The inadequate supply of health workers and demand-side barriers due to clinical practice that heeds too little attention to cultural context are serious obstacles to achieving universal health coverage and the fulfillment of the human rights to health, especially for the poor and vulnerable living in remote rural areas. A number of strategies have been deployed to increase both the supply of h...

background: around one out of two mothers give births by cesarean section (cs) surgery in iran and about half of this number is due to previous cs. recently health sector evolution (hsep) program (started in april 2014) targets the high rate of cs in iran. to assess the impact of the interventions, we emphasized that the first birth cesarean (fbc) proportion is one of the main indicators to ass...

BACKGROUND The rhetoric of primary health care philosophy in the district health system is widely cited as a fundamental component of the health transformation process in post-apartheid South Africa. Despite South Africa's progress and attempts at implementing primary health care, various factors still limit its success. DISCUSSION Inconsistencies and poor understanding of primary care and pr...

background: around one out of two mothers give births by cesarean section (cs) surgery in iran and about half of this number is due to previous cs. recently health sector evolution (hsep) program (started in april 2014) targets the high rate of cs in iran. to assess the impact of the interventions, we emphasized that the first birth cesarean (fbc) proportion is one of the main indicators to ass...

conclusions efforts to improve vaccination coverage should be taken into account regarding the differences in the factors that contribute to the incomplete vaccination status of children in the rural and urban areas. the current study findings indicate that vaccination services especially in the urban areas need to be reassessed to ensure that all children are covered. to develop and promote ch...

background : despite an increased need, residents of rural communities have decreased access to healthcare and often present unique healthcare challenges associated with their rurality. ensuring medical students receive adequate exposure to these issues is complicated by the urban location of most medical schools. health fairs (fairs) conducted in rural communities can provide students exposure...

OBJECTIVE To describe a disaster recovery model focused on developing mental health services and capacity-building within a disparities-focused, community-academic participatory partnership framework. DESIGN Community-based participatory, partnered training and services delivery intervention in a post-disaster setting. SETTING Post-Katrina Greater New Orleans community. PARTICIPANTS More ...

For national and local leaders to achieve universal health coverage, a new approach or technique to gathering evidence and understanding the contexts that influence the outcome of a study and goes beyond the quantitative results of clinical trials and pilot projects is important. The Doris Duke Charitable Foundation's African Health Initiative (AHI) was designed to produce this type of knowledg...

Integrated care is now a recognized paradigm for health care reforms around the globe. The need to address the problem of fragmented systems of care that undermine the performance of health care systems and result in poor quality care and outcomes to people has become a key policy ambition in many countries and regions. For example, in the Americas, resolutions have been passed in support of in...

Even the most socially aware countries in the World have noticed the gap increase between the poorest and the richest population groups. The purpose of this study was to investigate the presence of inequity and to identify main barriers for equitable health care utilization by economic status, region and area of living, controlled for health needs in the Croatian adult population. The data from...