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Global Health: Science and Practice

Dedicated to what works in global health programs

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Most read article(s)

  • Open Access
    Coaching Intensity, Adherence to Essential Birth Practices, and Health Outcomes in the BetterBirth Trial in Uttar Pradesh, India
    Dale A. Barnhart, Donna Spiegelman, Corwin M. Zigler, Nabihah Kara, Megan Marx Delaney, Tapan Kalita, Pinki Maji, Lisa R. Hirschhorn and Katherine E. A. Semrau
    Global Health: Science and Practice March 2020, 8(1):38-54; https://doi.org/10.9745/GHSP-D-19-00317

    Frequent coaching was associated with increased adherence to evidence-based essential birth practices among birth attendants but not with improved maternal and perinatal health outcomes in the BetterBirth Trial, which assessed the impact of a complex intervention to implement the World Health Organization's Safe Childbirth Checklist. To promote sustainable behavior change, future coaching-based interventions may need to explore cost-effective, feasible mechanisms for providing more frequent coaching delivered with high coverage among health care workers for longer durations.

  • Open Access
    Close to Home: Evidence on the Impact of Community-Based Girl Groups
    Miriam Temin and Craig J. Heck
    Global Health: Science and Practice June 2020, 8(2):300-324; https://doi.org/10.9745/GHSP-D-20-00015

    Available evidence, though limited, shows that programs can use community-based girl groups to help adolescent girls improve attitudes toward gender roles and norms, early pregnancy, and child marriage; evaluations indicate they have suboptimal performance on health behavior and health status.

  • Open Access
    Two-Way Short Message Service (SMS) Communication May Increase Pre-Exposure Prophylaxis Continuation and Adherence Among Pregnant and Postpartum Women in Kenya
    Jillian Pintye, Zoe Rogers, John Kinuthia, Kenneth K. Mugwanya, Felix Abuna, Harison Lagat, Joseph Sila, Valarie Kemunto, Jared M. Baeten, Grace John-Stewart and Jennifer A. Unger for the PrIYA Program Team
    Global Health: Science and Practice March 2020, 8(1):55-67; https://doi.org/10.9745/GHSP-D-19-00347

    We evaluated a 2-way short messaging service (SMS) communication platform to improve continuation of pre-exposure prophylaxis (PrEP) for HIV prevention among Kenyan pregnant and postpartum women who initiated PrEP within routine maternal child health and family planning clinics. SMS increased support for PrEP, provided opportunities for dialogue beyond the clinic, and enabled women to ask and receive answers in real-time, which facilitated continued PrEP use.

  • Open Access
    Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
    Meghna Nandi, Jillian Moore, Marcela Colom, Andrea del Rosario Garcia Quezada, Anita Chary and Kirsten Austad
    Global Health: Science and Practice March 2020, 8(1):10-17; https://doi.org/10.9745/GHSP-D-19-00377

    Race, ethnicity, and indigenous status should be considered as potential drivers of provider bias in family planning services globally. Efforts to confront provider bias in family planning counseling should include concrete strategies that promote provider recognition of biases and longitudinal curriculums that allow for sustained feedback and self-reflection.

  • Open Access
    Diagnostic Utility and Impact on Clinical Decision Making of Focused Assessment With Sonography for HIV-Associated Tuberculosis in Malawi: A Prospective Cohort Study
    Daniel Kahn, Kara-Lee Pool, Linna Phiri, Florence Chibwana, Kristin Schwab, Levison Longwe, Ben Allan Banda, Khumbo Gama, Mayamiko Chimombo, Chifundo Chipungu, Jonathan Grotts, Alan Schooley and Risa M. Hoffman
    Global Health: Science and Practice March 2020, 8(1):28-37; https://doi.org/10.9745/GHSP-D-19-00251

    Among patients with HIV and with probable/confirmed TB, using the focused assessment with sonography for HIV-associated TB (FASH) protocol led to a 5-fold increase in the clinician's decision to initiate TB treatment on that day. FASH is a supplementary tool that can help clinicians diagnose patients with HIV-associated TB at the point-of-care and reduce delays in their treatment, particularly when access to other diagnostics is limited or unavailable.

