BMJ Global HealthBMJ全球健康
BMJ Global Health(英文缩写 BMJ GLOB HEALTH),ISSN 2059-7908,eISSN 2059-7908,中文译名:BMJ全球健康 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 8.061 | Q1 |
| 2022 | 8.100 | Q1 |
| 2023 | 7.100 | Q1 |
| 2024 | 6.100 | Q1 |
| 2025 | 5.800 | Q1 |
BMJ Global Health 最新收录文献
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1. Disability inclusion as a missing pillar of Africa's non-communicable disease response.
PMID:日期:2026-09-15该文献暂无摘要。
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2. Mpox in Africa: one year continental response outcomes and way forward.
PMID:日期:2026-09-15Following the declaration of mpox as both a global and continental public health emergency in August 2024, the Joint Incident Management Support Team (IMST), co-led by the Africa Centres for Disease Control and Prevention (Africa CDC) and the WHO, was activated in Kinshasa, DRC to coordinate the continental mpox response. This article highlights the first year's epidemiological and operational findings. Key performance indicators across eight IMST pillars (coordination, surveillance, laboratory, case management, infection prevention and control, risk communication and community engagement (RCCE), vaccination and research) were descriptively analysed using data from 28 African Union Member States from January 2024 to August 2025. A total of 49 803 confirmed cases and 240 deaths (CFR 0.5%) were recorded across 28 countries. The response was supported with US$977 million as tracked by the IMST. Operational achievements included 87% surveillance completeness, 72% contact tracing completeness and improved average laboratory turnaround time from >5 days to 2 days. Laboratory testing capacity expanded from 2 to 27 sites in the DRC and from 1 to 56 decentralised sites in Burundi. RCCE activities reached 50 million people in 21 countries, with vaccine acceptance among high-risk groups rising from 44% to 87%. Operational research achievements included a responsive and functional research coordination mechanism, 24 (92%, 24/26) multi-country clinical and operational research studies implemented and 60% completion rate of the research data and material sharing framework for Africa. Only 938 000 doses (32%) of the 3.1 million vaccine doses delivered were administered. The joint continental IMST is a new benchmark for response governance, successfully mobilising resources and scaling up diagnostics under unified co-leadership. On the other hand, the evaluation revealed persistent structural challenges in last-mile vaccine delivery, contact tracing (due to stigma/funding) and weak regional collaborative research including fragmented regional research priorities. Future focus must shift from emergency action to durable, sustained investment in national and sub-national health security architecture using a multisectoral whole of government approach.
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3. More than a lack of resources: a mixed-methods assessment of the barriers and facilitators to infection prevention practices in three low-resource maternity units in Malawi.
PMID:日期:2026-09-15Maternal sepsis is a leading cause of maternal mortality and morbidity. Caesarean section is a risk factor for infection, particularly in low-resource settings. This study aimed to identify barriers and facilitators to recommended infection prevention (IP) practices prior to implementation of a complex intervention to improve IP during caesarean section in a low-resource setting. This was a mixed methods study conducted in three semi-rural maternity hospitals in Malawi between June and December 2022. Participants were healthcare workers (HCWs) and women undergoing caesarean section. Data collection included case note review, weekly surveys and ethnographic participant observation to assess resource availability for IP and adherence to recommended IP practice. Preliminary data were integrated and used to inform in-depth interviews with HCWs to further explain findings. Inductively coded themes from interviews were mapped to the Communication-Opportunity-Motivation-Behaviour (COM-B)/Theoretical Domains Framework (TDF) model. We found a lack of resources and suboptimal infrastructure for IP across the facilities, with many basic items available only intermittently. Observation revealed significant gaps in recommended IP practices, including hand hygiene, aseptic technique during vaginal examination, surgical scrubbing and sterile practice in the operating theatre. Scarcity of resources and infrastructure functioned as both direct and indirect barriers to IP due to their impact on staff motivation (reflective and automatic). Having 'passion' for patients, regular senior supervision and 'reminders' acted as facilitators to recommended IP practice. Our study demonstrates that adherence to recommended IP practice is determined by more than the availability of resources; the indirect impact of scarcity on staff motivation also played an important role. The study identified further barriers and facilitators to general IP practices, the understanding of which was subsequently used in the selection and development of a complex behaviour change intervention to improve IP practices in the same facilities.
