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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
    Progress in Harmonizing Tiered HIV Laboratory Systems: Challenges and Opportunities in 8 African Countries
    Jason Williams, Farouk Umaru, Dianna Edgil and Joel Kuritsky
    Global Health: Science and Practice September 2016, 4(3):467-480; https://doi.org/10.9745/GHSP-D-16-00004

    Countries have had mixed results in adhering to laboratory instrument procurement lists, with some limiting instrument brand expansion and others experiencing substantial growth in instrument counts and brand diversity. Important challenges to advancing laboratory harmonization strategies include:

    1. Lack of adherence to procurement policies

    2. Lack of an effective coordinating body

    3. Misalignment of laboratory policies, treatment guidelines, and minimum service packages

  • Open Access
    Scheduled Follow-Up Referrals and Simple Prevention Kits Including Counseling to Improve Post-Discharge Outcomes Among Children in Uganda: A Proof-of-Concept Study
    Matthew O Wiens, Elias Kumbakumba, Charles P Larson, Peter P Moschovis, Celestine Barigye, Jerome Kabakyenga, Andrew Ndamira, Lacey English, Niranjan Kissoon, Guohai Zhou and J Mark Ansermino
    Global Health: Science and Practice September 2016, 4(3):422-434; https://doi.org/10.9745/GHSP-D-16-00069

    Post-hospital discharge is a vulnerable time for recurrent illness and death among children. An intervention package consisting of (1) referrals for scheduled follow-up visits, (2) discharge counseling, and (3) simple prevention items such as soap and oral rehydration salts resulted in much higher health seeking and hospital readmissions compared with historical controls.

  • Open Access
    A Randomized Controlled Trial of a Trauma-Informed Support, Skills, and Psychoeducation Intervention for Survivors of Torture and Related Trauma in Kurdistan, Northern Iraq
    Judith Bass, Sarah McIvor Murray, Thikra Ahmed Mohammed, Mary Bunn, William Gorman, Ahmed Mohammed Amin Ahmed, Laura Murray and Paul Bolton
    Global Health: Science and Practice September 2016, 4(3):452-466; https://doi.org/10.9745/GHSP-D-16-00017

    Providing survivors of torture, imprisonment, and/or military attacks with a counseling program that includes support, skills and psychoeducation by well-trained and supervised community mental health workers can result in moderate yet meaningful improvements in depression and dysfunction.

  • Open Access
    Intensive Group Learning and On-Site Services to Improve Sexual and Reproductive Health Among Young Adults in Liberia: A Randomized Evaluation of HealthyActions
    Rebecca Firestone, Reid Moorsmith, Simon James, Marilyn Urey, Rena Greifinger, Danielle Lloyd, Lisa Hartenberger-Toby, Jewel Gausman and Musa Sanoe
    Global Health: Science and Practice September 2016, 4(3):435-451; https://doi.org/10.9745/GHSP-D-16-00074

    Combining intensive group learning and provision of on-site reproductive health services through an existing alternative basic education program increased use of contraception and HIV testing and counseling among young out-of-school Liberians.

  • Open Access
    Strengthening Postabortion Family Planning Services in Ethiopia: Expanding Contraceptive Choice and Improving Access to Long-Acting Reversible Contraception
    Melaku Samuel, Tamara Fetters and Demeke Desta
    Global Health: Science and Practice August 2016, 4(Supplement 2):S60-S72; https://doi.org/10.9745/GHSP-D-15-00301

    In Ethiopia, a comprehensive strategy to improve postabortion family planning services has produced overall improvement in the uptake of postabortion family planning and a rise in the choice of more effective long-acting reversible contraceptives to produce a more balanced method mix.

  • Open Access
    Rapid Contraceptive Uptake and Changing Method Mix With High Use of Long-Acting Reversible Contraceptives in Crisis-Affected Populations in Chad and the Democratic Republic of the Congo
    Jesse Rattan, Elizabeth Noznesky, Dora Ward Curry, Christine Galavotti, Shuyuan Hwang and Mariela Rodriguez
    Global Health: Science and Practice August 2016, 4(Supplement 2):S5-S20; https://doi.org/10.9745/GHSP-D-15-00315

    Offering a broad choice of contraceptives can rapidly expand use in crisis-affected settings, particularly when the choice includes long-acting reversible contraceptives (LARCs). Over 5 years, the governments of Chad and the Democratic Republic of the Congo, with support from an NGO, provided nearly 85,000 new clients with contraceptives. LARC users, which included an increasing number of IUD users, accounted for 73%.

  • Open Access
    The Mayer Hashi Large-Scale Program to Increase Use of Long-Acting Reversible Contraceptives and Permanent Methods in Bangladesh: Explaining the Disappointing Results. An Outcome and Process Evaluation
    Mizanur Rahman, M Moinuddin Haider, Sian L Curtis and Peter M Lance
    Global Health: Science and Practice August 2016, 4(Supplement 2):S122-S139; https://doi.org/10.9745/GHSP-D-15-00313

    The Mayer Hashi program resulted in a modest increase in use of long-acting reversible contraceptives and permanent methods in Bangladesh, but less of an increase than in comparison nonprogram districts, which appears to have been the result of weaknesses in the health system environment in the program districts. Addressing system issues to support providers beyond training might have led to better results.

  • Open Access
    Mentoring, Task Sharing, and Community Outreach Through the TutoratPlus Approach: Increasing Use of Long-Acting Reversible Contraceptives in Senegal
    Babacar Gueye, Jennifer Wesson, Djimadoum Koumtingue, Sara Stratton, Claire Viadro, Hawa Talla, Etienne Dioh, Carol Cissé, Boniface Sebikali and Bocar Mamadou Daff
    Global Health: Science and Practice August 2016, 4(Supplement 2):S33-S43; https://doi.org/10.9745/GHSP-D-15-00328

    Mentoring, task sharing, and community outreach at 100 rural facilities in Senegal led to an 86% increase over 6 months in the number of women choosing long-acting reversible contraceptives (from 1,552 to 2,879). Concurrent improvement of facilities and provider skills, coupled with the application of Senegal’s task-sharing policy, are increasing the range of contraceptive methods available to women throughout the country.

  • Open Access
    The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives
    Michael Muthamia, Kenneth Owino, Paul Nyachae, Margaret Kilonzo, Mercy Kamau, Jane Otai, Mark Kabue and Nelson Keyonzo
    Global Health: Science and Practice August 2016, 4(Supplement 2):S44-S59; https://doi.org/10.9745/GHSP-D-15-00306

    Use of long-acting reversible contraceptives increased significantly among women in a poor, urban setting through training, mentoring, commodity security, quality improvement, multiple service delivery models, and multiple demand-promotion approaches.

  • Open Access
    Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries
    Julia N White and Jamaica Corker
    Global Health: Science and Practice August 2016, 4(Supplement 2):S21-S32; https://doi.org/10.9745/GHSP-D-15-00307

    Between 2013 and 2014, IUD services provided to women increased more than threefold–from 22,893 to 79,162–in 417 public facilities in Guatemala, Laos, Mali, and Uganda through a Population Services International pilot that engaged the public sector alongside existing private-sector interventions within an informed choice context. Based on family planning market analyses, the country-specific interventions focused on strengthening policy, service delivery, supply chain management, and demand promotion.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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