Global and public health and healthcare

Section edited by Shally Awasthi and Anne Lee

This section considers studies of healthcare policy, healthcare provision, and pediatric morbidity and mortality in developing nations.

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  1. Research article

    Impact of preterm birth on infant mortality for newborns with congenital heart defects: The EPICARD population-based cohort study

    Congenital heart defects (CHD) and preterm birth (PTB) are major causes of infant mortality. However, limited data exist on risk of mortality associated with PTB for newborns with CHD. Our objective was to ass...

    Enora Laas, Nathalie Lelong, Pierre-Yves Ancel, Damien Bonnet, Lucile Houyel, Jean-François Magny, Thibaut Andrieu, François Goffinet and Babak Khoshnood

    BMC Pediatrics 2017 17:124

    Published on: 15 May 2017

  2. Research article

    Effectiveness of three commonly used transition phase diets in the inpatient management of children with severe acute malnutrition: a pilot randomized controlled trial in Malawi

    The case fatality rate of severely malnourished children during inpatient treatment is high and mortality is often associated with diarrhea. As intestinal carbohydrate absorption is impaired in severe acute ma...

    Christian J. Versloot, Wieger Voskuijl, Sara J. van Vliet, Meta van den Heuvel, Jane C. Carter, Ajib Phiri, Marko Kerac, Geert Tom Heikens, Patrick F. van Rheenen and Robert H. J. Bandsma

    BMC Pediatrics 2017 17:112

    Published on: 26 April 2017

  3. Research article

    Comparison of three different methods for risk adjustment in neonatal medicine

    Quality improvement in health care requires identification of areas in need of improvement by comparing processes and patient outcomes within and between health care providers. It is critical to adjust for dif...

    Mark Adams, Julia Braun, Hans Ulrich Bucher, Milo Alan Puhan, Dirk Bassler and Viktor Von Wyl

    BMC Pediatrics 2017 17:106

    Published on: 17 April 2017

  4. Research article

    Variation in and risk factors for paediatric inpatient all-cause mortality in a low income setting: data from an emerging clinical information network

    Hospital mortality data can inform planning for health interventions and may help optimize resource allocation if they are reliable and appropriately interpreted. However such data are often not available in l...

    David Gathara, Lucas Malla, Philip Ayieko, Stella Karuri, Rachel Nyamai, Grace Irimu, Michael Boele van Hensbroek, Elizabeth Allen and Mike English

    BMC Pediatrics 2017 17:99

    Published on: 5 April 2017

  5. Research article

    Improving feeding and growth of HIV-positive children through nutrition training of frontline health workers in Tanga, Tanzania

    Nutrition training can boost competence of health workers to improve children’s feeding practices. In this way, child undernutrition can be ameliorated in general populations. However, evidence is lacking on e...

    Bruno F. Sunguya, Linda B. Mlunde, David P. Urassa, Krishna C. Poudel, Omary S. Ubuguyu, Namala P. Mkopi, Germana H. Leyna, Anna T. Kessy, Keiko Nanishi, Akira Shibanuma, Junko Yasuoka and Masamine Jimba

    BMC Pediatrics 2017 17:94

    Published on: 4 April 2017

  6. Research article

    The quality of health services provided to remote dwelling aboriginal infants in the top end of northern Australia following health system changes: a qualitative analysis

    In Australia the health outcomes of remote dwelling Aboriginal infants are comparable to infants in developing countries. This research investigates service quality, from the clinicians’ perspective and as obs...

    Cathryn M. Josif, Sue Kruske, Sue V. Kildea and Lesley M. Barclay

    BMC Pediatrics 2017 17:93

    Published on: 31 March 2017

  7. Research article

    Incidence and time trends of type 2 diabetes mellitus in youth aged 5–19 years: a population-based registry in Zhejiang, China, 2007 to 2013

    The incidence of type 2 diabetes mellitus (T2DM) has been increasing globally over the past two decades in children and adolescents. There are currently a dearth of comprehensive population-based estimates of ...

