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Global Health: Science and Practice

Dedicated to what works in global health programs

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Latest Articles

  • Open Access
    Using the Unmanned Aerial Vehicle Delivery Decision Tool to Consider Transporting Medical Supplies via Drone
    Margaret Eichleay, Emily Evens, Kayla Stankevitz and Caleb Parker
    Global Health: Science and Practice December 2019, GHSP-D-19-00119; https://doi.org/10.9745/GHSP-D-19-00119

    We developed an unmanned aerial vehicle (UAV) Delivery Decision Tool to help health system decision makers identify their transport challenges and explore the potential utility and impact of UAVs on the broader health system.

  • Open Access
    Provider-Initiated Family Planning Within HIV Services in Malawi: Did Policy Make It into Practice?
    Erin K. McGinn and Laili Irani
    Global Health: Science and Practice December 2019, GHSP-D-19-00192; https://doi.org/10.9745/GHSP-D-19-00192

    Four years after Malawi embraced a policy of provider-initiated family planning (PIFP) within its HIV Clinical Guidelines, this policy remained largely unimplemented at the health facility level. Strengthening PIFP in Malawi’s public and private health facilities will require targeted and comprehensive systems changes.

  • Open Access
    The Burden of Respiratory Syncytial Virus (RSV) Infection in Adults and Reproductive-Aged Women
    Bernard Gonik
    Global Health: Science and Practice December 2019, GHSP-D-19-00121; https://doi.org/10.9745/GHSP-D-19-00121

    Currently available data on respiratory syncytial virus (RSV) disease burden in adults and reproductive-aged women are limited. These data are critically needed to assist in the advancement of strategies related to maternal RSV vaccination for the passive protection of their newborn children.

  • Open Access
    Response to the Letter to the Authors—Saving Mothers, Giving Life (SMGL) Initiative Supplement
    Florina Serbanescu, Claudia Morrissey Conlon, Frank Kaharuza and Masuka Musumali
    Global Health: Science and Practice October 2019, GHSP-D-19-00313; https://doi.org/10.9745/GHSP-D-19-00313
  • Open Access
    Saving Mothers, Giving Life: Don’t Neglect the Health Systems Element
    Krishna Hort and Louise Simpson
    Global Health: Science and Practice October 2019, GHSP-D-19-00178; https://doi.org/10.9745/GHSP-D-19-00178
  • Open Access
    Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh
    Anna Williams, Marufa Aziz Khan, Mohammed Moniruzzaman, Sk Towhidur Rahaman, Imteaz Ibne Mannan, Joseph de Graft-Johnson, Iftekhar Rashid and Barbara Rawlins
    Global Health: Science and Practice September 2019, 7(3):457-468; https://doi.org/10.9745/GHSP-D-19-00124

    Program introduction, including cascade training, to screen for severe preeclampsia and eclampsia and initiate treatment with magnesium sulfate was somewhat successful. Challenges included inconsistent adherence to the national protocol, data quality, and some issues with supplies and equipment.

  • Open Access
    It Takes a System: Magnesium Sulfate for Prevention of Eclampsia in a Resource-Limited Community Setting
    Robert L. Goldenberg and Elizabeth M. McClure
    Global Health: Science and Practice September 2019, 7(3):340-343; https://doi.org/10.9745/GHSP-D-19-00261

    Magnesium sulfate is not a silver bullet to reduce maternal mortality associated with preeclampsia/eclampsia. We believe a well-functioning health care system, especially at the hospital level, with competent well-trained providers, adequate equipment, and medications will likely be necessary.

  • Open Access
    Indicators for Monitoring and Evaluation of Community-Based Injectable Contraception: Multisourced Process and New Global Guidance
    Jill M. Peterson, Kirsten Krueger and John Stanback
    Global Health: Science and Practice September 2019, 7(3):491-497; https://doi.org/10.9745/GHSP-D-19-00133

    We based our guidance on a literature review, technical consultation, and case studies of 3 countries. We identified 4 essential indicators: enough community health workers (CHWs) certified to provide injectables to meet project goals, CHWs are appropriately supervised, stock of injectables is reliable, and clients are receiving injections.

  • Open Access
    Operationalizing Integrated Immunization and Family Planning Services in Rural Liberia: Lessons Learned From Evaluating Service Quality and Utilization
    Allyson R. Nelson, Chelsea M. Cooper, Swaliho Kamara, Nyapu D. Taylor, Topian Zikeh, Cefanee Kanneh-Kesselly, Rebecca Fields, Iqbal Hossain, Lolade Oseni, Birhanu S. Getahun, Anne Fiedler, Anne Schuster and Hannah Tappis
    Global Health: Science and Practice September 2019, 7(3):418-434; https://doi.org/10.9745/GHSP-D-19-00012

    Providers, managers, and clients valued the integrated service delivery model. Trends indicated slightly higher family planning uptake in intervention facilities, but that difference was not statistically significant. Intrafacility referrals by postpartum women did not negatively affect immunization utilization rates.

  • Open Access
    Increasing Family Planning Access in Kenya Through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers
    Allison Ruark, Jane Kishoyian, Mona Bormet and Douglas Huber
    Global Health: Science and Practice September 2019, 7(3):478-490; https://doi.org/10.9745/GHSP-D-19-00107

    The Christian Health Association of Kenya (CHAK) partnered with health facilities managed by faith-based organizations (FBOs), religious leaders, and community health volunteers to increase access to family planning in western Kenya. FBO-managed health facilities saw large increases in family planning uptake over the 5-year project, particularly for implants.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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