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Global Health: Science and Practice

Dedicated to what works in global health programs

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Table of Contents

May 2014 | Volume 2 | Number 2

EDITORIALS

  • Open Access
    Taking Exception. Reduced mortality leads to population growth: an inconvenient truth
    James D Shelton
    Global Health: Science and Practice May 2014, 2(2):135-138; https://doi.org/10.9745/GHSP-D-14-00062

    Reduced mortality has been the predominant cause of the marked global population growth over the last 3/4 of a century. While improved child survival increases motivation to reduce fertility, it comes too little and too late to forestall substantial population growth. And, beyond motivation, couples need effective means to control their fertility. It is an inconvenient truth that reducing child mortality contributes considerably to the population growth destined to compromise the quality of life of many, particularly in sub-Saharan Africa. Vigorous child survival programming is of course imperative. Wide access to voluntary family planning can help mitigate that growth and provide many other benefits.

  • Open Access
    Urban health: it's time to get moving!
    Victor K Barbiero
    Global Health: Science and Practice May 2014, 2(2):139-144; https://doi.org/10.9745/GHSP-D-14-00071

    The global health community should mainstream urban health and implement urban health programs to address the triple health burden of communicable diseases, noncommunicable diseases, and injuries in low- and middle-income countries.

COMMENTARIES

  • Open Access
    Getting family planning and population back on track
    Malcolm Potts
    Global Health: Science and Practice May 2014, 2(2):145-151; https://doi.org/10.9745/GHSP-D-14-00012

    After a generation of partial neglect, renewed attention is being paid to population and voluntary family planning. Realistic access to family planning is a prerequisite for women's autonomy. For the individual, family, society, and our fragile planet, family planning has great power.

VIEWPOINTS

  • Open Access
    Local markets for global health technologies: lessons learned from advancing 6 new products
    Dipika Mathur Matthias, Catharine H Taylor, Debjeet Sen and Mutsumi Metzler
    Global Health: Science and Practice May 2014, 2(2):152-164; https://doi.org/10.9745/GHSP-D-13-00131

    Key components to support local institutional and consumer markets are: supply chain, finance, clinical use, and consumer use. Key lessons learned: (1) Build supply and demand simultaneously. (2) Support a lead organization to drive the introduction process. (3) Plan for scale up from the start. (4) Profitability for the private sector is an absolute.

ORIGINAL ARTICLES

  • Open Access
    Are pregnant women prioritized for bed nets? An assessment using survey data from 10 African countries
    Emily Ricotta, Hannah Koenker, Albert Kilian and Matthew Lynch
    Global Health: Science and Practice May 2014, 2(2):165-172; https://doi.org/10.9745/GHSP-D-14-00021

    Women of reproductive age are generally more likely to sleep under an insecticide-treated net (ITN) than other household members. Universal coverage increases ITN use by all family members, including pregnant women. However, BCC efforts are needed to achieve desired levels of bed net use, which is especially important for pregnant women.

  • Open Access
    The quality–coverage gap in antenatal care: toward better measurement of effective coverage
    Stephen Hodgins and Alexis D'Agostino
    Global Health: Science and Practice May 2014, 2(2):173-181; https://doi.org/10.9745/GHSP-D-13-00176

    The proportion of pregnant women receiving 4 or more antenatal care (ANC) visits has no necessary relationship with the actual content of those visits. We propose a simple alternative to measure program performance that aggregates key services that are common across countries and measured in Demographic and Health Surveys, such as blood pressure measurement, tetanus toxoid vaccination, first ANC visit before 4 months gestation, urine testing, counseling about pregnancy danger signs, and iron–folate supplementation.

  • Open Access
    Preferences for a potential longer-acting injectable contraceptive: perspectives from women, providers, and policy makers in Kenya and Rwanda
    Elizabeth E Tolley, Kevin McKenna, Caroline Mackenzie, Fidele Ngabo, Emmanuel Munyambanza, Jennet Arcara, Kate H Rademacher and Anja Lendvay
    Global Health: Science and Practice May 2014, 2(2):182-194; https://doi.org/10.9745/GHSP-D-13-00147

    High effectiveness, predictable return to fertility, and a single, prepackaged, disposable delivery system ranked high. Side effects were generally acceptable to women if they did not last long or disrupt daily activities. Cost was considered important for providers but not so much for most potential users.

