The main purpose of this paper is to present a fuzzy multi-criteria decision making (FMADM) model for appropriate location selection of a health center. Therefore, we identify sixteen criteria and sub-criteria for selecting a health center location. These criteria and sub-criteria have been obtained from literature reviews and practical interviews. This paper proposes a method which combines th...

BACKGROUND Although light and moderate alcohol drinkers are likely to have better subjective health, the sub-scales for subjective health have not been well documented. METHODS We studied 4,521 male workers aged 25 yr and older with no history of cancer or cardiovascular disease, in 12 occupational groups in Japan. Data were from the High-risk and Population Strategy for Occupational Health P...

BACKGROUND In the context of maternity service, the mother's assessment of quality is central because emotional, cultural and respectful supports are vital during labour and the delivery process. This study compared client-perceived quality of maternity services between birth centres, public and private hospitals in a central hills district of Nepal. METHODS A cohort of 701 pregnant women of ...

BACKGROUND Despite indications that infection-related mortality in sub-Saharan Africa may be decreasing and the burden of non-communicable diseases increasing, the overwhelming reality is that health information systems across most of sub-Saharan Africa remain too weak to track epidemiological transition in a meaningful and effective way. PROPOSALS We propose a minimum dataset as the basis of...

responding to critical shortages of physicians, most sub-saharan countries have scaled up training of nonphysician clinicians (npcs), resulting in a gradual but decisive shift to npcs as the cornerstone of healthcare delivery. this development should unfold in parallel with strategic rethinking about the role of physicians and with innovations in physician education and in-service training. in ...

BACKGROUND Maternal health is one of the major worldwide health challenges. Currently, the unacceptably high levels of maternal mortality are a common subject in global health and development discussions. Although some countries have made remarkable progress, half of the maternal deaths in the world still take place in Sub-Saharan Africa where little or no progress has been made. There is no si...

BACKGROUND The impact of unmet eye care needs in sub-Saharan Africa is compounded by barriers to accessing eye care, limited engagement with communities, a shortage of appropriately skilled health personnel, and inadequate support from health systems. The renewed focus on primary health care has led to support for greater integration of eye health into national health systems. The aim of this p...

Background Limited efforts have been observed in low and middle income countries to undertake health system performance assessment at district level. Absence of a comprehensive data collection tool and lack of a standardised single summary measure defining overall performance are some of the main problems. Present study has been undertaken to develop a summary composite health system performanc...

In recent years, WHO and other individual researchers have advocated estimation of health system performance through stochastic frontier models. It provides an idealized yardstick to evaluate economic performance of health system. So far attempts in India have remained focused at state level analysis. This paper attempts a sub-state level analysis for an affluent Indian state, namely Punjab, by...