    Haibin Wu, Jieming Zhong, Min Yu, Hao Wang, Weiwei Gong, Jin Pan, Fangrong Fei, Meng Wang, Li Yang and Ruying Hu

    BMC Pediatrics 2017 17:85

    Published on: 22 March 2017

  8. Research article

    Slow progress in diarrhea case management in low and middle income countries: evidence from cross-sectional national surveys, 1985–2012

    Diarrhea remains to be a main cause of childhood mortality. Diarrhea case management indicators reflect the effectiveness of child survival interventions. We aimed to assess time trends and country-wise change...

    Chandrashekhar T. Sreeramareddy, Yue-Peng Low and Birger Carl Forsberg

    BMC Pediatrics 2017 17:83

    Published on: 21 March 2017

  9. Research article

    Correlates of thymus size and changes during treatment of children with severe acute malnutrition: a cohort study

    The impairment of immune functions associated with malnutrition may be one reason for the high mortality in children with severe acute malnutrition (SAM), and thymus atrophy has been proposed as a marker of th...

    Maren Johanne Heilskov Rytter, Hanifa Namusoke, Christian Ritz, Kim F. Michaelsen, André Briend, Henrik Friis and Dorthe Jeppesen

    BMC Pediatrics 2017 17:70

    Published on: 14 March 2017

  10. Research article

    Somatic growth in the first six months of life of infants exposed to maternal smoking in pregnancy

    Some studies suggest a relationship between maternal smoking during pregnancy and not only intrauterine fetal growth restriction or low birth weight, but also with changes in the postnatal growth and developme...

    Mariana Lopes de Brito, Marina Nunes, Juliana Rombaldi Bernardi, Vera Lúcia Bosa, Marcelo Zubaran Goldani and Clécio Homrich da Silva

    BMC Pediatrics 2017 17:67

    Published on: 9 March 2017

  11. Research article

    Use of mobile phones and text messaging to decrease the turnaround time for early infant HIV diagnosis and notification in rural Zambia: an observational study

    Early infant diagnosis of HIV infection is challenging in rural sub-Saharan Africa as blood samples are sent to central laboratories for HIV DNA testing, leading to delays in diagnosis and treatment initiation...

    Catherine G. Sutcliffe, Philip E. Thuma, Janneke H. van Dijk, Kathy Sinywimaanzi, Sydney Mweetwa, Mutinta Hamahuwa and William J. Moss

    BMC Pediatrics 2017 17:66

    Published on: 8 March 2017

  12. Research article

    Anaemia in hospitalised preschool children from a rural area in Mozambique: a case control study in search for aetiological agents

    Young children bear the world’s highest prevalence of anaemia, the majority of which is of multifactorial aetiology, which in turn hampers its successful prevention. Even moderate degrees of anaemia are associ...

    Cinta Moraleda, Ruth Aguilar, Llorenç Quintó, Tacilta Nhampossa, Montserrat Renom, Augusto Nhabomba, Sozinho Acácio, John J. Aponte, Delino Nhalungo, Ariel H. Achtman, Louis Schofield, Helder Martins, Eusebio Macete, Pedro L. Alonso and Clara Menéndez

    BMC Pediatrics 2017 17:63

    Published on: 28 February 2017

  13. Research article

    Development of a wheelchair mobility skills test for children and adolescents: combining evidence with clinical expertise

    Wheelchair mobility skills (WMS) training is regarded by children using a manual wheelchair and their parents as an important factor to improve participation and daily physical activity. Currently, there is no...

    Marleen Elisabeth Sol, Olaf Verschuren, Laura de Groot and Janke Frederike de Groot

    BMC Pediatrics 2017 17:51

    Published on: 13 February 2017

  14. Research article

    Factors associated with parental reasons for “no-intent” to vaccinate female adolescents with human papillomavirus vaccine: National Immunization Survey - Teen 2008–2012

    1) To identify socio-demographic factors associated with parental “no-intent” for their 13–17 year old unvaccinated daughter to receive the human papillomavirus (HPV) vaccine series within the next twelve mont...

