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Global Health: Science and Practice

Dedicated to what works in global health programs

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Table of Contents

September 2021 | Volume 9 | Number 3

EDITORIALS

  • Open Access
    What Potential Authors Should Know About Publishing in Global Health: Science and Practice
    Stephen Hodgins and Sonia Abraham
    Global Health: Science and Practice September 2021, 9(3):426-427; https://doi.org/10.9745/GHSP-D-21-00540
  • Open Access
    Multisectoral Policies and Programming: High-Income Countries Can and Should Be Learning From the Philippines and Other Low- and Middle-Income Countries
    Madeleine Short Fabic
    Global Health: Science and Practice September 2021, 9(3):428-430; https://doi.org/10.9745/GHSP-D-21-00541

    The global health field will miss key learning opportunities if it continues to make a false distinction between research of relevance to lowand middle-income countries and research of relevance to high-income countries.

  • Open Access
    It’s Time to Move Beyond Traditional Health Care Worker Training Approaches
    Julia Bluestone, Jim Ricca, Denise Traicoff and Dieula Delissaint Tchoualeu
    Global Health: Science and Practice September 2021, 9(3):431-432; https://doi.org/10.9745/GHSP-D-21-00553

    Isn't it time that the global community move beyond traditional training and supportive supervision models to improve health care worker capacity?

COMMENTARIES

  • Open Access
    The Conundrum of Low COVID-19 Mortality Burden in sub-Saharan Africa: Myth or Reality?
    Janica Adams, Mary J. MacKenzie, Adeladza Kofi Amegah, Alex Ezeh, Muktar A. Gadanya, Akinyinka Omigbodun, Ahmed M. Sarki, Paul Thistle, Abdhalah K. Ziraba, Saverio Stranges and Michael Silverman
    Global Health: Science and Practice September 2021, 9(3):433-443; https://doi.org/10.9745/GHSP-D-21-00172

    The demographic age structure of sub-Saharan Africa contributes significantly to the low morbidity and mortality of COVID-19 compared to other regions in the world.

  • Open Access
    A Quality Improvement Intervention to Inform Scale-Up of Integrated HIV-TB Services: Lessons Learned From KwaZulu-Natal, South Africa
    Santhanalakshmi Gengiah, Kogieleum Naidoo, Regina Mlobeli, Maureen F. Tshabalala, Andrew J. Nunn, Nesri Padayatchi, Nonhlanhla Yende-Zuma, Myra Taylor, Pierre M. Barker and Marian Loveday
    Global Health: Science and Practice September 2021, 9(3):444-458; https://doi.org/10.9745/GHSP-D-21-00157

    Despite being standard of care, gaps in HIV-TB service delivery are present. Quality Improvement methods are effective in uncovering health systems weaknesses that impede efficient delivery of integrated HIV-TB services.

  • Open Access
    Social and Political Dimensions of Disseminating Research Findings on Emerging Zoonotic Viruses: Our Experience in Sierra Leone
    Dorothy Peprah, James Bangura, Mohamed Vandi, Harold Thomas, Monica Dea, Anton Schneider and Kendra Chittenden
    Global Health: Science and Practice September 2021, 9(3):459-466; https://doi.org/10.9745/GHSP-D-20-00321

    Disseminating research findings on emerging zoonotic viruses is a complex and sensitive process, particularly in contexts with histories of outbreaks. It requires an operational framework that considers the social and political context of stakeholders aiming to empower people to protect their health, while also supporting government leaders to advance global health security.

  • Open Access
    Protecting Mental Health Data Privacy in India: The Case of Data Linkage With Aadhaar
    Ameya Bondre, Soumitra Pathare and John A. Naslund
    Global Health: Science and Practice September 2021, 9(3):467-480; https://doi.org/10.9745/GHSP-D-20-00346

    In an underprepared and under-resourced digital mental health system, the linkage of health and personal data with Aadhaar, a biometric system that provides a unique identification number to all Indian residents, poses significant privacy risks to individuals seeking mental health care. We discuss the challenges in protecting mental health data privacy due to these emerging digital health technologies.

VIEWPOINTS

  • Open Access
    Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda
    Daniel Josef Lindegger, Egide Abahuje, Kenneth Ruzindana, Elizabeth Mwachiro, Gilbert Rutayisire Karonkano, Wendy Williams, George Ntakiyiruta, Robert Riviello, Steven Yule and Simon Paterson-Brown
    Global Health: Science and Practice September 2021, 9(3):481-486; https://doi.org/10.9745/GHSP-D-21-00042

    The Non-Technical Skills for Surgeons (NOTSS) framework is a taxonomy of cognitive and social skills that foster expertise and medical knowledge in the operating room. This framework can be used as a method to improve the quality of surgical care in global efforts to improve access to affordable surgery.

