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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways
    Catherine Birabwa, Lenka Beňová, Josefien van Olmen, Aline Semaan, Peter Waiswa and Aduragbemi Banke-Thomas
    Global Health: Science and Practice December 2024, 12(6):e2400242; https://doi.org/10.9745/GHSP-D-24-00242

    The findings of this cross-sectional survey suggest that care pathways of women with obstetric complications in Kampala often involve at least 2 formal providers and reflect possible inefficiencies in the referral process, including potential delays and unnecessary steps.

  • Open Access
    Service Delivery Redesign for Noncommunicable Disease Management: Assessment of Needs and Solutions Through a Co-Creation Process in Argentina
    Agustina Mazzoni, Javier Roberti, Marina Guglielmino, Ana María Nadal, Yanina Mazzaresi, Andrea Falaschi, Patricia J. García, Laura Espinoza-Pajuelo, Jesús Medina-Ranilla, Hannah H. Leslie, Juan Manuel Gómez Portillo, María Gabriela Masier and Ezequiel García-Elorrio
    Global Health: Science and Practice December 2024, 12(6):e2400208; https://doi.org/10.9745/GHSP-D-24-00208

    Our research highlights the potential for Argentina’s primary care system to initiate transformative, system-level changes to improve health outcomes. We propose an innovative methodological assessment and co-design for improving primary care.

  • Open Access
    Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Uganda: A Mixed Methods Study
    Ronald Ssenyonga, Simon Lewin, Esther Nakyejwe, Faith Chelagat, Michael Mugisha, Matt Oxman, Allen Nsangi, Daniel Semakula, Sarah E. Rosenbaum, Jenny Moberg, Andrew D. Oxman, Heather Munthe-Kaas, Christine Holst, Margaret Kaseje, Laetitia Nyirazinyoye and Nelson Sewankambo
    Global Health: Science and Practice December 2024, 12(6):e2300484; https://doi.org/10.9745/GHSP-D-23-00484

    The Informed Health Choices educational resources improve students’ ability to critically appraise claims about the effects of health interventions. The resources also enable teachers to teach and assess critical thinking and problem-solving competencies using health as a topic.

  • Open Access
    Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa
    Lara Court, Aurelie Nelson, Reghana Taliep, Sarah Schoetz Dean, Rufaro Mvududu, Lucia Knight, Kathryn Dovel, Thomas Coates, Landon Myer and Dvora L. Joseph Davey
    Global Health: Science and Practice December 2024, 12(6):e2400166; https://doi.org/10.9745/GHSP-D-24-00166

    Integrating PrEP for pregnant and breastfeeding women into antenatal and postnatal clinic services requires supportive PrEP prescription and HIV testing policies, improved availability of trained nurses and counselors, together with simplified access to PrEP and related information, both in clinics and communities.

  • Open Access
    Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Kenya: A Mixed Methods Study
    Faith Chesire, Andrew D. Oxman, Margaret Kaseje, Violet Gisore, Michael Mugisha, Ronald Ssenyonga, Matt Oxman, Allen Nsangi, Daniel Semakula, Laetitia Nyirazinyoye, Nelson K. Sewankambo, Heather Munthe-Kaas, Christine Holst, Sarah Rosenbaum and Simon Lewin
    Global Health: Science and Practice December 2024, 12(6):e2300485; https://doi.org/10.9745/GHSP-D-23-00485

    Factors that facilitated the implementation of the Informed Health Choices intervention included the teacher’s training workshop, the perceived value of the intervention by multiple stakeholders, and support from education officials and school management.

