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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
    Effect on Neonatal Mortality of Newborn Infection Management at Health Posts When Referral Is Not Possible: A Cluster-Randomized Trial in Rural Ethiopia
    Tedbabe Degefie Hailegebriel, Brian Mulligan, Simon Cousens, Bereket Mathewos, Steve Wall, Abeba Bekele, Jeanne Russell, Deborah Sitrin, Biruk Tensou, Joy Lawn, Joseph de Graft Johnson, Hailemariam Legesse, Sirak Hailu, Assaye Nigussie, Bogale Worku and Abdullah Baqui
    Global Health: Science and Practice June 2017, 5(2):202-216; https://doi.org/10.9745/GHSP-D-16-00312

    Health Extension Workers (HEWs), in general, properly provided antibiotic treatment of possible severe bacterial infections in newborns at the health post level. But only about half of newborns estimated to have infections in the intervention area received treatment by HEWs, and home visits and referrals declined in the final months of the study. Cluster-level analysis suggests a mortality reduction consistent with this level of treatment coverage, although the finding did not reach statistical significance.

  • Open Access
    Limited Service Availability, Readiness, and Use of Facility-Based Delivery Care in Haiti: A Study Linking Health Facility Data and Population Data
    Wenjuan Wang, Michelle Winner and Clara R Burgert-Brucker
    Global Health: Science and Practice June 2017, 5(2):244-260; https://doi.org/10.9745/GHSP-D-16-00311

    Proximity to a health facility offering delivery services and readiness of the facilities to provide such services were poor in both rural and urban areas outside of Port-au-Prince. Availability of a proximate facility was significantly associated with women in rural and urban areas delivering at a facility, as was the quality of delivery care available at the facilities but only in urban areas.

  • Open Access
    Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam
    Lora L Sabin, Anna Larson Williams, Bao Ngoc Le, Augusta R Herman, Ha Viet Nguyen, Rebecca R Albanese, Wenjun Xiong, Hezekiah OA Shobiye, Nafisa Halim, Lien Thi Ngoc Tran, Marion McNabb, Hai Hoang, Ariel Falconer, Tam Thi Thanh Nguyen and Christopher J Gill
    Global Health: Science and Practice June 2017, 5(2):261-273; https://doi.org/10.9745/GHSP-D-16-00348

    The original intention was to deliver technical content through brief text messages to stimulate participants to undertake deeper learning. While participants appreciated the convenience and relevance of the text messages, their scores of higher-order knowledge did not improve. The intervention may not have been successful because the messages lacked depth and interactivity, and participants were not explicitly encouraged to seek deeper learning.

  • Open Access
    The BetterBirth Program: Pursuing Effective Adoption and Sustained Use of the WHO Safe Childbirth Checklist Through Coaching-Based Implementation in Uttar Pradesh, India
    Nabihah Kara, Rebecca Firestone, Tapan Kalita, Atul A Gawande, Vishwajeet Kumar, Bhala Kodkany, Rajiv Saurastri, Vinay Pratap Singh, Pinki Maji, Ami Karlage, Lisa R Hirschhorn and Katherine EA Semrau on behalf of the BetterBirth Trial Group
    Global Health: Science and Practice June 2017, 5(2):232-243; https://doi.org/10.9745/GHSP-D-16-00411

    The BetterBirth Program relied on carefully structured coaching that was multilevel, collaborative, and provider-centered to motivate birth attendants to use the WHO Safe Childbirth Checklist and improve adherence to essential birth practices. It was scaled to 60 sites as part of a randomized controlled trial in Uttar Pradesh, India.

