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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    The Quality of Postabortion Care in Tanzania: Service Provider Perspectives and Results From a Service Readiness Assessment
    Erick Yegon, Japheth Ominde, Colin Baynes, Esther Ngadaya, Rehema Kahando, Justin Kahwa and Grace Lusiola
    Global Health: Science and Practice August 2019, 7(Supplement 2):S315-S326; https://doi.org/10.9745/GHSP-D-19-00050

    Of the approximately 2,000 postabortion care (PAC) clients treated over 6 months in 2016, 55% chose a contraceptive method before discharge. Gaps in PAC availability and quality spanned multiple domains including human resource capacity and availability of supplies and contraceptives. While PAC providers generally expressed commitment to providing high-quality care, several facility and systems factors constrained their efforts, including limited training and facility space, lack of time, and supply chain challenges.

  • Open Access
    Reducing Barriers to Postabortion Contraception: The Role of Expanding Coverage of Postabortion Care in Dar es Salaam, Tanzania
    Benjamin Stephens, Isihaka Jossey Mwandalima, Amani Samma, Jean Lyatuu, Kathryn Mimno and Joseph Komwihangiro
    Global Health: Science and Practice August 2019, 7(Supplement 2):S258-S270; https://doi.org/10.9745/GHSP-D-19-00146

    Expanding postabortion care (PAC) coverage to 64 public facilities over 30 months in Dar es Salaam, Tanzania, contributed to >6,000 women voluntarily adopting a contraceptive method, for an overall acceptance rate of about 81% and 78% adopting a long-acting method. Key interventions included clinical training and follow-up mentorship; PAC service reorganization, equipment provision, and an expanded method mix offering; standardized PAC documentation tools; and community linkages and referrals.

  • Open Access
    Voluntary Contraceptive Uptake Among Postabortion Care Clients Treated With Misoprostol in Rwanda
    Catherine Packer, Allison P. Pack and Donna R. McCarraher
    Global Health: Science and Practice August 2019, 7(Supplement 2):S247-S257; https://doi.org/10.9745/GHSP-D-18-00399

    Voluntary contraceptive uptake among postabortion care clients treated with misoprostol in Rwanda was high and unhindered by the extended bleeding that sometimes occurs with misoprostol use. However, provider knowledge regarding return to fertility and contraceptive methods appropriate for postabortion care clients should be strengthened.

  • Open Access
    Women’s Satisfaction With and Perceptions of the Quality of Postabortion Care at Public-Sector Facilities in Mainland Tanzania and in Zanzibar
    Colin Baynes, Erick Yegon, Grace Lusiola, Rehema Kahando, Esther Ngadaya and Justin Kahwa
    Global Health: Science and Practice August 2019, 7(Supplement 2):S299-S314; https://doi.org/10.9745/GHSP-D-19-00026

    Tanzanian women expressed greater satisfaction with postabortion care received at district hospitals and health centers, where they experienced shorter waiting times, more family planning counseling, and threefold greater voluntary uptake of family planning, than at regional hospitals. Continued decentralization to district hospitals would likely enhance client satisfaction with postabortion care.

  • Open Access
    Findings and Lessons Learned From Strengthening the Provision of Voluntary Long-Acting Reversible Contraceptives With Postabortion Care in Guinea
    Anne Pfitzer, Yolande Hyjazi, Bethany Arnold, Jacqueline Aribot, Reeti D. Hobson, Tsigue G. Pleah, Shani Turke, Benita O’Colmain and Sharon Arscott-Mills
    Global Health: Science and Practice August 2019, 7(Supplement 2):S271-S284; https://doi.org/10.9745/GHSP-D-18-00344

    Integrating voluntary long-acting reversible contraceptive (LARC) methods within postabortion care (PAC) in Guinea has increased LARC uptake among PAC clients, compared with non-PAC clients. With aid from government champions and leveraging of resources, Guinea has incorporated PAC into national policies and guidelines and trained providers on PAC and LARCs to expand service provision.

  • Open Access
    Alternative Ready-To-Use Therapeutic Food Yields Less Recovery Than the Standard for Treating Acute Malnutrition in Children From Ghana
    Kristin Kohlmann, Meghan Callaghan-Gillespie, Julia M. Gauglitz, Matilda Steiner-Asiedu, Kwesi Saalia, Carly Edwards and Mark J. Manary
    Global Health: Science and Practice June 2019, 7(2):203-214; https://doi.org/10.9745/GHSP-D-19-00004

    In Ghana, an alternative ready-to-use food (RUTF) formulation that met all specifications was not as good as standard RUTF in affecting recovery from acute malnutrition among children aged 6 to 59 months.

  • Open Access
    Using a Human-Centered Design Approach to Determine Consumer Preferences for Long-Lasting Insecticidal Nets in Ghana
    Sharon Kim, Danielle Piccinini, Elorm Mensah and Matthew Lynch
    Global Health: Science and Practice June 2019, 7(2):160-170; https://doi.org/10.9745/GHSP-D-18-00284

    Through focus group discussions and human-centered design exercises, middle-class Ghanaians communicated the need to address convenience, comfort, and aesthetics when designing a bed net for their demographic. Illustrative attributes for consideration by private-sector manufacturers include a more convenient way to hang the net, a more attractive silhouette, and a zipper to provide ease of entry and exit while keeping the area sealed from mosquitos.

  • Open Access
    “It's Not Like Taking Chocolates”: Factors Influencing the Feasibility and Sustainability of Universal Test and Treat in Correctional Health Systems in Zambia and South Africa
    Stephanie M. Topp, Candice M. Chetty-Makkan, Helene J. Smith, Lucy Chimoyi, Christopher J. Hoffmann, Katherine Fielding, Stewart E. Reid, Abraham J. Olivier, Harry Hausler, Michael E. Herce and Salome Charalambous
    Global Health: Science and Practice June 2019, 7(2):189-202; https://doi.org/10.9745/GHSP-D-19-00051

    Universal test and treat may be feasible even in highly resource-constrained correctional facilities. Sustainability and impact of such services require a supportive policy environment, robust service delivery systems, adequate resourcing, and close attention to the psychosocial factors influencing incarcerated persons' willingness to engage in HIV treatment.

  • Open Access
    The Challenges of Transition From Donor-Funded Programs: Results From a Theory-Driven Multi-Country Comparative Case Study of Programs in Eastern Europe and Central Asia Supported by the Global Fund
    George Gotsadze, Ivdity Chikovani, Lela Sulaberidze, Tamar Gotsadze, Ketevan Goguadze and Nertila Tavanxhi
    Global Health: Science and Practice June 2019, 7(2):258-272; https://doi.org/10.9745/GHSP-D-18-00425

    Transitioning from donor funding toward domestic financing for HIV and TB programs in Eastern Europe and Central Asia presents major challenges. It will require a substantial multipronged approach through well-planned collective and coordinated responses from global, bilateral, and national partners.

  • Open Access
    Associations Between Practices and Behaviors at the Health Facility Level and Supply Chain Management for Antiretrovirals: Evidence from Cameroon, Namibia, and Swaziland
    Diana Bowser, Laura Krech, David Mabirizi, Angela Y. Chang, David Kapaon and Thomas Bossert
    Global Health: Science and Practice June 2019, 7(2):300-316; https://doi.org/10.9745/GHSP-D-19-00063

    Using antiretrovirals (ARVs) as tracer products, we identified the following key practices that may affect supply chain management at the facility level: order verification, actions taken when stock is received, changes in prescription and dispensing due to ARV stock-out, actions to ensure patient adherence, and communication with other affiliated facilities and higher-level supply chain management. We propose a set of indicators to measure these practices.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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