  • Open Access
    Rising cesarean deliveries among apparently low-risk mothers at university teaching hospitals in Jordan: analysis of population survey data, 2002–2012
    Rami Al Rifai
    Global Health: Science and Practice May 2014, 2(2):195-209; https://doi.org/10.9745/GHSP-D-14-00027

    Cesarean deliveries nationally in Jordan have increased to 30%, including substantial increases among births that are likely low risk for cesarean delivery for the most part. This level is double the threshold that WHO considers reasonable.

  • Open Access
    Medical barriers to emergency contraception: a cross-sectional survey of doctors in North India
    M E Khan, Anvita Dixit, Isha Bhatnagar and Martha Brady
    Global Health: Science and Practice May 2014, 2(2):210-218; https://doi.org/10.9745/GHSP-D-13-00139

    Emergency contraceptive pills (ECPs) are extremely safe and do not interfere with implantation. Yet many surveyed physicians in India did not know that there are no contraindications to using ECPs, and many had negative attitudes about ECP users. Most were against having ECPs available over-the-counter and wanted to impose age restrictions. Efforts are needed to address such misconceptions that might lead to limiting ECP availability.

  • Open Access
    Evaluation of community-based interventions to improve TB case detection in a rural district of Tanzania
    Charlotte Colvin, Jackson Mugyabuso, Godwin Munuo, John Lyimo, Eyal Oren, Zahra Mkomwa, Mohammed Makame, Atuswege Mwangomale, Vishnu Mahamba, Lisa Mueller and D'Arcy Richardson
    Global Health: Science and Practice May 2014, 2(2):219-225; https://doi.org/10.9745/GHSP-D-14-00026

    Enlisting traditional healers and pharmacists to improve TB detection contributed 38% to 70% of new smear-positive case notifications per quarter in a rural district of Tanzania.

  • Open Access
    Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda
    Susan Igras, Irit Sinai, Marie Mukabatsinda, Fidele Ngabo, Victoria Jennings and Rebecka Lundgren
    Global Health: Science and Practice May 2014, 2(2):234-244; https://doi.org/10.9745/GHSP-D-13-00165

    Scaling-up lessons included: (1) simplifying provider training and client materials; (2) ensuring core aspects of the intervention, for example, that the CycleBeads client tool was integrated into the supply chain system; (3) addressing provider-generated medical barriers; and (4) managing threats from changing political and policy environments. A focus on systems, the use of multiple M&E data sources, maintaining fidelity of the innovation, and ongoing environmental scans facilitated scale-up success.

FIELD ACTION REPORTS

  • Open Access
    Informed push distribution of contraceptives in Senegal reduces stockouts and improves quality of family planning services
    Bocar Mamadou Daff, Cheikh Seck, Hassan Belkhayat and Perri Sutton
    Global Health: Science and Practice May 2014, 2(2):245-252; https://doi.org/10.9745/GHSP-D-13-00171

    Dedicated logisticians restocked contraceptives monthly at facilities to maintain defined minimum stock levels, freeing up clinic staff. High stockout rates were virtually eliminated. Also, quality and timely data on contraceptives distributed allowed for better program management.

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In this issue

Global Health: Science and Practice: 2 (2)
Global Health: Science and Practice
Vol. 2, No. 2
May 01, 2014
  • Table of Contents
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Issue highlights

  • Taking Exception. Reduced mortality leads to population growth: an inconvenient truth
  • Getting family planning and population back on track
  • Are pregnant women prioritized for bed nets? An assessment using survey data from 10 African countries
  • The quality–coverage gap in antenatal care: toward better measurement of effective coverage
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What Distinguishes Women Who Choose to Self-Inject? A Prospective Cohort Study of Subcutaneous Depot Medroxyprogesterone Acetate Users in Ghana
Global Research Priorities for Understanding and Improving Respectful Care for Newborns: A Modified Delphi Study
US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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