  • Open Access
    Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study
    Anna L. Bowring, Sheree Schwartz, Carrie Lyons, Amrita Rao, Oluwasolape Olawore, Iliassou Mfochive Njindam, Jimmy Nzau, Ghislaine Fouda, Guy H. Fako, Gnilane Turpin, Daniel Levitt, Sandra Georges, Ubald Tamoufe, Serge C. Billong, Oudou Njoya, Anne-Cécile Zoung-Kanyi and Stefan Baral
    Global Health: Science and Practice March 2020, 8(1):82-99; https://doi.org/10.9745/GHSP-D-19-00330

    Female sex workers (FSWs) in Cameroon have unmet need for effective contraception, and experience of unintended pregnancy and pregnancy termination is common. Reducing barriers to accessing high-quality, voluntary family planning services in FSW-focused community services is a key strategy to promote client-centered care, promote informed choice, reduce unintended pregnancies, and improve quality of life for FSWs.

  • Open Access
    Meeting the Global Target in Reproductive, Maternal, Newborn, and Child Health Care Services in Low- and Middle-Income Countries
    Md. Mehedi Hasan, Ricardo J. Soares Magalhaes, Saifuddin Ahmed, Sayem Ahmed, Tuhin Biswas, Yaqoot Fatima, Md. Saimul Islam, Md. Shahadut Hossain and Abdullah A. Mamun
    Global Health: Science and Practice December 2020, 8(4):654-665; https://doi.org/10.9745/GHSP-D-20-00097

    What progress has been achieved toward reproductive, maternal, newborn, and child health service related Sustainable Development Goals? Analyzing data to estimate coverage of these indicators, we observed that acceleration is needed in coordinated global efforts and government policies to ensure universal access to RMNCH care services by 2030.

  • Open Access
    A Rapid Review of Available Evidence to Inform Indicators for Routine Monitoring and Evaluation of Respectful Maternity Care
    Patience A. Afulani, Laura Buback, Brienne McNally, Selemani Mbuyita, Mary Mwanyika-Sando and Emily Peca
    Global Health: Science and Practice March 2020, 8(1):125-135; https://doi.org/10.9745/GHSP-D-19-00323

    We present a set of indicators that could be used to measure the effects of programs on RMC. Integrating these indicators into programs to improve quality of care and other health system outcomes will facilitate routine monitoring and accountability around experience of care.

  • Open Access
    Community Ownership in Primary Health Care—Managing the Intangible
    Eric Sarriot and Ali Nashat Shaar
    Global Health: Science and Practice October 2020, 8(3):327-331; https://doi.org/10.9745/GHSP-D-20-00427

    Although enduringly intangible, community ownership is foundational to primary health care. This intangibility is a reminder of what programs can and should do (create space for dialogue, question their own choices, expand diversity in stakeholder voices making sense of program-induced changes, including through evaluation) and what they cannot do (manage someone else’s ownership).

  • Open Access
    Costing Analysis of a Pilot Community Health Worker Program in Rural Nepal
    Prajwol Nepal, Ryan Schwarz, David Citrin, Aradhana Thapa, Bibhav Acharya, Yubraj Acharya, Anu Aryal, Aaron Baum, Ved Bhandari, Laxman Bhatt, Dipak Bhattarai, Nandini Choudhury, Binod Dangal, Meghnath Dhimal, Santosh Kumar Dhungana, Bikash Gauchan, Scott Halliday, SP Kalaunee, Lal Bahadur Kunwar, Duncan Maru, Isha Nirola, Rashmi Paudel, Anant Raut, Hari Jung Rayamazi, Sabitri Sapkota, Dan Schwarz, Poshan Thapa, Pratistha Thapa, Aparna Tiwari, Roshani Tuitui, Eric Walter and Sheela Maru
    Global Health: Science and Practice June 2020, 8(2):239-255; https://doi.org/10.9745/GHSP-D-19-00393

    Data from a retrospective costing analysis offers insights and practical considerations for policy makers and locally elected officials for designing and implementing a new community health work cadre as a mechanism to achieve SDG targets in Nepal.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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