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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
    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
    Family Planning in the Context of Latin America's Universal Health Coverage Agenda
    Thomas Fagan, Arin Dutta, James Rosen, Agathe Olivetti and Kate Klein
    Global Health: Science and Practice September 2017, 5(3):382-398; https://doi.org/10.9745/GHSP-D-17-00057

    Latin American countries have expanded family planning along with universal health coverage (UHC). Leveraging UHC-oriented schemes to increase family planning program coverage, equity, and financing requires:

    • Prioritizing poor and indigenous populations

    • Including family planning services in all benefits packages

    • Ensuring sufficient supply of commodities and human resources to avoid stock-outs and implicit rationing

    • Reducing nonfinancial barriers to access

  • Open Access
    Geographic Access Modeling of Emergency Obstetric and Neonatal Care in Kigoma Region, Tanzania: Transportation Schemes and Programmatic Implications
    Yi No Chen, Michelle M Schmitz, Florina Serbanescu, Michelle M Dynes, Godson Maro and Michael R Kramer
    Global Health: Science and Practice September 2017, 5(3):430-445; https://doi.org/10.9745/GHSP-D-17-00110

    32% of estimated live births in the region may not be able to reach emergency obstetric and neonatal care (EmONC) services within 2 hours in dry season, regardless of the type of transportation available. However, bicycles, motorcycles, and cars provide a significant increase in geographic accessibility in some areas. Achieving good access may require upgrading non-EmONC facilities to EmONC facilities in some districts while incorporating bicycles and motorcycles into the health transportation strategy in others.

  • Open Access
    Upgrading Supply Chain Management Systems to Improve Availability of Medicines in Tanzania: Evaluation of Performance and Cost Effects
    Marasi Mwencha, James E Rosen, Cary Spisak, Noel Watson, Noela Kisoka and Happiness Mberesero
    Global Health: Science and Practice September 2017, 5(3):399-411; https://doi.org/10.9745/GHSP-D-16-00395

    Investments in a national logistics management unit and electronic logistics management information system resulted in better data use and improvements in some, but not all, management practices. After 1 year, key improvements included reduced stock-out rates, stock-out duration, and expiry rates. Although the upgraded systems were not inexpensive, they contributed to greater system efficiency and generated modest savings that defrayed much of the investment and maintenance costs.

  • Open Access
    Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes
    John W Peabody, Lisa DeMaria, Owen Smith, Angela Hoth, Edmond Dragoti and Jeff Luck
    Global Health: Science and Practice September 2017, 5(3):412-429; https://doi.org/10.9745/GHSP-D-17-00044

    When providers in 6 different countries were asked how they would care for the same patient, there was wide variation within and between countries. Nevertheless, 11% of the physicians scored over 80%, suggesting good quality of care is possible even with resource constraints. Use of validated clinical vignettes, which can be applied affordably at scale, could help improve quality of services in low- and middle-income countries.

  • Open Access
    National Assessment of Data Quality and Associated Systems-Level Factors in Malawi
    Richael O'Hagan, Melissa A Marx, Karen E Finnegan, Patrick Naphini, Kumbukani Ng'ambi, Kingsley Laija, Emily Wilson, Lois Park, Sautso Wachepa, Joseph Smith, Lewis Gombwa, Amos Misomali, Tiope Mleme and Simeon Yosefe
    Global Health: Science and Practice September 2017, 5(3):367-381; https://doi.org/10.9745/GHSP-D-17-00177

    Nearly all facility registers were available and complete. But accuracy varied, with antenatal care and HIV testing and counseling performing the best and family planning and acute respiratory infections data less well. Most facilities visibly displayed routine health data and most hospitals and district health offices had staff trained in health management information systems, but training was lacking at the facility level as were routine data quality checks and regular supervision.

  • Open Access
    Using Data to Improve Programs: Assessment of a Data Quality and Use Intervention Package for Integrated Community Case Management in Malawi
    Elizabeth Hazel, Emmanuel Chimbalanga, Tiyese Chimuna, Humphreys Nsona, Angella Mtimuni, Ernest Kaludzu, Kate Gilroy and Tanya Guenther
    Global Health: Science and Practice September 2017, 5(3):355-366; https://doi.org/10.9745/GHSP-D-17-00103

    Use of simple wall charts by community and facility health workers to collect and visualize data helped inform data-based decision making for community health education activities, tracking stock-outs, staffing decisions, and other programming issues. Since intervention scale-up, however, use of the wall chart has dropped, demonstrating need for continued investment in supportive supervision.

  • Open Access
    Implementing Maternal Death Surveillance and Response in Kenya: Incremental Progress and Lessons Learned
    Helen Smith, Charles Ameh, Pamela Godia, Judith Maua, Kigen Bartilol, Patrick Amoth, Matthews Mathai and Nynke van den Broek
    Global Health: Science and Practice September 2017, 5(3):345-354; https://doi.org/10.9745/GHSP-D-17-00130

    A national coordinating structure was established but encountered significant challenges including: (1) a low number of estimated maternal deaths identified that only included some occurring within facilities, (2) only half of those identified were reviewed, (3) reviewers had difficulties assessing the cause of death largely because of limited documentation in clinical records; and (4) resulting actions were limited. Successful implementation will require addressing many issues, including building support for the process lower down in the health system.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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