In the wealthy nations of the world, access to implantable cardiac rhythm management devices is widespread. In many underserved low- and middle-income countries (LMIC), where cardiovascular disease is fast becoming a major public health problem, access is often limited. Reuse of pulse generators was practiced regularly in some European nations in the 1990s with good results. It is performed in ...

INTRODUCTION This commentary provides the rationale and makes a call for greater investment and effort to meet the sexual and reproductive health (SRH) problems of adolescent girls living with HIV in low- and middle-income countries (LMIC). DISCUSSION Adolescent girls in LMIC are at a greater risk of acquiring HIV infection than their male peers. They also face a number of other serious SRH p...

In their editorial, White & Sashidharan point to the putatively good outcomes in schizophrenia in low-and middle-income countries (LMIC), 'where populations may not have access to medication-based treatments'. 1 This evidence is offered as a caution against scaling up biomedical interventions in LMIC. White & Sashidharan then make a plea for 'a more balanced exchange of knowledge. .. between hi...

The unprecedented, successful collaborative international effort to provide universal access to HIV care, including effective antiretroviral therapy (ART), has reached a critical time point. The global economic downturn, changing donor priorities and competing priorities in the health sector threaten the capacity of various agencies to maintain support for the continued scaleup of access toward...

OBJECTIVES Following its publication in 2008, the Global Nutritional Index (GNI) which captures the triple burden of malnutrition, has been updated to assess the overall nutritional status and nutritional trends of countries, regions and the world, including both under-nutrition and over-nutrition. METHODS The GNI was modeled on the Human Development Index, using geometric means of three norm...

CONTEXTE : La tuberculose (TB) chez les travailleurs des soins de santé (HCW) n’a pas été considérée comme un problème grave après l’arrivée des traitements antibiotiques efficaces. L’intérêt a ce sujet a été stimulé à nouveau par le développement de plusieurs mini-épidémies nosocomiales sévères. MÉTHODES : Nous avons fait la revue de la littérature publiée disponible concernant la prévalence e...

Pre-eclampsia and eclampsia are leading causes of maternal and perinatal morbidity and mortality worldwide. The exact prevalence, however, is unknown. The majority of pre-eclampsia related deaths in LMIC occur in the community and therefore, interventions must be focused at this level. There are a number of unique challenges facing LMIC but the principles of care for women with pre-eclampsia re...

As disparities in healthcare between the industrialized world and low- and middle-income countries (LMIC) continue to widen, novel methods of delivering cardiovascular therapies-specifically electrophysiological devices-must be explored. Post-mortem pacemaker donation is a safe and effective method of decreasing the morbidity associated with cardiovascular disease in LMIC.

BACKGROUND Maternal employment has increased in low-and middle-income countries (LMIC) and is a hypothesized risk factor for maternal overweight due to increased income and behavioral changes related to time allocation. However, few studies have investigated this relationship in LMIC. METHODS Using cross-sectional samples from Demographic and Health Surveys, we investigated the association be...

BACKGROUND Most low- and middle-income countries (LMIC) rely significantly on private health expenditure in the form of out-of-pocket payments (OOP) and voluntary health insurance (VHI). This paper assesses VHI expenditure trends in LMIC and explores possible explanations. This illuminates challenges deriving from changes in VHI expenditure as countries aim to progress equitably towards univers...