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4. Trajectories of child undernutrition in Ethiopia: a multivariate GEE approach.
PMID:日期:2026-09-15Child undernutrition remains a significant public health issue in Ethiopia despite Millennium Development Goal efforts. Most prior Ethiopian studies have relied on cross-sectional designs or have modelled underweight, stunting and wasting as separate independent outcomes, limiting insight into their longitudinal interplay. This study employs a multivariate longitudinal framework to jointly examine trajectories, co-occurrence and shared determinants of all three anthropometric outcomes from infancy through adolescence. We utilised the Young Lives Cohort Survey (YLCS), collecting data from ~1997 Ethiopian children across five time points (2002-2016). A multivariate generalised estimating equations (GEE) model with a logit link function and exchangeable working correlation structure assessed associations between covariates and three undernutrition outcomes (underweight, stunting and wasting) defined by WHO z-scores (<-2 SD=undernutrition; ≥-2 SD=normal). Covariate effects were estimated with ORs and 95% CIs. Undernutrition prevalence varied over time: underweight peaked at 52.1% at age 12, stunting was highest at 42.5% at age 1 (persisting at 25.6% by age 15), and wasting reached 41.2% at age 12. Overall, 37.2% of measurements showed underweight, 30.2% stunting and 24.7% wasting. The GEE model showed that higher wealth was associated with lower odds of underweight (OR=0.05, 95% CI: 0.02 to 0.11), stunting (OR=0.20, 95% CI 0.10 to 0.38) and wasting (OR=0.17, 95% CI 0.07 to 0.41). Females had lower odds (eg, underweight OR=0.61, 95% CI 0.53 to 0.70), while lack of safe water was associated with higher wasting odds (OR=1.40, 95% CI 1.16 to 1.69). Wasting odds surged by age 12 (OR=3.65, 95% CI 3.19 to 4.19). Undernutrition burden shifted across childhood, with stunting predominating in early years, underweight peaking in preadolescence and wasting escalating in later childhood. Wealth-targeted economic support programmes, poverty reduction strategies and improved water purification may help to address these disparities.
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5. Uptake and feasibility of task-shifting of Xpert MTB/RIF Ultra testing from laboratory technicians to nurses to increase access and reduce time to results: a multicountry mixed method research.
5. 将Xpert MTB/RIF Ultra检测从实验室技术人员向护士任务转移的接受度与可行性：一项多国混合方法研究PMID:日期:2026-09-10Task-shifting tuberculosis (TB) rapid molecular testing from laboratory technicians to nurses could help decentralise TB diagnosis at primary health centres (PHCs) and allow in-ward testing to shorten treatment decision for very sick patients. We assessed the feasibility of Xpert MTB/RIF Ultra (Ultra) testing on nasopharyngeal aspirate (NPA) by nurses in children with presumptive TB at PHCs and in hospitalised children with severe pneumonia within the TB-Speed project in seven countries. Of 23 PHCs and 15 paediatric wards, 9 and 4 respectively had nurses trained to perform Ultra using the battery-operated GeneXpert Edge. Laboratory technicians performed testing in the other sites. We compared the proportion of samples tested, invalid or error results, TB detection yield, turnaround time (TAT) between sample reception and result at PHC and time to clinician between sample collection and result delivery to clinicians in paediatric wards between nurses and laboratory technicians. External quality assessment (EQA) and site support supervision assessed performance. Self-administered questionnaire and semistructured individual interviews assessed nurses' perceptions. Ultra was done in 253/254 (99.6%) and 258/258 (100%) samples for PHC and hospital nurses versus 895/897 (99.8%) and 874/874 (100%) for laboratory technicians, respectively. At PHC, TAT was below 1 hour 30 min for 158/252 (62.7%) samples tested by nurses versus 677/893 (75.8%) by laboratory technicians, p<0.001. Ultra results were available to clinicians within 3 hours in 201/258 (77.9%) samples for nurses versus 464/874 (53.1%) for laboratory technicians in hospitals, p<0.001. EQA results <87.5% was more common for PHC nurses than PHC laboratory technicians or hospital nurses. Technical difficulties, lack of practice and workload were the main challenges, and training and supervision the main facilitators reported by nurses. Task shifting of Ultra testing from laboratory technicians to nurses under close supervision could support decentralisation of TB diagnosis and shorten time to treatment decision for very sick patients.
