More articles from FIELD ACTION REPORT
- How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria
During the COVID-19 pandemic, home delivery of antiretrovirals for HIV treatment proved to be a feasible approach for ensuring treatment continuation amid facility closures and travel restrictions. Antiretroviral home delivery is a model warranting further consideration as an additional option for decentralized drug delivery for HIV treatment.
- Development of an Innovative Digital Data Collection System for Routine Mental Health Care Delivery in Rural Haiti
Mental health information systems in low-resource settings are scarce worldwide. Data collection was accurate, yet sustainable staffing was a challenge when using task-shared clinical providers for data collection in health centers in rural Haiti. Integrating mental health data collection within existing data collection systems would help close this key gap.
- Using Human-Centered Design to Develop, Launch, and Evaluate a National Digital Health Platform to Improve Reproductive Health for Rwandan Youth
Human-centered design, done with attention to meaningful participation, equity, and accessibility, is an effective methodology to design digital health interventions with and for youth as it places their unique needs and motivations at the center of the design and helps to ensure usability, equity, and accessibility.
- Improving Data Integrity in Public Health: A Case Study of an Outbreak Management System in Nigeria
Because of existing data collection and data integrity challenges in Nigeria, the COVID-19 pandemic posed an unprecedented challenge for data and its use in decision making because of the speed and scale of the necessary response. Using a human-centered design approach to co-create an outbreak management system streamlined data and sample collection and management to improve data collection and integrity.
- Using Human-Centered Design to Develop a Program to Engage South African Men Living With HIV in Care and Treatment
Human-centered design (HCD) is a useful methodology for understanding the lived realities, needs, and preferences of men living with HIV and engaging them in the design and pilot of a peer-support program to support their engagement in care.
- Using mHealth to Improve Timeliness and Quality of Maternal and Newborn Health in the Primary Health Care System in Ethiopia
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.
- Early Lessons From Launching an Innovative Community Health Household Model Across 3 Country Contexts
Community health worker programs can contribute substantively to health systems working to implement universal health coverage, but there is no one-size-fits-all model. Program leaders should anticipate needing to adapt their plans as local realities demand, but lessons learned in other contexts can provide guidance on how to best proceed.
- Learnings From a Pilot Study to Strengthen Primary Health Care Services: The Community-Clinic-Centered Health Service Model in Barishal District, Bangladesh
The community-clinic-centered health service model piloted in Bangladesh strengthened community and local government engagement, harmonized the work of different community health worker cadres, and improved client satisfaction. The approach has the potential to strengthen the delivery of close-to-community primary health care services and accelerate progress toward achieving universal health coverage.
- Implementation of a Pediatric Early Warning Score to Improve Communication and Nursing Empowerment in a Rural District Hospital in Rwanda
Implementation of the Pediatric Early Warning Score for Resource-Limited Settings tool improved nurses’ competency and confidence in their triage capabilities. This tool has the potential to improve patient outcomes. However, staff turnover and limited physician buy-in were barriers to sustainability of the tool in low-resource settings.
- Using Patient-Reported Outcome Measures to Promote Patient-Centered Practice: Building Capacity Among Pediatric Physiotherapists in Rwanda
Tracking outcomes is integral to assessing effectiveness of health systems. Multimodal training was offered in the use of a contextually appropriate, patient-centered outcome measure in a low-resource setting. Results offer insights for designing future capacity-building programs.