ORIGINAL ARTICLES

  • Open Access
    Applying Adult Learning Best Practices to Design Immunization Training for Health Care Workers in Ghana
    Denise Traicoff, Dieula Delissaint Tchoualeu, Joseph Opare, Melissa Wardle, Pamela Quaye, Hardeep S. Sandhu and George Bonsu
    Global Health: Science and Practice September 2021, 9(3):487-497; https://doi.org/10.9745/GHSP-D-21-00090

    Best practices of adult learning were used to develop a training of trainers program for the Ghana Health Service immunization workforce. The program supported translating learning to behavior change, used class time for practice-teaching and action plan development, linked formal instruction with specific activities, and offered follow-up mentorship.

  • Open Access
    Evaluation of the Impact of Immunization Second Year of Life Training Interventions on Health Care Workers in Ghana
    Dieula Delissaint Tchoualeu, Bonnie Harvey, Mawuli Nyaku, Joseph Opare, Denise Traicoff, George Bonsu, Pamela Quaye and Hardeep S. Sandhu
    Global Health: Science and Practice September 2021, 9(3):498-507; https://doi.org/10.9745/GHSP-D-21-00091

    Applying performance-based training interventions that follow adult learning principles and include follow-up activities after training may help to solve specific performance problems and improve health care workers’ performance in immunization service delivery. These strategies facilitate learning, minimize the forgetting curve for health care workers, and should be considered as a standard practice for future training interventions.

  • Open Access
    Young People’s Experiences With an Empowerment-Based Behavior Change Intervention to Prevent Sexual Violence in Nairobi Informal Settlements: A Qualitative Study
    Anna E. Kågesten, Phoene Mesa Oware, Wendy Ntinyari, Nickson Langat, Benjamin Mboya and Anna Mia Ekström
    Global Health: Science and Practice September 2021, 9(3):508-522; https://doi.org/10.9745/GHSP-D-21-00105

    This study indicates that an empowerment-based, behavioral intervention can contribute to equipping both adolescent girls and boys with concrete skills to recognize and resist sexual violence and can promote positive, nonviolent masculinities among adolescent boys.

  • Open Access
    Income Inequalities in Hepatitis B Vaccination and Willingness to Pay Among Women of Reproductive Age in Hanoi, Vietnam
    Xuan Thi Thanh Le, Nguyen Thao Thi Nguyen, Huong Thi Le, Toan Thanh Thi Do, Thang Huu Nguyen, Huong Lan Thi Nguyen, Trang Ha Nguyen, Linh Gia Vu, Bach Xuan Tran, Carl A. Latkin, Cyrus S.H. Ho and Roger C.M. Ho
    Global Health: Science and Practice September 2021, 9(3):523-531; https://doi.org/10.9745/GHSP-D-20-00480

    Many countries use a fee-for-service model for hepatitis B vaccination, which amplifies health disparities across socioeconomic statuses and contributes to inequalities in HBV vaccination rates. We examined the role of household income on women’s willingness to pay and the amount they are willing to pay for HBV vaccination to identify a more optimized payment scheme and equitable access across all income groups.

  • Open Access
    Mapping the Antimicrobial Supply Chain in Bangladesh: A Scoping-Review-Based Ecological Assessment Approach
    E.S.F. Orubu, M.A. Samad, M.T. Rahman, M.H. Zaman and V.J. Wirtz
    Global Health: Science and Practice September 2021, 9(3):532-547; https://doi.org/10.9745/GHSP-D-20-00502

    A standardized method for evaluating antimicrobial supply chains in the context of access and use could be a useful tool in assessing national capacity to implement programs that address antimicrobial resistance. We present both a novel ecological approach comprising mapping and the use of indicators that can be used to characterize national antimicrobial supply chains as well as benchmark countries and, for the first time, a country-level assessment of Bangladesh.

  • Open Access
    Trends in National-Level Governance and Implementation of the Philippines’ Responsible Parenthood and Reproductive Health Law from 2014 to 2020
    Vanessa T. Siy Van, Jhanna Uy, Joy Bagas and Valerie Gilbert T. Ulep
    Global Health: Science and Practice September 2021, 9(3):548-564; https://doi.org/10.9745/GHSP-D-21-00184

    National-level implementation of the Philippines’ Responsible Parenthood and Reproductive Health Law has been fragmented and programmatic and centered on family planning rather than multisectoral and holistic. Establishing a common narrative can secure the buy-in of different sectors and open policy solutions to address the structural determinants of reproductive health.

