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116 Results Found

  • Article
  • Open Access
56 Citations
9,751 Views
20 Pages

Work on the mental health impacts of intimate partner violence in low-and middle-income countries has focused primarily on clinical disorders such as post-traumatic stress disorder, depression, and substance abuse. This paper analyzes how non-clinica...

  • Article
  • Open Access
5 Citations
4,944 Views
14 Pages

14 December 2023

UNESCO’s Global Education Monitoring Report (2020) strongly recommends the adoption of Universal Design for Learning (UDL) at the government level so that it becomes an integral part of countries’ inclusive education policies. However, UD...

  • Feature Paper
  • Review
  • Open Access
23 Citations
4,249 Views
8 Pages

Advancing Tobacco Cessation in LMICs

  • Abhishek Shankar,
  • Mark Parascandola,
  • Pirabu Sakthivel,
  • Jagdish Kaur,
  • Deepak Saini and
  • Naveen Prabhu Jayaraj

23 November 2022

Tobacco kills more than 8 million people worldwide every year. Over 80% of the world’s 1.3 billion tobacco users live in low- and middle-income countries (LMICs), where the future burden is projected to grow. At the same time, progress in tobac...

  • Systematic Review
  • Open Access
671 Views
30 Pages

Pedestrian safety remains a pressing challenge in low- and middle-income countries (LMICs), where global predictive models often misrepresent local realities. This study tests the hypothesis that global predictive models, such as the International Ro...

  • Review
  • Open Access
26 Citations
9,486 Views
12 Pages

Grief and Bereavement in Parents After the Death of a Child in Low- and Middle-Income Countries

  • Michael J. McNeil,
  • Eve Namisango,
  • Jennifer Hunt,
  • Richard A. Powell and
  • Justin N. Baker

While great strides have been made in improving childhood mortality, millions of children die each year with significant health-related suffering. More than 98% of these children live in low- and middle-income countries (LMICs). Efforts have been mad...

  • Article
  • Open Access
18 Citations
4,524 Views
16 Pages

Little is known about parenting in the context of developmental disabilities in low- and middle-income countries (LMIC), penalized by both lack of data and a research bias toward western societies. In this study, we apply data mining methods on a lar...

  • Article
  • Open Access
18 Citations
7,607 Views
20 Pages

Suitability of Data-Collection Methods, Tools, and Metrics for Evaluating Market Food Environments in Low- and Middle-Income Countries

  • Selena Ahmed,
  • Gina Kennedy,
  • Jennifer Crum,
  • Chris Vogliano,
  • Sarah McClung and
  • Collin Anderson

8 November 2021

Globalization is transforming food environments in low- and middle-income countries (LMICs) with implications for diets and nutrition. However, most food-environment assessments were developed for use in high-income countries. We evaluated the suitab...

  • Review
  • Open Access
11 Citations
3,987 Views
20 Pages

Pre-Harvest Food Safety Challenges in Food-Animal Production in Low- and Middle-Income Countries

  • Eyasu T. Seyoum,
  • Tadesse Eguale,
  • Ihab Habib,
  • Celso J. B. Oliveira,
  • Daniel F. M. Monte,
  • Baowei Yang,
  • Wondwossen A. Gebreyes and
  • Walid Q. Alali

2 March 2024

Food safety remains a significant global public health concern, with the risk of unsafe food varying worldwide. The economies of several low- and middle-income countries (LMICs) heavily rely on livestock, posing a challenge to ensuring the production...

  • Article
  • Open Access
5 Citations
4,096 Views
17 Pages

Laboratory Efficacy of Locally Available Backwashing Methods at Removing Fouling in Hollow-Fiber Membrane Filters Used for Household Water Treatment

  • Camille Heylen,
  • Alice Oliveira Aguiar,
  • Gabrielle String,
  • Marta Domini,
  • Nathaniel Goff,
  • Anna Murray,
  • Ayse Asatekin and
  • Daniele Lantagne

Hollow-fiber membrane filters (HFMFs) for household water treatment (HWT) can efficaciously remove disease-causing organisms in laboratory settings. However, lower effectiveness in use in low- and middle-income countries (LMICs) and humanitarian cont...

  • Review
  • Open Access
3,711 Views
19 Pages

Salt Substitutes in Low-Income Settings: Blood Pressure Benefits, Cardiovascular Outcomes, and Safety Considerations: A Narrative Review

  • Salma Younas,
  • Harshavardhan Parvathi,
  • Sweta Sahu,
  • Renu Rani,
  • Samiya Saher,
  • Yiannis S. Chatzizisis and
  • Maria Carolina Delgado-Lelievre

28 October 2025

Background: Hypertension remains a leading cause of cardiovascular morbidity and mortality, disproportionately affecting low- and middle-income countries (LMICs), where healthcare access and awareness are limited. Excessive sodium intake, often from...

