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Global Health: Science and Practice
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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    Overcoming Operational Challenges to Ebola Case Investigation in Sierra Leone
    Samuel T Boland, Erin Polich, Allison Connolly, Adam Hoar, Tom Sesay and Anh-Minh A Tran
    Global Health: Science and Practice September 2017, 5(3):456-467; https://doi.org/10.9745/GHSP-D-17-00126

    Deficiencies in transportation and communication, low frontline staff morale, and mistrust among communities, among other operational challenges, greatly limited Ebola case investigation in Sierra Leone. Recommendations for future outbreaks: (1) timely compensation for frontline staff, (2) context-appropriate transportation and communication resources, (3) systematic data collection, storage, and retrieval systems, (4) sound linkages between frontline staff and communities, (5) daily meetings between frontline staff and epidemiologists, (6) clear and appropriate operational chain of command, and (7) political and funding support to operational agencies.

  • Open Access
    Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda
    Benjamin Bellows, Anna Mackay, Antonia Dingle, Richard Tuyiragize, William Nnyombi and Aisha Dasgupta
    Global Health: Science and Practice September 2017, 5(3):446-455; https://doi.org/10.9745/GHSP-D-17-00065

    Between 2011 and 2014, the program provided more than 330,000 family planning services, mostly to rural women in the informal sector with little or no education. 70% of the voucher clients chose an implant and 25% an intrauterine device.

  • Open Access
    From Albania to Zimbabwe: Surveying 10 Years of Summer Field Experiences at the Rollins School of Public Health
    Evelyn L Howatt Donahoe, Roger W Rochat, Deborah McFarland and Carlos del Rio
    Global Health: Science and Practice September 2017, 5(3):468-475; https://doi.org/10.9745/GHSP-D-16-00262

    Since 1985, students from the Rollins School of Public Health have worked for more than 300 organizations in 84 countries. The students indicated key benefits of applying public health course work in real-world settings and gaining skills, including cultural competency, leadership, teamwork, communication, and program implementation. They also experienced challenges related to health, safety, and support.

  • 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
    Availability and Quality of Family Planning Services in the Democratic Republic of the Congo: High Potential for Improvement
    Dieudonné Mpunga, JP Lumbayi, Nelly Dikamba, Albert Mwembo, Mala Ali Mapatano and Gilbert Wembodinga
    Global Health: Science and Practice June 2017, 5(2):274-285; https://doi.org/10.9745/GHSP-D-16-00205

    A few facilities provided good access to and quality of family planning services, particularly urban, private, and higher-level facilities. Yet only one-third offered family planning services at all, and only 20% of these facilities met a basic measure of quality. Condoms, oral contraceptives, and injectables were most available, whereas long-acting, permanent methods, and emergency contraception were least available. Responding to the DRC's high unmet need for family planning calls for substantial expansion of services.

  • 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.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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