More articles from EDITORIAL
- Counseling Is a Relationship Not Just a Skill: Re-conceptualizing Health Behavior Change Communication by India’s Accredited Social Health Activists
The capacity for India’s community health workers—accredited social health activists (ASHAs)—to promote healthy behaviors must be understood within the health system and community context. Their ability to influence health behaviors depends on the strength of their relationships with families and support they receive from the health system.
- Institutionalization of Projects Into Districts in Low- and Middle-Income Countries Needs Stewardship, Autonomy, and Resources
Important attributes for project institutionalization include strong stewardship and champions, affordability, demand for the intervention and perceived benefit, minimal complexity, and optimal intervention design and period of support.
- Learning from Community Health Worker Programs, Big and Small
Small, well-implemented, well-evaluated community health worker programs can provide useful insights and inspiration. Testing, learning, and adapting at progressively larger scale can ultimately lead to national-scale programs that achieve sustainable impact.
- Will the Higher-Income Country Blueprint for COVID-19 Work in Low- and Lower Middle-Income Countries?
Strategies to radically suppress incidence of COVID-19, as used in higher-income countries, may be unrealistic and counterproductive in most low- and lower middle-income countries. Instead, strategies should be tailored to the setting, balancing expected benefits, potential harms, and feasibility.
- A Tablet-Based Tool for Care During Labor+Attention to System Requirements
Evidence on using a tablet-based labor decision-support tool suggests the potential for improved practices in labor management. Further rigorous study on these tools is needed to assess the improvements in labor care and outcomes as well as the system requirements needed to achieve such improvements.
- It Takes a System: Magnesium Sulfate for Prevention of Eclampsia in a Resource-Limited Community Setting
Magnesium sulfate is not a silver bullet to reduce maternal mortality associated with preeclampsia/eclampsia. We believe a well-functioning health care system, especially at the hospital level, with competent well-trained providers, adequate equipment, and medications will likely be necessary.
- Healthy Timing and Spacing of Pregnancy: Reducing Mortality Among Women and Their Children
Accessible, affordable, and high-quality postabortion care (PAC) can prevent maternal death and disability and provides an important opportunity to prevent future unintended pregnancies. This supplement offers learnings on PAC provision from the community of partners around the world, including service delivery and community engagement models, approaches to support facility-based providers, best practices in pre- and post-procedure counseling, and approaches to institutionalize PAC in public- and private-sector health systems.
- Postabortion Care and the Voluntary Family Planning Component: Expanding Contraceptive Choices and Service Options
Universal access to voluntary postabortion family planning is a critical and compelling component of postabortion care. Such access should be joined with postpartum family planning services in national programs, health information systems, and training programs. The same providers and facilities deliver both services, and integration could yield cost efficiencies and increased coverage for women receiving postabortion care.
- Human-Centered Design and Sustainable Malaria Interventions
Human-centered design provides a method to adapt malaria control interventions to be more closely aligned with a family's convenience, comfort, and personal lifestyle, enabling a broader and more sustained culture of access and use.