More articles from ORIGINAL ARTICLE
- Bringing Greater Precision to Interactions Between Community Health Workers and Households to Improve Maternal and Newborn Health Outcomes in India
We identified how the quantity and quality of actions taken by community health workers can be refined to move from a one-size-fits-all model to a precision approach that stands to benefit the health of the mothers and newborns they support.
- Where Do Caregivers Take Their Sick Children for Care? An Analysis of Care Seeking and Equity in 24 USAID Priority Countries
Understanding whether and where parents take sick children for care is critical to improve child health and survival. Stakeholders should use this information to ensure that resources are programmed effectively and that sectors complement one another to increase equitable access to high quality integrated management approaches for sick child care.
- Practical Implications of Policy Guidelines: A GIS Model of the Deployment of Community Health Volunteers in Madagascar
Geographic information systems can be used to support informed decisions about practical issues related to implementing community health worker (CHW) programs. Demands placed on CHWs regarding expected population and surface area coverage and travel time to facilities need to be carefully considered to ensure they are rational and realistic.
- Integrating Calcium Into Antenatal Iron-Folic Acid Supplementation in Ethiopia: Women’s Experiences, Perceptions of Acceptability, and Strategies to Support Calcium Supplement Adherence
In household trials of improved practices, rural Ethiopian women were motivated to adhere to antenatal calcium supplementation regimens, and tailored home-based strategies helped them overcome barriers such as regimen complexity, forgetfulness, side effects, and discouragement from others.
- Factors Associated With Delayed Contraceptive Implant Removal in Ethiopia
Women receiving implant insertion at the community level were significantly more likely to report keeping their implant for more than 3 years. Even when a referral or back-up system for removals existed, efforts to task-shift the provision of contraceptive implants may have inadvertently led to extended implant use.
- Determinants of Facility-Level Use of Electronic Immunization Registries in Tanzania and Zambia: An Observational Analysis
We provide a framework to quantify the use of electronic immunization registry systems at the facility level and results show the importance of behavioral and organizational factors in explaining their sustained use in Tanzania and Zambia.
- What Makes a National Pharmaceutical Track and Trace System Succeed? Lessons From Turkey
Successful implementation of a pharmaceutical track and trace system depended on the political determination to eliminate reimbursement fraud, as well as establishing a pharmaceutical market dominated by a single payer, making reimbursement contingent on verified dispensing and prescription, and being flexible in adapting the system according to stakeholders’ needs.
- Private Providers’ Experiences Implementing a Package of Interventions to Improve Quality of Care in Kenya: Findings From a Qualitative Evaluation
Although private providers felt that social franchising, quality improvement interventions, and accreditation helped them to increase the quantity and quality of services in their facilities, the quality improvement process was viewed as prohibitively expensive, and the accreditation process often was complex and difficult to navigate without outside assistance.
- Measuring Service Quality and Assessing Its Relationship to Contraceptive Discontinuation: A Prospective Cohort Study in Pakistan and Uganda
The quality of services provided is likely to affect contraceptive continuation. However, findings are strongly influenced by the quality measurement tools used, emphasizing the need for standardization.
- A Qualitative Exploration of Community Ownership of a Maternity Waiting Home Model in Rural Zambia
Community-based maternal child health programs should foster a sense of community ownership to promote sustainability. In rural Zambia, health interventions should be accessible to target communities and clear roles should be established among stakeholders for effective governance.