  • Open Access
    Negative Incentives for Noninstitutional Births Are Associated With a Higher Rate of Facility-Based Births in the Eastern Visaya Region, Philippines
    Shogo Kanamori, Marcelyn D. Bonhaon and Minerva Peregrino Molon
    Global Health: Science and Practice September 2021, 9(3):565-574; https://doi.org/10.9745/GHSP-D-20-00616

    Penalties imposed for noninstitutional deliveries by local government policies could motivate pregnant women to deliver at birthing facilities; however, local governments should address barriers to accessing a birthing facility in underserved areas before prohibiting noninstitutional deliveries.

  • Open Access
    Readiness to Provide Antenatal Corticosteroids for Threatened Preterm Birth in Public Health Facilities in Northern India
    Ankita Kankaria, Mona Duggal, Anshul Chauhan, Debarati Sarkar, Suresh Dalpath, Akash Kumar, Gursharan Singh Dhanjal, Vijay Kumar, Vanita Suri, Rajesh Kumar, Praveen Kumar and James A. Litch
    Global Health: Science and Practice September 2021, 9(3):575-589; https://doi.org/10.9745/GHSP-D-20-00716

    In settings with limited resources that lack standards to ensure the quality of childbirth and newborn care, the use of antenatal corticosteroids is potentially harmful. Safe, effective use of antenatal corticosteroids requires providing standardized evidence-based practices and supportive supervision, training staff, and a facility-level actionable health information system.

  • Open Access
    Care Around Birth Approach: A Training, Mentoring, and Quality Improvement Model to Optimize Intrapartum and Immediate Postpartum Quality of Care in India
    Gunjan Taneja, Enisha Sarin, Devina Bajpayee, Saumyadripta Chaudhuri, Geeta Verma, Rakesh Parashar, Nidhi Chaudhry, Jaya Swarup Mohanty, Nitin Bisht, Anil Gupta, Shailendra Singh Tomar, Rachana Patel, V.S. Sridhar, Anurag Joshi, Chitra Rathi, Dinesh Baswal, Sachin Gupta and Rajeev Gera
    Global Health: Science and Practice September 2021, 9(3):590-610; https://doi.org/10.9745/GHSP-D-20-00368

    The Care Around Birth approach provides an integrated implementation framework to improve the quality, equity, and dignity of care during the intrapartum and immediate postpartum periods, thereby addressing key drivers of maternal and newborn mortality.

  • Open Access
    A Mixed-Methods Process Evaluation: Integrating Depression Treatment Into HIV Care in Malawi
    Melissa A. Stockton, Caroline E. Minnick, Kazione Kulisewa, Steven M. Mphonda, Mina C. Hosseinipour, Bradley N. Gaynes, Joanna Maselko, Audrey E. Pettifor, Vivian Go, Michael Udedi and Brian W. Pence
    Global Health: Science and Practice September 2021, 9(3):611-625; https://doi.org/10.9745/GHSP-D-20-00607

    Effectively integrating depression treatment into HIV care in low-resource settings will require substantially investing in program supervision, building and maintaining the capacity of providers, integrating into existing electronic medical records systems, and ensuring the availability of psychotherapy counselors.

  • Open Access
    Prioritizing Health-Sector Interventions for Noncommunicable Diseases and Injuries in Low- and Lower-Middle Income Countries: National NCDI Poverty Commissions
    Neil Gupta, Ana Mocumbi, Said H. Arwal, Yogesh Jain, Abraham M. Haileamlak, Solomon T. Memirie, Nancy C. Larco, Gene F. Kwan, Mary Amuyunzu-Nyamongo, Gladwell Gathecha, Fred Amegashie, Vincent Rakotoarison, Jones Masiye, Emily Wroe, Bhagawan Koirala, Biraj Karmacharya, Jeanine Condo, Jean Pierre Nyemazi, Santigie Sesay, Sarah Maogenzi, Mary Mayige, Gerald Mutungi, Isaac Ssinabulya, Ann R. Akiteng, Justice Mudavanhu, Sharon Kapambwe, David Watkins, Ole Norheim, Julie Makani, Gene Bukhman and NCDI Poverty National Commissions Authorship Group; NCDI Poverty Network Secretariat
    Global Health: Science and Practice September 2021, 9(3):626-639; https://doi.org/10.9745/GHSP-D-21-00035

    Noncommunicable Disease and Injury (NCDI) Poverty Commissions in 16 low- and middle-income countries provided evidence-based recommendations on a local, expanded set of priority NCDIs and health-sector interventions needed in national initiatives to attain universal health coverage. These commissions provide a collective platform for policy, research, and advocacy efforts to improve coverage of cost-effective and equitable health-sector interventions for populations living in extreme poverty.

