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Global Health: Science and Practice

Dedicated to what works in global health programs

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Table of Contents

March 2019 | Volume 7 | Number 1

EDITORIALS

  • Open Access
    Retaining Patients in Care: An Important but Neglected Challenge
    Stephen Hodgins
    Global Health: Science and Practice March 2019, 7(1):1-2; https://doi.org/10.9745/GHSP-D-19-00091

    A hospital-based follow-up program in Uganda helped improve retention of patients in care across a range of health problems. Although the specific approach may not be replicable in other settings, hospitals in Uganda and beyond should consider how they can improve retention of patients requiring long-term care, including for HIV, TB, malnutrition, and noncommunicable diseases.

  • Open Access
    Scale and Ambition in the Engagement of Private Providers for Tuberculosis Care and Prevention
    William A. Wells
    Global Health: Science and Practice March 2019, 7(1):3-5; https://doi.org/10.9745/GHSP-D-19-00074

    The tuberculosis (TB) community knows the importance of engaging private providers to reach critical TB targets, and knows how to engage successfully. The next challenge is to transition such efforts to government stewardship and financing in order to reach scale.

VIEWPOINTS

  • Open Access
    Where Do We Go From Here? Defining an Agenda for Home-Based Records Research and Action Considering the 2018 WHO Guidelines
    David W. Brown, Xavier Bosch-Capblanch and Lora Shimp
    Global Health: Science and Practice March 2019, 7(1):6-11; https://doi.org/10.9745/GHSP-D-18-00431

    Recent WHO guidelines point to knowledge gaps about home-based records despite their widespread use. Future research should explore their impact on health outcomes, challenges including production costs and confidentiality breaches, the role of design in their use, and the business case for investing in them.

COMMENTARIES

  • Open Access
    Leveraging a Partnership to Disseminate and Implement What Works in Family Planning and Reproductive Health: The Implementing Best Practices (IBP) Initiative
    Nandita Thatte, Asa Cuzin-Kihl, Ados Velez May, Margaret D'Adamo, Gifty Addico, James Kiarie and Ian Askew
    Global Health: Science and Practice March 2019, 7(1):12-19; https://doi.org/10.9745/GHSP-D-18-00236

    The IBP initiative, a WHO-based partnership of NGOs, civil society organizations, governments, academic institutions, and other implementing partners, promotes evidence-based global guidelines, tools, and other interventions for local application, and incorporates implementation experience and learning back into the global discourse.

SYNTHESES

  • Open Access
    Saving Mothers, Giving Life: It Takes a System to Save a Mother (Republication)
    Claudia Morrissey Conlon, Florina Serbanescu, Lawrence Marum, Jessica Healey, Jonathan LaBrecque, Reeti Hobson, Marta Levitt, Adeodata Kekitiinwa, Brenda Picho, Fatma Soud, Lauren Spigel, Mona Steffen, Jorge Velasco, Robert Cohen and William Weiss on behalf of the Saving Mothers, Giving Life Working Group
    Global Health: Science and Practice March 2019, 7(1):20-40; https://doi.org/10.9745/GHSP-D-19-00092

    A multi-partner effort in Uganda and Zambia employed a districtwide health systems strengthening approach, with supply- and demand-side interventions, to address timely use of appropriate, quality maternity care. Between 2012 and 2016, maternal mortality declined by approximately 40% in both partnership-supported facilities and districts in each country. This experience has useful lessons for other low-resource settings.

ORIGINAL ARTICLES

  • Open Access
    Successfully Engaging Private Providers to Improve Diagnosis, Notification, and Treatment of TB and Drug-Resistant TB: The EQUIP Public-Private Model in Chennai, India
    Ramya Ananthakrishnan, M. D'Arcy Richardson, Susan van den Hof, Radha Rangaswamy, Rajeswaran Thiagesan, Sheela Auguesteen and Netty Kamp
    Global Health: Science and Practice March 2019, 7(1):41-53; https://doi.org/10.9745/GHSP-D-18-00318

    Based on a participatory program design that addressed the self-described needs of private providers, a local NGO offered the providers access to rapid diagnostics and support for notification and patient treatment including free anti-TB drugs. The model resulted in high provider participation, contributing more than 10% of the overall TB case notifications, and an 89% treatment success rate for drug-sensitive TB.

  • Open Access
    Factors Affecting Continued Use of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC): A Secondary Analysis of a 1-Year Randomized Trial in Malawi
    Holly M. Burke, Mario Chen, Mercy Buluzi, Rachael Fuchs, Silver Wevill, Lalitha Venkatasubramanian, Leila Dal Santo and Bagrey Ngwira
    Global Health: Science and Practice March 2019, 7(1):54-65; https://doi.org/10.9745/GHSP-D-18-00433

    Community health workers can adequately provide DMPA-SC directly or train women on self-injection.

  • Open Access
    Scaling Up Misoprostol to Prevent Postpartum Hemorrhage at Home Births in Mozambique: A Case Study Applying the ExpandNet/WHO Framework
    Karen Hobday, Jennifer Hulme, Ndola Prata, Páscoa Zualo Wate, Suzanne Belton and Caroline Homer
    Global Health: Science and Practice March 2019, 7(1):66-86; https://doi.org/10.9745/GHSP-D-18-00475

    Facilitating factors for this community-level scale up in 35 districts included strong government support, local champions, and a national policy on preventing postpartum hemorrhage (PPH). Challenges included a lack of a systematic scale-up strategy, limited communication of the PPH policy, a shift from a universal distribution policy to application of eligibility criteria, difficulties engaging remote traditional birth attendants, and implementation of a parallel M&E system.

