BACKGROUND: Health communication is a field that uses social and behavioral models to improve health outcomes and raise awareness on major health risks that threaten human well‑being. Low‑income countries (LICs) suffer from the effects of communicable and noncommunicable diseases that are exacerbated by weak health‑care systems, lack of awareness campaigns, and ineffective communication tactics. This work aims to explore health communication research in LICs to find strategies that help improve health outcomes in the future. MATERIALS AND METHODS: The PubMed database was explored systematically for publications related to health communication from LICs between January 1, 1960, and January 1, 2020. Publications were categorized according to country of origin and were analyzed with respect to population size, gross domestic product (GDP), and primary school enrollment of each state as obtained from the World Bank Open Data. RESULTS: Collectively, LICs published 796 contributions, comprising 1.08% of the total biomedical research published by LICs and 0.27% of the world’s health communication research. Malawi had the highest number of publications per GDP, with 32.811 publications per billion US$. Uganda had the most contributions per population, with 9.579 publications per million persons. Ethiopia had the highest amount of contributions per primary school enrollment with a ratio of 2.461 publications per %gross. The role of health communication in promoting HIV awareness and prevention was the most common theme explored. Other infectious diseases, such as malaria, tuberculosis, and Ebola, were also highlighted. Improving communication in health education was also explored. CONCLUSION: Health communication is a rising field in LICs, with research focusing on disease prevention. Efforts to amplify research are key to effectively utilize the health communication models and improve health outcomes in LICs.
Mheidly N, Fares J. Health communication research in the Arab world: A bibliometric analysis. Integrated Healthc J 2020;2:e000011. 2. Centers for Disease Control and Prevention. Health Communication Basics; 2020. Available from: https://www. cdc.gov/healthcommunication/healthbasics/WhatIsHC.html. [Last accessed on 2020 Apr 15]. 3. World Bank. World Bank Country and Lending Groups; 2020. Available from: https://datahelpdesk.worldbank. org/knowledgebase/articles/906519‑world‑bank‑country‑ and‑lending‑groups. [Last accessed on 2020 Apr 15]. 4. Institute for Health Metrics and Evaluation. Findings from the Global Burden of Disease Study 2017. IHME; 2018. 5. Bösenberg AT. 51‑Pediatric anesthesia in developing countries.In: Coté CJ, Lerman J, Anderson BJ, editors. A Practice of Anesthesia for Infants and Children. 6th ed. Philadelphia: Content Repository Only!; 2019. p. 1161‑74.e1163. 6. Pantoja T,Opiyo N, Lewin S, Paulsen E, Ciapponi A,Wiysonge CS, et al. Implementation strategies for health systems in low‑income countries: An overview of systematic reviews. Cochrane Database Syst Rev 2017;9:CD011086. 7. Hurt K, WalkerRJ, CampbellJA, Egede LE. mHealth Interventions in low and middle‑income countries: A systematic review. Glob J Health Sci 2016;8:54429. 8. World Bank. Prevalence of HIV, Total (% of Population ages 15‑49) – LowIncome;2019.Availablefrom:https://data.worldbank. org/indicator/SH.DYN.AIDS.ZS?locations=XM. [Last accessed on 2020 Apr 15]. 9. UNAIDS. Uganda; 2018. Available from: https://www.unaids. org/en/regionscountries/countries/uganda. [Last accessed on 2019 Dec 26]. 10. Ngonzi J, Mugyenyi G, Kivunike M, Mugisha J, Salongo W, Masembe S, et al. Frequency of HIV status disclosure, associated factors and outcomes among HIV positive pregnant women at Mbarara Regional Referral Hospital, southwestern Uganda. Pan Afr Med J 2019;32:200. 11. Klingberg S, King R, Seeley J, Lubwama R, Namuganga M, Nabiryo B, et al. Courage and confidence to stop lying: Caregiver perspectives on a video to support paediatric HIV disclosure in Kampala, Uganda. Afr J AIDS Res 2018;17:273‑9. 