Table of Contents
VIEWPOINTS
- Advocating for Lesbian, Gay, Bisexual, and Transgender Youth Sexual and Reproductive Health and Rights in Central Asia
Lesbian, gay, bisexual, and transgender youth in Central Asia face challenges due to the current sociopolitical context, and there is a pressing need for legal and policy reforms to align with the International Conference on Population and Development agenda.
- Recommendations for Using Health Service Coverage Cascades to Measure Effective Coverage for Maternal, Newborn, Child, and Adolescent Health Services or Interventions
Using health service coverage cascades to measure effective coverage for maternal, newborn, child, and adolescent health services on a global scale is premature and requires further research and validation to reach consensus.
- Self-Reflection as a Starting Point: Observations in Global Health Research
As researchers in global health, we reflect on the inequities in our work and our own struggles with these inequities and suggest some points to consider to address them in future global health work.
ORIGINAL ARTICLES
- Hybrid Mentorship of Medical Laboratories to Achieve ISO 15189:2012 Accreditation in Malawi: The University of Maryland Malawi Experience
We describe a valuable hybrid mentorship and training model for supporting medical laboratories in low-resource settings in improving laboratory quality management systems and achieving accreditation.
- Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Rwanda: A Mixed Methods Study
In this process evaluation, we found that teacher training, student factors, and school support helped the implementation of an intervention designed to help students think critically about health claims.
- Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Uganda: A Mixed Methods Study
The Informed Health Choices educational resources improve students’ ability to critically appraise claims about the effects of health interventions. The resources also enable teachers to teach and assess critical thinking and problem-solving competencies using health as a topic.
- Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Kenya: A Mixed Methods Study
Factors that facilitated the implementation of the Informed Health Choices intervention included the teacher’s training workshop, the perceived value of the intervention by multiple stakeholders, and support from education officials and school management.
- Service Delivery Redesign for Noncommunicable Disease Management: Assessment of Needs and Solutions Through a Co-Creation Process in Argentina
Our research highlights the potential for Argentina’s primary care system to initiate transformative, system-level changes to improve health outcomes. We propose an innovative methodological assessment and co-design for improving primary care.
- Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways
The findings of this cross-sectional survey suggest that care pathways of women with obstetric complications in Kampala often involve at least 2 formal providers and reflect possible inefficiencies in the referral process, including potential delays and unnecessary steps.
- The Impact of Health Information System Interventions on Maternal and Child Health Service Utilizations in Ethiopia: A Quasi-Experimental Study
Implementing health information system interventions to improve data quality improved the use of data for evidence-based decision-making at different health system levels and increased maternal and child health service utilization.
- Understanding Integrated Community Case Management Institutionalization Processes Within National Health Systems in Malawi, Mali, and Rwanda: A Qualitative Study
Documenting and analyzing the processes of integrated community case management institutionalization across multiple country contexts can further understanding of institutionalization and development of practical sensemaking conceptual models.
- Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
Integrating PrEP for pregnant and breastfeeding women into antenatal and postnatal clinic services requires supportive PrEP prescription and HIV testing policies, improved availability of trained nurses and counselors, together with simplified access to PrEP and related information, both in clinics and communities.
FIELD ACTION REPORTS
- Early Effects of Information Revolution Interventions on Health Information System Performance in Ethiopia
Ethiopia’s shift to a digital health information system under the Information Revolution has laid a strong foundation for improved data quality. To fully realize the potential of this transformation, ongoing commitment to addressing key challenges in system integration and capacity-building is vital.
- Early Outcomes of Mental Health Screening Integrated Into Routine HIV Care in Malawi
Mental health screening for people living with HIV, conducted mostly by lay cadre health workers, was successfully integrated into antiretroviral therapy clinics in Malawi.
REVIEWS
- Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review
Simulation-based education has been widely applied in low- and middle-income countries and has been shown to improve outcomes in a variety of contexts.
PROGRAM CASE STUDIES
- Towards Ending AIDS: The Additional Role of HIV Self-Testing in Thailand
HIV self-testing is an additional intervention to increase individuals’ awareness of their HIV status and a key component in Thailand’s effort to end HIV/AIDS.
SHORT REPORTS
- Accelerating Progress in Women’s Sexual and Reproductive Health and Rights Decision-Making: Trends in 32 Low- and Middle-Income Countries and Future Perspectives
This study highlights significant country and subnational variations in the progress of achieving universal sexual and reproductive health and reproductive rights, demonstrating the urgent need for targeted, culturally informed interventions to empower women globally and close persistent gaps in reproductive rights and bodily autonomy.
COMMENTARIES
How mHealth and digital innovations are key to transforming mental health care in Ghana, bridging gaps in a system challenged by resource scarcities and a critical shortage of mental health professionals.
Global progress on meeting family planning needs is threatened by worsening, intersecting crises. We call on global, national, and local partners to strengthen emergency preparedness to facilitate continuous family planning services, no matter when or where they are needed, to support sexual and reproductive health.
Children with severe cerebral palsy are vulnerable to orthopedic complications, particularly in resource-limited settings, which can compound disability. A focus on home-based programs may help to improve their quality of life and participation.
We draw lessons from immunization research by assessing the applicability of the 5C framework of vaccine hesitancy to contraceptive acceptability in sub-Saharan Africa.
We propose a new framework that builds from vaccine hesitancy concepts and findings for the family planning community to better conceptualize, measure, and address the major drivers of contraceptive hesitancy and acceptability.