  • Open Access
    Association Between the Quality of Contraceptive Counseling and Method Continuation: Findings From a Prospective Cohort Study in Social Franchise Clinics in Pakistan and Uganda
    Nirali M. Chakraborty, Karen Chang, Benjamin Bellows, Karen A. Grépin, Waqas Hameed, Amanda Kalamar, Xaher Gul, Lynn Atuyambe and Dominic Montagu
    Global Health: Science and Practice March 2019, 7(1):87-102; https://doi.org/10.9745/GHSP-D-18-00407

    Higher scores on the 3-question Method Information Index (MII)—measuring client-reported receipt of contraceptive information—was associated with continued use of family planning over 12 months. We recommend incorporating use of the MII in routine assessments of family planning service quality.

FIELD ACTION REPORTS

  • Open Access
    Identifying and Reengaging Patients Lost to Follow-Up in Rural Africa: The “Horizontal” Hospital-Based Approach in Uganda
    Faraz Alizadeh, Gideon Mfitumuhoza, Joseph Stephens, Christopher Habimaana, Kwiringira Myles, Michael Baganizi and Gerald Paccione
    Global Health: Science and Practice March 2019, 7(1):103-115; https://doi.org/10.9745/GHSP-D-18-00394

    Between 30% and 60% of hospital outpatient clinic patients were lost to follow-up. A defaulter-tracking service using performance-based remuneration for outreach workers, cutting across different clinical services, improved patient retention overall but varied by disease, with the poorest outcomes among patients with HIV.

  • Open Access
    Rapid Integration of Zika Virus Prevention Within Sexual and Reproductive Health Services and Beyond: Programmatic Lessons From Latin America and the Caribbean
    Skye Beare, Emma Simpson, Kate Gray and Denitza Andjelic
    Global Health: Science and Practice March 2019, 7(1):116-127; https://doi.org/10.9745/GHSP-D-18-00356

    During the 2015–16 Zika virus outbreak, IPPF member association providers reached clients and affected populations faster by integrating critical information and services within existing sexual and reproductive health platforms. Challenges included: (1) communicating rapidly evolving evidence to providers; (2) overcoming restrictive social norms on gender and sexuality and a related lack of public messaging on preventing sexual transmission; and (3) addressing disability stigma and breaching service gaps to support children and caregivers affected by congenital Zika syndrome.

  • Open Access
    VECTOS: An Integrated System for Monitoring Risk Factors Associated With Urban Arbovirus Transmission
    Clara B. Ocampo, Neila J. Mina, Maria I. Echavarria, Miguel Acuña, Alexi Caballero, Andres Navarro, Andres Aguirre, Ingrid S. Criollo, Francia Forero, Oscar Azuero and Neal D. Alexander
    Global Health: Science and Practice March 2019, 7(1):128-137; https://doi.org/10.9745/GHSP-D-18-00300

    To strengthen local surveillance of mosquito-borne viral diseases such as dengue and Zika, a multidisciplinary team developed an integrated web-based information system called VECTOS that captures geo-referenced entomological, epidemiological, and social data. The system has revealed previously unidentified features, such as specific neighborhoods, at persistently high risk.

  • Open Access
    Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
    Joseph Hove, Lewis Masimba, Vernon Murenje, Simon Nyadundu, Brian Musayerenge, Sinokuthemba Xaba, Brian Nachipo, Vuyelwa Chitimbire, Batsirai Makunike, Marrianne Holec, Takarubuda Chinyoka, John Mandisarisa, Shirish Balachandra, Mufuta Tshimanga, Scott Barnhart and Caryl Feldacker
    Global Health: Science and Practice March 2019, 7(1):138-146; https://doi.org/10.9745/GHSP-D-18-00352

    The successful collaboration resulted in a male circumcision camp where 98% of the 672 boys and men ages 10 and up chose voluntary medical male circumcision (VMMC) while traditional practices were respected. Such collaborations may improve patient safety and increase VMMC uptake in sub-Saharan Africa.

CORRECTIONS

  • Open Access
    Erratum for: Odwe et al., Introduction of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC) Injectable Contraception at Facility and Community Levels: Pilot Results From 4 Districts of Uganda
    Global Health: Science and Practice March 2019, 7(1):147; https://doi.org/10.9745/GHSP-D-19-00036
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In this issue

Global Health: Science and Practice: 7 (1)
Global Health: Science and Practice
Vol. 7, No. 1
March 22, 2019
  • Table of Contents
  • About the Cover
  • Index by Author
  • Complete Issue (PDF)

Issue highlights

  • Retaining Patients in Care: An Important but Neglected Challenge
  • Scale and Ambition in the Engagement of Private Providers for Tuberculosis Care and Prevention
  • Where Do We Go From Here? Defining an Agenda for Home-Based Records Research and Action Considering the 2018 WHO Guidelines
  • Saving Mothers, Giving Life: It Takes a System to Save a Mother (Republication)
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  • EDITORIALS
  • VIEWPOINTS
  • COMMENTARIES
  • SYNTHESES
  • ORIGINAL ARTICLES
  • FIELD ACTION REPORTS
  • CORRECTIONS
  • Editor's Picks
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Uptake and Short-Term Retention in HIV Treatment Among Men in South Africa: The Coach Mpilo Pilot Project
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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