12. Mugisha JO, Schatz EJ, Hansen C, Leary E, Negin J, Kowal P, et al. Social engagement and survival in people aged 50 years and over living with HIV and without HIV in Uganda: A prospective cohort study. Afr J AIDS Res 2018;17:333‑40. 13. Derek A, Seme A, Anye CS, Nkfusai CN, Cumber SN. Modern family planning use among people living with HIV/AIDS: A facility based study in Ethiopia. Pan Afr Med J 2019;33:224. 14. UNAIDS. Ethiopia; 2018. Available from: https://www.unaids. org/en/regionscountries/countries/ethiopia. [Last accessed on 2019 Dec 26]. 15. Mekonen MT, Dagnew HA, Yimam TA, Yimam HN, Reta MA. Adolescent‑parent communication on sexual and reproductive health issues and associated factors among high school students in Woldia town, Northeastern Ethiopia. Pan Afr Med J 2018;31:35. 16. UNAIDS. Democratic Republic of the Congo; 2018. Available from: https://www.unaids.org/en/regionscountries/countr ies/democraticrepublicofthecongo. [Last accessedon 2019 Dec 26]. 17. Akilimali PZ, Musumari PM, Kashala‑Abotnes E, Kayembe PK, Lepira FB, Mutombo PB, et al. Disclosure of HIV status and its impact on the loss in the follow‑up of HIV‑infected patients on potent anti‑retroviral therapy programs in a (post‑) conflict setting: A retrospective cohort study from Goma, Democratic Republic of Congo. PLoS One 2017;12:e0171407. 18. Fogel JM, Sandfort T, Zhang Y, Guo X, Clarke W, Breaud A, et al. Accuracy of self‑reported HIV status among African men and transgender women who have sex with men who were screened for participation in a research study: HPTN 075. AIDS Behav 2019;23:289‑94. 19. Kalembo FW, Kendall GE, Ali M, Chimwaza AF, Tallon MM. Primary caregivers, healthcare workers, teachers and community leaders’ perceptions and experiences of their involvement, practice and challenges of disclosure of HIV status to children living with HIV in Malawi: A qualitative study. BMC Public Health 2018;18:884. 20. Sanga ES, Mukumbang FC, Mushi AK, Lerebo W, Zarowsky C. Understanding factors influencing linkage to HIV care in a rural setting, Mbeya, Tanzania: Qualitative findings of a mixed methods study. BMC Public Health 2019;19:383. 21. Cawley C, Wringe A, Wamoyi J, Lees S, Urassa M. ‘It is just the way it was in the past before I went to test’: A qualitative study to explore responses to HIV prevention counselling in rural Tanzania. BMC Public Health 2016;16:489. 22. Conserve DF,Bay C, Kilonzo MN,Makyao NE, Kajula L,Maman S. Sexual and social network correlates of willingness to self‑test for HIV among ever‑tested and never‑tested men: Implications for the Tanzania STEP project. AIDS Care 2019;31:169‑76. 23. Ross MW, Larsson M, Jacobson J, Nyoni J, Agardh A. Social networks of men who have sex with men and their implications for HIV/STI interventions: Results from a cross‑sectional study using respondent‑driven sampling in a large and a small city in Tanzania. BMJ Open 2016;6:e012072. 24. Ross MW, Nyoni J, Ahaneku HO, Mbwambo J, McClelland RS, McCurdy SA. High HIV seroprevalence, rectal STIs and risky sexual behaviour in men who have sex with men in Dar es Salaam and Tanga, Tanzania. BMJ Open 2014;4:e006175. 25. Kajula LJ, Sheon N, De Vries H, Kaaya SF, Aarø LE. Dynamics of parent‑adolescent communication on sexual health and HIV/ AIDS in Tanzania. AIDS Behav 2014;18 Suppl 1:S69‑74. 26. Yaya I, Saka B, Landoh DE, Patchali PM, Patassi AA, Aboubakari AS, et al. HIV status disclosure to sexual partners, among people living with HIV and AIDS on antiretroviral therapy at Sokodé regional hospital, Togo. PLoS One 2015;10:e0118157. 27. Dahourou DL,Masson D, Aka‑Dago‑Akribi H, Gauthier‑Lafaye C, Cacou C, Raynaud JP,et al. HIV disclosure to the child/adolescent in central and West Francophone Africa. Bull Soc Pathol Exot 2019;112:14‑21. 28. Dahourou D, Raynaud JP, Leroy V. The challenges of timely and safe HIV disclosure among perinatally HIV‑infected adolescents in sub‑Saharan Africa. Curr Opin HIV AIDS 2018;13:220‑9.
