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Effect of the mHealth-supported Healthy Future Programme Delivered by Community Health Workers on Maternal and Child Health in Rural China: Study Protocol for a Cluster Randomised Controlled Trial

$$Introduction$$ $$Millions of young rural children in China still suffer from poor health and malnutrition, partly due to a lack of knowledge about optimal perinatal and child care among rural mothers and caregivers. Meanwhile, there is an urgent …

Improving Cascade Outcomes for Active TB: A Global Systematic Review and Meta-Analysis of TB Interventions

Background To inform policy and implementation that can enhance prevention and improve tuberculosis (TB) care cascade outcomes, this review aimed to summarize the impact of various interventions on care cascade outcomes for active TB. Methods and …

Factors Influencing Adoption and Use of Telemedicine Services in Rural Areas of China: Mixed Methods Study

Background: The shortage of medical resources in rural China reflects the health inequity in resource-limited settings, whereas telemedicine could provide opportunities to fill this gap. However, evidence of patient acceptance of telemedicine …

Provider Competence in Hypertension Management and Challenges of the Rural Primary Healthcare System in Sichuan Province, China: A Study Based on Standardized Clinical Vignettes

Improving primary care providers' competence is key to detecting and managing hypertension, but evidence to guide this work has been limited, particularly for rural areas. This study aimed to use standardized clinical vignettes to assess the …

Explaining the Declining Utilization of Village Clinics in Rural China over Time: A Decomposition Approach

With a goal of improving health system quality and efficiency, reforms of China's health system over the past decade have sought to strengthen primary healthcare in lower-level clinics and health centers. Despite these wide-ranging reforms and …

Consultation Length, Process Quality and Diagnosis Quality of Primary Care in Rural China: A Cross-Sectional Standardized Patient Study

Objective Consultation length, the time spent between patient and health care provider during a visit, is an essential element in measuring quality of health care patients receive from a primary care facility. However, the linkage between …

Sustainability of Funding for HIV Treatment Services: A Cross-Sectional Survey of Patients' Willingness to Pay for Treatment Services in Nigeria

Background:About 50% of individuals needing HIV treatment are unable to access required services primarily due to the inability of the Nigerian HIV treatment program to meet patient needs. We explored patient willingness to pay for HIV treatment, …

Digital Approaches to Enhancing Community Engagement in Clinical Trials

Digital approaches are increasingly common in clinical trial recruitment, retention, analysis, and dissemination. Community engagement processes have contributed to the successful implementation of clinical trials and are crucial in enhancing equity …

Off the COVID-19 Epicentre: The Impact of Quarantine Controls on Employment, Education and Health in China's Rural Communities

This study documents the COVID-19 disease-control measures enacted in rural China and examines the economic and social impacts of these measures. We conducted two rounds of surveys with 726 randomly selected village informants across seven provinces. …

Monetary Incentives and Peer Referral in Promoting Secondary Distribution of HIV Self-Testing among Men Who Have Sex with Men in China: A Randomized Controlled Trial

Background Digital network– based methods may enhance peer distribution of HIV self-testing (HIVST) kits, but interventions that can optimize this approach are needed. We aimed to assess whether monetary incentives and peer referral could improve a …