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6. Costs of surgeries in low- and middle-income countries: a systematic literature review.
PMID:日期:2026-09-04Surgical care is essential for achieving global health equity, yet low- and middle-income countries (LMICs) face major gaps in access and planning, partly due to limited evidence on the costs and resource requirements of surgical interventions. Understanding these costs is vital for designing efficient and equitable health systems. We conducted a systematic literature review (covering MEDLINE, EMBASE, Global Health, EconLit and grey literature) to identify studies reporting the costs of surgeries in LMICs from January 2000 to June 2023. Minor and major surgical procedures were considered, focusing on therapeutic procedures (excluding diagnostic interventions). Studies that clearly identified, quantified and costed hospital resources and services deployed in the provision of surgical care, and included at least two of the surgical production factors (ie, consumables, diagnostics, personnel, infrastructure and overhead) in the costing were included. Costs were standardised to 2023 International dollars (I$) for comparability. A total of 74 studies from 29 countries met the inclusion criteria, with 210 cost estimates across 65 procedure groups. Costs varied widely: from I$1.54 for a caesarean section in Tanzania to I$618 098 for paediatric cataract surgery in Zambia. Full costing studies reported higher estimates than partial costing studies. Most studies (60%) originated from upper-middle-income countries, with limited data (10%) from low-income settings. This review provides a reference list of surgical procedure costs across LMICs, highlighting considerable cost variation by procedure, specialty and country. The findings underscore the need for better-quality, standardised cost data-especially from low-income countries-to inform national surgical plans, universal health coverage benefit packages and reimbursement policies.
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7. A new conceptual framework for evaluating healthcare quality: shifting from reactive treatment to proactive health preservation.
PMID:日期:2026-09-03Healthcare quality is commonly assessed using clinical outcomes and service-based metrics that begin after illness has occurred. While such measures are important, they often overlook healthcare's fundamental purpose: to preserve health, prevent disease and minimise reliance on medical intervention. Drawing from global definitions of healthcare and quality-and philosophical insights from Sunzi's Art of War-this paper proposes a new framework that shifts evaluation from reactive treatment to proactive health preservation. A two-dimensional model is introduced, plotting age-standardised healthy life expectancy on the vertical (Y) axis against purchasing power parity adjusted per capita healthcare expenditure on the horizontal (X) axis. To enable standardised comparison across countries, both indicators are converted into z-scores, allowing the positioning of healthcare systems within a normalised, intuitive visual space. The ideal health system occupies the upper-left corner of this graph, where long, healthy lives are achieved with minimal spending. By examining relative positions on this graph, the model enables strategic policy discussions about value-based trade-offs between health outcomes and spending. The model also highlights a structural tension between the goals of healthcare and the incentives of capitalist systems, where prevention may paradoxically reduce profitability. By redefining quality in terms of sustained wellbeing rather than service provision, the framework offers a timely, intuitive tool for evaluating system performance. It invites policymakers, researchers and the public to reconsider what constitutes progress in health systems-emphasising that the best healthcare may not be the one that delivers the most care, but the one that is least needed.
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8. Lives saved and financial risk protectionfrom scaling up kangaroo mother care in India: an extended cost -effectivenessanalysis.
