This thesis is based on three published papers about complications after intramedullary (IM) nailing of fractures of the long bones in lowand middle-income countries (LMICs). The first two studies were register studies using data from the SIGN online surgical database (SOSD). The third study was a prospective study of patients treated for femoral fractures at Kamuzu Central Hospital in Malawi. ...

Scholarship focusing on how international research can contribute to justice in global health has primarily explored requirements for the conduct of clinical trials. Yet health systems research in low- and middle-income countries (LMICs) has increasingly been identified as vital to the reduction of health disparities between and within countries. This paper expands an existing ethical framework...

Telemedicine has shown potentials in salvaging the dwindling healthcare system low and middle-income countries but faced certain challenges that may create new health inequalities especially based on income. This letter discusses debate arises regarding role of telemedicine (LMICs). It calls for development strategies to prevent widening gap LMICs from usage. Recommendations were also highlight...

OBJECTIVE To determine the indications for using ultrasound, in low- and middle-income countries (LMICs) and to assess whether its use alters clinical management. METHODS Literature review. We conducted a Pubmed search on the clinical use of ultrasound in LMIC for articles published between January 2000 and December 2010, recording country of origin, speciality and whether ultrasound use led ...

BACKGROUND Ninety-eight percent of children needing palliative care live in low- and middle-income countries (LMICs), and almost half of them live in Africa. In contrast to the abundance of data on populations in high income countries, the current data on populations in LMICs is woefully inadequate. This study aims to identify and summarize the published literature on the need, accessibility, q...

Examination of the composition of the health workforce in many low and middle-income countries (LMICs) reveals deep-seated heterogeneity that manifests in multiple ways: varying levels of official legitimacy and informality of practice; wide gradation in type of employment and behaviour (public to private) and diverse, sometimes overlapping, systems of knowledge and variably specialised cadres ...

Abstract Background More than two thirds of people with dementia are living in the low‐ and middle‐ income countries (LMICs). The growing prevalence will result significant economic burden these countries. This systematic review aimed to summarise evidence on LMICs. Method Seven databases (EconLit, EMBASE, PubMed, Cochrane Review (DARE), ERIC, PsycINFO CINAHL) were searched from inception Septe...

Low and middle income countries (LMICs) bear a huge, disproportionate and growing burden of cardiovascular disease (CVD) which constitutes a threat to development. Efforts to tackle the global burden of CVD must therefore emphasise effective control in LMICs by addressing the challenge of scarce resources and lack of pragmatic guidelines for CVD prevention, treatment and rehabilitation. To addr...

This paper presents a multidimensional approach to examining the urban evidence-policy interface in low- and middle-income countries (LMICs), and applies this approach to a case study from Pakistan. Key features of urban health policy and the significance of the evidence-policy interface in rapidly changing LMICs are articulated; characteristics of evidence that has been successfully incorporat...