29. Yé M, Kagoné M, Sié A, Bagagnan C, Sanou H, Millogo O, et al. Promoting access equity and improving health care for women, children and people living with HIV/AIDS in Burkina Faso through mHealth. J Public Health (Oxf) 2018;40:ii42‑51. 30. Winskell K, Kus L, Sabben G, Mbakwem BC, Tiéndrébéogo G, SingletonR. Social representations of mother‑to‑child transmission of HIV and its prevention in narratives by young Africans from five countries, 1997‑2014: Implications for communication. Soc Sci Med 2018;211:234‑42. 31. Kelly A, Worth H, Akuani F, Kepa B, Kupul M, Walizopa L, et al. Gendered talk about sex, sexual relationships and HIV among youngpeople inPapuaNewGuinea.CultHealthSex 2010;12:221‑32. 32. Dyrehave C, Rasmussen DN, Hønge BL, Jespersen S, Correia FG, Medina C, et al. Nonadherence is associated with lack of HIV‑related knowledge: A cross‑sectional study among HIV‑infected individuals in Guinea‑Bissau. J Int Assoc Providers AIDS Care 2015;15:350‑8. 33. World Bank. Low Income; 2019. Available from: https://data. worldbank.org/income‑level/low‑income. [Last accessed on 2020 Apr 15]. 34. UNESCO. Education Data Release: One in Every Five Children, Adolescents and Youth is Out o f School; 2018. Available from: http://uis.unesco.org/en/news/ education‑data‑release‑one‑every‑five‑children‑adolescents‑ and‑youth‑out‑school. [Last accessed on 2020 Apr 15]. 35. Alupo P, Ssekitoleko R, Rabin T, Kalyesubula R, Kimuli I, Bodnar BE. Improving inpatient medication adherence using attendant education in a tertiary care hospital in Uganda. Int J Qual Health Care 2017;29:587‑92. 36. Nsangi A, Semakula D, Oxman AD, Sewankambo NK. Teaching children in low‑income countries to assess claims about treatment effects: Prioritization of key concepts. J Evid Based Med 2015;8:173‑80. 37. Mariam DH, Sagay AS, Arubaku W, Bailey RJ, Baingana RK, Burani A, et al. Community‑based education programs in Africa: Faculty experience within the Medical Education Partnership Initiative (MEPI) network. Acad Med 2014;89 8 Suppl: S50‑54. 38. Anya SE, Hydara A, Jaiteh LE. Antenatal care in The Gambia: Missed opportunity for information, education and communication. BMC Pregnancy Childbirth 2008;8:9. 39. Rosa WE, Male MA, Uwimana P, Ntizimira CR, Sego R, Nankundwa E, et al. The advancement of palliative care in rwanda: transnational partnerships and educational innovation. J Hosp Palliat Nurs 2018;20:304‑12. 40. Budhathoki SS, Pokharel PK, Jha N, Moselen E, Dixon R, Bhattachan M, et al. Health literacy of future healthcare professionals: A cross‑sectional study among health sciences students in Nepal. Int Health 2019;11:15‑23. 41. Bagala JP, Macheka ND, Abebaw H, Wen LS. Implementation of the Medical Education Partnership Initiative: Medical students’ perspective. Acad Med 2014;89 8 Suppl: S32‑4. 42. Theobald S, Brandes N, Gyapong M, El‑Saharty S, Proctor E, Diaz T, et al. Implementation research: New imperatives and opportunities in global health. Lancet 2018;392:2214‑28. 43. Cole DC, Nyirenda LJ, Fazal N, Bates I. Implementing a national health research for development platform in a low‑income country – A review of Malawi’s Health Research Capacity Strengthening Initiative. Health Res Policy Syst 2016;14:24. 44. Vargas E, Becerril‑Montekio V, Gonzalez‑Block MÁ, Akweongo P, Hazel CN, Cuembelo Mde F,et al. Mapping the use ofresearch to support strategies tackling maternal and child health inequities: Evidence from six countries in Africa and Latin America. Health Res Policy Syst 2016;14:1. 45. Aidam J, Sombié I. The West African Health Organization’s experience in improving the health research environment in the ECOWAS region. Health Res Policy Syst 2016;14:30. 46. Dagenais C, Somé TD, Boileau‑Falardeau M, McSween‑Cadieux E, Ridde V. Collaborative development and implementation of a knowledge brokering program to promote research use in Burkina Faso, West Africa. Glob Health Action 2015;8:26004. 47. Kurumop SF, Bullen C, Whittaker R, Betuela I, Hetzel MW, Pulford J.Improving health worker adherence to malaria treatment guidelines in Papua New Guinea: Feasibility and acceptability of a text message reminder service. PLoS One 2013;8:e76578. 