Special Issue "Universal Health Coverage for Multimorbidity"

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

Deadline for manuscript submissions: 30 June 2022.

Special Issue Editor

Dr. John Tayu Lee
E-Mail Website
Guest Editor
Health Policy, School of Population and Global Health, University of Melbourne, Parkville 3010, Australia
Interests: health economics; global health; programme evaluation

Special Issue Information

Dear Colleagues,

We are organizing a Special Issue on universal health coverage for multimorbidity in low-and middle-income countries in the International Journal of Environmental Research and Public Health. The venue is a peer-reviewed, scientific journal that publishes articles and communications in the interdisciplinary area of environmental health sciences and public health. For detailed information about the journal, we refer you to https://0-www-mdpi-com.brum.beds.ac.uk/journal/ijerph.

Non-communicable diseases (NCDs) are the leading cause of global disease burden, with 80% of NCD mortality occurring in low- and middle-income countries (LMICs). As the populations in these countries age, the prevalence of multimorbidity, defined as persons with two or more co-existing chronic conditions, will likely increase. A recent nationally representative Chinese study, based on 11 physical chronic conditions, found that the prevalence of multimorbidity increased from 51% in those aged between 50 and 54 years to 71% for those aged 75 years and above. Despite the growing prevalence of NCD multimorbidity in LMICs, there is little attention given to the impacts of multimorbidity on individuals and health systems as opposed to a single chronic disease.
The United Nations High-Level Meeting on NCDs in 2018 stressed the enormous challenge posed by the growing burden of NCDs for health systems in LMICs.
This Special Issue seeks contributions involving health system and health economics research in multimorbidity in topics such as

  1. The economic causes and consequences of multimorbidity in high- income countries (HICs), and LMICs;
  2. Health seeking behaviour for patients with multimorbidity in high-income countries (HICs) LMICs;
  3. Patterns of multimorbidity, including the relationships between physical and mental NCDs;
  4. Health policies and interventions to tackle risk factors for multimorbidity;

5. Health system reform to improve access and financial protection for patients with NCDs.

Dr. John Tayu Lee
Guest Editor

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 papers will be 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 semimonthly 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 2300 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.


  • chronic condition
  • non-communicable disease
  • multimorbidity
  • LMICs
  • mental health condition
  • primary care
  • universal health coverage

Published Papers (1 paper)

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Reorienting Primary Health Care Services for Non-Communicable Diseases: A Comparative Preparedness Assessment of Two Healthcare Networks in Malawi and Zambia
Int. J. Environ. Res. Public Health 2021, 18(9), 5044; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095044 - 10 May 2021
Viewed by 952
Despite positive NCD policies in recent years, majority of Sub-Saharan African (SSA) health systems are inadequately prepared to deliver comprehensive first-line care for NCDs. Primary health care (PHC) settings in countries like Malawi and Zambia could be a doorway to effectively manage NCDs [...] Read more.
Despite positive NCD policies in recent years, majority of Sub-Saharan African (SSA) health systems are inadequately prepared to deliver comprehensive first-line care for NCDs. Primary health care (PHC) settings in countries like Malawi and Zambia could be a doorway to effectively manage NCDs by moving away from delivering only episodic care to providing an integrated approach over time. As part of a collaborative health system strengthening project, we assessed and compared the preparedness and operational capacity of two target networks of public PHC settings in Lilongwe (Malawi) and Lusaka (Zambia) to integrate NCD services within routine service delivery. Data was collected and analyzed using validated health facility survey tools. These baseline assessments conducted between August 2018 and March 2019, also included interviews with 20 on-site health personnel and focal persons, who described existing barriers in delivering NCD services. In both countries, policy directives to decentralize disease-specific NCD services to the primary care level were initiated to meet increased demand but lacked operational guidance. In general, the assessed PHC sites were inadequately prepared to integrate NCDs into various service delivery domains, thus requiring further support. In spite of existing multi-faceted limitations, there was motivation among healthcare staff to provide NCD services. Full article
(This article belongs to the Special Issue Universal Health Coverage for Multimorbidity)
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