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Global Health: Science and Practice
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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
    Client Perceptions of Quality and Choice at Static, Mobile Outreach, and Special Family Planning Day Services in 3 African Countries
    Leah Jarvis, Jane Wickstrom and Caitlin Shannon
    Global Health: Science and Practice October 2018, 6(3):439-455; https://doi.org/10.9745/GHSP-D-18-00047

    In all 3 countries, nearly all women obtained their method of choice, with more mobile outreach and special family planning day clients having a preexisting preference for implants than static service clients. Clients of all service modalities in all countries reported experiencing most elements of full, free, and informed choice, but there is room for improvement with some aspects, such as counseling about potential side effects and giving clients the opportunity to ask questions.

  • Open Access
    Global Health Competency Self-Confidence Scale: Tool Development and Validation
    Cynthia Stuhlmiller and Barry Tolchard
    Global Health: Science and Practice October 2018, 6(3):528-537; https://doi.org/10.9745/GHSP-D-18-00031

    The scale, designed to measure students' self-assessment of their confidence in 11 competency domains before and after participating in global placements, was found to be reliable and correlated well with an earlier validated scale.

  • Open Access
    Safety of Tubal Occlusion by Minilaparotomy Provided by Trained Clinical Officers Versus Assistant Medical Officers in Tanzania: A Randomized, Controlled, Noninferiority Trial
    Mark A. Barone, Zuhura Mbuguni, Japhet Ominde Achola, Annette Almeida, Carmela Cordero, Joseph Kanama, Adriana Marquina, Projestine Muganyizi, Jamilla Mwanga, Daniel Ouma, Caitlin Shannon and Leopold Tibyehabwa
    Global Health: Science and Practice October 2018, 6(3):484-499; https://doi.org/10.9745/GHSP-D-18-00108

    Trained clinical officers—nonphysicians with 3 years of specialized training—conducted the procedure safely and effectively compared with procedures performed by more advanced assistant medical officers. This evidence supports policy change allowing properly trained and supported clinical officers to perform minilaparotomy.

  • Open Access
    Role of Religious Leaders in Promoting Contraceptive Use in Nigeria: Evidence From the Nigerian Urban Reproductive Health Initiative
    Sunday A. Adedini, Stella Babalola, Charity Ibeawuchi, Olukunle Omotoso, Akinsewa Akiode and Mojisola Odeku
    Global Health: Science and Practice October 2018, 6(3):500-514; https://doi.org/10.9745/GHSP-D-18-00135

    Exposure to family planning messages from religious leaders was significantly associated with higher modern contraceptive use, after accounting for background characteristics and other variables such as myths and misconceptions. Engaging religious leaders to support positive social norms is an important strategy to improving voluntary contraceptive use in Nigeria.

  • Open Access
    Helping Babies Breathe, Second Edition: A Model for Strengthening Educational Programs to Increase Global Newborn Survival
    Beena D. Kamath-Rayne, Anu Thukral, Michael K. Visick, Eileen Schoen, Erick Amick, Ashok Deorari, Carrie Jo Cain, William J. Keenan, Nalini Singhal, George A. Little and Susan Niermeyer
    Global Health: Science and Practice October 2018, 6(3):538-551; https://doi.org/10.9745/GHSP-D-18-00147

    The revised neonatal resuscitation curriculum updates not only the science of resuscitation but also the educational and implementation approaches needed to further enhance neonatal survival, including promoting ongoing practice to retain skills and linkages with quality improvement initiatives.

  • Open Access
    Assessment of Family Planning Service Availability and Readiness in 10 African Countries
    Moazzam Ali, Madeline Farron, Thandassery Ramachandran Dilip and Rachel Folz
    Global Health: Science and Practice October 2018, 6(3):473-483; https://doi.org/10.9745/GHSP-D-18-00041

    In the 10 countries surveyed, the availability of oral contraceptives, injectables, and condoms varied greatly, and the availability of basic items indicating service readiness, such as guidelines, trained staff, equipment, and certain commodities, was low.

  • Open Access
    The Net Promoter Score (NPS) for Insight Into Client Experiences in Sexual and Reproductive Health Clinics
    Rebecca Koladycz, Gwendolyn Fernandez, Kate Gray and Heidi Marriott
    Global Health: Science and Practice October 2018, 6(3):413-424; https://doi.org/10.9745/GHSP-D-18-00068

    The NPS measures a customer's likeliness to recommend a company to a friend or colleague on a 0-to-10 scale. Pilot testing in 4 countries suggests the NPS can also be successfully used in nonprofit clinics and among low-literacy populations. Combining the NPS with client demographic and service-use data can provide a powerful tool for identifying populations for whom the client experience can be improved.

  • 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
    Community-Based Management of Acute Malnutrition to Reduce Wasting in Urban Informal Settlements of Mumbai, India: A Mixed-Methods Evaluation
    Neena Shah More, Anagha Waingankar, Sudha Ramani, Sheila Chanani, Vanessa D'Souza, Shanti Pantvaidya, Armida Fernandez and Anuja Jayaraman
    Global Health: Science and Practice March 2018, 6(1):103-127; https://doi.org/10.9745/GHSP-D-17-00182

    Under the NGO–government partnership, wasting among children under age 3 decreased by 28% in intervention areas and by only 5% in comparison areas. Success factors included persuading and engaging with communities including delivery of tailored information, close presence and supervision of field staff, and holistic management of other issues beyond acute malnutrition. This intensive approach may be challenging for the government to adapt effectively at large scale.

  • Open Access
    Expanding Access to Injectable Contraception: Results From Pilot Introduction of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC) in 4 African Countries
    Anna Stout, Siri Wood, George Barigye, Alain Kaboré, Daouda Siddo and Ida Ndione
    Global Health: Science and Practice March 2018, 6(1):55-72; https://doi.org/10.9745/GHSP-D-17-00250

    Nearly half a million doses of DMPA-SC were administered over 2 years in Burkina Faso, Niger, Senegal, and Uganda, with 29% of doses provided to first-time family planning users and 44% (in 3 countries) to adolescent girls and young women under age 25. Switching from intramuscular DMPA (DMPA-IM) was not widespread and generally decreased over time. Community health workers provided a higher proportion of DMPA-SC than DMPA-IM injections. Stock-outs in 2 countries hindered product uptake, highlighting the need to strengthen logistics systems when introducing a new method.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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