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Table of Contents

September 2022 | Volume 10 | Supplement 1

Advancing Learning Health Systems: Lessons from the African Health Initiative

  • Open Access
    Learning Health Systems to Bridge the Evidence-Policy-Practice Gap in Primary Health Care: Lessons From the African Health Initiative
    Colin Baynes, Lola Adedokun, John Koku Awoonor-Williams and Lisa R. Hirschhorn
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2200390; https://doi.org/10.9745/GHSP-D-22-00390

    The compilation of lessons in this supplement on the Doris Duke Charitable Foundation’s African Health Initiative’s work in the application of implementation research in primary health care in sub-Saharan Africa reflects the evolution of the discipline that is now increasingly recognized as integral to health systems strengthening.

  • Open Access
    The African Health Initiative’s Role in Advancing the Use of Embedded Implementation Research for Health Systems Strengthening
    Abdul Ghaffar, Livia Dal Zennaro and Nhan Tran
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2200318; https://doi.org/10.9745/GHSP-D-22-00318

    The African Health Initiative has demonstrated the feasibility of changing the traditional knowledge generation paradigm by using an embedded implementation research approach to improve health systems’ performance and strengthen capacity for knowledge generation and use.

  • Open Access
    Embedding Research on Implementation of Primary Health Care Systems Strengthening: A Commentary on Collaborative Experiences in Ethiopia, Ghana, and Mozambique
    African Health Initiative Partnership Collaborative for Embedded Implementation Research
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2200061; https://doi.org/10.9745/GHSP-D-22-00061

    The African Health Initiative prioritized embedded implementation research using a multidisciplinary partnership model that empowered decision makers and embedded research and capacity building at multiple levels of health systems.

  • Open Access
    Barriers and Facilitators to Data Use for Decision Making: The Experience of the African Health Initiative Partnerships in Ethiopia, Ghana, and Mozambique
    African Health Initiative Partnership Collaborative for Data Use for Decision Making
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100666; https://doi.org/10.9745/GHSP-D-21-00666

    Data for decision making on clinical care and health service management is crucial, yet implementers lack knowledge on the determinants of effective implementation. Findings from this study conducted in the context of primary health care systems in Ethiopia, Ghana, and Mozambique fill this knowledge gap.

  • Open Access
    Improving Primary Care Quality Through Supportive Supervision and Mentoring: Lessons From the African Health Initiative in Ethiopia, Ghana, and Mozambique
    African Health Initiative Partnership Collaborative for Supportive Supervision and Mentoring
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100667; https://doi.org/10.9745/GHSP-D-21-00667

    Systematic approaches to positioning technical support, enhancing systems, and promoting sustainment are crucial to strengthening supportive supervision and mentoring in primary health care systems. The African Health Initiative projects in Ethiopia, Ghana, and Mozambique have lessons to share from such experiences that stakeholders can apply to similar efforts in other countries.

  • Open Access
    “You Can’t Look at an Orange and Draw a Banana”: Using Research Evidence to Develop Relevant Health Policy in Ghana
    Ayaga A. Bawah, Adriana A.E. Biney and Pearl Kyei
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100693; https://doi.org/10.9745/GHSP-D-21-00693

    We explored inhibitors and enablers of using health policy and systems research to inform the policy process in Ghana. The findings suggest a myriad of factors influencing evidence-based policy development, including the strength of the relationships between policy makers and research producers.

  • Open Access
    The Use of Research for Health Systems Policy Development and Implementation in Mozambique: A Descriptive Study
    Maria Isabel Cambe, Carlos Botão, Janeth Dulá, Elídio Muamine, Sérgio Mahumane, Carla Alberto and Sérgio Chicumbe
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100694; https://doi.org/10.9745/GHSP-D-21-00694

    There are still considerable gaps in the process of using research evidence for policy making in Mozambique. We recommend key actions to take to improve the research-to-policy pipeline.

  • Open Access
    Drivers and Barriers to Improved Data Quality and Data-Use Practices: An Interpretative Qualitative Study in Addis Ababa, Ethiopia
    Hibret Tilahun, Biruk Abate, Hiwot Belay, Abebaw Gebeyehu, Mohammed Ahmed, Akiliu Simanesew, Wondimu Ayele, Afrah Mohammedsanni, Barbara Knittel and Yakob Wondarad
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100689; https://doi.org/10.9745/GHSP-D-21-00689

    The Ethiopia government’s implementation of strategies to improve data quality, as outlined in its Information Revolution Roadmap, has led to higher data quality and improved data use, but barriers to optimal data-use practices must be addressed to create a culture of information use.

  • Open Access
    Primary Health Care Management Effectiveness as a Driver of Family Planning Service Readiness: A Cross-Sectional Analysis in Central Mozambique
    Stephen Pope, Orvalho Augusto, Quinhas Fernandes, Sarah Gimbel, Isaías Ramiro, Dorlim Uetela, Stélio Tembe, Meredith Kimball, Mélia Manaca, C. Leigh Anderson, Sérgio Chicumbe and Kenneth Sherr
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100706; https://doi.org/10.9745/GHSP-D-21-00706

    We found higher levels of management effectiveness in primary health care facilities to be independently associated with an increased likelihood of improved family planning service readiness in central Mozambique. Strengthening management capabilities and reinforcing management roles at the primary health care level may improve health system readiness and provision of quality family planning services.

