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Promoting Health Equity for Vulnerable Groups in Low-Resource Settings

A Special Issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601) belonging to the section "Global Health".

Deadline for manuscript submissions: 30 October 2026 | Viewed by 732

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Guest Editor
Department of Public Health and Health Systems, University of Limpopo, Mankweng 0727, South Africa
Interests: public health; health promotion; health systems; health policy and planning; healthcare; infectious diseases; nursing care; epidemiology; infection control
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Health equity is a central pillar of global health, emphasizing fairness in access to care and outcomes across populations [1,2]. Vulnerable groups, including those in low-resource settings, rural communities, migrants, people with disabilities, and marginalized populations, face systemic barriers that exacerbate inequities [3,4]. Closing these gaps is essential for achieving the Sustainable Development Goals, particularly SDG 3 (health) and SDG 10 (inequality) [5]. From the Alma-Ata Declaration [6] to the Astana Declaration [7], global commitments have recognized equity as a foundation of universal health coverage (UHC). Yet, despite decades of progress, inequities persist in low- and middle-income countries [8]. This Special Issue aims to advance dialog and evidence on promoting health equity in low-resource settings and among vulnerable groups. We welcome contributions that address the following:

  • Social and structural determinants of health inequities.
  • Equity-oriented health financing and policy reforms.
  • Culturally responsive health promotion and prevention.
  • Digital and community-based innovations for underserved populations.
  • Governance frameworks enabling inclusive health systems.
  • Empirical studies (quantitative, qualitative, or mixed methods).
  • Policy analyses and equity-focused reviews.
  • Case studies showcasing innovative practices.
  • Theoretical and conceptual papers on equity and justice.
  • Implementation research on scaling equity-promoting interventions in LMICs

We invite original research articles, systematic reviews, case studies, and policy analysis papers that address disease-specific health equity framed within the SDGs, including but not limited to the following:

  • Communicable diseases such as HIV/AIDS, tuberculosis, and malaria (SDG 3.3)
  • Non-communicable diseases, including cancer, cardiovascular diseases, and diabetes (SDG 3.4) [5]
  • Maternal, neonatal, and child health inequities (SDG 3.1, 3.2)
  • Mental health and substance use (SDG 3.4, 3.5)
  • Health inequities in pandemic preparedness and universal health coverage (SDG 3.8, 3.d)

Reference

  1. Marmot, M.; Friel, S.; Bell, R.; Houweling, T.A.; Taylor, S.; Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet 2008, 372, 1661–1669. https://doi.org/10.1016/s0140-6736(08)61690-6.
  2. World Health Organization. A conceptual framework for action on the social determinants of health. Available online: https://www.afro.who.int/sites/default/files/2017-06/SDH_conceptual_framework_for_action.pdf (accessed on 16 September 2025)
  3. World Health Organization. Equity, social determinants and public health programmes. Available online: https://iris.who.int/bitstream/handle/10665/44289/9789241563970_eng.pdf (accessed on 16 September 2025)
  4. E Kruk, M.; Gage, A.D.; Arsenault, C.; Jordan, K.; Leslie, H.H.; Roder-DeWan, S.; Adeyi, O.; Barker, P.; Daelmans, B.; Doubova, S.V.; et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob. Health 2018, 6, e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3
  5. United Nations. Transforming our world: The 2030 Agenda for Sustainable Development. Available online: https://sdgs.un.org/2030agenda (accessed on 16 September 2025)
  6. World Health Organization. Declaration of Alma-Ata. In Proceedings of the International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978; WHO: Geneva, Switzerland, 1978. Available online: https://www.globalfamilydoctor.com/site/DefaultSite/filesystem/documents/starfield/declaration_alma… (accessed on 21 December 2022).
  7. World Health Organization, UNICEF. Declaration of Astana. Global Conference on Primary Health Care, Astana, Kazakhstan. Geneva: WHO; 2018. Available online: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf (accessed on 16 September 2025)
  8. Victora, C.G.; Barros, A.J.; Axelson, H.; A Bhutta, Z.; Chopra, M.; França, G.V.; Kerber, K.; Kirkwood, B.R.; Newby, H.; Ronsmans, C.; et al. How changes in coverage affect equity in maternal and child health interventions in 35 Countdown to 2015 countries: an analysis of national surveys. Lancet 2012, 380, 1149–1156. https://doi.org/10.1016/s0140-6736(12)61427-5.

Prof. Dr. Takalani Grace Tshitangano
Guest Editor

Manuscript Submission Information

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Keywords

  • health promotion
  • health policy and systems
  • health program development and evaluation
  • infection control

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Published Papers (1 paper)

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Review

24 pages, 7275 KB  
Review
Can Digital Health Reduce Inequities? A Scoping Review of Implementation Evidence from Low-Resource Settings
by Anani Basaldua Galarza, Arturo Gamarra-Moreno, Wini Ebelin Quispe Bautista and Jose Antonio Rojas Guillén
Int. J. Environ. Res. Public Health 2026, 23(9), 1182; https://doi.org/10.3390/ijerph23091182 - 8 Sep 2026
Viewed by 284
Abstract
Digital health is increasingly used to extend care in low-resource settings, yet improved access, feasibility, or acceptability does not necessarily demonstrate reduced health inequities. This scoping review mapped evidence on digital health and health equity in low-resource settings. Following the PRISMA extension for [...] Read more.
Digital health is increasingly used to extend care in low-resource settings, yet improved access, feasibility, or acceptability does not necessarily demonstrate reduced health inequities. This scoping review mapped evidence on digital health and health equity in low-resource settings. Following the PRISMA extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) guidance, Scopus, Web of Science, and PubMed were searched on 20 May 2026 for English-language studies published between 2021 and 2026. After eligibility screening, two reviewers independently applied a review-specific seven-criterion cross-design rubric before thematic synthesis. Sixty-nine studies were included; all met the review-defined 19/21 threshold for sufficient reporting and relevance to synthesis. Evidence comprised implemented or evaluated interventions and services (n = 34), implementation, adoption, or contextual studies (n = 24), and protocols, development studies, or requirements analyses (n = 11). mobile health (mHealth) applications (n = 39) and telemedicine/telehealth (n = 32) predominated. Leading barriers involved connectivity, infrastructure, or device access (n = 31), digital literacy or usability (n = 22), and affordability or resource constraints (n = 20). Direct evidence of narrowed disparities remained limited. Digital health can support equity when it addresses defined access barriers and is affordable, usable, culturally responsive, locally supported, privacy-conscious, and integrated into actionable care pathways. Full article
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