  • Protocol
  • Open Access
13 Citations
4,967 Views
13 Pages

The Political Economy of Tobacco in Mozambique and Zimbabwe: A Triangulation Mixed Methods Protocol

  • Raphael Lencucha,
  • Jeffrey Drope,
  • Ronald Labonte,
  • Benedito Cunguara,
  • Arne Ruckert,
  • Zvikie Mlambo,
  • Artwell Kadungure,
  • Stella Bialous and
  • Nhamo Nhamo

Changing global markets have generated a dramatic shift in tobacco consumption from high-income countries (HICs) to low- and middle-income countries (LMICs); by 2030, more than 80% of the disease burden from tobacco use will fall on LMICs. Propelling...

  • Review
  • Open Access
7 Citations
7,158 Views
26 Pages

Advancing Cervical Cancer Prevention Equity: Innovations in Self-Sampling and Digital Health Technologies Across Healthcare Settings

  • Michelle Gomes,
  • Elena Provaggi,
  • Andrea Barnabas Pembe,
  • Adeola Olaitan and
  • Aleksandra Gentry-Maharaj

Cervical cancer causes 350,000 deaths annually, with 90% occurring in low- and middle-income countries (LMICs), despite being largely preventable through vaccination and screening. This review examines innovative approaches to address screening cover...

  • Commentary
  • Open Access
64 Citations
14,108 Views
8 Pages

Medicines are essential for the treatment of acute, communicable, and non-communicable diseases. The World Health Organization developed a toolkit for drug (medicine) utilization studies to assist in reviewing and evaluating the prescribing, dispensi...

  • Systematic Review
  • Open Access
23 Citations
5,981 Views
22 Pages

19 April 2023

Maternal vaccination is considered a key component of the antenatal care package for improving maternal and child health. Low- and middle-income countries (LMICs) fall short of global targets to prevent maternal and neonatal deaths, with a disproport...

  • Article
  • Open Access
2,389 Views
28 Pages

System Models for Synchronous Strategies in Operational Healthcare Forecasting

  • Arnesh Telukdarie,
  • Logistic Makoni,
  • R. Raghunatha Sarma,
  • Megashnee Munsamy and
  • Sunil Kumar

The delivery of healthcare in Low-to-Medium-Income Countries (LMICs) has long posed challenges, with established models predominantly found in wealthier nations. These models are found to be either strategic or operational, and very rarely combine th...

  • Brief Report
  • Open Access
13 Citations
4,168 Views
11 Pages

5 October 2023

eHealth applications play a crucial role in achieving Universal Health Coverage. (1) Background: To ensure successful integration and use, particularly in developing and low/middle-income countries (LMIC), it is vital to have skilled healthcare perso...

  • Review
  • Open Access
2,049 Views
17 Pages

Road traffic crash valuation is essential for understanding the economic and social impacts of road safety, especially in low- and middle-income countries (LMICs) where data constraints hinder effective policymaking. This study aims to enhance the un...

  • Article
  • Open Access
15 Citations
4,413 Views
12 Pages

In a low-and middle-income country (LMIC) such as South Africa, not much is known about how children with intellectual disabilities (ID) participate in everyday activities, as no studies to date have compared their participation to peers without ID f...

  • Article
  • Open Access
23 Citations
4,555 Views
23 Pages

5 January 2024

This study examines the dynamic relationships between digitalization, environmental tax revenues, and energy resource capacity within the framework of the Environmental Kuznets Curve (EKC), focusing on their combined impact on environmental quality....

  • Review
  • Open Access
3,341 Views
23 Pages

8 October 2025

Japanese Encephalitis (JE) is a mosquito-borne viral infection that causes acute brain inflammation. First identified in Japan in 1871, the disease gained renewed global attention in 2025 after emerging in a non-endemic region, raising significant he...

  • Article
  • Open Access
14 Citations
4,483 Views
12 Pages

COVID-19 Vaccines: How Efficient and Equitable Was the Initial Vaccination Process?

  • Jai K. Das,
  • Hsien Yao Chee,
  • Sohail Lakhani,
  • Maryam Hameed Khan,
  • Muhammad Islam,
  • Sajid Muhammad and
  • Zulfiqar A. Bhutta

20 December 2022

With nearly 11 billion doses of the COVID-19 vaccine being administered, stark differences in the vaccination rates persist. Vaccine distribution initiatives such as COVAX and African Vaccine Acquisition Trust (AVAT) were formed to ensure equitable v...