  • Open Access
    Health Policy and Systems Research Capacities in Ethiopia and Ghana: Findings From a Self-Assessment
    Viroj Tangcharoensathien, Morankar Sudhakar, Zewdie Birhanu, Gelila Abraham, Ayaga Bawah, Pearl Kyei, Adriana Biney, Zubin Cyrus Shroff, Woranan Witthayapipopsakul and Warisa Panichkriangkrai
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100715; https://doi.org/10.9745/GHSP-D-21-00715

    Government investment in strengthening health policy and systems research capacities is needed to enhance the generation of evidence for effective policy making. Researchers’ engagement in the policy-making process helps shape policy-relevant research and support policy-relevant decisions.

  • Open Access
    Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
    Abebaw Gebeyehu Worku, Hibret Alemu Tilahun, Hiwot Belay, Afrah Mohammedsanni, Naod Wendrad, Biruk Abate, Mesoud Mohammed, Mohammed Ahmed, Yakob Wondarad, Meskerem Abebaw, Wubshet Denboba, Frehiwot Mulugeta, Shemsedin Oumer and Amanuel Biru
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100688; https://doi.org/10.9745/GHSP-D-21-00688

    Coverage for most maternal services showed promising performance. Improving the health information system performance can further improve maternal service uptake and quality.

  • Open Access
    Applying the Consolidated Framework for Implementation Research to Identify Implementation Determinants for the Integrated District Evidence-to-Action Program, Mozambique
    Celso Inguane, Caroline Soi, Sarah Gimbel, Nélia Manaca, Isaías Ramiro, Florência Floriano, Georgina de Castro, Orvalho Augusto, Stélio Tembe, James Pfeiffer, Quinhas Fernandes and Kenneth Sherr
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100714; https://doi.org/10.9745/GHSP-D-21-00714

    We combined the Consolidated Framework for Implementation Research with an extended case study and flexible dissemination strategy. This approach enabled the identification of facilitators and barriers that demonstrated implementation science potential to inform timely adjustments to the implementation of an audit and feedback intervention across multiple sites in Mozambique.

  • Open Access
    Maternal and Child Health Care Service Disruptions and Recovery in Mozambique After Cyclone Idai: An Uncontrolled Interrupted Time Series Analysis
    Quinhas Fernandes, Orvalho Augusto, Sérgio Chicumbe, Laura Anselmi, Bradley H. Wagenaar, Rosa Marlene, Sãozinha Agostinho, Sarah Gimbel, James Pfeiffer, Celso Inguane, Dorlim Moiana Uetela, Jonny Crocker, Isaías Ramiro, Benigna Matsinhe, Stélio Tembe, Naziat Carimo, Stephen Gloyd, Ivan Manhiça, Esperança Tavede, Priscilla Felimone and Kenneth Sherr
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100796; https://doi.org/10.9745/GHSP-D-21-00796

    Timely and relevant information is vital to help identify and track areas of improvement after extreme weather events and during emergencies to prioritize limited resources. Routine data can provide useful evidence of health system performance during and after natural disasters, contributing to an effective and efficient response.

  • Open Access
    Lessons Learned From the Capacity-Building and Mentorship Program to Improve Health Information Systems in 11 Districts of Ethiopia
    Hiwot Belay, Afrah Mohammedsanni, Abebaw Gebeyehu, Hibret Alemu, Naod Wendrad, Biruk Abate, Wubshet Denboba, Frehiwot Mulugeta, Shemsedin Omer and Barbara Knittel
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100690; https://doi.org/10.9745/GHSP-D-21-00690

    Health information systems strengthening interventions, such as the capacity-building and mentorship program used, leverages the expertise of stakeholders from multiple disciplines and can help improve data quality and information use at health facilities.

  • Open Access
    Using Health Systems and Policy Research to Achieve Universal Health Coverage in Ghana
    John Koku Awoonor-Williams, Stephen Apanga, Ayaga A. Bawah, James F. Phillips and Patrick S. Kachur
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2100763; https://doi.org/10.9745/GHSP-D-21-00763

    Health system implementation research, combined with knowledge management processes, directly contributed to Community-based Health Planning and Services geographic coverage expansion. Research was less deliberately employed for guiding financial access expansion through the National Health Insurance Scheme.

  • Open Access
    Health System Resilience: Withstanding Shocks and Maintaining Progress
    Agnes Binagwaho, Dennis Hirwe and Kedest Mathewos
    Global Health: Science and Practice September 2022, 10(Supplement 1):e2200076; https://doi.org/10.9745/GHSP-D-22-00076

    Building a resilient system capable of responding to health threats while maintaining essential health service delivery requires health systems to embed implementation research capacity to create the knowledge needed, ensure the affordability and accessibility of health care services at all levels of delivery, and provide the range of services needed to meet the population’s needs.

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In this issue

Global Health: Science and Practice: 10 (Supplement 1)
Global Health: Science and Practice
Vol. 10, No. Supplement 1
September 15, 2022
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Implementation of Maternal and Newborn Health Mobile Phone E-Cohorts to Track Longitudinal Care Quality in Low- and Middle-Income Countries
Documenting Community Health Worker Compensation Schemes and Their Perceived Effectiveness in Seven sub-Saharan African Countries: A Qualitative Study
Interventions to Address the Health and Well-Being of Married Adolescents: A Systematic Review
Using Vignettes to Gain Insights Into Social Norms Related to Voluntary Family Planning and Gender-Based Violence in South Sudan
Johns Hopkins Center for Communication Programs

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