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Global Health: Science and Practice
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Global Health: Science and Practice

Dedicated to what works in global health programs

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More articles from Editorials

  • Open Access
    Context Matters: Strategies to Improve Maternal and Newborn Health Services in Sub-Saharan Africa
    Florina Serbanescu, Margaret E. Kruk, Sunday Dominico and Kojo Nimako
    Global Health: Science and Practice April 2022, 10(2):e2200119; https://doi.org/10.9745/GHSP-D-22-00119

    Identifying context-appropriate features to maximize the effectiveness of maternal and newborn health interventions in sub-Saharan Africa is a prerequisite to successful programs.

  • Open Access
    Addressing the Global Influence of Unethical Formula Marketing
    Cecília Tomori
    Global Health: Science and Practice April 2022, 10(2):e2200120; https://doi.org/10.9745/GHSP-D-22-00120

    Projects that seek to address Code implementation need to understand the current landscape of corporate marketing activities in the government and health care settings and mobilize stakeholders from the government to the community when implementing these projects.

  • Open Access
    Long-Lasting Insecticidal Nets for Malaria Control in Myanmar and Nigeria: Lessons From the Past, Tools for the Future
    Michael B. Macdonald
    Global Health: Science and Practice June 2018, 6(2):237-241; https://doi.org/10.9745/GHSP-D-18-00158

    While having saved many lives over the past decade, continued dependence on mass distribution of free long-lasting insecticidal nets (LLINs) is not sufficient and may not be sustainable. Programs must be enabled with flexible policy and technical options to place LLINs within a larger context of multisectoral partnerships and integrated vector management, avoiding what happened in the DDT era, where there was overreliance implementing a uniform solution to a complex problem.

  • Open Access
    Is It Time to Move Beyond Visual Inspection With Acetic Acid for Cervical Cancer Screening?
    Shannon L. Silkensen, Mark Schiffman, Vikrant Sahasrabuddhe and John S. Flanigan
    Global Health: Science and Practice June 2018, 6(2):242-246; https://doi.org/10.9745/GHSP-D-18-00206

    Newly emerging low-cost molecular assays and improved visual tests for cervical cancer screening call into question the role of visual inspection with acetic acid (VIA). VIA-based screening continues to offer a low-cost, single-visit approach for screening. However, VIA is highly rater-dependent and has problematic accuracy. RNA, DNA, and protein tests are now available. They offer greater accuracy and the option for self-sampling, but the testing kits are expensive. As these new options continue to improve, the time to move beyond VIA is fast approaching.

  • Open Access
    Evidence-Based Programs, Yes—But What About More Program-Based Evidence?
    Global Health: Science and Practice June 2018, 6(2):247-248; https://doi.org/10.9745/GHSP-D-18-00192

    Policy makers and program managers are better enabled to draw relevant lessons from implementation research and program experience elsewhere when there is richer documentation on what was done and what key contextual factors may have influenced outcomes. Newly developed Program Reporting Standards from WHO provide helpful guidance on what is needed for optimally useful documentation.

  • Open Access
    Global Health: Science and Practice … 5 Years In
    Ruwaida M. Salem and Steve Hodgins
    Global Health: Science and Practice June 2018, 6(2):228-231; https://doi.org/10.9745/GHSP-D-18-00196

    Five years after launching Global Health: Science and Practice, we are seeing signs that we are helping to fill an important gap in program-related evidence. Looking forward, we seek to offer better coverage for topics that are relatively neglected in the global health literature and to publish more papers by authors based in low- and middle-income countries. We invite authors to submit manuscripts on global health programs grounded in evidence from research, evaluation, monitoring data, or experiential knowledge, and encourage readers to access and share our free articles to find scalable approaches and important lessons to inform programs and policy.

  • Open Access
    At Last! Universal Health Coverage That Prioritizes Health Impact: The Latest Edition of Disease Control Priorities (DCP3)
    James D. Shelton
    Global Health: Science and Practice June 2018, 6(2):232-236; https://doi.org/10.9745/GHSP-D-18-00193

    Sadly, we face a vast sea of health problems in global health. Universal health coverage programming should prioritize interventions with the most health impact, but instead largely succumbs to emphasizing less impactful clinical curative services. In contrast, DCP3 provides an evidence-based template that prioritizes impact. Yet even the most basic and realistic DCP3 package comes at a formidable price.

  • Open Access
    Effective LARC Providers: Moving Beyond Training (Republication)
    James D Shelton and Anne E Burke
    Global Health: Science and Practice September 2016, 4(3):356-358; https://doi.org/10.9745/GHSP-D-16-00258

    Effective and productive providers are the key to successful provision of long-acting reversible contraceptives (LARCs). But LARCs demand more of providers than short-acting resupply methods. In addition to sound training, key elements to developing highly productive providers of LARCs include a thorough understanding of the service delivery system context; selecting providers with the most potential, especially from mid-level cadres; strong mentoring and supportive supervision; and attention to the supply chain and to demand-side support.

  • Open Access
    Oxytocin: taking the heat
    Stephen Hodgins
    Global Health: Science and Practice August 2014, 2(3):259-260; https://doi.org/10.9745/GHSP-D-14-00102

    Oxytocin-in-Uniject satisfied the standards of its temperature-time indicator (TTI) in severe home storage conditions, although that required resupply every 30 days—a logistically onerous programmatic standard. Possible advances include: (1) incorporating TTIs with packaged batches of less expensive and more widely used conventional vials of oxytocin; (2) using TTIs calibrated more closely to the actual temperature sensitivity of oxytocin; and (3) researching whether a lower dose of oxytocin would be equally efficacious in preventing postpartum hemorrhage.

  • Open Access
    Evidence-based public health: not only whether it works, but how it can be made to work practicably at scale
    James D Shelton
    Global Health: Science and Practice August 2014, 2(3):253-258; https://doi.org/10.9745/GHSP-D-14-00066

    Because public health must operate at scale in widely diverse, complex situations, randomized controlled trials (RCTs) have limited utility for public health. Other methodologies are needed. A key conceptual backbone is a detailed “theory of change” to apply appropriate evidence for each operational component. Synthesizing patterns of findings across multiple methodologies provides key insights. Programs operating successfully across a variety of settings can provide some of the best evidence. Challenges include judging the quality of such evidence and assisting programs to apply it. WHO and others should shift emphasis from RCTs to more relevant evidence when assessing public health issues.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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