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- A Platform for Sustainable Scale: The Challenge Initiative’s Innovative Approach to Scaling Proven Interventions
The Challenge Initiative’s innovative approach to scale prioritizes local government ownership and meaningful leadership of key local stakeholders to implement high-impact interventions with built-in sustainability by strengthening local capacity and health systems.
- Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021
Four interconnected influences have caused the Peruvian health system to underperform. To break the influence of these cycles, the Ministry of Health needs to argue in economic terms to prioritize health.
- Implementation and Cost Analysis of a Novel Silicosis Case-Finding Program For Mine Workers in Rural Rwanda
Implementing occupational lung disease case-finding in resource-limited settings is clinically and economically feasible and can be integrated into routine noncommunicable disease case-finding.
- Applying a Three-Tier Approach to Address Gaps in Oral Pre-Exposure Prophylaxis Uptake and Continuity in Uganda: A Mixed Methods Approach
We introduced a transformative approach consisting of a gap analysis and root cause analysis to understand and address significant gaps in enrollment and continuity on oral pre-exposure prophylaxis (PrEP) and a national quality improvement collaborative to map interventions to address specific barriers in the PrEP cascade.
- National Policy Influences of Contraceptive Prevalence and Method Mix Strategy: A Longitudinal Analysis of 59 Low- and Middle-Income Countries, 2010–2021
Evidence from over a decade of Contraceptive Security Indicators survey data across 59 countries reveals a subset of finance, governance, and logistics policies that boost modern contraceptive prevalence rate and method-mix strategy.
- Risk for Severe Intimate Partner Violence in Nairobi’s Informal Settlements: Tailoring the Danger Assessment to Kenya
Although a tailored 16-item weighted danger assessment may be valuable for research purposes, the unweighted 16-item Kenya-Danger Assessment is most valuable for implementation among practitioners working directly with intimate partner violence survivors, given simplicity for field implementation.
- Surgical System Efficiency and Operative Productivity in Public and Private Health Facilities in Ethiopia: A Cross-Sectional Evaluation
The surgical system in Ethiopia in both public and private health facilities was inefficient, requiring immediate action to improve timely access to safe surgical care.
- Improving TB Case Detection Through Active Case-Finding: Results of Multiple Intervention Strategies in Hard-to-Reach Riverine Areas of Southern Nigeria
To address TB control efforts more comprehensively, active case-finding is another important approach to increasing TB case detection rates, especially in hard-to-reach areas with high-risk populations.
- Effectiveness of Capacity-Building and Quality Improvement Interventions to Improve Day-of-Birth Care in Kinshasa, Democratic Republic of the Congo
A low-dose, high-frequency capacity-building approach coupled with quality improvement interventions improved health care provider performance and maternal and newborn health outcomes.
- Barriers and Facilitators to Implementing a Community-Based Psychosocial Support Intervention Conducted In-Person and Remotely: A Qualitative Study in Quibdó, Colombia
This study explores contextual barriers and facilitators and perceived psychosocial changes associated with implementing a community-based psychosocial support group intervention for conflict-affected adults delivered via in-person and remote modalities and presents recommendations for strengthening the provision of community-based services within routine mental health services in Colombia.