Social Determinants of Non-Communicable Disease Burden in Caribbean Coastal Communities: A Multilevel Analysis

Abstract: We examine how income, education and neighbourhood deprivation jointly shape the prevalence of hypertension, diabetes and obesity across 42 coastal communities, using multilevel models with census-linked health data. […]

(This article belongs to the Special Issue “Health Equity and the Social Determinants of Health”)

Effectiveness of a Community Health Worker Program on Glycemic Control in Underserved Populations: A Quasi-Experimental Study

Abstract: We evaluate a 16-month community health worker intervention and find clinically meaningful reductions in HbA1c and improved medication adherence among 1,240 adults with type 2 diabetes in resource-limited settings. […]

(This article belongs to the Collection “Strengthening Primary Health Care”)

Primary Health Care Financing and Universal Health Coverage in Latin America: A Systematic Review

Abstract: Following PRISMA guidelines, we synthesize evidence on pooled financing mechanisms, capitation models and their association with equity in access, pooling results from 54 studies across 12 countries. […]

Impact of Airborne Particulate Matter on Respiratory Admissions in Urban Centers during the 2023–2024 Wildfire Season

Abstract: Using time-series models, we link daily PM2.5 concentrations to emergency respiratory admissions and estimate the excess healthcare burden attributable to wildfire-exacerbated pollution episodes. […]

Genomic Surveillance of Dengue Virus Serotypes in a Hyperendemic Region, 2024–2025

Abstract: We deploy next-generation sequencing across 1,920 clinical samples to track circulating DENV serotypes and their molecular epidemiology, informing vector-control and vaccine readiness. […]

Antimicrobial Stewardship in Resource-Constrained Hospitals: A Narrative Review of Implementation Strategies

Abstract: We review stewardship interventions shown to reduce inappropriate prescribing and antimicrobial resistance emergence, with pragmatic guidance for low-resource clinical settings. […]

Occupational Exposure to Silica Dust and Respiratory Morbidity among Informal Construction Workers

Abstract: A cross-sectional study of 610 informal workers quantifies respirable silica exposure and its association with pulmonary function decline and self-reported respiratory symptoms. […]

Drinking Water Quality and Childhood Diarrheal Disease in Rural Settlements: A Spatial Epidemiological Analysis

Abstract: We map microbial contamination of household water sources and diarrheal incidence, identifying clusters where infrastructure investment would yield the largest health gains. […]

Coverage and Timeliness of Routine Childhood Immunization: Disparities in Rural versus Urban Districts

Abstract: We quantify coverage shortfalls for the pentavalent and measles-containing vaccines, decomposing the urban-rural gap into geographic, socioeconomic and service-access components. […]

Maternal Mortality Reduction Strategies in Low- and Middle-Income Countries: A Review of Implementation Evidence

Abstract: A narrative review of emergency obstetric care scale-up, task-shifting and community-based referral interventions and their measurable impact on maternal mortality. […]

Dietary Patterns and Cardiometabolic Risk in a Nationally Representative Adult Cohort

Abstract: Using dietary recall and biomarker data, we identify diet quality clusters associated with hypertension, dyslipidemia and incident cardiovascular events over a 6-year follow-up. […]

Mental Health Outcomes and Barriers to Care among Displaced Populations: A Mixed-Methods Study

Abstract: We combine survey instruments and in-depth interviews to characterize the burden of depression and PTSD and the structural barriers that prevent access to mental health services. […]

Assessing Health System Resilience to Climate-Related Emergencies in Small Island States

Abstract: A framework and rapid appraisal of preparedness for hurricanes, floods and heat events, with indicators for infrastructure, surge capacity and continuity of essential services. […]

Performance-Based Financing and Quality of Primary Care: Evidence from a National Reform

Abstract: We assess a decade of performance-based payment reforms, examining gains in service delivery metrics against unintended effects on equity and reporting behaviour. […]