PMID:日期:2026-09-02Kangaroo mother care (KMC) is a proven, low-cost intervention to reduce neonatal mortality, yet its coverage remains limited in most low- and middle-income countries (LMICs), including India. In this study, we examined the impact of scaling up KMC in India on distribution of health and financial outcomes using an extended cost-effectiveness analysis (ECEA) framework. Building on primary data from a randomised controlled trial (RCT), we modelled the health and financial outcomes of scaling up KMC to 95% coverage nationally. We estimated lives saved, disability-adjusted life-years (DALYs) averted, out-of-pocket expenditure (OOPE) averted and cases of catastrophic healthcare expenditure prevented. Estimates were disaggregated by socioeconomic quintiles and geography. We used deterministic and probabilistic sensitivity analyses to assess the robustness of our findings. Scaling up KMC in India could save around 26 000 neonatal lives annually, avert approximately 1.6 million DALYs, reduce OOPE by around US$13 million and prevent an estimated 57 000 households from experiencing catastrophic health expenditures. Three-fourths of the benefits would be concentrated in the lowest two socioeconomic quintiles. Six high-burden states, including Uttar Pradesh, Bihar and Madhya Pradesh, accounted for 90% of the health and financial gains. The incremental cost-effectiveness ratio ranged from 0.08 to 0.17 times gross domestic product per capita for India across different quintiles. Probabilistic sensitivity analysis showed scaling up KMC would be cost-effective in 97.8% of simulations. Our findings suggest that scaling up KMC is cost-effective and can reduce health inequities, particularly benefiting the lowest socioeconomic groups and high-burden states. Incorporating geographical disaggregation and using primary RCT data into ECEA enhance its utility for informing evidence-based, equity-focused health policies in LMICs.
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9. Geographical accessibility to hospital care amid armed conflict in Myanmar: a population-weighted analysis of compounding health inequality, 2021-2024.
PMID:日期:2026-09-01Armed conflict disrupts health systems, but whether it compounds pre-existing geographical barriers to hospital care has not been quantified. We aimed to estimate population-weighted travel time to public hospital care across Myanmar's 330 townships; test whether conflict following the February 2021 coup concentrated in populations with the worst baseline access, and whether attacks on health facilities followed the same pattern; and measure the cumulative person-year burden of simultaneous poor access and intense conflict. We conducted a longitudinal ecological analysis of 330 townships over 16 quarters from 2021 to 2024. Travel time from each populated square kilometre to the nearest of 68 general hospitals, representing the surgical-care tier, was estimated using the pre-coup facility registry, OpenStreetMap road data and WorldPop 2020 population estimates. Townships were classified by population-weighted median travel time. Quarterly conflict intensity was calculated from 35 647 Armed Conflict Location and Event Data Project battle and explosion or remote-violence events; 655 Safeguarding Health in Conflict Coalition-reported facility attacks were analysed separately. The concentration index assessed whether conflict events, fatalities and facility attacks were disproportionately concentrated among populations with worse baseline access. Double-burden exposure (poor or very poor access combined with high or extreme conflict) was accumulated in person-years. Because access was held at pre-coup baseline, estimates should be read as optimistic bounds. Before the coup, 5.8 million people (12%) lived over 2 hours from a general hospital. Double-burden exposure grew from 0.4 million (Q1 2021) to 3.1 million (Q1 2024). Conflict was significantly concentrated in worse-access populations: concentration index 0.126 (95% CI 0.053 to 0.199) for events, 0.169 (95% CI 0.078 to 0.263) for fatalities. Facility attacks showed no significant concentration (0.049, 95% CI -0.041 to 0.145), as remote townships lack targetable facilities. An estimated 8.4 million person-years of double-burden exposure accumulated over 2021-2024, rising roughly eightfold quarterly, from about 100 000 (Q1 2021) to 780 000 (Q1 2024). Conflict in Myanmar has compounded pre-existing geographical inequality in hospital access, with populations furthest from surgical care bearing a disproportionate burden. The concentration curve framework used is transferable to other conflict-affected settings.