48. Romore I, Ali AM, Semali I, Mshinda H, Tanner M, Abdulla S. Assessment of parental perception of malaria vaccine in Tanzania. Malar J 2015;14:355. 49. Andre E, Isaacs C, Affolabi D, Alagna R, Brockmann D, de Jong BC, et al. Connectivity of diagnostic technologies: Improving surveillance and accelerating tuberculosis elimination. Int J Tuberc Lung Dis 2016;20:999‑1003. 50. Nhavoto JA, Grönlund Å, Klein GO. Mobile health treatment support intervention for HIV and tuberculosis in Mozambique: Perspectives of patients and healthcare workers. PLoS One 2017;12:e0176051. 51. Thiam S, Delamou A, Camara S, CarterJ, Lama EK, Ndiaye B, et al. Challenges in controlling the Ebola outbreak in two prefectures in Guinea: Why did communities continue to resist? Pan Afr Med J 2015;22 Suppl 1:22. 52. Boland ST, Polich E, Connolly A, Hoar A, Sesay T, Tran AA. Overcoming operational challenges to ebola case investigation in Sierra Leone. Glob Health Sci Pract 2017;5:456‑67. 53. Mukama T, Ndejjo R, Musabyimana A, Halage AA, Musoke D. Women’s knowledge and attitudes towards cervical cancer prevention: A cross sectional study in Eastern Uganda. BMC Womens Health 2017;17:9. 54. Mekonnen FA, Ambaw YA, Neri GT. Socio‑economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia. PLoS One 2018;13:e0202734. 55. Birhanu M, Gedefaw L, Asres Y. Anemia among school‑age children: Magnitude, severity and associated factors in Pawe Town, Benishangul‑Gumuz Region, Northwest Ethiopia. Ethiop J Health Sci 2018;28:259‑66. 56. Atmar MH.Politicisation ofhumanitarianaidandits consequences for Afghans. Disasters 2001;25:321‑30. 57. Ng LC, López B, Pritchard M, Deng D. Posttraumatic stress disorder, trauma, and reconciliation in South Sudan. Soc Psychiatry Psychiatr Epidemiol 2017;52:705‑14. 58. Alammar AM, Heshmeh OA. Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile. Dent Med Probl 2018;55:241‑6. 59. Saleh M, Hajeer MY, Muessig D. Acceptability comparison between Hawley retainers and vacuum‑formed retainers in orthodontic adult patients: A single‑centre, randomized controlled trial. Eur J Orthod 2017;39:453‑61. 60. Khattab TZ, Farah H, Al‑Sabbagh R, Hajeer MY, Haj‑Hamed Y. Speech performance and oral impairments with lingual and labial orthodontic appliances in the first stage of fixed treatment. Angle Orthod 2013;83:519‑26. 61. Fares J, Salhab HA, Fares MY, Khachfe HH, Fares Y. Academic medicine and the development of future leaders in healthcare. In: Laher I, editors. Handbook of Healthcare in the Arab World. Cham: Springer; 2020. 62. Fares MY, Fares J, Baydoun H, Fares Y. Sport and exercise medicine research activity in the Arab world: A 15‑year bibliometric analysis. BMJ Open Sport Exerc Med 2017;3:e000292. 63. Fares Y, Fares J. Neurosurgery in Lebanon: History, development, and future challenges. World Neurosurg 2017;99:524‑32. 64. Fares Y, Fares J, Kurdi MM, Bou Haidar MA. Physician leadership and hospital ranking: Expanding the role of neurosurgeons. Surg Neurol Int 2018;9:199. 65. Mheidly N, Fares J. Leveraging media and health communication strategies to overcome the COVID‑19 infodemic. J Public Health Policy 2020. (In press).
Nour Mheidly,.. and Jawad Fares,.. (2020). Health communication in low‑income countries: A 60‑year bibliometric and thematic analysis. Journal of Education and Health Promotion, 10(7), 1-8.
MLA
Nour Mheidly,.. , and Jawad Fares,.. . "Health communication in low‑income countries: A 60‑year bibliometric and thematic analysis", Journal of Education and Health Promotion, 10, 7, 2020, 1-8.
HARVARD
Nour Mheidly .., Jawad Fares .. (2020). 'Health communication in low‑income countries: A 60‑year bibliometric and thematic analysis', Journal of Education and Health Promotion, 10(7), pp. 1-8.
CHICAGO
.. Nour Mheidly and .. Jawad Fares, "Health communication in low‑income countries: A 60‑year bibliometric and thematic analysis," Journal of Education and Health Promotion, 10 7 (2020): 1-8,
VANCOUVER
Nour Mheidly .., Jawad Fares .. Health communication in low‑income countries: A 60‑year bibliometric and thematic analysis. J Educ Health Promot, 2020; 10(7): 1-8.