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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    Operationalizing Integrated Immunization and Family Planning Services in Rural Liberia: Lessons Learned From Evaluating Service Quality and Utilization
    Allyson R. Nelson, Chelsea M. Cooper, Swaliho Kamara, Nyapu D. Taylor, Topian Zikeh, Cefanee Kanneh-Kesselly, Rebecca Fields, Iqbal Hossain, Lolade Oseni, Birhanu S. Getahun, Anne Fiedler, Anne Schuster and Hannah Tappis
    Global Health: Science and Practice September 2019, 7(3):418-434; https://doi.org/10.9745/GHSP-D-19-00012

    Providers, managers, and clients valued the integrated service delivery model. Trends indicated slightly higher family planning uptake in intervention facilities, but that difference was not statistically significant. Intrafacility referrals by postpartum women did not negatively affect immunization utilization rates.

  • Open Access
    Role of Male Sex Partners in HIV Risk of Adolescent Girls and Young Women in Mozambique
    Jenifer Chapman, Nena do Nascimento and Mahua Mandal
    Global Health: Science and Practice September 2019, 7(3):435-446; https://doi.org/10.9745/GHSP-D-19-00117

    Efforts to prevent HIV among adolescent girls and young women (AGYW) should focus on providing male sexual partners of AGYW with HIV prevention, testing, and treatment programming and providing AGYW, particularly those who are less educated, pregnant, or single mothers, with prevention methods that do not require negotiating safer sex with their partners.

  • Open Access
    Three Waves of Data Use Among Health Workers: The Experience of the Better Immunization Data Initiative in Tanzania and Zambia
    Laurie Werner, Dawn Seymour, Chilunga Puta and Skye Gilbert
    Global Health: Science and Practice September 2019, 7(3):447-456; https://doi.org/10.9745/GHSP-D-19-00024

    Data quality and use rollout in Tanzania's and Zambia's immunization programs progressed along 3 phases—from strengthening data collection, to improving data quality, to increasing data use for programmatic decision making cultivating a culture of data use.

  • Open Access
    Unintended Consequences of mHealth Interactive Voice Messages Promoting Contraceptive Use After Menstrual Regulation in Bangladesh: Intimate Partner Violence Results From a Randomized Controlled Trial
    Kate Reiss, Kathryn Andersen, Erin Pearson, Kamal Biswas, Fahmida Taleb, Thoai D. Ngo, Altaf Hossain, Sharmani Barnard, Chris Smith, James Carpenter, Jamie Menzel, Katharine Footman, Katherine Keenan, Megan Douthwaite, Yasmin Reena, Hassan Rushekh Mahmood, Tanzila Tabbassum, Manuela Colombini, Loraine Bacchus and Kathryn Church
    Global Health: Science and Practice September 2019, 7(3):386-403; https://doi.org/10.9745/GHSP-D-19-00015

    Automated interactive voice messages about post-menstrual regulation contraception delivered to women in Bangladesh via mobile phone were associated with increased reports of intimate partner violence. This finding highlights the importance of taking steps to minimize risk when delivering phone messages on sensitive topics and the need for assessing violence in such situations.

  • Open Access
    Evidence-Based Process for Prioritizing Positive Behaviors for Promotion: Zika Prevention in Latin America and the Caribbean and Applicability to Future Health Emergency Responses
    Jessie Pinchoff, Arianna Serino, Alice Payne Merritt, Gabrielle Hunter, Martha Silva, Priya Parikh and Paul C. Hewett
    Global Health: Science and Practice September 2019, 7(3):404-417; https://doi.org/10.9745/GHSP-D-19-00188

    To maximize the impact of Zika prevention programming efforts, a prioritization process for social and behavior change programming was developed based on a combination of research evidence and programmatic experience. Prioritized behaviors were: application of mosquito repellent, use of condoms, removing unintentional standing water, covering and scrubbing walls of water storage containers, seeking prenatal care, and seeking counseling on family planning if not planning to get pregnant.

  • 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.

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