  • Perspective
  • Open Access
1 Citations
2,144 Views
10 Pages

Global Health Challenges: Why the Four S’s Are Not Enough

  • Nathan M. Novotny,
  • Shadi Hamouri,
  • Donna Kayal,
  • Sadi Abukhalaf,
  • Haitham Aqra,
  • Wael Amro and
  • Ahmad Shaltaf

30 November 2022

A well-known tenant of global health is the need for the four-S’s to be successful in providing care in any context; Staff, Stuff, Space and Systems. Advanced thoracoscopy is slow to gain traction in low- and middle-income countries (LMICs). To...

  • Review
  • Open Access
43 Citations
8,018 Views
9 Pages

In low- and middle-income countries (LMICs), while neonatal mortality has fallen, the number of children under five with developmental disability remains unchanged. The first thousand days are a critical window for brain development, when interventio...

  • Review
  • Open Access
1,501 Views
29 Pages

16 December 2025

Docosahexaenoic acid (DHA) is a long-chain omega-3 fatty acid essential for neurodevelopment, immune regulation, and key physiological functions during early life. In low- and middle-income countries (LMICs), limited access to DHA-rich foods contribu...

  • Review
  • Open Access
100 Citations
14,387 Views
25 Pages

This review identifies evidence on supply-side interventions to change the practices of antibiotic prescribers and gatekeepers in low- and middle-income countries (LMICs). A total of 102 studies met the inclusion criteria, of which 70 studies evaluat...

  • Article
  • Open Access
10 Citations
4,443 Views
18 Pages

Analysis of Cameroon’s Sectoral Policies on Physical Activity for Noncommunicable Disease Prevention

  • Lambed Tatah,
  • Clarisse Mapa-Tassou,
  • Maylene Shung-King,
  • Tolu Oni,
  • James Woodcock,
  • Amy Weimann,
  • Nicole McCreedy,
  • Trish Muzenda,
  • Ishtar Govia and
  • Felix Assah
  • + 1 author

Physical inactivity is increasing in low- and middle-income countries (LMICs), where noncommunicable diseases (NCDs), urbanisation and sedentary living are rapidly growing in tandem. Increasing active living requires the participation of multiple sec...

  • Article
  • Open Access
2 Citations
1,646 Views
13 Pages

Neonatal Physical Growth Predicts Electroencephalography Power in Rural South African Children

  • Amanda R. Tarullo,
  • Denise Evans,
  • Lezanie Coetzee,
  • Diana C. Lopera-Perez,
  • Shaina P. Brady,
  • Laurel J. Gabard-Durnam,
  • Günther Fink,
  • Davidson H. Hamer,
  • Aisha K. Yousafzai and
  • Peter C. Rockers

Anthropometric measures at birth, indexing prenatal growth, are associated with later cognitive development. Children in low- and middle-income countries (LMIC) are at elevated risk for impaired prenatal and early postnatal growth and enduring cognit...

  • Review
  • Open Access
12 Citations
6,910 Views
24 Pages

Governed through the World Trade Organization Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) since 1995, the current medical R&D system requires significant trade-offs between innovation and high monopoly prices for pa...

  • Article
  • Open Access
1,342 Views
22 Pages

End-of-Life Care Training for Patients with Traumatic Brain Injury in Ghana: A Novel Curriculum and Its Initial Implementation

  • John Bruno,
  • Mayur Patel,
  • Rebecca Henderson,
  • Michael Mathelier,
  • Taylor N. Smith,
  • Joseph C. Pompa,
  • Cassandra Clay,
  • Marie-Carmelle Elie,
  • Sheba Afi Mansa Fiadzomor and
  • Torben K. Becker
  • + 1 author

22 May 2025

The implementation and practice of palliative medicine have numerous boundaries in low- and middle-income countries (LMICs), stemming from various cultural, legal, and religious concerns. Additionally, professional education in palliative care medici...

  • Review
  • Open Access
5 Citations
3,745 Views
16 Pages

27 September 2024

Background/Objectives: Colorectal cancer remains a significant global health challenge, particularly in resource-limited settings where patient-centered outcomes following surgery are often suboptimal. Although more prevalent in low- and middle-incom...

  • Review
  • Open Access
447 Views
22 Pages

Antimicrobial resistance (AMR) represents a critical global health challenge, with low- and middle-income countries (LMICs) disproportionately affected due to limited surveillance capacity. Advances in microbial genomics offer powerful tools for AMR...

