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Global Health: Science and Practice

Dedicated to what works in global health programs

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Table of Contents

June 2021 | Volume 9 | Number 2

EDITORIALS

  • Open Access
    Micronutrient Powders for Infants and Young Children
    Stephen Hodgins and Rolf Klemm
    Global Health: Science and Practice June 2021, 9(2):216-219; https://doi.org/10.9745/GHSP-D-21-00263

    Providing standalone micronutrient products for household use is not an easy strategy, but under the right conditions, it can work. To be effective, micronutrient powder programs require robust commodity logistics and support of uptake and adherence.

COMMENTARIES

  • Open Access
    COVID-19 Pandemic in India: Through the Lens of Modeling
    Giridhara R. Babu, Debashree Ray, Ritwik Bhaduri, Aritra Halder, Ritoban Kundu, Gautam I. Menon and Bhramar Mukherjee
    Global Health: Science and Practice June 2021, 9(2):220-228; https://doi.org/10.9745/GHSP-D-21-00233

    We reflect on and review India's COVID-19 pandemic response through the lens of modeling and data. The lessons learned from the Indian context may be beneficial for other countries.

  • Open Access
    Social Distancing in the Era of COVID-19: A Call for Maintaining Social Support for the Maternal Population
    Alaa Alhomaizi, Dalal Alhomaizi, Sandra Willis and Helen Verdeli
    Global Health: Science and Practice June 2021, 9(2):229-237; https://doi.org/10.9745/GHSP-D-20-00398

    In the era of COVID-19, pregnant and postpartum women, an already vulnerable group, are facing unforeseen and compounding stressful events with reduced social protections. We argue that to prevent harmful consequences that may surpass the effects of the crisis itself for pregnant women and their families, it is imperative to prioritize maintaining formal and informal sources of social support for mothers in proposed infection control policies.

  • Open Access
    Issue Analysis: A Use-Driven Approach to Data Governance Can Promote the Quality of Routine Health Data in India
    Nidhi Khurana
    Global Health: Science and Practice June 2021, 9(2):238-245; https://doi.org/10.9745/GHSP-D-20-00347

    India lacks a functional public policy framework to guide health data use and sharing practices, which stymies data quality. Embedding data governance in health data systems can promote quality and make service delivery more efficient. Much of the discourse on health information systems has focused on technology while the concern of using data for health system management and improving quality of care remains largely unaddressed.

  • Open Access
    How Donors Can Collaborate to Improve Reach, Quality, and Impact in Social and Behavior Change for Health
    Catherine Harbour, Hope Hempstone, Angela Brasington and Sohail Agha
    Global Health: Science and Practice June 2021, 9(2):246-253; https://doi.org/10.9745/GHSP-D-21-00007

    To enable greater reach, quality, and impact of investments in social and behavior change, donors need to be intentional in building collaborative relationships that apply proven practices. We offer recommendations for maximizing the impact of donors' investments.

  • Open Access
    Faith-Based Advocacy for Family Planning Works: Evidence From Kenya and Zambia
    Mona Bormet, Jane Kishoyian, Yoram Siame, Ngalande Ngalande, Kathy Erb, Kathryn Parker, Douglas Huber and Karen Hardee
    Global Health: Science and Practice June 2021, 9(2):254-263; https://doi.org/10.9745/GHSP-D-20-00641

    Faith-based organizations and religious leaders can be effective family planning advocates for policy change, funding, and services. To do so, they need evidence-based knowledge, training, support within their faith communities, as well as respect for their beliefs and values.

VIEWPOINTS

  • Open Access
    The COVID-19 Pandemic Exposes Another Commercial Determinant of Health: The Global Firearm Industry
    Adnan A. Hyder, Meghan Werbick, Lauren Scannelli and Nino Paichadze
    Global Health: Science and Practice June 2021, 9(2):264-267; https://doi.org/10.9745/GHSP-D-20-00628

    Firearm violence is a public health crisis worsened by lobbying, marketing, and supply chain tactics from the private industry. During the heightened burden of the COVID-19 pandemic, public health practitioners should use a commercial determinant of health lens to combat this threat.

