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Access to Public Health Services and Challenges to Healthcare Management

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 1 June 2025 | Viewed by 1321

Special Issue Editors


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Guest Editor
Institute of Pharmaceutical Sciences, Federal University of Rio de Janeiro, Macaé 27930-560, Brazil
Interests: public health; access to public health services; healthcare management; health technology assessment; health economic analysis

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Guest Editor
Faculty of Public Health, Federal University of Sul e Sudeste do Pará, Marabá 68507-590, Brazil
Interests: public health; TB illness experiences; infectious disease epidemiology; inequities in health; global health

Special Issue Information

Dear Colleagues,

It is with great pleasure that we present this Special Issue of the International Journal of Environmental Research and Public Health, contributing discussions and reflections on “Access to Public Health Services and Challenges to Healthcare Management”.

According to the World Health Organization (WHO), the health system needs to offer preventive, promotive, curative, and rehabilitative interventions through a combination of public health actions to the population. It is essential to reinforce that the actions of the health system should be responsive and financially fair while treating people respectfully. Additionally, a health system needs staff, funds, information, and overall guidance and direction to function. The WHO considers that few countries have systems that can monitor service delivery and that data on population access to essential services are limited. In this context, it is indispensable for countries to develop strategies to better assess aspects such as the accessibility and quality of health services offered to the population, to contribute to health monitoring and the planning process in the healthcare management scenario.

In this Special Issue, we aim to collect contributions that investigate the perceptions, evaluations, and analyses associated with access to public health services. We look forward to receiving insightful contributions, both qualitative and quantitative studies, regarding emerging issues in social medicine and healthcare management. We strongly encourage the submission of papers from middle- and low-income countries, especially those with a public health system, to better demonstrate the various challenges in healthcare management.

Dr. Isabella Piassi Dias Godói
Dr. Carlos Podalirio Borges de Almeida
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • access to public health services
  • quality of public health services
  • social control
  • healthcare management

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Published Papers (1 paper)

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Research

22 pages, 353 KiB  
Article
Exploring Managers’ Insights on Integrating Mental Health into Tuberculosis and HIV Care in the Free State Province, South Africa
by Christo Heunis and Gladys Kigozi-Male
Int. J. Environ. Res. Public Health 2024, 21(11), 1528; https://doi.org/10.3390/ijerph21111528 - 18 Nov 2024
Viewed by 1008
Abstract
The integration of mental health (MH) services into tuberculosis (TB) and HIV care remains a significant challenge in South Africa’s Free State province. This study seeks to understand the perspectives of public health programme managers on the barriers to such integration and to [...] Read more.
The integration of mental health (MH) services into tuberculosis (TB) and HIV care remains a significant challenge in South Africa’s Free State province. This study seeks to understand the perspectives of public health programme managers on the barriers to such integration and to identify potential strategies to overcome these challenges. Data were collected between February and October 2021 using qualitative methods including four individual semi-structured interviews and two focus group discussions with a total of 15 managers responsible for the MH, primary healthcare, TB, and HIV programmes. Thematic data analysis was guided by an adapted version of the World Health Organization’s “building blocks” framework encompassing “service delivery”, “workforce”, “health information”, “essential medicines”, “financing”, and “leadership/governance”. Additionally, the analysis underscored the crucial role of “people”, acknowledging their significant contributions as both caregivers and recipients of care. Managers highlighted significant concerns regarding the insufficient integration of MH services, identifying structural barriers such as inadequate MH management structures and staff training, as well as social barriers, notably stigma and a lack of family treatment adherence support. Conversely, they recognised strong management structures, integrated screening, and social interventions, including family involvement, as key facilitators of successful MH integration. The findings emphasise the need for a whole-system approach that addresses all building blocks while prioritising the role of “people” in overcoming challenges with integrating MH services into TB and HIV care. Full article
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