  • Open Access
    Increasing Access to Family Planning Choices Through Public-Sector Social Franchising: The Experience of Marie Stopes International in Mali
    Judy Gold, Eva Burke, Boubacar Cissé, Anna Mackay, Gillian Eva and Brendan Hayes
    Global Health: Science and Practice June 2017, 5(2):286-298; https://doi.org/10.9745/GHSP-D-17-00011

    While social franchising has been highly successful with private-sector providers, in Mali the approach was expanded to public-sector community health clinics. From 2012 to 2015, these clinics served >120,000 family planning clients, 78% of whom chose long-acting reversible methods. Many clients were young, poor, and had not been using a method during the 3 months prior to their visit.

  • Open Access
    Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India
    Megan Marx Delaney, Pinki Maji, Tapan Kalita, Nabihah Kara, Darpan Rana, Krishan Kumar, Jenny Masoinneuve, Simon Cousens, Atul A Gawande, Vishwajeet Kumar, Bhala Kodkany, Narender Sharma, Rajiv Saurastri, Vinay Pratap Singh, Lisa R Hirschhorn, Katherine EA Semrau and Rebecca Firestone
    Global Health: Science and Practice June 2017, 5(2):217-231; https://doi.org/10.9745/GHSP-D-16-00410

    Implementation of the WHO Safe Childbirth Checklist with peer coaching resulted in >90% adherence to 35 of 39 essential birth practices among birth attendants after 8 months, but adherence to some practices was lower when the coach was absent.

  • Open Access
    Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People
    Eva Burke, Judy Gold, Lalaina Razafinirinasoa and Anna Mackay
    Global Health: Science and Practice March 2017, 5(1):33-43; https://doi.org/10.9745/GHSP-D-16-00321

    Program accomplishments during the first 18 months:

    • More than 58,000 free vouchers distributed to young people, of which 74% were redeemed.

    • 79% chose long-acting reversible contraceptives (LARCs) and 51% received STI counseling.

    Client profile data snapshot:

    • 69% had never previously used contraception and 96% were 20 or younger.

  • Open Access
    Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia
    Karen Weidert, Amanuel Gessessew, Suzanne Bell, Hagos Godefay and Ndola Prata
    Global Health: Science and Practice March 2017, 5(1):44-56; https://doi.org/10.9745/GHSP-D-16-00344

    Volunteer community health workers (CHWs) administered injectable contraceptives to women in the community for a small fee while providing counseling and referrals for other methods. Over nearly 3 years, more than 600 CHWs provided an estimated 15,410 injections. The model has the potential to improve sustainability of community-based distribution programs by incorporating social marketing principles to partially recover commodity costs and compensate CHWs.

  • Open Access
    A Non–Gas-Based Cryotherapy System for the Treatment of Cervical Intraepithelial Neoplasia: A Mixed-Methods Approach for Initial Development and Testing
    Miriam Cremer, Proma Paul, Katie Bergman, Michael Haas, Mauricio Maza, Albert Zevallos, Miguel Ossandon, Jillian D Garai and Jennifer L Winkler
    Global Health: Science and Practice March 2017, 5(1):57-64; https://doi.org/10.9745/GHSP-D-16-00270

    A non–gas-based treatment device for early cervical cancer treatment, adapted for use in low-resource settings to improve ease of use, portability, and durability, performed similarly to a standard gas-based cryotherapy device in small-scale testing. A large randomized clinical trial is currently underway for further assessment.

  • Open Access
    Women's Limited Choice and Availability of Modern Contraception at Retail Outlets and Public-Sector Facilities in Luanda, Angola, 2012–2015
    Benjamin Nieto-Andrade, Eva Fidel, Rebecca Simmons, Dana Sievers, Anya Fedorova, Suzanne Bell, Karen Weidert and Ndola Prata
    Global Health: Science and Practice March 2017, 5(1):75-89; https://doi.org/10.9745/GHSP-D-16-00304

    Despite high rates of unintended pregnancy, access to a wide range of contraceptive methods, especially injectables and long-acting reversible contraceptives (LARCs), is severely limited in both public and private facilities. Knowledge of contraceptive choices is likewise limited, yet a substantial proportion of women are not using their preferred method among the methods they know of.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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