BMC Health Services Research (Accessed 10 September 2016)

BMC Health Services Research
(Accessed 10 September 2016)

Research article
Charting health system reconstruction in post-war Liberia: a comparison of rural vs. remote healthcare utilization
Katherine Kentoffio, John D. Kraemer, Thomas Griffiths, Avi Kenny, Rajesh Panjabi, G. Andrew Sechler, Stephen Selinsky and Mark J. Siedner
BMC Health Services Research 2016 16:478
Published on: 7 September 2016
Despite a growing global emphasis on universal healthcare, access to basic primary care for remote populations in post-conflict countries remains a challenge. To better understand health sector recovery in post-conflict Liberia, this paper seeks to evaluate changes in utilization of health services among rural populations across a 5-year time span.
We assessed trends in healthcare utilization among the national rural population using the Liberian Demographic and Health Survey (DHS) from 2007 and 2013. We compared these results to results obtained from a two-staged cluster survey in 2012 in the district of Konobo, Liberia, to assess for differential health utilization in an isolated, remote region. Our primary outcomes of interest were maternal and child health service care seeking and utilization.
Most child and maternal health indicators improved in the DHS rural sub-sample from 2007 to 2013. However, this progress was not reflected in the remote Konobo population. A lower proportion of women received 4+ antenatal care visits (AOR 0.28, P < 0.001) or any postnatal care (AOR 0.25, P <0.001) in Konobo as compared to the 2013 DHS. Similarly, a lower proportion of children received professional care for common childhood illnesses, including acute respiratory infection (9 % vs. 52 %, P < 0.001) or diarrhea (11 % vs. 46 %, P < 0.001).
Our data suggest that, despite the demonstrable success of post-war rehabilitation in rural regions, particularly remote populations in Liberia remain at disproportionate risk for limited access to basic health services. As a renewed effort is placed on health systems reconstruction in the wake of the Ebola-epidemic, a specific focus on solutions to reach isolated populations will be necessary in order to ensure extension of coverage to remote regions such as Konobo.


Research article
Stigmatized by association: challenges for abortion service providers in Ghana
Unsafe abortion is an issue of public health concern and contributes significantly to maternal morbidity and mortality globally. Abortion evokes religious, moral, ethical, socio-cultural and medical concerns w…
Patience Aniteye, Beverley O’Brien and Susannah H. Mayhew
BMC Health Services Research 2016 16:486
Published on: 10 September 2016

Research article
Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial
Decentralised services using outreach clinics or modern technology are methods to reduce both patient transports and costs to the healthcare system. Telemedicine consultations via videoconference are one such …
Astrid Buvik, Einar Bugge, Gunnar Knutsen, Arvid Småbrekke and Tom Wilsgaard
BMC Health Services Research 2016 16:483
Published on: 8 September 2016

Research article
Developing, delivering and evaluating primary mental health care: the co-production of a new complex intervention
Health services face the challenges created by complex problems, and so need complex intervention solutions. However they also experience ongoing difficulties in translating findings from research in this area…
Joanne Reeve, Lucy Cooper, Sean Harrington, Peter Rosbottom and Jane Watkins
BMC Health Services Research 2016 16:470
Published on: 6 September 2016

Workplace health promotion for older workers: a systematic literature review
Aging of the workforce is a growing problem. As workers age, their physical, physiological and psychosocial capabilities change. Keeping older workers healthy and productive is a key goal of European labor pol…
Andrea Poscia, Umberto Moscato, Daniele Ignazio La Milia, Sonja Milovanovic, Jovana Stojanovic, Alice Borghini, Agnese Collamati, Walter Ricciardi and Nicola Magnavita
BMC Health Services Research 2016 16(Suppl 5):329
Published on: 5 September 2016

Predictors of healthy ageing: public health policy targets
The public health policy agenda oriented towards healthy ageing becomes the highest priority for the European countries. The article discusses the healthy ageing concept and its possible determinants with an a…
Agnieszka Sowa, Beata Tobiasz-Adamczyk, Roman Topór-Mądry, Andrea Poscia and Daniele Ignazio la Milia
BMC Health Services Research 2016 16(Suppl 5):289
Published on: 5 September 2016