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Global Health: Science and Practice

Dedicated to what works in global health programs

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More articles from ORIGINAL ARTICLE

  • Open Access
    Evolution and Resistance to Sexuality Education in Mexico
    Venkatraman Chandra-Mouli, Lucia Gómez Garbero, Marina Plesons, Iliana Lang and Esther Corona Vargas
    Global Health: Science and Practice March 2018, 6(1):137-149; https://doi.org/10.9745/GHSP-D-17-00284

    Mexico's efforts at sexuality education have progressively evolved, from a biological focus in the socialist era in the 1930s, to adding a demographically concerned family planning component in the 1970s and including a wider reproductive health perspective in the 1990s, and finally shifting to a broader sociological context in the early 21st century. Opposition to sexuality education rose steadily in the time period considered, with a growing range of more organized and well-financed actors. Despite this opposition, alliances between academic, government, civil society, and NGO champions have helped ensure sustainability.

  • Open Access
    Let's Stop Trying to Quantify Household Vulnerability: The Problem With Simple Scales for Targeting and Evaluating Economic Strengthening Programs
    Whitney M Moret
    Global Health: Science and Practice March 2018, 6(1):150-160; https://doi.org/10.9745/GHSP-D-17-00291

    Simple scales developed to measure broad constructs of household economic vulnerability in 3 countries did not accurately measure susceptibility to negative economic outcomes or generate valid classifications of economic status to use for targeting and monitoring and evaluation. We recommend designing tailored monitoring and evaluation instruments to capture narrower definitions of economic vulnerability based on characteristics that economic strengthening programs intend to affect and using separate tools for client targeting based on presence of context-specific “red flag” indicators.

  • Open Access
    Can Family Planning Service Statistics Be Used to Track Population-Level Outcomes?
    Robert J Magnani, John Ross, Jessica Williamson and Michelle Weinberger
    Global Health: Science and Practice March 2018, 6(1):93-102; https://doi.org/10.9745/GHSP-D-17-00341

    Estimates of the modern contraceptive prevalence rate (mCPR), a population-level indicator, that are derived directly from family planning service statistics lack sufficient accuracy to serve as stand-alone substitutes for survey-based estimates. However, data on contraceptive commodities distributed to clients, family planning service visits, and current users tend to track trends in mCPR fairly accurately and, when combined with survey data in new tools, can be used to approximate the annual mCPR in the absence of annual surveys.

  • Open Access
    Re-Evaluating the Possible Increased Risk of HIV Acquisition With Progestin-Only Injectables Versus Maternal Mortality and Life Expectancy in Africa: A Decision Analysis
    Maria Isabel Rodriguez, Mary E Gaffield, Leo Han and Aaron B Caughey
    Global Health: Science and Practice December 2017, 5(4):581-591; https://doi.org/10.9745/GHSP-D-17-00243

    Our model suggests that removing progestin-only injectables in Africa would have a net negative effect on maternal health, life expectancy, and mortality under a variety of scenarios.

  • Open Access
    Jordan's 2002 to 2012 Fertility Stall and Parallel USAID Investments in Family Planning: Lessons From an Assessment to Guide Future Programming
    Esther Spindler, Nisreen Bitar, Julie Solo, Elizabeth Menstell and Dominick Shattuck
    Global Health: Science and Practice December 2017, 5(4):617-629; https://doi.org/10.9745/GHSP-D-17-00191

    Jordan's limited method mix, which has shifted toward less effective methods such as withdrawal and condoms, is a likely contributor to the plateau, coupled with social and cultural norms that discourage contraceptive use, such as preference for large family size and pressure to have a child immediately after marriage. Greater investment in social and behavior change and advocacy for stronger programming efforts are warranted.

  • Open Access
    What Factors Contribute to Postabortion Contraceptive Uptake By Young Women? A Program Evaluation in 10 Countries in Asia and sub-Saharan Africa
    Janie Benson, Kathryn Andersen, Joan Healy and Dalia Brahmi
    Global Health: Science and Practice December 2017, 5(4):644-657; https://doi.org/10.9745/GHSP-D-17-00085

    Across the 10 countries, 77% of 921,918 women left with a contraceptive method after receiving abortion care. While contraceptive uptake was high among all age groups, adolescents ages 15–19 were less likely to choose a method than women 25 years or older.

  • Open Access
    Improving Contraceptive Access, Use, and Method Mix by Task Sharing Implanon Insertion to Frontline Health Workers: The Experience of the Integrated Family Health Program in Ethiopia
    Yewondwossen Tilahun, Candace Lew, Bekele Belayihun, Kidest Lulu Hagos and Mengistu Asnake
    Global Health: Science and Practice December 2017, 5(4):592-602; https://doi.org/10.9745/GHSP-D-17-00215

    Between 2009 and 2015, 1.2 million women received Implanon implants from trained Health Extension Workers. Of the approximately 7,000 implant service visits made during the first 6 months, 25% were among women who had never used contraception before.

  • Open Access
    Food Security and Nutrition Outcomes of Farmer Field Schools in Eastern Democratic Republic of the Congo
    Shannon Doocy, Sarah Cohen, Jillian Emerson, Joseph Menakuntuala, the Jenga Jamaa II Study Team and Jozimo Santos Rocha
    Global Health: Science and Practice December 2017, 5(4):630-643; https://doi.org/10.9745/GHSP-D-17-00203

    A farmer field school program in food-insecure areas had positive impacts on household food security but not child nutritional status. Similar agricultural interventions may benefit food security, but the more difficult-to-achieve improvements in child nutrition status may require more focused and integrated programming approaches.

  • Open Access
    Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project
    Abigail Donner, Allison Belemvire, Ben Johns, Keith Mangam, Elana Fiekowsky, Jayleen Gunn, Mary Hayden and Kacey Ernst
    Global Health: Science and Practice December 2017, 5(4):603-616; https://doi.org/10.9745/GHSP-D-17-00189

    Promotion of gender policies led to increased hiring of women in supervisory roles in a large indoor residual spraying (IRS) program with no meaningful differences in IRS output between men and women spray operators.

  • Open Access
    Maternal and Neonatal Directed Assessment of Technologies (MANDATE): Methods and Assumptions for a Predictive Model for Maternal, Fetal, and Neonatal Mortality Interventions
    Bonnie Jones-Hepler, Katelin Moran, Jennifer Griffin, Elizabeth M McClure, Doris Rouse, Carolina Barbosa, Emily MacGuire, Elizabeth Robbins and Robert L Goldenberg
    Global Health: Science and Practice December 2017, 5(4):571-580; https://doi.org/10.9745/GHSP-D-16-00174

    MANDATE is a mathematical model designed to estimate the relative impact of different interventions on maternal, fetal, and neonatal lives saved in sub-Saharan Africa and India. A key advantage is that it allows users to explore the contribution of preventive interventions, diagnostics, treatments, and transfers to higher levels of care to mortality reductions, and at different levels of penetration, utilization, and efficacy.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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