Table of Contents
VIEWPOINTS
- Do Children With Congenital Zika Syndrome Have Cerebral Palsy?
As researchers and practitioners, we have an important role in educating families of children with brain damage caused by Zika virus infection on how a cerebral palsy diagnosis can empower them with more information and enable better access to care and intervention services.
ORIGINAL ARTICLES
- Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria
Exploring the willingness of certain population segments to pay for HIV commodities is the first step in developing strategies to maximize the use of free or subsidized products, increase access to products for key segments of the population, and ensure efficiency and sustainability of HIV prevention programming.
- Financial Implications of Tariffs for Medical Oxygen on Rwandan Public Hospitals’ Finance Management During the Coronavirus Epidemic
This study shows how variations in patient consumption of medical oxygen can be used to determine tariffs more accurately and highlights the need for a transition from the time-based tariff structure to a case-based or volume-based tariff to incentivize sustainable production of medical oxygen services at hospitals in Rwanda.
- Making Removals Part of Informed Choice: A Mixed-Method Study of Client Experiences With Removal of Long-Acting Reversible Contraceptives in Senegal
Governments must plan to ensure that removal services for long-acting reversible contraceptives are accessible and affordable to handle growing demand. Participants seeking method removal in Senegal reported largely satisfactory experiences, with a few areas for potential strengthening.
- Community Health Workers Improve HIV Disclosure Among HIV-Affected Sexual Partners in Rural Uganda: A Quasi-Experimental Study
HIV disclosure is critical to achieve positive HIV treatment and management outcomes. Community health worker–led mechanisms may be used to support disclosure among adults living with HIV in heterosexual relationships in rural settings.
- Qualitative Examination of the Role and Influence of Mothers-in-Law on Young Married Couples’ Family Planning in Rural Maharashtra, India
Mothers-in-law (MILs) in India hold influential norms that can compromise the reproductive autonomy of their daughters-in-law. Family planning interventions should address MILs’ attitudes and involvement in reproductive decision making.
- Digital Health Technologies Applied by the Pharmaceutical Industry to Improve Access to Noncommunicable Disease Care in Low- and Middle-Income Countries
Digital health technologies applied by the pharmaceutical industry offer opportunities to improve access to care for patients with noncommunicable diseases in low- and middle-income countries.
- Improving the Quality of Health Care in Special Neonatal Care Units of India: A Before and After Intervention Study
In low- and middle-income countries, facility-based neonatal care practices can be improved using a collaborative cross-learning quality improvement approach incorporating remote mentoring, coaching, and supportive supervision.
- Multisectoral, Combination HIV Prevention for Adolescent Girls and Young Women: A Qualitative Study of the DREAMS Implementation Trajectory in Zambia
Our study of DREAMS implementation in Zambia identified key implementation successes and challenges experienced by implementing partners and program participants, from program rollout and throughout its evolution.
- Community Health Worker Program Outcomes for Diabetes and Hypertension Control in West Bank Refugee Camps: A Retrospective Matched Cohort Study
A community health worker program in urban Palestinian West Bank refugee camps improves diabetes and hypertension control in a setting of chronic violence and extreme adversity.
- Meeting the Sexual and Reproductive Health Needs of Internally Displaced Persons in Ethiopia’s Somali Region: A Qualitative Process Evaluation
We share lessons learned from a project to improve access to sexual and reproductive health services among internally displaced persons in Somali region, Ethiopia.
FIELD ACTION REPORTS
- Developing and Testing a Chatbot to Integrate HIV Education Into Family Planning Clinic Waiting Areas in Lusaka, Zambia
In response to the need to integrate HIV prevention content with FP counseling, a chatbot was developed and tested for use among FP clients in clinic waiting areas to leverage the time while they wait to see providers and guide them through a digital conversation on preventing both pregnancy and HIV.
- Bottlenecks and Solutions During Implementation of the DREAMS Program for Adolescent Girls and Young Women in Namibia
We analyze implementation bottlenecks experienced in the DREAMS program in Namibia that can provide valuable insights and suggest ways to anticipate and overcome these challenges when managing HIV and gender-based violence prevention programs for adolescent girls and young women.
- Early Reflections on Mphatlalatsane, a Maternal and Neonatal Quality Improvement Initiative Implemented During COVID-19 in South Africa
A quality improvement initiative for maternal and neonatal health care demonstrates that a responsive intervention design and implementation approach mitigates threats to clinical services during COVID-19.
- Lessons Learned From Integrating Infant and Young Child Feeding Counseling and Iron-Folic Acid Distribution Into Routine Immunization Services in Ethiopia
This study’s findings demonstrate that integrating counseling on infant and young child feeding and iron-folic acid supplement distribution into immunization services is achievable and can promote greater accessibility to other health services in immunization and beyond.
- Crossing the Last Mile of TB Care in Rural Southern Madagascar: A Multistakeholder Initiative
Decentralizing TB care services by offering motorbike-based mobile clinics increased patient accessibility to TB care services in a remote district in Madagascar.
SHORT REPORTS
- Changes in Child Undernutrition and Overweight in India From 2006 to 2021: An Ecological Analysis of 36 States
India has historically displayed high levels of child stunting and low levels of child overweight. Despite improvements in human development indicators between 2006 and 2021, population-level reductions in child stunting have slowed and child overweight is rising faster than predicted by human development indicators.
REVIEWS
- What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
Early evidence on clients’ and providers’ experiences with the hormonal intrauterine device in sub-Saharan Africa and lessons learned from implementing a shared learning agenda can inform strategies to expand access in other low- and middle-income countries.
- Comprehensive Vaccine-Preventable Disease Surveillance in the Western Pacific Region: A Literature Review on Integration of Surveillance Functions, 2000–2021
A literature review supports integrating vaccine-preventable diseases (VPDs) into broader communicable disease surveillance systems in Western Pacific Region countries while ensuring that the minimal World Health Organization–recommended standards for VPD surveillance are met.
METHODOLOGIES
- Designing for Impact and Institutionalization: Applying Systems Thinking to Sustainable Postpartum Family Planning Approaches for First-Time Mothers in Bangladesh
Public health practitioners often design interventions prioritizing potential impact over sustainability. To assess the potential for impact and institutionalization, we applied systems thinking to postpartum family planning approaches for first-time mothers in Bangladesh.
PROGRAM CASE STUDIES
- A Tale of 2 Countries: Implementation of the Cold Chain Equipment Optimization Platform in Guinea and Kenya
Case studies of Gavi Cold Chain Equipment Optimization Platform investments in Guinea and Kenya illustrate how countries prioritize and implement large funding and support mechanisms and offer lessons applicable to other countries embarking on similar interventions.