ORIGINAL ARTICLES

  • Open Access
    A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda
    Theogene Dusingizimana, Janet L. Weber, Thiagarajah Ramilan, Per Ole Iversen and Louise Brough
    Global Health: Science and Practice June 2021, 9(2):274-285; https://doi.org/10.9745/GHSP-D-20-00422

    Gaps in complementary feeding practices hinder the use of multiple micronutrients powder (MNP) in Rutsiro district in Rwanda. Successful MNP program implementation requires uninterrupted availability and accessibility to the product, as well as greater understanding of health benefits of the MNP.

  • Open Access
    STEPS: A Solution for Ensuring Standards of TB Care for Patients Reaching Private Hospitals in India
    Shibu Balakrishnan, Rakesh PS, Sunilkumar M, Bhavan Sankar, Rakesh Ramachandran, Ameer KA, Ramani Gopi and Prem Nair
    Global Health: Science and Practice June 2021, 9(2):286-295; https://doi.org/10.9745/GHSP-D-20-00449

    A low-cost model for engaging the private sector to address gaps in TB care and ensuring that patients in the private sector receive the standards of care in India was feasible. The pilot project showed improvements in standards of care, which benefits the patient, government, private hospitals, and society.

  • Open Access
    Differentiated Service Delivery Models for HIV Treatment in Malawi, South Africa, and Zambia: A Landscape Analysis
    Amy Huber, Sophie Pascoe, Brooke Nichols, Lawrence Long, Salome Kuchukhidze, Bevis Phiri, Timothy Tchereni and Sydney Rosen
    Global Health: Science and Practice June 2021, 9(2):296-307; https://doi.org/10.9745/GHSP-D-20-00532

    Observing the diversity of differentiated service delivery models for HIV treatment in use in sub-Saharan Africa can help policy makers and program planners to improve decision making for treatment delivery in the future. This effort can inform decisions about how to optimize the distribution of models across facilities and regions and how to plan for budget and resource allocation.

  • Open Access
    Initiation of Breastfeeding in Low- and Middle-Income Countries: A Time-to-Event Analysis
    Lindsay Mallick, Wenjuan Wang, Shiza Farid and Thomas Pullum
    Global Health: Science and Practice June 2021, 9(2):308-317; https://doi.org/10.9745/GHSP-D-20-00361

    This article uses country-specific data to provide information for stakeholders about delays in breastfeeding, especially for babies born via cesarean delivery, and provide evidence to support skin-to-skin contact to promote early breastfeeding.

  • Open Access
    Use of Fertility Awareness-Based Methods for Pregnancy Prevention Among Ghanaian Women: A Nationally Representative Cross-Sectional Survey
    Chelsea B. Polis, Easmon Otupiri, Suzanne O. Bell and Roderick Larsen-Reindorf
    Global Health: Science and Practice June 2021, 9(2):318-331; https://doi.org/10.9745/GHSP-D-20-00601

    At least 18% of Ghanaian female contraceptors rely primarily upon a fertility awareness-based method (FABM), and most wish to learn how to improve its effectiveness but are insufficiently supported to do so. Researchers, programmers, and funders should better understand and address FABM users' needs, in commitment to reproductive autonomy and choice.

  • Open Access
    New Mixed Methods Approach for Monitoring Community Perceptions of Ebola and Response Efforts in the Democratic Republic of the Congo
    Giulia Earle-Richardson, Eva Erlach, Vivienne Walz, Ombretta Baggio, Molly Kurnit, Cheick Abdoulaye Camara, Christina Craig, Lucia Robles Dios, Daiva Yee, Gnakub Norbert Soke, Ialijaona Voahary and Christine E. Prue
    Global Health: Science and Practice June 2021, 9(2):332-343; https://doi.org/10.9745/GHSP-D-21-00144

    The Red Cross community feedback system enabled rapid collection and analysis of extensive verbal feedback during an Ebola outbreak in eastern DRC. Using this information, Ebola response leaders adapted strategies to address community concerns. In an epidemic, community feedback is critical to ensure that response strategies are accepted and appropriate.

