↓ Skip to main content

Localization of health systems in low- and middle-income countries in response to long-term increases in energy prices

Overview of attention for article published in Globalization and Health, November 2013
Altmetric Badge

Mentioned by

twitter
1 X user

Citations

dimensions_citation
5 Dimensions

Readers on

mendeley
108 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Localization of health systems in low- and middle-income countries in response to long-term increases in energy prices
Published in
Globalization and Health, November 2013
DOI 10.1186/1744-8603-9-56
Pubmed ID
Authors

Sarah L Dalglish, Melissa N Poulsen, Peter J Winch

Abstract

External challenges to health systems, such as those caused by global economic, social and environmental changes, have received little attention in recent debates on health systems' performance in low-and middle-income countries (LMICs). One such challenge in coming years will be increasing prices for petroleum-based products as production from conventional petroleum reserves peaks and demand steadily increases in rapidly-growing LMICs. Health systems are significant consumers of fossil fuels in the form of petroleum-based medical supplies; transportation of goods, personnel and patients; and fuel for lighting, heating, cooling and medical equipment. Long-term increases in petroleum prices in the global market will have potentially devastating effects on health sectors in LMICs who already struggle to deliver services to remote parts of their catchment areas. We propose the concept of "localization," originating in the environmental sustainability literature, as one element of response to these challenges. Localization assigns people at the local level a greater role in the production of goods and services, thereby decreasing reliance on fossil fuels and other external inputs. Effective localization will require changes to governance structures within the health sector in LMICs, empowering local communities to participate in their own health in ways that have remained elusive since this goal was first put forth in the Alma-Ata Declaration on Primary Health Care in 1978. Experiences with decentralization policies in the decades following Alma-Ata offer lessons on defining roles and responsibilities, building capacity at the local level, and designing appropriate policies to target inequities, all of which can guide health systems to adapt to a changing environmental and energy landscape.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sierra Leone 1 <1%
United States 1 <1%
Ghana 1 <1%
Brazil 1 <1%
Unknown 104 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 25 23%
Researcher 21 19%
Student > Ph. D. Student 16 15%
Student > Bachelor 10 9%
Student > Doctoral Student 6 6%
Other 14 13%
Unknown 16 15%
Readers by discipline Count As %
Medicine and Dentistry 18 17%
Social Sciences 13 12%
Nursing and Health Professions 11 10%
Business, Management and Accounting 10 9%
Environmental Science 10 9%
Other 28 26%
Unknown 18 17%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2014.
All research outputs
#17,286,379
of 25,374,647 outputs
Outputs from Globalization and Health
#1,087
of 1,226 outputs
Outputs of similar age
#143,035
of 228,797 outputs
Outputs of similar age from Globalization and Health
#18
of 19 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,226 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.1. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 228,797 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one is in the 5th percentile – i.e., 5% of its contemporaries scored the same or lower than it.