  • Open Access
    Capacity-Building Through Digital Approaches: Evaluating the Feasibility and Effectiveness of eLearning to Introduce Subcutaneous DMPA Self-Injection in Senegal and Uganda
    Siri Wood, Ericka Roberts, Aurora Anna Stout, Alain Kaboré, Allen Namagembe, Jane Cover, Marème Dia Ndiaye, Mouminatou Diokh, Farmata Sèye and Beth Balderston
    Global Health: Science and Practice October 2024, 12(5):e2400019; https://doi.org/10.9745/GHSP-D-24-00019

    This evaluation of online training for health workers to counsel clients wishing to self-inject subcutaneous DMPA suggests that online training can be effective while saving time and money. Further, eLearning courses work best when complemented with supportive supervision to help health workers correctly apply their knowledge through hands-on practice.

  • Open Access
    FP2020 and FP2030 Country Commitments: A Mixed Method Study of Adolescent and Youth Sexual and Reproductive Health Components
    Asantesana Kamuyango, Shreya K. Arora, Laura Raney, Ahmed K. Ali and Venkatraman Chandra-Mouli
    Global Health: Science and Practice October 2024, 12(5):e2400223; https://doi.org/10.9745/GHSP-D-24-00223

    While FP2030 commitments better articulate strategies and activities to reach adolescents and youth with family planning (FP) information and services compared to FP2020 commitments, gaps remain. To achieve the Sustainable Development Goals, countries should continue to invest in creating and funding comprehensive FP commitments that meet the sexual and reproductive health needs of adolescents and youth.

  • Open Access
    Development and Piloting of Implementation Strategies to Support Delivery of a Clinical Intervention for Postpartum Hemorrhage in Four sub-Saharan Africa Countries
    Gillian Forbes, Shahinoor Akter, Suellen Miller, Hadiza Galadanci, Zahida Qureshi, Fadhlun Alwy Al-beity, G. Justus Hofmeyr, Neil Moran, Sue Fawcus, Mandisa Singata-Madliki, Aminu Ado Wakili, Taiwo Gboluwaga Amole, Baba Maiyaki Musa, Faisal Dankishiya, Adamu Abdullahi Atterwahmie, Abubakar Shehu Muhammad, John Ekweani, Emily Nzeribe, Alfred Osoti, George Gwako, Jenipher Okore, Amani Kikula, Emmy Metta, Ard Mwampashi, Cherrie Evans, Kristie-Marie Mammoliti, Adam Devall, Arri Coomarasamy, Ioannis Gallos, Olufemi T. Oladapo, Meghan A. Bohren and Fabiana Lorencatto
    Global Health: Science and Practice October 2024, 12(5):e2300387; https://doi.org/10.9745/GHSP-D-23-00387

    We describe the systematic approach taken to identify areas of suboptimal postpartum hemorrhage detection and management to develop implementation strategies to support the delivery of the E-MOTIVE intervention in 4 countries.

  • Open Access
    Documenting the Provision of Emergency Contraceptive Pills Through Youth-Serving Delivery Channels: Exploratory Mixed Methods Research on Malawi’s Emergency Contraception Strategy
    Holly M. Burke, Philip Mkandawire, Mary Mulombe Phiri, Fannie Kachale, Kristen Little, Caroline Bakasa, Luwiza Puleni, Eden Demise, Paola Letona, Gwyneth Austin and Moses Kumwenda
    Global Health: Science and Practice October 2024, 12(5):e2400076; https://doi.org/10.9745/GHSP-D-24-00076

    Emergency contraceptive pill (ECP) uptake may increase for young people, first-time users, and those living in rural areas of Malawi by offering the method through public, youth-serving channels, especially youth clubs and community health workers. A national strategy focused specifically on this product can help grow ECP demand; however, the supply chain for ECPs must be strengthened to meet the additional demand.

  • Open Access
    National Politics’ Role in Developing Primary Health Care Policy for Maternal Health in Papua New Guinea: A Qualitative Document Analysis
    Regina Poima Seki, Judith Daire and Delia Hendrie
    Global Health: Science and Practice October 2024, 12(5):e2200005; https://doi.org/10.9745/GHSP-D-22-00005

    This article examines the factors and mechanisms that influenced the development of the free primary health care policy for maternal health in Papua New Guinea.

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