FIELD ACTION REPORTS

  • Open Access
    Navigating the COVID-19 Crisis to Sustain Community-Based Malaria Interventions in Cambodia
    Mitra Feldman, Lieven Vernaeve, James Tibenderana, Leo Braack, Mark Debackere, Htin Kyaw Thu, Prudence Hamade and Koung Lo
    Global Health: Science and Practice June 2021, 9(2):344-354; https://doi.org/10.9745/GHSP-D-20-00528

    Despite the impacts of an unforeseen concomitant disaster such as COVID-19, malaria elimination efforts were able to continue because of successful efforts to build trust, relevance, and connection with communities to promote community health malaria workers' acceptance. With lessons learned from the COVID-19 response, community health workers can be repurposed for broader public health interventions in preparation for future disease outbreaks.

  • Open Access
    Real-Time Tracking of COVID-19 Rumors Using Community-Based Methods in Côte d'Ivoire
    Natalie Tibbels, Abdul Dosso, Aliya Allen-Valley, William Benie, Corinne Fordham, Jeanne Aka Brou, Marjorie Nana, Valère Zounneme, Korodénin Fatoumata Silué, Diarra Kamara and Danielle Naugle
    Global Health: Science and Practice June 2021, 9(2):355-364; https://doi.org/10.9745/GHSP-D-21-00031

    Addressing rumors is critical for managing and ending a public health emergency. We piloted a system for real-time rumor tracking using community-based collection methods, open-source software, and a rapid coding and visualization process to systematically understand and help actors respond to COVID-19 misinformation in Côte d'Ivoire.

  • Open Access
    Institutionalizing a Regional Model for Improving Quality of Newborn Care at Birth Across Hospitals in Eastern Uganda: A 4-Year Story
    Peter Waiswa, Phillip Wanduru, Monica Okuga, Darius Kajjo, Doris Kwesiga, James Kalungi, Harriet Nambuya, Jude Mulowooza, Abner Tagoola and Stefan Peterson
    Global Health: Science and Practice June 2021, 9(2):365-378; https://doi.org/10.9745/GHSP-D-20-00156

    A locally developed, low-cost package of interventions implemented in a regional network of hospitals resulted in significant reductions in mortality for mothers and newborns as well as the institutionalization of the quality improvement initiative. This work demonstrates that it is possible to achieve the World Health Organization/United Nations Children's Fund Quality of Care targets in hospitals.

  • Open Access
    From Passive Surveillance to Response: Suriname's Efforts to Implement Maternal Death Surveillance and Response
    Lachmi R. Kodan, Kim J. C. Verschueren, Geertje Boerstra, Inder Gajadien, Robert S. Mohamed, Lily D. Olmtak, Satish R. Mohan and Kitty W. M. Bloemenkamp
    Global Health: Science and Practice June 2021, 9(2):379-389; https://doi.org/10.9745/GHSP-D-20-00594

    To implement Maternal Death Surveillance and Response successfully in Suriname, recommendations to reduce maternal death should be acted upon. Delineating the roles and responsibilities for action, establishing accountability mechanisms, and influencing stakeholders in a position to act are critical to ensure a response to recommendations to avert maternal mortality.