  • Review
  • Open Access
42 Citations
6,370 Views
18 Pages

Association of Long-Term Exposure to Fine Particulate Matter and Cardio-Metabolic Diseases in Low- and Middle-Income Countries: A Systematic Review

  • Suganthi Jaganathan,
  • Lindsay M. Jaacks,
  • Melina Magsumbol,
  • Gagandeep K. Walia,
  • Nancy L. Sieber,
  • Roopa Shivasankar,
  • Preet K. Dhillon,
  • Safraj Shahul Hameed,
  • Joel Schwartz and
  • Dorairaj Prabhakaran

Background: Numerous epidemiological studies indicated high levels of particulate matter less than2.5 μm diameter (PM2.5) as a major cardiovascular risk factor. Most of the studies have been conducted in high-income countries (HICs), where average...

  • Article
  • Open Access
1 Citations
1,189 Views
15 Pages

Caregiver Contribution to Patient Self-Care and Associated Variables in Older Adults with Multiple Chronic Conditions Living in a Middle-Income Country: Key Findings from the ‘SODALITY-AL’ Observational Study

  • Sajmira Adëraj,
  • Manuela Saurini,
  • Rocco Mazzotta,
  • Edona Gara,
  • Dasilva Taçi,
  • Alta Arapi,
  • Vicente Bernalte-Martí,
  • Alessandro Stievano,
  • Ercole Vellone and
  • Maddalena De Maria
  • + 1 author

8 October 2025

Background/Objectives: Multiple chronic conditions (MCCs) pose global health and social challenges, with caregiving often relying on family members, especially in low- and middle-income countries (LMICs). However, limited evidence exists regarding th...

  • Communication
  • Open Access
4 Citations
2,819 Views
23 Pages

Stroke remains a significant global health challenge, particularly in low- and middle-income Countries (LMICs), where two-thirds of stroke-related deaths occur, and disability-adjusted life years are seven times higher compared to high-income Countri...

  • Review
  • Open Access
11 Citations
3,959 Views
22 Pages

Background/Objectives: Antimicrobial resistance (AMR) is a major global health challenge, particularly in low- and middle-income countries (LMICs). Understanding the knowledge, attitudes, motivations, and expectations of community members regarding a...

  • Review
  • Open Access
6 Citations
4,788 Views
18 Pages

Developing a Complex Understanding of Physical Activity in Cardiometabolic Disease from Low-to-Middle-Income Countries—A Qualitative Systematic Review with Meta-Synthesis

  • Martin Heine,
  • Marelise Badenhorst,
  • Chanel van Zyl,
  • Gabriela Lima de Melo Ghisi,
  • Abraham Samuel Babu,
  • John Buckley,
  • Pamela Serón,
  • Karam Turk-Adawi and
  • Wayne Derman

Physical activity behaviour is complex, particularly in low-resource settings, while existing behavioural models of physical activity behaviour are often linear and deterministic. The objective of this review was to (i) synthesise the wide scope of f...

  • Systematic Review
  • Open Access
1 Citations
7,537 Views
32 Pages

Background: The rapid expansion of telemedicine globally, especially during the COVID-19 pandemic, has been critical for maintaining the continuity of chronic care, including in low- and middle-income countries (LMICs). In the context of maintaining...

  • Review
  • Open Access
8 Citations
4,821 Views
25 Pages

Beyond Smoking: Emerging Drivers of COPD and Their Clinical Implications in Low- and Middle-Income Countries: A Narrative Review

  • Ramona Cioboata,
  • Mara Amalia Balteanu,
  • Denisa Maria Mitroi,
  • Sidonia Catalina Vrabie,
  • Silviu Gabriel Vlasceanu,
  • Gabriela Marina Andrei,
  • Anca Lelia Riza,
  • Ioana Streata,
  • Ovidiu Mircea Zlatian and
  • Mihai Olteanu

30 June 2025

Chronic obstructive pulmonary disease (COPD) is an escalating global health burden, with a disproportionate impact on low- and middle-income countries (LMICs). Although tobacco smoking is a well-established risk factor, emerging evidence highlights t...

  • Perspective
  • Open Access
2 Citations
1,993 Views
6 Pages

12 November 2025

Syphilis, a curable sexually transmitted infection, has resurged globally, challenging public health systems in both high-income countries and low- and middle-income countries (LMICs). In nations like the United States, the United Kingdom, parts of E...

