BACKGROUND Yobe State has faced severe disruption of its health service as a result of the Boko Haram insurgency. A systems dynamics analysis was conducted to identify key pathways of threat to provision and emerging pathways of response and adaptation. METHODS Structured interviews were conducted with 39 stakeholders from three local government areas selected to represent the diversity of co...

AIMS To investigate the relationship between high diabetes-related lower limb amputation incidence and foot care services in the South-West region of England. METHODS The introduction of 10 key elements of foot care service provision in one area of the South-West resulted in stabilization of foot ulcer incidence and sustained reduction in amputation incidence from 2007. Services introduced in...

The share of migrants in European populations is substantial and growing, despite a slowdown in immigration after the global economic crisis. This paper describes key aspects of migration and health in Europe, including the scale of international migration, available data for migrant health, barriers to accessing health services, ways of improving health service provision to migrants, and migra...

As efforts to address unmet need for family planning and contraception (FP/C) accelerate, voluntary use, informed choice and quality must remain at the fore. Active involvement of affected populations has been recognized as one of the key principles in ensuring human rights in the provision of FP/C and in improving quality of care. However, community participation continues to be inadequately a...

AIM This paper describes perceptions of the end users on quality of antiretroviral therapy (ART) in public health facilities in Nigeria. BACKGROUND Health care services in Nigeria face challenges of meeting end users' requirements and expectations for quality ART service provision. METHOD A qualitative design was followed. Unstructured focus group discussions were conducted with end users (...

It is easy within the complementary and alternative medicine (CAM) literature to identify academic excellence, poor science and extreme bias. It is important to consider NHS service provision and the evidence separately. We would all agree that visiting the dentist is an excellent remedy for toothache despite the fact that there are no randomised clinical trials involving dental placebo procedu...