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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
    Practical Implications of Policy Guidelines: A GIS Model of the Deployment of Community Health Volunteers in Madagascar
    Aurélie Brunie, James MacCarthy, Brian Mulligan, Yvette Ribaira, Andry Rabemanantsoa, Louisette Rahantanirina, Caleb Parker and Emily Keyes
    Global Health: Science and Practice October 2020, 8(3):466-477; https://doi.org/10.9745/GHSP-D-19-00421

    Geographic information systems can be used to support informed decisions about practical issues related to implementing community health worker (CHW) programs. Demands placed on CHWs regarding expected population and surface area coverage and travel time to facilities need to be carefully considered to ensure they are rational and realistic.

  • Open Access
    District Health Teams’ Readiness to Institutionalize Integrated Community Case Management in the Uganda Local Health Systems: A Repeated Qualitative Study
    Agnes Nanyonjo, Edmound Kertho, James Tibenderana and Karin Källander
    Global Health: Science and Practice June 2020, 8(2):190-204; https://doi.org/10.9745/GHSP-D-19-00318

    District health teams failed to transition from partner-supported integrated community case management (iCCM) programs to locally-run and fully-institutionalized programs. Successful iCCM institutionalization requires local ownership with increased coordination among governmental and nongovernmental actors at the national and district levels.

  • Open Access
    Using Patient-Reported Outcome Measures to Promote Patient-Centered Practice: Building Capacity Among Pediatric Physiotherapists in Rwanda
    Monika Mann, Ines Musabyemariya, Linn Harding and Ben Braxley
    Global Health: Science and Practice October 2020, 8(3):596-605; https://doi.org/10.9745/GHSP-D-19-00408

    Tracking outcomes is integral to assessing effectiveness of health systems. Multimodal training was offered in the use of a contextually appropriate, patient-centered outcome measure in a low-resource setting. Results offer insights for designing future capacity-building programs.

  • Open Access
    Counseling Is a Relationship Not Just a Skill: Re-conceptualizing Health Behavior Change Communication by India’s Accredited Social Health Activists
    Rajani Ved and Kerry Scott
    Global Health: Science and Practice October 2020, 8(3):332-334; https://doi.org/10.9745/GHSP-D-20-00426

    The capacity for India’s community health workers—accredited social health activists (ASHAs)—to promote healthy behaviors must be understood within the health system and community context. Their ability to influence health behaviors depends on the strength of their relationships with families and support they receive from the health system.

  • Open Access
    Health Care Worker Preferences and Perspectives on Doses per Container for 2 Lyophilized Vaccines in Senegal, Vietnam, and Zambia
    Natasha Kanagat, Kirstin Krudwig, Karen A. Wilkins, Sydney Kaweme, Guissimon Phiri, Frances D. Mwansa, Mercy Mvundura, Joanie Robertson, Debra Kristensen, Abdoulaye Gueye, Sang D. Dao, Pham Q. Thai, Huyen T. Nguyen and Thang C. Tran
    Global Health: Science and Practice December 2020, 8(4):680-688; https://doi.org/10.9745/GHSP-D-20-00112

    When providing immunization services, health care workers balance the mandate of achieving high coverage with limiting vaccine wastage. Workers in 3 countries said that containers with fewer vaccine doses for measles and BCG would enable them to immunize all children who present, while reducing concerns about wasting vaccine.

  • Open Access
    Where Do Caregivers Take Their Sick Children for Care? An Analysis of Care Seeking and Equity in 24 USAID Priority Countries
    Sarah E.K. Bradley, Lauren Rosapep and Tess Shiras
    Global Health: Science and Practice October 2020, 8(3):518-533; https://doi.org/10.9745/GHSP-D-20-00115

    Understanding whether and where parents take sick children for care is critical to improve child health and survival. Stakeholders should use this information to ensure that resources are programmed effectively and that sectors complement one another to increase equitable access to high quality integrated management approaches for sick child care.

  • Open Access
    Are We Using the Right Approach to Change Newborn Care Practices in the Community? Qualitative Evidence From Ethiopia and Northern Nigeria
    Zelee Hill, Pauline Scheelbeek, Yashua Hamza, Yared Amare and Joanna Schellenberg
    Global Health: Science and Practice October 2020, 8(3):383-395; https://doi.org/10.9745/GHSP-D-19-00410

    In Ethiopia, high community-level exposure to consistent messages and the perceptions of community health workers and relationships with them drove newborn care behavior change. In Nigeria, exposure to messages was limited, community health workers were less trusted, and behavior change was reported less frequently.

  • Open Access
    Factors Associated With Delayed Contraceptive Implant Removal in Ethiopia
    Elizabeth Costenbader, Alice F. Cartwright, Misti McDowell, Berhane Assefa, Meza Yirga Tejeji and Eskindir Tenaw
    Global Health: Science and Practice October 2020, 8(3):455-465; https://doi.org/10.9745/GHSP-D-20-00135

    Women receiving implant insertion at the community level were significantly more likely to report keeping their implant for more than 3 years. Even when a referral or back-up system for removals existed, efforts to task-shift the provision of contraceptive implants may have inadvertently led to extended implant use.

  • Open Access
    How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis
    Sruthi Mahadevan and Elena T. Broaddus-Shea
    Global Health: Science and Practice March 2020, 8(1):100-113; https://doi.org/10.9745/GHSP-D-19-00340

    Our assessment of home-based record use in low- and middle-income countries indicated that the implementation process consists of 8 interdependent components involving policy makers, funders, and end users—health care workers, pregnant women, and the parents/caregivers of children. Successful implementation can result in improved maternal and child health outcomes and more efficient use of government and donor investments.

  • Open Access
    Determinants of Facility-Level Use of Electronic Immunization Registries in Tanzania and Zambia: An Observational Analysis
    Emily Carnahan, Ellen Ferriss, Emily Beylerian, Francis Dien Mwansa, Ngwegwe Bulula, Dafrossa Lyimo, Anna Kalbarczyk, Alain B. Labrique, Laurie Werner and Jessica C. Shearer
    Global Health: Science and Practice October 2020, 8(3):488-504; https://doi.org/10.9745/GHSP-D-20-00134

    We provide a framework to quantify the use of electronic immunization registry systems at the facility level and results show the importance of behavioral and organizational factors in explaining their sustained use in Tanzania and Zambia.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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