  • Open Access
    Animal Source Food Social and Behavior Change Communication Intervention Among Girinka Livestock Transfer Beneficiaries in Rwanda: A Cluster Randomized Evaluation
    Valerie L. Flax, Emily Ouma, Lambert Izerimana, Mary-Ann Schreiner, Alice O. Brower, Eugene Niyonzima, Carine Nyilimana, Adeline Ufitinema and Agnes Uwineza
    Global Health: Science and Practice September 2021, 9(3):640-653; https://doi.org/10.9745/GHSP-D-21-00082

    A social and behavior change communication intervention designed to promote consumption of cow’s milk among families that received a cow from a government livestock transfer program increased mothers’ knowledge and awareness of milk consumption. Although intervention exposure was associated with increased frequency of children’s cow’s milk intake, it did not lead to increased consumption or dietary diversity.

  • Open Access
    Qualitative Review of Organizational Responses to Rumors in the 2014–2016 Ebola Virus Disease Outbreak in Liberia and Sierra Leone
    Amelia J. Brandt, Bonnie Katalenich and David W. Seal
    Global Health: Science and Practice September 2021, 9(3):654-667; https://doi.org/10.9745/GHSP-D-21-00203

    Rumors and misinformation were a challenge in the 2014–2016 Ebola Virus Disease response and continue to be so in the current COVID-19 pandemic. It is important to understand previous organizational approaches to identifying and addressing rumors to refine and improve these approaches.

FIELD ACTION REPORTS

  • Open Access
    Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia
    Zeleke Yimechew Nigussie, Nebreed Fesseha Zemicheal, Gizachew Tadele Tiruneh, Yibeltal Tebekaw Bayou, Getnet Alem Teklu, Esubalew Sebsibe Kibret, Kristin Eifler, Sarah E. Hodsdon, Dessalew Emaway Altaye, Leona Rosenblum, Yeshiwork Aklilu Getu, Zinar Nebi, Ephrem Tekle Lemango, Eyob Kebede and Wuleta Aklilu Betemariam
    Global Health: Science and Practice September 2021, 9(3):668-681; https://doi.org/10.9745/GHSP-D-20-00685

    The use of mobile health (mHealth) in Ethiopia’s primary health care system offers a potential solution to improve timeliness and quality for maternal and newborn health care services. It is user-friendly and fosters communication between health care workers and health extension workers to provide quality services across the pregnancy continuum of care.

SHORT REPORTS

  • Open Access
    Translating Implementation Experiences and Lessons Learned From Polio Eradication Into a Global Health Course: Insights From an International Consortium
    Anna Kalbarczyk, Svea Closser, Aditi Rao, Oluwaseun Akinyemi, Humarya Binte Anwar, Eric Mafuta, Piyusha Majumdar and Olakunle O. Alonge
    Global Health: Science and Practice September 2021, 9(3):682-689; https://doi.org/10.9745/GHSP-D-20-00460

    Using international collaborations to develop educational materials presents several challenges but offers enormous benefits in gleaning a wealth of information, perspectives, and context. The global course that resulted from this collaboration mirrors the goals of implementation science more broadly—to bring the findings of research into routine practice to improve health services.

  • Open Access
    An International Virtual Classroom: The Emergency Department Experience at Weill Cornell Medicine and Weill Bugando Medical Center in Tanzania
    Lynn G. Jiang, Peter W. Greenwald, Michael J. Alfonzo, Jane Torres-Lavoro, Manish Garg, Ally Munir Akrabi, Erasto Sylvanus, Shahzmah Suleman and Radhika Sundararajan
    Global Health: Science and Practice September 2021, 9(3):690-697; https://doi.org/10.9745/GHSP-D-21-00005

    We created a sustainable, bidirectional partnership using telecommunication technology to enhance emergency medicine education collaboration. Telemedicine is a practical and innovative methodology to expand training in emergency medicine and establish bidirectional partnerships between academic departments in high-income and low- and middle-income countries.

REVIEWS

  • Open Access
    Implementation of GeneXpert for TB Testing in Low- and Middle-Income Countries: A Systematic Review
    Scott Brown, Justine E. Leavy and Jonine Jancey
    Global Health: Science and Practice September 2021, 9(3):698-710; https://doi.org/10.9745/GHSP-D-21-00121

    This review highlights a commonality of implementation barriers across geographically dispersed GeneXpert interventions for TB testing. This indicates the importance of using implementation frameworks to report findings that can improve public health outcomes across low- and middle-income countries.

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In this issue

Global Health: Science and Practice: 9 (3)
Global Health: Science and Practice
Vol. 9, No. 3
September 30, 2021
  • Table of Contents
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Issue highlights

  • What Potential Authors Should Know About Publishing in Global Health: Science and Practice
  • The Conundrum of Low COVID-19 Mortality Burden in sub-Saharan Africa: Myth or Reality?
  • Young People’s Experiences With an Empowerment-Based Behavior Change Intervention to Prevent Sexual Violence in Nairobi Informal Settlements: A Qualitative Study
  • Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia
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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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