided the social and emotional
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The 15-year national trends of urinary cancers incidence among Iranian men and women; 2005–2020 Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-22 Amir-Hossein Mousavian, Gita Shafiee, Ali Sheidaei, Narges Zargar Balajam, Mehdi Ebrahimi, Fatemeh Khatami, Kimiya Gohari, Alisam Aryan, Ali Ghanbari-Motlagh, Afshin Ostovar, Seyed Mohammad Kazem Aghamir, Ramin Heshmat
Urinary tract cancers including bladder, kidney, ureter, and pelvis are a common malignancy worldwide with high mortality ratio. Aimed to investigate the prevalence of these cancers, we conducted this study. In this study, all the information related to ICD10 codes, gender, age and province of residence of individuals were obtained from the data of Iran’s cancer registry by the Ministry of Health,
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Racial and ethnic disparities in the association between financial hardship and self-reported weight change during the first year of the pandemic in the U.S. Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-22 Izabelle Mendez, Paula D Strassle, Erik J. Rodriquez, Stephanie Ponce, Randy Le, Alexis Green, Emma Martinez, Eliseo J Pérez-Stable, Anna M Nápoles
Studies have shown that financial hardship can impact weight change; however, it is unclear what the economic impact of the COVID-19 pandemic has had on weight change in U.S. adults, or whether racial-ethnic groups were impacted differentially. We estimated the association between financial hardship and self-reported weight change using data from the cross-sectional COVID-19’s Unequal Racial Burden
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“We’re the very bottom, so it’s going to be hard for you to ‘catch any fish’ around here…” understanding vulnerable Greenlanders’ perspectives on cancer and barriers to screening in Denmark– A qualitative study Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-22 Camilla Rahr Tatari, Berit Andersen, Pia Kirkegaard
Cancer is a major global health concern. Unfortunately, Indigenous populations such as Greenlanders living in Denmark, face significant disparities in cancer risk, incidence, diagnosis, care quality, and outcomes. In Denmark, vulnerable Greenlanders face challenges accessing cancer screening. The aim of this study was to explore their perceptions of cancer, barriers to participation in cancer screening
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Socioeconomic inequalities in the use of medical consultation services in Peru, 2019 Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-20 Renato Díaz-Ruiz, Rodrigo Vargas-Fernández, Carlos Rojas-Roque, Akram Hernández-Vásquez
Socioeconomic inequalities in the population influence access to health services and constitute a challenge for health systems, especially in low- and middle-income countries. In Peru, an increase in the use of medical services has been estimated; however, the study of inequalities in the use of medical services is limited. Therefore, the objective of this research was to analyze and decompose socioeconomic
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A district-level geospatial analysis of anaemia prevalence among rural men in India, 2019-21 Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-19 Aditya Singh, Sumit Ram, Rakesh Chandra, Arabindo Tanti, Shivani Singh, Ananya Kundu
Despite its considerable impact on health and productivity, anemia among men has received limited attention. In a country as diverse as India, characterized by extensive geographic variations, there is a pressing need to investigate the nuanced spatial patterns of anemia prevalence among men. The identification of specific hotspots holds critical implications for policymaking, especially in rural areas
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Employment conditions and mental health of overseas female migrant domestic workers in Hong Kong: a parallel mediation analysis Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-17 Timothy S. Sumerlin, Jean H. Kim, Alvin Yik-Kiu Hui, Dicken Chan, Tim Liao, Sabu Padmadas, Eric Fong, Roger Y. Chung
Female migrant domestic workers (MDW), approximately 8.5 million globally, often live in their employer’s home under vulnerable conditions. In Hong Kong, MDWs currently comprise 5% of the population. This study was conducted to assess the association between employment conditions and mental health, and the mediating roles stress and job satisfaction have, among female MDWs in Hong Kong. Participants
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Whoever wants better healthcare simply pays more: citizens' perception about voluntary private health insurance in Colombia Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-12 Daniel Felipe Patiño-Lugo, Claudia Marcela Vélez, Diana Patricia Díaz-Hernández, Olga Francisca Salazar-Blanco, Juan Esteban González-Arango, Juan Carlos Velásquez-Correa, Leydi Camila Rodríguez-Corredor, Viviana María Vélez-Marín, Pamela Velásquez-Salazar
To explore the perceptions that Colombians have about voluntary private health insurance plans (VPHI) in the health system to identify the tensions that exist between the public and private systems. A qualitative case study approach with 46 semi structured interviews of patients, healthcare workers, healthcare administrators, decision-makers, and citizens. Interviews were recorded, transcribed, anonymized
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Access to health knowledge for health equality: a multi-phase review focused on disability-health Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-10 John C. H. Hu
The existing evidence base indicates increased interest in knowledge translation (KT), or, the dissemination of research to ensure uptake and impact. Given this definition, this study aimed to review existing scholarship on knowledge translation (KT) of health research to people living with disabilities (PLWD), and assess the current state of accessibility of health knowledge for people living with
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Group-based trajectory models of integrated vaccine delivery and equity in low- and middle-income countries Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-09 Sanjana J. Ravi, Andrés I. Vecino-Ortiz, Christina M. Potter, Maria W. Merritt, Bryan N. Patenaude
Integrated vaccine delivery – the linkage of routine vaccination with provision of other essential health services – is a hallmark of robust primary care systems that has been linked to equitable improvements in population health outcomes. We gathered longitudinal data relating to routine immunization coverage and vaccination equity in 78 low- and middle-income countries that have ever received support
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Social accountability and sexual and reproductive health—implications for research and practice Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-08 Petrus S. Steyn, Victoria Boydell, Sana Contractor, Joanna Paula Cordero, Ana Lorena Ruano
This supplement entitled “Social accountability and sexual and reproductive health—Implications for Research and Practice” in the International Journal for Equity in Health journal responds to some of the ongoing challenges in researching social accountability in the context of sexual and reproductive health, rights and justice. Social accountability, which is defined as “citizens’ efforts at ongoing
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Socioeconomic inequalities in uptake of HIV testing during antenatal care: evidence from Sub-Saharan Africa Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-08 Louis Kobina Dadzie, Aster Ferede Gebremedhin, Tarif Salihu, Bright Opoku Ahinkorah, Sanni Yaya
Measuring socioeconomic inequalities in healthcare usage represents a critical step towards promoting health equity, in alignment with the principles of universal health coverage and the United Nations’ Sustainable Development Goals. In this study, we assessed the socioeconomic inequalities in HIV testing during antenatal care (ANC) in sub-Saharan Africa. Sub-Saharan Africa was the focus of this study
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Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation Int. J. Equity Health (IF 4.666) Pub Date : 2024-01-05 Sarah Lebu, Lena Musoka, Jay P. Graham
Recent research has highlighted the impacts of colonialism and racism in global health, yet few studies have presented concrete steps toward addressing the problems. We conducted a narrative review to identify published evidence that documented guiding frameworks for enhancing equity and inclusion in global health research and practice (GHRP). Based on this narrative review, we developed a questionnaire