    Vinay K. Cheruvu, Madhav P. Bhatta and Lauren N. Drinkard

    BMC Pediatrics 2017 17:52

    Published on: 13 February 2017

  15. Study protocol

    Universal versus conditional three-day follow up visit for children with uncomplicated fever at the community level: design of a cluster-randomized, community-based, non-inferiority trial in Tanganyika, Democratic Republic of Congo

    The current recommendation within integrated Community Case Management guidelines that all children presenting with uncomplicated fever and no danger signs be followed up after three days may not be necessary....

    Elburg van Boetzelaer, Lara S. Ho, Julie R. Gutman, Laura C. Steinhardt, Alison Wittcoff, Yolanda Barbera, Pascal Ngoy, Steven A. Harvey and Luke C. Mullany

    BMC Pediatrics 2017 17:36

    Published on: 26 January 2017

  16. Research article

    Reliability and validity of pediatric triage tools evaluated in Low resource settings: a systematic review

    Despite the high burden of pediatric mortality from preventable conditions in low and middle income countries and the existence of multiple tools to prioritize critically ill children in low-resource settings,...

    Bhakti Hansoti, Alexander Jenson, Devin Keefe, Sarah Stewart De Ramirez, Trisha Anest, Michelle Twomey, Katie Lobner, Gabor Kelen and Lee Wallis

    BMC Pediatrics 2017 17:37

    Published on: 26 January 2017

  17. Research article

    Offering general pediatric care during the hard times of the 2014 Ebola outbreak: looking back at how many came and how well they fared at a Médecins Sans Frontières referral hospital in rural Sierra Leone

    In Bo district, rural Sierra Leone, we assessed the burden of the 2014 Ebola outbreak on under-five consultations at a primary health center and the quality of care for under-15 children at a Médecins Sans Fro...

    Veerle Hermans, Rony Zachariah, Desalegn Woldeyohannes, Gbessay Saffa, Dauda Kamara, Nimer Ortuno-Gutierrez, Walter Kizito, Marcel Manzi, Petra Alders and Jacob Maikere

    BMC Pediatrics 2017 17:34

    Published on: 25 January 2017

  18. Research article

    Barriers and enablers of health system adoption of kangaroo mother care: a systematic review of caregiver perspectives

    Despite improvements in child survival in the past four decades, an estimated 6.3 million children under the age of five die each year, and more than 40% of these deaths occur in the neonatal period. Intervent...

    Emily R. Smith, Ilana Bergelson, Stacie Constantian, Bina Valsangkar and Grace J. Chan

    BMC Pediatrics 2017 17:35

    Published on: 25 January 2017

  19. Research article

    Factors behind the success story of under-five stunting in Peru: a district ecological multilevel analysis

    Stunting prevalence in children less than 5 years has remained stagnated in Peru from 1992 to 2007, with a rapid reduction thereafter. We aimed to assess the role of different predictors on stunting reduction ...

    Luis Huicho, Carlos A. Huayanay-Espinoza, Eder Herrera-Perez, Eddy R. Segura, Jessica Niño de Guzman, María Rivera-Ch and Aluisio J.D. Barros

    BMC Pediatrics 2017 17:29

    Published on: 19 January 2017

  20. Research article

    Long-time sickness absence among parents of pre-school children with cerebral palsy, spina bifida and down syndrome: a longitudinal study

    Taking care of a child with special needs can be draining and difficult and require a lot of parental time and resources. The present study investigated the long-term sickness absence of parents who have child...

    Idunn Brekke, Elena Albertini Früh, Lisbeth Gravdal Kvarme and Henrik Holmstrøm

    BMC Pediatrics 2017 17:26

    Published on: 18 January 2017

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