  • Communication
  • Open Access
6 Citations
2,867 Views
9 Pages

National Immunization Program Decision Making Using the CAPACITI Decision-Support Tool: User Feedback from Indonesia and Ethiopia

  • Maarten Jansen,
  • Dijana Spasenoska,
  • Mardiati Nadjib,
  • Desalegn Ararso,
  • Raymond Hutubessy,
  • Anna-Lea Kahn and
  • Philipp Lambach

20 March 2024

To ensure that limited domestic resources are invested in the most effective interventions, immunization programs in low- and middle-income countries (LMICs) must prioritize a growing number of new vaccines while considering opportunities to optimize...

  • Article
  • Open Access
26 Citations
7,001 Views
24 Pages

24 August 2021

Progress towards the United Nations’ Sustainable Development Goals (SDGs) is monitored using a set of targets and indicators. Gaps in official datasets have led to calls for the inclusion of data generated through citizen science (CS) and allied appr...

  • Article
  • Open Access
3 Citations
3,594 Views
12 Pages

A Low-Cost, Easy-to-Assemble Device to Prevent Infant Hyperthermia under Conditions of High Thermal Stress

  • Ramon Farré,
  • Miguel A. Rodríguez-Lázaro,
  • Anh Tuan Dinh-Xuan,
  • Martí Pons-Odena,
  • Daniel Navajas and
  • David Gozal

High ambient temperature and humidity greatly increase the risk of hyperthermia and mortality, particularly in infants, who are especially prone to dehydration. World areas at high risk of heat stress include many of the low- and middle-income countr...

  • Article
  • Open Access
3,444 Views
15 Pages

8 October 2023

Placing constraints on elected officials is thought to bind their hands and render government policies credible. In turn, credible policies attract investment because investors can extend their policy and regulatory time horizons. Yet, a scholarship...

  • Article
  • Open Access
10 Citations
4,354 Views
22 Pages

Social Inclusion and Sustainable Development: Findings from Seven African and Asian Contexts

  • Ghazala Mir,
  • Naureen Durrani,
  • Rachel Julian,
  • Yasah Kimei,
  • Saidur Mashreky and
  • T. T. Duong Doan

6 June 2024

Social inequities have widened divisions between diverse population groups. Inequity is associated with social exclusion, structural and physical violence and reduced development, which in turn are linked to civil unrest, conflict and adverse health...

  • Article
  • Open Access
2 Citations
1,824 Views
12 Pages

Stakeholder Consultation Workshop on the Perceived Value of Thermostable Vaccines to Relieve Program Barriers: A Case Study from Côte d’Ivoire

  • Anna-Lea Kahn,
  • Dijana Spasenoska,
  • Kouadio Daniel Ekra,
  • Soplé Ruth Coulibaly,
  • Kossia Yao,
  • Sié Kabran Kouadio,
  • Aminatou Sar and
  • Joanie Robertson

16 December 2024

Background: Persistent inequities in access to vaccinations pose challenges for immunization programs worldwide. Innovations facilitating vaccine delivery, such as leveraging vaccine thermostability through a Controlled Temperature Chain (CTC), have...

  • Article
  • Open Access
33 Citations
6,547 Views
15 Pages

Exploring Neighborhood Environments and Active Commuting in Chennai, India

  • Deepti Adlakha,
  • J. Aaron Hipp,
  • James F. Sallis and
  • Ross C. Brownson

Few studies assess built environment correlates of active commuting in low-and-middle-income countries (LMICs), but the different context could yield distinct findings. Policies and investments to promote active commuting remain under-developed in LM...

  • Article
  • Open Access
8 Citations
3,186 Views
18 Pages

9 July 2024

Equids are engaged in myriad types of work across the world, with contexts and industries varying widely between high-, middle- and low-income countries as classified by the World Bank. Through a comprehensive abstract search and literature review, w...

  • Article
  • Open Access
43 Citations
11,039 Views
20 Pages

10 July 2018

Improving food safety and hygiene is integral to the successful attainment of the Sustainable Development Goals (SDGs). Foodborne diseases continue to impose a high burden on low- and middle-income countries (LMICs), particularly children under five...

  • Article
  • Open Access
9 Citations
6,762 Views
18 Pages

4 December 2021

Minimizing the effect of antimicrobial resistance (AMR) requires an adequate policy response that relies on good governance and coordination. This study aims to have a better comprehension of how AMR is understood and perceived by policy-makers and s...

  • Study Protocol
  • Open Access
1 Citations
3,266 Views
11 Pages

6 January 2024

The burden of type 2 diabetes mellitus (T2DM) and hypertension (HTN) has increased worldwide in recent decades, particularly in low- and middle-income countries (LMICs). In these countries, health systems often struggle to provide effective health ca...

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