SHORT REPORTS

  • Open Access
    The Demographic and Health Surveys Faculty Fellows Program: Successes, Challenges, and Lessons Learned
    Wenjuan Wang, Shireen Assaf, Thomas Pullum and Sunita Kishor
    Global Health: Science and Practice June 2021, 9(2):390-398; https://doi.org/10.9745/GHSP-D-20-00318

    Since 2011, the Demographic and Health Surveys (DHS) Faculty Fellows Program has strengthened individual skills in conducting research with data from large surveys and increased institutional capacity to analyze DHS data through fellows' capacity-building activities at their home universities. The lessons learned can inform models for strengthening capacity in analyzing and using data in low- and middle-income countries.

  • Open Access
    Improving Services for HIV-Exposed Infants in Zambia and Cameroon Using a Quality Improvement Collaborative Approach
    Gillian Dougherty, Tihnje Abena, Jean Pierre Abesselo, Jeane Ngala Banda, Tjek Paul Biyaga, Rodrigo Boccanera, Mary Adetinuke Boyd, Mesmey Ebogo, Leoda Hamomba, Suzanne Jed, Zeh Florence Kakanou, Prisca Kasonde, Siphiwe Chilungu Kasonka, Rachael Lungwebungu, Caitlin Madevu-Matson, Magdalene Mange Mayer, Mukuka Mwamba, Milembe Panya, Paul Sakanda, Fatima Tsiouris, Lauren Walker and Miriam Rabkin
    Global Health: Science and Practice June 2021, 9(2):399-411; https://doi.org/10.9745/GHSP-D-20-00550

    To bridge the gap between what is known and what is done, quality improvement collaboratives (QICs) enable health programs to rapidly address quality challenges at scale. Two QICs in Cameroon and Zambia improved coverage of early infant HIV testing and initiating antiretroviral therapy in HIV-exposed infants. The QIC approach empowers health care workers to design solutions tailored for their specific settings.

METHODOLOGIES

  • Open Access
    Systematic Process Framework for Conducting Implementation Science Research in Food Fortification Programs
    Emily Teachout, Laura A. Rowe, Helena Pachon, Becky L. Tsang, Lorraine F. Yeung, Jorge Rosenthal, Hilda Razzaghi, Meredith Moore, Dora Panagides, Peiman Milani and Michael J. Cannon
    Global Health: Science and Practice June 2021, 9(2):412-421; https://doi.org/10.9745/GHSP-D-20-00707

    Many challenges still exist to fully scaling up food fortification in lower resource settings. To address this need, a collective group of experts in the fields of food fortification and implementation science developed a systematic process framework to provide a tool for identifying and working through challenges.

LETTERS TO THE EDITOR

  • Open Access
    Regarding “A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru”
    Daniel C. Taylor
    Global Health: Science and Practice June 2021, 9(2):422-424; https://doi.org/10.9745/GHSP-D-21-00178

    Improving communication between mothers and health systems will grow cost-effective, potentially scalable health impact. By developing an approach of how health systems and mothers can communicate to increase mutual understanding, a "health language" that is grounded in mothers' reproductive life narratives can be developed to help bridge the long-standing gap in how health systems and mothers engage.

CORRECTIONS

  • Open Access
    Corrigendum: Donovan et al., Remote Mentorship Using Video Conferencing as an Effective Tool to Strengthen Laboratory Quality Management in Clinical Laboratories: Lessons From Cambodia
    Global Health: Science and Practice June 2021, 9(2):425; https://doi.org/10.9745/GHSP-D-21-00311
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In this issue

Global Health: Science and Practice: 9 (2)
Global Health: Science and Practice
Vol. 9, No. 2
June 30, 2021
  • Table of Contents
  • About the Cover
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  • Complete Issue (PDF)

Issue highlights

  • Micronutrient Powders for Infants and Young Children
  • COVID-19 Pandemic in India: Through the Lens of Modeling
  • A Mixed-Methods Study of Factors Influencing Access to and Use of Micronutrient Powders in Rwanda
  • Differentiated Service Delivery Models for HIV Treatment in Malawi, South Africa, and Zambia: A Landscape Analysis
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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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